This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1892 edition. Excerpt: ...living after total extirpation of the larynx was first established by Albers, in 1829, while conducting a course of experiments upon dogs for the purpose of ascertaining to what extent the larynx participated in respiration. Koeberle, in 1856, suggested the idea of removing the larynx for disease; and, ...
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This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1892 edition. Excerpt: ...living after total extirpation of the larynx was first established by Albers, in 1829, while conducting a course of experiments upon dogs for the purpose of ascertaining to what extent the larynx participated in respiration. Koeberle, in 1856, suggested the idea of removing the larynx for disease; and, in 1866, the operation was performed for the first time by Dr Patrick Heron Watson, of Edinburgh. The operation was performed for syphilitic stenosis, but the case was not published. It was only in 1871 that the operation was introduced to the profession by Professor Billroth, of Vienna, who undertook it upon man, consequent upon the experimental investigations upon animals by Czerny, of Heidelberg. I am firmly of opinion that cancer is primarily a local disease, and this view has been strongly supported at a recent discussion at the Glasgow Pathological and Clinical Society; 1 and so long as the system of lymphatics has not become involved in the new formation, I think it is quite possible that the patient may be rescued from death by the early performance of a radical operation. It is, however, a very different matter when the disease has spread beyond the laryngeal cavity. In such cases, laryngectomy seems to me unjustifiable, for two reasons: the immediate danger of the operation is greatly increased, and the possibility of eradicating the disease is extremely small; but I do not see any reason why an intrinsic carcinoma, which has not yet exhibited any evidence of glandular involvement, should not be removed with a good prospect of saving the patient. It is not my intention, at the present time, to enter into statistical details, but I think it my duty to indicate what I consider to be the elements of failure, and to point out...
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