Peroral endoscopy and laryngeal surgery . ssue like the thymus gland increases its bulk. If thehypertriijihic gland can compress the trachea, the engorged liypertro[]hicgland can cfimjiress the trachea still more. After death, the congestivepart of the bulk may diminish so as not to be noticeable. .\ beautifulauloi)tical confirmation of the above mentionetl, jireviouslv publishedobservations of the author on the purely mechanical nature of thynnisdeath is aftorded by Dr. \. I-. Andrews case. A new born child diedafter making a number of virilent ineffective inspiratory mu\cments. 474 BRONCHOSC
Peroral endoscopy and laryngeal surgery . ssue like the thymus gland increases its bulk. If thehypertriijihic gland can compress the trachea, the engorged liypertro[]hicgland can cfimjiress the trachea still more. After death, the congestivepart of the bulk may diminish so as not to be noticeable. .\ beautifulauloi)tical confirmation of the above mentionetl, jireviouslv publishedobservations of the author on the purely mechanical nature of thynnisdeath is aftorded by Dr. \. I-. Andrews case. A new born child diedafter making a number of virilent ineffective inspiratory mu\cments. 474 BRONCHOSCOPY IX DISEASES OF TRACHEA AND BRONCHI. Autopsy revealed a very large four-lobed thymus. The fourth and com-pressive lobe. T. was compressing the trachea at the end of the dottedline, A, Fig. -iOG. Dr. Andrews report is as follows: The thymus is short and thick and contains four lobes. It meas-ures 4 cm. in length, ) cm. in width. ) cm. in average is a right, left and middle lobe. The left lobe is small. The fourth. Fig. 407.—Thymic traclieostenosis temporarily reliesed with the authorslong cane-shaped tracheal cannula. The shadow of the hypertrophied thymusshows to the right of tlie cannula, and especially strongly at the right of the lowerend. (Authors case.) lobe extends from beneath the lower ends of the right and midille lobesupward and outward, at an angle of 45. 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-wa
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectrespira, bookyear1915
