Bronchoscopy and Esophagoscopy

Bronchoscopy and Esophagoscopy, by Chevalier

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Title: Bronchoscopy and Esophagoscopy A Manual of Peroral Endoscopy and Laryngeal Surgery
Author: Chevalier Jackson

Release Date: September 13, 2006 [eBook #19261]
Language: English
Character set encoding: ISO-646-US (US-ASCII)
***START OF THE PROJECT GUTENBERG EBOOK BRONCHOSCOPY AND ESOPHAGOSCOPY***
This book is one of the pioneering works in laryngology. The original text is from the library of Indiana University Department of Otolaryngology-Head and Neck Surgery, Bruce Matt, MD. It was scanned, converted to text, and proofed by Alex Tawadros.

BRONCHOSCOPY AND ESOPHAGOSCOPY
A Manual of Peroral Endoscopy and Laryngeal Surgery
by
CHEVALIER JACKSON, M.D., F.A.C.S. Professor of Laryngology, Jefferson Medical College, Philadelphia; Professor of Bronchoscopy and Esophagoscopy, Graduate School of Medicine, University of Pennsylvania; Member of the American Laryngological Association; Member of the Laryngological, Rhinological, and Otological Society; Member of the American Academy of Ophthalmology and Oto-Laryngology; Member of the American Bronchoscopic Society; Member of the American Philosophical Society; etc., etc.
With 114 Illustrations and Four Color Plates

Philadelphia And London W. B. Saunders Company 1922 Copyrights 1922, by W. B. Saunders Company Made in U.S.A.

TO MY MOTHER TO WHOSE INTEREST IN MEDICAL SCIENCE THE AUTHOR OWES HIS INCENTIVE, AND TO MY FATHER WHOSE CONSTANT ADVICE TO "EDUCATE THE EYE AND THE FINGERS" SPURRED THE AUTHOR TO CONTINUAL EFFORT, THIS BOOK IS AFFECTIONATELY DEDICATED.

PREFACE
This book is based on an abstract of the author's larger work, Peroral Endoscopy and Laryngeal Surgery. The abstract was prepared under the author's direction by a reader, in order to get a reader's point of view on the presentation of the subject in the earlier book. With this abstract as a starting point, the author has endeavored, so far as lay within his limited abilities, to accomplish the difficult task of presenting by written word the various purely manual endoscopic procedures. The large number of corrections and revisions found necessary has confirmed the wisdom of the plan of getting the reader's point of view; and these revisions, together with numerous additions, have brought the treatment of the subject up to date so far as is possible within the limits of a working manual. Acknowledgment is due the personnel of the W. B. Saunders Company for kindly help.
CHEVALIER JACKSON. OCTOBER, 1922. II

CONTENTS PAGE
CHAPTER I
INSTRUMENTARIUM 17
CHAPTER II
ANATOMY OF LARYNX, TRACHEA, BRONCHI AND ESOPHAGUS, ENDOSCOPICALLY CONSIDERED 52
CHAPTER III
PREPARATION OF THE PATIENT FOR PERORAL ENDOSCOPY 63
CHAPTER IV
ANESTHESIA FOR PERORAL ENDOSCOPY 65
CHAPTER V
BRONCHOSCOPIC OXYGEN INSUFFLATION 71
CHAPTER VI
POSITION OF THE PATIENT FOR PERORAl ENDOSCOPY 73
CHAPTER VII
DIRECT LARYNGOSCOPY 82
CHAPTER VIII
DIRECT LARYNGOSCOPY (Continued) 91
CHAPTER IX
INTRODUCTION OF THE BRONCHOSCOPE 97
CHAPTER X
INTRODUCTION OF THE ESOPHAGOSCOPE 106
CHAPTER XI
ACQUIRING SKILL 117
CHAPTER XII
FOREIGN BODIES IN THE AIR AND FOOD PASSAGES 126
CHAPTER XIII
FOREIGN BODIES IN THE LARYNX AND TRACHEOBRONCHIAL TREE 149
CHAPTER XIV
REMOVAL OF FOREIGN BODIES FROM THE LARYNX 156
CHAPTER XV
MECHANICAL PROBLEMS OF BRONCHOSCOPIC FOREIGN BODY EXTRACTION 158
CHAPTER XVI
FOREIGN BODIES IN THE BRONCHI FOR PROLONGED PERIODS 177
CHAPTER XVII
UNSUCCESSFUL BRONCHOSCOPY FOR FOREIGN BODIES 181
CHAPTER XVIII
FOREIGN BODIES IN THE ESOPHAGUS 183
CHAPTER XIX
ESOPHAGOSCOPY FOR FOREIGN BODY 187
CHAPTER XX
PLEUROSCOPY 199
CHAPTER XXI
BENIGN GROWTHS IN THE LARYNX 201
CHAPTER XXII
BENIGN GROWTHS IN THE LARYNX (Continued) 203
CHAPTER XXIII
BENIGN GROWTHS PRIMARY IN THE TRACHEOBRONCHIAL TREE 207
CHAPTER XXIV
BENIGN NEOPLASMS OF THE ESOPHAGUS 209
CHAPTER XXV
ENDOSCOPY IN MALIGNANT DISEASE OF THE LARYNX 210
CHAPTER XXVI
BRONCHOSCOPY IN MALIGNANT GROWTHS OF THE TRACHEA 214
CHAPTER XXVII
MALIGNANT DISEASE OF THE ESOPHAGUS 216
CHAPTER XXVIII
DIRECT LARYNGOSCOPY IN DISEASES OF THE LARYNX 221
CHAPTER XXIX
BRONCHOSCOPY IN DISEASES OF THE TRACHEA AND BRONCHI 224
CHAPTER XXX
DISEASES OF THE ESOPHAGUS 235
CHAPTER XXXI
DISEASES OF THE ESOPHAGUS (Continued) 245
CHAPTER XXXII
DISEASES OF THE ESOPHAGUS (Continued) 251
CHAPTER XXXIII
DISEASES OF THE ESOPHAGUS (Continued) 260
CHAPTER XXXIV
DISEASES OF THE ESOPHAGUS (Continued) 268
CHAPTER XXXV
GASTROSCOPY 273
CHAPTER XXXVI
ACUTE STENOSIS OF THE LARYNX 277
CHAPTER XXXVII
TRACHEOTOMY 279
CHAPTER XXXVIII
CHRONIC STENOSIS OF THE LARYNX AND TRACHEA 300
CHAPTER XXXIX
DECANNULATION AFTER CURE OF LARYNGEAL STENOSIS 309 BIBLIOGRAPHY 311 INDEX 315

[17] CHAPTER I--INSTRUMENTARIUM
Direct laryngoscopy, bronchoscopy, esophagoscopy and gastroscopy are procedures in which the lower air and food passages are inspected and treated by the aid of electrically lighted tubes which serve as specula to manipulate obstructing tissues out of the way and to bring others into the line of direct vision. Illumination is supplied by a small tungsten-filamented, electric, "cold" lamp situated at the distal extremity of the instrument in a special groove which protects it from any possible injury during the introduction of instruments through the tube. The bronchi and the esophagus will not allow dilatation beyond their normal caliber; therefore, it is necessary to have tubes of the sizes to fit these passages at various developmental ages. Rupture or even over-distention of a bronchus or of the thoracic esophagus is almost invariably fatal. The armamentarium of the endoscopist must be complete, for it is rarely possible to