On the results of operations for cancer of the larynx : with an analysis of 37 cases / by Henry T. Butlin.

  • Butlin, Henry Trentham, Sir, 1845-1912.
Date:
1908
Catalogue details

Licence: In copyright

Credit: On the results of operations for cancer of the larynx : with an analysis of 37 cases / by Henry T. Butlin. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    proached operations for cancer of the larynx for many years, and for which the reason has been given, I did not perform complete laryngectomy for cancer until tliree years ago. In the last three years I have performed the operation seven times, and the results are set down in the following table. Table IV. Of 7 Complete Laryngectomies. Died of the Operation - Died of mediastinal tumour(?)glands Died of racurr.in cervical glands Alive v/ith local recurrence Well within a year after operation Died of apoplexy without recurrence vrs after operation - Well more than 3 yrs after operation The death from the operation has already been de- scribed. I found it impossible to bring the trachea up and fasten it to the skin after Solis Cohen’s method. This method was employed in all the other cases, and I have no doubt that it lessens the danger of the operation in a very marked degree. The air-passages are cut off from the mouth at the time of the operation, and there is even less fear of Schluck-pneumonie than there is in cases * of thyrotomy. In five of the cases the glands were removed by a separate operation, in one of the five not until several months had elapsed and they were obviously cancerous. Inoperable recurrence has already taken place in that case. They were cancerous and adherent in three of the other cases in which they were removed. One of these patients died of what was thought to be cancerous affection of the glands in the mediastinum, a second died after removal of the larynx, the third has only recently recovered from the operation. In the most successful case, and in a second case which bids fair to be successful, the glands were not removed, M W W M M