Endo-Laryngeal Hæmorrhage During or After Thyro-Fissure in the Removal of the Vocal Cord for Intrinsic Cancer of the Larynx, the Chief Vessel Concerned, and its Control
The Journal of Laryngology Rhinology and Otology
inoperable. A piece of the growth can be removed for section, but the pathologist is rarely satisfied with the examination of so small a piece of tissue usually obtained. Unfortunately when the growth is exposed by operation it is often found to be more extensive than expected in spite of careful examination by the direct method, and it is claimed by Trotter that clinical evidence obtained by examination with the laryngoscope or direct method has proved to be misleading, and the only means
... the only means which can give exact information is the direct observation of these tumours in their early stages at operations undertaken for their removal. This observation can also be made if cesophagostomy is done, but in my experience cesophagostomy is unsatisfactory, and I understand that it is not done in the Cancer Wards of the Middlesex Hospital. Hence it is up to the laryngologist to prove his value by making an early diagnosis and by giving an accurate estimation of the possible success of operation.