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Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery
Foreign bodies rarely lodge in an
upper-lobe bronchus, yet with such a problem it is necessary to have
forceps that will reach around a corner. The upper-lobe-bronchus
forceps shown in Fig. 27 have curved jaws so made as to straighten out
while passing through the bronchoscope and to spring back into their
original shape on up from the lower jaw emerging from the distal end
of the bronchoscopic tube, the radius of curvature being regulated by
the extent of emergence permitted. They are made in extra-light
pattern, 40 cm. long, and the regular model 45 cm. long. The
full-curved model, giving 180 degrees and reaching up into the
ascending branches, is made in both light and heavy patterns. Forceps
with less curve, and without the spiral, are used when it is desired
to reach only a short distance around the corner anywhere in the
bronchi. These are also useful, as suggested by Willis F. Manges, in
dealing with safety pins in the esophagus or tracheobronchial tree.
[FIG. 21.--Tucker jaws for the author's forceps. The tiny lip
projecting down from the upper, and up from the lower jaw prevents
sidewise escape of the shaft of a pin, tack, nail or needle. The shaft
is automatically thrown parallel to the bronchoscopic axis. Drawing
about four times actual size.]
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