Surgery; its theory and practice . , laryngotomy should be done at once, and artificial respira- FOREIGN BODIES IN THE PHARYNX. 359 tion resorted to if the patient has already ceased to breathe. Afish-bone or pin may give rise to pricking sensation with difficultyor pain on swallowing, and the patient will often be able to indi-cate the position where it has lodged. A search should be madefor it in the mouth and throat, aided by the laryngoscopic mirror;but it must not be forgotten that the symptoms in consequenceof the body having scratched the mucous membrane may persisteven after it has bee
Surgery; its theory and practice . , laryngotomy should be done at once, and artificial respira- FOREIGN BODIES IN THE PHARYNX. 359 tion resorted to if the patient has already ceased to breathe. Afish-bone or pin may give rise to pricking sensation with difficultyor pain on swallowing, and the patient will often be able to indi-cate the position where it has lodged. A search should be madefor it in the mouth and throat, aided by the laryngoscopic mirror;but it must not be forgotten that the symptoms in consequenceof the body having scratched the mucous membrane may persisteven after it has been dissolved or swallowed. If in the tonsil orabout the fauces, it may be removed with the dressing forceps, orit may be hooked out from the upper part of the pharynx by thefinger nail. If a foreign body is beyond reach of the finger, anattempt must be made to extract it by pharyngeal forceps () or by some of the various forms of coin-catchers (Fig. 122),or the expanding horse-hair extractor (Fig. 123). If, after a Fig. Pharyngeal 122. Coin-catcher and sponge 123. horse-hair extractor. thorough trial, with the patient under chloroform, these meansfail, pharyngotomy must be performed, and the body removedthrough the opening in the neck. \¥hen situated lower downthe oesophagus, and it cannot be extracted by gentle means,it had better be left alone in the hope that it may becomeloosened in a day or two by ulceration, and be expelled or passeddown into the stomach. Should this not occur, an endeavor mayagain be made to extract it, or to push it onwards into thestomach with the sponge probang (Fig. 123). In these manipula-tions the greatest care must be taken, as if the body is sharp theoesophagus iTiay easily be lacerated. Recently it has been shown 360 INJURIES OF REGIONS. that the cesophagiis may be reached as it lies in the posterioimediastinum by cutting vertically midway between the scapulaand spine, turning in the ilio-costali
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectsurgery, bookyear1896
