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July 1958

Bilateral Thyrotomy Revaluation After Eight Years

AMA Arch Otolaryngol. 1958;68(1):22-27. doi:10.1001/archotol.1958.00730020026003

The first efforts to eradicate malignant disease of the larynx by thyrotomy, begun in 1870, were far from successful. Morrell Mackenzie1 concluded from statistics of 15 years' observations that the results were extremely unsatisfactory and that it should not be attempted in cases of carcinoma of the larynx. However, Durham2 was one of the first to show that the dangers were greatly overestimated and that thyrotomy

Fig. 1 (From New England J. Med. 244: 275-281, 1951). should be more readily resorted to in appropriate cases. Curiously enough, these same men who were skeptical about it at first achieved brilliant results by this operation later. St. Clair Thomson3 stated that thyrotomy has been further developed by such men as Semon, Butlin, Chiari, Koschier, Moure, Schmigelow, Delavan, and Chevalier Jackson. The indications for this operation were then well established, namely, a carcinoma situated in the anterior two-thirds of the

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