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The frequency with which papilloma of the larynx are met, and the difficulty often experienced in their removal prompts me to bring the subject before this body for consideration.
About 70 per cent, of laryngeal growths are of a papillomatous nature, and experience has shown that they rarely return if thoroughly removed and the stump carefully cauterized.
As to the methods of removal and means of cauterizing the stump, I would ask your attention for a few moments.
Small growths in accessible positions may be grasped with the forceps and removed without difficulty, and the stump may be cauterized with any of the usual chemical caustics; but those partly concealed and the larger growths with broad attachments (sessile) are not readily grasped with the forceps. These are torn off by pieces, and the operation is more or less incomplete, leaving much to be done by subsequent cauterization. For this purpose
GIBSON RD. PAPILLOMA OF THE LARYNX. Read in the Section of Laryngology and Otology, at the Forty-third Annual Meeting of the American Medical Association, held at Detroit, Mich., June, 1892. JAMA. 1892;XIX(16):456–457. doi:10.1001/jama.1892.02420160010001d
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