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In April, 1886, I became convinced that intubation of the larynx was a justifiable surgical procedure, and a valuable substitute for tracheotomy in selected cases. I therefore procured a set of the O'Dwyer instruments and tubes. Although I had handled the tubes and seen them introduced, and a year previous had introduced them myself on the cadaver, I did not until this time give serious consideration to the position of the tube after the introduction. I had no difficulty in coming to a conclusion in this matter. From my knowledge of the larynx, and the contour of the head of the tube, I decided that the head of the tube was designed to rest within the larynx, with its projecting flange resting upon the false vocal cords, with the straight part of the tube behind resting against the posterior straight wall of the larynx. (Fig. 1.)
It was not until
HOADLEY AE. DEEP TUBING OF THF LARYNX AS A SUBSTITUTE FOR INTUBATION.With a Report of Nine Cases and Presentation of New Instruments. Read before the Chicago Medical Society, March 7, 1887.. JAMA. 1887;VIII(13):337–339. doi:10.1001/jama.1887.02391380001001
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