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August 27, 1887


JAMA. 1887;IX(9):272-274. doi:10.1001/jama.1887.02400080016003

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Modified Laryngectomy.  Dr. J. Solis-Cohen describes the following operation:

  1. Make an incision in the hyoid bone to the lower border of the cricoid cartilage, and exactly in the middle line.

  2. Carefully separate the sterno-hyoid muscles.

  3. Hold the soft parts aside and insert, from above, one blade of a strong cutting forceps with narrow blades beneath one wing of the thyroid cartilage, one-fourth of an inch from the angle of junction with its fellow, and sever the cartilage vertically its entire length through to the crico-thyroid membrane.

  4. Make a similar cut on the opposite side.

  5. Seize the freed angular portion of the thyroid cartilage, comprising its entire respiratory contingent, with a volsellum forceps, and draw it to either side, the soft parts being separated meanwhile from the inner surface of the detached wings of the thyroid cartilages with the handle of the scalpel.

  6. Make a transverse cut to sever the

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