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Article
June 16, 1888

RAILWAY INJURY OF NECK, WITH FRACTURE OF HYOID BONE.

JAMA. 1888;X(24):762. doi:10.1001/jama.1888.02400500030012

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Abstract

Dear Sir:  —Mr. T., on May 4, while at work in the mine was caught between a car and the roof. When called to see him I found marks behind the ears which looked very much as if the man had been hung. On examination of the anterior right side of the neck found a large wound made by an iron on the car. The æsophagus and trachea were exposed from the cricoid to above the lupoid bone. The piece seemed to have passed behind the anterior tissues nearly through from right to left. The thyroid cartilage was considerably bruised and the hyoid bone was completely severed just to the right of the centre.It was a question how to hold the ends of bone together, I having no silver wire and could get none in the city. The patient could swallow only with the greatest difficulty, and in the

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