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This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1898 Excerpt: ...is only reinforced by the larger results from the later added cases. Delay can not be entertained for a moment, for it means a speedily fatal result. The terrible facts are before us. Let us hope that the lesson they teach will be learned. Intubation.--Since my former lecture intubation has been introduced as an operative procedure. I know of no case in which it has been practised, but it may well claim attention in the few cases to which it may be applicable. In perichondritis it would evidently be worse than useless to employ it in place of tracheotomy. It affords no means of escape for the pus, the necrotic tissue, or the fragments of the cartilage. But in the rare cases of simple edema, and in some of ulceration, its use should be considered, though I fear that it would rarely afford the relief which tracheotomy gives. Final Results.--Liming has collected the most careful and complete statistics of the final results as to whether the cannula can be dispensed with and as to the value of later attempts to overcome the stenosis by dilatation or otler means. Of 60 cases which recovered after perichondritis, 11 were able to dispense with the use of the cannula in periods varying from seven months to six years, but the other 49 were obliged to wear the cannula permanently; some could breathe freely without it during the day but were obliged to wear it at night. One patient was known to have worn the cannula for forty years. Various means have been employed to get rid of the stricture, especially by dilatation with bougies and special cannulas. But the treatment, especially by dilatation, is wearisome, both to the patient and the surgeon, and rarely has done any good. The special cannulas do not seem to have been any more successfully employed. In a half dozen...
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