Informational Site NetworkInformational Site Network
Privacy
 


Home


Medical Articles


Mother's Remedies


Household Tips


Medicine History


Forgotten Remedies


Search

Medical Articles

Bathing The Feet

This apparently simple treatment, if the best results are desi...

Blood Pressure And Insurance

An epitome of the consensus of opinion of the risk of accepti...

Treatment

If pneumonia or gonorrhea is supposed to be the cause of the ...

The Ammonium Carbonicum

recommended by Peart, has been considered by many as a specif...

Hurry, Worry, And Irritability

PROBABLY most people have had the experience of hurry...

Relaxation Of Treatment Towards The End Of The Third Period Continuation Of Packs During And After Desquamation

When the patient is through the first part of the period of ...

The Digestive System

How the Food Reaches the Stomach. Our body, then, has an open...

The Triviality Of Trivialities

LIFE is clearer, happier, and easier for us as things assume ...

Eyes Hazy Sight

Frequently, after inflammation, and even when that has ceased,...

Difficulties In The Introduction Of The Bronchoscope

The beginner may enter the esophagus instead of the trachea:...

Contraindications To Direct Laryngoscopy

There are no absolute contraindications to direct laryngosco...

The Temperature Of The Room However Should Be A Few Degrees

higher than in scarlatina, as none of these other eruptive dise...

Cardiac Disease In Pregnancy

It is so serious a thing for a woman with valvular lesion or ...

The Relation Of The Internal Parts To The External Surface Of The Body

An exact acquaintance with the normal character of the extern...

Oxalic Acid

Neutralise by chalk or lime water, but not by soda or any alka...

Breath And Muscles

Sometimes difficulty of breathing is due, not to anything wron...

The Unrelenting Boredom Of Fasting

Then there's the unrelenting boredom of fasting. Most people ...

Treatment

Acute esophagitis calls for rest in bed, sterile liquid food...

Heartburn

This peculiar burning and distressed feeling at the stomach d...

Pneumonia

Take B D current, forceful as the patient can bear, and treat...



Bronchial Dilators





Category: INSTRUMENTARIUM
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery

It is not uncommon to find a stricture of the
bronchus superjacent to a foreign body that has been in situ for a
period of months. In order to remove the foreign body, this stricture
must be dilated, and for this the bronchial dilator shown in Fig. 25
was devised. The channel in each blade allows the closed dilator to be
pushed down over the presenting point of such bodies as tacks, after
which the blades are opened and the stricture stretched. A small and a
large size are made. For enlarging the bronchial narrowing associated
with pulmonary abscess and sometimes found above a bronchiectatic or
foreign body cavity, the expanding dilator shown in Fig. 26 is perhaps
less apt to cause injury than ordinary forceps used in the same way.
The stretching is here produced by the spring of the blades of the
forceps and not by manual force. The closed blades are to be inserted
through the strictured area, opened, and then slowly withdrawn. For
cicatricial stenoses of the trachea the metallic bougies, Fig. 40, are
useful. For the larynx, those shown in Fig. 41 are needed.

[FIG. 34.--A, Mosher's laryngeal curette; B, author's flat blade
cautery electrode; C, pointed cautery electrode; D, laryngeal knife.
The electrodes are insulated with hard-rubber vulcanized onto the
conducting wires.]

[FIG. 35.--Retrograde esophageal bougies in graduated sizes devised by
Dr. Gabriel Tucker and the author for dilatation of cicatricial
esophageal stenosis. They are drawn upward by an endless swallowed
string, and are therefore only to be used in gastrostomized cases.]

[FIG. 36.--Author's bronchoscopic and esophagoscopic mechanical spoon,
made in 40, 50 and 60 cm. lengths.]

[FIG. 37.--Schema illustrating the author's method of endoscopic
closure of open safety pins lodged point upward The closer is passed
down under ocular control until the ring, R, is below the pin. The
ring is then erected to the position shown dotted at M, by moving the
handle, H, downward to L and locking it there with the latch, Z. The
fork, A, is then inserted and, engaging the pin at the spring loop, K,
the pin is pushed into the ring, thus closing the pin. Slight rotation
of the pin with the forceps may be necessary to get the point into the
keeper. The upper instrument is sometimes useful as a mechanical spoon
for removing large, smooth foreign bodies from the esophagus.]





Next: Esophageal Dilators

Previous: Papilloma Forceps



Add to Informational Site Network
Report
Privacy
ADD TO EBOOK


Viewed 2092