Diseases of the throat and nasal passages; a guide to the diagnosis and treatment of affections of the pharynx, sophagus, trachea, larynx, and nares . these instantaneous opera-tions there is not space enough in the wound to secure ableeding vessel, if necessary. Considerable spasmodic disturbance often attends the intro-duction of the tube, which renders it sometimes difficult toretain it in position while being secured to the neck ; but thisspasm usually passes off in a few seconds or minutes. Sometimes considerable difficulty is encountered in intro-ducing the tracheotomy-tube. This may be
Diseases of the throat and nasal passages; a guide to the diagnosis and treatment of affections of the pharynx, sophagus, trachea, larynx, and nares . these instantaneous opera-tions there is not space enough in the wound to secure ableeding vessel, if necessary. Considerable spasmodic disturbance often attends the intro-duction of the tube, which renders it sometimes difficult toretain it in position while being secured to the neck ; but thisspasm usually passes off in a few seconds or minutes. Sometimes considerable difficulty is encountered in intro-ducing the tracheotomy-tube. This may be due to insuffi-ciency of the artificial opening, or to resiliency of the have never had any difficulty of this kind, and have usuallyplaced a tenaculum or a bent hair-pin in the wound upon oneside, while an assistant placed another opposite, so that theedges of the wound were separated by gentle traction, and thetube slid down between the posterior faces of the two instru-ments, which guided the canula safely and speedily into the See Kuekii: Op. cit. ARTIFICIAL OPENINGS INTO THE LARYNX AND TRACHEA. 673 the ligatures,seen the edges. Trousseau:dilator trachea. Some surgeons secure the trachea on each side by aligature, divide it between the two ligatures, and separate thelips of the wound by drawing on the ligature. Roser insertson either side, after the incision is made. I haveof the wound drawn so farapart in this way as to flatten the calibre ofthe trachea, and prevent insertion of thetube for mere want of room. Prof. Trousseau devised a special dilator(Fig. 203) for the tracheal wound and theguidance of the canula, which has been con-sidered by some surgeons as almost an in-dispensable requisite in the operation. Theinstrument is introduced into the woundclosed, its branches are then separated, andthe tracheotomy-tube slid down betweenthem. The ends of the blades are turned in FlG-2opposite directions, and thus facilitate themovement of the canula. It is more di
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Keywords: ., bo, bookcentury1800, bookdecade1870, booksubjectnose, bookyear1879
