id sid tid token lemma pos 19261 1 1 This this DT 19261 1 2 book book NN 19261 1 3 is be VBZ 19261 1 4 one one CD 19261 1 5 of of IN 19261 1 6 the the DT 19261 1 7 pioneering pioneer VBG 19261 1 8 works work NNS 19261 1 9 in in IN 19261 1 10 laryngology laryngology NN 19261 1 11 . . . 19261 2 1 The the DT 19261 2 2 original original JJ 19261 2 3 text text NN 19261 2 4 is be VBZ 19261 2 5 from from IN 19261 2 6 the the DT 19261 2 7 library library NN 19261 2 8 of of IN 19261 2 9 Indiana Indiana NNP 19261 2 10 University University NNP 19261 2 11 Department Department NNP 19261 2 12 of of IN 19261 2 13 Otolaryngology Otolaryngology NNP 19261 2 14 - - HYPH 19261 2 15 Head Head NNP 19261 2 16 and and CC 19261 2 17 Neck Neck NNP 19261 2 18 Surgery Surgery NNP 19261 2 19 , , , 19261 2 20 Bruce Bruce NNP 19261 2 21 Matt Matt NNP 19261 2 22 , , , 19261 2 23 MD MD NNP 19261 2 24 . . . 19261 3 1 It -PRON- PRP 19261 3 2 was be VBD 19261 3 3 scanned scan VBN 19261 3 4 , , , 19261 3 5 converted convert VBN 19261 3 6 to to IN 19261 3 7 text text NN 19261 3 8 , , , 19261 3 9 and and CC 19261 3 10 proofed proof VBN 19261 3 11 by by IN 19261 3 12 Alex Alex NNP 19261 3 13 Tawadros Tawadros NNP 19261 3 14 . . . 19261 4 1 BRONCHOSCOPY BRONCHOSCOPY NNP 19261 4 2 AND and CC 19261 4 3 ESOPHAGOSCOPY ESOPHAGOSCOPY NNP 19261 4 4 A A NNP 19261 4 5 Manual Manual NNP 19261 4 6 of of IN 19261 4 7 Peroral Peroral NNP 19261 4 8 Endoscopy Endoscopy NNP 19261 4 9 and and CC 19261 4 10 Laryngeal Laryngeal NNP 19261 4 11 Surgery Surgery NNP 19261 4 12 by by IN 19261 4 13 CHEVALIER CHEVALIER NNP 19261 4 14 JACKSON JACKSON NNP 19261 4 15 , , , 19261 4 16 M.D. M.D. NNP 19261 4 17 , , , 19261 4 18 F.A.C.S. F.A.C.S. NNP 19261 5 1 Professor Professor NNP 19261 5 2 of of IN 19261 5 3 Laryngology Laryngology NNP 19261 5 4 , , , 19261 5 5 Jefferson Jefferson NNP 19261 5 6 Medical Medical NNP 19261 5 7 College College NNP 19261 5 8 , , , 19261 5 9 Philadelphia Philadelphia NNP 19261 5 10 ; ; : 19261 5 11 Professor Professor NNP 19261 5 12 of of IN 19261 5 13 Bronchoscopy Bronchoscopy NNP 19261 5 14 and and CC 19261 5 15 Esophagoscopy Esophagoscopy NNP 19261 5 16 , , , 19261 5 17 Graduate Graduate NNP 19261 5 18 School School NNP 19261 5 19 of of IN 19261 5 20 Medicine Medicine NNP 19261 5 21 , , , 19261 5 22 University University NNP 19261 5 23 of of IN 19261 5 24 Pennsylvania Pennsylvania NNP 19261 5 25 ; ; : 19261 5 26 Member Member NNP 19261 5 27 of of IN 19261 5 28 the the DT 19261 5 29 American American NNP 19261 5 30 Laryngological Laryngological NNP 19261 5 31 Association Association NNP 19261 5 32 ; ; : 19261 5 33 Member Member NNP 19261 5 34 of of IN 19261 5 35 the the DT 19261 5 36 Laryngological Laryngological NNP 19261 5 37 , , , 19261 5 38 Rhinological rhinological JJ 19261 5 39 , , , 19261 5 40 and and CC 19261 5 41 Otological Otological NNP 19261 5 42 Society Society NNP 19261 5 43 ; ; : 19261 5 44 Member Member NNP 19261 5 45 of of IN 19261 5 46 the the DT 19261 5 47 American American NNP 19261 5 48 Academy Academy NNP 19261 5 49 of of IN 19261 5 50 Ophthalmology Ophthalmology NNP 19261 5 51 and and CC 19261 5 52 Oto Oto NNP 19261 5 53 - - HYPH 19261 5 54 Laryngology Laryngology NNP 19261 5 55 ; ; : 19261 5 56 Member Member NNP 19261 5 57 of of IN 19261 5 58 the the DT 19261 5 59 American American NNP 19261 5 60 Bronchoscopic Bronchoscopic NNP 19261 5 61 Society Society NNP 19261 5 62 ; ; : 19261 5 63 Member Member NNP 19261 5 64 of of IN 19261 5 65 the the DT 19261 5 66 American American NNP 19261 5 67 Philosophical Philosophical NNP 19261 5 68 Society Society NNP 19261 5 69 ; ; : 19261 5 70 etc etc FW 19261 5 71 . . FW 19261 5 72 , , , 19261 5 73 etc etc FW 19261 5 74 . . . 19261 6 1 With with IN 19261 6 2 114 114 CD 19261 6 3 Illustrations Illustrations NNPS 19261 6 4 and and CC 19261 6 5 Four four CD 19261 6 6 Color color NN 19261 6 7 Plates Plates NNPS 19261 6 8 Philadelphia Philadelphia NNP 19261 6 9 And and CC 19261 6 10 London London NNP 19261 6 11 W. W. NNP 19261 6 12 B. B. NNP 19261 6 13 Saunders Saunders NNPS 19261 6 14 Company Company NNP 19261 6 15 1922 1922 CD 19261 6 16 Copyrights Copyrights NNPS 19261 6 17 1922 1922 CD 19261 6 18 , , , 19261 6 19 by by IN 19261 6 20 W. W. NNP 19261 6 21 B. B. NNP 19261 6 22 Saunders Saunders NNP 19261 6 23 Company Company NNP 19261 6 24 Made make VBN 19261 6 25 in in IN 19261 6 26 U.S.A. U.S.A. NNP 19261 6 27 TO to IN 19261 6 28 MY my PRP$ 19261 6 29 MOTHER mother NN 19261 6 30 TO to IN 19261 6 31 WHOSE whose PRP$ 19261 6 32 INTEREST interest NN 19261 6 33 IN in IN 19261 6 34 MEDICAL MEDICAL NNP 19261 6 35 SCIENCE SCIENCE NNP 19261 6 36 THE the DT 19261 6 37 AUTHOR author NN 19261 6 38 OWES owe VBZ 19261 6 39 HIS his PRP$ 19261 6 40 INCENTIVE incentive NN 19261 6 41 , , , 19261 6 42 AND and CC 19261 6 43 TO to IN 19261 6 44 MY my PRP$ 19261 6 45 FATHER FATHER NNP 19261 6 46 WHOSE WHOSE VBN 19261 6 47 CONSTANT CONSTANT NNS 19261 6 48 ADVICE ADVICE VBD 19261 6 49 TO to IN 19261 6 50 " " `` 19261 6 51 EDUCATE EDUCATE NNP 19261 6 52 THE the DT 19261 6 53 EYE EYE NNP 19261 6 54 AND and CC 19261 6 55 THE the DT 19261 6 56 FINGERS FINGERS NNP 19261 6 57 " " `` 19261 6 58 SPURRED spur VBD 19261 6 59 THE the DT 19261 6 60 AUTHOR author NN 19261 6 61 TO to TO 19261 6 62 CONTINUAL continual VB 19261 6 63 EFFORT EFFORT NNS 19261 6 64 , , , 19261 6 65 THIS this DT 19261 6 66 BOOK BOOK NNS 19261 6 67 IS be VBZ 19261 6 68 AFFECTIONATELY affectionately JJ 19261 6 69 DEDICATED DEDICATED NNP 19261 6 70 . . . 19261 7 1 PREFACE preface VB 19261 7 2 This this DT 19261 7 3 book book NN 19261 7 4 is be VBZ 19261 7 5 based base VBN 19261 7 6 on on IN 19261 7 7 an an DT 19261 7 8 abstract abstract NN 19261 7 9 of of IN 19261 7 10 the the DT 19261 7 11 author author NN 19261 7 12 's 's POS 19261 7 13 larger large JJR 19261 7 14 work work NN 19261 7 15 , , , 19261 7 16 Peroral Peroral NNP 19261 7 17 Endoscopy Endoscopy NNP 19261 7 18 and and CC 19261 7 19 Laryngeal Laryngeal NNP 19261 7 20 Surgery Surgery NNP 19261 7 21 . . . 19261 8 1 The the DT 19261 8 2 abstract abstract NN 19261 8 3 was be VBD 19261 8 4 prepared prepare VBN 19261 8 5 under under IN 19261 8 6 the the DT 19261 8 7 author author NN 19261 8 8 's 's POS 19261 8 9 direction direction NN 19261 8 10 by by IN 19261 8 11 a a DT 19261 8 12 reader reader NN 19261 8 13 , , , 19261 8 14 in in IN 19261 8 15 order order NN 19261 8 16 to to TO 19261 8 17 get get VB 19261 8 18 a a DT 19261 8 19 reader reader NN 19261 8 20 's 's POS 19261 8 21 point point NN 19261 8 22 of of IN 19261 8 23 view view NN 19261 8 24 on on IN 19261 8 25 the the DT 19261 8 26 presentation presentation NN 19261 8 27 of of IN 19261 8 28 the the DT 19261 8 29 subject subject NN 19261 8 30 in in IN 19261 8 31 the the DT 19261 8 32 earlier early JJR 19261 8 33 book book NN 19261 8 34 . . . 19261 9 1 With with IN 19261 9 2 this this DT 19261 9 3 abstract abstract NN 19261 9 4 as as IN 19261 9 5 a a DT 19261 9 6 starting starting NN 19261 9 7 point point NN 19261 9 8 , , , 19261 9 9 the the DT 19261 9 10 author author NN 19261 9 11 has have VBZ 19261 9 12 endeavored endeavor VBN 19261 9 13 , , , 19261 9 14 so so RB 19261 9 15 far far RB 19261 9 16 as as IN 19261 9 17 lay lie VBD 19261 9 18 within within IN 19261 9 19 his -PRON- PRP$ 19261 9 20 limited limited JJ 19261 9 21 abilities ability NNS 19261 9 22 , , , 19261 9 23 to to TO 19261 9 24 accomplish accomplish VB 19261 9 25 the the DT 19261 9 26 difficult difficult JJ 19261 9 27 task task NN 19261 9 28 of of IN 19261 9 29 presenting present VBG 19261 9 30 by by IN 19261 9 31 written write VBN 19261 9 32 word word NN 19261 9 33 the the DT 19261 9 34 various various JJ 19261 9 35 purely purely RB 19261 9 36 manual manual JJ 19261 9 37 endoscopic endoscopic JJ 19261 9 38 procedures procedure NNS 19261 9 39 . . . 19261 10 1 The the DT 19261 10 2 large large JJ 19261 10 3 number number NN 19261 10 4 of of IN 19261 10 5 corrections correction NNS 19261 10 6 and and CC 19261 10 7 revisions revision NNS 19261 10 8 found find VBD 19261 10 9 necessary necessary JJ 19261 10 10 has have VBZ 19261 10 11 confirmed confirm VBN 19261 10 12 the the DT 19261 10 13 wisdom wisdom NN 19261 10 14 of of IN 19261 10 15 the the DT 19261 10 16 plan plan NN 19261 10 17 of of IN 19261 10 18 getting get VBG 19261 10 19 the the DT 19261 10 20 reader reader NN 19261 10 21 's 's POS 19261 10 22 point point NN 19261 10 23 of of IN 19261 10 24 view view NN 19261 10 25 ; ; : 19261 10 26 and and CC 19261 10 27 these these DT 19261 10 28 revisions revision NNS 19261 10 29 , , , 19261 10 30 together together RB 19261 10 31 with with IN 19261 10 32 numerous numerous JJ 19261 10 33 additions addition NNS 19261 10 34 , , , 19261 10 35 have have VBP 19261 10 36 brought bring VBN 19261 10 37 the the DT 19261 10 38 treatment treatment NN 19261 10 39 of of IN 19261 10 40 the the DT 19261 10 41 subject subject NN 19261 10 42 up up IN 19261 10 43 to to IN 19261 10 44 date date NN 19261 10 45 so so RB 19261 10 46 far far RB 19261 10 47 as as IN 19261 10 48 is be VBZ 19261 10 49 possible possible JJ 19261 10 50 within within IN 19261 10 51 the the DT 19261 10 52 limits limit NNS 19261 10 53 of of IN 19261 10 54 a a DT 19261 10 55 working work VBG 19261 10 56 manual manual NN 19261 10 57 . . . 19261 11 1 Acknowledgment Acknowledgment NNP 19261 11 2 is be VBZ 19261 11 3 due due JJ 19261 11 4 the the DT 19261 11 5 personnel personnel NNS 19261 11 6 of of IN 19261 11 7 the the DT 19261 11 8 W. W. NNP 19261 11 9 B. B. NNP 19261 11 10 Saunders Saunders NNP 19261 11 11 Company Company NNP 19261 11 12 for for IN 19261 11 13 kindly kindly RB 19261 11 14 help help NN 19261 11 15 . . . 19261 12 1 CHEVALIER CHEVALIER NNP 19261 12 2 JACKSON JACKSON NNP 19261 12 3 . . . 19261 13 1 OCTOBER OCTOBER NNP 19261 13 2 , , , 19261 13 3 1922 1922 CD 19261 13 4 . . . 19261 14 1 II II NNP 19261 14 2 CONTENTS CONTENTS NNP 19261 14 3 PAGE PAGE NNP 19261 14 4 CHAPTER chapter NN 19261 14 5 I -PRON- PRP 19261 14 6 INSTRUMENTARIUM instrumentarium VBP 19261 14 7 17 17 CD 19261 14 8 CHAPTER chapter NN 19261 14 9 II ii CD 19261 14 10 ANATOMY anatomy NN 19261 14 11 OF of IN 19261 14 12 LARYNX LARYNX NNP 19261 14 13 , , , 19261 14 14 TRACHEA TRACHEA NNP 19261 14 15 , , , 19261 14 16 BRONCHI BRONCHI NNP 19261 14 17 AND and CC 19261 14 18 ESOPHAGUS ESOPHAGUS NNP 19261 14 19 , , , 19261 14 20 ENDOSCOPICALLY ENDOSCOPICALLY NNP 19261 14 21 CONSIDERED consider VBZ 19261 14 22 52 52 CD 19261 14 23 CHAPTER chapter NN 19261 14 24 III iii CD 19261 14 25 PREPARATION PREPARATION NNS 19261 14 26 OF of IN 19261 14 27 THE the DT 19261 14 28 PATIENT PATIENT NNP 19261 14 29 FOR for IN 19261 14 30 PERORAL PERORAL NNS 19261 14 31 ENDOSCOPY ENDOSCOPY NNP 19261 14 32 63 63 CD 19261 14 33 CHAPTER chapter NN 19261 14 34 IV IV NNP 19261 14 35 ANESTHESIA ANESTHESIA NNS 19261 14 36 FOR for IN 19261 14 37 PERORAL PERORAL NNP 19261 14 38 ENDOSCOPY endoscopy VBP 19261 14 39 65 65 CD 19261 14 40 CHAPTER chapter NN 19261 14 41 V v NN 19261 14 42 BRONCHOSCOPIC BRONCHOSCOPIC NNP 19261 14 43 OXYGEN OXYGEN NNP 19261 14 44 INSUFFLATION insufflation NN 19261 14 45 71 71 CD 19261 14 46 CHAPTER chapter NN 19261 14 47 VI VI NNP 19261 14 48 POSITION POSITION NNP 19261 14 49 OF of IN 19261 14 50 THE the DT 19261 14 51 PATIENT PATIENT NNP 19261 14 52 FOR for IN 19261 14 53 PERORAl PERORAl NNS 19261 14 54 ENDOSCOPY endoscopy VBP 19261 14 55 73 73 CD 19261 14 56 CHAPTER chapter NN 19261 14 57 VII vii NN 19261 14 58 DIRECT DIRECT NNP 19261 14 59 LARYNGOSCOPY LARYNGOSCOPY NNP 19261 14 60 82 82 CD 19261 14 61 CHAPTER chapter NN 19261 14 62 VIII VIII NNS 19261 14 63 DIRECT DIRECT VBN 19261 14 64 LARYNGOSCOPY LARYNGOSCOPY NNP 19261 14 65 ( ( -LRB- 19261 14 66 Continued continued JJ 19261 14 67 ) ) -RRB- 19261 14 68 91 91 CD 19261 14 69 CHAPTER chapter NN 19261 14 70 IX ix NN 19261 14 71 INTRODUCTION introduction NN 19261 14 72 OF of IN 19261 14 73 THE the DT 19261 14 74 BRONCHOSCOPE bronchoscope NN 19261 14 75 97 97 CD 19261 14 76 CHAPTER chapter NN 19261 14 77 X X NNS 19261 14 78 INTRODUCTION introduction NN 19261 14 79 OF of IN 19261 14 80 THE the DT 19261 14 81 ESOPHAGOSCOPE esophagoscope NN 19261 14 82 106 106 CD 19261 14 83 CHAPTER chapter NN 19261 14 84 XI XI NNP 19261 14 85 ACQUIRING acquire VBG 19261 14 86 SKILL skill NN 19261 14 87 117 117 CD 19261 14 88 CHAPTER chapter NN 19261 14 89 XII xii NN 19261 14 90 FOREIGN foreign JJ 19261 14 91 BODIES body NNS 19261 14 92 IN in IN 19261 14 93 THE the DT 19261 14 94 AIR AIR NNP 19261 14 95 AND and CC 19261 14 96 FOOD FOOD NNP 19261 14 97 PASSAGES PASSAGES NNP 19261 14 98 126 126 CD 19261 14 99 CHAPTER chapter NN 19261 14 100 XIII xiii NN 19261 14 101 FOREIGN foreign JJ 19261 14 102 BODIES body NNS 19261 14 103 IN in IN 19261 14 104 THE the DT 19261 14 105 LARYNX LARYNX NNP 19261 14 106 AND and CC 19261 14 107 TRACHEOBRONCHIAL TRACHEOBRONCHIAL NNP 19261 14 108 TREE TREE NNP 19261 14 109 149 149 CD 19261 14 110 CHAPTER chapter NN 19261 14 111 XIV xiv NN 19261 14 112 REMOVAL REMOVAL NNS 19261 14 113 OF of IN 19261 14 114 FOREIGN foreign JJ 19261 14 115 BODIES body NNS 19261 14 116 FROM from IN 19261 14 117 THE the DT 19261 14 118 LARYNX LARYNX NNP 19261 14 119 156 156 CD 19261 14 120 CHAPTER CHAPTER NNP 19261 14 121 XV XV NNP 19261 14 122 MECHANICAL MECHANICAL NNP 19261 14 123 PROBLEMS PROBLEMS NNP 19261 14 124 OF of IN 19261 14 125 BRONCHOSCOPIC BRONCHOSCOPIC NNP 19261 14 126 FOREIGN FOREIGN NNP 19261 14 127 BODY BODY NNP 19261 14 128 EXTRACTION extraction NN 19261 14 129 158 158 CD 19261 14 130 CHAPTER chapter NN 19261 14 131 XVI xvi NN 19261 14 132 FOREIGN foreign JJ 19261 14 133 BODIES body NNS 19261 14 134 IN in IN 19261 14 135 THE the DT 19261 14 136 BRONCHI BRONCHI NNP 19261 14 137 FOR for IN 19261 14 138 PROLONGED PROLONGED NNP 19261 14 139 PERIODS PERIODS NNP 19261 14 140 177 177 CD 19261 14 141 CHAPTER chapter NN 19261 14 142 XVII XVII NNP 19261 14 143 UNSUCCESSFUL unsuccessful NN 19261 14 144 BRONCHOSCOPY BRONCHOSCOPY NNP 19261 14 145 FOR for IN 19261 14 146 FOREIGN foreign JJ 19261 14 147 BODIES body NNS 19261 14 148 181 181 CD 19261 14 149 CHAPTER chapter NN 19261 14 150 XVIII XVIII VBD 19261 14 151 FOREIGN foreign JJ 19261 14 152 BODIES body NNS 19261 14 153 IN in IN 19261 14 154 THE the DT 19261 14 155 ESOPHAGUS ESOPHAGUS NNP 19261 14 156 183 183 CD 19261 14 157 CHAPTER chapter NN 19261 14 158 XIX xix NN 19261 14 159 ESOPHAGOSCOPY esophagoscopy NN 19261 14 160 FOR for IN 19261 14 161 FOREIGN foreign JJ 19261 14 162 BODY BODY NNP 19261 14 163 187 187 CD 19261 14 164 CHAPTER chapter NN 19261 14 165 XX XX NNS 19261 14 166 PLEUROSCOPY PLEUROSCOPY NNP 19261 14 167 199 199 CD 19261 14 168 CHAPTER chapter NN 19261 14 169 XXI xxi VBP 19261 14 170 BENIGN benign JJ 19261 14 171 GROWTHS growths NN 19261 14 172 IN in IN 19261 14 173 THE the DT 19261 14 174 LARYNX LARYNX NNP 19261 14 175 201 201 CD 19261 14 176 CHAPTER chapter NN 19261 14 177 XXII XXII VBZ 19261 14 178 BENIGN benign JJ 19261 14 179 GROWTHS growths NN 19261 14 180 IN in IN 19261 14 181 THE the DT 19261 14 182 LARYNX LARYNX NNP 19261 14 183 ( ( -LRB- 19261 14 184 Continued Continued NNP 19261 14 185 ) ) -RRB- 19261 14 186 203 203 CD 19261 14 187 CHAPTER chapter NN 19261 14 188 XXIII xxiii NN 19261 14 189 BENIGN benign JJ 19261 14 190 GROWTHS growths NN 19261 14 191 PRIMARY PRIMARY NNP 19261 14 192 IN in IN 19261 14 193 THE the DT 19261 14 194 TRACHEOBRONCHIAL tracheobronchial NN 19261 14 195 TREE tree NN 19261 14 196 207 207 CD 19261 14 197 CHAPTER chapter NN 19261 14 198 XXIV xxiv NN 19261 14 199 BENIGN benign JJ 19261 14 200 NEOPLASMS neoplasms NN 19261 14 201 OF of IN 19261 14 202 THE the DT 19261 14 203 ESOPHAGUS ESOPHAGUS NNP 19261 14 204 209 209 CD 19261 14 205 CHAPTER chapter NN 19261 14 206 XXV XXV NNP 19261 14 207 ENDOSCOPY ENDOSCOPY NNP 19261 14 208 IN in IN 19261 14 209 MALIGNANT MALIGNANT NNP 19261 14 210 DISEASE DISEASE NNP 19261 14 211 OF of IN 19261 14 212 THE the DT 19261 14 213 LARYNX LARYNX NNP 19261 14 214 210 210 CD 19261 14 215 CHAPTER chapter NN 19261 14 216 XXVI XXVI NNS 19261 14 217 BRONCHOSCOPY BRONCHOSCOPY VBN 19261 14 218 IN in IN 19261 14 219 MALIGNANT MALIGNANT NNP 19261 14 220 GROWTHS GROWTHS NNP 19261 14 221 OF of IN 19261 14 222 THE the DT 19261 14 223 TRACHEA TRACHEA NNP 19261 14 224 214 214 CD 19261 14 225 CHAPTER chapter NN 19261 14 226 XXVII xxvii NN 19261 14 227 MALIGNANT MALIGNANT NNP 19261 14 228 DISEASE DISEASE NNP 19261 14 229 OF of IN 19261 14 230 THE the DT 19261 14 231 ESOPHAGUS ESOPHAGUS NNP 19261 14 232 216 216 CD 19261 14 233 CHAPTER chapter NN 19261 14 234 XXVIII XXVIII NNS 19261 14 235 DIRECT DIRECT VBN 19261 14 236 LARYNGOSCOPY LARYNGOSCOPY NNP 19261 14 237 IN in IN 19261 14 238 DISEASES diseases NN 19261 14 239 OF of IN 19261 14 240 THE the DT 19261 14 241 LARYNX LARYNX NNP 19261 14 242 221 221 CD 19261 14 243 CHAPTER chapter NN 19261 14 244 XXIX XXIX NNP 19261 14 245 BRONCHOSCOPY BRONCHOSCOPY VBN 19261 14 246 IN in IN 19261 14 247 DISEASES diseases NN 19261 14 248 OF of IN 19261 14 249 THE the DT 19261 14 250 TRACHEA TRACHEA NNP 19261 14 251 AND and CC 19261 14 252 BRONCHI BRONCHI NNP 19261 14 253 224 224 CD 19261 14 254 CHAPTER chapter NN 19261 14 255 XXX XXX NNP 19261 14 256 DISEASES disease NNS 19261 14 257 OF of IN 19261 14 258 THE the DT 19261 14 259 ESOPHAGUS esophagus NN 19261 14 260 235 235 CD 19261 14 261 CHAPTER chapter NN 19261 14 262 XXXI xxxi NN 19261 14 263 DISEASES disease NNS 19261 14 264 OF of IN 19261 14 265 THE the DT 19261 14 266 ESOPHAGUS ESOPHAGUS NNP 19261 14 267 ( ( -LRB- 19261 14 268 Continued continued JJ 19261 14 269 ) ) -RRB- 19261 14 270 245 245 CD 19261 14 271 CHAPTER chapter NN 19261 14 272 XXXII xxxii NN 19261 14 273 DISEASES disease NNS 19261 14 274 OF of IN 19261 14 275 THE the DT 19261 14 276 ESOPHAGUS ESOPHAGUS NNP 19261 14 277 ( ( -LRB- 19261 14 278 Continued continued JJ 19261 14 279 ) ) -RRB- 19261 14 280 251 251 CD 19261 14 281 CHAPTER chapter NN 19261 14 282 XXXIII xxxiii NN 19261 14 283 DISEASES disease NNS 19261 14 284 OF of IN 19261 14 285 THE the DT 19261 14 286 ESOPHAGUS ESOPHAGUS NNP 19261 14 287 ( ( -LRB- 19261 14 288 Continued continued JJ 19261 14 289 ) ) -RRB- 19261 14 290 260 260 CD 19261 14 291 CHAPTER chapter NN 19261 14 292 XXXIV xxxiv NN 19261 14 293 DISEASES disease NNS 19261 14 294 OF of IN 19261 14 295 THE the DT 19261 14 296 ESOPHAGUS ESOPHAGUS NNP 19261 14 297 ( ( -LRB- 19261 14 298 Continued continue VBN 19261 14 299 ) ) -RRB- 19261 14 300 268 268 CD 19261 14 301 CHAPTER chapter NN 19261 14 302 XXXV XXXV NNS 19261 14 303 GASTROSCOPY GASTROSCOPY NNP 19261 14 304 273 273 CD 19261 14 305 CHAPTER chapter NN 19261 14 306 XXXVI XXXVI NNP 19261 14 307 ACUTE ACUTE NNP 19261 14 308 STENOSIS STENOSIS NNP 19261 14 309 OF of IN 19261 14 310 THE the DT 19261 14 311 LARYNX LARYNX NNP 19261 14 312 277 277 CD 19261 14 313 CHAPTER chapter NN 19261 14 314 XXXVII xxxvii NN 19261 14 315 TRACHEOTOMY tracheotomy NN 19261 14 316 279 279 CD 19261 14 317 CHAPTER chapter NN 19261 14 318 XXXVIII xxxviii NN 19261 14 319 CHRONIC chronic NN 19261 14 320 STENOSIS STENOSIS NNP 19261 14 321 OF of IN 19261 14 322 THE the DT 19261 14 323 LARYNX LARYNX NNP 19261 14 324 AND and CC 19261 14 325 TRACHEA TRACHEA NNP 19261 14 326 300 300 CD 19261 14 327 CHAPTER chapter NN 19261 14 328 XXXIX xxxix NN 19261 14 329 DECANNULATION DECANNULATION NNS 19261 14 330 AFTER after IN 19261 14 331 CURE CURE NNP 19261 14 332 OF of IN 19261 14 333 LARYNGEAL LARYNGEAL NNP 19261 14 334 STENOSIS STENOSIS NNP 19261 14 335 309 309 CD 19261 14 336 BIBLIOGRAPHY BIBLIOGRAPHY NNP 19261 14 337 311 311 CD 19261 14 338 INDEX index NN 19261 14 339 315 315 CD 19261 14 340 [ [ -LRB- 19261 14 341 17 17 CD 19261 14 342 ] ] -RRB- 19261 14 343 CHAPTER CHAPTER NNP 19261 14 344 I -PRON- PRP 19261 14 345 -- -- : 19261 14 346 INSTRUMENTARIUM INSTRUMENTARIUM NNP 19261 14 347 Direct direct JJ 19261 14 348 laryngoscopy laryngoscopy NN 19261 14 349 , , , 19261 14 350 bronchoscopy bronchoscopy NN 19261 14 351 , , , 19261 14 352 esophagoscopy esophagoscopy JJ 19261 14 353 and and CC 19261 14 354 gastroscopy gastroscopy JJ 19261 14 355 are be VBP 19261 14 356 procedures procedure NNS 19261 14 357 in in IN 19261 14 358 which which WDT 19261 14 359 the the DT 19261 14 360 lower low JJR 19261 14 361 air air NN 19261 14 362 and and CC 19261 14 363 food food NN 19261 14 364 passages passage NNS 19261 14 365 are be VBP 19261 14 366 inspected inspect VBN 19261 14 367 and and CC 19261 14 368 treated treat VBN 19261 14 369 by by IN 19261 14 370 the the DT 19261 14 371 aid aid NN 19261 14 372 of of IN 19261 14 373 electrically electrically RB 19261 14 374 lighted light VBN 19261 14 375 tubes tube NNS 19261 14 376 which which WDT 19261 14 377 serve serve VBP 19261 14 378 as as IN 19261 14 379 specula specula NN 19261 14 380 to to TO 19261 14 381 manipulate manipulate VB 19261 14 382 obstructing obstruct VBG 19261 14 383 tissues tissue NNS 19261 14 384 out out IN 19261 14 385 of of IN 19261 14 386 the the DT 19261 14 387 way way NN 19261 14 388 and and CC 19261 14 389 to to TO 19261 14 390 bring bring VB 19261 14 391 others other NNS 19261 14 392 into into IN 19261 14 393 the the DT 19261 14 394 line line NN 19261 14 395 of of IN 19261 14 396 direct direct JJ 19261 14 397 vision vision NN 19261 14 398 . . . 19261 15 1 Illumination illumination NN 19261 15 2 is be VBZ 19261 15 3 supplied supply VBN 19261 15 4 by by IN 19261 15 5 a a DT 19261 15 6 small small JJ 19261 15 7 tungsten tungsten VBN 19261 15 8 - - HYPH 19261 15 9 filamented filamente VBN 19261 15 10 , , , 19261 15 11 electric electric JJ 19261 15 12 , , , 19261 15 13 " " `` 19261 15 14 cold cold JJ 19261 15 15 " " '' 19261 15 16 lamp lamp NN 19261 15 17 situated situate VBN 19261 15 18 at at IN 19261 15 19 the the DT 19261 15 20 distal distal JJ 19261 15 21 extremity extremity NN 19261 15 22 of of IN 19261 15 23 the the DT 19261 15 24 instrument instrument NN 19261 15 25 in in IN 19261 15 26 a a DT 19261 15 27 special special JJ 19261 15 28 groove groove NN 19261 15 29 which which WDT 19261 15 30 protects protect VBZ 19261 15 31 it -PRON- PRP 19261 15 32 from from IN 19261 15 33 any any DT 19261 15 34 possible possible JJ 19261 15 35 injury injury NN 19261 15 36 during during IN 19261 15 37 the the DT 19261 15 38 introduction introduction NN 19261 15 39 of of IN 19261 15 40 instruments instrument NNS 19261 15 41 through through IN 19261 15 42 the the DT 19261 15 43 tube tube NN 19261 15 44 . . . 19261 16 1 The the DT 19261 16 2 bronchi bronchi NN 19261 16 3 and and CC 19261 16 4 the the DT 19261 16 5 esophagus esophagus NN 19261 16 6 will will MD 19261 16 7 not not RB 19261 16 8 allow allow VB 19261 16 9 dilatation dilatation NN 19261 16 10 beyond beyond IN 19261 16 11 their -PRON- PRP$ 19261 16 12 normal normal JJ 19261 16 13 caliber caliber NN 19261 16 14 ; ; : 19261 16 15 therefore therefore RB 19261 16 16 , , , 19261 16 17 it -PRON- PRP 19261 16 18 is be VBZ 19261 16 19 necessary necessary JJ 19261 16 20 to to TO 19261 16 21 have have VB 19261 16 22 tubes tube NNS 19261 16 23 of of IN 19261 16 24 the the DT 19261 16 25 sizes size NNS 19261 16 26 to to TO 19261 16 27 fit fit VB 19261 16 28 these these DT 19261 16 29 passages passage NNS 19261 16 30 at at IN 19261 16 31 various various JJ 19261 16 32 developmental developmental JJ 19261 16 33 ages age NNS 19261 16 34 . . . 19261 17 1 Rupture rupture NN 19261 17 2 or or CC 19261 17 3 even even RB 19261 17 4 over over IN 19261 17 5 - - HYPH 19261 17 6 distention distention NN 19261 17 7 of of IN 19261 17 8 a a DT 19261 17 9 bronchus bronchus NN 19261 17 10 or or CC 19261 17 11 of of IN 19261 17 12 the the DT 19261 17 13 thoracic thoracic NNP 19261 17 14 esophagus esophagus NNP 19261 17 15 is be VBZ 19261 17 16 almost almost RB 19261 17 17 invariably invariably RB 19261 17 18 fatal fatal JJ 19261 17 19 . . . 19261 18 1 The the DT 19261 18 2 armamentarium armamentarium NN 19261 18 3 of of IN 19261 18 4 the the DT 19261 18 5 endoscopist endoscopist NN 19261 18 6 must must MD 19261 18 7 be be VB 19261 18 8 complete complete JJ 19261 18 9 , , , 19261 18 10 for for IN 19261 18 11 it -PRON- PRP 19261 18 12 is be VBZ 19261 18 13 rarely rarely RB 19261 18 14 possible possible JJ 19261 18 15 to to TO 19261 18 16 substitute substitute VB 19261 18 17 , , , 19261 18 18 or or CC 19261 18 19 to to TO 19261 18 20 improvise improvise VB 19261 18 21 makeshifts makeshift NNS 19261 18 22 , , , 19261 18 23 while while IN 19261 18 24 the the DT 19261 18 25 bronchoscope bronchoscope NN 19261 18 26 is be VBZ 19261 18 27 in in IN 19261 18 28 situ situ NN 19261 18 29 . . . 19261 19 1 Furthermore furthermore RB 19261 19 2 , , , 19261 19 3 the the DT 19261 19 4 instruments instrument NNS 19261 19 5 must must MD 19261 19 6 be be VB 19261 19 7 of of IN 19261 19 8 the the DT 19261 19 9 proper proper JJ 19261 19 10 model model NN 19261 19 11 and and CC 19261 19 12 well well RB 19261 19 13 made make VBN 19261 19 14 ; ; : 19261 19 15 otherwise otherwise RB 19261 19 16 difficulties difficulty NNS 19261 19 17 and and CC 19261 19 18 dangers danger NNS 19261 19 19 will will MD 19261 19 20 attend attend VB 19261 19 21 attempts attempt NNS 19261 19 22 to to TO 19261 19 23 see see VB 19261 19 24 them -PRON- PRP 19261 19 25 . . . 19261 20 1 _ _ NNP 19261 20 2 Laryngoscopes_.--The Laryngoscopes_.--The NNP 19261 20 3 regular regular JJ 19261 20 4 type type NN 19261 20 5 of of IN 19261 20 6 laryngoscope laryngoscope NN 19261 20 7 shown show VBN 19261 20 8 in in IN 19261 20 9 Fig Fig NNP 19261 20 10 . . . 19261 21 1 I -PRON- PRP 19261 21 2 ( ( -LRB- 19261 21 3 A a NN 19261 21 4 , , , 19261 21 5 B b NN 19261 21 6 , , , 19261 21 7 C C NNP 19261 21 8 ) ) -RRB- 19261 21 9 is be VBZ 19261 21 10 made make VBN 19261 21 11 in in IN 19261 21 12 adult adult NN 19261 21 13 's 's POS 19261 21 14 , , , 19261 21 15 child child NN 19261 21 16 's 's POS 19261 21 17 , , , 19261 21 18 and and CC 19261 21 19 infant infant NN 19261 21 20 's 's POS 19261 21 21 sizes size NNS 19261 21 22 . . . 19261 22 1 The the DT 19261 22 2 instruments instrument NNS 19261 22 3 have have VBP 19261 22 4 a a DT 19261 22 5 removable removable JJ 19261 22 6 slide slide NN 19261 22 7 on on IN 19261 22 8 the the DT 19261 22 9 top top NN 19261 22 10 of of IN 19261 22 11 the the DT 19261 22 12 tubular tubular JJ 19261 22 13 portion portion NN 19261 22 14 of of IN 19261 22 15 the the DT 19261 22 16 speculum speculum NN 19261 22 17 to to TO 19261 22 18 allow allow VB 19261 22 19 the the DT 19261 22 20 removal removal NN 19261 22 21 of of IN 19261 22 22 the the DT 19261 22 23 laryngoscope laryngoscope NN 19261 22 24 after after IN 19261 22 25 the the DT 19261 22 26 insertion insertion NN 19261 22 27 of of IN 19261 22 28 the the DT 19261 22 29 bronchoscope bronchoscope NN 19261 22 30 through through IN 19261 22 31 it -PRON- PRP 19261 22 32 . . . 