A case of fatal hemorrhage following adenectomy in a haemophilic child.

Date:
[1898]
Catalogue details

Licence: Public Domain Mark

Credit: A case of fatal hemorrhage following adenectomy in a haemophilic child. 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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    infiltration on the left, with characteristic cedematous tubercular look- ing arytenoids. Dr. Vissman examined his sputa carefully and re- ported that he could find no bacilli. The speaker had been treating him two or three times a week since January 7, with full strength applications!' of lactic acid. The ulcerated region is undergoing a gradual process of healing. The arytenoids are not half the original size, and the general symptoms of hoarseness and difficulty in swal- lowing have been markedly relieved. He gives no history of syphilis, and the evidence does not enable us to make a positive diagnosis. His physical condition does not show any deterioration. There are some of the characteristic features of syphilis, malignancy and tuber- culosis. There are no rales in the apex. Dr. Van der Poel asked Dr. Myles if tubercle bacilli had been found in the case of the young man who has the ulc^r of the pharynx. Also, was there any temperature? / Dr. Myles answered thaf\bacilli had been fotfnd. The Curette and Forceps in the Operation of Adenoids. Dr. W. F. Chappell read a paper on/this subject. He believes that one of the causes of incomplete /removal of adenoid tissue or other damage in the naso-pharynx, is That the instrument, be it forceps or curette, is too large in size. In\an examination of 2,000 children the author found that the greatest nilmber of. these growth occurred in children under six years of age. In his judgment the curette is the instrument to be employed in the removal of these growths. We should use instruments based on the actual measurements of the naso- pharynx at various age's. He protests against the great amount of force employed by /ome operators when the bprette is applied. The reader showed n&W curettes suggested by himself, of two sizes. One for infants up to the fourth year, and the other fo^ four years to four- teen years, based on actual measurements. The cutting edge of the blade may be straight or coarse serrated, and not very sharp. With the serrated blade the pieces of growths are caught. I The points of favor claimed for the curette are: First, It shortens the time required for the operation. Anaesthesia may be frequently /omitted. It minimizes the danger of injury to the Eustachian tube, septum or soft palate, and of any unnecessary sacrifice of mucous -jnembrane. A Case of Fatal Hemorrhage following Adenectomy in a Haemophilic Child. Dr. C. H. Knight reported for Dr. J. A. Kenefic the case of a boy, four years of age, who was brought to the Manhattan Eye and Ear Hospital, on January 20th, inst., suffering from the usual ac-