Peroral endoscopy and laryngeal surgery . The best position of the patient for radiumapplications to the esophagus with the esophagoscope in situ is the re-cumbent, because the esophageal drainage, already defective, is occludedby the radium container, the hypopharynx fills and the overflow into thelarynx excites constant cough and strangling, which makes a very tryingordeal for the patient. In the recumlient position the secretions all flowinto the fauces and are aspirated through the tube. Fig. 24. attached tothe aspirator, Fig. 23. When the radium container is left in situ and theesophagosc
Peroral endoscopy and laryngeal surgery . The best position of the patient for radiumapplications to the esophagus with the esophagoscope in situ is the re-cumbent, because the esophageal drainage, already defective, is occludedby the radium container, the hypopharynx fills and the overflow into thelarynx excites constant cough and strangling, which makes a very tryingordeal for the patient. In the recumlient position the secretions all flowinto the fauces and are aspirated through the tube. Fig. 24. attached tothe aspirator, Fig. 23. When the radium container is left in situ and theesophagoscope is withdrawn the patient may lie face sidewise on thetable to permit secretions to drain away. Dosage is dependent on duration of the applications. The equivalentof !I00 milligrams of radium element well screened may be left in situ MALIGNANT DIS1?;.\^I?: Ol TIIIC 457. Fic. 398—Radium container in situ in a case of esophageal cancer. The ex-cessive forward inchnation of the capsule is partly due to malignant distortion.(The normal esophagus tends somewhat forward in this location).
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectrespira, bookyear1915