. Twentieth century practice; an international encyclopedia of modern medical science by leading authorities of Europe and America . e a foreign body in the larynx, to secure better ac-cess to the lower respiratory tract, and sometimes, but rarely, as a pre-cautionary measure. Low tracheotomy is usually the operation to bepreferred, and shcnild also be done in addition and previous to directopening of the larynx; sometimes high tracheotomy, crico-thyrotomy,or direct thyrotomy are necessitated by the situation of the substancein the larynx. Access having been obtained to the foreign body, itmay
. Twentieth century practice; an international encyclopedia of modern medical science by leading authorities of Europe and America . e a foreign body in the larynx, to secure better ac-cess to the lower respiratory tract, and sometimes, but rarely, as a pre-cautionary measure. Low tracheotomy is usually the operation to bepreferred, and shcnild also be done in addition and previous to directopening of the larynx; sometimes high tracheotomy, crico-thyrotomy,or direct thyrotomy are necessitated by the situation of the substancein the larynx. Access having been obtained to the foreign body, itmay, according to its location, be removed by manipulation throughthe mouth, or be forced upwards bj^ the insertion of instruments inthe tracheal opening. When situated in the trachea or bronchi itis often expelled at once, or forced up so as to be within reach of theforceps. Inversion of the body or succussion may be needed todetach the cause of trouble, and should this fail, probes and forcepsmay have to be passed directly down into the trachea. The edges ofthe incision are to be kept widely open, to facilitate manipulation, by. Fig. 83.—Minors Tracheal Retractor. means of Labords dilator or Minors retractor (see Fig. 83), bythreads inserted in the tracheal rings and drawn apart, or, as in acase reported by Wyeth, the edge of the wound may be stitched tothe integument. The linger, a slender probe bent at right angles, or exploratoryforceps may be used in exploring the trachea. Fig. 84 shows an 458 BOSWOETH—DISEASES OF THE LARYNX. instrument used by Gross. Colien uses shouldered forceps. Jacob-son indorses Storcks laryngeal-tube forceps, whicli can be bent asdesired, being made of German silver. Fig. 85 shows Sellers tubeforceps, which is to be commended. A slender silver probe bent
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Keywords: ., bookcentury1800, bookdecade189, booksubjectmedicine, bookyear1895
