Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . vided close to the hyoid bone. A packing ofgauze is inserted in the pharyngeal wound, the larynx is drawn forward andremoved. TREATMENT OF INJURIES AND DISEASES OF THE HEAD 233 The mucous membrane of the trachea should be treated with a 10 per cent,solution of cocain, applied with a pledget of gauze before inserting the the trachea has been sewed to the skin, a good-sized tracheal can-ula should be introduced. The sutures are tied about the canula to ho
Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . vided close to the hyoid bone. A packing ofgauze is inserted in the pharyngeal wound, the larynx is drawn forward andremoved. TREATMENT OF INJURIES AND DISEASES OF THE HEAD 233 The mucous membrane of the trachea should be treated with a 10 per cent,solution of cocain, applied with a pledget of gauze before inserting the the trachea has been sewed to the skin, a good-sized tracheal can-ula should be introduced. The sutures are tied about the canula to holdit in place. This tube should fit so snugly that blood can not enter the anesthetic is continued through the canula if general anesthesia isemployed. In dividing the inferior constrictor of the pharynx, as much as possibleof the muscle should be left for the later closure of the wound (Fig. 889). Asmuch of the pharyngeal mucous membrane as possible should be left for thesame reason. The place of amputation, below and above, should be wellbeyond the disease, the location of which should have been predetermined by. Fig. 890.— larynx has been freed and permitted to fall forward. Thepharyngo-esophageal^open-ing is in process of being sutured. laryngoscopic examination. Usually the division will be made above thethird ring of the trachea. The opening into the pharynx should be closed by two rows of sutures,and the sternohyoid and sternothyroid muscles sutured across in front. Thewound should be dried and packed with gauze saturated with 1 per cent,iodin solution. The skin wound should then be closed, leaving an openingfor the gauze drain. A moistened gauze covering should be placed over thecanula opening. The operation of Gliick makes the division of the thyrohyoid membranefirst. A tracheotomy tube is then inserted into the upper opening of [thelarynx and the dissection continued downward. The amputation at thefirst ring of the trachea is then done (F
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectsurgery, bookyear1920