19261 23 1 The the DT 19261 23 2 infant infant NN 19261 23 3 size size NN 19261 23 4 is be VBZ 19261 23 5 made make VBN 19261 23 6 in in IN 19261 23 7 two two CD 19261 23 8 forms form NNS 19261 23 9 , , , 19261 23 10 one one CD 19261 23 11 with with IN 19261 23 12 , , , 19261 23 13 the the DT 19261 23 14 other other JJ 19261 23 15 without without IN 19261 23 16 a a DT 19261 23 17 removable removable JJ 19261 23 18 slide slide NN 19261 23 19 ; ; : 19261 23 20 with with IN 19261 23 21 either either DT 19261 23 22 form form NN 19261 23 23 the the DT 19261 23 24 larynx larynx NN 19261 23 25 of of IN 19261 23 26 an an DT 19261 23 27 infant infant NN 19261 23 28 can can MD 19261 23 29 be be VB 19261 23 30 exposed expose VBN 19261 23 31 in in IN 19261 23 32 but but CC 19261 23 33 a a DT 19261 23 34 few few JJ 19261 23 35 seconds second NNS 19261 23 36 and and CC 19261 23 37 a a DT 19261 23 38 definite definite JJ 19261 23 39 diagnosis diagnosis NN 19261 23 40 made make VBN 19261 23 41 , , , 19261 23 42 without without IN 19261 23 43 anesthesia anesthesia NNP 19261 23 44 , , , 19261 23 45 general general JJ 19261 23 46 or or CC 19261 23 47 local local JJ 19261 23 48 ; ; : 19261 23 49 a a DT 19261 23 50 thing thing NN 19261 23 51 possible possible JJ 19261 23 52 by by IN 19261 23 53 no no DT 19261 23 54 other other JJ 19261 23 55 method method NN 19261 23 56 . . . 19261 24 1 For for IN 19261 24 2 operative operative JJ 19261 24 3 work work NN 19261 24 4 on on IN 19261 24 5 the the DT 19261 24 6 larynx larynx NN 19261 24 7 of of IN 19261 24 8 adults adult NNS 19261 24 9 , , , 19261 24 10 such such JJ 19261 24 11 as as IN 19261 24 12 the the DT 19261 24 13 removal removal NN 19261 24 14 of of IN 19261 24 15 benign benign JJ 19261 24 16 growths growth NNS 19261 24 17 , , , 19261 24 18 particularly particularly RB 19261 24 19 when when WRB 19261 24 20 these these DT 19261 24 21 are be VBP 19261 24 22 situated situate VBN 19261 24 23 in in IN 19261 24 24 the the DT 19261 24 25 anterior anterior JJ 19261 24 26 portion portion NN 19261 24 27 of of IN 19261 24 28 the the DT 19261 24 29 larynx larynx NN 19261 24 30 , , , 19261 24 31 a a DT 19261 24 32 special special JJ 19261 24 33 tubular tubular NN 19261 24 34 laryngoscope laryngoscope NN 19261 24 35 having have VBG 19261 24 36 a a DT 19261 24 37 heart heart NN 19261 24 38 - - HYPH 19261 24 39 shaped shape VBN 19261 24 40 lumen luman NNS 19261 24 41 and and CC 19261 24 42 a a DT 19261 24 43 beveled beveled JJ 19261 24 44 tip tip NN 19261 24 45 is be VBZ 19261 24 46 used use VBN 19261 24 47 . . . 19261 25 1 With with IN 19261 25 2 this this DT 19261 25 3 instrument instrument NN 19261 25 4 the the DT 19261 25 5 anterior anterior JJ 19261 25 6 commissure commissure NN 19261 25 7 is be VBZ 19261 25 8 readily readily RB 19261 25 9 exposed expose VBN 19261 25 10 , , , 19261 25 11 and and CC 19261 25 12 because because IN 19261 25 13 of of IN 19261 25 14 this this DT 19261 25 15 it -PRON- PRP 19261 25 16 is be VBZ 19261 25 17 named name VBN 19261 25 18 the the DT 19261 25 19 anterior anterior NNP 19261 25 20 commissure commissure NN 19261 25 21 laryngoscope laryngoscope NN 19261 25 22 ( ( -LRB- 19261 25 23 Fig fig NN 19261 25 24 . . . 19261 26 1 1 1 CD 19261 26 2 , , , 19261 26 3 D D NNP 19261 26 4 ) ) -RRB- 19261 26 5 . . . 19261 27 1 The the DT 19261 27 2 tip tip NN 19261 27 3 of of IN 19261 27 4 the the DT 19261 27 5 anterior anterior NNP 19261 27 6 commissure commissure NN 19261 27 7 laryngoscope laryngoscope NN 19261 27 8 can can MD 19261 27 9 be be VB 19261 27 10 used use VBN 19261 27 11 to to TO 19261 27 12 expose expose VB 19261 27 13 either either DT 19261 27 14 ventricle ventricle NN 19261 27 15 of of IN 19261 27 16 the the DT 19261 27 17 larynx larynx NN 19261 27 18 by by IN 19261 27 19 lifting lift VBG 19261 27 20 the the DT 19261 27 21 ventricular ventricular JJ 19261 27 22 band band NN 19261 27 23 , , , 19261 27 24 or or CC 19261 27 25 it -PRON- PRP 19261 27 26 may may MD 19261 27 27 be be VB 19261 27 28 passed pass VBN 19261 27 29 through through IN 19261 27 30 the the DT 19261 27 31 adult adult NN 19261 27 32 glottis glottis NN 19261 27 33 for for IN 19261 27 34 work work NN 19261 27 35 in in IN 19261 27 36 the the DT 19261 27 37 subglottic subglottic JJ 19261 27 38 region region NN 19261 27 39 . . . 19261 28 1 This this DT 19261 28 2 instrument instrument NN 19261 28 3 may may MD 19261 28 4 also also RB 19261 28 5 be be VB 19261 28 6 used use VBN 19261 28 7 as as IN 19261 28 8 an an DT 19261 28 9 esophageal esophageal JJ 19261 28 10 speculum speculum NN 19261 28 11 and and CC 19261 28 12 as as IN 19261 28 13 a a DT 19261 28 14 pleuroscope pleuroscope NN 19261 28 15 . . . 19261 29 1 A a DT 19261 29 2 side side NN 19261 29 3 - - HYPH 19261 29 4 slide slide NN 19261 29 5 laryngoscope laryngoscope NN 19261 29 6 , , , 19261 29 7 used use VBN 19261 29 8 with with IN 19261 29 9 or or CC 19261 29 10 without without IN 19261 29 11 the the DT 19261 29 12 slide slide NN 19261 29 13 , , , 19261 29 14 is be VBZ 19261 29 15 occasionally occasionally RB 19261 29 16 useful useful JJ 19261 29 17 . . . 19261 30 1 _ _ NNP 19261 30 2 Bronchoscopes_.--The bronchoscopes_.--the DT 19261 30 3 regular regular JJ 19261 30 4 bronchoscope bronchoscope NN 19261 30 5 is be VBZ 19261 30 6 a a DT 19261 30 7 hollow hollow JJ 19261 30 8 brass brass NN 19261 30 9 tube tube NN 19261 30 10 slanted slant VBN 19261 30 11 at at IN 19261 30 12 its -PRON- PRP$ 19261 30 13 distal distal JJ 19261 30 14 end end NN 19261 30 15 , , , 19261 30 16 and and CC 19261 30 17 having have VBG 19261 30 18 a a DT 19261 30 19 handle handle NN 19261 30 20 at at IN 19261 30 21 its -PRON- PRP$ 19261 30 22 proximal proximal JJ 19261 30 23 or or CC 19261 30 24 ocular ocular JJ 19261 30 25 extremity extremity NN 19261 30 26 . . . 19261 31 1 An an DT 19261 31 2 auxiliary auxiliary JJ 19261 31 3 canal canal NN 19261 31 4 on on IN 19261 31 5 its -PRON- PRP$ 19261 31 6 under under JJ 19261 31 7 surface surface NN 19261 31 8 contains contain VBZ 19261 31 9 the the DT 19261 31 10 light light JJ 19261 31 11 carrier carrier NN 19261 31 12 , , , 19261 31 13 the the DT 19261 31 14 electric electric JJ 19261 31 15 bulb bulb NN 19261 31 16 of of IN 19261 31 17 which which WDT 19261 31 18 is be VBZ 19261 31 19 situated situate VBN 19261 31 20 in in IN 19261 31 21 a a DT 19261 31 22 recess recess NN 19261 31 23 in in IN 19261 31 24 the the DT 19261 31 25 beveled beveled JJ 19261 31 26 distal distal JJ 19261 31 27 end end NN 19261 31 28 of of IN 19261 31 29 the the DT 19261 31 30 tube tube NN 19261 31 31 . . . 19261 32 1 Numerous numerous JJ 19261 32 2 perforations perforation NNS 19261 32 3 in in IN 19261 32 4 the the DT 19261 32 5 distal distal JJ 19261 32 6 part part NN 19261 32 7 of of IN 19261 32 8 the the DT 19261 32 9 tube tube NN 19261 32 10 allow allow VBP 19261 32 11 air air NN 19261 32 12 to to TO 19261 32 13 enter enter VB 19261 32 14 from from IN 19261 32 15 other other JJ 19261 32 16 bronchi bronchi NNP 19261 32 17 when when WRB 19261 32 18 the the DT 19261 32 19 tube tube NN 19261 32 20 - - HYPH 19261 32 21 mouth mouth NN 19261 32 22 is be VBZ 19261 32 23 inserted insert VBN 19261 32 24 into into IN 19261 32 25 one one CD 19261 32 26 whose whose WP$ 19261 32 27 aerating aerate VBG 19261 32 28 function function NN 19261 32 29 may may MD 19261 32 30 be be VB 19261 32 31 impaired impair VBN 19261 32 32 . . . 19261 33 1 The the DT 19261 33 2 accessory accessory JJ 19261 33 3 tube tube NN 19261 33 4 on on IN 19261 33 5 the the DT 19261 33 6 upper upper JJ 19261 33 7 surface surface NN 19261 33 8 of of IN 19261 33 9 the the DT 19261 33 10 bronchoscope bronchoscope NN 19261 33 11 ends end VBZ 19261 33 12 within within IN 19261 33 13 the the DT 19261 33 14 lumen luman NNS 19261 33 15 of of IN 19261 33 16 the the DT 19261 33 17 bronchoscope bronchoscope NN 19261 33 18 , , , 19261 33 19 and and CC 19261 33 20 is be VBZ 19261 33 21 used use VBN 19261 33 22 for for IN 19261 33 23 the the DT 19261 33 24 insufflation insufflation NN 19261 33 25 of of IN 19261 33 26 oxygen oxygen NN 19261 33 27 or or CC 19261 33 28 anesthetics anesthetic NNS 19261 33 29 , , , 19261 33 30 ( ( -LRB- 19261 33 31 Fig fig NN 19261 33 32 . . . 19261 34 1 2 2 LS 19261 34 2 , , , 19261 34 3 A a NN 19261 34 4 , , , 19261 34 5 B B NNP 19261 34 6 , , , 19261 34 7 C C NNP 19261 34 8 , , , 19261 34 9 D D NNP 19261 34 10 ) ) -RRB- 19261 34 11 . . . 19261 35 1 For for IN 19261 35 2 certain certain JJ 19261 35 3 work work NN 19261 35 4 such such JJ 19261 35 5 as as IN 19261 35 6 drainage drainage NN 19261 35 7 of of IN 19261 35 8 pulmonary pulmonary JJ 19261 35 9 abscesses abscess NNS 19261 35 10 , , , 19261 35 11 the the DT 19261 35 12 lavage lavage NN 19261 35 13 treatment treatment NN 19261 35 14 of of IN 19261 35 15 bronchiectasis bronchiectasis NN 19261 35 16 and and CC 19261 35 17 for for IN 19261 35 18 foreign foreign JJ 19261 35 19 - - HYPH 19261 35 20 body body NN 19261 35 21 or or CC 19261 35 22 other other JJ 19261 35 23 cases case NNS 19261 35 24 with with IN 19261 35 25 abundant abundant JJ 19261 35 26 secretions secretion NNS 19261 35 27 , , , 19261 35 28 a a DT 19261 35 29 drainage drainage NN 19261 35 30 - - HYPH 19261 35 31 bronchoscope bronchoscope NN 19261 35 32 is be VBZ 19261 35 33 useful useful JJ 19261 35 34 The the DT 19261 35 35 drainage drainage NN 19261 35 36 canal canal NN 19261 35 37 may may MD 19261 35 38 be be VB 19261 35 39 on on IN 19261 35 40 top top NN 19261 35 41 , , , 19261 35 42 or or CC 19261 35 43 on on IN 19261 35 44 the the DT 19261 35 45 under under JJ 19261 35 46 surface surface NN 19261 35 47 next next RB 19261 35 48 to to IN 19261 35 49 the the DT 19261 35 50 light light JJ 19261 35 51 - - HYPH 19261 35 52 carrier carrier NN 19261 35 53 canal canal NN 19261 35 54 . . . 19261 36 1 For for IN 19261 36 2 ordinary ordinary JJ 19261 36 3 work work NN 19261 36 4 , , , 19261 36 5 however however RB 19261 36 6 , , , 19261 36 7 secretion secretion NN 19261 36 8 in in IN 19261 36 9 the the DT 19261 36 10 bronchus bronchus NN 19261 36 11 is be VBZ 19261 36 12 best well RBS 19261 36 13 removed remove VBN 19261 36 14 by by IN 19261 36 15 sponge sponge NN 19261 36 16 - - HYPH 19261 36 17 pumping pumping NN 19261 36 18 ( ( -LRB- 19261 36 19 Q.V. Q.V. NNP 19261 36 20 ) ) -RRB- 19261 37 1 which which WDT 19261 37 2 at at IN 19261 37 3 the the DT 19261 37 4 same same JJ 19261 37 5 time time NN 19261 37 6 cleans clean VBZ 19261 37 7 the the DT 19261 37 8 lamp lamp NN 19261 37 9 . . . 19261 38 1 The the DT 19261 38 2 drainage drainage NN 19261 38 3 bronchoscope bronchoscope NN 19261 38 4 may may MD 19261 38 5 be be VB 19261 38 6 used use VBN 19261 38 7 in in IN 19261 38 8 any any DT 19261 38 9 case case NN 19261 38 10 in in IN 19261 38 11 which which WDT 19261 38 12 the the DT 19261 38 13 very very RB 19261 38 14 slightly slightly RB 19261 38 15 - - HYPH 19261 38 16 greater great JJR 19261 38 17 area area NN 19261 38 18 of of IN 19261 38 19 cross cross NN 19261 38 20 section section NN 19261 38 21 is be VBZ 19261 38 22 no no DT 19261 38 23 disadvantage disadvantage NN 19261 38 24 ; ; : 19261 38 25 but but CC 19261 38 26 in in IN 19261 38 27 children child NNS 19261 38 28 the the DT 19261 38 29 added add VBN 19261 38 30 bulk bulk NN 19261 38 31 is be VBZ 19261 38 32 usually usually RB 19261 38 33 objectionable objectionable JJ 19261 38 34 , , , 19261 38 35 and and CC 19261 38 36 in in IN 19261 38 37 cases case NNS 19261 38 38 of of IN 19261 38 39 recent recent JJ 19261 38 40 foreign foreign JJ 19261 38 41 - - HYPH 19261 38 42 body body NN 19261 38 43 , , , 19261 38 44 secretions secretion NNS 19261 38 45 are be VBP 19261 38 46 not not RB 19261 38 47 troublesome troublesome JJ 19261 38 48 . . . 19261 39 1 As as IN 19261 39 2 before before IN 19261 39 3 mentioned mention VBN 19261 39 4 , , , 19261 39 5 the the DT 19261 39 6 lower low JJR 19261 39 7 air air NN 19261 39 8 passages passage NNS 19261 39 9 will will MD 19261 39 10 not not RB 19261 39 11 tolerate tolerate VB 19261 39 12 dilatation dilatation NN 19261 39 13 ; ; : 19261 39 14 therefore therefore RB 19261 39 15 , , , 19261 39 16 it -PRON- PRP 19261 39 17 is be VBZ 19261 39 18 necessary necessary JJ 19261 39 19 never never RB 19261 39 20 to to TO 19261 39 21 use use VB 19261 39 22 tubes tube NNS 19261 39 23 larger large JJR 19261 39 24 than than IN 19261 39 25 the the DT 19261 39 26 size size NN 19261 39 27 of of IN 19261 39 28 the the DT 19261 39 29 passages passage NNS 19261 39 30 to to TO 19261 39 31 be be VB 19261 39 32 examined examine VBN 19261 39 33 . . . 19261 40 1 Four four CD 19261 40 2 sizes size NNS 19261 40 3 are be VBP 19261 40 4 sufficient sufficient JJ 19261 40 5 for for IN 19261 40 6 any any DT 19261 40 7 possible possible JJ 19261 40 8 case case NN 19261 40 9 , , , 19261 40 10 from from IN 19261 40 11 a a DT 19261 40 12 newborn newborn JJ 19261 40 13 infant infant NN 19261 40 14 to to IN 19261 40 15 the the DT 19261 40 16 largest large JJS 19261 40 17 adult adult NN 19261 40 18 . . . 19261 41 1 For for IN 19261 41 2 infants infant NNS 19261 41 3 under under IN 19261 41 4 one one CD 19261 41 5 year year NN 19261 41 6 , , , 19261 41 7 the the DT 19261 41 8 proper proper JJ 19261 41 9 tube tube NN 19261 41 10 is be VBZ 19261 41 11 the the DT 19261 41 12 4 4 CD 19261 41 13 mm mm CD 19261 41 14 . . . 19261 42 1 by by IN 19261 42 2 30 30 CD 19261 42 3 cm cm NNS 19261 42 4 . . . 19261 43 1 ; ; : 19261 43 2 the the DT 19261 43 3 child child NN 19261 43 4 's 's POS 19261 43 5 size size NN 19261 43 6 , , , 19261 43 7 5 5 CD 19261 43 8 mm mm CD 19261 43 9 . . . 19261 44 1 by by IN 19261 44 2 30 30 CD 19261 44 3 cm cm NNS 19261 44 4 . . NNP 19261 44 5 , , , 19261 44 6 is be VBZ 19261 44 7 used use VBN 19261 44 8 for for IN 19261 44 9 children child NNS 19261 44 10 aged age VBN 19261 44 11 from from IN 19261 44 12 one one CD 19261 44 13 to to TO 19261 44 14 five five CD 19261 44 15 years year NNS 19261 44 16 . . . 19261 45 1 For for IN 19261 45 2 children child NNS 19261 45 3 six six CD 19261 45 4 years year NNS 19261 45 5 or or CC 19261 45 6 over over RB 19261 45 7 , , , 19261 45 8 the the DT 19261 45 9 7 7 CD 19261 45 10 mm mm NN 19261 45 11 . . . 19261 46 1 by by IN 19261 46 2 40 40 CD 19261 46 3 cm cm NNS 19261 46 4 . . . 19261 47 1 bronchoscope bronchoscope NNP 19261 47 2 ( ( -LRB- 19261 47 3 the the DT 19261 47 4 adolescent adolescent JJ 19261 47 5 size size NN 19261 47 6 ) ) -RRB- 19261 47 7 can can MD 19261 47 8 be be VB 19261 47 9 used use VBN 19261 47 10 unless unless IN 19261 47 11 the the DT 19261 47 12 smaller small JJR 19261 47 13 bronchi bronchi NN 19261 47 14 are be VBP 19261 47 15 to to TO 19261 47 16 be be VB 19261 47 17 explored explore VBN 19261 47 18 . . . 19261 48 1 The the DT 19261 48 2 adult adult NN 19261 48 3 bronchoscope bronchoscope NN 19261 48 4 measures measure NNS 19261 48 5 9 9 CD 19261 48 6 mm mm CD 19261 48 7 . . . 19261 49 1 by by IN 19261 49 2 40 40 CD 19261 49 3 cm cm NNS 19261 49 4 . . . 19261 50 1 The the DT 19261 50 2 author author NN 19261 50 3 occasionally occasionally RB 19261 50 4 uses use VBZ 19261 50 5 special special JJ 19261 50 6 sizes size NNS 19261 50 7 , , , 19261 50 8 5 5 CD 19261 50 9 mm mm CD 19261 50 10 . . . 19261 51 1 x x NNP 19261 51 2 45 45 CD 19261 51 3 cm cm NNS 19261 51 4 . . NNP 19261 51 5 , , , 19261 51 6 6 6 CD 19261 51 7 mm mm NN 19261 51 8 . . . 19261 52 1 x x SYM 19261 52 2 35 35 CD 19261 52 3 cm cm NNS 19261 52 4 . . NNP 19261 52 5 , , , 19261 52 6 8 8 CD 19261 52 7 mm mm CD 19261 52 8 . . . 19261 53 1 x x NNP 19261 53 2 40 40 CD 19261 53 3 cm cm NNS 19261 53 4 . . . 19261 54 1 _ _ NNP 19261 54 2 Esophagoscopes_.-The Esophagoscopes_.-The NNP 19261 54 3 esophagoscope esophagoscope NN 19261 54 4 , , , 19261 54 5 like like IN 19261 54 6 the the DT 19261 54 7 bronchoscope bronchoscope NN 19261 54 8 , , , 19261 54 9 is be VBZ 19261 54 10 a a DT 19261 54 11 hollow hollow JJ 19261 54 12 brass brass NN 19261 54 13 tube tube NN 19261 54 14 with with IN 19261 54 15 beveled beveled JJ 19261 54 16 distal distal JJ 19261 54 17 end end NN 19261 54 18 containing contain VBG 19261 54 19 a a DT 19261 54 20 small small JJ 19261 54 21 electric electric JJ 19261 54 22 light light NN 19261 54 23 . . . 19261 55 1 It -PRON- PRP 19261 55 2 differs differ VBZ 19261 55 3 from from IN 19261 55 4 the the DT 19261 55 5 bronchoscope bronchoscope NN 19261 55 6 in in IN 19261 55 7 that that IN 19261 55 8 it -PRON- PRP 19261 55 9 has have VBZ 19261 55 10 no no DT 19261 55 11 perforations perforation NNS 19261 55 12 , , , 19261 55 13 and and CC 19261 55 14 has have VBZ 19261 55 15 a a DT 19261 55 16 drainage drainage NN 19261 55 17 canal canal NN 19261 55 18 on on IN 19261 55 19 its -PRON- PRP$ 19261 55 20 upper upper JJ 19261 55 21 surface surface NN 19261 55 22 , , , 19261 55 23 or or CC 19261 55 24 next next RB 19261 55 25 to to IN 19261 55 26 the the DT 19261 55 27 light light JJ 19261 55 28 - - HYPH 19261 55 29 carrier carrier NN 19261 55 30 canal canal NN 19261 55 31 which which WDT 19261 55 32 opens open VBZ 19261 55 33 within within IN 19261 55 34 the the DT 19261 55 35 distal distal JJ 19261 55 36 end end NN 19261 55 37 of of IN 19261 55 38 the the DT 19261 55 39 tube tube NN 19261 55 40 . . . 19261 56 1 The the DT 19261 56 2 exact exact JJ 19261 56 3 size size NN 19261 56 4 , , , 19261 56 5 position position NN 19261 56 6 , , , 19261 56 7 and and CC 19261 56 8 shape shape NN 19261 56 9 of of IN 19261 56 10 the the DT 19261 56 11 drainage drainage NN 19261 56 12 outlets outlet NNS 19261 56 13 is be VBZ 19261 56 14 important important JJ 19261 56 15 on on IN 19261 56 16 bronchoscopes bronchoscope NNS 19261 56 17 , , , 19261 56 18 and and CC 19261 56 19 to to IN 19261 56 20 an an DT 19261 56 21 even even RB 19261 56 22 greater great JJR 19261 56 23 degree degree NN 19261 56 24 on on IN 19261 56 25 esophagoscopes esophagoscope NNS 19261 56 26 . . . 19261 57 1 If if IN 19261 57 2 the the DT 19261 57 3 proximal proximal JJ 19261 57 4 edge edge NN 19261 57 5 of of IN 19261 57 6 the the DT 19261 57 7 drainage drainage NN 19261 57 8 outlet outlet NN 19261 57 9 is be VBZ 19261 57 10 too too RB 19261 57 11 near near IN 19261 57 12 the the DT 19261 57 13 distal distal JJ 19261 57 14 end end NN 19261 57 15 of of IN 19261 57 16 the the DT 19261 57 17 endoscopic endoscopic JJ 19261 57 18 tube tube NN 19261 57 19 , , , 19261 57 20 the the DT 19261 57 21 mucosa mucosa NNS 19261 57 22 will will MD 19261 57 23 be be VB 19261 57 24 drawn draw VBN 19261 57 25 into into IN 19261 57 26 the the DT 19261 57 27 outlet outlet NN 19261 57 28 , , , 19261 57 29 not not RB 19261 57 30 only only RB 19261 57 31 obstructing obstruct VBG 19261 57 32 it -PRON- PRP 19261 57 33 , , , 19261 57 34 but but CC 19261 57 35 , , , 19261 57 36 most most RBS 19261 57 37 important important JJ 19261 57 38 , , , 19261 57 39 traumatizing traumatize VBG 19261 57 40 the the DT 19261 57 41 mucosa mucosa NNS 19261 57 42 . . . 19261 58 1 If if IN 19261 58 2 , , , 19261 58 3 for for IN 19261 58 4 instance instance NN 19261 58 5 , , , 19261 58 6 the the DT 19261 58 7 esophagoscope esophagoscope NN 19261 58 8 were be VBD 19261 58 9 to to TO 19261 58 10 be be VB 19261 58 11 pushed push VBN 19261 58 12 upon upon IN 19261 58 13 with with IN 19261 58 14 a a DT 19261 58 15 fold fold NN 19261 58 16 thus thus RB 19261 58 17 anchored anchor VBN 19261 58 18 in in IN 19261 58 19 the the DT 19261 58 20 distal distal JJ 19261 58 21 end end NN 19261 58 22 , , , 19261 58 23 the the DT 19261 58 24 esophageal esophageal JJ 19261 58 25 wall wall NN 19261 58 26 could could MD 19261 58 27 easily easily RB 19261 58 28 be be VB 19261 58 29 torn tear VBN 19261 58 30 . . . 19261 59 1 To to TO 19261 59 2 admit admit VB 19261 59 3 the the DT 19261 59 4 largest large JJS 19261 59 5 sizes size NNS 19261 59 6 of of IN 19261 59 7 esophagoscopic esophagoscopic NN 19261 59 8 bougies bougie NNS 19261 59 9 ( ( -LRB- 19261 59 10 Fig fig NN 19261 59 11 . . . 19261 60 1 40 40 CD 19261 60 2 ) ) -RRB- 19261 60 3 , , , 19261 60 4 special special JJ 19261 60 5 esophagoscopes esophagoscope NNS 19261 60 6 ( ( -LRB- 19261 60 7 Fig fig NN 19261 60 8 . . . 19261 61 1 5 5 LS 19261 61 2 ) ) -RRB- 19261 61 3 are be VBP 19261 61 4 made make VBN 19261 61 5 with with IN 19261 61 6 both both CC 19261 61 7 light light JJ 19261 61 8 canal canal NN 19261 61 9 and and CC 19261 61 10 drainage drainage NN 19261 61 11 canal canal NN 19261 61 12 outside outside IN 19261 61 13 the the DT 19261 61 14 lumen luman NNS 19261 61 15 of of IN 19261 61 16 the the DT 19261 61 17 tube tube NN 19261 61 18 , , , 19261 61 19 leaving leave VBG 19261 61 20 the the DT 19261 61 21 full full JJ 19261 61 22 area area NN 19261 61 23 of of IN 19261 61 24 luminal luminal JJ 19261 61 25 cross cross JJ 19261 61 26 - - NN 19261 61 27 section section NN 19261 61 28 unencroached unencroache VBN 19261 61 29 upon upon IN 19261 61 30 . . . 19261 62 1 They -PRON- PRP 19261 62 2 can can MD 19261 62 3 , , , 19261 62 4 of of IN 19261 62 5 course course NN 19261 62 6 , , , 19261 62 7 be be VB 19261 62 8 used use VBN 19261 62 9 for for IN 19261 62 10 all all DT 19261 62 11 purposes purpose NNS 19261 62 12 , , , 19261 62 13 but but CC 19261 62 14 the the DT 19261 62 15 slightly slightly RB 19261 62 16 greater great JJR 19261 62 17 circumference circumference NN 19261 62 18 is be VBZ 19261 62 19 at at IN 19261 62 20 times time NNS 19261 62 21 a a DT 19261 62 22 disadvantage disadvantage NN 19261 62 23 . . . 19261 63 1 The the DT 19261 63 2 esophageal esophageal JJ 19261 63 3 and and CC 19261 63 4 stomach stomach NN 19261 63 5 secretions secretion NNS 19261 63 6 are be VBP 19261 63 7 much much RB 19261 63 8 thinner thin JJR 19261 63 9 than than IN 19261 63 10 bronchial bronchial JJ 19261 63 11 secretions secretion NNS 19261 63 12 , , , 19261 63 13 and and CC 19261 63 14 , , , 19261 63 15 if if IN 19261 63 16 free free JJ 19261 63 17 from from IN 19261 63 18 food food NN 19261 63 19 , , , 19261 63 20 are be VBP 19261 63 21 readily readily RB 19261 63 22 aspirated aspirate VBN 19261 63 23 through through IN 19261 63 24 a a DT 19261 63 25 comparatively comparatively RB 19261 63 26 small small JJ 19261 63 27 canal canal NN 19261 63 28 . . . 19261 64 1 If if IN 19261 64 2 the the DT 19261 64 3 canal canal NN 19261 64 4 becomes become VBZ 19261 64 5 obstructed obstruct VBN 19261 64 6 during during IN 19261 64 7 esophagoscopy esophagoscopy NNP 19261 64 8 , , , 19261 64 9 the the DT 19261 64 10 positive positive JJ 19261 64 11 pressure pressure NN 19261 64 12 tube tube NN 19261 64 13 of of IN 19261 64 14 the the DT 19261 64 15 aspirator aspirator NN 19261 64 16 is be VBZ 19261 64 17 used use VBN 19261 64 18 to to TO 19261 64 19 blow blow VB 19261 64 20 out out RP 19261 64 21 the the DT 19261 64 22 obstruction obstruction NN 19261 64 23 . . . 19261 65 1 Two two CD 19261 65 2 sizes size NNS 19261 65 3 of of IN 19261 65 4 esophagoscopes esophagoscope NNS 19261 65 5 are be VBP 19261 65 6 all all DT 19261 65 7 that that WDT 19261 65 8 are be VBP 19261 65 9 required--7 required--7 XX 19261 65 10 mm mm NNP 19261 65 11 . . . 19261 66 1 X X NNP 19261 66 2 45 45 CD 19261 66 3 cm cm NNS 19261 66 4 . . . 19261 67 1 for for IN 19261 67 2 children child NNS 19261 67 3 , , , 19261 67 4 and and CC 19261 67 5 10 10 CD 19261 67 6 mm mm NNS 19261 67 7 . . . 19261 68 1 X X NNP 19261 68 2 53 53 CD 19261 68 3 cm cm NNS 19261 68 4 . . . 19261 69 1 for for IN 19261 69 2 adults adult NNS 19261 69 3 ( ( -LRB- 19261 69 4 Fig fig NN 19261 69 5 . . . 19261 70 1 3 3 LS 19261 70 2 , , , 19261 70 3 A a NN 19261 70 4 and and CC 19261 70 5 B B NNP 19261 70 6 ) ) -RRB- 19261 70 7 ; ; : 19261 70 8 but but CC 19261 70 9 various various JJ 19261 70 10 other other JJ 19261 70 11 sizes size NNS 19261 70 12 and and CC 19261 70 13 lengths length NNS 19261 70 14 are be VBP 19261 70 15 used use VBN 19261 70 16 by by IN 19261 70 17 the the DT 19261 70 18 author author NN 19261 70 19 for for IN 19261 70 20 special special JJ 19261 70 21 purposes purpose NNS 19261 70 22 . . . 19261 71 1 * * NFP 19261 71 2 Large large JJ 19261 71 3 esophagoscopes esophagoscope NNS 19261 71 4 cause cause VBP 19261 71 5 dangerous dangerous JJ 19261 71 6 dyspnea dyspnea NN 19261 71 7 in in IN 19261 71 8 children child NNS 19261 71 9 . . . 19261 72 1 If if IN 19261 72 2 , , , 19261 72 3 it -PRON- PRP 19261 72 4 is be VBZ 19261 72 5 desired desire VBN 19261 72 6 to to TO 19261 72 7 balloon balloon VB 19261 72 8 the the DT 19261 72 9 esophagus esophagus NN 19261 72 10 with with IN 19261 72 11 air air NN 19261 72 12 , , , 19261 72 13 the the DT 19261 72 14 window window NN 19261 72 15 plug plug NN 19261 72 16 shown show VBN 19261 72 17 in in IN 19261 72 18 Fig Fig NNP 19261 72 19 . . . 19261 73 1 6 6 CD 19261 73 2 , , , 19261 73 3 is be VBZ 19261 73 4 inserted insert VBN 19261 73 5 into into IN 19261 73 6 the the DT 19261 73 7 proximal proximal JJ 19261 73 8 end end NN 19261 73 9 of of IN 19261 73 10 the the DT 19261 73 11 esophagoscope esophagoscope NN 19261 73 12 , , , 19261 73 13 and and CC 19261 73 14 air air NN 19261 73 15 insufflated insufflate VBN 19261 73 16 by by IN 19261 73 17 means mean NNS 19261 73 18 of of IN 19261 73 19 the the DT 19261 73 20 hand hand NN 19261 73 21 aspirator aspirator NN 19261 73 22 or or CC 19261 73 23 with with IN 19261 73 24 a a DT 19261 73 25 hand hand NN 19261 73 26 bulb bulb NN 19261 73 27 . . . 19261 74 1 The the DT 19261 74 2 window window NN 19261 74 3 can can MD 19261 74 4 be be VB 19261 74 5 replaced replace VBN 19261 74 6 by by IN 19261 74 7 a a DT 19261 74 8 rubber rubber NN 19261 74 9 diaphragm diaphragm VBN 19261 74 10 with with IN 19261 74 11 a a DT 19261 74 12 perforation perforation NN 19261 74 13 for for IN 19261 74 14 forceps forceps NNS 19261 74 15 if if IN 19261 74 16 desired desire VBN 19261 74 17 . . . 19261 75 1 It -PRON- PRP 19261 75 2 will will MD 19261 75 3 be be VB 19261 75 4 noted note VBN 19261 75 5 that that IN 19261 75 6 none none NN 19261 75 7 of of IN 19261 75 8 the the DT 19261 75 9 endoscopic endoscopic JJ 19261 75 10 tubes tube NNS 19261 75 11 are be VBP 19261 75 12 fitted fit VBN 19261 75 13 with with IN 19261 75 14 mandrins mandrin NNS 19261 75 15 . . . 19261 76 1 They -PRON- PRP 19261 76 2 are be VBP 19261 76 3 to to TO 19261 76 4 be be VB 19261 76 5 introduced introduce VBN 19261 76 6 under under IN 19261 76 7 the the DT 19261 76 8 direct direct JJ 19261 76 9 guidance guidance NN 19261 76 10 of of IN 19261 76 11 the the DT 19261 76 12 eye eye NN 19261 76 13 only only RB 19261 76 14 . . . 19261 77 1 Mandrins mandrin NNS 19261 77 2 are be VBP 19261 77 3 obtainable obtainable JJ 19261 77 4 , , , 19261 77 5 but but CC 19261 77 6 their -PRON- PRP$ 19261 77 7 use use NN 19261 77 8 is be VBZ 19261 77 9 objectionable objectionable JJ 19261 77 10 for for IN 19261 77 11 a a DT 19261 77 12 number number NN 19261 77 13 of of IN 19261 77 14 reasons reason NNS 19261 77 15 , , , 19261 77 16 chief chief NN 19261 77 17 of of IN 19261 77 18 which which WDT 19261 77 19 is be VBZ 19261 77 20 the the DT 19261 77 21 danger danger NN 19261 77 22 of of IN 19261 77 23 overriding override VBG 19261 77 24 a a DT 19261 77 25 foreign foreign JJ 19261 77 26 body body NN 19261 77 27 or or CC 19261 77 28 a a DT 19261 77 29 lesion lesion NN 19261 77 30 , , , 19261 77 31 or or CC 19261 77 32 of of IN 19261 77 33 perforating perforate VBG 19261 77 34 a a DT 19261 77 35 lesion lesion NN 19261 77 36 , , , 19261 77 37 or or CC 19261 77 38 even even RB 19261 77 39 the the DT 19261 77 40 normal normal JJ 19261 77 41 esophageal esophageal JJ 19261 77 42 wall wall NN 19261 77 43 . . . 