. Operative surgery. mucous membrane reflectedabove it. Through this opening theindex finger was introduced betweenthe tumor and the reflected mem-brane, and with patient thoughsomewhat rigorous caution the tu-mor was completely enucleated, leav-ing intact the entire inembranousenvelope, a fact quickly proven byintroducing into the sac fluid fromwhich none escaped, except at thepoint of its entrance. The RemarJcs.—The enucleationshowed that the growth began atthe right side of the posterior sur-face of the cricoid cartilage andincreasing gradually in size had re-mained covered with the expandi
. Operative surgery. mucous membrane reflectedabove it. Through this opening theindex finger was introduced betweenthe tumor and the reflected mem-brane, and with patient thoughsomewhat rigorous caution the tu-mor was completely enucleated, leav-ing intact the entire inembranousenvelope, a fact quickly proven byintroducing into the sac fluid fromwhich none escaped, except at thepoint of its entrance. The RemarJcs.—The enucleationshowed that the growth began atthe right side of the posterior sur-face of the cricoid cartilage andincreasing gradually in size had re-mained covered with the expandingoverlying mucous membrane of itsinception, becoming attached as itincreased to the posterior surfacesof the arytenoid cartilages and theintervening structures. The righthalf, of the growth was so firmlyheld in position by the right alaof the thyroid cartilage that it wasnecessary to divide with scissors the ala at a point just internal to thejunction of its cornu before the growth could be raised from its Fig. 829.—Growth removed from posterioraspect of larynx by low subhyoid lateralpharyngotomy. Weight, 425 gr.; di-ameters, 1| X If X 1^ inches. Photo-graph taken after preservation in forma-lin. Top and base show lines of section. 650 OPERATIVE SURGERY. The opening into the pharynx was closed with fine interrupted chro-micized catgut sutures; the superimposed structures by buried catgut andsuperficial silkworm-gut sutures. A textile fabric drainage agent wasintroduced into the sac after removal of the tumor, and the remaining por-tion of the external wound was lightly packed with gauze. The bordersof the divided cartilage were closely united with a chromicized catgutsuture. The direct pharyngeal portion of the wound healed the end of the third day a limited portion of fluid injected into the sacentered the pharynx through a small opening at the lower part, caused, nodoubt, by sloughing, since the foul odor of the breath suggested this the fi
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Keywords: ., bookauthorbryantjosephdjosephde, bookcentury1900, bookdecade1900
