The advantages of the Trendelenburg posture during all operations involving directly or indirectly the cavities of the mouth, nose, and the trachea : with a report of two cases of epithelioma and sarcoma of the tonsil / by W.W. Keen.

  • Keen, William W. (William Williams), 1837-1932.
Date:
1897
Catalogue details

Licence: Public Domain Mark

Credit: The advantages of the Trendelenburg posture during all operations involving directly or indirectly the cavities of the mouth, nose, and the trachea : with a report of two cases of epithelioma and sarcoma of the tonsil / by W.W. Keen. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    V /> < y: THE ADVANTAGES OF THE TRENDELENBURG . POSTURE DURING ALL OPERATIONS INVOLV- ING DIRECTLY OR INDIRECTLY THE CAVITIES OF THE MOUTH, NOSE, AND THE TRACHEA, WITH A REPORT OF TWO CASES OF EPITHE- LIOMA AND SARCOMA OF THE TONSIL.1 By W. W. KEEN, M.D., OF PHILADELPHIA, PROFESSOR OF THE PRINCIPLES OF SURGERY, AND OF CLINICAL SURGERY, JEFFERSON MEDICAL COLLEGE. I desire to call attention to the great advantages which may be secured by operating on the tonsil and on adenoid growths in the pharynx in the Trendelenburg position. But this position has had a very much wider use than merely in operations upon the tonsil. I have repeatedly used it in the removal of pharyngeal tumors, naso-pharyngeal tumors, in extirpation of the tongue, extirpation of the upper and lower jaws, all operations involving the cavity of the nose, in cleft palate, hare-lip, epithelioma, or other tumors of the lips, tumors of the roof of the mouth, etc. The patient is placed at about an angle of 35 to 45 de- grees. Arrangements must be made, of course, by means of shoulder braces to prevent his slipping off the table. It is impossible, of course, for blood any more than water to run up hill, and in any of these operations mentioned, if the patient is placed in this position, the first advantage is 1 Read before a joint meeting of the Sections on Otology and Laryngology apd on General Surgery of the College of Physicians of Philadelphia, March 12, 1897.