Diseases of the throat and nasal passages; a guide to the diagnosis and treatment of affections of the pharynx, sophagus, trachea, larynx, and nares . Sehroetteramethod of dilatation is as follows : H- begins by accustom: - hroctter: L^ry^ MStflieiliingen, Wie^. lv7. zur Behandlung der Larynx-- - Wien, 1876, illustrated. Trendelenburg:Arch. klin. Bd. 13. 1878, [ I L D eateterisino e la dilatazione mee- caniea nelle stenosi della laringe. Milano. 1B S - :e of Set: ~ a e exhibited before the Imperial Soc:Vienna: London Med. Record, June 15, J B78 STENOSIS OF THE LARYNX AND TRACHE


Diseases of the throat and nasal passages; a guide to the diagnosis and treatment of affections of the pharynx, sophagus, trachea, larynx, and nares . Sehroetteramethod of dilatation is as follows : H- begins by accustom: - hroctter: L^ry^ MStflieiliingen, Wie^. lv7. zur Behandlung der Larynx-- - Wien, 1876, illustrated. Trendelenburg:Arch. klin. Bd. 13. 1878, [ I L D eateterisino e la dilatazione mee- caniea nelle stenosi della laringe. Milano. 1B S - :e of Set: ~ a e exhibited before the Imperial Soc:Vienna: London Med. Record, June 15, J B78 STENOSIS OF THE LARYNX AND TRACHEA. 591 the parts to the presence of a catheter or sound, to whichefforts the first few days (3-8) are devoted. He then removesthe canula, and inserts a catheter through the constriction,within which it is allowed to remain until it becomes necessaryto replace the tracheal canula (5-30 minutes). As soon as aNo. 15 catheter can be introduced, he begins with specialgraduated dilators of rubber or pure tin, of the triangularshape of the normal orifice of the open glottis, and with round-ed corners. A series of twenty-four tin bougies are used, four. FlQ. 183.—Schroetters method of dilating stenosis of the larynx (Labus). centimetres in length, and graduated in bulk from six to six-teen millimetres. A brass rod passes through the centre ofeach bougie, with an eye above for affixing a thread, and asmall knob below for securing it in position, by means of aperforated spring forceps inserted within the tracheal canula,through a fenestrum in which the knob projects for the pur-pose (Fig. 183). The bougie is placed in position by means ofa special canulated laryngeal director, through which the AFFECTIONS OF THE LARYNX AND TRACHEA. string is passed, and which is removed as soon as the bougiehas been secured in the grasp of the forceps. These bougiesare allowed to remain night and day until removal is necessaryto cleanse them, or it becomes advisable to replace them withlarger ones. The


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Keywords: ., bo, bookcentury1800, bookdecade1870, booksubjectnose, bookyear1879