19261 78 1 The the DT 19261 78 2 slanted slanted JJ 19261 78 3 end end NN 19261 78 4 on on IN 19261 78 5 the the DT 19261 78 6 esophagoscope esophagoscope NN 19261 78 7 obviates obviate NNS 19261 78 8 the the DT 19261 78 9 necessity necessity NN 19261 78 10 of of IN 19261 78 11 a a DT 19261 78 12 mandrin mandrin NN 19261 78 13 for for IN 19261 78 14 introduction introduction NN 19261 78 15 . . . 19261 79 1 The the DT 19261 79 2 longer long JJR 19261 79 3 the the DT 19261 79 4 slant slant NN 19261 79 5 , , , 19261 79 6 with with IN 19261 79 7 consequent consequent JJ 19261 79 8 acuting acuting NN 19261 79 9 of of IN 19261 79 10 the the DT 19261 79 11 angle angle NN 19261 79 12 , , , 19261 79 13 the the DT 19261 79 14 more more JJR 19261 79 15 the the DT 19261 79 16 introduction introduction NN 19261 79 17 is be VBZ 19261 79 18 facilitated facilitate VBN 19261 79 19 ; ; : 19261 79 20 but but CC 19261 79 21 too too RB 19261 79 22 acute acute JJ 19261 79 23 an an DT 19261 79 24 angle angle NN 19261 79 25 increases increase VBZ 19261 79 26 the the DT 19261 79 27 risk risk NN 19261 79 28 of of IN 19261 79 29 perforating perforate VBG 19261 79 30 the the DT 19261 79 31 esophageal esophageal JJ 19261 79 32 wall wall NN 19261 79 33 , , , 19261 79 34 and and CC 19261 79 35 necessitates necessitate VBZ 19261 79 36 the the DT 19261 79 37 utmost utmost JJ 19261 79 38 caution caution NN 19261 79 39 . . . 19261 80 1 In in IN 19261 80 2 some some DT 19261 80 3 foreign foreign JJ 19261 80 4 - - HYPH 19261 80 5 body body NN 19261 80 6 cases case NNS 19261 80 7 an an DT 19261 80 8 acute acute JJ 19261 80 9 angle angle NN 19261 80 10 giving give VBG 19261 80 11 a a DT 19261 80 12 long long JJ 19261 80 13 slant slant NN 19261 80 14 is be VBZ 19261 80 15 useful useful JJ 19261 80 16 , , , 19261 80 17 in in IN 19261 80 18 others other NNS 19261 80 19 a a DT 19261 80 20 short short JJ 19261 80 21 slant slant NN 19261 80 22 is be VBZ 19261 80 23 better well JJR 19261 80 24 , , , 19261 80 25 and and CC 19261 80 26 in in IN 19261 80 27 a a DT 19261 80 28 few few JJ 19261 80 29 cases case NNS 19261 80 30 the the DT 19261 80 31 squarely squarely RB 19261 80 32 cut cut VBN 19261 80 33 - - HYPH 19261 80 34 off off RP 19261 80 35 distal distal JJ 19261 80 36 end end NN 19261 80 37 is be VBZ 19261 80 38 best good JJS 19261 80 39 . . . 19261 81 1 To to TO 19261 81 2 have have VB 19261 81 3 all all DT 19261 81 4 of of IN 19261 81 5 these these DT 19261 81 6 different different JJ 19261 81 7 slants slant NNS 19261 81 8 on on IN 19261 81 9 hand hand NN 19261 81 10 would would MD 19261 81 11 require require VB 19261 81 12 too too RB 19261 81 13 many many JJ 19261 81 14 tubes tube NNS 19261 81 15 . . . 19261 82 1 Therefore therefore RB 19261 82 2 the the DT 19261 82 3 author author NN 19261 82 4 has have VBZ 19261 82 5 settled settle VBN 19261 82 6 upon upon IN 19261 82 7 a a DT 19261 82 8 moderate moderate JJ 19261 82 9 angle angle NN 19261 82 10 for for IN 19261 82 11 the the DT 19261 82 12 end end NN 19261 82 13 of of IN 19261 82 14 both both DT 19261 82 15 esophagoscopes esophagoscope NNS 19261 82 16 and and CC 19261 82 17 bronchoscopes bronchoscope NNS 19261 82 18 that that WDT 19261 82 19 is be VBZ 19261 82 20 easy easy JJ 19261 82 21 to to TO 19261 82 22 insert insert VB 19261 82 23 , , , 19261 82 24 and and CC 19261 82 25 serves serve VBZ 19261 82 26 all all DT 19261 82 27 purposes purpose NNS 19261 82 28 in in IN 19261 82 29 the the DT 19261 82 30 version version NN 19261 82 31 and and CC 19261 82 32 other other JJ 19261 82 33 manipulations manipulation NNS 19261 82 34 required require VBN 19261 82 35 by by IN 19261 82 36 the the DT 19261 82 37 various various JJ 19261 82 38 mechanical mechanical JJ 19261 82 39 problems problem NNS 19261 82 40 of of IN 19261 82 41 foreign foreign JJ 19261 82 42 - - HYPH 19261 82 43 body body NN 19261 82 44 extraction extraction NN 19261 82 45 . . . 19261 83 1 He -PRON- PRP 19261 83 2 has have VBZ 19261 83 3 , , , 19261 83 4 however however RB 19261 83 5 , , , 19261 83 6 retained retain VBD 19261 83 7 all all PDT 19261 83 8 the the DT 19261 83 9 experimental experimental JJ 19261 83 10 models model NNS 19261 83 11 , , , 19261 83 12 for for IN 19261 83 13 occasional occasional JJ 19261 83 14 use use NN 19261 83 15 in in IN 19261 83 16 such such JJ 19261 83 17 cases case NNS 19261 83 18 as as IN 19261 83 19 he -PRON- PRP 19261 83 20 falls fall VBZ 19261 83 21 heir heir NN 19261 83 22 to to TO 19261 83 23 because because IN 19261 83 24 of of IN 19261 83 25 a a DT 19261 83 26 problem problem NN 19261 83 27 of of IN 19261 83 28 extraordinary extraordinary JJ 19261 83 29 difficulty difficulty NN 19261 83 30 . . . 19261 84 1 * * NFP 19261 84 2 A a DT 19261 84 3 9 9 CD 19261 84 4 mm mm CD 19261 84 5 . . . 19261 85 1 X X NNP 19261 85 2 45 45 CD 19261 85 3 cm cm NNS 19261 85 4 . . . 19261 86 1 esophagoscope esophagoscope NNP 19261 86 2 will will MD 19261 86 3 reach reach VB 19261 86 4 the the DT 19261 86 5 stomach stomach NN 19261 86 6 of of IN 19261 86 7 almost almost RB 19261 86 8 all all DT 19261 86 9 adults adult NNS 19261 86 10 and and CC 19261 86 11 is be VBZ 19261 86 12 somewhat somewhat RB 19261 86 13 easier easy JJR 19261 86 14 to to TO 19261 86 15 introduce introduce VB 19261 86 16 than than IN 19261 86 17 the the DT 19261 86 18 10 10 CD 19261 86 19 mm mm NNS 19261 86 20 . . . 19261 87 1 X X NNP 19261 87 2 53 53 CD 19261 87 3 cm cm NNS 19261 87 4 . . NNP 19261 87 5 , , , 19261 87 6 which which WDT 19261 87 7 may may MD 19261 87 8 be be VB 19261 87 9 omitted omit VBN 19261 87 10 from from IN 19261 87 11 the the DT 19261 87 12 set set NN 19261 87 13 if if IN 19261 87 14 economy economy NN 19261 87 15 must must MD 19261 87 16 be be VB 19261 87 17 practiced practice VBN 19261 87 18 . . . 19261 88 1 [ [ -LRB- 19261 88 2 FIG FIG NNP 19261 88 3 . . . 19261 89 1 I.--Author I.--Author NNP 19261 89 2 's 's POS 19261 89 3 laryngoscopes laryngoscope NNS 19261 89 4 . . . 19261 90 1 These these DT 19261 90 2 are be VBP 19261 90 3 the the DT 19261 90 4 standard standard JJ 19261 90 5 sizes size NNS 19261 90 6 and and CC 19261 90 7 fulfill fulfill VB 19261 90 8 all all DT 19261 90 9 requirements requirement NNS 19261 90 10 . . . 19261 91 1 Many many JJ 19261 91 2 other other JJ 19261 91 3 forms form NNS 19261 91 4 have have VBP 19261 91 5 been be VBN 19261 91 6 devised devise VBN 19261 91 7 by by IN 19261 91 8 the the DT 19261 91 9 author author NN 19261 91 10 , , , 19261 91 11 but but CC 19261 91 12 have have VBP 19261 91 13 been be VBN 19261 91 14 omitted omit VBN 19261 91 15 from from IN 19261 91 16 the the DT 19261 91 17 list list NN 19261 91 18 as as IN 19261 91 19 unnecessary unnecessary JJ 19261 91 20 . . . 19261 92 1 The the DT 19261 92 2 infant infant NN 19261 92 3 diagnostic diagnostic JJ 19261 92 4 laryngoscope laryngoscope NN 19261 92 5 ( ( -LRB- 19261 92 6 C C NNP 19261 92 7 ) ) -RRB- 19261 92 8 is be VBZ 19261 92 9 not not RB 19261 92 10 for for IN 19261 92 11 introducing introduce VBG 19261 92 12 bronchoscopes bronchoscope NNS 19261 92 13 , , , 19261 92 14 and and CC 19261 92 15 is be VBZ 19261 92 16 not not RB 19261 92 17 absolutely absolutely RB 19261 92 18 necessary necessary JJ 19261 92 19 , , , 19261 92 20 as as IN 19261 92 21 the the DT 19261 92 22 larynx larynx NN 19261 92 23 of of IN 19261 92 24 any any DT 19261 92 25 infant infant NN 19261 92 26 can can MD 19261 92 27 be be VB 19261 92 28 inspected inspect VBN 19261 92 29 with with IN 19261 92 30 the the DT 19261 92 31 child child NN 19261 92 32 's 's POS 19261 92 33 size size NN 19261 92 34 laryngoscope laryngoscope NN 19261 92 35 ( ( -LRB- 19261 92 36 B b NN 19261 92 37 ) ) -RRB- 19261 92 38 . . . 19261 93 1 A a DT 19261 93 2 Adult Adult NNP 19261 93 3 's 's POS 19261 93 4 size size NN 19261 93 5 ; ; : 19261 93 6 B b NN 19261 93 7 , , , 19261 93 8 child child NN 19261 93 9 's 's POS 19261 93 10 size size NN 19261 93 11 ; ; : 19261 93 12 C C NNP 19261 93 13 , , , 19261 93 14 infant infant NN 19261 93 15 's 's POS 19261 93 16 diagnostic diagnostic JJ 19261 93 17 size size NN 19261 93 18 ; ; : 19261 93 19 D d NN 19261 93 20 , , , 19261 93 21 anterior anterior JJ 19261 93 22 commissure commissure NN 19261 93 23 laryngoscope laryngoscope NN 19261 93 24 ; ; : 19261 93 25 E e NN 19261 93 26 , , , 19261 93 27 with with IN 19261 93 28 drainage drainage NN 19261 93 29 canal canal NN 19261 93 30 ; ; : 19261 93 31 17 17 CD 19261 93 32 , , , 19261 93 33 intubating intubating NN 19261 93 34 laryngoscope laryngoscope JJ 19261 93 35 , , , 19261 93 36 large large JJ 19261 93 37 lumen luman NNS 19261 93 38 . . . 19261 94 1 All all PDT 19261 94 2 the the DT 19261 94 3 laryngoscopes laryngoscope NNS 19261 94 4 are be VBP 19261 94 5 preferred prefer VBN 19261 94 6 without without IN 19261 94 7 drainage drainage NN 19261 94 8 canals canal NNS 19261 94 9 . . . 19261 94 10 ] ] -RRB- 19261 95 1 [ [ -LRB- 19261 95 2 FIG FIG NNP 19261 95 3 . . . 19261 96 1 2.--The 2.--the CD 19261 96 2 author author NN 19261 96 3 's 's POS 19261 96 4 bronchoscopes bronchoscope NNS 19261 96 5 of of IN 19261 96 6 the the DT 19261 96 7 sizes size NNS 19261 96 8 regularly regularly RB 19261 96 9 used use VBN 19261 96 10 . . . 19261 97 1 Various various JJ 19261 97 2 other other JJ 19261 97 3 lengths length NNS 19261 97 4 and and CC 19261 97 5 diameters diameter NNS 19261 97 6 are be VBP 19261 97 7 on on IN 19261 97 8 hand hand NN 19261 97 9 for for IN 19261 97 10 occasional occasional JJ 19261 97 11 use use NN 19261 97 12 for for IN 19261 97 13 special special JJ 19261 97 14 purposes purpose NNS 19261 97 15 . . . 19261 98 1 With with IN 19261 98 2 the the DT 19261 98 3 exception exception NN 19261 98 4 of of IN 19261 98 5 a a DT 19261 98 6 6 6 CD 19261 98 7 mm mm CD 19261 98 8 . . . 19261 99 1 X X NNP 19261 99 2 35 35 CD 19261 99 3 cm cm NNS 19261 99 4 . . . 19261 100 1 size size NN 19261 100 2 for for IN 19261 100 3 older old JJR 19261 100 4 children child NNS 19261 100 5 , , , 19261 100 6 these these DT 19261 100 7 special special JJ 19261 100 8 bronchoscopes bronchoscope NNS 19261 100 9 are be VBP 19261 100 10 very very RB 19261 100 11 rarely rarely RB 19261 100 12 used use VBN 19261 100 13 and and CC 19261 100 14 none none NN 19261 100 15 of of IN 19261 100 16 them -PRON- PRP 19261 100 17 can can MD 19261 100 18 be be VB 19261 100 19 regarded regard VBN 19261 100 20 as as IN 19261 100 21 necessary necessary JJ 19261 100 22 . . . 19261 101 1 For for IN 19261 101 2 special special JJ 19261 101 3 purposes purpose NNS 19261 101 4 , , , 19261 101 5 however however RB 19261 101 6 , , , 19261 101 7 special special JJ 19261 101 8 shapes shape NNS 19261 101 9 of of IN 19261 101 10 tube tube NN 19261 101 11 - - HYPH 19261 101 12 mouth mouth NN 19261 101 13 are be VBP 19261 101 14 useful useful JJ 19261 101 15 , , , 19261 101 16 as as IN 19261 101 17 , , , 19261 101 18 for for IN 19261 101 19 instance instance NN 19261 101 20 , , , 19261 101 21 the the DT 19261 101 22 oval oval JJ 19261 101 23 end end NN 19261 101 24 to to TO 19261 101 25 facilitate facilitate VB 19261 101 26 the the DT 19261 101 27 getting getting NN 19261 101 28 of of IN 19261 101 29 both both DT 19261 101 30 points point NNS 19261 101 31 of of IN 19261 101 32 a a DT 19261 101 33 staple staple NN 19261 101 34 into into IN 19261 101 35 the the DT 19261 101 36 tube tube NN 19261 101 37 - - HYPH 19261 101 38 mouth mouth NN 19261 101 39 The the DT 19261 101 40 illustrated illustrate VBN 19261 101 41 instruments instrument NNS 19261 101 42 are be VBP 19261 101 43 as as IN 19261 101 44 follows follow VBZ 19261 101 45 : : : 19261 101 46 A a DT 19261 101 47 , , , 19261 101 48 Infant Infant NNP 19261 101 49 's 's POS 19261 101 50 size size NN 19261 101 51 , , , 19261 101 52 4 4 CD 19261 101 53 mm mm CD 19261 101 54 . . . 19261 102 1 X X NNP 19261 102 2 30 30 CD 19261 102 3 cm cm NNS 19261 102 4 . . . 19261 103 1 ; ; : 19261 103 2 B b NN 19261 103 3 , , , 19261 103 4 child child NN 19261 103 5 's 's POS 19261 103 6 size size NN 19261 103 7 , , , 19261 103 8 5 5 CD 19261 103 9 mm mm CD 19261 103 10 . . . 19261 104 1 X X NNP 19261 104 2 30 30 CD 19261 104 3 cm cm NNS 19261 104 4 . . . 19261 105 1 ; ; : 19261 105 2 C C NNP 19261 105 3 , , , 19261 105 4 adolescent adolescent NN 19261 105 5 's 's POS 19261 105 6 size size NN 19261 105 7 , , , 19261 105 8 7 7 CD 19261 105 9 mm mm NN 19261 105 10 . . . 19261 106 1 X X NNP 19261 106 2 40 40 CD 19261 106 3 cm cm NNS 19261 106 4 . . . 19261 107 1 ; ; : 19261 107 2 D d NN 19261 107 3 , , , 19261 107 4 adult adult NN 19261 107 5 's 's POS 19261 107 6 size size NN 19261 107 7 , , , 19261 107 8 9 9 CD 19261 107 9 mm mm CD 19261 107 10 . . . 19261 108 1 X X NNP 19261 108 2 40 40 CD 19261 108 3 cm cm NNS 19261 108 4 . . . 19261 109 1 ; ; : 19261 109 2 E e NN 19261 109 3 , , , 19261 109 4 aspirating aspirate VBG 19261 109 5 bronchoscope bronchoscope NN 19261 109 6 made make VBN 19261 109 7 in in IN 19261 109 8 all all PDT 19261 109 9 the the DT 19261 109 10 foregoing foregoing NN 19261 109 11 sizes size NNS 19261 109 12 , , , 19261 109 13 and and CC 19261 109 14 in in IN 19261 109 15 a a DT 19261 109 16 special special JJ 19261 109 17 size size NN 19261 109 18 , , , 19261 109 19 5 5 CD 19261 109 20 mm mm CD 19261 109 21 . . . 19261 110 1 X X NNP 19261 110 2 45 45 CD 19261 110 3 cm cm NNS 19261 110 4 . . . 19261 110 5 ] ] -RRB- 19261 111 1 [ [ -LRB- 19261 111 2 FIG FIG NNP 19261 111 3 . . . 19261 112 1 3.--The 3.--the CD 19261 112 2 author author NN 19261 112 3 's 's POS 19261 112 4 esophagoscopes esophagoscope NNS 19261 112 5 of of IN 19261 112 6 the the DT 19261 112 7 sizes size NNS 19261 112 8 he -PRON- PRP 19261 112 9 has have VBZ 19261 112 10 standardized standardize VBN 19261 112 11 for for IN 19261 112 12 all all DT 19261 112 13 ordinary ordinary JJ 19261 112 14 requirements requirement NNS 19261 112 15 . . . 19261 113 1 He -PRON- PRP 19261 113 2 uses use VBZ 19261 113 3 various various JJ 19261 113 4 other other JJ 19261 113 5 lengths length NNS 19261 113 6 and and CC 19261 113 7 sizes size NNS 19261 113 8 for for IN 19261 113 9 special special JJ 19261 113 10 purposes purpose NNS 19261 113 11 , , , 19261 113 12 but but CC 19261 113 13 none none NN 19261 113 14 of of IN 19261 113 15 them -PRON- PRP 19261 113 16 are be VBP 19261 113 17 really really RB 19261 113 18 necessary necessary JJ 19261 113 19 . . . 19261 114 1 A a DT 19261 114 2 gastroscope gastroscope NN 19261 114 3 , , , 19261 114 4 10 10 CD 19261 114 5 mm mm CD 19261 114 6 . . . 19261 115 1 X X NNP 19261 115 2 70 70 CD 19261 115 3 cm cm NNS 19261 115 4 . . NNP 19261 115 5 , , , 19261 115 6 is be VBZ 19261 115 7 useful useful JJ 19261 115 8 for for IN 19261 115 9 adults adult NNS 19261 115 10 , , , 19261 115 11 especially especially RB 19261 115 12 in in IN 19261 115 13 cases case NNS 19261 115 14 of of IN 19261 115 15 gastroptosis gastroptosis NN 19261 115 16 . . . 19261 116 1 Drainage drainage NN 19261 116 2 canals canal NNS 19261 116 3 are be VBP 19261 116 4 placed place VBN 19261 116 5 at at IN 19261 116 6 the the DT 19261 116 7 top top NN 19261 116 8 or or CC 19261 116 9 at at IN 19261 116 10 the the DT 19261 116 11 side side NN 19261 116 12 of of IN 19261 116 13 the the DT 19261 116 14 tube tube NN 19261 116 15 , , , 19261 116 16 next next RB 19261 116 17 to to IN 19261 116 18 the the DT 19261 116 19 light light JJ 19261 116 20 - - HYPH 19261 116 21 carrier carrier NN 19261 116 22 canal canal NN 19261 116 23 . . . 19261 117 1 A a DT 19261 117 2 , , , 19261 117 3 Adult Adult NNP 19261 117 4 's 's POS 19261 117 5 size size NN 19261 117 6 , , , 19261 117 7 10 10 CD 19261 117 8 mm mm CD 19261 117 9 . . . 19261 118 1 X X NNP 19261 118 2 53 53 CD 19261 118 3 cm cm NNS 19261 118 4 . . . 19261 119 1 ; ; : 19261 119 2 B b NN 19261 119 3 , , , 19261 119 4 child child NN 19261 119 5 's 's POS 19261 119 6 size size NN 19261 119 7 , , , 19261 119 8 7 7 CD 19261 119 9 mm mm NN 19261 119 10 . . . 19261 120 1 X X NNP 19261 120 2 45 45 CD 19261 120 3 cm cm NNS 19261 120 4 . . . 19261 121 1 ; ; : 19261 121 2 C c NN 19261 121 3 and and CC 19261 121 4 D D NNP 19261 121 5 , , , 19261 121 6 full full JJ 19261 121 7 lumen luman NNS 19261 121 8 , , , 19261 121 9 with with IN 19261 121 10 both both CC 19261 121 11 light light JJ 19261 121 12 canal canal NN 19261 121 13 and and CC 19261 121 14 drainage drainage NN 19261 121 15 canal canal NN 19261 121 16 outside outside IN 19261 121 17 the the DT 19261 121 18 wall wall NN 19261 121 19 of of IN 19261 121 20 the the DT 19261 121 21 tube tube NN 19261 121 22 , , , 19261 121 23 to to TO 19261 121 24 be be VB 19261 121 25 used use VBN 19261 121 26 for for IN 19261 121 27 passing pass VBG 19261 121 28 very very RB 19261 121 29 large large JJ 19261 121 30 bougies bougie NNS 19261 121 31 . . . 19261 122 1 This this DT 19261 122 2 instrument instrument NN 19261 122 3 is be VBZ 19261 122 4 made make VBN 19261 122 5 in in IN 19261 122 6 adult adult NN 19261 122 7 , , , 19261 122 8 child child NN 19261 122 9 , , , 19261 122 10 and and CC 19261 122 11 adolescent adolescent JJ 19261 122 12 ( ( -LRB- 19261 122 13 8 8 CD 19261 122 14 mm mm CD 19261 122 15 . . . 19261 123 1 by by IN 19261 123 2 45 45 CD 19261 123 3 cm cm NNS 19261 123 4 . . . 19261 123 5 ) ) -RRB- 19261 124 1 sizes size NNS 19261 124 2 . . . 19261 125 1 Gastroscopes gastroscope NNS 19261 125 2 and and CC 19261 125 3 esophagoscopes esophagoscope NNS 19261 125 4 of of IN 19261 125 5 the the DT 19261 125 6 sizes size NNS 19261 125 7 given give VBN 19261 125 8 above above RB 19261 125 9 ( ( -LRB- 19261 125 10 A a NN 19261 125 11 ) ) -RRB- 19261 125 12 and and CC 19261 125 13 ( ( -LRB- 19261 125 14 B b NN 19261 125 15 ) ) -RRB- 19261 125 16 , , , 19261 125 17 can can MD 19261 125 18 be be VB 19261 125 19 used use VBN 19261 125 20 also also RB 19261 125 21 as as IN 19261 125 22 gastroscopes gastroscope NNS 19261 125 23 . . . 19261 126 1 A a DT 19261 126 2 small small JJ 19261 126 3 form form NN 19261 126 4 of of IN 19261 126 5 C C NNP 19261 126 6 , , , 19261 126 7 5 5 CD 19261 126 8 mm mm CD 19261 126 9 . . . 19261 127 1 X X NNP 19261 127 2 30 30 CD 19261 127 3 cm cm NNS 19261 127 4 . . . 19261 128 1 is be VBZ 19261 128 2 used use VBN 19261 128 3 in in IN 19261 128 4 infants infant NNS 19261 128 5 , , , 19261 128 6 and and CC 19261 128 7 also also RB 19261 128 8 as as IN 19261 128 9 a a DT 19261 128 10 retrograde retrograde NN 19261 128 11 esophagoscope esophagoscope NN 19261 128 12 in in IN 19261 128 13 patients patient NNS 19261 128 14 of of IN 19261 128 15 any any DT 19261 128 16 age age NN 19261 128 17 . . . 19261 129 1 E e NN 19261 129 2 , , , 19261 129 3 window window NN 19261 129 4 plug plug NN 19261 129 5 for for IN 19261 129 6 ballooning ballooning NN 19261 129 7 gastroscope gastroscope NN 19261 129 8 , , , 19261 129 9 F. F. NNP 19261 129 10 ] ] -RRB- 19261 129 11 [ [ -LRB- 19261 129 12 FIG FIG NNP 19261 129 13 . . . 19261 130 1 4.--Author 4.--author CD 19261 130 2 's 's POS 19261 130 3 short short JJ 19261 130 4 esophagoscopes esophagoscope NNS 19261 130 5 and and CC 19261 130 6 esophageal esophageal VB 19261 130 7 specula specula NN 19261 130 8 A a DT 19261 130 9 , , , 19261 130 10 Esophageal esophageal JJ 19261 130 11 speculum speculum NN 19261 130 12 and and CC 19261 130 13 hypopharyngoscope hypopharyngoscope NN 19261 130 14 , , , 19261 130 15 adult adult NNP 19261 130 16 's 's POS 19261 130 17 size size NN 19261 130 18 ; ; , 19261 130 19 B b NN 19261 130 20 , , , 19261 130 21 esophageal esophageal JJ 19261 130 22 speculum speculum NN 19261 130 23 and and CC 19261 130 24 hypopharyngoscope hypopharyngoscope NN 19261 130 25 , , , 19261 130 26 child child NN 19261 130 27 's 's POS 19261 130 28 size size NN 19261 130 29 ; ; : 19261 130 30 C C NNP 19261 130 31 , , , 19261 130 32 heavy heavy JJ 19261 130 33 handled handle VBD 19261 130 34 short short JJ 19261 130 35 esophagoscope esophagoscope NN 19261 130 36 ; ; : 19261 130 37 D d NN 19261 130 38 , , , 19261 130 39 heavy heavy JJ 19261 130 40 handled handle VBN 19261 130 41 short short JJ 19261 130 42 esophagoscope esophagoscope NN 19261 130 43 with with IN 19261 130 44 drainage drainage NN 19261 130 45 . . . 19261 130 46 ] ] -RRB- 19261 131 1 [ [ -LRB- 19261 131 2 FIG FIG NNP 19261 131 3 . . . 19261 132 1 5.--Cross 5.--cross CD 19261 132 2 section section NN 19261 132 3 of of IN 19261 132 4 full full JJ 19261 132 5 - - HYPH 19261 132 6 lumen luman NNS 19261 132 7 esophagoscope esophagoscope NN 19261 132 8 for for IN 19261 132 9 the the DT 19261 132 10 use use NN 19261 132 11 of of IN 19261 132 12 largest large JJS 19261 132 13 bourgies bourgie NNS 19261 132 14 . . . 19261 133 1 The the DT 19261 133 2 canals canal NNS 19261 133 3 for for IN 19261 133 4 the the DT 19261 133 5 light light JJ 19261 133 6 carrier carrier NN 19261 133 7 and and CC 19261 133 8 for for IN 19261 133 9 drainage drainage NN 19261 133 10 are be VBP 19261 133 11 so so RB 19261 133 12 constructed construct VBN 19261 133 13 that that IN 19261 133 14 they -PRON- PRP 19261 133 15 do do VBP 19261 133 16 not not RB 19261 133 17 encroach encroach VB 19261 133 18 upon upon IN 19261 133 19 the the DT 19261 133 20 lumen luman NNS 19261 133 21 of of IN 19261 133 22 the the DT 19261 133 23 tube tube NN 19261 133 24 . . . 19261 133 25 ] ] -RRB- 19261 134 1 [ [ -LRB- 19261 134 2 25 25 CD 19261 134 3 ] ] -RRB- 19261 134 4 The the DT 19261 134 5 special special JJ 19261 134 6 sized sized JJ 19261 134 7 esophagoscopes esophagoscope NNS 19261 134 8 most most RBS 19261 134 9 often often RB 19261 134 10 useful useful JJ 19261 134 11 are be VBP 19261 134 12 the the DT 19261 134 13 8 8 CD 19261 134 14 mm mm CD 19261 134 15 . . . 19261 135 1 X X NNP 19261 135 2 30 30 CD 19261 135 3 cm cm NNS 19261 135 4 . . NNP 19261 135 5 , , , 19261 135 6 the the DT 19261 135 7 8 8 CD 19261 135 8 mm mm CD 19261 135 9 . . . 19261 136 1 X X NNP 19261 136 2 45 45 CD 19261 136 3 cm cm NNS 19261 136 4 . . NNP 19261 136 5 , , , 19261 136 6 and and CC 19261 136 7 the the DT 19261 136 8 5 5 CD 19261 136 9 mm mm CD 19261 136 10 . . . 19261 137 1 X X NNP 19261 137 2 45 45 CD 19261 137 3 cm cm NNS 19261 137 4 . . . 19261 138 1 These these DT 19261 138 2 are be VBP 19261 138 3 made make VBN 19261 138 4 with with IN 19261 138 5 the the DT 19261 138 6 drainage drainage NN 19261 138 7 canal canal NN 19261 138 8 in in IN 19261 138 9 various various JJ 19261 138 10 positions position NNS 19261 138 11 . . . 19261 139 1 For for IN 19261 139 2 operations operation NNS 19261 139 3 on on IN 19261 139 4 the the DT 19261 139 5 upper upper JJ 19261 139 6 end end NN 19261 139 7 of of IN 19261 139 8 the the DT 19261 139 9 esophagus esophagus NN 19261 139 10 , , , 19261 139 11 and and CC 19261 139 12 particularly particularly RB 19261 139 13 for for IN 19261 139 14 foreign foreign JJ 19261 139 15 body body NN 19261 139 16 work work NN 19261 139 17 , , , 19261 139 18 the the DT 19261 139 19 esophageal esophageal JJ 19261 139 20 speculum speculum NN 19261 139 21 shown show VBN 19261 139 22 at at IN 19261 139 23 A a NN 19261 139 24 and and CC 19261 139 25 B b NN 19261 139 26 , , , 19261 139 27 in in IN 19261 139 28 Fig Fig NNP 19261 139 29 . . . 19261 140 1 4 4 LS 19261 140 2 , , , 19261 140 3 is be VBZ 19261 140 4 of of IN 19261 140 5 the the DT 19261 140 6 greatest great JJS 19261 140 7 service service NN 19261 140 8 . . . 19261 141 1 With with IN 19261 141 2 it -PRON- PRP 19261 141 3 , , , 19261 141 4 the the DT 19261 141 5 anterior anterior JJ 19261 141 6 wall wall NN 19261 141 7 of of IN 19261 141 8 the the DT 19261 141 9 post post JJ 19261 141 10 - - JJ 19261 141 11 cricoidal cricoidal JJ 19261 141 12 pharynx pharynx NN 19261 141 13 is be VBZ 19261 141 14 lifted lift VBN 19261 141 15 forward forward RB 19261 141 16 , , , 19261 141 17 and and CC 19261 141 18 the the DT 19261 141 19 upper upper JJ 19261 141 20 esophageal esophageal NNP 19261 141 21 orifice orifice NNP 19261 141 22 exposed expose VBN 19261 141 23 . . . 19261 142 1 It -PRON- PRP 19261 142 2 can can MD 19261 142 3 then then RB 19261 142 4 be be VB 19261 142 5 inserted insert VBN 19261 142 6 deeper deeply RBR 19261 142 7 , , , 19261 142 8 and and CC 19261 142 9 the the DT 19261 142 10 upper upper JJ 19261 142 11 third third NN 19261 142 12 of of IN 19261 142 13 the the DT 19261 142 14 esophagus esophagus NN 19261 142 15 can can MD 19261 142 16 be be VB 19261 142 17 explored explore VBN 19261 142 18 . . . 19261 143 1 Two two CD 19261 143 2 sizes size NNS 19261 143 3 are be VBP 19261 143 4 made make VBN 19261 143 5 , , , 19261 143 6 the the DT 19261 143 7 adult adult NN 19261 143 8 's 's POS 19261 143 9 and and CC 19261 143 10 the the DT 19261 143 11 child child NN 19261 143 12 's 's POS 19261 143 13 size size NN 19261 143 14 . . . 19261 144 1 These these DT 19261 144 2 instruments instrument NNS 19261 144 3 serve serve VBP 19261 144 4 , , , 19261 144 5 very very RB 19261 144 6 efficiently efficiently RB 19261 144 7 as as IN 19261 144 8 pleuroscopes pleuroscope NNS 19261 144 9 . . . 19261 145 1 They -PRON- PRP 19261 145 2 are be VBP 19261 145 3 made make VBN 19261 145 4 with with IN 19261 145 5 and and CC 19261 145 6 without without IN 19261 145 7 drainage drainage NN 19261 145 8 canals canal NNS 19261 145 9 , , , 19261 145 10 the the DT 19261 145 11 latter latter JJ 19261 145 12 being be VBG 19261 145 13 the the DT 19261 145 14 more more RBR 19261 145 15 useful useful JJ 19261 145 16 form form NN 19261 145 17 . . . 19261 146 1 [ [ -LRB- 19261 146 2 FIG FIG NNP 19261 146 3 . . . 19261 147 1 6.--Window 6.--window CD 19261 147 2 - - : 19261 147 3 plug plug VBP 19261 147 4 with with IN 19261 147 5 glass glass NN 19261 147 6 cap cap NN 19261 147 7 interchangeable interchangeable JJ 19261 147 8 with with IN 19261 147 9 a a DT 19261 147 10 cap cap NN 19261 147 11 having have VBG 19261 147 12 a a DT 19261 147 13 rubber rubber NN 19261 147 14 diaphragm diaphragm VBN 19261 147 15 with with IN 19261 147 16 a a DT 19261 147 17 perforation perforation NN 19261 147 18 so so IN 19261 147 19 that that IN 19261 147 20 forceps forceps NNP 19261 147 21 may may MD 19261 147 22 be be VB 19261 147 23 used use VBN 19261 147 24 without without IN 19261 147 25 allowing allow VBG 19261 147 26 air air NN 19261 147 27 to to TO 19261 147 28 escape escape VB 19261 147 29 . . . 19261 148 1 Valves valve NNS 19261 148 2 on on IN 19261 148 3 the the DT 19261 148 4 canals canal NNS 19261 148 5 ( ( -LRB- 19261 148 6 E E NNP 19261 148 7 , , , 19261 148 8 F F NNP 19261 148 9 , , , 19261 148 10 Fig Fig NNP 19261 148 11 . . . 19261 149 1 3 3 LS 19261 149 2 ) ) -RRB- 19261 149 3 are be VBP 19261 149 4 preferable preferable JJ 19261 149 5 . . . 19261 149 6 ] ] -RRB- 19261 150 1 _ _ NNP 19261 150 2 Gastroscopes_.--The Gastroscopes_.--The NNP 19261 150 3 gastroscope gastroscope NN 19261 150 4 is be VBZ 19261 150 5 of of IN 19261 150 6 the the DT 19261 150 7 same same JJ 19261 150 8 construction construction NN 19261 150 9 as as IN 19261 150 10 the the DT 19261 150 11 esophagoscope esophagoscope NN 19261 150 12 , , , 19261 150 13 with with IN 19261 150 14 the the DT 19261 150 15 exception exception NN 19261 150 16 that that IN 19261 150 17 it -PRON- PRP 19261 150 18 is be VBZ 19261 150 19 made make VBN 19261 150 20 longer long RBR 19261 150 21 , , , 19261 150 22 in in IN 19261 150 23 order order NN 19261 150 24 to to TO 19261 150 25 reach reach VB 19261 150 26 all all DT 19261 150 27 parts part NNS 19261 150 28 of of IN 19261 150 29 the the DT 19261 150 30 stomach stomach NN 19261 150 31 . . . 