Peroral endoscopy and laryngeal surgery . not uncommon. A certain pro])ortion of these are almostcertain to be metallic, or of lead, glass or porcelain and dense to the such bodies may be removed wath the 10 mm. x .i^ cm. esophago-gastrosco[)e. .\s a rule, however, the objects that appeal to the insaneare of a kind that ajipears most appalling to them such as open pocket-knives, shar]) glass and the like. These are best remo\ ed by the abdom-inal surgeon by external operation. Should any object, of whatever kiiul. I-ORKIGX IN AIR AND FOOD PASSAGES. 209 lodge in the esophagus,
Peroral endoscopy and laryngeal surgery . not uncommon. A certain pro])ortion of these are almostcertain to be metallic, or of lead, glass or porcelain and dense to the such bodies may be removed wath the 10 mm. x .i^ cm. esophago-gastrosco[)e. .\s a rule, however, the objects that appeal to the insaneare of a kind that ajipears most appalling to them such as open pocket-knives, shar]) glass and the like. These are best remo\ ed by the abdom-inal surgeon by external operation. Should any object, of whatever kiiul. I-ORKIGX IN AIR AND FOOD PASSAGES. 209 lodge in the esophagus, larynx or trachea, however, it should be removedendoscopically, and it should not he pushed down into the stomach asfatal trauma is \ery likely to result. In most instances it will he in theesophagus that the endoscopist will be required for foreign body work inthe hysteric and the insane. The author has, however, had one case of\()luntary aspiration of a foreign liody into the bronchi, following aprobablv accidental similar Fie. 154. Racliograi)h by IJr. Lewis G. Cole, sliouiiii; two Uicl<s in ;i posteriorl)ranch of the right inferior lobe bronchus. Tacks removed by lironchoscopythrough the mouth. A cose of voluntary aspiration of a foreign body into the bronchi,removal by bronchoscopy. At the Eye and Ear Hospital, of Pittsburgh,the author removed liy bronchoscopy, two tacks from a posterior branchof the right inferior lobe bronchus of a woman aged forty-one years, re-ferred by Dr. G. Cole, of New York City, who made the excellentradiograph (Fig. ). The anesthetic was ether, given bv Dr. Homer 210 FOREIGN BODIES IN AIR AND FOOD PASSAGES. McCready. The bronchi were so full of pus that the patient nearlydrowned in her own secretions. After the bronchoscopic removal of thepus the tacks (Fig. lo.)) were removed without difficulty, the first tackrequiring one and one-half minutes and the second one two minutes, astimed by ]\Iiss Crock. At the operation the
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectrespira, bookyear1915
