This book is one of the pioneering works in laryngology. The original text

is from the library of Indiana University Department ofOtolaryngology-Head and Neck Surgery, Bruce Matt, MD. It was scanned,converted to text, and proofed by Alex Tawadros.

BRONCHOSCOPY AND ESOPHAGOSCOPY

A Manual of Peroral Endoscopy and Laryngeal Surgery

by

CHEVALIER JACKSON, M.D., F.A.C.S.
Professor of Laryngology, Jefferson Medical College, Philadelphia;
Professor of Bronchoscopy and Esophagoscopy, Graduate School of
Medicine, University of Pennsylvania; Member of the American
Laryngological Association; Member of the Laryngological,
Rhinological, and Otological Society; Member of the American Academy
of Ophthalmology and Oto-Laryngology; Member of the American
Bronchoscopic Society; Member of the American Philosophical Society;
etc., etc.

With 114 Illustrations and Four Color Plates

Philadelphia And London
W. B. Saunders Company
1922
Copyrights 1922, by W. B. Saunders Company
Made in U.S.A.

TO MY MOTHER TO WHOSE INTEREST IN MEDICAL SCIENCE THE AUTHOR OWESHIS INCENTIVE, AND TO MY FATHER WHOSE CONSTANT ADVICE TO "EDUCATETHE EYE AND THE FINGERS" SPURRED THE AUTHOR TO CONTINUAL EFFORT,THIS BOOK IS AFFECTIONATELY DEDICATED.

PREFACE

This book is based on an abstract of the author's larger work,Peroral Endoscopy and Laryngeal Surgery. The abstract was preparedunder the author's direction by a reader, in order to get a reader'spoint of view on the presentation of the subject in the earlier book.With this abstract as a starting point, the author has endeavored, sofar as lay within his limited abilities, to accomplish the difficulttask of presenting by written word the various purely manualendoscopic procedures. The large number of corrections and revisionsfound necessary has confirmed the wisdom of the plan of getting thereader's point of view; and these revisions, together with numerousadditions, have brought the treatment of the subject up to date so faras is possible within the limits of a working manual.Acknowledgment is due the personnel of the W. B. Saunders Company forkindly help.

CHEVALIER JACKSON.OCTOBER, 1922.II

CONTENTS PAGE

CHAPTER I INSTRUMENTARIUM 17 CHAPTER II ANATOMY OF LARYNX, TRACHEA, BRONCHI AND ESOPHAGUS, ENDOSCOPICALLY CONSIDERED 52 CHAPTER III PREPARATION OF THE PATIENT FOR PERORAL ENDOSCOPY 63 CHAPTER IV ANESTHESIA FOR PERORAL ENDOSCOPY 65 CHAPTER V BRONCHOSCOPIC OXYGEN INSUFFLATION 71 CHAPTER VI POSITION OF THE PATIENT FOR PERORAl ENDOSCOPY 73 CHAPTER VII DIRECT LARYNGOSCOPY 82 CHAPTER VIII DIRECT LARYNGOSCOPY (Continued) 91 CHAPTER IX INTRODUCTION OF THE BRONCHOSCOPE 97 CHAPTER X INTRODUCTION OF THE ESOPHAGOSCOPE 106 CHAPTER XI ACQUIRING SKILL 117 CHAPTER XII FOREIGN BODIES IN THE AIR AND FOOD PASSAGES 126 CHAPTER XIII FOREIGN BODIES IN THE LARYNX AND TRACHEOBRONCHIAL TREE 149 CHAPTER XIV REMOVAL OF FOREIGN BODIES FROM THE LARYNX 156 CHAPTER XV MECHANI

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