Surgical therapeutics and operative technique . Fig. 363.—Subthtroid Laryngotomy. Second stage: Incision of the crico-thyroid membrane. Fig. 364.—-High Tracheotomy. Second stage: Incision of the first tworings of the trachea. seems necessary. The outer tube should be changed by the surgeon the cannula has not to be retained for relief of a permanent laryngealobstruction, we can begin to withdraw it towards the sixth or eighth day—at first for some minutes, and then for some hours, in presence of a personcapable of reintroducing it if a paroxysm of suffocation should supervene. VOL. I
Surgical therapeutics and operative technique . Fig. 363.—Subthtroid Laryngotomy. Second stage: Incision of the crico-thyroid membrane. Fig. 364.—-High Tracheotomy. Second stage: Incision of the first tworings of the trachea. seems necessary. The outer tube should be changed by the surgeon the cannula has not to be retained for relief of a permanent laryngealobstruction, we can begin to withdraw it towards the sixth or eighth day—at first for some minutes, and then for some hours, in presence of a personcapable of reintroducing it if a paroxysm of suffocation should supervene. VOL. II. 15 226 SURGICAL THERAPEUTICS AND OPERATIVE TECHNIQUE Tracheotomy, Tracheotomy, strictly so called, is indicated in certain cases for retrogradeextirpation of subglottic foreign bodies, and for exploration of thebronchi. Operation—^Position of Patient and Surgeon.—The patient is placedas in laryngo-tracheotomy; the surgeon stands on his right. Generalanaesthesia is necessary, as the object of the operation is to facilitate delicate
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