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Article
June 21, 1924

THE KEEN OPERATION FOR CICATRICIAL TRACHEAL STENOSIS

Author Affiliations

Philadelphia

JAMA. 1924;82(25):2027-2028. doi:10.1001/jama.1924.26520510001009
Abstract

The purpose of this report is to call attention to a unique operation devised by W. W. Keen for cicatricial tracheal stenosis, which was reported at the time, twenty-five years ago,1 but which seems to have been buried in the enormous mass of surgical literature. The cicatricial stenoses resulting from industrial and war injuries render it of timely importance that attention be called to the procedure.

Mrs. M., aged 41, was referred to the Bronchoscopic Clinic, Dec. 24, 1919, by Dr. George Fetterolf for the treatment of dyspnea so severe that walking at a slow pace caused weakness, and exertion of any kind was avoided. Indrawing at the guttural fossa, around the clavicles, and in the intercostal spaces called for tracheotomy, which, however, we were able to avoid through the prompt relief afforded by peroral tracheal bouginage. The patient gave the history of having had an operation performed by

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