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October 1949


Author Affiliations

From the Eye, Ear, Nose and Throat Service of the Gorgas Hospital, Panama Canal Zone.

Arch Otolaryngol. 1949;50(4):457-461. doi:10.1001/archotol.1949.00700010469011

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THE CASE to be described is one of stricture of the hypopharynx following ingestion of lye which did not respond satisfactorily to bougienage. A successful result was brought about by applying the principles of plastic surgery. Through an external approach a skin graft was applied to the cicatrized area after resection of the stricture.

Since 1918, skin grafts have been successfully applied onto freshly denuded surfaces in the presence of salivary secretions, which contain the bacterial flora of the mouth. At that time Waldron, Gillies and Pickerill1 introduced a stent with the skin graft directly into the mouth. Arbuckle,2 in 1930, was among the first to report the application of free skin grafts to laryngeal stenoses. Figi,3 in 1947, reported that he applied this technic to cicatrized laryngeal stenoses with success.

REPORT OF A CASE  A Negro woman aged 20 had ingested lye in a suicidal attempt.

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