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Medical ArticlesSite Of LodgmentThe majority of foreign bodies in the air passages occur in ... Lancing Swellings See Abscess. ... Symptoms Of Gastric Foreign Body Foreign body in the stomach ordinarily produces no symptoms. ... Other Sequels Dropsy &c Beside the ulceration of glands and deafness, some of the seq... Tests Of Heart Strength If both systolic and diastolic blood pressure are taken, and ... Acute Cardiac Symptoms Acute Heart Attack It is not proposed here to describe the condition of sudden... Cayenne And Mustard Mustard spread on a cold towel and applied to the spine or lum... Heartburn See Acidity in Stomach. ... Brain Impressions THE mere idea of a brain clear from false impressions gives a... Bruises Case Xviii Mrs. C. aged 40, was detained on a journey by a bruised wound... Abscess Of The Lung If of foreign-body origin, pulmonary abscess almost invariab... Ears Singing In The Partial deafness is often accompanied by noises in the ear, wh... Fainting Fatigue, excessive heat, fright, loss of blood, hunger, etc., ... Chloroform Or Ether (inhaled) Fresh air. Pull tongue forward, and begin artificial respirati... Fever Influenza This is a slow, smouldering kind of fever. For treatment, pack... Stage 3 Passing Through The Thoracic Esophagus The thoracic esophagus will be seen to expand during inspira... Prognosis If the foreign body be not removed, the resulting chronic se... Styptic Charms Fancy can save or kill; it hath closed up wounds, when t... Sensitiveness When the nervous system is in a certain state, all impressions... Children's Treatment This should always be managed so as to soothe and not excite t... |
Mechanical Problems Of Esophagoscopic Removal Of Foreign BodiesCategory: ESOPHAGOSCOPY FOR FOREIGN BODY Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery The bronchoscopic problems considered in the previous chapter should be studied. The extraction of transfixed foreign bodies presents much the same problem as those in the bronchi, though there is no limit here to the distance an object may be pushed down to free the point. Thin, sharp foreign bodies such as bones, dentures, pins, safety-pins, etcetera, are often found to lie crosswise in the esophagus, and it is imperative that one end be disengaged and the long axis of the object be made to correspond to that of the esophagus before traction for removal is made (Fig. 92). Should the intruder be grasped in the center and traction exerted, serious and perhaps fatal trauma might ensue. [191] [FIG. 92.--The problem of the horizontally transfixed foreign body in the esophagus. The point, D, had caught as the bone, A, was being swallowed. The end, E, was forced down to C, by food or by blind attempts at pushing the bone downward. The wall, F, should be laterally displaced to J, with the esophagoscope, permitting the forceps to grasp the end, M, of the bone. Traction in the direction of the dart will disimpact the bone and permit it to rotate. The rotation forceps are used as at K.] [FIG. 93.--Solution of the mechanical problem of the broad foreign body having a sharp point by version. If withdrawn with plain forceps as applied at A, the point B, will rip open the esophageal wall. If grasped at C, the point, D, will rotate in the direction of F and will trail harmlessly. To permit this version the rotation forceps are used as at H. On this principle flat foreign bodies with jagged or rough parts are so turned that the potentially traumatizing parts trail during withdrawal.] The extraction of broad, flat foreign bodies having a sharp point or a rough place on part of their periphery is best accomplished by the method of rotation as shown in Fig. 93. Next: Extraction Of Open Safety-pins From The Esophagus Previous: Esophagoscopic Extraction Of Foreign Bodies
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