Peroral endoscopy and laryngeal surgery . axis of the pin. This is im-lierali\e, because if the incision is parallel the of striking the pinare remote. Two cases of this kind were seen in the autiiors serviceat the Eye and Ear Hospital. In one of these, previously reported (Bib. 358 KOR FORlvIGN BODIKS. 2(!St, page ]27), a doulik- i>() pin had wandered from the wound ofentrance and was removed from the posterior wall of the the second case, that of a needle in the tissues back of the hypo-pharvnx of a woman of fnrtv years, the needle was ac
Peroral endoscopy and laryngeal surgery . axis of the pin. This is im-lierali\e, because if the incision is parallel the of striking the pinare remote. Two cases of this kind were seen in the autiiors serviceat the Eye and Ear Hospital. In one of these, previously reported (Bib. 358 KOR FORlvIGN BODIKS. 2(!St, page ]27), a doulik- i>() pin had wandered from the wound ofentrance and was removed from the posterior wall of the the second case, that of a needle in the tissues back of the hypo-pharvnx of a woman of fnrtv years, the needle was accurately located Ijyanteroposterior and lateral radiographs by Dr. Russell H. Boggs. Itcould not he palpated because of its depth; but by an endoscopic estimateof the radiographically determined distance of the center of the longaxis of the needle upward from the cricoid cartilage, a crosswise in-cision with the long laryngeal knife (Fig. 85) passed through the eso-phageal speculum (Fig. M ), the author was so fortunate as to strike the. Fig. 215.—Radiograph showing tcoth plait in ihc csophagns where it had beenfor 18 years. (Removed by Dr. D. Braden Kyle). needle at the first incision. The wound was covered with bismuth sub-nitrate by insufflation. Dismuth was ordered in five grain doses dry onthe tongue every hour. Healing was complete in about a week, withoutany rise of temperature or complication except slight subcutaneousemphysema which subsided in a few days. When foreign bodies haveinvaded the intrathoracic periesophageal tissues, it is unwise to makean incision to reach them, and even through the wound of entrance it isunwise to pursue them far. It is. howe\er, justifiable in cases in whichthere is local or radiographic evidence of a buried foreign body, care-fully to explore the wound b\- instrumental palpation. The best explor- IOK l(IRl-JC,\ i;()DIES. 359 ing inslrumcnt for this i)urpose is the forceps. Fig. 28, which are insertedclosed. Should the
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectrespira, bookyear1915
