A case of laryngeal stenosis in the adult, successfully treated by intubation : continuous wearing of tube for four years / by William K. Simpson.
- Simpson, William K.
- Date:
- 1909
Licence: In copyright
Credit: A case of laryngeal stenosis in the adult, successfully treated by intubation : continuous wearing of tube for four years / by William K. Simpson. Source: Wellcome Collection.
Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.
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![size for breathing purposes and bids fair to remain so unless encroached upon by future inflammations. The anterior wall of the trachea is quite red in color and shows signs of irregularity in contour at the seat of the original tracheotomy wound. The goitre seems to have diminished in size during the year. The dimensions of the intubation tube used were: Length, from the highest point of the head, 3 inches. Anterior posterior diameter of head.. ^ inch. Transverse diameter of head % Anterior posterior diameter of lumen. ]/2 “ Transverse diameter of lumen 5/16 “ Outer circumference at neck •“ Outer circumference at median swell i 6/8 “ Outer circumference at lower ex- tremity i 5/16 “ The exact time of the intubating period from the date of the first introduction was four years and twenty-five days, and with the exception of a few days the tube remained in continuously. The object in presenting this history, other than to record a successful outcome in a case which at first seemed to indicate the wearing of a tracheal cannula or an intubation tube for the remainder of the patient’s life, is to emphasize the following points: 1. The tolerance of the larynx to long continued pressure. 2. The superiority of continuous pressure in causing absorption over the older methods of the temporary introduction of dilating instruments. 3. The comparative comfort with which an in- tubation tube may be indefinitely worn. 4. The improved general condition of the patient while wearing the intubation tube in contrast to the](https://iiif.wellcomecollection.org/image/b22427491_0009.jp2/full/800%2C/0/default.jpg)