19261 151 1 In in IN 19261 151 2 ordinary ordinary JJ 19261 151 3 cases case NNS 19261 151 4 , , , 19261 151 5 the the DT 19261 151 6 regular regular JJ 19261 151 7 esophagoscopes esophagoscope NNS 19261 151 8 for for IN 19261 151 9 adults adult NNS 19261 151 10 and and CC 19261 151 11 children child NNS 19261 151 12 respectively respectively RB 19261 151 13 will will MD 19261 151 14 afford afford VB 19261 151 15 a a DT 19261 151 16 good good JJ 19261 151 17 view view NN 19261 151 18 of of IN 19261 151 19 the the DT 19261 151 20 stomach stomach NN 19261 151 21 , , , 19261 151 22 but but CC 19261 151 23 there there EX 19261 151 24 are be VBP 19261 151 25 cases case NNS 19261 151 26 which which WDT 19261 151 27 require require VBP 19261 151 28 longer long RBR 19261 151 29 tubes tube NNS 19261 151 30 , , , 19261 151 31 and and CC 19261 151 32 for for IN 19261 151 33 these these DT 19261 151 34 a a DT 19261 151 35 gastroscope gastroscope NN 19261 151 36 10 10 CD 19261 151 37 mm mm NNS 19261 151 38 . . . 19261 152 1 X X NNP 19261 152 2 70 70 CD 19261 152 3 cm cm NNS 19261 152 4 . . . 19261 153 1 is be VBZ 19261 153 2 made make VBN 19261 153 3 , , , 19261 153 4 and and CC 19261 153 5 also also RB 19261 153 6 one one CD 19261 153 7 10 10 CD 19261 153 8 mm mm CD 19261 153 9 . . . 19261 154 1 X X NNP 19261 154 2 80 80 CD 19261 154 3 cm cm NNS 19261 154 4 . . NNP 19261 154 5 , , , 19261 154 6 though though IN 19261 154 7 the the DT 19261 154 8 latter latter NN 19261 154 9 has have VBZ 19261 154 10 never never RB 19261 154 11 been be VBN 19261 154 12 needed need VBN 19261 154 13 but but CC 19261 154 14 once once RB 19261 154 15 . . . 19261 155 1 [ [ -LRB- 19261 155 2 26 26 CD 19261 155 3 ] ] -RRB- 19261 155 4 _ _ NNP 19261 155 5 Pleuroscopes_.--As Pleuroscopes_.--As NNP 19261 155 6 mentioned mention VBN 19261 155 7 above above IN 19261 155 8 the the DT 19261 155 9 anterior anterior NNP 19261 155 10 commissure commissure NN 19261 155 11 laryngoscope laryngoscope NNP 19261 155 12 and and CC 19261 155 13 the the DT 19261 155 14 esophageal esophageal JJ 19261 155 15 specula specula NN 19261 155 16 make make VB 19261 155 17 very very RB 19261 155 18 efficient efficient JJ 19261 155 19 pleuroscopes pleuroscope NNS 19261 155 20 ; ; : 19261 155 21 but but CC 19261 155 22 three three CD 19261 155 23 different different JJ 19261 155 24 forms form NNS 19261 155 25 of of IN 19261 155 26 pleuroscopes pleuroscope NNS 19261 155 27 have have VBP 19261 155 28 been be VBN 19261 155 29 devised devise VBN 19261 155 30 by by IN 19261 155 31 the the DT 19261 155 32 author author NN 19261 155 33 for for IN 19261 155 34 pleuroscopy pleuroscopy NN 19261 155 35 . . . 19261 156 1 The the DT 19261 156 2 retrograde retrograde NN 19261 156 3 esophagoscope esophagoscope NN 19261 156 4 serves serve VBZ 19261 156 5 very very RB 19261 156 6 well well RB 19261 156 7 for for IN 19261 156 8 work work NN 19261 156 9 through through IN 19261 156 10 small small JJ 19261 156 11 fistulae fistula NNS 19261 156 12 . . . 19261 157 1 _ _ NNP 19261 157 2 Measuring Measuring NNP 19261 157 3 Rule Rule NNP 19261 157 4 _ _ NNP 19261 157 5 ( ( -LRB- 19261 157 6 Fig Fig NNP 19261 157 7 . . . 19261 158 1 7).--It 7).--It NNP 19261 158 2 is be VBZ 19261 158 3 customary customary JJ 19261 158 4 to to TO 19261 158 5 locate locate VB 19261 158 6 esophageal esophageal JJ 19261 158 7 lesions lesion NNS 19261 158 8 by by IN 19261 158 9 denoting denote VBG 19261 158 10 their -PRON- PRP$ 19261 158 11 distance distance NN 19261 158 12 from from IN 19261 158 13 the the DT 19261 158 14 incisor incisor NN 19261 158 15 teeth tooth NNS 19261 158 16 . . . 19261 159 1 This this DT 19261 159 2 is be VBZ 19261 159 3 readily readily RB 19261 159 4 done do VBN 19261 159 5 by by IN 19261 159 6 measuring measure VBG 19261 159 7 the the DT 19261 159 8 distance distance NN 19261 159 9 from from IN 19261 159 10 the the DT 19261 159 11 proximal proximal JJ 19261 159 12 end end NN 19261 159 13 of of IN 19261 159 14 the the DT 19261 159 15 esophagoscope esophagoscope NN 19261 159 16 to to IN 19261 159 17 the the DT 19261 159 18 upper upper JJ 19261 159 19 incisor incisor NN 19261 159 20 teeth tooth NNS 19261 159 21 , , , 19261 159 22 or or CC 19261 159 23 in in IN 19261 159 24 their -PRON- PRP$ 19261 159 25 absence absence NN 19261 159 26 , , , 19261 159 27 to to IN 19261 159 28 the the DT 19261 159 29 upper upper JJ 19261 159 30 alveolar alveolar JJ 19261 159 31 process process NN 19261 159 32 , , , 19261 159 33 and and CC 19261 159 34 subtracting subtract VBG 19261 159 35 this this DT 19261 159 36 measurement measurement NN 19261 159 37 from from IN 19261 159 38 the the DT 19261 159 39 known know VBN 19261 159 40 length length NN 19261 159 41 of of IN 19261 159 42 the the DT 19261 159 43 tube tube NN 19261 159 44 . . . 19261 160 1 Thus thus RB 19261 160 2 , , , 19261 160 3 if if IN 19261 160 4 an an DT 19261 160 5 esophagoscope esophagoscope NN 19261 160 6 45 45 CD 19261 160 7 cm cm NNS 19261 160 8 . . . 19261 161 1 long long RB 19261 161 2 be be VB 19261 161 3 introduced introduce VBN 19261 161 4 and and CC 19261 161 5 we -PRON- PRP 19261 161 6 find find VBP 19261 161 7 that that IN 19261 161 8 the the DT 19261 161 9 distance distance NN 19261 161 10 from from IN 19261 161 11 the the DT 19261 161 12 incisor incisor NN 19261 161 13 teeth tooth NNS 19261 161 14 to to IN 19261 161 15 the the DT 19261 161 16 ocular ocular JJ 19261 161 17 end end NN 19261 161 18 of of IN 19261 161 19 the the DT 19261 161 20 esophagoscope esophagoscope NN 19261 161 21 as as IN 19261 161 22 measured measure VBN 19261 161 23 by by IN 19261 161 24 the the DT 19261 161 25 rule rule NN 19261 161 26 is be VBZ 19261 161 27 20 20 CD 19261 161 28 cm cm NNS 19261 161 29 . . . 19261 161 30 , , , 19261 161 31 we -PRON- PRP 19261 161 32 subtract subtract VBP 19261 161 33 this this DT 19261 161 34 20 20 CD 19261 161 35 cm cm NNS 19261 161 36 . . . 19261 162 1 from from IN 19261 162 2 the the DT 19261 162 3 total total JJ 19261 162 4 length length NN 19261 162 5 of of IN 19261 162 6 the the DT 19261 162 7 esophagoscope esophagoscope NN 19261 162 8 ( ( -LRB- 19261 162 9 45 45 CD 19261 162 10 cm cm NNS 19261 162 11 . . . 19261 162 12 ) ) -RRB- 19261 163 1 and and CC 19261 163 2 then then RB 19261 163 3 know know VB 19261 163 4 that that IN 19261 163 5 the the DT 19261 163 6 distal distal JJ 19261 163 7 end end NN 19261 163 8 of of IN 19261 163 9 the the DT 19261 163 10 tube tube NN 19261 163 11 is be VBZ 19261 163 12 25 25 CD 19261 163 13 cm cm NNS 19261 163 14 . . . 19261 164 1 from from IN 19261 164 2 the the DT 19261 164 3 incisor incisor NN 19261 164 4 teeth tooth NNS 19261 164 5 . . . 19261 165 1 Graduation graduation NN 19261 165 2 marks mark NNS 19261 165 3 on on IN 19261 165 4 the the DT 19261 165 5 tube tube NN 19261 165 6 have have VBP 19261 165 7 been be VBN 19261 165 8 used use VBN 19261 165 9 , , , 19261 165 10 but but CC 19261 165 11 are be VBP 19261 165 12 objectionable objectionable JJ 19261 165 13 . . . 19261 166 1 [ [ -LRB- 19261 166 2 FIG FIG NNP 19261 166 3 . . . 19261 167 1 7.--Measuring 7.--measuring CD 19261 167 2 rule rule NN 19261 167 3 for for IN 19261 167 4 gauging gauge VBG 19261 167 5 in in IN 19261 167 6 centimeters centimeter NNS 19261 167 7 the the DT 19261 167 8 depth depth NN 19261 167 9 of of IN 19261 167 10 any any DT 19261 167 11 location location NN 19261 167 12 by by IN 19261 167 13 subtraction subtraction NN 19261 167 14 of of IN 19261 167 15 the the DT 19261 167 16 length length NN 19261 167 17 of of IN 19261 167 18 the the DT 19261 167 19 uninserted uninserted JJ 19261 167 20 portion portion NN 19261 167 21 of of IN 19261 167 22 the the DT 19261 167 23 esophagoscope esophagoscope NN 19261 167 24 or or CC 19261 167 25 bronchoscope bronchoscope NN 19261 167 26 . . . 19261 168 1 This this DT 19261 168 2 is be VBZ 19261 168 3 preferable preferable JJ 19261 168 4 to to IN 19261 168 5 graduations graduation NNS 19261 168 6 marked mark VBN 19261 168 7 on on IN 19261 168 8 the the DT 19261 168 9 tubes tube NNS 19261 168 10 , , , 19261 168 11 though though IN 19261 168 12 the the DT 19261 168 13 tubes tube NNS 19261 168 14 can can MD 19261 168 15 be be VB 19261 168 16 marked mark VBN 19261 168 17 with with IN 19261 168 18 a a DT 19261 168 19 scale scale NN 19261 168 20 if if IN 19261 168 21 desired desire VBN 19261 168 22 . . . 19261 168 23 ] ] -RRB- 19261 169 1 _ _ NNP 19261 169 2 Batteries_.--The batteries_.--the CD 19261 169 3 simplest simple JJS 19261 169 4 , , , 19261 169 5 best good JJS 19261 169 6 , , , 19261 169 7 and and CC 19261 169 8 safest safe JJS 19261 169 9 source source NN 19261 169 10 of of IN 19261 169 11 current current NN 19261 169 12 is be VBZ 19261 169 13 a a DT 19261 169 14 double double JJ 19261 169 15 dry dry JJ 19261 169 16 battery battery NN 19261 169 17 arranged arrange VBN 19261 169 18 in in IN 19261 169 19 three three CD 19261 169 20 groups group NNS 19261 169 21 of of IN 19261 169 22 two two CD 19261 169 23 cells cell NNS 19261 169 24 each each DT 19261 169 25 , , , 19261 169 26 connected connect VBN 19261 169 27 in in IN 19261 169 28 series series NN 19261 169 29 ( ( -LRB- 19261 169 30 Fig Fig NNP 19261 169 31 . . . 19261 170 1 8) 8) CD 19261 170 2 . . . 19261 171 1 Each each DT 19261 171 2 set set NN 19261 171 3 should should MD 19261 171 4 have have VB 19261 171 5 two two CD 19261 171 6 binding bind VBG 19261 171 7 posts post NNS 19261 171 8 and and CC 19261 171 9 a a DT 19261 171 10 rheostat rheostat NN 19261 171 11 . . . 19261 172 1 The the DT 19261 172 2 binding bind VBG 19261 172 3 posts post NNS 19261 172 4 should should MD 19261 172 5 have have VB 19261 172 6 double double JJ 19261 172 7 holes hole NNS 19261 172 8 for for IN 19261 172 9 two two CD 19261 172 10 additional additional JJ 19261 172 11 cords cord NNS 19261 172 12 , , , 19261 172 13 to to TO 19261 172 14 be be VB 19261 172 15 kept keep VBN 19261 172 16 in in IN 19261 172 17 reserve reserve NN 19261 172 18 for for IN 19261 172 19 use use NN 19261 172 20 in in IN 19261 172 21 case case NN 19261 172 22 a a DT 19261 172 23 cord cord NN 19261 172 24 becomes become VBZ 19261 172 25 defective defective JJ 19261 172 26 . . . 19261 173 1 * * NFP 19261 173 2 The the DT 19261 173 3 commercial commercial JJ 19261 173 4 current current NN 19261 173 5 reduced reduce VBN 19261 173 6 through through IN 19261 173 7 a a DT 19261 173 8 rheostat rheostat NN 19261 173 9 should should MD 19261 173 10 never never RB 19261 173 11 be be VB 19261 173 12 used use VBN 19261 173 13 , , , 19261 173 14 because because IN 19261 173 15 there there EX 19261 173 16 is be VBZ 19261 173 17 always always RB 19261 173 18 the the DT 19261 173 19 possibility possibility NN 19261 173 20 of of IN 19261 173 21 " " `` 19261 173 22 grounding ground VBG 19261 173 23 " " '' 19261 173 24 the the DT 19261 173 25 circuit circuit NN 19261 173 26 through through IN 19261 173 27 the the DT 19261 173 28 patient patient NN 19261 173 29 ; ; : 19261 173 30 a a DT 19261 173 31 highly highly RB 19261 173 32 dangerous dangerous JJ 19261 173 33 accident accident NN 19261 173 34 when when WRB 19261 173 35 we -PRON- PRP 19261 173 36 consider consider VBP 19261 173 37 that that IN 19261 173 38 the the DT 19261 173 39 tube tube NN 19261 173 40 makes make VBZ 19261 173 41 a a DT 19261 173 42 long long JJ 19261 173 43 moist moist JJ 19261 173 44 contact contact NN 19261 173 45 in in IN 19261 173 46 tissues tissue NNS 19261 173 47 close close RB 19261 173 48 to to IN 19261 173 49 the the DT 19261 173 50 course course NN 19261 173 51 of of IN 19261 173 52 both both CC 19261 173 53 the the DT 19261 173 54 vagi vagi NN 19261 173 55 and and CC 19261 173 56 the the DT 19261 173 57 heart heart NN 19261 173 58 . . . 19261 174 1 The the DT 19261 174 2 endoscopist endoscopist NN 19261 174 3 should should MD 19261 174 4 never never RB 19261 174 5 depend depend VB 19261 174 6 upon upon IN 19261 174 7 a a DT 19261 174 8 pocket pocket NN 19261 174 9 battery battery NN 19261 174 10 as as IN 19261 174 11 a a DT 19261 174 12 source source NN 19261 174 13 of of IN 19261 174 14 illumination illumination NN 19261 174 15 , , , 19261 174 16 for for IN 19261 174 17 it -PRON- PRP 19261 174 18 is be VBZ 19261 174 19 almost almost RB 19261 174 20 certain certain JJ 19261 174 21 to to TO 19261 174 22 fail fail VB 19261 174 23 during during IN 19261 174 24 the the DT 19261 174 25 endoscopy endoscopy NN 19261 174 26 . . . 19261 175 1 The the DT 19261 175 2 wires wire NNS 19261 175 3 connecting connect VBG 19261 175 4 the the DT 19261 175 5 battery battery NN 19261 175 6 and and CC 19261 175 7 endoscopic endoscopic JJ 19261 175 8 instrument instrument NN 19261 175 9 are be VBP 19261 175 10 covered cover VBN 19261 175 11 with with IN 19261 175 12 rubber rubber NN 19261 175 13 , , , 19261 175 14 so so IN 19261 175 15 that that IN 19261 175 16 they -PRON- PRP 19261 175 17 may may MD 19261 175 18 be be VB 19261 175 19 cleansed cleanse VBN 19261 175 20 and and CC 19261 175 21 superficially superficially RB 19261 175 22 sterilized sterilize VBN 19261 175 23 with with IN 19261 175 24 alcohol alcohol NN 19261 175 25 . . . 19261 176 1 They -PRON- PRP 19261 176 2 may may MD 19261 176 3 be be VB 19261 176 4 totally totally RB 19261 176 5 immersed immerse VBN 19261 176 6 in in IN 19261 176 7 alcohol alcohol NN 19261 176 8 for for IN 19261 176 9 any any DT 19261 176 10 length length NN 19261 176 11 of of IN 19261 176 12 time time NN 19261 176 13 without without IN 19261 176 14 injury injury NN 19261 176 15 . . . 19261 177 1 * * NFP 19261 177 2 When when WRB 19261 177 3 this this DT 19261 177 4 is be VBZ 19261 177 5 done do VBN 19261 177 6 care care NN 19261 177 7 is be VBZ 19261 177 8 necessary necessary JJ 19261 177 9 to to TO 19261 177 10 avoid avoid VB 19261 177 11 attempting attempt VBG 19261 177 12 to to TO 19261 177 13 use use VB 19261 177 14 simultaneously simultaneously RB 19261 177 15 the the DT 19261 177 16 two two CD 19261 177 17 cords cord NNS 19261 177 18 from from IN 19261 177 19 one one CD 19261 177 20 pair pair NN 19261 177 21 of of IN 19261 177 22 posts post NNS 19261 177 23 . . . 19261 178 1 [ [ -LRB- 19261 178 2 FIG FIG NNP 19261 178 3 8.--The 8.--the CD 19261 178 4 author author NN 19261 178 5 's 's POS 19261 178 6 endoscopic endoscopic JJ 19261 178 7 battery battery NN 19261 178 8 , , , 19261 178 9 heavily heavily RB 19261 178 10 built build VBN 19261 178 11 for for IN 19261 178 12 reliability reliability NN 19261 178 13 . . . 19261 179 1 It -PRON- PRP 19261 179 2 contains contain VBZ 19261 179 3 6 6 CD 19261 179 4 dry dry JJ 19261 179 5 cells cell NNS 19261 179 6 , , , 19261 179 7 series series NN 19261 179 8 - - HYPH 19261 179 9 connected connect VBN 19261 179 10 in in IN 19261 179 11 3 3 CD 19261 179 12 groups group NNS 19261 179 13 of of IN 19261 179 14 2 2 CD 19261 179 15 cells cell NNS 19261 179 16 each each DT 19261 179 17 . . . 19261 180 1 Each each DT 19261 180 2 group group NN 19261 180 3 has have VBZ 19261 180 4 its -PRON- PRP$ 19261 180 5 own own JJ 19261 180 6 rheostat rheostat NN 19261 180 7 and and CC 19261 180 8 pair pair NN 19261 180 9 of of IN 19261 180 10 binding bind VBG 19261 180 11 posts post NNS 19261 180 12 . . . 19261 180 13 ] ] -RRB- 19261 181 1 _ _ NNP 19261 181 2 Aspirating Aspirating NNP 19261 181 3 Tubes_.--Independent tubes_.--independent NN 19261 181 4 aspirating aspirating NN 19261 181 5 tubes tube NNS 19261 181 6 involve involve VBP 19261 181 7 delay delay NN 19261 181 8 in in IN 19261 181 9 their -PRON- PRP$ 19261 181 10 use use NN 19261 181 11 as as IN 19261 181 12 compared compare VBN 19261 181 13 to to IN 19261 181 14 aspirating aspirate VBG 19261 181 15 canals canal NNS 19261 181 16 in in IN 19261 181 17 the the DT 19261 181 18 wall wall NN 19261 181 19 of of IN 19261 181 20 the the DT 19261 181 21 endoscopic endoscopic JJ 19261 181 22 tube tube NN 19261 181 23 ; ; : 19261 181 24 but but CC 19261 181 25 there there EX 19261 181 26 are be VBP 19261 181 27 special special JJ 19261 181 28 cases case NNS 19261 181 29 in in IN 19261 181 30 which which WDT 19261 181 31 an an DT 19261 181 32 independent independent JJ 19261 181 33 tube tube NN 19261 181 34 is be VBZ 19261 181 35 invaluable invaluable JJ 19261 181 36 . . . 19261 182 1 Three three CD 19261 182 2 forms form NNS 19261 182 3 are be VBP 19261 182 4 used use VBN 19261 182 5 by by IN 19261 182 6 the the DT 19261 182 7 author author NN 19261 182 8 . . . 19261 183 1 The the DT 19261 183 2 " " `` 19261 183 3 velvet velvet JJ 19261 183 4 eye eye NN 19261 183 5 " " '' 19261 183 6 can can MD 19261 183 7 not not RB 19261 183 8 traumatize traumatize VB 19261 183 9 the the DT 19261 183 10 mucosa mucosa NNS 19261 183 11 ( ( -LRB- 19261 183 12 Fig fig NN 19261 183 13 . . . 19261 184 1 9 9 LS 19261 184 2 ) ) -RRB- 19261 184 3 . . . 19261 185 1 To to TO 19261 185 2 hold hold VB 19261 185 3 a a DT 19261 185 4 foreign foreign JJ 19261 185 5 body body NN 19261 185 6 by by IN 19261 185 7 suction suction NN 19261 185 8 , , , 19261 185 9 a a DT 19261 185 10 squarely squarely RB 19261 185 11 cut cut VBN 19261 185 12 off off RP 19261 185 13 end end NN 19261 185 14 is be VBZ 19261 185 15 necessary necessary JJ 19261 185 16 . . . 19261 186 1 For for IN 19261 186 2 use use NN 19261 186 3 through through IN 19261 186 4 the the DT 19261 186 5 tracheotomic tracheotomic JJ 19261 186 6 wound wound NN 19261 186 7 without without IN 19261 186 8 a a DT 19261 186 9 bronchoscope bronchoscope NN 19261 186 10 a a DT 19261 186 11 malleable malleable JJ 19261 186 12 tube tube NN 19261 186 13 ( ( -LRB- 19261 186 14 Fig fig NN 19261 186 15 . . . 19261 187 1 10 10 LS 19261 187 2 ) ) -RRB- 19261 187 3 is be VBZ 19261 187 4 better well JJR 19261 187 5 . . . 19261 188 1 [ [ -LRB- 19261 188 2 FIG FIG NNP 19261 188 3 . . . 19261 189 1 9.--The 9.--the CD 19261 189 2 author author NN 19261 189 3 's 's POS 19261 189 4 protected protect VBN 19261 189 5 - - HYPH 19261 189 6 aperture aperture RB 19261 189 7 endoscopic endoscopic JJ 19261 189 8 aspirating aspirate VBG 19261 189 9 tube tube NN 19261 189 10 for for IN 19261 189 11 aspiration aspiration NN 19261 189 12 of of IN 19261 189 13 pharyngeal pharyngeal NN 19261 189 14 secretions secretion NNS 19261 189 15 during during IN 19261 189 16 direct direct JJ 19261 189 17 laryngoscopy laryngoscopy NN 19261 189 18 and and CC 19261 189 19 endotracheobronchial endotracheobronchial JJ 19261 189 20 secretions secretion NNS 19261 189 21 at at IN 19261 189 22 bronchoscopy bronchoscopy NN 19261 189 23 , , , 19261 189 24 also also RB 19261 189 25 for for IN 19261 189 26 draining drain VBG 19261 189 27 retropharyngeal retropharyngeal NN 19261 189 28 abscesses abscess NNS 19261 189 29 . . . 19261 190 1 The the DT 19261 190 2 laryngoscopes laryngoscope NNS 19261 190 3 are be VBP 19261 190 4 obtainable obtainable JJ 19261 190 5 with with IN 19261 190 6 drainage drainage NN 19261 190 7 canals canal NNS 19261 190 8 , , , 19261 190 9 but but CC 19261 190 10 for for IN 19261 190 11 most most JJS 19261 190 12 purposes purpose NNS 19261 190 13 the the DT 19261 190 14 independent independent JJ 19261 190 15 aspirating aspirate VBG 19261 190 16 tube tube NN 19261 190 17 shown show VBN 19261 190 18 above above IN 19261 190 19 is be VBZ 19261 190 20 more more RBR 19261 190 21 satisfactory satisfactory JJ 19261 190 22 . . . 19261 191 1 The the DT 19261 191 2 tubes tube NNS 19261 191 3 are be VBP 19261 191 4 made make VBN 19261 191 5 in in IN 19261 191 6 20 20 CD 19261 191 7 30 30 CD 19261 191 8 , , , 19261 191 9 40 40 CD 19261 191 10 , , , 19261 191 11 and and CC 19261 191 12 60 60 CD 19261 191 13 cm cm NNS 19261 191 14 . . . 19261 192 1 lengths length NNS 19261 192 2 . . . 19261 193 1 An an DT 19261 193 2 aperture aperture NN 19261 193 3 on on IN 19261 193 4 both both DT 19261 193 5 sides side NNS 19261 193 6 prevents prevent NNS 19261 193 7 drawing draw VBG 19261 193 8 in in IN 19261 193 9 the the DT 19261 193 10 mucosa mucosa NNS 19261 193 11 . . . 19261 194 1 It -PRON- PRP 19261 194 2 can can MD 19261 194 3 be be VB 19261 194 4 used use VBN 19261 194 5 for for IN 19261 194 6 insufflation insufflation NN 19261 194 7 of of IN 19261 194 8 ether ether NN 19261 194 9 if if IN 19261 194 10 desired desire VBN 19261 194 11 . . . 19261 195 1 An an DT 19261 195 2 aspirating aspirate VBG 19261 195 3 tube tube NN 19261 195 4 of of IN 19261 195 5 the the DT 19261 195 6 same same JJ 19261 195 7 design design NN 19261 195 8 , , , 19261 195 9 but but CC 19261 195 10 having have VBG 19261 195 11 a a DT 19261 195 12 squarely squarely RB 19261 195 13 cut cut VBN 19261 195 14 off off RP 19261 195 15 end end NN 19261 195 16 , , , 19261 195 17 is be VBZ 19261 195 18 sometimes sometimes RB 19261 195 19 useful useful JJ 19261 195 20 for for IN 19261 195 21 removing remove VBG 19261 195 22 secretions secretion NNS 19261 195 23 lying lie VBG 19261 195 24 close close RB 19261 195 25 to to IN 19261 195 26 a a DT 19261 195 27 foreign foreign JJ 19261 195 28 body body NN 19261 195 29 ; ; : 19261 195 30 for for IN 19261 195 31 removing remove VBG 19261 195 32 papillomata papilloma NNS 19261 195 33 ; ; : 19261 195 34 and and CC 19261 195 35 even even RB 19261 195 36 for for IN 19261 195 37 withdrawing withdraw VBG 19261 195 38 foreign foreign JJ 19261 195 39 bodies body NNS 19261 195 40 of of IN 19261 195 41 a a DT 19261 195 42 soft soft JJ 19261 195 43 surface surface NN 19261 195 44 consistency consistency NN 19261 195 45 . . . 19261 196 1 It -PRON- PRP 19261 196 2 is be VBZ 19261 196 3 not not RB 19261 196 4 often often RB 19261 196 5 that that IN 19261 196 6 the the DT 19261 196 7 foreign foreign JJ 19261 196 8 bodies body NNS 19261 196 9 can can MD 19261 196 10 be be VB 19261 196 11 thus thus RB 19261 196 12 withdrawn withdraw VBN 19261 196 13 through through IN 19261 196 14 the the DT 19261 196 15 glottis glottis NN 19261 196 16 , , , 19261 196 17 but but CC 19261 196 18 closely closely RB 19261 196 19 fitting fitting JJ 19261 196 20 foreign foreign JJ 19261 196 21 bodies body NNS 19261 196 22 can can MD 19261 196 23 at at IN 19261 196 24 least least JJS 19261 196 25 be be VB 19261 196 26 withdrawn withdraw VBN 19261 196 27 to to IN 19261 196 28 a a DT 19261 196 29 higher high JJR 19261 196 30 level level NN 19261 196 31 at at IN 19261 196 32 which which WDT 19261 196 33 ample ample JJ 19261 196 34 forceps forceps NNS 19261 196 35 spaces space NNS 19261 196 36 will will MD 19261 196 37 permit permit VB 19261 196 38 application application NN 19261 196 39 of of IN 19261 196 40 forceps forceps NNS 19261 196 41 . . . 19261 197 1 Such such JJ 19261 197 2 aspirating aspirating NN 19261 197 3 tubes tube NNS 19261 197 4 , , , 19261 197 5 however however RB 19261 197 6 , , , 19261 197 7 are be VBP 19261 197 8 not not RB 19261 197 9 so so RB 19261 197 10 safe safe JJ 19261 197 11 to to TO 19261 197 12 use use VB 19261 197 13 as as IN 19261 197 14 the the DT 19261 197 15 protected protect VBN 19261 197 16 , , , 19261 197 17 double double JJ 19261 197 18 aperture aperture NN 19261 197 19 tubes tube NNS 19261 197 20 . . . 19261 197 21 ] ] -RRB- 19261 198 1 [ [ -LRB- 19261 198 2 FIG FIG NNP 19261 198 3 . . . 19261 199 1 10.--The 10.--the CD 19261 199 2 author author NN 19261 199 3 's 's POS 19261 199 4 malleable malleable JJ 19261 199 5 tracheotomic tracheotomic JJ 19261 199 6 aspirating aspirating NN 19261 199 7 tube tube NN 19261 199 8 for for IN 19261 199 9 removal removal NN 19261 199 10 of of IN 19261 199 11 secretions secretion NNS 19261 199 12 , , , 19261 199 13 exudates exudate NNS 19261 199 14 , , , 19261 199 15 crusts crust NNS 19261 199 16 , , , 19261 199 17 etc etc FW 19261 199 18 . . FW 19261 199 19 , , , 19261 199 20 from from IN 19261 199 21 the the DT 19261 199 22 tracheobronchial tracheobronchial JJ 19261 199 23 tree tree NN 19261 199 24 through through IN 19261 199 25 the the DT 19261 199 26 tracheotomic tracheotomic JJ 19261 199 27 wound wound NN 19261 199 28 without without IN 19261 199 29 a a DT 19261 199 30 bronchoscope bronchoscope NN 19261 199 31 . . . 19261 200 1 The the DT 19261 200 2 tube tube NN 19261 200 3 is be VBZ 19261 200 4 made make VBN 19261 200 5 of of IN 19261 200 6 copper copper NN 19261 200 7 so so IN 19261 200 8 that that IN 19261 200 9 it -PRON- PRP 19261 200 10 can can MD 19261 200 11 be be VB 19261 200 12 bent bent JJ 19261 200 13 to to IN 19261 200 14 any any DT 19261 200 15 curve curve NN 19261 200 16 , , , 19261 200 17 and and CC 19261 200 18 the the DT 19261 200 19 copper copper NN 19261 200 20 wire wire NN 19261 200 21 stylet stylet NN 19261 200 22 prevents prevent NNS 19261 200 23 kinking kink VBG 19261 200 24 . . . 19261 201 1 The the DT 19261 201 2 stylet stylet NN 19261 201 3 is be VBZ 19261 201 4 removed remove VBN 19261 201 5 before before IN 19261 201 6 using use VBG 19261 201 7 the the DT 19261 201 8 tube tube NN 19261 201 9 for for IN 19261 201 10 aspiration aspiration NN 19261 201 11 . . . 19261 201 12 ] ] -RRB- 19261 202 1 [ [ -LRB- 19261 202 2 28 28 CD 19261 202 3 ] ] -RRB- 19261 202 4 _ _ NNP 19261 202 5 Aspirators_.--The aspirators_.--the DT 19261 202 6 various various JJ 19261 202 7 electric electric JJ 19261 202 8 aspirators aspirator NNS 19261 202 9 so so RB 19261 202 10 universally universally RB 19261 202 11 used use VBN 19261 202 12 in in IN 19261 202 13 throat throat JJ 19261 202 14 operations operation NNS 19261 202 15 should should MD 19261 202 16 be be VB 19261 202 17 utilized utilize VBN 19261 202 18 to to TO 19261 202 19 withdraw withdraw VB 19261 202 20 secretions secretion NNS 19261 202 21 in in IN 19261 202 22 the the DT 19261 202 23 tubes tube NNS 19261 202 24 fitted fit VBN 19261 202 25 with with IN 19261 202 26 drainage drainage NN 19261 202 27 canals canal NNS 19261 202 28 . . . 19261 203 1 They -PRON- PRP 19261 203 2 , , , 19261 203 3 however however RB 19261 203 4 , , , 19261 203 5 have have VBP 19261 203 6 the the DT 19261 203 7 disadvantages disadvantage NNS 19261 203 8 of of IN 19261 203 9 not not RB 19261 203 10 being be VBG 19261 203 11 easily easily RB 19261 203 12 transported transport VBN 19261 203 13 , , , 19261 203 14 and and CC 19261 203 15 of of IN 19261 203 16 occasionally occasionally RB 19261 203 17 being be VBG 19261 203 18 out out IN 19261 203 19 of of IN 19261 203 20 order order NN 19261 203 21 . . . 19261 204 1 The the DT 19261 204 2 hand hand NN 19261 204 3 aspirator aspirator NN 19261 204 4 shown show VBN 19261 204 5 in in IN 19261 204 6 Fig Fig NNP 19261 204 7 . . . 19261 205 1 11 11 CD 19261 205 2 is be VBZ 19261 205 3 , , , 19261 205 4 therefore therefore RB 19261 205 5 , , , 19261 205 6 a a DT 19261 205 7 necessary necessary JJ 19261 205 8 part part NN 19261 205 9 of of IN 19261 205 10 the the DT 19261 205 11 instrumental instrumental JJ 19261 205 12 equipment equipment NN 19261 205 13 . . . 