Diseases of the throat and nasal passages; a guide to the diagnosis and treatment of affections of the pharynx, sophagus, trachea, larynx, and nares . ations. The at-tempt to cut out large growths is apt to be followed by consider-able hemorrhage, concealing the field of operation, and pre-venting further manipulation at the time, in case of a want ofsuccess. Such a procedure, therefore, is rather within the ventricle of the larynx may require divisionof the ventricular band by the knife, in order to bring themwithin reach of the forceps. Scissors, or bladed forceps (Figs. 16
Diseases of the throat and nasal passages; a guide to the diagnosis and treatment of affections of the pharynx, sophagus, trachea, larynx, and nares . ations. The at-tempt to cut out large growths is apt to be followed by consider-able hemorrhage, concealing the field of operation, and pre-venting further manipulation at the time, in case of a want ofsuccess. Such a procedure, therefore, is rather within the ventricle of the larynx may require divisionof the ventricular band by the knife, in order to bring themwithin reach of the forceps. Scissors, or bladed forceps (Figs. 160, 161), have been some-times used for the removal of growths of unusual hardness andfavorably situated. The use of cutting instruments entails a good deal morehemorrhage than instruments for crushing or for evulsion. For the same purpose small guillotine knives of variousforms, acting on the principle of the simple amygdalatome,have been devised by Tuerck, Stoerk, Lewin, and others ; but MORBID GROWTHS OF THE LARYNX. 563 Fig. 160.—TobolcTs horizontally cutting scissors (Tob Fig. 161.—Tobolds perpendicularly cutting scissors (after Tobold).. Fig. 162.—Stoerks universal handle for guillotine, etc., with two forms of the guillotine shown below. 564 AFFECTIONS OF THE LARYNX AND TRACHEA. their use has not been attended with, a great amount of satis-faction, on account of the impracticability, in most instances,of withdrawing the divided portion of the growth, the lia-bility of incising portions of normal tissue, and the frequentincompleteness of the operation even when successful. Stoerk sguillotine (Fig. 162) is the safest and most effective of these in-struments that I have seen. Forceps and other instruments
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Keywords: ., bo, bookcentury1800, bookdecade1870, booksubjectnose, bookyear1879
