The Laryngoscope Volume 16

This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1906 Excerpt: ... which filled up the entire lumen of the right bronchus: the foreign body was brought into sight at once and its removal was easy. The case was very instructive in this respect, that a foreign body of this color may be unobserved and missed by the bronchoscope. Had the foreign body been white, like a button, and not encrusted with lime salts, or had the patient been an adult, he would not have hesi mi ft tated to go in through the natural passages under local anaesthesia. He had done this several times for diagnostic purposes, but to remove a foreign body was a different matter, especially after prolonged ulceration had covered it with secretions. It is then apt to be found lying in a small abscess, and there is difficulty in removing it. Killian himself has said that in removing a foreign body it is safer to do a tracheotomy and go in below, as the manipulation is easier. These patients have all a certain amount of pulmonary inflammation, and it is advisable to reduce the time of the anaesthesia to a minimum. Dr. Mayer said that we are learning a great deal about bronchoscopy. This was the third case that he had had in a year's time and the fifth case that he had seen, and every single point that could be brought out in regard to them was of distinct advantage. He would, however, recommend that in cases of foreign body in these passages a tracheotomy be done first to remove it. In all probability this would be less serious than the edema and consequent inflammation which would result in the attempt to remove it through the natural passages. A New Muco Perichondria! Elevator. Dr. Abraham presented an elevator which he found of great service in separating the tissues of the opposite side in doing the submucous resection. CHICAGO LARYNQOLOGICAL AND OTOLOQICAL...