Diseases of the nose and throat; a text-book for students and practitioners . bythe use of cocaine. Various rapid dilators have been invented for the relief oflaryngeal stenosis, but they are not often satisfactory, for, if theydilate the tissues sufficiently, they often occasion such an inflam-matory reaction as to increase rather than diminish the obstruc- us DISEASES OF THE NOSE AND THROAT. tion. They are made on the principle of forcible urethraldilators. After the performance of tracheotomy various methods oftreatment may be adopted, namely, Schlatters metal bougies,the introduction of a
Diseases of the nose and throat; a text-book for students and practitioners . bythe use of cocaine. Various rapid dilators have been invented for the relief oflaryngeal stenosis, but they are not often satisfactory, for, if theydilate the tissues sufficiently, they often occasion such an inflam-matory reaction as to increase rather than diminish the obstruc- us DISEASES OF THE NOSE AND THROAT. tion. They are made on the principle of forcible urethraldilators. After the performance of tracheotomy various methods oftreatment may be adopted, namely, Schlatters metal bougies,the introduction of a hard-rubber bougie, an intubation tube, atupelo or rubber dilator, Stoerks bivalve dilator introduced intothe glottis through the fenestrum in the upper part of the trach-eotomy tube, or dissection of the thickened tissues. The tinbougies consist of a body of solid metal, to the upper end ofwhich is soldered a neck for attachment to the introductoryhandle; the upper part of the neck is perforated for the intro-duction of a string; from the lower end of the body projects a. Fig. 119.—Sciirotters Metal Bougies. thin neck and head which, after removing the inner tracheotomytube, are to be passed through the glottis and fenestrum in theouter tube. When in this position the neck is to be graspedand held with retention forceps. The instrument is preferablyintroduced with the aid of a laryngeal mirror, but the indexfinger of the left hand may guide the bougie into the larynx asin intubation. It may be left in position for some minutes atfirst; later, an hour or more, if possible; this should be repeateddaily. In using a hard-rubber bougie or intubation tube, thetracheotomy tube is temporarily removed and the instrumentinserted. The tupelo dilators are inserted through the stricturewith the cannula in position. The rubber bag is inserted STENOSIS OF THE LARYNX. 449 closed and inflated when in position. Stoerks dilator is passed,from without, through the fenestrum of the outer cannula
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Keywords: ., bookcentury1800, bookdecade1890, bookpublisherph, booksubjectnose