19261 206 1 It -PRON- PRP 19261 206 2 never never RB 19261 206 3 fails fail VBZ 19261 206 4 to to TO 19261 206 5 work work VB 19261 206 6 , , , 19261 206 7 is be VBZ 19261 206 8 portable portable JJ 19261 206 9 , , , 19261 206 10 and and CC 19261 206 11 affords afford VBZ 19261 206 12 both both CC 19261 206 13 positive positive JJ 19261 206 14 and and CC 19261 206 15 negative negative JJ 19261 206 16 pressures pressure NNS 19261 206 17 . . . 19261 207 1 The the DT 19261 207 2 positive positive JJ 19261 207 3 pressure pressure NN 19261 207 4 is be VBZ 19261 207 5 sometimes sometimes RB 19261 207 6 useful useful JJ 19261 207 7 in in IN 19261 207 8 clearing clear VBG 19261 207 9 the the DT 19261 207 10 drainage drainage NN 19261 207 11 canal canal NN 19261 207 12 of of IN 19261 207 13 any any DT 19261 207 14 particles particle NNS 19261 207 15 of of IN 19261 207 16 food food NN 19261 207 17 , , , 19261 207 18 tissue tissue NN 19261 207 19 , , , 19261 207 20 clots clot NNS 19261 207 21 , , , 19261 207 22 or or CC 19261 207 23 secretion secretion NN 19261 207 24 which which WDT 19261 207 25 may may MD 19261 207 26 obstruct obstruct VB 19261 207 27 it -PRON- PRP 19261 207 28 ; ; : 19261 207 29 and and CC 19261 207 30 it -PRON- PRP 19261 207 31 also also RB 19261 207 32 serves serve VBZ 19261 207 33 to to TO 19261 207 34 fill fill VB 19261 207 35 the the DT 19261 207 36 stomach stomach NN 19261 207 37 or or CC 19261 207 38 esophagus esophagu VBZ 19261 207 39 with with IN 19261 207 40 air air NN 19261 207 41 when when WRB 19261 207 42 the the DT 19261 207 43 ballooning ballooning NN 19261 207 44 procedure procedure NN 19261 207 45 is be VBZ 19261 207 46 used use VBN 19261 207 47 . . . 19261 208 1 The the DT 19261 208 2 mechanical mechanical JJ 19261 208 3 aspirator aspirator NN 19261 208 4 ( ( -LRB- 19261 208 5 Fig fig NN 19261 208 6 . . . 19261 209 1 12 12 CD 19261 209 2 ) ) -RRB- 19261 209 3 is be VBZ 19261 209 4 highly highly RB 19261 209 5 efficient efficient JJ 19261 209 6 and and CC 19261 209 7 is be VBZ 19261 209 8 the the DT 19261 209 9 one one NN 19261 209 10 used use VBN 19261 209 11 in in IN 19261 209 12 the the DT 19261 209 13 Bronchoscopic Bronchoscopic NNP 19261 209 14 Clinic Clinic NNP 19261 209 15 . . . 19261 210 1 The the DT 19261 210 2 positive positive JJ 19261 210 3 pressure pressure NN 19261 210 4 will will MD 19261 210 5 quickly quickly RB 19261 210 6 clear clear VB 19261 210 7 obstructed obstructed JJ 19261 210 8 drainage drainage NN 19261 210 9 canals canal NNS 19261 210 10 , , , 19261 210 11 and and CC 19261 210 12 may may MD 19261 210 13 be be VB 19261 210 14 used use VBN 19261 210 15 while while IN 19261 210 16 the the DT 19261 210 17 esophagoscope esophagoscope NN 19261 210 18 is be VBZ 19261 210 19 in in IN 19261 210 20 situ situ NN 19261 210 21 , , , 19261 210 22 by by IN 19261 210 23 simply simply RB 19261 210 24 detaching detach VBG 19261 210 25 the the DT 19261 210 26 minus minus NNP 19261 210 27 pressure pressure NN 19261 210 28 tube tube NN 19261 210 29 and and CC 19261 210 30 attaching attach VBG 19261 210 31 the the DT 19261 210 32 plus plus JJ 19261 210 33 pressure pressure NN 19261 210 34 . . . 19261 211 1 In in IN 19261 211 2 the the DT 19261 211 3 lungs lung NNS 19261 211 4 , , , 19261 211 5 however however RB 19261 211 6 , , , 19261 211 7 high high JJ 19261 211 8 plus plus NN 19261 211 9 pressures pressure NNS 19261 211 10 are be VBP 19261 211 11 so so RB 19261 211 12 dangerous dangerous JJ 19261 211 13 that that IN 19261 211 14 the the DT 19261 211 15 pressure pressure NN 19261 211 16 valve valve NN 19261 211 17 must must MD 19261 211 18 be be VB 19261 211 19 lowered lower VBN 19261 211 20 . . . 19261 212 1 [ [ -LRB- 19261 212 2 Fig fig NN 19261 212 3 . . . 19261 213 1 11 11 CD 19261 213 2 - - HYPH 19261 213 3 -Portable -portable JJ 19261 213 4 aspirator aspirator NN 19261 213 5 for for IN 19261 213 6 endoscopy endoscopy NN 19261 213 7 with with IN 19261 213 8 additional additional JJ 19261 213 9 tube tube NN 19261 213 10 connected connect VBN 19261 213 11 with with IN 19261 213 12 the the DT 19261 213 13 plus plus JJ 19261 213 14 pressure pressure NN 19261 213 15 side side NN 19261 213 16 for for IN 19261 213 17 use use NN 19261 213 18 in in IN 19261 213 19 case case NN 19261 213 20 of of IN 19261 213 21 occlusion occlusion NN 19261 213 22 of of IN 19261 213 23 the the DT 19261 213 24 drainage drainage NN 19261 213 25 canal canal NN 19261 213 26 . . . 19261 214 1 This this DT 19261 214 2 aspirator aspirator NN 19261 214 3 has have VBZ 19261 214 4 the the DT 19261 214 5 advantage advantage NN 19261 214 6 of of IN 19261 214 7 great great JJ 19261 214 8 power power NN 19261 214 9 with with IN 19261 214 10 portability portability NN 19261 214 11 . . . 19261 215 1 Where where WRB 19261 215 2 portability portability NN 19261 215 3 is be VBZ 19261 215 4 not not RB 19261 215 5 required require VBN 19261 215 6 the the DT 19261 215 7 electrically electrically RB 19261 215 8 operated operate VBN 19261 215 9 aspirator aspirator NN 19261 215 10 is be VBZ 19261 215 11 better well JJR 19261 215 12 . . . 19261 215 13 ] ] -RRB- 19261 216 1 [ [ -LRB- 19261 216 2 FIG FIG NNP 19261 216 3 . . . 19261 217 1 12.--Robinson 12.--robinson CD 19261 217 2 mechanical mechanical JJ 19261 217 3 aspirator aspirator NN 19261 217 4 adapted adapt VBN 19261 217 5 for for IN 19261 217 6 bronchoscopic bronchoscopic NNP 19261 217 7 and and CC 19261 217 8 esophagoscopic esophagoscopic NNP 19261 217 9 aspiration aspiration NN 19261 217 10 by by IN 19261 217 11 the the DT 19261 217 12 author author NN 19261 217 13 . . . 19261 218 1 The the DT 19261 218 2 positive positive JJ 19261 218 3 pressure pressure NN 19261 218 4 is be VBZ 19261 218 5 used use VBN 19261 218 6 for for IN 19261 218 7 clearing clear VBG 19261 218 8 obstructed obstruct VBN 19261 218 9 drainage drainage NN 19261 218 10 canals canal NNS 19261 218 11 and and CC 19261 218 12 tubes tube NNS 19261 218 13 . . . 19261 218 14 ] ] -RRB- 19261 219 1 [ [ -LRB- 19261 219 2 FIG FIG NNP 19261 219 3 . . . 19261 220 1 13.--Apparatus 13.--apparatus CD 19261 220 2 for for IN 19261 220 3 insufflation insufflation NN 19261 220 4 of of IN 19261 220 5 ether ether NN 19261 220 6 or or CC 19261 220 7 chloroform chloroform NN 19261 220 8 during during IN 19261 220 9 bronchoscopy bronchoscopy NN 19261 220 10 , , , 19261 220 11 for for IN 19261 220 12 those those DT 19261 220 13 who who WP 19261 220 14 may may MD 19261 220 15 desire desire VB 19261 220 16 to to TO 19261 220 17 use use VB 19261 220 18 general general JJ 19261 220 19 anesthesia anesthesia NNP 19261 220 20 . . . 19261 221 1 The the DT 19261 221 2 mechanical mechanical JJ 19261 221 3 methods method NNS 19261 221 4 of of IN 19261 221 5 intratracheal intratracheal NN 19261 221 6 insufflation insufflation NN 19261 221 7 anesthesia anesthesia NNP 19261 221 8 subsequently subsequently RB 19261 221 9 developed develop VBN 19261 221 10 by by IN 19261 221 11 Meltzer Meltzer NNP 19261 221 12 and and CC 19261 221 13 Auer Auer NNP 19261 221 14 , , , 19261 221 15 Elsberg Elsberg NNP 19261 221 16 , , , 19261 221 17 Geo Geo NNP 19261 221 18 . . . 19261 222 1 P. P. NNP 19261 222 2 Muller Muller NNP 19261 222 3 and and CC 19261 222 4 others other NNS 19261 222 5 have have VBP 19261 222 6 rightly rightly RB 19261 222 7 superseded supersede VBN 19261 222 8 this this DT 19261 222 9 apparatus apparatus NN 19261 222 10 for for IN 19261 222 11 all all DT 19261 222 12 general general JJ 19261 222 13 surgical surgical JJ 19261 222 14 purposes purpose NNS 19261 222 15 . . . 19261 222 16 ] ] -RRB- 19261 223 1 _ _ NNP 19261 223 2 Sponge Sponge NNP 19261 223 3 - - HYPH 19261 223 4 pumping_.--While pumping_.--while VB 19261 223 5 the the DT 19261 223 6 usually usually RB 19261 223 7 thin thin JJ 19261 223 8 , , , 19261 223 9 watery watery JJ 19261 223 10 esophageal esophageal JJ 19261 223 11 and and CC 19261 223 12 gastric gastric JJ 19261 223 13 secretions secretion NNS 19261 223 14 , , , 19261 223 15 if if IN 19261 223 16 free free JJ 19261 223 17 from from IN 19261 223 18 food food NN 19261 223 19 , , , 19261 223 20 are be VBP 19261 223 21 readily readily RB 19261 223 22 aspirated aspirate VBN 19261 223 23 through through IN 19261 223 24 a a DT 19261 223 25 drainage drainage NN 19261 223 26 canal canal NN 19261 223 27 , , , 19261 223 28 the the DT 19261 223 29 secretions secretion NNS 19261 223 30 of of IN 19261 223 31 the the DT 19261 223 32 bronchi bronchus NNS 19261 223 33 are be VBP 19261 223 34 often often RB 19261 223 35 thick thick JJ 19261 223 36 and and CC 19261 223 37 mucilaginous mucilaginous JJ 19261 223 38 and and CC 19261 223 39 aspirated aspirate VBN 19261 223 40 with with IN 19261 223 41 difficulty difficulty NN 19261 223 42 . . . 19261 224 1 Further further RB 19261 224 2 - - HYPH 19261 224 3 more more JJR 19261 224 4 , , , 19261 224 5 bronchial bronchial JJ 19261 224 6 secretions secretion NNS 19261 224 7 as as IN 19261 224 8 a a DT 19261 224 9 rule rule NN 19261 224 10 are be VBP 19261 224 11 not not RB 19261 224 12 collected collect VBN 19261 224 13 in in IN 19261 224 14 pools pool NNS 19261 224 15 , , , 19261 224 16 but but CC 19261 224 17 are be VBP 19261 224 18 distributed distribute VBN 19261 224 19 over over IN 19261 224 20 the the DT 19261 224 21 walls wall NNS 19261 224 22 of of IN 19261 224 23 the the DT 19261 224 24 larger large JJR 19261 224 25 bronchi bronchi NNP 19261 224 26 and and CC 19261 224 27 continuously continuously RB 19261 224 28 well well RB 19261 224 29 up up RP 19261 224 30 from from IN 19261 224 31 smaller small JJR 19261 224 32 bronchi bronchi NN 19261 224 33 during during IN 19261 224 34 cough cough NN 19261 224 35 . . . 19261 225 1 The the DT 19261 225 2 aspirating aspirating NN 19261 225 3 bronchoscopes bronchoscope NNS 19261 225 4 should should MD 19261 225 5 be be VB 19261 225 6 used use VBN 19261 225 7 whenever whenever WRB 19261 225 8 their -PRON- PRP$ 19261 225 9 very very RB 19261 225 10 slight slight JJ 19261 225 11 additional additional JJ 19261 225 12 area area NN 19261 225 13 of of IN 19261 225 14 cross cross JJ 19261 225 15 - - NN 19261 225 16 section section NN 19261 225 17 is be VBZ 19261 225 18 unobjectionable unobjectionable JJ 19261 225 19 . . . 19261 226 1 In in IN 19261 226 2 most most JJS 19261 226 3 cases case NNS 19261 226 4 , , , 19261 226 5 however however RB 19261 226 6 , , , 19261 226 7 the the DT 19261 226 8 most most RBS 19261 226 9 advantageous advantageous JJ 19261 226 10 way way NN 19261 226 11 to to TO 19261 226 12 remove remove VB 19261 226 13 bronchial bronchial JJ 19261 226 14 secretion secretion NN 19261 226 15 has have VBZ 19261 226 16 been be VBN 19261 226 17 found find VBN 19261 226 18 to to TO 19261 226 19 be be VB 19261 226 20 by by IN 19261 226 21 introducing introduce VBG 19261 226 22 a a DT 19261 226 23 gauze gauze NN 19261 226 24 swab swab NN 19261 226 25 on on IN 19261 226 26 a a DT 19261 226 27 long long JJ 19261 226 28 sponge sponge JJ 19261 226 29 carrier carrier NN 19261 226 30 ( ( -LRB- 19261 226 31 Fig fig NN 19261 226 32 . . . 19261 227 1 14 14 CD 19261 227 2 ) ) -RRB- 19261 227 3 , , , 19261 227 4 so so IN 19261 227 5 that that IN 19261 227 6 the the DT 19261 227 7 sponge sponge NN 19261 227 8 extends extend VBZ 19261 227 9 beyond beyond IN 19261 227 10 the the DT 19261 227 11 distal distal JJ 19261 227 12 end end NN 19261 227 13 of of IN 19261 227 14 the the DT 19261 227 15 bronchoscope bronchoscope NN 19261 227 16 , , , 19261 227 17 causing cause VBG 19261 227 18 cough cough NN 19261 227 19 . . . 19261 228 1 Then then RB 19261 228 2 withdrawal withdrawal NN 19261 228 3 of of IN 19261 228 4 the the DT 19261 228 5 sponge sponge JJ 19261 228 6 carrier carrier NN 19261 228 7 will will MD 19261 228 8 remove remove VB 19261 228 9 all all DT 19261 228 10 of of IN 19261 228 11 the the DT 19261 228 12 secretion secretion NN 19261 228 13 in in IN 19261 228 14 the the DT 19261 228 15 tube tube NN 19261 228 16 just just RB 19261 228 17 as as IN 19261 228 18 the the DT 19261 228 19 plunger plunger NN 19261 228 20 in in IN 19261 228 21 a a DT 19261 228 22 pump pump NN 19261 228 23 will will MD 19261 228 24 lift lift VB 19261 228 25 all all DT 19261 228 26 of of IN 19261 228 27 the the DT 19261 228 28 water water NN 19261 228 29 above above IN 19261 228 30 it -PRON- PRP 19261 228 31 . . . 19261 229 1 By by IN 19261 229 2 this this DT 19261 229 3 maneuver maneuver NN 19261 229 4 the the DT 19261 229 5 walls wall NNS 19261 229 6 of of IN 19261 229 7 the the DT 19261 229 8 bronchus bronchu NNS 19261 229 9 are be VBP 19261 229 10 wiped wipe VBN 19261 229 11 free free JJ 19261 229 12 from from IN 19261 229 13 secretions secretion NNS 19261 229 14 , , , 19261 229 15 and and CC 19261 229 16 the the DT 19261 229 17 lamp lamp NN 19261 229 18 itself -PRON- PRP 19261 229 19 is be VBZ 19261 229 20 cleansed cleanse VBN 19261 229 21 . . . 19261 230 1 [ [ -LRB- 19261 230 2 FIG FIG NNP 19261 230 3 . . . 19261 231 1 14.--Sponge 14.--sponge CD 19261 231 2 carrier carrier NN 19261 231 3 with with IN 19261 231 4 long long JJ 19261 231 5 collar collar NN 19261 231 6 for for IN 19261 231 7 carrying carry VBG 19261 231 8 the the DT 19261 231 9 small small JJ 19261 231 10 sponges sponge NNS 19261 231 11 shown show VBN 19261 231 12 in in IN 19261 231 13 Fig Fig NNP 19261 231 14 . . . 19261 232 1 15 15 CD 19261 232 2 . . . 19261 233 1 The the DT 19261 233 2 collar collar NN 19261 233 3 screws screw VBZ 19261 233 4 down down RP 19261 233 5 as as IN 19261 233 6 in in IN 19261 233 7 the the DT 19261 233 8 Coolidge Coolidge NNP 19261 233 9 cotton cotton NN 19261 233 10 carrier carrier NN 19261 233 11 . . . 19261 234 1 About about RB 19261 234 2 a a DT 19261 234 3 dozen dozen NN 19261 234 4 of of IN 19261 234 5 these these DT 19261 234 6 are be VBP 19261 234 7 needed need VBN 19261 234 8 and and CC 19261 234 9 they -PRON- PRP 19261 234 10 should should MD 19261 234 11 all all DT 19261 234 12 be be VB 19261 234 13 small small JJ 19261 234 14 enough enough RB 19261 234 15 to to TO 19261 234 16 go go VB 19261 234 17 through through IN 19261 234 18 the the DT 19261 234 19 4 4 CD 19261 234 20 mm mm CD 19261 234 21 . . . 19261 235 1 ( ( -LRB- 19261 235 2 diameter diameter NN 19261 235 3 ) ) -RRB- 19261 235 4 bronchoscope bronchoscope NN 19261 235 5 and and CC 19261 235 6 long long JJ 19261 235 7 enough enough RB 19261 235 8 to to TO 19261 235 9 reach reach VB 19261 235 10 through through IN 19261 235 11 the the DT 19261 235 12 53 53 CD 19261 235 13 cm cm NNS 19261 235 14 . . . 19261 236 1 ( ( -LRB- 19261 236 2 length length NN 19261 236 3 ) ) -RRB- 19261 236 4 esophagoscope esophagoscope NN 19261 236 5 , , , 19261 236 6 so so IN 19261 236 7 that that IN 19261 236 8 one one CD 19261 236 9 set set NN 19261 236 10 will will MD 19261 236 11 do do VB 19261 236 12 for for IN 19261 236 13 all all DT 19261 236 14 tubes tube NNS 19261 236 15 . . . 19261 237 1 The the DT 19261 237 2 schema schema NN 19261 237 3 shows show VBZ 19261 237 4 method method NN 19261 237 5 of of IN 19261 237 6 sponging sponge VBG 19261 237 7 . . . 19261 238 1 The the DT 19261 238 2 carrier carrier NN 19261 238 3 C C NNP 19261 238 4 , , , 19261 238 5 armed arm VBN 19261 238 6 with with IN 19261 238 7 the the DT 19261 238 8 sponge sponge NN 19261 238 9 , , , 19261 238 10 S S NNP 19261 238 11 , , , 19261 238 12 when when WRB 19261 238 13 rotated rotate VBN 19261 238 14 as as IN 19261 238 15 shown show VBN 19261 238 16 by by IN 19261 238 17 the the DT 19261 238 18 dart dart NN 19261 238 19 , , , 19261 238 20 D d NN 19261 238 21 , , , 19261 238 22 wipes wipe NNS 19261 238 23 the the DT 19261 238 24 field field NN 19261 238 25 , , , 19261 238 26 P p NN 19261 238 27 , , , 19261 238 28 at at IN 19261 238 29 the the DT 19261 238 30 same same JJ 19261 238 31 time time NN 19261 238 32 wiping wipe VBG 19261 238 33 the the DT 19261 238 34 lamp lamp NN 19261 238 35 , , , 19261 238 36 L. L. NNP 19261 238 37 The the DT 19261 238 38 lamp lamp NN 19261 238 39 does do VBZ 19261 238 40 not not RB 19261 238 41 need need VB 19261 238 42 ever ever RB 19261 238 43 to to TO 19261 238 44 be be VB 19261 238 45 withdrawn withdraw VBN 19261 238 46 for for IN 19261 238 47 cleaning clean VBG 19261 238 48 during during IN 19261 238 49 bronchoscopy bronchoscopy NN 19261 238 50 . . . 19261 239 1 It -PRON- PRP 19261 239 2 is be VBZ 19261 239 3 protected protect VBN 19261 239 4 in in IN 19261 239 5 a a DT 19261 239 6 recess recess NN 19261 239 7 so so IN 19261 239 8 that that IN 19261 239 9 it -PRON- PRP 19261 239 10 does do VBZ 19261 239 11 not not RB 19261 239 12 catch catch VB 19261 239 13 in in IN 19261 239 14 the the DT 19261 239 15 sponges sponge NNS 19261 239 16 . . . 19261 239 17 ] ] -RRB- 19261 240 1 [ [ -LRB- 19261 240 2 FIG FIG NNP 19261 240 3 15.--Exact 15.--exact CD 19261 240 4 size size NN 19261 240 5 to to IN 19261 240 6 which which WDT 19261 240 7 the the DT 19261 240 8 bandage bandage NN 19261 240 9 - - HYPH 19261 240 10 gauze gauze NN 19261 240 11 is be VBZ 19261 240 12 cut cut VBN 19261 240 13 to to TO 19261 240 14 make make VB 19261 240 15 endoscopic endoscopic JJ 19261 240 16 sponges sponge NNS 19261 240 17 . . . 19261 241 1 Each each DT 19261 241 2 rectangle rectangle NN 19261 241 3 is be VBZ 19261 241 4 the the DT 19261 241 5 size size NN 19261 241 6 for for IN 19261 241 7 the the DT 19261 241 8 tubal tubal JJ 19261 241 9 diameter diameter NN 19261 241 10 given give VBN 19261 241 11 . . . 19261 242 1 The the DT 19261 242 2 dimensions dimension NNS 19261 242 3 of of IN 19261 242 4 the the DT 19261 242 5 respective respective JJ 19261 242 6 rectangles rectangle NNS 19261 242 7 are be VBP 19261 242 8 not not RB 19261 242 9 given give VBN 19261 242 10 because because IN 19261 242 11 it -PRON- PRP 19261 242 12 is be VBZ 19261 242 13 easier easy JJR 19261 242 14 for for IN 19261 242 15 the the DT 19261 242 16 nurse nurse NN 19261 242 17 or or CC 19261 242 18 any any DT 19261 242 19 one one NN 19261 242 20 to to TO 19261 242 21 cut cut VB 19261 242 22 a a DT 19261 242 23 cardboard cardboard NN 19261 242 24 pattern pattern NN 19261 242 25 of of IN 19261 242 26 each each DT 19261 242 27 size size NN 19261 242 28 directly directly RB 19261 242 29 from from IN 19261 242 30 this this DT 19261 242 31 drawing drawing NN 19261 242 32 . . . 19261 243 1 The the DT 19261 243 2 gauze gauze NN 19261 243 3 rectangles rectangle NNS 19261 243 4 are be VBP 19261 243 5 folded fold VBN 19261 243 6 up up RP 19261 243 7 endwise endwise NN 19261 243 8 as as IN 19261 243 9 shown show VBN 19261 243 10 at at IN 19261 243 11 A A NNP 19261 243 12 , , , 19261 243 13 then then RB 19261 243 14 once once RB 19261 243 15 in in IN 19261 243 16 the the DT 19261 243 17 middle middle NN 19261 243 18 as as IN 19261 243 19 at at IN 19261 243 20 B b NN 19261 243 21 , , , 19261 243 22 then then RB 19261 243 23 strung string VBD 19261 243 24 one one CD 19261 243 25 dozen dozen NN 19261 243 26 on on IN 19261 243 27 a a DT 19261 243 28 safety safety NN 19261 243 29 pin pin NN 19261 243 30 . . . 19261 244 1 In in IN 19261 244 2 America America NNP 19261 244 3 gauze gauze NN 19261 244 4 bandages bandage NNS 19261 244 5 run run VBP 19261 244 6 about about IN 19261 244 7 16 16 CD 19261 244 8 threads thread NNS 19261 244 9 to to IN 19261 244 10 the the DT 19261 244 11 centimeter centimeter NN 19261 244 12 . . . 19261 245 1 Different different JJ 19261 245 2 material material NN 19261 245 3 might may MD 19261 245 4 require require VB 19261 245 5 a a DT 19261 245 6 slightly slightly RB 19261 245 7 different different JJ 19261 245 8 size size NN 19261 245 9 and and CC 19261 245 10 the the DT 19261 245 11 pattern pattern NN 19261 245 12 could could MD 19261 245 13 be be VB 19261 245 14 made make VBN 19261 245 15 to to TO 19261 245 16 suit suit VB 19261 245 17 . . . 19261 245 18 ] ] -RRB- 19261 246 1 [ [ -LRB- 19261 246 2 32 32 CD 19261 246 3 ] ] -RRB- 19261 246 4 The the DT 19261 246 5 gauze gauze NN 19261 246 6 sponges sponge NNS 19261 246 7 are be VBP 19261 246 8 made make VBN 19261 246 9 by by IN 19261 246 10 the the DT 19261 246 11 instrument instrument NN 19261 246 12 nurse nurse NN 19261 246 13 as as IN 19261 246 14 directed direct VBN 19261 246 15 in in IN 19261 246 16 Fig Fig NNP 19261 246 17 . . . 19261 247 1 15 15 CD 19261 247 2 , , , 19261 247 3 and and CC 19261 247 4 are be VBP 19261 247 5 strung string VBN 19261 247 6 on on IN 19261 247 7 safety safety NN 19261 247 8 pins pin NNS 19261 247 9 , , , 19261 247 10 wrapped wrap VBN 19261 247 11 in in IN 19261 247 12 paper paper NN 19261 247 13 , , , 19261 247 14 the the DT 19261 247 15 size size NN 19261 247 16 indicated indicate VBN 19261 247 17 by by IN 19261 247 18 a a DT 19261 247 19 figure figure NN 19261 247 20 on on IN 19261 247 21 the the DT 19261 247 22 wrapper wrapper NN 19261 247 23 , , , 19261 247 24 and and CC 19261 247 25 then then RB 19261 247 26 sterilized sterilize VBN 19261 247 27 in in IN 19261 247 28 an an DT 19261 247 29 autoclave autoclave NN 19261 247 30 . . . 19261 248 1 The the DT 19261 248 2 sterile sterile JJ 19261 248 3 packages package NNS 19261 248 4 are be VBP 19261 248 5 opened open VBN 19261 248 6 only only RB 19261 248 7 as as IN 19261 248 8 needed need VBN 19261 248 9 . . . 19261 249 1 These these DT 19261 249 2 " " `` 19261 249 3 bronchoscopic bronchoscopic JJ 19261 249 4 sponges sponge NNS 19261 249 5 " " '' 19261 249 6 are be VBP 19261 249 7 also also RB 19261 249 8 made make VBN 19261 249 9 by by IN 19261 249 10 Johnston Johnston NNP 19261 249 11 and and CC 19261 249 12 Johnston Johnston NNP 19261 249 13 , , , 19261 249 14 of of IN 19261 249 15 New New NNP 19261 249 16 Brunswick Brunswick NNP 19261 249 17 , , , 19261 249 18 N. N. NNP 19261 249 19 J. J. NNP 19261 249 20 and and CC 19261 249 21 are be VBP 19261 249 22 sold sell VBN 19261 249 23 in in IN 19261 249 24 the the DT 19261 249 25 shops shop NNS 19261 249 26 . . . 19261 250 1 _ _ NNP 19261 250 2 Mouth Mouth NNP 19261 250 3 - - HYPH 19261 250 4 gag_.--Wide gag_.--Wide NNP 19261 250 5 gagging gag VBG 19261 250 6 prevents prevent NNS 19261 250 7 proper proper JJ 19261 250 8 exposure exposure NN 19261 250 9 of of IN 19261 250 10 the the DT 19261 250 11 larynx larynx NN 19261 250 12 by by IN 19261 250 13 forcing force VBG 19261 250 14 the the DT 19261 250 15 mandible mandible JJ 19261 250 16 down down RP 19261 250 17 on on IN 19261 250 18 the the DT 19261 250 19 hyoid hyoid NN 19261 250 20 bone bone NN 19261 250 21 . . . 19261 251 1 The the DT 19261 251 2 mouth mouth NN 19261 251 3 should should MD 19261 251 4 be be VB 19261 251 5 gently gently RB 19261 251 6 opened open VBN 19261 251 7 and and CC 19261 251 8 a a DT 19261 251 9 bite bite NN 19261 251 10 block block NN 19261 251 11 ( ( -LRB- 19261 251 12 Fig fig NN 19261 251 13 . . . 19261 252 1 16 16 CD 19261 252 2 ) ) -RRB- 19261 252 3 inserted insert VBN 19261 252 4 between between IN 19261 252 5 the the DT 19261 252 6 teeth tooth NNS 19261 252 7 on on IN 19261 252 8 the the DT 19261 252 9 left left JJ 19261 252 10 side side NN 19261 252 11 of of IN 19261 252 12 the the DT 19261 252 13 patient patient NN 19261 252 14 's 's POS 19261 252 15 mouth mouth NN 19261 252 16 , , , 19261 252 17 to to TO 19261 252 18 prevent prevent VB 19261 252 19 closing closing NN 19261 252 20 of of IN 19261 252 21 the the DT 19261 252 22 jaws jaw NNS 19261 252 23 on on IN 19261 252 24 the the DT 19261 252 25 delicate delicate JJ 19261 252 26 bronchoscope bronchoscope NN 19261 252 27 or or CC 19261 252 28 esophagoscope esophagoscope NN 19261 252 29 . . . 19261 253 1 [ [ -LRB- 19261 253 2 FIG FIG NNP 19261 253 3 . . . 19261 254 1 16.--Bite 16.--bite CD 19261 254 2 block block NN 19261 254 3 to to TO 19261 254 4 be be VB 19261 254 5 inserted insert VBN 19261 254 6 between between IN 19261 254 7 the the DT 19261 254 8 teeth tooth NNS 19261 254 9 to to TO 19261 254 10 prevent prevent VB 19261 254 11 closure closure NN 19261 254 12 of of IN 19261 254 13 the the DT 19261 254 14 jaws jaw NNS 19261 254 15 on on IN 19261 254 16 the the DT 19261 254 17 endoscopic endoscopic JJ 19261 254 18 tube tube NN 19261 254 19 . . . 19261 255 1 This this DT 19261 255 2 is be VBZ 19261 255 3 the the DT 19261 255 4 McKee McKee NNP 19261 255 5 - - HYPH 19261 255 6 McCready McCready NNP 19261 255 7 modification modification NN 19261 255 8 of of IN 19261 255 9 the the DT 19261 255 10 Boyce Boyce NNP 19261 255 11 thimble thimble NN 19261 255 12 with with IN 19261 255 13 the the DT 19261 255 14 omission omission NN 19261 255 15 of of IN 19261 255 16 the the DT 19261 255 17 etherizing etherizing NN 19261 255 18 tube tube NN 19261 255 19 , , , 19261 255 20 which which WDT 19261 255 21 is be VBZ 19261 255 22 no no DT 19261 255 23 longer long RBR 19261 255 24 needed need VBN 19261 255 25 . . . 19261 256 1 The the DT 19261 256 2 block block NN 19261 256 3 has have VBZ 19261 256 4 been be VBN 19261 256 5 improved improve VBN 19261 256 6 by by IN 19261 256 7 Dr. Dr. NNP 19261 256 8 W. W. NNP 19261 256 9 F. F. NNP 19261 256 10 Moore Moore NNP 19261 256 11 of of IN 19261 256 12 the the DT 19261 256 13 Bronchoscopic Bronchoscopic NNP 19261 256 14 Clinic Clinic NNP 19261 256 15 . . . 19261 256 16 ] ] -RRB- 19261 257 1 _ _ NNP 19261 257 2 Forceps_.--Delicacy forceps_.--delicacy NN 19261 257 3 of of IN 19261 257 4 touch touch NN 19261 257 5 and and CC 19261 257 6 manipulation manipulation NN 19261 257 7 are be VBP 19261 257 8 an an DT 19261 257 9 absolute absolute JJ 19261 257 10 necessity necessity NN 19261 257 11 if if IN 19261 257 12 the the DT 19261 257 13 endoscopist endoscopist NN 19261 257 14 is be VBZ 19261 257 15 to to TO 19261 257 16 avoid avoid VB 19261 257 17 mortality mortality NN 19261 257 18 ; ; : 19261 257 19 therefore therefore RB 19261 257 20 , , , 19261 257 21 heavily heavily RB 19261 257 22 built build VBN 19261 257 23 and and CC 19261 257 24 spring spring NN 19261 257 25 - - HYPH 19261 257 26 opposed oppose VBN 19261 257 27 forceps forceps NNS 19261 257 28 are be VBP 19261 257 29 dangerous dangerous JJ 19261 257 30 as as RB 19261 257 31 well well RB 19261 257 32 as as IN 19261 257 33 useless useless JJ 19261 257 34 . . . 19261 258 1 For for IN 19261 258 2 foreign foreign JJ 19261 258 3 - - HYPH 19261 258 4 body body NN 19261 258 5 work work NN 19261 258 6 in in IN 19261 258 7 the the DT 19261 258 8 larynx larynx NN 19261 258 9 , , , 19261 258 10 and and CC 19261 258 11 for for IN 19261 258 12 the the DT 19261 258 13 removal removal NN 19261 258 14 of of IN 19261 258 15 benign benign JJ 19261 258 16 laryngeal laryngeal NN 19261 258 17 growths growth NNS 19261 258 18 , , , 19261 258 19 the the DT 19261 258 20 alligator alligator NN 19261 258 21 forceps forcep VBN 19261 258 22 with with IN 19261 258 23 roughened roughen VBN 19261 258 24 jaws jaw NNS 19261 258 25 shown show VBN 19261 258 26 in in IN 19261 258 27 Fig Fig NNP 19261 258 28 . . . 19261 259 1 17 17 CD 19261 259 2 serve serve VBP 19261 259 3 every every DT 19261 259 4 purpose purpose NN 19261 259 5 . . . 19261 260 1 [ [ -LRB- 19261 260 2 FIG FIG NNP 19261 260 3 . . . 19261 261 1 17.--Laryngeal 17.--laryngeal CD 19261 261 2 grasping grasp VBG 19261 261 3 forceps forceps NNS 19261 261 4 designed design VBN 19261 261 5 by by IN 19261 261 6 Mosher Mosher NNP 19261 261 7 . . . 