Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . dinary trachea tube is not long enough a rubber tubeshould be used. Any wounds of larynx or trachea which are accessible maybe sutured. Dislocations of laryngeal cartilages are easily reduced by manipulation,aided by swallowing movements or flexion and extension of the head. Wounds of the larynx and trachea require first that a free respiratorychannel shall be secured. If the wound has not caused bleeding into thelumen, its treatment as an ordinary wound is all th
Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . dinary trachea tube is not long enough a rubber tubeshould be used. Any wounds of larynx or trachea which are accessible maybe sutured. Dislocations of laryngeal cartilages are easily reduced by manipulation,aided by swallowing movements or flexion and extension of the head. Wounds of the larynx and trachea require first that a free respiratorychannel shall be secured. If the wound has not caused bleeding into thelumen, its treatment as an ordinary wound is all that is necessary. If suffi-ciently large, it should be sewed. Sutures should involve all of the layersexcept the mucosa. Usually bleeding into the trachea is present. Thiscalls for a free exposure of the injury and ligation of the bleeding below the wound is commonly an advisable expedient. Thisallows of free exposure of the wound and treatment while respiration goeson unhampered. Wounds of the larynx call for tracheotomy because of thedanger of fatal edema of the glottis which may develop at any minute. In. Fig. 884.—Laryngeal Intubation Tube, Combining a Tracheotomy Tube, Devised by Rogers. The intubation tube with the bulb is inserted through the mouth into the larynx. Thestraight tube is passed through the tracheotomy or laryngotomy wound and screwed intothe former at a right angle. The pin prevents unscrewing. the event of much loss of substance or great laceration, it often becomesadvisable to place a good-sized rubber tube in the lumen of the larynx andtrachea, above the tracheotomy tube, in order to obviate stenosing contrac-tures during healing. Such a tube may be removed by a silk thread passedthrough its upper end, brought out through the mouth, and fastened to theear and face by adhesive plaster. After its removal, an intubation tubeshould be introduced at frequent intervals (see Cut Throat, Vol. II, page 360). A wound of the extreme lower end o
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectsurgery, bookyear1920
