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June 10, 1899


Author Affiliations

Clinic Professor of Laryngology, Jefferson Medical College; Professor of the Principles of Surgery, and of Clinic Surgery, Jefferson Medical College. PHILADELPHIA.

JAMA. 1899;XXXII(23):1294-1297. doi:10.1001/jama.1899.92450500020003a

Case 1.  —Attempted suicide by cut throat followed by complete closure of the trachea by a diaphragm above the canula, persisting for thirteen months; breathing through the larynx and speech entirely impossible. operation: dissection of the diaphragm; suture of the trachea; restoration of normal breathing and voice.

History by Dr. Jones.1  —J. W., 30 years of age, a laborer, on Nov. 12, 1896, in a fit of despondency, attempted suicide by making a large cut in his throat with a penknife. He penetrated the trachea about the second or third ring, twisted the blade about and cut up and down an inch or more. He was taken to a hospital, where the wound was dressed, but not closed, nor was a tube inserted. One week later it was noticed that he could not breathe through the mouth when the wound was closed by pressure. It was deemed necessary to