Diseases of the throat and nasal passages; a guide to the diagnosis and treatment of affections of the pharynx, sophagus, trachea, larynx, and nares . a?sthesia was produced by pencillingthe larynx, first with chloroform, and then subse- FlG- m ~Tl!mor °f ,the trachea J (Schroetter). quently, at intervals of about an hour, with a solution of the acetate of morphia—10 grains to the drachm of Portionsof the tumor were removed with forceps on several occasions, and finally theportion remaining was injected with a solution of the sesquichloride of iron, twoparts to one of water, which prod


Diseases of the throat and nasal passages; a guide to the diagnosis and treatment of affections of the pharynx, sophagus, trachea, larynx, and nares . a?sthesia was produced by pencillingthe larynx, first with chloroform, and then subse- FlG- m ~Tl!mor °f ,the trachea J (Schroetter). quently, at intervals of about an hour, with a solution of the acetate of morphia—10 grains to the drachm of Portionsof the tumor were removed with forceps on several occasions, and finally theportion remaining was injected with a solution of the sesquichloride of iron, twoparts to one of water, which produced cauterization, and shrinking of the tumorto a mere immovable stump. It would have been a better and safer practice to have opened the trachea ex-ternally, and have removed the entire tumor at once, cauterizing the points ofattachment to prevent repullulation. As a sample of pluck and patience on thepart of the operator, and endurance on the part of the patient, the case is unique,and its report worth perusal by those interested. That the opinion above enun-ciated in the first edition of this volume was well founded, is shown by the sub-. 1 Wien. med. Jahrb., 1868, H. 1., pp. 64-72; Jahresbericht der Klinik fur Laryn-goskopie, Wien, 1871, p. 80 ; ibid., 1875, p. 602; London Medical Examiner, April 4,1878, p. 296. 2 This method of inducing tolerance of the parts preparatory to operating withinthe larynx, though much resorted to in Germany, is not in favor elsewhere. Danger-ous narcotism is sometimes produced, requiring vigorous measures to overcome it;and in some instances it has proved fatal. The elder Prof. Pancoast informed methat a result of this kind had occurred during one of his visits to Vienna, and I havebeen informed of others by reliable gentlemen engaged in studying the art of laryn-goscopy abroad at the time. Schroetter lays down the rule : to avoid deglutition ofany of the solution, and to wash out the mouth and pharynx thoroughly afterwardwith a gargle of a


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