Peroral endoscopy and laryngeal surgery . hysema subsided in a fewdays, the patient was decannulated without difficulty and a prompt re-covery ensued. Subcutaneous rujiture of the trachea is a very rare accident butthere are a number of cases scattered through the literature. The authorbelieves, however, that this is the first case observed serves to demonstrate the usefulness of the bronchoscope in the diag-nosis of the exact mechanical cause of dyspnea and also demonstrates theadvantage elsewhere mentioned of using the bronchoscope temporarily torelieve dyspnea and to fu
Peroral endoscopy and laryngeal surgery . hysema subsided in a fewdays, the patient was decannulated without difficulty and a prompt re-covery ensued. Subcutaneous rujiture of the trachea is a very rare accident butthere are a number of cases scattered through the literature. The authorbelieves, however, that this is the first case observed serves to demonstrate the usefulness of the bronchoscope in the diag-nosis of the exact mechanical cause of dyspnea and also demonstrates theadvantage elsewhere mentioned of using the bronchoscope temporarily torelieve dyspnea and to furnish useful, though not essential aid in tracheo-tomy. TRACHEOTOMY. 587 Acromcaalic stenosis of the larynx as shown in Fig. 438 is a rarebut urgent indication for tracheotomy. Glottic spasm in a case referredto the author by Dr. M. 1,. Stevenson was severe at times and wouldhave been fatal without tracheotomy. The acromegalic overgrowth ofthe was so great that the slightest spasm would shut up the al-readv narrowed lottic Fi<;. 438.—^.Acromegalic stenosis of the larynx in a man forty years of age. Thethyroid cartilage was shown by a radiograph to be enormously overgrown. Themassive contonr of the laryngeal landmarks corresponded to the massive glottic spasm, with tlu- narrowed chink, rociuind iradicotomy. CO.\TKAI.\l)IC.\T|(INS To TK.\CI i 111 ildM ^?. There are no contraindications to traciicolonn-. MOUTAMTN Ol IkACII Y. The mortality ui tracheotomy must be distinguished from thatof the lack of prom|)tness in [icrforming it. and especially fromthat due to inetlicient after-care. \\ c fre(|uently save life whentile p;iticnt is unconscious, limji and relaxed, with ihe res])iration 588 TRACHKOTOMY. entirely abolished, and the pulse nearly or quite imperceptible. Inthe experience of all of us, many times has the result of quick workseemed like quickening the dead. In one of the authors cases the heart,as well as the lungs, had ceased to
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectrespira, bookyear1915
