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Article
September 1931

CHICAGO LARYNGOLOGICAL AND OTOLOGICAL SOCIETYRegular Meeting, April 6, 1931

Arch Otolaryngol. 1931;14(3):391-395. doi:10.1001/archotol.1931.00630020431016

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Abstract

CARCINOMA OF THE ESOPHAGUS. DR. T. C. GALLOWAY.

CASE 1.—Transpalatal approach for diathermy of a carcinoma of the vault of the nasopharynx.

This operation is an adaptation of the old method of pituitary gland approach in dogs. In this case an epithelioma arising high on the left side of the nasopharynx could not be reached by retracting the palate, so the soft palate was split in the midline, leaving intact the uvula and the posterior border. The hard palate was split with a chisel to the left of the vomer. Through the 4 cm. hole provided, it was easy to apply the diathermy electrode. Closure was easy, and healing by first intention took place except in an area of 1 cm., which closed in two weeks. The function of the palate was normal at the time of presentation.

CASE 2.—Surgical diathermy combined with laryngofissure after the St.

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