. Operative surgery. Fig. 877.—Trendelenburgs tam-pon, a, b. Tube for inflatingrubber bag (c). k. Clamp, Fig. 878.—Trendelenburgs tampon in Bag for inflation of the tampon, b. Metallicfunnel covered with flannel for anaesthesia. Perier recommends the performance of laryngectomy without pre-liminary tracheotomy through an 1-shaped incision made from the hyoidbone to below the cricoid cartilage. The larynx is exposed laterally, twostout threads are passed through the trachea at the site of proposed divi-sion, the trachea is severed, and a special tube is inserted into the openend thr
. Operative surgery. Fig. 877.—Trendelenburgs tam-pon, a, b. Tube for inflatingrubber bag (c). k. Clamp, Fig. 878.—Trendelenburgs tampon in Bag for inflation of the tampon, b. Metallicfunnel covered with flannel for anaesthesia. Perier recommends the performance of laryngectomy without pre-liminary tracheotomy through an 1-shaped incision made from the hyoidbone to below the cricoid cartilage. The larynx is exposed laterally, twostout threads are passed through the trachea at the site of proposed divi-sion, the trachea is severed, and a special tube is inserted into the openend through which anassthesia is continued while the operation is beingcompleted. Tamponing of the Trachea.—Tamponing the trachea calls for more thanpassing notice because of the acknowledged, direct, and consequent dangers OPERATIONS ON THE NECK. YOT. Fig. 879.—Tampon after Hahn andMichael. which the act incurs, and also of the growing tendency to ignore tamponcannula altogether when it is possible to supplement their utility by posturalmethods. Tamponing the trachea is done to prevent the entrance of bloodto the trachea in unusual operations on the larynx, and the oral and pharyn-geal cavities. The methods most often em-ployed are those of Trendelenburg ( and 878), Hahn (Fig. 879), andGerster (Fig. 880). The first is providedwith a thin rubber bag so adjusted to thetube that after introduction into the tra-chea it can be inflated with air by a rubberbulb. If it is to remain some time afterthe operation, water or glycerin are re-garded as more serviceable than air. Inthe second, medicated sponge is substitutedfor the rubber bag. The sponge is fash-ioned of a proper shape and thickness, fastened around the tube with thread,and permitted to dry. The thread is then removed, leaving the spongefirmly fixed in place, which is t
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