Peroral endoscopy and laryngeal surgery . FiG. 156. Radiograpli by Dr. L. G. Colo, ul tacks \ > iluntarily aspirated by tlicpatient. pathy, the interest, the seiisational features of the case, and the anes-thetic evidently appealed to the neurotic temjKrament of the patient,and developed the hysteria which later was most troublesomely manifestin ways unnecessary to enumerate. The case is unique in that it hasnever before been demonstrated that a patient could vohnUarily aspiratea foreign body info the bronchi, and it teaches a valuable lesson as tohow to detect the occurrence by radiography
Peroral endoscopy and laryngeal surgery . FiG. 156. Radiograpli by Dr. L. G. Colo, ul tacks \ > iluntarily aspirated by tlicpatient. pathy, the interest, the seiisational features of the case, and the anes-thetic evidently appealed to the neurotic temjKrament of the patient,and developed the hysteria which later was most troublesomely manifestin ways unnecessary to enumerate. The case is unique in that it hasnever before been demonstrated that a patient could vohnUarily aspiratea foreign body info the bronchi, and it teaches a valuable lesson as tohow to detect the occurrence by radiography of the abdomen in caseswhere an accident is denied. In all hysteric and insane patients a radio- 212 FORKIGN liOnTIS IN AIR AND FOOD PASSAGES. graph slioiild be made alter removal of the foreign body as a matter ofrecord. Procedure in a case of suspected foreign body. When a patientcomes complaining of a foreign body in the air or food passages the(juestions that must he determined are: 1. Is there a foreign body present?. Fig. 157. Kacliuyraiih li\ Dr. L. O. CwL, shuuiii.;; Uicks in tlie intestines inprogress of passing through. Tacks were swallowed by the patient in attempt toaspirate them. 2. Where is it located ? 3. Is a peroral endoscopic i)rocedure indicated? 4. Are there any contraindications to endoscopy? o. Shall the first endoscopic procedure be laryngoscopic. broncho-scopic or csophagoscopic ? The questions listed above are so interlaced that they must be hereconsidered more or less collectively to avoid reiietition; but to determine \ [;oDIi:S IN AIR A\D FOOD PASSAGKS. 313 these (juesiious (|uiekly and, so far as possible, accurately requires orderlyinvestigative procedures as applied to the individual case. The varioussteps as pursued in the autliors clinic arc detailed below, in the ordergiven. ()f course, if the foreign body is located in the earlier stcjis theinvestigation may terminate at any stage. 1. History. 2. Indirect examination of the larynx; t
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectrespira, bookyear1915
