Although the employment of antitoxin in the treatment of diphtheria has reduced not only the mortality from the disease but also the frequency of stenosis of the larynx and of the necessity of its relief by operative measures, cases do occasionally occur in which the obstruction to breathing is so pronounced as to render such measures imperative. In these cases also the good effects of serum therapy have been manifest. As between intubation and tracheotomy in cases in which operative intervention is required, it may be said that the former has steadily grown in favor, and its advantages, when it is indicated, are so obvious as to require no recapitulation here. On the other hand, conditions are sometimes present that render intubation impracticable or inadmissible, or at least render tracheotomy preferable, and it is therefore desirable to have and to keep clearly in mind the factors that determine the choice
INDICATIONS FOR OPERATIVE TREATMENT OF DIPHTHERIC STENOSIS OF THE LARYNX. JAMA. 1902;XXXVIII(5):329–330. doi:10.1001/jama.1902.02480050043012
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