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April 7, 1888


JAMA. 1888;X(14):428-430. doi:10.1001/jama.1888.02400400016002

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Subcutaneous Separation of Trachea from Larynx.  —At the Versammlung Deutscher Naturforscher und Aerzte last September, Noll, of Hanau, reported the case of a workman who received a severe blow on the front part of the neck from a piece of machinery. The skin was not wounded, and only a little blood was coughed up. The neck was soon very much swollen, and attacks of suffocation soon came on. On making a tracheotomy Noll found that the trachea was separated from the larynx, and very much retracted, and that the cricoid and thyroid cartilages were fractured. The trachea was drawn up and sutured to the larynx, and a cannula was placed in the passages. Later it could not be removed because it was held in by a cicatricial contraction. The usual methods of dilatation failed, and a laryngo-fissure was made, in which a Dupuis's cannula was worn for nine months. The

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