A manual of diseases of the throat and nose : including the pharynx, larynx, trachea, œsophagus, nose and naso-pharynx / by Morell Mackenzie.

  • Mackenzie, Morell, 1837-1892.
Date:
1884
Catalogue details

Licence: Public Domain Mark

Credit: A manual of diseases of the throat and nose : including the pharynx, larynx, trachea, œsophagus, nose and naso-pharynx / by Morell Mackenzie. Source: Wellcome Collection.

    16/610 (page 4)
    vSUBJECT II. A man, 5 ft. 4 in. in height. Tlie rasophagu-s was injected with plaster of Paris on January 21st, 1881, in the inortuarj' of the Loudon Hospital. Death had taken place three daj's before, but the weather was very cold, and rigor mortis had not quite i>a.sse<l away. The rth of the cesophagus was other measurements :— 25^ centimetres. The following were Point of Jleasure ment. Transverse Diameter. Antero-Posterior Diameter. Lower edge of cricoid. 21 millim. 10 miUim. 1 centim. below 3 3 19 } 3 15 33 2 > > 3 3 22 3 3 15 33 3 > > 3 3 22 3 3 14 3 3 4 J > 3 3 19 3 3 13 33 5 > ) 3 3 18 3 3 15 33 6 > J 3 3 18 3 3 15 33 7 J > 3 3 19 3 3 13 33 8 > 1 3 3 18 3 3 12 33 9 1 } 3 3 19 3 3 14 33 10 1 3 3 21 3 3 10 3 3 11 5 > 3 3 23 3 3 11 3 3 12 J ) 3 3 22 3 3 13 33 13 J ) 3 3 23 3 3 17 3 3 14 3 3 3 3 23 3 3 17 33 15 3 3 3 3 25 3 3 17 33 16 3 3 3 3 25 3 3 15 3 3 17 3 3 3 3 24 3 3 18 33 18 3 3 3 3 22 3 3 15 ) ) 19 3 3 3 3 21 33 14 3 3 20 3 3 3 3 19 3 3 13 33 21 3 3 3 3 16 3 3 11 3 3 22 3 3 3 3 16 3 3 12 33 23 3 3 3 3 17 3 3 12 33 In the second e.vpcrinient the measurements are much smaller than the first, hut the l)ody was not nearly so large. Even in this instance, however, the standard of size is througliout very much greater than in Mouton’s subject. The practical outcome of my exi>eriinents * i.s to show that the transveise diameter of the gullet is very consider- ably greater than the antero-]iosterior measurement. When not distended in tlie act of .swallowing, the mucosa, which is only very loosely connected with the submucous areolar tissue, is thrown into loiigitudinal folds, which project into the lumen of the canal, and at certain points till it up altogether. It is onlv near it.s origin, however, and at about seven centimetres lower down, that this juxtapo.sitiou of the internal walls of the (esophagus closes the (aiual ; at other levels it is probably always )>artiallv ]>atent. As is shown Ity my experiments, the <eso]diagus is symmetrically flattened between the trachea and bodies of the vertebne in the antero-i>o.sterior direction in the neck ; and lower down, though its canal occasionally approximates to a circular form, it generally retains a kidney-shaped lumen. 1 It would be highly desirnhle that these exi>erinients should lie rciwatod on an extensive scale.