Peroral endoscopy and laryngeal surgery . into the right pleural cavity fora distance of cm. The upper end is free in the pleural cavity and iscovered by a thin movable membrane (pleura?). The lower end of thislobe lies over the trachea beneath the lower part of the middle and rightlobes and at this point, 1 cm. above the bifurcation of trachea, the thymusmeasures 2 cm. in thickness. Here the trachea presents a flattened ap- HRONCHOSCOPY IN DISKASKS 01* Tlt.\CHI-A AND RRONCIII. 475 pearance antero-postcriorly. more marked on the right side than on theleft. In tln-ee of the anthors cases th
Peroral endoscopy and laryngeal surgery . into the right pleural cavity fora distance of cm. The upper end is free in the pleural cavity and iscovered by a thin movable membrane (pleura?). The lower end of thislobe lies over the trachea beneath the lower part of the middle and rightlobes and at this point, 1 cm. above the bifurcation of trachea, the thymusmeasures 2 cm. in thickness. Here the trachea presents a flattened ap- HRONCHOSCOPY IN DISKASKS 01* Tlt.\CHI-A AND RRONCIII. 475 pearance antero-postcriorly. more marked on the right side than on theleft. In tln-ee of the anthors cases the compression was from before back-ward. In the last case it was lateral ihe axis of the scabbartl-like lumenbeing from the left posteriorly to the right anteriorly. As shown by FetterhotT and Gettings (quoted by H. C. Clark) com-pression of the trachea may occur from a left innominate vein engorgedby an embarrassed right heart, the dilated vein being forced to extendI)OStcriorly because braced anteriorly by the thymus. Treatment of thy-. Fk;. 408.—riiol(ij;r;iplimopexy. (.Authors case.) )f a child of two vears taken months after thy- mic compression stenosis is the same as mentioned for other trachealcompressions, namely the cane-shaped cannula of sulhcient length toreach below the compression (Fig. in?). As the author haspnnen, hypertrophic thymus is dangerous solely from a mechanical com-I)ressive pomt of view. I le who will see that a good respiratory channelis mechanically maintained need not worry about such purely hypothet-ical conditions as hyperthymization of the blood, etc. Having tempor-arily i-arcd for the compression stenosis by tiie insertion of the long can-nula, the next step is either thymopexy nv thymectomy (subtotal). Inthe authors first cases all of tlie gland that could be brought up wasshelled oiU of its capsule anil remo\ed. In the last case an (.•<| sat- 476 BKOXCHOSCOPY IN DISEASES OF TRACHEA AXD BROXCIII. isfactory result was obtained
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectrespira, bookyear1915