19261 262 1 For for IN 19261 262 2 my -PRON- PRP$ 19261 262 3 own own JJ 19261 262 4 use use NN 19261 262 5 I -PRON- PRP 19261 262 6 have have VBP 19261 262 7 taken take VBN 19261 262 8 off off RP 19261 262 9 the the DT 19261 262 10 ratchet ratchet NN 19261 262 11 - - HYPH 19261 262 12 locking lock VBG 19261 262 13 device device NN 19261 262 14 for for IN 19261 262 15 all all DT 19261 262 16 general general JJ 19261 262 17 work work NN 19261 262 18 , , , 19261 262 19 to to TO 19261 262 20 be be VB 19261 262 21 reapplied reapplie VBN 19261 262 22 on on IN 19261 262 23 the the DT 19261 262 24 rare rare JJ 19261 262 25 occasions occasion NNS 19261 262 26 when when WRB 19261 262 27 it -PRON- PRP 19261 262 28 is be VBZ 19261 262 29 required require VBN 19261 262 30 . . . 19261 262 31 ] ] -RRB- 19261 263 1 _ _ NNP 19261 263 2 Bronchoscopic Bronchoscopic NNP 19261 263 3 and and CC 19261 263 4 esophagoscopic esophagoscopic NNP 19261 263 5 grasping grasping NNP 19261 263 6 forceps forceps NNP 19261 263 7 _ _ NNP 19261 263 8 are be VBP 19261 263 9 of of IN 19261 263 10 the the DT 19261 263 11 tubular tubular JJ 19261 263 12 type type NN 19261 263 13 , , , 19261 263 14 that that RB 19261 263 15 is is RB 19261 263 16 , , , 19261 263 17 a a DT 19261 263 18 stylet stylet NN 19261 263 19 carrying carry VBG 19261 263 20 the the DT 19261 263 21 jaws jaws NNP 19261 263 22 works work VBZ 19261 263 23 in in IN 19261 263 24 a a DT 19261 263 25 slender slender NN 19261 263 26 tube tube NN 19261 263 27 so so IN 19261 263 28 that that IN 19261 263 29 traction traction NN 19261 263 30 on on IN 19261 263 31 the the DT 19261 263 32 stylet stylet NN 19261 263 33 draws draw VBZ 19261 263 34 the the DT 19261 263 35 V v NN 19261 263 36 of of IN 19261 263 37 the the DT 19261 263 38 open open JJ 19261 263 39 jaws jaw NNS 19261 263 40 into into IN 19261 263 41 the the DT 19261 263 42 lumen luman NNS 19261 263 43 of of IN 19261 263 44 the the DT 19261 263 45 tube tube NN 19261 263 46 , , , 19261 263 47 thus thus RB 19261 263 48 causing cause VBG 19261 263 49 the the DT 19261 263 50 blades blade NNS 19261 263 51 to to TO 19261 263 52 approximate approximate VB 19261 263 53 . . . 19261 264 1 They -PRON- PRP 19261 264 2 are be VBP 19261 264 3 very very RB 19261 264 4 delicate delicate JJ 19261 264 5 and and CC 19261 264 6 light light JJ 19261 264 7 , , , 19261 264 8 yet yet CC 19261 264 9 have have VBP 19261 264 10 great great JJ 19261 264 11 grasping grasping NN 19261 264 12 power power NN 19261 264 13 and and CC 19261 264 14 will will MD 19261 264 15 sustain sustain VB 19261 264 16 any any DT 19261 264 17 degree degree NN 19261 264 18 of of IN 19261 264 19 traction traction NN 19261 264 20 that that IN 19261 264 21 it -PRON- PRP 19261 264 22 is be VBZ 19261 264 23 safe safe JJ 19261 264 24 to to TO 19261 264 25 exert exert VB 19261 264 26 . . . 19261 265 1 They -PRON- PRP 19261 265 2 permit permit VBP 19261 265 3 of of IN 19261 265 4 the the DT 19261 265 5 delicacy delicacy NN 19261 265 6 of of IN 19261 265 7 touch touch NN 19261 265 8 of of IN 19261 265 9 a a DT 19261 265 10 violin violin NN 19261 265 11 bow bow NN 19261 265 12 . . . 19261 266 1 The the DT 19261 266 2 two two CD 19261 266 3 types type NNS 19261 266 4 of of IN 19261 266 5 jaws jaw NNS 19261 266 6 most most RBS 19261 266 7 frequently frequently RB 19261 266 8 used use VBN 19261 266 9 , , , 19261 266 10 are be VBP 19261 266 11 those those DT 19261 266 12 with with IN 19261 266 13 the the DT 19261 266 14 forward forward RB 19261 266 15 - - HYPH 19261 266 16 grasping grasping NN 19261 266 17 blades blade NNS 19261 266 18 shown show VBN 19261 266 19 in in IN 19261 266 20 Fig Fig NNP 19261 266 21 . . . 19261 267 1 18 18 CD 19261 267 2 , , , 19261 267 3 and and CC 19261 267 4 those those DT 19261 267 5 having have VBG 19261 267 6 side side NN 19261 267 7 - - HYPH 19261 267 8 grasping grasp VBG 19261 267 9 blades blade NNS 19261 267 10 shown show VBN 19261 267 11 in in IN 19261 267 12 Fig Fig NNP 19261 267 13 . . . 19261 268 1 19 19 CD 19261 268 2 . . . 19261 269 1 The the DT 19261 269 2 side side NN 19261 269 3 - - HYPH 19261 269 4 curved curve VBN 19261 269 5 forceps forceps NNS 19261 269 6 are be VBP 19261 269 7 perhaps perhaps RB 19261 269 8 the the DT 19261 269 9 most most RBS 19261 269 10 generally generally RB 19261 269 11 useful useful JJ 19261 269 12 of of IN 19261 269 13 all all PDT 19261 269 14 the the DT 19261 269 15 endoscopic endoscopic NNP 19261 269 16 forceps forceps NNPS 19261 269 17 ; ; : 19261 269 18 the the DT 19261 269 19 side side NN 19261 269 20 projection projection NN 19261 269 21 of of IN 19261 269 22 the the DT 19261 269 23 jaws jaw NNS 19261 269 24 makes make VBZ 19261 269 25 them -PRON- PRP 19261 269 26 readily readily RB 19261 269 27 visible visible JJ 19261 269 28 during during IN 19261 269 29 their -PRON- PRP$ 19261 269 30 closure closure NN 19261 269 31 on on IN 19261 269 32 an an DT 19261 269 33 object object NN 19261 269 34 ; ; : 19261 269 35 their -PRON- PRP$ 19261 269 36 broader broad JJR 19261 269 37 grasp grasp NN 19261 269 38 is be VBZ 19261 269 39 also also RB 19261 269 40 an an DT 19261 269 41 advantage advantage NN 19261 269 42 . . . 19261 269 43 , , , 19261 269 44 The the DT 19261 269 45 projection projection NN 19261 269 46 of of IN 19261 269 47 the the DT 19261 269 48 blades blade NNS 19261 269 49 in in IN 19261 269 50 the the DT 19261 269 51 side side NN 19261 269 52 - - HYPH 19261 269 53 curved curved JJ 19261 269 54 grasping grasping NN 19261 269 55 forceps forceps NNP 19261 269 56 should should MD 19261 269 57 always always RB 19261 269 58 be be VB 19261 269 59 directed direct VBN 19261 269 60 toward toward IN 19261 269 61 the the DT 19261 269 62 left left NN 19261 269 63 . . . 19261 270 1 If if IN 19261 270 2 it -PRON- PRP 19261 270 3 is be VBZ 19261 270 4 desired desire VBN 19261 270 5 that that IN 19261 270 6 they -PRON- PRP 19261 270 7 open open VBP 19261 270 8 in in IN 19261 270 9 another another DT 19261 270 10 direction direction NN 19261 270 11 this this DT 19261 270 12 should should MD 19261 270 13 be be VB 19261 270 14 accomplished accomplish VBN 19261 270 15 by by IN 19261 270 16 turning turn VBG 19261 270 17 the the DT 19261 270 18 handle handle NN 19261 270 19 and and CC 19261 270 20 not not RB 19261 270 21 by by IN 19261 270 22 adjusting adjust VBG 19261 270 23 the the DT 19261 270 24 blade blade NN 19261 270 25 itself -PRON- PRP 19261 270 26 . . . 19261 271 1 If if IN 19261 271 2 this this DT 19261 271 3 rule rule NN 19261 271 4 be be VB 19261 271 5 followed follow VBN 19261 271 6 it -PRON- PRP 19261 271 7 will will MD 19261 271 8 always always RB 19261 271 9 be be VB 19261 271 10 possible possible JJ 19261 271 11 to to TO 19261 271 12 tell tell VB 19261 271 13 by by IN 19261 271 14 the the DT 19261 271 15 position position NN 19261 271 16 of of IN 19261 271 17 the the DT 19261 271 18 handle handle NN 19261 271 19 exactly exactly RB 19261 271 20 where where WRB 19261 271 21 the the DT 19261 271 22 blades blade NNS 19261 271 23 are be VBP 19261 271 24 situated situate VBN 19261 271 25 ; ; : 19261 271 26 whereas whereas IN 19261 271 27 , , , 19261 271 28 if if IN 19261 271 29 the the DT 19261 271 30 jaws jaw NNS 19261 271 31 themselves -PRON- PRP 19261 271 32 are be VBP 19261 271 33 turned turn VBN 19261 271 34 , , , 19261 271 35 confusion confusion NN 19261 271 36 is be VBZ 19261 271 37 sure sure JJ 19261 271 38 to to TO 19261 271 39 result result VB 19261 271 40 . . . 19261 272 1 The the DT 19261 272 2 forward forward RB 19261 272 3 - - HYPH 19261 272 4 grasping grasp VBG 19261 272 5 forceps forceps NNS 19261 272 6 are be VBP 19261 272 7 always always RB 19261 272 8 so so RB 19261 272 9 adjusted adjusted JJ 19261 272 10 that that IN 19261 272 11 the the DT 19261 272 12 jaws jaw NNS 19261 272 13 open open JJ 19261 272 14 in in IN 19261 272 15 an an DT 19261 272 16 up up JJ 19261 272 17 - - HYPH 19261 272 18 and and CC 19261 272 19 - - HYPH 19261 272 20 down down NN 19261 272 21 direction direction NN 19261 272 22 . . . 19261 273 1 On on IN 19261 273 2 rare rare JJ 19261 273 3 occasions occasion NNS 19261 273 4 it -PRON- PRP 19261 273 5 may may MD 19261 273 6 be be VB 19261 273 7 deemed deem VBN 19261 273 8 desirable desirable JJ 19261 273 9 to to TO 19261 273 10 turn turn VB 19261 273 11 the the DT 19261 273 12 stylet stylet NN 19261 273 13 of of IN 19261 273 14 either either DT 19261 273 15 forceps forceps NNS 19261 273 16 in in IN 19261 273 17 some some DT 19261 273 18 other other JJ 19261 273 19 direction direction NN 19261 273 20 relative relative JJ 19261 273 21 to to IN 19261 273 22 the the DT 19261 273 23 handle handle NN 19261 273 24 . . . 19261 274 1 [ [ -LRB- 19261 274 2 FIG FIG NNP 19261 274 3 . . . 19261 275 1 18.--The 18.--the CD 19261 275 2 author author NN 19261 275 3 's 's POS 19261 275 4 forward forward RB 19261 275 5 grasping grasp VBG 19261 275 6 tube tube NN 19261 275 7 forceps forceps NNP 19261 275 8 . . . 19261 276 1 The the DT 19261 276 2 handle handle NN 19261 276 3 mechanism mechanism NN 19261 276 4 is be VBZ 19261 276 5 so so RB 19261 276 6 simple simple JJ 19261 276 7 and and CC 19261 276 8 delicate delicate JJ 19261 276 9 that that IN 19261 276 10 the the DT 19261 276 11 most most RBS 19261 276 12 exquisite exquisite JJ 19261 276 13 delicacy delicacy NN 19261 276 14 of of IN 19261 276 15 touch touch NN 19261 276 16 is be VBZ 19261 276 17 possible possible JJ 19261 276 18 . . . 19261 277 1 Two two CD 19261 277 2 locknuts locknut NNS 19261 277 3 and and CC 19261 277 4 a a DT 19261 277 5 thumbscrew thumbscrew NN 19261 277 6 take take VB 19261 277 7 up up RP 19261 277 8 all all DT 19261 277 9 lost lose VBN 19261 277 10 motion motion NN 19261 277 11 yet yet CC 19261 277 12 afford afford VB 19261 277 13 perfect perfect JJ 19261 277 14 adjustability adjustability NN 19261 277 15 and and CC 19261 277 16 easy easy JJ 19261 277 17 separation separation NN 19261 277 18 for for IN 19261 277 19 cleansing cleanse VBG 19261 277 20 . . . 19261 278 1 At at IN 19261 278 2 A a NN 19261 278 3 is be VBZ 19261 278 4 shown show VBN 19261 278 5 a a DT 19261 278 6 small small JJ 19261 278 7 clip clip NN 19261 278 8 for for IN 19261 278 9 keeping keep VBG 19261 278 10 the the DT 19261 278 11 jaws jaw NNS 19261 278 12 together together RB 19261 278 13 to to TO 19261 278 14 prevent prevent VB 19261 278 15 injurious injurious JJ 19261 278 16 bending bending NN 19261 278 17 in in IN 19261 278 18 the the DT 19261 278 19 sterilizer sterilizer NN 19261 278 20 , , , 19261 278 21 or or CC 19261 278 22 carrying carry VBG 19261 278 23 case case NN 19261 278 24 . . . 19261 279 1 At at IN 19261 279 2 the the DT 19261 279 3 left left NN 19261 279 4 is be VBZ 19261 279 5 shown show VBN 19261 279 6 a a DT 19261 279 7 handle handle NN 19261 279 8 - - HYPH 19261 279 9 clamp clamp NN 19261 279 10 for for IN 19261 279 11 locking lock VBG 19261 279 12 the the DT 19261 279 13 forceps forceps NNS 19261 279 14 on on IN 19261 279 15 a a DT 19261 279 16 foreign foreign JJ 19261 279 17 body body NN 19261 279 18 in in IN 19261 279 19 the the DT 19261 279 20 solution solution NN 19261 279 21 of of IN 19261 279 22 certain certain JJ 19261 279 23 rarely rarely RB 19261 279 24 encountered encounter VBN 19261 279 25 mechanical mechanical JJ 19261 279 26 problems problem NNS 19261 279 27 . . . 19261 280 1 The the DT 19261 280 2 jaws jaw NNS 19261 280 3 are be VBP 19261 280 4 serrated serrated JJ 19261 280 5 and and CC 19261 280 6 cupped cup VBN 19261 280 7 . . . 19261 280 8 ] ] -RRB- 19261 281 1 [ [ -LRB- 19261 281 2 FIG FIG NNP 19261 281 3 . . . 19261 282 1 19.--Jaws 19.--jaw NNS 19261 282 2 of of IN 19261 282 3 the the DT 19261 282 4 author author NN 19261 282 5 's 's POS 19261 282 6 side side NN 19261 282 7 - - HYPH 19261 282 8 curved curved JJ 19261 282 9 endoscopic endoscopic NNP 19261 282 10 forceps forceps NNS 19261 282 11 . . . 19261 283 1 These these DT 19261 283 2 work work VBP 19261 283 3 as as IN 19261 283 4 shown show VBN 19261 283 5 in in IN 19261 283 6 the the DT 19261 283 7 preceding precede VBG 19261 283 8 illustration illustration NN 19261 283 9 , , , 19261 283 10 each each DT 19261 283 11 forceps forceps NNS 19261 283 12 having have VBG 19261 283 13 its -PRON- PRP$ 19261 283 14 own own JJ 19261 283 15 handle handle NN 19261 283 16 and and CC 19261 283 17 tube tube VB 19261 283 18 . . . 19261 284 1 Originally originally RB 19261 284 2 the the DT 19261 284 3 end end NN 19261 284 4 of of IN 19261 284 5 the the DT 19261 284 6 cannula cannula NN 19261 284 7 and and CC 19261 284 8 stylet stylet NN 19261 284 9 were be VBD 19261 284 10 squared square VBN 19261 284 11 to to TO 19261 284 12 prevent prevent VB 19261 284 13 rotation rotation NN 19261 284 14 of of IN 19261 284 15 the the DT 19261 284 16 jaws jaw NNS 19261 284 17 in in IN 19261 284 18 the the DT 19261 284 19 cannula cannula NN 19261 284 20 . . . 19261 285 1 This this DT 19261 285 2 was be VBD 19261 285 3 found find VBN 19261 285 4 to to TO 19261 285 5 be be VB 19261 285 6 unnecessary unnecessary JJ 19261 285 7 with with IN 19261 285 8 properly properly RB 19261 285 9 shaped shape VBN 19261 285 10 jaws jaw NNS 19261 285 11 , , , 19261 285 12 which which WDT 19261 285 13 wedge wedge VBP 19261 285 14 tightly tightly RB 19261 285 15 . . . 19261 285 16 ] ] -RRB- 19261 286 1 _ _ NNP 19261 286 2 Rotation Rotation NNP 19261 286 3 Forceps_.--It Forceps_.--It NNP 19261 286 4 is be VBZ 19261 286 5 sometimes sometimes RB 19261 286 6 desired desire VBN 19261 286 7 to to TO 19261 286 8 make make VB 19261 286 9 traction traction NN 19261 286 10 on on IN 19261 286 11 an an DT 19261 286 12 irregularly irregularly RB 19261 286 13 shaped shape VBN 19261 286 14 foreign foreign JJ 19261 286 15 body body NN 19261 286 16 , , , 19261 286 17 and and CC 19261 286 18 yet yet RB 19261 286 19 to to TO 19261 286 20 allow allow VB 19261 286 21 the the DT 19261 286 22 object object NN 19261 286 23 to to TO 19261 286 24 turn turn VB 19261 286 25 into into IN 19261 286 26 the the DT 19261 286 27 line line NN 19261 286 28 of of IN 19261 286 29 least least JJS 19261 286 30 resistance resistance NN 19261 286 31 while while IN 19261 286 32 traction traction NN 19261 286 33 is be VBZ 19261 286 34 being be VBG 19261 286 35 made make VBN 19261 286 36 . . . 19261 287 1 This this DT 19261 287 2 can can MD 19261 287 3 be be VB 19261 287 4 accomplished accomplish VBN 19261 287 5 by by IN 19261 287 6 the the DT 19261 287 7 use use NN 19261 287 8 of of IN 19261 287 9 the the DT 19261 287 10 rotation rotation NN 19261 287 11 forceps forceps NNS 19261 287 12 ( ( -LRB- 19261 287 13 Fig fig NN 19261 287 14 . . . 19261 288 1 20 20 CD 19261 288 2 ) ) -RRB- 19261 288 3 , , , 19261 288 4 which which WDT 19261 288 5 have have VBP 19261 288 6 for for IN 19261 288 7 blades blade NNS 19261 288 8 two two CD 19261 288 9 pointed pointed JJ 19261 288 10 hooks hook NNS 19261 288 11 that that WDT 19261 288 12 meet meet VBP 19261 288 13 at at IN 19261 288 14 their -PRON- PRP$ 19261 288 15 points point NNS 19261 288 16 and and CC 19261 288 17 do do VBP 19261 288 18 not not RB 19261 288 19 overlap overlap VB 19261 288 20 . . . 19261 289 1 Rotation rotation NN 19261 289 2 forceps forceps NNP 19261 289 3 made make VBN 19261 289 4 on on IN 19261 289 5 the the DT 19261 289 6 model model NN 19261 289 7 of of IN 19261 289 8 the the DT 19261 289 9 laryngeal laryngeal NN 19261 289 10 grasping grasp VBG 19261 289 11 forceps forceps NNP 19261 289 12 , , , 19261 289 13 but but CC 19261 289 14 having have VBG 19261 289 15 opposing oppose VBG 19261 289 16 points point NNS 19261 289 17 at at IN 19261 289 18 the the DT 19261 289 19 end end NN 19261 289 20 of of IN 19261 289 21 the the DT 19261 289 22 blades blade NNS 19261 289 23 , , , 19261 289 24 are be VBP 19261 289 25 sometimes sometimes RB 19261 289 26 very very RB 19261 289 27 useful useful JJ 19261 289 28 for for IN 19261 289 29 the the DT 19261 289 30 removal removal NN 19261 289 31 of of IN 19261 289 32 irregular irregular JJ 19261 289 33 foreign foreign JJ 19261 289 34 bodies body NNS 19261 289 35 in in IN 19261 289 36 the the DT 19261 289 37 larynx larynx NN 19261 289 38 , , , 19261 289 39 or or CC 19261 289 40 when when WRB 19261 289 41 used use VBN 19261 289 42 through through IN 19261 289 43 the the DT 19261 289 44 esophageal esophageal JJ 19261 289 45 speculum speculum NN 19261 289 46 they -PRON- PRP 19261 289 47 are be VBP 19261 289 48 of of IN 19261 289 49 great great JJ 19261 289 50 service service NN 19261 289 51 in in IN 19261 289 52 the the DT 19261 289 53 extraction extraction NN 19261 289 54 of of IN 19261 289 55 such such JJ 19261 289 56 objects object NNS 19261 289 57 as as IN 19261 289 58 bones bone NNS 19261 289 59 , , , 19261 289 60 pin pin NN 19261 289 61 - - HYPH 19261 289 62 buttons button NNS 19261 289 63 , , , 19261 289 64 and and CC 19261 289 65 tooth tooth NN 19261 289 66 - - HYPH 19261 289 67 plates plate NNS 19261 289 68 , , , 19261 289 69 from from IN 19261 289 70 the the DT 19261 289 71 upper upper JJ 19261 289 72 esophagus esophagus NN 19261 289 73 . . . 19261 290 1 These these DT 19261 290 2 forceps forceps NNS 19261 290 3 are be VBP 19261 290 4 termed term VBN 19261 290 5 laryngeal laryngeal JJ 19261 290 6 rotation rotation NN 19261 290 7 forceps forceps NNP 19261 290 8 ( ( -LRB- 19261 290 9 Fig fig NN 19261 290 10 . . . 19261 291 1 31 31 CD 19261 291 2 ) ) -RRB- 19261 291 3 . . . 19261 292 1 All all PDT 19261 292 2 the the DT 19261 292 3 various various JJ 19261 292 4 forms form NNS 19261 292 5 of of IN 19261 292 6 forceps forceps NNS 19261 292 7 are be VBP 19261 292 8 made make VBN 19261 292 9 in in IN 19261 292 10 a a DT 19261 292 11 very very RB 19261 292 12 delicate delicate JJ 19261 292 13 size size NN 19261 292 14 often often RB 19261 292 15 called call VBD 19261 292 16 the the DT 19261 292 17 " " `` 19261 292 18 mosquito mosquito NNP 19261 292 19 " " '' 19261 292 20 or or CC 19261 292 21 " " `` 19261 292 22 extra extra JJ 19261 292 23 light light NN 19261 292 24 " " '' 19261 292 25 forceps forceps NNS 19261 292 26 , , , 19261 292 27 40 40 CD 19261 292 28 cm cm NNS 19261 292 29 . . . 19261 293 1 in in IN 19261 293 2 length length NN 19261 293 3 , , , 19261 293 4 for for IN 19261 293 5 use use NN 19261 293 6 in in IN 19261 293 7 the the DT 19261 293 8 4 4 CD 19261 293 9 mm mm CD 19261 293 10 . . . 19261 294 1 and and CC 19261 294 2 the the DT 19261 294 3 5 5 CD 19261 294 4 mm mm CD 19261 294 5 . . . 19261 295 1 bronchoscopes bronchoscope NNS 19261 295 2 . . . 19261 296 1 For for IN 19261 296 2 the the DT 19261 296 3 5 5 CD 19261 296 4 mm mm CD 19261 296 5 . . . 19261 297 1 bronchoscopes bronchoscopes NNP 19261 297 2 heavier heavier RBR 19261 297 3 forceps forceps NNP 19261 297 4 of of IN 19261 297 5 the the DT 19261 297 6 40 40 CD 19261 297 7 cm cm NNS 19261 297 8 . . . 19261 298 1 length length NN 19261 298 2 are be VBP 19261 298 3 made make VBN 19261 298 4 . . . 19261 299 1 For for IN 19261 299 2 the the DT 19261 299 3 larger large JJR 19261 299 4 tubes tube NNS 19261 299 5 the the DT 19261 299 6 forceps forceps NNS 19261 299 7 are be VBP 19261 299 8 made make VBN 19261 299 9 in in IN 19261 299 10 45 45 CD 19261 299 11 cm cm NNS 19261 299 12 . . NNP 19261 299 13 , , , 19261 299 14 50 50 CD 19261 299 15 cm cm NNS 19261 299 16 . . NNP 19261 299 17 , , , 19261 299 18 and and CC 19261 299 19 60 60 CD 19261 299 20 cm cm NNS 19261 299 21 . . . 19261 300 1 lengths length NNS 19261 300 2 . . . 19261 301 1 A a DT 19261 301 2 square square JJ 19261 301 3 - - HYPH 19261 301 4 cannula cannula NN 19261 301 5 forceps forceps NNS 19261 301 6 to to TO 19261 301 7 prevent prevent VB 19261 301 8 turning turning NN 19261 301 9 of of IN 19261 301 10 the the DT 19261 301 11 jaws jaw NNS 19261 301 12 was be VBD 19261 301 13 at at IN 19261 301 14 one one CD 19261 301 15 time time NN 19261 301 16 used use VBN 19261 301 17 by by IN 19261 301 18 the the DT 19261 301 19 author author NN 19261 301 20 but but CC 19261 301 21 it -PRON- PRP 19261 301 22 has have VBZ 19261 301 23 since since IN 19261 301 24 been be VBN 19261 301 25 found find VBN 19261 301 26 that that IN 19261 301 27 round round JJ 19261 301 28 cannula cannula NN 19261 301 29 pattern pattern NN 19261 301 30 serves serve VBZ 19261 301 31 all all DT 19261 301 32 purposes purpose NNS 19261 301 33 . . . 19261 302 1 [ [ -LRB- 19261 302 2 FIG FIG NNP 19261 302 3 . . . 19261 303 1 20.--The 20.--the CD 19261 303 2 author author NN 19261 303 3 's 's POS 19261 303 4 rotation rotation NN 19261 303 5 forceps forceps NNP 19261 303 6 . . . 19261 304 1 Useful useful JJ 19261 304 2 to to TO 19261 304 3 allow allow VB 19261 304 4 turning turning NN 19261 304 5 of of IN 19261 304 6 an an DT 19261 304 7 irregular irregular JJ 19261 304 8 foreign foreign JJ 19261 304 9 body body NN 19261 304 10 to to IN 19261 304 11 a a DT 19261 304 12 safer safe JJR 19261 304 13 relation relation NN 19261 304 14 for for IN 19261 304 15 withdrawal withdrawal NN 19261 304 16 and and CC 19261 304 17 for for IN 19261 304 18 the the DT 19261 304 19 esophagoscopic esophagoscopic JJ 19261 304 20 removal removal NN 19261 304 21 of of IN 19261 304 22 safety safety NN 19261 304 23 pins pin NNS 19261 304 24 by by IN 19261 304 25 the the DT 19261 304 26 method method NN 19261 304 27 of of IN 19261 304 28 pushing push VBG 19261 304 29 them -PRON- PRP 19261 304 30 into into IN 19261 304 31 the the DT 19261 304 32 stomach stomach NN 19261 304 33 , , , 19261 304 34 turning turning NN 19261 304 35 and and CC 19261 304 36 withdrawal withdrawal NN 19261 304 37 , , , 19261 304 38 spring spring VB 19261 304 39 up up RP 19261 304 40 . . . 19261 304 41 ] ] -RRB- 19261 305 1 _ _ NNP 19261 305 2 Upper Upper NNP 19261 305 3 - - HYPH 19261 305 4 lobe lobe NNP 19261 305 5 - - HYPH 19261 305 6 bronchus bronchus NN 19261 305 7 Forceps_.--Foreign forceps_.--foreign NN 19261 305 8 bodies body NNS 19261 305 9 rarely rarely RB 19261 305 10 lodge lodge VBP 19261 305 11 in in IN 19261 305 12 an an DT 19261 305 13 upper upper JJ 19261 305 14 - - HYPH 19261 305 15 lobe lobe NN 19261 305 16 bronchus bronchus NN 19261 305 17 , , , 19261 305 18 yet yet CC 19261 305 19 with with IN 19261 305 20 such such PDT 19261 305 21 a a DT 19261 305 22 problem problem NN 19261 305 23 it -PRON- PRP 19261 305 24 is be VBZ 19261 305 25 necessary necessary JJ 19261 305 26 to to TO 19261 305 27 have have VB 19261 305 28 forceps forceps NNS 19261 305 29 that that WDT 19261 305 30 will will MD 19261 305 31 reach reach VB 19261 305 32 around around IN 19261 305 33 a a DT 19261 305 34 corner corner NN 19261 305 35 . . . 19261 306 1 The the DT 19261 306 2 upper upper JJ 19261 306 3 - - HYPH 19261 306 4 lobe lobe NN 19261 306 5 - - HYPH 19261 306 6 bronchus bronchus NN 19261 306 7 forceps forceps NNP 19261 306 8 shown show VBN 19261 306 9 in in IN 19261 306 10 Fig Fig NNP 19261 306 11 . . . 19261 307 1 27 27 CD 19261 307 2 have have VBP 19261 307 3 curved curve VBN 19261 307 4 jaws jaw NNS 19261 307 5 so so RB 19261 307 6 made make VBN 19261 307 7 as as IN 19261 307 8 to to TO 19261 307 9 straighten straighten VB 19261 307 10 out out RP 19261 307 11 while while IN 19261 307 12 passing pass VBG 19261 307 13 through through IN 19261 307 14 the the DT 19261 307 15 bronchoscope bronchoscope NN 19261 307 16 and and CC 19261 307 17 to to TO 19261 307 18 spring spring VB 19261 307 19 back back RB 19261 307 20 into into IN 19261 307 21 their -PRON- PRP$ 19261 307 22 original original JJ 19261 307 23 shape shape NN 19261 307 24 on on IN 19261 307 25 up up RB 19261 307 26 from from IN 19261 307 27 the the DT 19261 307 28 lower low JJR 19261 307 29 jaw jaw NN 19261 307 30 emerging emerge VBG 19261 307 31 from from IN 19261 307 32 the the DT 19261 307 33 distal distal JJ 19261 307 34 end end NN 19261 307 35 of of IN 19261 307 36 the the DT 19261 307 37 bronchoscopic bronchoscopic NNP 19261 307 38 tube tube NNP 19261 307 39 , , , 19261 307 40 the the DT 19261 307 41 radius radius NN 19261 307 42 of of IN 19261 307 43 curvature curvature JJ 19261 307 44 being be VBG 19261 307 45 regulated regulate VBN 19261 307 46 by by IN 19261 307 47 the the DT 19261 307 48 extent extent NN 19261 307 49 of of IN 19261 307 50 emergence emergence NN 19261 307 51 permitted permit VBN 19261 307 52 . . . 19261 308 1 They -PRON- PRP 19261 308 2 are be VBP 19261 308 3 made make VBN 19261 308 4 in in IN 19261 308 5 extra extra JJ 19261 308 6 - - HYPH 19261 308 7 light light JJ 19261 308 8 pattern pattern NN 19261 308 9 , , , 19261 308 10 40 40 CD 19261 308 11 cm cm NNS 19261 308 12 . . . 19261 309 1 long long RB 19261 309 2 , , , 19261 309 3 and and CC 19261 309 4 the the DT 19261 309 5 regular regular JJ 19261 309 6 model model NN 19261 309 7 45 45 CD 19261 309 8 cm cm NNS 19261 309 9 . . . 19261 310 1 long long RB 19261 310 2 . . . 19261 311 1 The the DT 19261 311 2 full full JJ 19261 311 3 - - HYPH 19261 311 4 curved curved JJ 19261 311 5 model model NN 19261 311 6 , , , 19261 311 7 giving give VBG 19261 311 8 180 180 CD 19261 311 9 degrees degree NNS 19261 311 10 and and CC 19261 311 11 reaching reach VBG 19261 311 12 up up RP 19261 311 13 into into IN 19261 311 14 the the DT 19261 311 15 ascending ascend VBG 19261 311 16 branches branch NNS 19261 311 17 , , , 19261 311 18 is be VBZ 19261 311 19 made make VBN 19261 311 20 in in IN 19261 311 21 both both CC 19261 311 22 light light NN 19261 311 23 and and CC 19261 311 24 heavy heavy JJ 19261 311 25 patterns pattern NNS 19261 311 26 . . . 19261 312 1 Forceps forceps NNS 19261 312 2 with with IN 19261 312 3 less less JJR 19261 312 4 curve curve NN 19261 312 5 , , , 19261 312 6 and and CC 19261 312 7 without without IN 19261 312 8 the the DT 19261 312 9 spiral spiral NN 19261 312 10 , , , 19261 312 11 are be VBP 19261 312 12 used use VBN 19261 312 13 when when WRB 19261 312 14 it -PRON- PRP 19261 312 15 is be VBZ 19261 312 16 desired desire VBN 19261 312 17 to to TO 19261 312 18 reach reach VB 19261 312 19 only only RB 19261 312 20 a a DT 19261 312 21 short short JJ 19261 312 22 distance distance NN 19261 312 23 " " '' 19261 312 24 around around IN 19261 312 25 the the DT 19261 312 26 corner corner NN 19261 312 27 " " `` 19261 312 28 anywhere anywhere RB 19261 312 29 in in IN 19261 312 30 the the DT 19261 312 31 bronchi bronchi NN 19261 312 32 . . . 19261 313 1 These these DT 19261 313 2 are be VBP 19261 313 3 also also RB 19261 313 4 useful useful JJ 19261 313 5 , , , 19261 313 6 as as IN 19261 313 7 suggested suggest VBN 19261 313 8 by by IN 19261 313 9 Willis Willis NNP 19261 313 10 F. F. NNP 19261 313 11 Manges Manges NNP 19261 313 12 , , , 19261 313 13 in in IN 19261 313 14 dealing deal VBG 19261 313 15 with with IN 19261 313 16 safety safety NN 19261 313 17 pins pin NNS 19261 313 18 in in IN 19261 313 19 the the DT 19261 313 20 esophagus esophagus NN 19261 313 21 or or CC 19261 313 22 tracheobronchial tracheobronchial JJ 19261 313 23 tree tree NN 19261 313 24 . . . 19261 314 1 [ [ -LRB- 19261 314 2 FIG FIG NNP 19261 314 3 . . . 19261 315 1 21.--Tucker 21.--tucker CD 19261 315 2 jaws jaw NNS 19261 315 3 for for IN 19261 315 4 the the DT 19261 315 5 author author NN 19261 315 6 's 's POS 19261 315 7 forceps forceps NNS 19261 315 8 . . . 