Irish journal of medical science . o Bronchotomy in the treatment of thesecases, as I consider that opening the windpipe is not only unneces-sary but dangerous; any benefit to be expected from such operationis derived from freely opening the cervical fascia, while the entranceof poisonous fluids into the larynx and trachea is thereby avoided. Since writing the above, my attention has been directed by myfriend, Dr. Nihil, Surgeon of ship Vanguard, stationed inKingstown harbour, to a lecture, entitled Clinical Observationson Submaxillary Cellulitis, by Mr. Bickersteth, Honorary Surgeonto th
Irish journal of medical science . o Bronchotomy in the treatment of thesecases, as I consider that opening the windpipe is not only unneces-sary but dangerous; any benefit to be expected from such operationis derived from freely opening the cervical fascia, while the entranceof poisonous fluids into the larynx and trachea is thereby avoided. Since writing the above, my attention has been directed by myfriend, Dr. Nihil, Surgeon of ship Vanguard, stationed inKingstown harbour, to a lecture, entitled Clinical Observationson Submaxillary Cellulitis, by Mr. Bickersteth, Honorary Surgeonto the Liverpool Royal Infirmary, published in the LiverpoolMedical and Surgical Reports, Vol. hi., for October, 1869. Hav-ing communicated with Mr. Bickersteth, he kindly favoured mewith a copy of his pamphlet, which I consider is a very valuablecontribution to the Surgery of the Neck. His experience of thesymptoms and treatment of this dangerous form of disease so N° XVII Plate VII ( ~n . ?**; /*& \\- ; ^ -:; . i, TV. > M CROLY ON By Mr. Croly. 411 exactly coincides with my own, thai I am glad to supplement whatI have written by the following extracts from his able and instruc-tive lecture:— The disease hag a close analogy to erysipelas, and may termi-nate in resolution, but generally passes into gangrene. Symptomsof pyaemia often set in. When the inflammation is situated in thesubmaxillary region there is danger, even early in the disease, ofoedema glottidis. Mr. Biekersteth had not seen the disease till 1861. He records sixcases. The first occurred in a man aged forty, who presented himselfat the Liverpool Royal Infirmary, with a uniform fulness in the frontof the neck. Shortly after admission he died asphyxiated, before arrival, or even before the house surgeon could be sum-moned. A utopsy.— Soon after death a puncture was made into thefloor of the mouth, when a small quantity of air and some sero-saniousfluid escaped. Thirty-six hours after deat
Size: 1404px × 1779px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookpublisher, booksubjectmedicine, bookyear1832
