Diseases Of The Nose Throat And Ear

THE LARYNX, BRONCHI AND OESOPHAGUS

oesophagus, trachea and bronchi and finally the larynx including the pyrifonn
fossae and epiglottis. If these biopsies are negative the patient should be
prepared for a radical neck dissection. A small incision is made over the mass,
a biopsy taken and a frozen section done. If it is tuberculosis or a reticulosis
then the gland is removed, the wound closed and the appropriate treatment
begun by chemotherapy or radiotherapy. If it is a carcinoma the open gland
should be plugged with muscle, the wound opened widely and a full radical
neck dissection done. In these cases about 1 in 10 will never have a primary
tumour discovered.

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