Peroral endoscopy and laryngeal surgery . thet|uartering lateral radiograjih that could show this foreign body, and allordinary work would iia\e been negative. Good lateral radiographs areexceedingly dilfK-idt t(i make nf adult subjects. 314 FORIUGN BODIES IN BRONCHI FOR PROLONGED PKRIODS. (5. The necessity in such cases of draining pus collections in orderto get a radiograph of a foreign body, which would not show through thepurulent shadow. 7. The feasibility of endoscopically removing a tissue barrier inorder to reach an cavity in the lung, when guided by both anaccurate radiograph
Peroral endoscopy and laryngeal surgery . thet|uartering lateral radiograjih that could show this foreign body, and allordinary work would iia\e been negative. Good lateral radiographs areexceedingly dilfK-idt t(i make nf adult subjects. 314 FORIUGN BODIES IN BRONCHI FOR PROLONGED PKRIODS. (5. The necessity in such cases of draining pus collections in orderto get a radiograph of a foreign body, which would not show through thepurulent shadow. 7. The feasibility of endoscopically removing a tissue barrier inorder to reach an cavity in the lung, when guided by both anaccurate radiographic localization and ocular evidence through the tubethat the tissue to be removed is pathologic. 8. The advantage of working without an anesthetic. This patientwas in extremis and an anesthetic was not to be thought of. Moreover,the peroral bronchoscopy was no more painful than the filling of a sensi-tive tooth cavity, for which no one re(|uires an anesthetic. The air pas-sages were full of pus mixed with blood from the granulations. The. Fig. 193.—Enlarged view of fingers from a pliotograpli i>i liands of EdwardM., showing clubbing of the linger ends. (Authors case). Photographed byDr. H. H. Fischer. coughing of the unanesthetized patient greatly assisted in remo\ing thisby the sponge pumping method. Nail in left bronclnis four years. Remoicd by oral hronclioseopyivithotit anesthesia, (je)icral or local. Edward AI., aged ten years, re-ferred by Dr. Robert L,. Morehead, of New York City. Four yearspreviously the child, then six years old, aspirated a nail, followed byparoxysms of coughing and gradually failing health. Sputum examina-tion negative as to tubercle bacilli. Mixed pus cocci and saprophyteswere present. Dr. H. T. Price reported the results of his physical as follows: Child fairly well developed, rather languid, color good, head large,fingers markedly clubbed (Fig. 1!)3), toes not so large, slight cough atintervals of half to two minutes. Breath ver
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectrespira, bookyear1915
