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Article
September 21, 1912

CHRONIC LARYNGEAL STENOSIS; TREATMENT BY PROLONGED INTUBATION

Author Affiliations

NEW ORLEANS

JAMA. 1912;LIX(12):1120-1123. doi:10.1001/jama.1912.04270090364071
Abstract

The many difficulties which encompass us when dealing with chronic laryngeal stenosis will test to the utmost the patience, foresight and mechanical ingenuity of the surgeon. Months, and even years, may be required in overcoming the obstruction. My experience confirms that of other observers relative to the greater frequency of this stenosis in children. This one factor adds materially to the problem per se for there are also local and regional difficulties which present themselves in the treatment of this condition. The instability of the muscular and nervous mechanism of the larynx, incident to prolonged yet unavoidable pressure of an intubation tube, renders this organ all the more susceptible to intercurrent and sudden adductor spasm of the glottis. Fright and want of self-control, then, are the elements in these young subjects which may readily precipitate such a crisis as adductor spasm. The method of overcoming this obstruction must necessarily hinge

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