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Updated: May 6, 2025
The ease and rapidity with which large masses of glands may be shelled out is in remarkable contrast to what is observed in tuberculous disease. Surgical interference may give relief when important structures are being pressed upon tracheotomy, for example, may be required where life is threatened by asphyxia.
Treatment. Vinegar and water, lemon-juice and water, acidulated stimulant drinks, oil, linseed-tea, opium to relieve pain, stimulants in collapse. Do not use the stomach-tube. The glottis may be inflamed, and if there is danger of asphyxia, tracheotomy may have to be performed.
He knew nothing of the operation of tracheotomy, and though he spoke English well he found it difficult to follow Michael's soft, thick, County Cork speech. "She's a grand heap of a girl, isn't she?" continued that gentleman, regarding Arithelli with kindly eyes. He had all the Celt's love of romance, and the ingrained reverence of the Irish Catholic for women.
The razor had passed through the glosso-epiglottidean fold, a tip of the epiglottis, and through the pharynx down to the spinal column. There was little hemorrhage, but the man could neither swallow nor speak. The wound was sutured, tracheotomy done, and the head kept fixed on the chest by a copper splint.
The right arm healed, but the left showed erysipelatous inflammation, culminating in edema, which affected the glottis to such an extent that tracheotomy was performed to save her life. Five weeks after convalescence, during which her conduct was exemplary, she again cut her arms in the same place.
Between the Destroying Angel and his gasping prey, stepped two, anointed with the chrism of the Priesthood of Cure; and undismayed by the strident, sibilant, fitful breath that distorted the blue lips of the victim, they parried the sweep of the scythe of death, with the tiny, glittering steel blade surgery cunningly fashions; and through its silver canula, tracheotomy recalled the vanishing spirit, triumphantly renewed the lease of life.
Hulke records the case of a woman, the victim of a peculiar accident happening during the performance of tracheotomy, for an affection of the larynx. The internal canule of the tracheotomy-tube fell into the right bronchus, but was removed by an ingenious instrument extemporaneously devised from silver wire.
In laryngeal diphtheria, the interference with respiration may call for intubation of the larynx, or tracheotomy, but the antitoxin treatment has greatly diminished the number of cases in which it becomes necessary to have recourse to these measures.
The surgical cases are of exceptional interest, and No. 38 refers to a case of angina for which he performed a successful operation. This is supposed to have been a tracheotomy, and if so, it is the first in the fourteen centuries that had elapsed since the days of Antyllus. There are other important cases which show that he was a dexterous and fearless surgeon.
Unless the patient is in hospital with skilled assistance available, tracheotomy is the safer of the two procedures. Tetanus is a disease resulting from infection of a wound by a specific micro-organism, the bacillus tetani, and characterised by increased reflex excitability, hypertonus, and spasm of one or more groups of voluntary muscles. Etiology and Morbid Anatomy.
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