Surgical therapeutics and operative technique . Tig. 370 —Removal of a Foreign Body remotely lodged in the Left Bronchus,WITH A Curved Forceps introduced through a Tracheotomy Incision. with a shght obhquity into the tracheal wound. Direct bronchoscopy aftertracheotomy may thus enable us to discover and extract very small foreignbodies wMch have been arrested at the secondary and invisible bronchialbifurcations, if we have recourse to bronchoscopy through the buccal of the left bronchus, which bifurcates almost rectangularly, canbe carried out only with the help of a small mi
Surgical therapeutics and operative technique . Tig. 370 —Removal of a Foreign Body remotely lodged in the Left Bronchus,WITH A Curved Forceps introduced through a Tracheotomy Incision. with a shght obhquity into the tracheal wound. Direct bronchoscopy aftertracheotomy may thus enable us to discover and extract very small foreignbodies wMch have been arrested at the secondary and invisible bronchialbifurcations, if we have recourse to bronchoscopy through the buccal of the left bronchus, which bifurcates almost rectangularly, canbe carried out only with the help of a small mirror or of an appropriateendoscope. The foreign body can be seized with a large curved forceps,and extracted through the tracheal wound (Fig. 370)- 230 SUJIGICAL THERAPEUTICS AND OPERATIVE TECHNIQUE. Fig. 371.—Removal of a Foreign Body remotelt lodged in the Left BronchusWITH A Curved Forceps introduced through a Tracheotomy Incision The foreign body is extracted throiigli the traclieal wound. Median Laryngotomy, op. Thyrotomy. Median laryngotomy consists of an invasion of the cavity of tlie larynxby separation of the two lateral halves of the thyroid cartilage, as in caseof two valves. The incision is made in the median line in the position adopted fortracheotomy. The subcutaneous veins should be carefully tied; and,generally spealdng, haemostasis should be carried out at every bleeding-point before division of the thyroid cartilage. The isthmus of the thyroidgland remains, as a general rule, below the inferior extremity of the the thyroid cartilage has been exposed, it is incised with a bistouryor stout scissors, or even with a small chisel if very resistant. The twohalves are then seized with hooked forceps, and retracted so as to exposethe interior of the laryn
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Keywords: ., bookcentury1900, bookdec, booksubjectsurgicalproceduresoperative