19261 316 1 The the DT 19261 316 2 tiny tiny JJ 19261 316 3 lip lip NN 19261 316 4 projecting project VBG 19261 316 5 down down RP 19261 316 6 from from IN 19261 316 7 the the DT 19261 316 8 upper upper JJ 19261 316 9 , , , 19261 316 10 and and CC 19261 316 11 up up RB 19261 316 12 from from IN 19261 316 13 the the DT 19261 316 14 lower low JJR 19261 316 15 jaw jaw NN 19261 316 16 prevents prevent VBZ 19261 316 17 sidewise sidewise NN 19261 316 18 escape escape NN 19261 316 19 of of IN 19261 316 20 the the DT 19261 316 21 shaft shaft NN 19261 316 22 of of IN 19261 316 23 a a DT 19261 316 24 pin pin NN 19261 316 25 , , , 19261 316 26 tack tack NN 19261 316 27 , , , 19261 316 28 nail nail NN 19261 316 29 or or CC 19261 316 30 needle needle NN 19261 316 31 . . . 19261 317 1 The the DT 19261 317 2 shaft shaft NN 19261 317 3 is be VBZ 19261 317 4 automatically automatically RB 19261 317 5 thrown throw VBN 19261 317 6 parallel parallel NN 19261 317 7 to to IN 19261 317 8 the the DT 19261 317 9 bronchoscopic bronchoscopic NNP 19261 317 10 axis axis NNP 19261 317 11 . . . 19261 318 1 Drawing draw VBG 19261 318 2 about about RB 19261 318 3 four four CD 19261 318 4 times time NNS 19261 318 5 actual actual JJ 19261 318 6 size size NN 19261 318 7 . . . 19261 318 8 ] ] -RRB- 19261 319 1 [ [ -LRB- 19261 319 2 36 36 CD 19261 319 3 ] ] -RRB- 19261 319 4 _ _ NNP 19261 319 5 Tucker Tucker NNP 19261 319 6 Forceps_--Gabriel Forceps_--Gabriel NNP 19261 319 7 Tucker Tucker NNP 19261 319 8 modified modify VBD 19261 319 9 the the DT 19261 319 10 regular regular JJ 19261 319 11 side side NN 19261 319 12 - - HYPH 19261 319 13 curved curve VBN 19261 319 14 forceps forceps NNS 19261 319 15 by by IN 19261 319 16 adding add VBG 19261 319 17 a a DT 19261 319 18 lip lip NN 19261 319 19 ( ( -LRB- 19261 319 20 Fig fig NN 19261 319 21 . . . 19261 320 1 21 21 LS 19261 320 2 ) ) -RRB- 19261 320 3 to to IN 19261 320 4 the the DT 19261 320 5 left left JJ 19261 320 6 hand hand NN 19261 320 7 side side NN 19261 320 8 of of IN 19261 320 9 both both CC 19261 320 10 upper upper JJ 19261 320 11 and and CC 19261 320 12 lower lower JJ 19261 320 13 jaws jaw NNS 19261 320 14 . . . 19261 321 1 This this DT 19261 321 2 prevents prevent VBZ 19261 321 3 the the DT 19261 321 4 shaft shaft NN 19261 321 5 of of IN 19261 321 6 a a DT 19261 321 7 tack tack NN 19261 321 8 , , , 19261 321 9 nail nail NN 19261 321 10 , , , 19261 321 11 or or CC 19261 321 12 pin pin NN 19261 321 13 , , , 19261 321 14 from from IN 19261 321 15 springing spring VBG 19261 321 16 out out IN 19261 321 17 of of IN 19261 321 18 the the DT 19261 321 19 grasp grasp NN 19261 321 20 of of IN 19261 321 21 the the DT 19261 321 22 jaws jaw NNS 19261 321 23 , , , 19261 321 24 and and CC 19261 321 25 is be VBZ 19261 321 26 so so RB 19261 321 27 efficient efficient JJ 19261 321 28 that that IN 19261 321 29 it -PRON- PRP 19261 321 30 has have VBZ 19261 321 31 brought bring VBN 19261 321 32 certainty certainty NN 19261 321 33 of of IN 19261 321 34 grasp grasp NN 19261 321 35 never never RB 19261 321 36 before before IN 19261 321 37 obtainable obtainable JJ 19261 321 38 . . . 19261 322 1 With with IN 19261 322 2 it -PRON- PRP 19261 322 3 the the DT 19261 322 4 solution solution NN 19261 322 5 of of IN 19261 322 6 the the DT 19261 322 7 safety safety NN 19261 322 8 - - HYPH 19261 322 9 pin pin NN 19261 322 10 problem problem NN 19261 322 11 devised devise VBN 19261 322 12 by by IN 19261 322 13 the the DT 19261 322 14 author author NN 19261 322 15 many many JJ 19261 322 16 years year NNS 19261 322 17 ago ago RB 19261 322 18 has have VBZ 19261 322 19 a a DT 19261 322 20 facility facility NN 19261 322 21 and and CC 19261 322 22 certainty certainty NN 19261 322 23 of of IN 19261 322 24 execution execution NN 19261 322 25 that that WDT 19261 322 26 makes make VBZ 19261 322 27 it -PRON- PRP 19261 322 28 the the DT 19261 322 29 method method NN 19261 322 30 of of IN 19261 322 31 choice choice NN 19261 322 32 in in IN 19261 322 33 safety safety NN 19261 322 34 - - HYPH 19261 322 35 pin pin NN 19261 322 36 extraction extraction NN 19261 322 37 . . . 19261 323 1 [ [ -LRB- 19261 323 2 FIG FIG NNP 19261 323 3 . . . 19261 324 1 22.--The 22.--the CD 19261 324 2 author author NN 19261 324 3 's 's POS 19261 324 4 down down IN 19261 324 5 - - HYPH 19261 324 6 jaw jaw NN 19261 324 7 esophageal esophageal NN 19261 324 8 forceps forceps NNS 19261 324 9 . . . 19261 325 1 The the DT 19261 325 2 dropping drop VBG 19261 325 3 jaw jaw NN 19261 325 4 is be VBZ 19261 325 5 useful useful JJ 19261 325 6 for for IN 19261 325 7 reaching reach VBG 19261 325 8 backward backward RB 19261 325 9 below below IN 19261 325 10 the the DT 19261 325 11 cricopharyngeal cricopharyngeal NN 19261 325 12 fold fold NN 19261 325 13 when when WRB 19261 325 14 using use VBG 19261 325 15 the the DT 19261 325 16 esophageal esophageal JJ 19261 325 17 speculum speculum NN 19261 325 18 in in IN 19261 325 19 the the DT 19261 325 20 removal removal NN 19261 325 21 of of IN 19261 325 22 foreign foreign JJ 19261 325 23 bodies body NNS 19261 325 24 . . . 19261 326 1 Posterior Posterior NNP 19261 326 2 forceps forceps NNP 19261 326 3 - - HYPH 19261 326 4 spaces space NNS 19261 326 5 are be VBP 19261 326 6 often often RB 19261 326 7 scanty scanty NN 19261 326 8 in in IN 19261 326 9 cases case NNS 19261 326 10 of of IN 19261 326 11 foreign foreign JJ 19261 326 12 bodies body NNS 19261 326 13 lodged lodge VBD 19261 326 14 just just RB 19261 326 15 below below IN 19261 326 16 the the DT 19261 326 17 cricopharyngeus cricopharyngeus NN 19261 326 18 . . . 19261 326 19 ] ] -RRB- 19261 327 1 [ [ -LRB- 19261 327 2 FIG FIG NNP 19261 327 3 . . . 19261 328 1 23.--Expansile 23.--expansile CD 19261 328 2 forceps forceps NNS 19261 328 3 for for IN 19261 328 4 the the DT 19261 328 5 endoscopic endoscopic JJ 19261 328 6 removal removal NN 19261 328 7 of of IN 19261 328 8 hollow hollow JJ 19261 328 9 foreign foreign JJ 19261 328 10 bodies body NNS 19261 328 11 such such JJ 19261 328 12 as as IN 19261 328 13 intubation intubation NN 19261 328 14 tubes tube NNS 19261 328 15 , , , 19261 328 16 tracheal tracheal NN 19261 328 17 cannulae cannulae NNS 19261 328 18 , , , 19261 328 19 caps cap NNS 19261 328 20 , , , 19261 328 21 and and CC 19261 328 22 cartridge cartridge NN 19261 328 23 shells shell NNS 19261 328 24 . . . 19261 328 25 ] ] -RRB- 19261 329 1 _ _ NNP 19261 329 2 Screw Screw NNP 19261 329 3 forceps_.--For forceps_.--For NNP 19261 329 4 the the DT 19261 329 5 secure secure JJ 19261 329 6 grasp grasp NN 19261 329 7 of of IN 19261 329 8 screws screw NNS 19261 329 9 the the DT 19261 329 10 jaws jaw NNS 19261 329 11 devised devise VBN 19261 329 12 by by IN 19261 329 13 Dr. Dr. NNP 19261 329 14 Tucker Tucker NNP 19261 329 15 for for IN 19261 329 16 tacks tack NNS 19261 329 17 and and CC 19261 329 18 pins pin NNS 19261 329 19 are be VBP 19261 329 20 excellent excellent JJ 19261 329 21 ( ( -LRB- 19261 329 22 Fig fig NN 19261 329 23 . . . 19261 330 1 21 21 CD 19261 330 2 ) ) -RRB- 19261 330 3 . . . 19261 331 1 _ _ NNP 19261 331 2 Expanding expand VBG 19261 331 3 Forceps_.--Hollow forceps_.--hollow NN 19261 331 4 objects object NNS 19261 331 5 may may MD 19261 331 6 require require VB 19261 331 7 expanding expand VBG 19261 331 8 forceps forceps NNP 19261 331 9 as as IN 19261 331 10 shown show VBN 19261 331 11 in in IN 19261 331 12 Fig Fig NNP 19261 331 13 . . . 19261 332 1 23 23 CD 19261 332 2 . . . 19261 333 1 In in IN 19261 333 2 using use VBG 19261 333 3 them -PRON- PRP 19261 333 4 it -PRON- PRP 19261 333 5 is be VBZ 19261 333 6 necessary necessary JJ 19261 333 7 to to TO 19261 333 8 be be VB 19261 333 9 certain certain JJ 19261 333 10 that that IN 19261 333 11 the the DT 19261 333 12 jaws jaw NNS 19261 333 13 are be VBP 19261 333 14 inside inside IN 19261 333 15 the the DT 19261 333 16 hollow hollow JJ 19261 333 17 body body NN 19261 333 18 before before IN 19261 333 19 expanding expand VBG 19261 333 20 them -PRON- PRP 19261 333 21 and and CC 19261 333 22 making make VBG 19261 333 23 traction traction NN 19261 333 24 . . . 19261 334 1 Otherwise otherwise RB 19261 334 2 severe severe JJ 19261 334 3 , , , 19261 334 4 even even RB 19261 334 5 fatal fatal JJ 19261 334 6 , , , 19261 334 7 trauma trauma NN 19261 334 8 may may MD 19261 334 9 be be VB 19261 334 10 inflicted inflict VBN 19261 334 11 . . . 19261 335 1 [ [ -LRB- 19261 335 2 FIG FIG NNP 19261 335 3 . . . 19261 336 1 24.--The 24.--the CD 19261 336 2 author author NN 19261 336 3 's 's POS 19261 336 4 fenestrated fenestrate VBN 19261 336 5 peanut peanut NN 19261 336 6 forceps forceps NNS 19261 336 7 . . . 19261 337 1 The the DT 19261 337 2 delicate delicate JJ 19261 337 3 construction construction NN 19261 337 4 with with IN 19261 337 5 long long JJ 19261 337 6 , , , 19261 337 7 springy springy JJ 19261 337 8 and and CC 19261 337 9 fenestrated fenestrated JJ 19261 337 10 jaws jaw NNS 19261 337 11 give give VBP 19261 337 12 in in IN 19261 337 13 gentle gentle JJ 19261 337 14 hands hand NNS 19261 337 15 a a DT 19261 337 16 maximum maximum JJ 19261 337 17 security security NN 19261 337 18 with with IN 19261 337 19 a a DT 19261 337 20 minimum minimum NN 19261 337 21 of of IN 19261 337 22 crushing crushing JJ 19261 337 23 tendency tendency NN 19261 337 24 . . . 19261 337 25 ] ] -RRB- 19261 338 1 [ [ -LRB- 19261 338 2 FIG FIG NNP 19261 338 3 . . . 19261 339 1 25 25 CD 19261 339 2 - - HYPH 19261 339 3 -The -the NN 19261 339 4 author author NN 19261 339 5 's 's POS 19261 339 6 bronchial bronchial JJ 19261 339 7 dilators dilator NNS 19261 339 8 , , , 19261 339 9 useful useful JJ 19261 339 10 for for IN 19261 339 11 dilating dilate VBG 19261 339 12 strictures stricture NNS 19261 339 13 above above IN 19261 339 14 foreign foreign JJ 19261 339 15 bodies body NNS 19261 339 16 . . . 19261 340 1 The the DT 19261 340 2 smaller small JJR 19261 340 3 size size NN 19261 340 4 , , , 19261 340 5 shown show VBN 19261 340 6 at at IN 19261 340 7 the the DT 19261 340 8 right right NN 19261 340 9 is be VBZ 19261 340 10 also also RB 19261 340 11 useful useful JJ 19261 340 12 as as IN 19261 340 13 an an DT 19261 340 14 expanding expand VBG 19261 340 15 forceps forceps NNS 19261 340 16 for for IN 19261 340 17 removing remove VBG 19261 340 18 intubation intubation NN 19261 340 19 tubes tube NNS 19261 340 20 , , , 19261 340 21 and and CC 19261 340 22 other other JJ 19261 340 23 hollow hollow JJ 19261 340 24 objects object NNS 19261 340 25 . . . 19261 341 1 The the DT 19261 341 2 larger large JJR 19261 341 3 size size NN 19261 341 4 will will MD 19261 341 5 go go VB 19261 341 6 over over IN 19261 341 7 the the DT 19261 341 8 shaft shaft NN 19261 341 9 of of IN 19261 341 10 a a DT 19261 341 11 tack tack NN 19261 341 12 . . . 19261 341 13 ] ] -RRB- 19261 342 1 [ [ -LRB- 19261 342 2 FIG FIG NNP 19261 342 3 . . . 19261 343 1 26.--The 26.--the CD 19261 343 2 author author NN 19261 343 3 's 's POS 19261 343 4 self self NN 19261 343 5 - - HYPH 19261 343 6 expanding expand VBG 19261 343 7 bronchial bronchial JJ 19261 343 8 dilator dilator NN 19261 343 9 . . . 19261 344 1 The the DT 19261 344 2 extent extent NN 19261 344 3 of of IN 19261 344 4 expansion expansion NN 19261 344 5 can can MD 19261 344 6 be be VB 19261 344 7 limited limit VBN 19261 344 8 by by IN 19261 344 9 the the DT 19261 344 10 sense sense NN 19261 344 11 of of IN 19261 344 12 touch touch NN 19261 344 13 or or CC 19261 344 14 by by IN 19261 344 15 an an DT 19261 344 16 adjustable adjustable JJ 19261 344 17 checking checking NN 19261 344 18 mechanism mechanism NN 19261 344 19 on on IN 19261 344 20 the the DT 19261 344 21 handle handle NN 19261 344 22 . . . 19261 345 1 The the DT 19261 345 2 author author NN 19261 345 3 frequently frequently RB 19261 345 4 used use VBD 19261 345 5 smooth smooth JJ 19261 345 6 forceps forceps NNS 19261 345 7 for for IN 19261 345 8 this this DT 19261 345 9 purpose purpose NN 19261 345 10 , , , 19261 345 11 and and CC 19261 345 12 found find VBD 19261 345 13 them -PRON- PRP 19261 345 14 so so RB 19261 345 15 efficient efficient JJ 19261 345 16 that that IN 19261 345 17 this this DT 19261 345 18 dilator dilator NN 19261 345 19 was be VBD 19261 345 20 devised devise VBN 19261 345 21 . . . 19261 346 1 The the DT 19261 346 2 edges edge NNS 19261 346 3 of of IN 19261 346 4 forceps forceps NNP 19261 346 5 jaws jaw NNS 19261 346 6 are be VBP 19261 346 7 likely likely JJ 19261 346 8 to to TO 19261 346 9 scratch scratch VB 19261 346 10 the the DT 19261 346 11 epithelium epithelium NN 19261 346 12 . . . 19261 347 1 Occasionally occasionally RB 19261 347 2 the the DT 19261 347 3 instrument instrument NN 19261 347 4 is be VBZ 19261 347 5 useful useful JJ 19261 347 6 in in IN 19261 347 7 the the DT 19261 347 8 esophagus esophagus NN 19261 347 9 ; ; : 19261 347 10 but but CC 19261 347 11 it -PRON- PRP 19261 347 12 is be VBZ 19261 347 13 not not RB 19261 347 14 very very RB 19261 347 15 safe safe JJ 19261 347 16 , , , 19261 347 17 unless unless IN 19261 347 18 used use VBN 19261 347 19 with with IN 19261 347 20 the the DT 19261 347 21 utmost utmost JJ 19261 347 22 caution caution NN 19261 347 23 . . . 19261 347 24 ] ] -RRB- 19261 348 1 _ _ NNP 19261 348 2 Tissue Tissue NNP 19261 348 3 Forceps_.--With Forceps_.--With NNP 19261 348 4 the the DT 19261 348 5 forceps forceps NNS 19261 348 6 illustrated illustrate VBN 19261 348 7 in in IN 19261 348 8 Fig Fig NNP 19261 348 9 . . . 19261 349 1 28 28 CD 19261 349 2 specimens specimen NNS 19261 349 3 of of IN 19261 349 4 tissue tissue NN 19261 349 5 may may MD 19261 349 6 be be VB 19261 349 7 removed remove VBN 19261 349 8 for for IN 19261 349 9 biopsy biopsy NN 19261 349 10 from from IN 19261 349 11 the the DT 19261 349 12 lower low JJR 19261 349 13 air air NN 19261 349 14 and and CC 19261 349 15 food food NN 19261 349 16 passages passage NNS 19261 349 17 with with IN 19261 349 18 ease ease NN 19261 349 19 and and CC 19261 349 20 certainty certainty NN 19261 349 21 . . . 19261 350 1 They -PRON- PRP 19261 350 2 have have VBP 19261 350 3 a a DT 19261 350 4 cross cross NN 19261 350 5 in in IN 19261 350 6 the the DT 19261 350 7 outer outer JJ 19261 350 8 blade blade NN 19261 350 9 which which WDT 19261 350 10 holds hold VBZ 19261 350 11 the the DT 19261 350 12 specimen speciman NNS 19261 350 13 removed remove VBN 19261 350 14 . . . 19261 351 1 The the DT 19261 351 2 action action NN 19261 351 3 is be VBZ 19261 351 4 very very RB 19261 351 5 delicate delicate JJ 19261 351 6 , , , 19261 351 7 there there EX 19261 351 8 being be VBG 19261 351 9 no no DT 19261 351 10 springs spring NNS 19261 351 11 , , , 19261 351 12 and and CC 19261 351 13 the the DT 19261 351 14 sense sense NN 19261 351 15 of of IN 19261 351 16 touch touch NN 19261 351 17 imparted impart VBN 19261 351 18 is be VBZ 19261 351 19 often often RB 19261 351 20 of of IN 19261 351 21 great great JJ 19261 351 22 aid aid NN 19261 351 23 in in IN 19261 351 24 the the DT 19261 351 25 diagnosis diagnosis NN 19261 351 26 . . . 19261 352 1 [ [ -LRB- 19261 352 2 FIG FIG NNP 19261 352 3 . . . 19261 353 1 27.--The 27.--the CD 19261 353 2 author author NN 19261 353 3 's 's POS 19261 353 4 upper upper JJ 19261 353 5 - - HYPH 19261 353 6 lobe lobe NN 19261 353 7 bronchus bronchus NNP 19261 353 8 forceps forceps NNP 19261 353 9 . . . 19261 354 1 At at IN 19261 354 2 A a NN 19261 354 3 is be VBZ 19261 354 4 shown show VBN 19261 354 5 the the DT 19261 354 6 full full JJ 19261 354 7 - - HYPH 19261 354 8 curved curved JJ 19261 354 9 form form NN 19261 354 10 , , , 19261 354 11 for for IN 19261 354 12 reaching reach VBG 19261 354 13 into into IN 19261 354 14 the the DT 19261 354 15 ascending ascend VBG 19261 354 16 branches branch NNS 19261 354 17 of of IN 19261 354 18 the the DT 19261 354 19 upper upper JJ 19261 354 20 - - HYPH 19261 354 21 lobe lobe NN 19261 354 22 bronchus bronchus NN 19261 354 23 A a DT 19261 354 24 number number NN 19261 354 25 of of IN 19261 354 26 different different JJ 19261 354 27 forms form NNS 19261 354 28 of of IN 19261 354 29 jaws jaw NNS 19261 354 30 are be VBP 19261 354 31 made make VBN 19261 354 32 in in IN 19261 354 33 this this DT 19261 354 34 kind kind NN 19261 354 35 of of IN 19261 354 36 forceps forceps NNS 19261 354 37 . . . 19261 355 1 Only only RB 19261 355 2 2 2 CD 19261 355 3 are be VBP 19261 355 4 shown show VBN 19261 355 5 . . . 19261 355 6 ] ] -RRB- 19261 356 1 [ [ -LRB- 19261 356 2 FIG FIG NNP 19261 356 3 28 28 CD 19261 356 4 - - HYPH 19261 356 5 -The -the NN 19261 356 6 author author NN 19261 356 7 's 's POS 19261 356 8 endoscopic endoscopic NNP 19261 356 9 tissue tissue NN 19261 356 10 forceps forceps NNP 19261 356 11 . . . 19261 357 1 The the DT 19261 357 2 laryngeal laryngeal NN 19261 357 3 length length NN 19261 357 4 is be VBZ 19261 357 5 30 30 CD 19261 357 6 cm cm NNS 19261 357 7 . . . 19261 358 1 For for IN 19261 358 2 esophageal esophageal JJ 19261 358 3 use use NN 19261 358 4 they -PRON- PRP 19261 358 5 are be VBP 19261 358 6 made make VBN 19261 358 7 50 50 CD 19261 358 8 and and CC 19261 358 9 60 60 CD 19261 358 10 cm cm NNS 19261 358 11 . . . 19261 359 1 long long RB 19261 359 2 . . . 19261 360 1 These these DT 19261 360 2 are be VBP 19261 360 3 the the DT 19261 360 4 best good JJS 19261 360 5 forceps forceps NNS 19261 360 6 for for IN 19261 360 7 cutting cut VBG 19261 360 8 out out RP 19261 360 9 small small JJ 19261 360 10 specimens specimen NNS 19261 360 11 of of IN 19261 360 12 tissue tissue NN 19261 360 13 for for IN 19261 360 14 biopsy biopsy NN 19261 360 15 . . . 19261 360 16 ] ] -RRB- 19261 361 1 The the DT 19261 361 2 large large JJ 19261 361 3 basket basket NN 19261 361 4 punch punch NN 19261 361 5 forceps forceps NNS 19261 361 6 shown show VBN 19261 361 7 in in IN 19261 361 8 Fig Fig NNP 19261 361 9 . . . 19261 362 1 33 33 CD 19261 362 2 are be VBP 19261 362 3 useful useful JJ 19261 362 4 in in IN 19261 362 5 removing remove VBG 19261 362 6 larger large JJR 19261 362 7 growths growth NNS 19261 362 8 or or CC 19261 362 9 specimens specimen NNS 19261 362 10 of of IN 19261 362 11 tissue tissue NN 19261 362 12 from from IN 19261 362 13 the the DT 19261 362 14 pharynx pharynx NNP 19261 362 15 or or CC 19261 362 16 larynx larynx NN 19261 362 17 . . . 19261 363 1 A a DT 19261 363 2 portion portion NN 19261 363 3 or or CC 19261 363 4 the the DT 19261 363 5 whole whole NN 19261 363 6 of of IN 19261 363 7 the the DT 19261 363 8 epiglottis epiglottis NN 19261 363 9 may may MD 19261 363 10 be be VB 19261 363 11 easily easily RB 19261 363 12 and and CC 19261 363 13 quickly quickly RB 19261 363 14 removed remove VBN 19261 363 15 with with IN 19261 363 16 these these DT 19261 363 17 forceps forceps NNS 19261 363 18 , , , 19261 363 19 the the DT 19261 363 20 laryngoscope laryngoscope NN 19261 363 21 introduced introduce VBN 19261 363 22 along along IN 19261 363 23 the the DT 19261 363 24 dorsum dorsum NN 19261 363 25 of of IN 19261 363 26 the the DT 19261 363 27 tongue tongue NN 19261 363 28 into into IN 19261 363 29 the the DT 19261 363 30 glossoepiglottic glossoepiglottic JJ 19261 363 31 recess recess NN 19261 363 32 , , , 19261 363 33 bringing bring VBG 19261 363 34 the the DT 19261 363 35 whole whole JJ 19261 363 36 epiglottis epiglottis NN 19261 363 37 into into IN 19261 363 38 view view NN 19261 363 39 . . . 19261 364 1 The the DT 19261 364 2 forceps forceps NNS 19261 364 3 may may MD 19261 364 4 be be VB 19261 364 5 introduced introduce VBN 19261 364 6 through through IN 19261 364 7 the the DT 19261 364 8 laryngoscope laryngoscope NN 19261 364 9 or or CC 19261 364 10 alongside alongside IN 19261 364 11 the the DT 19261 364 12 tube tube NN 19261 364 13 . . . 19261 365 1 In in IN 19261 365 2 the the DT 19261 365 3 latter latter JJ 19261 365 4 method method NN 19261 365 5 a a DT 19261 365 6 greater great JJR 19261 365 7 lateral lateral JJ 19261 365 8 action action NN 19261 365 9 of of IN 19261 365 10 the the DT 19261 365 11 forceps forceps NNS 19261 365 12 is be VBZ 19261 365 13 obtainable obtainable JJ 19261 365 14 , , , 19261 365 15 the the DT 19261 365 16 tube tube NN 19261 365 17 being be VBG 19261 365 18 used use VBN 19261 365 19 for for IN 19261 365 20 vision vision NN 19261 365 21 only only RB 19261 365 22 . . . 19261 366 1 These these DT 19261 366 2 forceps forceps NNS 19261 366 3 are be VBP 19261 366 4 30 30 CD 19261 366 5 cm cm NNS 19261 366 6 . . . 19261 367 1 long long RB 19261 367 2 and and CC 19261 367 3 are be VBP 19261 367 4 made make VBN 19261 367 5 in in IN 19261 367 6 two two CD 19261 367 7 sizes size NNS 19261 367 8 ; ; : 19261 367 9 one one CD 19261 367 10 with with IN 19261 367 11 the the DT 19261 367 12 punch punch NN 19261 367 13 of of IN 19261 367 14 the the DT 19261 367 15 largest large JJS 19261 367 16 size size NN 19261 367 17 that that WDT 19261 367 18 can can MD 19261 367 19 be be VB 19261 367 20 passed pass VBN 19261 367 21 through through IN 19261 367 22 the the DT 19261 367 23 adult adult NN 19261 367 24 laryngoscope laryngoscope NN 19261 367 25 , , , 19261 367 26 and and CC 19261 367 27 a a DT 19261 367 28 smaller small JJR 19261 367 29 one one CD 19261 367 30 for for IN 19261 367 31 use use NN 19261 367 32 through through IN 19261 367 33 the the DT 19261 367 34 anterior anterior JJ 19261 367 35 - - HYPH 19261 367 36 commissure commissure NN 19261 367 37 laryngoscope laryngoscope NN 19261 367 38 and and CC 19261 367 39 the the DT 19261 367 40 child child NN 19261 367 41 's 's POS 19261 367 42 size size NN 19261 367 43 laryngoscope laryngoscope NN 19261 367 44 . . . 19261 368 1 [ [ -LRB- 19261 368 2 FIG FIG NNP 19261 368 3 . . . 19261 369 1 29.--The 29.--the CD 19261 369 2 author author NN 19261 369 3 's 's POS 19261 369 4 papilloma papilloma NN 19261 369 5 forceps forceps NNS 19261 369 6 . . . 19261 370 1 The the DT 19261 370 2 broad broad JJ 19261 370 3 blunt blunt JJ 19261 370 4 nose nose NN 19261 370 5 will will MD 19261 370 6 scalp scalp VB 19261 370 7 off off RP 19261 370 8 the the DT 19261 370 9 growths growth NNS 19261 370 10 without without IN 19261 370 11 any any DT 19261 370 12 injury injury NN 19261 370 13 to to IN 19261 370 14 the the DT 19261 370 15 normal normal JJ 19261 370 16 basal basal NN 19261 370 17 tissues tissue NNS 19261 370 18 . . . 19261 371 1 Voice voice NN 19261 371 2 - - HYPH 19261 371 3 destroying destroy VBG 19261 371 4 and and CC 19261 371 5 stenosing stenose VBG 19261 371 6 trauma trauma NN 19261 371 7 are be VBP 19261 371 8 thus thus RB 19261 371 9 easily easily RB 19261 371 10 avoided avoid VBN 19261 371 11 . . . 19261 371 12 ] ] -RRB- 19261 372 1 [ [ -LRB- 19261 372 2 FIG FIG NNP 19261 372 3 . . . 19261 373 1 30.--The 30.--the CD 19261 373 2 author author NN 19261 373 3 's 's POS 19261 373 4 short short JJ 19261 373 5 mechanical mechanical JJ 19261 373 6 spoon spoon NN 19261 373 7 ( ( -LRB- 19261 373 8 30 30 CD 19261 373 9 cm cm NNS 19261 373 10 . . . 19261 374 1 long long RB 19261 374 2 ) ) -RRB- 19261 374 3 . . . 19261 374 4 ] ] -RRB- 19261 375 1 _ _ NNP 19261 375 2 Papilloma Papilloma NNP 19261 375 3 Forceps_.--Papillomata Forceps_.--Papillomata NNS 19261 375 4 do do VBP 19261 375 5 not not RB 19261 375 6 infiltrate infiltrate VB 19261 375 7 ; ; : 19261 375 8 but but CC 19261 375 9 superficial superficial JJ 19261 375 10 repullulations repullulation NNS 19261 375 11 in in IN 19261 375 12 many many JJ 19261 375 13 cases case NNS 19261 375 14 require require VBP 19261 375 15 repeated repeat VBN 19261 375 16 removals removal NNS 19261 375 17 . . . 19261 376 1 If if IN 19261 376 2 the the DT 19261 376 3 basal basal NN 19261 376 4 tissues tissue NNS 19261 376 5 are be VBP 19261 376 6 traumatized traumatize VBN 19261 376 7 , , , 19261 376 8 an an DT 19261 376 9 impaired impair VBN 19261 376 10 or or CC 19261 376 11 ruined ruin VBN 19261 376 12 voice voice NN 19261 376 13 will will MD 19261 376 14 result result VB 19261 376 15 . . . 19261 377 1 The the DT 19261 377 2 author author NN 19261 377 3 designed design VBD 19261 377 4 these these DT 19261 377 5 forceps forceps NNS 19261 377 6 ( ( -LRB- 19261 377 7 Fig fig NN 19261 377 8 . . . 19261 378 1 29 29 CD 19261 378 2 ) ) -RRB- 19261 378 3 to to TO 19261 378 4 scalp scalp VB 19261 378 5 off off RP 19261 378 6 the the DT 19261 378 7 growths growth NNS 19261 378 8 without without IN 19261 378 9 injury injury NN 19261 378 10 to to IN 19261 378 11 the the DT 19261 378 12 normal normal JJ 19261 378 13 tissues tissue NNS 19261 378 14 . . . 19261 379 1 [ [ -LRB- 19261 379 2 FIG FIG NNP 19261 379 3 . . . 19261 380 1 31.--The 31.--the CD 19261 380 2 author author NN 19261 380 3 's 's POS 19261 380 4 laryngeal laryngeal NN 19261 380 5 rotation rotation NN 19261 380 6 forceps forceps NNP 19261 380 7 . . . 19261 380 8 ] ] -RRB- 19261 381 1 [ [ -LRB- 19261 381 2 FIG FIG NNP 19261 381 3 . . . 19261 382 1 32.--Enlarged 32.--enlarged CD 19261 382 2 view view NN 19261 382 3 of of IN 19261 382 4 the the DT 19261 382 5 jaws jaw NNS 19261 382 6 of of IN 19261 382 7 the the DT 19261 382 8 author author NN 19261 382 9 's 's POS 19261 382 10 vocal vocal NN 19261 382 11 - - HYPH 19261 382 12 nodule nodule NN 19261 382 13 forceps forceps NNP 19261 382 14 . . . 19261 383 1 Larger large JJR 19261 383 2 cups cup NNS 19261 383 3 are be VBP 19261 383 4 made make VBN 19261 383 5 for for IN 19261 383 6 other other JJ 19261 383 7 purposes purpose NNS 19261 383 8 but but CC 19261 383 9 these these DT 19261 383 10 tiny tiny JJ 19261 383 11 cups cup NNS 19261 383 12 permit permit VBP 19261 383 13 of of IN 19261 383 14 that that DT 19261 383 15 extreme extreme JJ 19261 383 16 delicacy delicacy NN 19261 383 17 required require VBN 19261 383 18 in in IN 19261 383 19 the the DT 19261 383 20 excision excision NN 19261 383 21 of of IN 19261 383 22 the the DT 19261 383 23 nodules nodule NNS 19261 383 24 from from IN 19261 383 25 the the DT 19261 383 26 vocal vocal JJ 19261 383 27 cords cord NNS 19261 383 28 of of IN 19261 383 29 singers singer NNS 19261 383 30 and and CC 19261 383 31 other other JJ 19261 383 32 voice voice NN 19261 383 33 users user NNS 19261 383 34 . . . 19261 383 35 ] ] -RRB- 19261 384 1 [ [ -LRB- 19261 384 2 FIG FIG NNP 19261 384 3 33.-Extra 33.-extra NN 19261 384 4 large large JJ 19261 384 5 laryngeal laryngeal NN 19261 384 6 tissue tissue NN 19261 384 7 forceps forceps NNP 19261 384 8 . . . 19261 385 1 30 30 CD 19261 385 2 cm cm NNS 19261 385 3 . . . 19261 386 1 long long RB 19261 386 2 , , , 19261 386 3 for for IN 19261 386 4 removing remove VBG 19261 386 5 entire entire JJ 19261 386 6 growths growth NNS 19261 386 7 or or CC 19261 386 8 large large JJ 19261 386 9 specimens specimen NNS 19261 386 10 of of IN 19261 386 11 tissue tissue NN 19261 386 12 . . . 19261 387 1 A a DT 19261 387 2 smaller small JJR 19261 387 3 size size NN 19261 387 4 is be VBZ 19261 387 5 made make VBN 19261 387 6 . . . 19261 387 7 ] ] -RRB- 19261 388 1 _ _ NNP 19261 388 2 Bronchial Bronchial NNP 19261 388 3 Dilators_.--It Dilators_.--It NNP 19261 388 4 is be VBZ 19261 388 5 not not RB 19261 388 6 uncommon uncommon JJ 19261 388 7 to to TO 19261 388 8 find find VB 19261 388 9 a a DT 19261 388 10 stricture stricture NN 19261 388 11 of of IN 19261 388 12 the the DT 19261 388 13 bronchus bronchus NNP 19261 388 14 superjacent superjacent NNP 19261 388 15 to to IN 19261 388 16 a a DT 19261 388 17 foreign foreign JJ 19261 388 18 body body NN 19261 388 19 that that WDT 19261 388 20 has have VBZ 19261 388 21 been be VBN 19261 388 22 in in IN 19261 388 23 situ situ NN 19261 388 24 for for IN 19261 388 25 a a DT 19261 388 26 period period NN 19261 388 27 of of IN 19261 388 28 months month NNS 19261 388 29 . . . 