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ADOPTING the phrase of our forefathers, with all its ...
Burns Case Xxxvi
The last case I have to give is one of great interest, as it ...
Nose Bleed - Epistaxis
If it arises from fullness of the vessels of the head, with t...
The Digestibility of Fats. We have now come to the last group...
An infant's clothing should be soft, warm, and light in weight...
See Whooping Cough. ...
Scarlatina Sine Exanthemate
There are also mild cases of scarlet-fever, when little or no...
Conditions Causing Change In Blood Pressure
Woolley [Footnote: Woolley, P. G.: Factors Governing Vascular...
General Directions Of The Current
Negative affections, as a general rule, are best treated with...
See Hives; "Outstrikes;" Saltrome, etc. ...
You Have No Idea How I Am Rushed
A WOMAN can feel rushed when she is sitting perfectly...
This is often an adjunct of old age, and sometimes occurs in t...
Bruises Case Xx
It frequently occurs to surgeons to receive slight wounds upo...
is applied to wounds, _incised_ and _lacerated_, promoting he...
Diet For The Chronically Ill
The chronically ill person has a long-term degenerative con...
Cold Affusions And Rubbing
After the pack, the patient is placed in an empty bathing or ...
Symptoms Of Laryngeal Foreign Body
1. Initial laryngeal spasm followed by wheezing respiration...
This disease consists in a looseness of the bowels, generally...
Chronic postdiphtheritic stenosis may be of the panic, spasm...
What we call, for want of a better name, "nerve force," or "ne...
Mechanical Problems Of Esophagoscopic Removal Of Foreign Bodies
Category: ESOPHAGOSCOPY FOR FOREIGN BODY
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery
The bronchoscopic problems considered in the previous chapter should
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
 [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
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.
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