Identifier: operativesurgery00brya (find matches)
Title: Operative surgery
Year: 1905 (1900s)
Authors: Bryant, Joseph D. (Joseph Decatur), 1845-1914
Subjects: Surgery, Operative Surgery, Operative
Publisher: New York : D. Appleton
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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he patient. A preliminary tra-cheotomy should beperformed if undueheemorrhage is an-ticipated, as in the ex-tirpation of a vasculargrowth, supplemented,perhaps, by plugging thetrachea in urgent in-stances. The Trendelen-burg posture will affordgreat advantage. Intubation of the Larynx.—5o?/c/iw^, of Paris, conceived the idea, andODwyer, of Xew York, by indefatigable and patient labor achieved theimperishable distinction of establisliing its utility upon an enduring basis.Foreign bodies in the larynx and diseased processes contiguous to it, causingobstructive dyspnoea, are, as a rule, better treated by tracheotomy than byintubation. Chronic stenosis of the larynx from tubercle, syphilis, and otherchronic states of an inflammatory nature can be promptly and often effec-tually treated by intubation. However, the chief importance of the measurerests in affording prompt relief in impending suffocation from membranousobstruction (Fig. 871). The following is a description of the apparatus:
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Fig. 870.—The operation of subhyoid pharvngotomy. a.Hyoid bone with thyro-hyoid membrane attached, h.Sterno-hyoid and omo-hyoid muscles, c. Extremityof greater cornu. d. Entrance to Larynx, e. Superiorlaryngeal nerve. /. Epiglottis, g. Platysma. h. Thy-roid notch. 694 OPERATIVE SURGERY. The numbers on the scale (Fig. 871, e) indicate the years for which thecorresponding tubes are suitable. For instance, the smallest tube whenapplied to the scale will reach to the first line, marked 1, and is intended to

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