See Hearing. ...
This trouble is rather a symptom than a disease. It rises from ...
Inspection Of The Party Wall In Cases Of Suspected Laryngeal Malignancy
When taking a specimen the party wall should be inspected by...
How Women Can Keep From Being Nervous
MANY people suffer unnecessarily from "nerves" just...
Other Bad Symptoms
These symptoms may present themselves with the rash standing ...
Why Fuss So Much About What I Eat?
I KNOW a woman who insisted that it was impossible fo...
Technic Of Bronchoscopy
Local anesthesia is usually employed in the adult. The patien...
No greater mistake could be made than to curtail the hours of ...
Resume Of After-care Of A Tracheotomic Case
1. Always bear in mind that tracheotomy is not an ultimate ...
acts very beneficially when applied to the surface where ther...
There is no absolute contraindication to careful esophagosco...
Treatment Of The Mild Or Erethic Form Of Scarlatina Anginosa
The _mild_ or _erethic form_ of scarlatina anginosa requires ...
Metallo-therapy has been defined as a mode of treating vari...
Pulmonary Stenosis Pulmonary Obstruction
If stenosis is actually present in this location, the lesion ...
Structure of the Ear. Next after sight, hearing is our most i...
Spasmodic Stenosis Of The Esophagus
Etiology - The functional activity of the esophagus is depend...
Punctures Case Ix
James Joynes, aged 12, was bitten by an ass, on each side of ...
WHEN we face the matter squarely and give it careful ...
Eruptive Cutaneous Diseases
Take A D current, pretty vigorous force in acute cases; mild ...
Punctures Case Vii
Mr. Parr, aged 30, of delicate habit, trod upon a needle whic...
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery
The dilatation of cicatricial stenosis of the
esophagus can be done safely only by endoscopic methods. Blind
esophageal bouginage is highly dangerous, for the lumen of the
stricture is usually eccentric and the bougie is therefore apt to
perforate the wall rather than find the small opening. Often there is
present a pouching of the esophagus above a stricture, in which the
bougie may lodge and perforate. Bougies should be introduced under
visual guidance through the esophagoscope, which is so placed that the
lumen of the stricture is in the center of the endoscopic field. The
author's endoscopic bougies (Fig. 40) are made with a flexible
silk-woven tip securely fastened to a steel shaft. This shaft lends
rigidity to the instrument sufficient to permit its accurate
placement, and its small size permits the eye to keep the silk-woven
tip in view. These endoscopic bougies are made in sizes from 8 to 40,
French scale. The larger sizes are used especially for the dilatation
of laryngeal and tracheal stenoses. For the latter work it is
essential that the bougies be inspected carefully before they are
used, for should a defective tip come off while in the lower air
passages a difficult foreign body problem would be created.
Soft-rubber retrograde dilators to be drawn upward from the stomach by
a swallowed string are useful in gastrostomized cases (Fig. 35).
[FIG 38.--Half curved hook, 45 cm. and 60 cm. Full curved patterns are
made but caution is necessary to avoid them becoming anchored in the
bronchi. Spiral forms avoid this. The author makes for himself steel
probe-pointed rods out of which he bends hooks of any desired shape.
The rod is held in a pin-vise to facilitate bending of the point,
after heating in an alcohol or bunsen flame.]
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