Laryngology : stricture of the larynx : clinical lecture delivered at the Jefferson Medical College / by J. Solis-Cohen.
- Solis-Cohen, Jacob da Silva, 1838-1927.
- Date:
- [between 1890 and 1899]
Licence: Public Domain Mark
Credit: Laryngology : stricture of the larynx : clinical lecture delivered at the Jefferson Medical College / by J. Solis-Cohen. 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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![perforated the lower extremity of the plug itself, which he fastens in position with a bolt which takes the place of the ordinary inner canula and is constructed practically in the same form. When the plug is to be removed, the bolt is drawn out, and a pull is made on the string which projects from the mouth. Introduction of the plug requires the use of a specially contrived conductor which clasps the upper end of the rod in the plug, and from which it is withdrawn by a tug when the plug has been placed in position. Introduction of the plugs requires the services of the physician; but treatment by dilatation with the tubes only is sometimes confided to the patient, who often learns to introduce them much more deftly than the physician can. The frequency of these manipulations will, of course, depend upon conditions which vary in individual instances and concerning which you must depend upon your individual judgment. The patient should be taught to introduce the tubes himself, and should be instructed to repeat the process at intervals after withdraw- ing from professional care, on the same principles with which you give analogous instructions to a patient who has been under your care for stricture of the urethra. [The patient—seven weeks later—is still breathing comfortably without his canula, and is attending school.]](https://iiif.wellcomecollection.org/image/b22275393_0015.jp2/full/800%2C/0/default.jpg)


