Peroral endoscopy and laryngeal surgery . of the cardiac auricle. In one such case theauthor found the left bronchus almost closed and the esophagus so com-pressed as to interfere seriouslv with swallowing. There was a i>osticusparalysis of the left side of the larynx. The author has seen tracheal ERONCnOSCOI-Y IN DISEASES OF TRACHEA AND BRONCHI. 471 compression due to mediastinal emphysema caused by a fall down stenosis of the trachea associated with pulmonary emphy-sema has been studied in thirty-two cases by Kahler (Bib. 21G), whonotes that the stenosis becoming much w
Peroral endoscopy and laryngeal surgery . of the cardiac auricle. In one such case theauthor found the left bronchus almost closed and the esophagus so com-pressed as to interfere seriouslv with swallowing. There was a i>osticusparalysis of the left side of the larynx. The author has seen tracheal ERONCnOSCOI-Y IN DISEASES OF TRACHEA AND BRONCHI. 471 compression due to mediastinal emphysema caused by a fall down stenosis of the trachea associated with pulmonary emphy-sema has been studied in thirty-two cases by Kahler (Bib. 21G), whonotes that the stenosis becoming much worse on coughing explains thefrightful dyspnea from which many emphxsematous patients suffer. The author saw one case of congenital tracheal stenosis due togoitre. That it was an obstructive case of blue baby was recognizedby Dr. B. B. Wcclisler. Irompt tracheotomy by Dr. S. Seegman, and. Fig. 405.—Compression stenosis of the entire cervical and thoracic tracheaby a goitre and a mass of glands in a lenkemic l)oy, seven years of age. The nar-row whitish streak in the lateral view is the compressed trachea and the leftbronchus, the latter being displaced backward. The uncompressed right bronchusis seen. Tracheotomy with a long cane-shaped cannula relieved the dyspnea.(Authors case. Radiograph by Dr. George W. Grier.) the of one of the authors long tracheal cannulae saved the patientslife. The recognition of a compressive tracheal stenosis with its ellipticalor scabbard shape is quite easy. Of course, it must be recognized thatduring cough there may be compression of lumen that would be misin-ter()reted if not compared with the lumen during inspiration or at themomentary rest period between expiration and inspiration. A concen-tric funnel-like compression stenosis is exceedingly rare and occursonlv with annular growths coniplctelv siu-rmnuling the air tulic. To 472
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectrespira, bookyear1915
