Clinical surgeryExtracts from the reports of surgical practice between the years 1860-1876Translated from the original, and edited, with annotations, by CTDent . c paste applied. On the following daythe cauterised part was scraped away, and the paste reapplied. The dyspnoeagi-adually increased, until the patient become asphyxiated. Post mortem:the trachea was found narrowed, and the bronchocele had in part extendedinto it. (See Fig. ii). Three cases of subcutaneous laceration of parenchymatous Iron-choceles.—I have repeatedly observed, that in cases where at difierenttimes several punctures ha
Clinical surgeryExtracts from the reports of surgical practice between the years 1860-1876Translated from the original, and edited, with annotations, by CTDent . c paste applied. On the following daythe cauterised part was scraped away, and the paste reapplied. The dyspnoeagi-adually increased, until the patient become asphyxiated. Post mortem:the trachea was found narrowed, and the bronchocele had in part extendedinto it. (See Fig. ii). Three cases of subcutaneous laceration of parenchymatous Iron-choceles.—I have repeatedly observed, that in cases where at difierenttimes several punctures had been made into parenchymatous bron-choceles, in order to determine the consistence of the mass, dyspnoeawas relieved and sometimes, as it appeared to me, the tumourdiminished in size. Examinations of a considerable number ofbronchoceles of this nature showed me further that not infrequently,a central cicatricial contraction took place. This gave me the idea 1 For fui-ther remarks on the treatment by iodine injections, vide infrapp. 170—175. SUBCUTANEOUS LACERATION OE BEONCHOCELE. 161Fig. II,—Beonchocele, exteijding into, and naeeowing the that it migM be possible, in cases where extirpation would havebeen out of the question, to procure a process of shrinking, bjrepeated subcutaneous punctures; at any rate, I thought that Icould make the tumour soften, and so change a solid into a cysticgrowth. I carried this idea into effect in the case of a phlegmaticyoung woman, set. 32, who had a lateral, deep-seated, firm bron-chocele, causing some dyspnoea. I thrust into it a moderate sizedtrocar, drew out the stilet and moved the canula about in differentdirections in the tumour; this brought about no reaction, so that I 11 162 TENOTOMY OF THE STEENO-MASTOID EXTIRPATION. repeated the proceeding several times, at intervals of a few the tumour became hot and painful, and fluctuated;then I made an incision, and let out the pus and pulpy reco
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