Excerpt from The Archives of Pediatrics, 1898, Vol. 15: A Monthly Journal Devoted to the Diseases of Infants and Children
About the only advantage of a laryngoscopic view of the larnyx in children is to determine the condition or position of the vocal cords, because any abnormality above the rima sufficient to obstruct respiration can be discovered by an educated finger in a few seconds. Knowledge thus acquired can be utilized for purposes of treatment as well as for diagnosis as in the, case re lated above. Foreign bodies situated in or above the chink of the glottis are easily located by the sense of touch/and may sometimes be removed by the same aid. While giving practical instruction in intubation some years ago, I came across an infant cadaver having a large cyst on the posterior surface of the epiglottis which might well have been the cause of its death. It was easily broken with the finger. It is also quite within the range of possibility that neoplasms, for which laryngotomy is now the only resource, may be removed in the same manner.
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