. Manual of operative surgery. FiGS. 356 AND 357.—Excision of larynx. {Monod and Vanverts.) poses of traction. Rapidly divide the trachea immediately below the cricoidcartilage and pull the stump upwards and forwards by means of the tractionthreads (Fig. 357). Introduce into the trachea a large curved cannula providedwith lugs through which the traction threads may be passed and fastened. Theends of the threads are left long. The threads prevent the cannula changingits position and can still be used for traction anesthesia is continued through the cannula. Step 4.—Complete the ext
. Manual of operative surgery. FiGS. 356 AND 357.—Excision of larynx. {Monod and Vanverts.) poses of traction. Rapidly divide the trachea immediately below the cricoidcartilage and pull the stump upwards and forwards by means of the tractionthreads (Fig. 357). Introduce into the trachea a large curved cannula providedwith lugs through which the traction threads may be passed and fastened. Theends of the threads are left long. The threads prevent the cannula changingits position and can still be used for traction anesthesia is continued through the cannula. Step 4.—Complete the extirpation of the the wound with sutures after providing fordrainage. Step 5.—Suture the tracheal opening to the lowestangle of the wound (Fig. 358). Th. Gliick brings the tracheal stump out through a special buttonhole in the skin near the sternal notch, thus isolating it from the laryngectomy wound. Keens Method.—In 1898 Keen described a method of operating, the details of which lead towards safety. ? Fo
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