An American text-book of the diseases of childrenIncluding special chapters on essential surgical subjects; orthopaedics, diseases of the eye, ear, nose, and throat; diseases of the skin; and on the diet, hygiene, and general management of children . osis of the trachea at the seat of operation. Dr,Emil Kohl, in an exhaustive article upon this subject, mentions, as also causesof delay or difiiculty in removing the tracheotomy-tube, prolonged diphtheria,re-formation of the diphtheritic membrane, changes in the shape of the tracheaor larynx from the operation or from the wearing of the tube, and
An American text-book of the diseases of childrenIncluding special chapters on essential surgical subjects; orthopaedics, diseases of the eye, ear, nose, and throat; diseases of the skin; and on the diet, hygiene, and general management of children . osis of the trachea at the seat of operation. Dr,Emil Kohl, in an exhaustive article upon this subject, mentions, as also causesof delay or difiiculty in removing the tracheotomy-tube, prolonged diphtheria,re-formation of the diphtheritic membrane, changes in the shape of the tracheaor larynx from the operation or from the wearing of the tube, and relaxationsof the anterior wall of the trachea. Where the difiiculty in the permanentremoval of the tube is due to the presence of granulations in the trachea orlarynx, after their removal by some of the methods before mentioned the phy-sician is usually able to dispense with the tube. Where stenosis of the tracheaor larynx exists and prevents the permanent removal of the tube, the partsmay be gradually dilated by the use of bougies, or, better, by the introductionof an intubation-tube after the removal of the tracheotomy-tube: the wound inthe neck can then be plugged with a nipple attached to a shield (Fig. 6), or with Fig. 6. ^- ^f\.
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Keywords: ., bookcentury1900, bookdecade1900, booksubject, booksubjectchildren