19261 389 1 In in IN 19261 389 2 order order NN 19261 389 3 to to TO 19261 389 4 remove remove VB 19261 389 5 the the DT 19261 389 6 foreign foreign JJ 19261 389 7 body body NN 19261 389 8 , , , 19261 389 9 this this DT 19261 389 10 stricture stricture NN 19261 389 11 must must MD 19261 389 12 be be VB 19261 389 13 dilated dilate VBN 19261 389 14 , , , 19261 389 15 and and CC 19261 389 16 for for IN 19261 389 17 this this DT 19261 389 18 the the DT 19261 389 19 bronchial bronchial JJ 19261 389 20 dilator dilator NN 19261 389 21 shown show VBN 19261 389 22 in in IN 19261 389 23 Fig Fig NNP 19261 389 24 . . . 19261 390 1 25 25 CD 19261 390 2 was be VBD 19261 390 3 devised devise VBN 19261 390 4 . . . 19261 391 1 The the DT 19261 391 2 channel channel NN 19261 391 3 in in IN 19261 391 4 each each DT 19261 391 5 blade blade NN 19261 391 6 allows allow VBZ 19261 391 7 the the DT 19261 391 8 closed close VBN 19261 391 9 dilator dilator NN 19261 391 10 to to TO 19261 391 11 be be VB 19261 391 12 pushed push VBN 19261 391 13 down down RP 19261 391 14 over over IN 19261 391 15 the the DT 19261 391 16 presenting presenting NN 19261 391 17 point point NN 19261 391 18 of of IN 19261 391 19 such such JJ 19261 391 20 bodies body NNS 19261 391 21 as as IN 19261 391 22 tacks tack NNS 19261 391 23 , , , 19261 391 24 after after IN 19261 391 25 which which WDT 19261 391 26 the the DT 19261 391 27 blades blade NNS 19261 391 28 are be VBP 19261 391 29 opened open VBN 19261 391 30 and and CC 19261 391 31 the the DT 19261 391 32 stricture stricture NN 19261 391 33 stretched stretch VBD 19261 391 34 . . . 19261 392 1 A a DT 19261 392 2 small small JJ 19261 392 3 and and CC 19261 392 4 a a DT 19261 392 5 large large JJ 19261 392 6 size size NN 19261 392 7 are be VBP 19261 392 8 made make VBN 19261 392 9 . . . 19261 393 1 For for IN 19261 393 2 enlarging enlarge VBG 19261 393 3 the the DT 19261 393 4 bronchial bronchial JJ 19261 393 5 narrowing narrowing NN 19261 393 6 associated associate VBN 19261 393 7 with with IN 19261 393 8 pulmonary pulmonary JJ 19261 393 9 abscess abscess NN 19261 393 10 and and CC 19261 393 11 sometimes sometimes RB 19261 393 12 found find VBN 19261 393 13 above above IN 19261 393 14 a a DT 19261 393 15 bronchiectatic bronchiectatic JJ 19261 393 16 or or CC 19261 393 17 foreign foreign JJ 19261 393 18 body body NN 19261 393 19 cavity cavity NN 19261 393 20 , , , 19261 393 21 the the DT 19261 393 22 expanding expand VBG 19261 393 23 dilator dilator NN 19261 393 24 shown show VBN 19261 393 25 in in IN 19261 393 26 Fig Fig NNP 19261 393 27 . . . 19261 394 1 26 26 CD 19261 394 2 is be VBZ 19261 394 3 perhaps perhaps RB 19261 394 4 less less JJR 19261 394 5 apt apt JJ 19261 394 6 to to TO 19261 394 7 cause cause VB 19261 394 8 injury injury NN 19261 394 9 than than IN 19261 394 10 ordinary ordinary JJ 19261 394 11 forceps forceps NNS 19261 394 12 used use VBN 19261 394 13 in in IN 19261 394 14 the the DT 19261 394 15 same same JJ 19261 394 16 way way NN 19261 394 17 . . . 19261 395 1 The the DT 19261 395 2 stretching stretching NN 19261 395 3 is be VBZ 19261 395 4 here here RB 19261 395 5 produced produce VBN 19261 395 6 by by IN 19261 395 7 the the DT 19261 395 8 spring spring NN 19261 395 9 of of IN 19261 395 10 the the DT 19261 395 11 blades blade NNS 19261 395 12 of of IN 19261 395 13 the the DT 19261 395 14 forceps forceps NNS 19261 395 15 and and CC 19261 395 16 not not RB 19261 395 17 by by IN 19261 395 18 manual manual JJ 19261 395 19 force force NN 19261 395 20 . . . 19261 396 1 The the DT 19261 396 2 closed close VBN 19261 396 3 blades blade NNS 19261 396 4 are be VBP 19261 396 5 to to TO 19261 396 6 be be VB 19261 396 7 inserted insert VBN 19261 396 8 through through IN 19261 396 9 the the DT 19261 396 10 strictured strictured JJ 19261 396 11 area area NN 19261 396 12 , , , 19261 396 13 opened open VBD 19261 396 14 , , , 19261 396 15 and and CC 19261 396 16 then then RB 19261 396 17 slowly slowly RB 19261 396 18 withdrawn withdraw VBN 19261 396 19 . . . 19261 397 1 For for IN 19261 397 2 cicatricial cicatricial JJ 19261 397 3 stenoses stenosis NNS 19261 397 4 of of IN 19261 397 5 the the DT 19261 397 6 trachea trachea NN 19261 397 7 the the DT 19261 397 8 metallic metallic JJ 19261 397 9 bougies bougie NNS 19261 397 10 , , , 19261 397 11 Fig Fig NNP 19261 397 12 . . . 19261 398 1 40 40 CD 19261 398 2 , , , 19261 398 3 are be VBP 19261 398 4 useful useful JJ 19261 398 5 . . . 19261 399 1 For for IN 19261 399 2 the the DT 19261 399 3 larynx larynx NN 19261 399 4 , , , 19261 399 5 those those DT 19261 399 6 shown show VBN 19261 399 7 in in IN 19261 399 8 Fig Fig NNP 19261 399 9 . . . 19261 400 1 41 41 CD 19261 400 2 are be VBP 19261 400 3 needed need VBN 19261 400 4 . . . 19261 401 1 [ [ -LRB- 19261 401 2 FIG FIG NNP 19261 401 3 . . . 19261 402 1 34.--A 34.--a LS 19261 402 2 , , , 19261 402 3 Mosher Mosher NNP 19261 402 4 's 's POS 19261 402 5 laryngeal laryngeal JJ 19261 402 6 curette curette NN 19261 402 7 ; ; : 19261 402 8 B b NN 19261 402 9 , , , 19261 402 10 author author NN 19261 402 11 's 's POS 19261 402 12 flat flat JJ 19261 402 13 blade blade NN 19261 402 14 cautery cautery NN 19261 402 15 electrode electrode NN 19261 402 16 ; ; : 19261 402 17 C C NNP 19261 402 18 , , , 19261 402 19 pointed point VBD 19261 402 20 cautery cautery NN 19261 402 21 electrode electrode NN 19261 402 22 ; ; : 19261 402 23 D d NN 19261 402 24 , , , 19261 402 25 laryngeal laryngeal NN 19261 402 26 knife knife NN 19261 402 27 . . . 19261 403 1 The the DT 19261 403 2 electrodes electrode NNS 19261 403 3 are be VBP 19261 403 4 insulated insulate VBN 19261 403 5 with with IN 19261 403 6 hard hard JJ 19261 403 7 - - HYPH 19261 403 8 rubber rubber NN 19261 403 9 vulcanized vulcanize VBD 19261 403 10 onto onto IN 19261 403 11 the the DT 19261 403 12 conducting conduct VBG 19261 403 13 wires wire NNS 19261 403 14 . . . 19261 403 15 ] ] -RRB- 19261 404 1 [ [ -LRB- 19261 404 2 FIG FIG NNP 19261 404 3 . . . 19261 405 1 35.--Retrograde 35.--retrograde CD 19261 405 2 esophageal esophageal JJ 19261 405 3 bougies bougie NNS 19261 405 4 in in IN 19261 405 5 graduated graduate VBN 19261 405 6 sizes size NNS 19261 405 7 devised devise VBN 19261 405 8 by by IN 19261 405 9 Dr. Dr. NNP 19261 405 10 Gabriel Gabriel NNP 19261 405 11 Tucker Tucker NNP 19261 405 12 and and CC 19261 405 13 the the DT 19261 405 14 author author NN 19261 405 15 for for IN 19261 405 16 dilatation dilatation NN 19261 405 17 of of IN 19261 405 18 cicatricial cicatricial JJ 19261 405 19 esophageal esophageal JJ 19261 405 20 stenosis stenosis NN 19261 405 21 . . . 19261 406 1 They -PRON- PRP 19261 406 2 are be VBP 19261 406 3 drawn draw VBN 19261 406 4 upward upward RB 19261 406 5 by by IN 19261 406 6 an an DT 19261 406 7 endless endless JJ 19261 406 8 swallowed swallow VBN 19261 406 9 string string NN 19261 406 10 , , , 19261 406 11 and and CC 19261 406 12 are be VBP 19261 406 13 therefore therefore RB 19261 406 14 only only RB 19261 406 15 to to TO 19261 406 16 be be VB 19261 406 17 used use VBN 19261 406 18 in in IN 19261 406 19 gastrostomized gastrostomize VBN 19261 406 20 cases case NNS 19261 406 21 . . . 19261 406 22 ] ] -RRB- 19261 407 1 [ [ -LRB- 19261 407 2 FIG FIG NNP 19261 407 3 . . . 19261 408 1 36.--Author 36.--Author NNP 19261 408 2 's 's POS 19261 408 3 bronchoscopic bronchoscopic NNP 19261 408 4 and and CC 19261 408 5 esophagoscopic esophagoscopic NNP 19261 408 6 mechanical mechanical JJ 19261 408 7 spoon spoon NN 19261 408 8 , , , 19261 408 9 made make VBN 19261 408 10 in in IN 19261 408 11 40 40 CD 19261 408 12 , , , 19261 408 13 50 50 CD 19261 408 14 and and CC 19261 408 15 60 60 CD 19261 408 16 cm cm NNS 19261 408 17 . . . 19261 409 1 lengths length NNS 19261 409 2 . . . 19261 409 3 ] ] -RRB- 19261 410 1 [ [ -LRB- 19261 410 2 FIG FIG NNP 19261 410 3 . . . 19261 411 1 37.--Schema 37.--schema LS 19261 411 2 illustrating illustrate VBG 19261 411 3 the the DT 19261 411 4 author author NN 19261 411 5 's 's POS 19261 411 6 method method NN 19261 411 7 of of IN 19261 411 8 endoscopic endoscopic JJ 19261 411 9 closure closure NN 19261 411 10 of of IN 19261 411 11 open open JJ 19261 411 12 safety safety NN 19261 411 13 pins pin NNS 19261 411 14 lodged lodge VBD 19261 411 15 point point VBP 19261 411 16 upward upward RB 19261 411 17 The the DT 19261 411 18 closer close RBR 19261 411 19 is be VBZ 19261 411 20 passed pass VBN 19261 411 21 down down RP 19261 411 22 under under IN 19261 411 23 ocular ocular JJ 19261 411 24 control control NN 19261 411 25 until until IN 19261 411 26 the the DT 19261 411 27 ring ring NN 19261 411 28 , , , 19261 411 29 R r NN 19261 411 30 , , , 19261 411 31 is be VBZ 19261 411 32 below below IN 19261 411 33 the the DT 19261 411 34 pin pin NN 19261 411 35 . . . 19261 412 1 The the DT 19261 412 2 ring ring NN 19261 412 3 is be VBZ 19261 412 4 then then RB 19261 412 5 erected erect VBN 19261 412 6 to to IN 19261 412 7 the the DT 19261 412 8 position position NN 19261 412 9 shown show VBN 19261 412 10 dotted dotted JJ 19261 412 11 at at IN 19261 412 12 M M NNP 19261 412 13 , , , 19261 412 14 by by IN 19261 412 15 moving move VBG 19261 412 16 the the DT 19261 412 17 handle handle NN 19261 412 18 , , , 19261 412 19 H h NN 19261 412 20 , , , 19261 412 21 downward downward RB 19261 412 22 to to IN 19261 412 23 L l NN 19261 412 24 and and CC 19261 412 25 locking lock VBG 19261 412 26 it -PRON- PRP 19261 412 27 there there RB 19261 412 28 with with IN 19261 412 29 the the DT 19261 412 30 latch latch NN 19261 412 31 , , , 19261 412 32 Z. Z. NNP 19261 413 1 The the DT 19261 413 2 fork fork NN 19261 413 3 , , , 19261 413 4 A a NN 19261 413 5 , , , 19261 413 6 is be VBZ 19261 413 7 then then RB 19261 413 8 inserted insert VBN 19261 413 9 and and CC 19261 413 10 , , , 19261 413 11 engaging engage VBG 19261 413 12 the the DT 19261 413 13 pin pin NN 19261 413 14 at at IN 19261 413 15 the the DT 19261 413 16 spring spring NN 19261 413 17 loop loop NN 19261 413 18 , , , 19261 413 19 K K NNP 19261 413 20 , , , 19261 413 21 the the DT 19261 413 22 pin pin NN 19261 413 23 is be VBZ 19261 413 24 pushed push VBN 19261 413 25 into into IN 19261 413 26 the the DT 19261 413 27 ring ring NN 19261 413 28 , , , 19261 413 29 thus thus RB 19261 413 30 closing close VBG 19261 413 31 the the DT 19261 413 32 pin pin NN 19261 413 33 . . . 19261 414 1 Slight slight JJ 19261 414 2 rotation rotation NN 19261 414 3 of of IN 19261 414 4 the the DT 19261 414 5 pin pin NN 19261 414 6 with with IN 19261 414 7 the the DT 19261 414 8 forceps forceps NNS 19261 414 9 may may MD 19261 414 10 be be VB 19261 414 11 necessary necessary JJ 19261 414 12 to to TO 19261 414 13 get get VB 19261 414 14 the the DT 19261 414 15 point point NN 19261 414 16 into into IN 19261 414 17 the the DT 19261 414 18 keeper keeper NN 19261 414 19 . . . 19261 415 1 The the DT 19261 415 2 upper upper JJ 19261 415 3 instrument instrument NN 19261 415 4 is be VBZ 19261 415 5 sometimes sometimes RB 19261 415 6 useful useful JJ 19261 415 7 as as IN 19261 415 8 a a DT 19261 415 9 mechanical mechanical JJ 19261 415 10 spoon spoon NN 19261 415 11 for for IN 19261 415 12 removing remove VBG 19261 415 13 large large JJ 19261 415 14 , , , 19261 415 15 smooth smooth JJ 19261 415 16 foreign foreign JJ 19261 415 17 bodies body NNS 19261 415 18 from from IN 19261 415 19 the the DT 19261 415 20 esophagus esophagus NN 19261 415 21 . . . 19261 415 22 ] ] -RRB- 19261 416 1 _ _ NNP 19261 416 2 Esophageal Esophageal NNP 19261 416 3 Dilators_.--The dilators_.--the PRP$ 19261 416 4 dilatation dilatation NN 19261 416 5 of of IN 19261 416 6 cicatricial cicatricial JJ 19261 416 7 stenosis stenosis NN 19261 416 8 of of IN 19261 416 9 the the DT 19261 416 10 esophagus esophagus NN 19261 416 11 can can MD 19261 416 12 be be VB 19261 416 13 done do VBN 19261 416 14 safely safely RB 19261 416 15 only only RB 19261 416 16 by by IN 19261 416 17 endoscopic endoscopic JJ 19261 416 18 methods method NNS 19261 416 19 . . . 19261 417 1 Blind blind JJ 19261 417 2 esophageal esophageal JJ 19261 417 3 bouginage bouginage NN 19261 417 4 is be VBZ 19261 417 5 highly highly RB 19261 417 6 dangerous dangerous JJ 19261 417 7 , , , 19261 417 8 for for IN 19261 417 9 the the DT 19261 417 10 lumen luman NNS 19261 417 11 of of IN 19261 417 12 the the DT 19261 417 13 stricture stricture NN 19261 417 14 is be VBZ 19261 417 15 usually usually RB 19261 417 16 eccentric eccentric JJ 19261 417 17 and and CC 19261 417 18 the the DT 19261 417 19 bougie bougie NN 19261 417 20 is be VBZ 19261 417 21 therefore therefore RB 19261 417 22 apt apt JJ 19261 417 23 to to TO 19261 417 24 perforate perforate VB 19261 417 25 the the DT 19261 417 26 wall wall NN 19261 417 27 rather rather RB 19261 417 28 than than IN 19261 417 29 find find VB 19261 417 30 the the DT 19261 417 31 small small JJ 19261 417 32 opening opening NN 19261 417 33 . . . 19261 418 1 Often often RB 19261 418 2 there there EX 19261 418 3 is be VBZ 19261 418 4 present present JJ 19261 418 5 a a DT 19261 418 6 pouching pouching NN 19261 418 7 of of IN 19261 418 8 the the DT 19261 418 9 esophagus esophagus NN 19261 418 10 above above IN 19261 418 11 a a DT 19261 418 12 stricture stricture NN 19261 418 13 , , , 19261 418 14 in in IN 19261 418 15 which which WDT 19261 418 16 the the DT 19261 418 17 bougie bougie NN 19261 418 18 may may MD 19261 418 19 lodge lodge VB 19261 418 20 and and CC 19261 418 21 perforate perforate VB 19261 418 22 . . . 19261 419 1 Bougies bougie NNS 19261 419 2 should should MD 19261 419 3 be be VB 19261 419 4 introduced introduce VBN 19261 419 5 under under IN 19261 419 6 visual visual JJ 19261 419 7 guidance guidance NN 19261 419 8 through through IN 19261 419 9 the the DT 19261 419 10 esophagoscope esophagoscope NN 19261 419 11 , , , 19261 419 12 which which WDT 19261 419 13 is be VBZ 19261 419 14 so so RB 19261 419 15 placed place VBN 19261 419 16 that that IN 19261 419 17 the the DT 19261 419 18 lumen luman NNS 19261 419 19 of of IN 19261 419 20 the the DT 19261 419 21 stricture stricture NN 19261 419 22 is be VBZ 19261 419 23 in in IN 19261 419 24 the the DT 19261 419 25 center center NN 19261 419 26 of of IN 19261 419 27 the the DT 19261 419 28 endoscopic endoscopic JJ 19261 419 29 field field NN 19261 419 30 . . . 19261 420 1 The the DT 19261 420 2 author author NN 19261 420 3 's 's POS 19261 420 4 endoscopic endoscopic NN 19261 420 5 bougies bougie NNS 19261 420 6 ( ( -LRB- 19261 420 7 Fig fig NN 19261 420 8 . . . 19261 421 1 40 40 CD 19261 421 2 ) ) -RRB- 19261 421 3 are be VBP 19261 421 4 made make VBN 19261 421 5 with with IN 19261 421 6 a a DT 19261 421 7 flexible flexible JJ 19261 421 8 silk silk NN 19261 421 9 - - HYPH 19261 421 10 woven weave VBN 19261 421 11 tip tip NN 19261 421 12 securely securely RB 19261 421 13 fastened fasten VBD 19261 421 14 to to IN 19261 421 15 a a DT 19261 421 16 steel steel NN 19261 421 17 shaft shaft NN 19261 421 18 . . . 19261 422 1 This this DT 19261 422 2 shaft shaft NN 19261 422 3 lends lend VBZ 19261 422 4 rigidity rigidity NN 19261 422 5 to to IN 19261 422 6 the the DT 19261 422 7 instrument instrument NN 19261 422 8 sufficient sufficient JJ 19261 422 9 to to TO 19261 422 10 permit permit VB 19261 422 11 its -PRON- PRP$ 19261 422 12 accurate accurate JJ 19261 422 13 placement placement NN 19261 422 14 , , , 19261 422 15 and and CC 19261 422 16 its -PRON- PRP$ 19261 422 17 small small JJ 19261 422 18 size size NN 19261 422 19 permits permit VBZ 19261 422 20 the the DT 19261 422 21 eye eye NN 19261 422 22 to to TO 19261 422 23 keep keep VB 19261 422 24 the the DT 19261 422 25 silk silk NN 19261 422 26 - - HYPH 19261 422 27 woven weave VBN 19261 422 28 tip tip NN 19261 422 29 in in IN 19261 422 30 view view NN 19261 422 31 . . . 19261 423 1 These these DT 19261 423 2 endoscopic endoscopic JJ 19261 423 3 bougies bougie NNS 19261 423 4 are be VBP 19261 423 5 made make VBN 19261 423 6 in in IN 19261 423 7 sizes size NNS 19261 423 8 from from IN 19261 423 9 8 8 CD 19261 423 10 to to IN 19261 423 11 40 40 CD 19261 423 12 , , , 19261 423 13 French french JJ 19261 423 14 scale scale NN 19261 423 15 . . . 19261 424 1 The the DT 19261 424 2 larger large JJR 19261 424 3 sizes size NNS 19261 424 4 are be VBP 19261 424 5 used use VBN 19261 424 6 especially especially RB 19261 424 7 for for IN 19261 424 8 the the DT 19261 424 9 dilatation dilatation NN 19261 424 10 of of IN 19261 424 11 laryngeal laryngeal NN 19261 424 12 and and CC 19261 424 13 tracheal tracheal NN 19261 424 14 stenoses stenosis NNS 19261 424 15 . . . 19261 425 1 For for IN 19261 425 2 the the DT 19261 425 3 latter latter JJ 19261 425 4 work work NN 19261 425 5 it -PRON- PRP 19261 425 6 is be VBZ 19261 425 7 essential essential JJ 19261 425 8 that that IN 19261 425 9 the the DT 19261 425 10 bougies bougie NNS 19261 425 11 be be VB 19261 425 12 inspected inspect VBN 19261 425 13 carefully carefully RB 19261 425 14 before before IN 19261 425 15 they -PRON- PRP 19261 425 16 are be VBP 19261 425 17 used use VBN 19261 425 18 , , , 19261 425 19 for for IN 19261 425 20 should should MD 19261 425 21 a a DT 19261 425 22 defective defective JJ 19261 425 23 tip tip NN 19261 425 24 come come VBN 19261 425 25 off off RP 19261 425 26 while while IN 19261 425 27 in in IN 19261 425 28 the the DT 19261 425 29 lower low JJR 19261 425 30 air air NN 19261 425 31 passages passage NNS 19261 425 32 a a DT 19261 425 33 difficult difficult JJ 19261 425 34 foreign foreign JJ 19261 425 35 body body NN 19261 425 36 problem problem NN 19261 425 37 would would MD 19261 425 38 be be VB 19261 425 39 created create VBN 19261 425 40 . . . 19261 426 1 Soft soft JJ 19261 426 2 - - HYPH 19261 426 3 rubber rubber NN 19261 426 4 retrograde retrograde NN 19261 426 5 dilators dilator NNS 19261 426 6 to to TO 19261 426 7 be be VB 19261 426 8 drawn draw VBN 19261 426 9 upward upward RB 19261 426 10 from from IN 19261 426 11 the the DT 19261 426 12 stomach stomach NN 19261 426 13 by by IN 19261 426 14 a a DT 19261 426 15 swallowed swallow VBN 19261 426 16 string string NN 19261 426 17 are be VBP 19261 426 18 useful useful JJ 19261 426 19 in in IN 19261 426 20 gastrostomized gastrostomize VBN 19261 426 21 cases case NNS 19261 426 22 ( ( -LRB- 19261 426 23 Fig fig NN 19261 426 24 . . . 19261 427 1 35 35 CD 19261 427 2 ) ) -RRB- 19261 427 3 . . . 19261 428 1 [ [ -LRB- 19261 428 2 FIG FIG NNP 19261 428 3 38.--Half 38.--half CD 19261 428 4 curved curved JJ 19261 428 5 hook hook NN 19261 428 6 , , , 19261 428 7 45 45 CD 19261 428 8 cm cm NNS 19261 428 9 . . . 19261 429 1 and and CC 19261 429 2 60 60 CD 19261 429 3 cm cm NNS 19261 429 4 . . . 19261 430 1 Full full JJ 19261 430 2 curved curved JJ 19261 430 3 patterns pattern NNS 19261 430 4 are be VBP 19261 430 5 made make VBN 19261 430 6 but but CC 19261 430 7 caution caution NN 19261 430 8 is be VBZ 19261 430 9 necessary necessary JJ 19261 430 10 to to TO 19261 430 11 avoid avoid VB 19261 430 12 them -PRON- PRP 19261 430 13 becoming become VBG 19261 430 14 anchored anchor VBN 19261 430 15 in in IN 19261 430 16 the the DT 19261 430 17 bronchi bronchi NN 19261 430 18 . . . 19261 431 1 Spiral spiral JJ 19261 431 2 forms form NNS 19261 431 3 avoid avoid VBP 19261 431 4 this this DT 19261 431 5 . . . 19261 432 1 The the DT 19261 432 2 author author NN 19261 432 3 makes make VBZ 19261 432 4 for for IN 19261 432 5 himself -PRON- PRP 19261 432 6 steel steel NN 19261 432 7 probe probe NN 19261 432 8 - - HYPH 19261 432 9 pointed point VBN 19261 432 10 rods rod NNS 19261 432 11 out out IN 19261 432 12 of of IN 19261 432 13 which which WDT 19261 432 14 he -PRON- PRP 19261 432 15 bends bend VBZ 19261 432 16 hooks hook NNS 19261 432 17 of of IN 19261 432 18 any any DT 19261 432 19 desired desire VBN 19261 432 20 shape shape NN 19261 432 21 . . . 19261 433 1 The the DT 19261 433 2 rod rod NN 19261 433 3 is be VBZ 19261 433 4 held hold VBN 19261 433 5 in in IN 19261 433 6 a a DT 19261 433 7 pin pin NN 19261 433 8 - - HYPH 19261 433 9 vise vise NN 19261 433 10 to to TO 19261 433 11 facilitate facilitate VB 19261 433 12 bending bending NN 19261 433 13 of of IN 19261 433 14 the the DT 19261 433 15 point point NN 19261 433 16 , , , 19261 433 17 after after IN 19261 433 18 heating heating NN 19261 433 19 in in IN 19261 433 20 an an DT 19261 433 21 alcohol alcohol NN 19261 433 22 or or CC 19261 433 23 bunsen bunsen NN 19261 433 24 flame flame NN 19261 433 25 . . . 19261 433 26 ] ] -RRB- 19261 434 1 _ _ NNP 19261 434 2 Hooks_.--No Hooks_.--No NNP 19261 434 3 hook hook NN 19261 434 4 greater great JJR 19261 434 5 than than IN 19261 434 6 a a DT 19261 434 7 right right JJ 19261 434 8 angle angle NN 19261 434 9 should should MD 19261 434 10 be be VB 19261 434 11 used use VBN 19261 434 12 through through IN 19261 434 13 endoscopic endoscopic JJ 19261 434 14 tubes tube NNS 19261 434 15 ; ; : 19261 434 16 for for IN 19261 434 17 should should MD 19261 434 18 it -PRON- PRP 19261 434 19 become become VB 19261 434 20 caught catch VBN 19261 434 21 in in IN 19261 434 22 some some DT 19261 434 23 of of IN 19261 434 24 the the DT 19261 434 25 smaller small JJR 19261 434 26 bronchi bronchi NNP 19261 434 27 its -PRON- PRP$ 19261 434 28 extraction extraction NN 19261 434 29 might may MD 19261 434 30 result result VB 19261 434 31 in in IN 19261 434 32 serious serious JJ 19261 434 33 trauma trauma NN 19261 434 34 . . . 19261 435 1 The the DT 19261 435 2 half half JJ 19261 435 3 curved curved JJ 19261 435 4 hook hook NN 19261 435 5 shown show VBN 19261 435 6 in in IN 19261 435 7 Fig Fig NNP 19261 435 8 . . . 19261 436 1 38 38 CD 19261 436 2 is be VBZ 19261 436 3 the the DT 19261 436 4 safest safe JJS 19261 436 5 type type NN 19261 436 6 ; ; : 19261 436 7 better well JJR 19261 436 8 still still RB 19261 436 9 , , , 19261 436 10 a a DT 19261 436 11 spiral spiral JJ 19261 436 12 twist twist NN 19261 436 13 to to IN 19261 436 14 the the DT 19261 436 15 hook hook NN 19261 436 16 will will MD 19261 436 17 add add VB 19261 436 18 to to IN 19261 436 19 its -PRON- PRP$ 19261 436 20 uses use NNS 19261 436 21 , , , 19261 436 22 and and CC 19261 436 23 by by IN 19261 436 24 reversing reverse VBG 19261 436 25 the the DT 19261 436 26 turning turning NN 19261 436 27 motion motion NN 19261 436 28 it -PRON- PRP 19261 436 29 may may MD 19261 436 30 be be VB 19261 436 31 " " `` 19261 436 32 unscrewed unscrewed JJ 19261 436 33 " " '' 19261 436 34 out out RB 19261 436 35 if if IN 19261 436 36 it -PRON- PRP 19261 436 37 becomes become VBZ 19261 436 38 caught catch VBN 19261 436 39 . . . 19261 437 1 Hooks Hooks NNP 19261 437 2 may may MD 19261 437 3 easily easily RB 19261 437 4 be be VB 19261 437 5 made make VBN 19261 437 6 from from IN 19261 437 7 rods rod NNS 19261 437 8 of of IN 19261 437 9 malleable malleable JJ 19261 437 10 steel steel NN 19261 437 11 by by IN 19261 437 12 heating heat VBG 19261 437 13 the the DT 19261 437 14 end end NN 19261 437 15 in in IN 19261 437 16 a a DT 19261 437 17 spirit spirit NN 19261 437 18 lamp lamp NN 19261 437 19 and and CC 19261 437 20 shaping shape VBG 19261 437 21 the the DT 19261 437 22 curve curve NN 19261 437 23 as as IN 19261 437 24 desired desire VBN 19261 437 25 by by IN 19261 437 26 means mean NNS 19261 437 27 of of IN 19261 437 28 a a DT 19261 437 29 pin pin NN 19261 437 30 - - HYPH 19261 437 31 vise vise NN 19261 437 32 and and CC 19261 437 33 pliers plier NNS 19261 437 34 . . . 19261 438 1 About about RB 19261 438 2 2 2 CD 19261 438 3 cm cm NNS 19261 438 4 . . . 19261 439 1 of of IN 19261 439 2 the the DT 19261 439 3 proximal proximal JJ 19261 439 4 end end NN 19261 439 5 of of IN 19261 439 6 the the DT 19261 439 7 rod rod NN 19261 439 8 should should MD 19261 439 9 be be VB 19261 439 10 bent bent JJ 19261 439 11 in in IN 19261 439 12 exactly exactly RB 19261 439 13 the the DT 19261 439 14 opposite opposite JJ 19261 439 15 direction direction NN 19261 439 16 from from IN 19261 439 17 that that DT 19261 439 18 of of IN 19261 439 19 the the DT 19261 439 20 hook hook NN 19261 439 21 so so IN 19261 439 22 as as IN 19261 439 23 to to TO 19261 439 24 form form VB 19261 439 25 a a DT 19261 439 26 handle handle NN 19261 439 27 which which WDT 19261 439 28 will will MD 19261 439 29 tell tell VB 19261 439 30 the the DT 19261 439 31 position position NN 19261 439 32 of of IN 19261 439 33 the the DT 19261 439 34 hook hook NN 19261 439 35 by by IN 19261 439 36 touch touch NN 19261 439 37 as as RB 19261 439 38 well well RB 19261 439 39 as as IN 19261 439 40 by by IN 19261 439 41 sight sight NN 19261 439 42 . . . 19261 440 1 Coil Coil NNP 19261 440 2 - - HYPH 19261 440 3 spring spring NN 19261 440 4 hooks hook NNS 19261 440 5 for for IN 19261 440 6 the the DT 19261 440 7 upper upper JJ 19261 440 8 - - HYPH 19261 440 9 lobe lobe NN 19261 440 10 - - HYPH 19261 440 11 bronchus bronchus NN 19261 440 12 ( ( -LRB- 19261 440 13 Fig fig NN 19261 440 14 . . . 19261 441 1 39 39 LS 19261 441 2 ) ) -RRB- 19261 441 3 will will MD 19261 441 4 reach reach VB 19261 441 5 around around IN 19261 441 6 the the DT 19261 441 7 corner corner NN 19261 441 8 into into IN 19261 441 9 the the DT 19261 441 10 ascending ascend VBG 19261 441 11 bronchus bronchus NN 19261 441 12 of of IN 19261 441 13 the the DT 19261 441 14 upper upper JJ 19261 441 15 - - HYPH 19261 441 16 lobe lobe NN 19261 441 17 - - HYPH 19261 441 18 bronchus bronchus NNP 19261 441 19 , , , 19261 441 20 but but CC 19261 441 21 the the DT 19261 441 22 utmost utmost JJ 19261 441 23 skill skill NN 19261 441 24 and and CC 19261 441 25 care care NN 19261 441 26 are be VBP 19261 441 27 required require VBN 19261 441 28 to to TO 19261 441 29 make make VB 19261 441 30 their -PRON- PRP$ 19261 441 31 use use NN 19261 441 32 justifiable justifiable JJ 19261 441 33 . . . 19261 442 1 [ [ -LRB- 19261 442 2 FIG FIG NNP 19261 442 3 . . . 19261 443 1 39.--Author 39.--Author NNP 19261 443 2 's 's POS 19261 443 3 coil coil NNP 19261 443 4 - - HYPH 19261 443 5 spring spring NN 19261 443 6 hook hook NN 19261 443 7 for for IN 19261 443 8 the the DT 19261 443 9 upper upper NNP 19261 443 10 - - HYPH 19261 443 11 lobe lobe NN 19261 443 12 , , , 19261 443 13 bronchus bronchus NN 19261 443 14 ] ] -RRB- 19261 443 15 _ _ NNP 19261 443 16 Safety Safety NNP 19261 443 17 - - HYPH 19261 443 18 pin pin NN 19261 443 19 Closer_.--There closer_.--there NN 19261 443 20 are be VBP 19261 443 21 a a DT 19261 443 22 number number NN 19261 443 23 of of IN 19261 443 24 methods method NNS 19261 443 25 for for IN 19261 443 26 the the DT 19261 443 27 endoscopic endoscopic JJ 19261 443 28 removal removal NN 19261 443 29 of of IN 19261 443 30 open open JJ 19261 443 31 safety safety NN 19261 443 32 - - HYPH 19261 443 33 pins pin NNS 19261 443 34 when when WRB 19261 443 35 the the DT 19261 443 36 point point NN 19261 443 37 is be VBZ 19261 443 38 up up RB 19261 443 39 , , , 19261 443 40 one one CD 19261 443 41 of of IN 19261 443 42 which which WDT 19261 443 43 is be VBZ 19261 443 44 by by IN 19261 443 45 closing close VBG 19261 443 46 the the DT 19261 443 47 pin pin NN 19261 443 48 with with IN 19261 443 49 the the DT 19261 443 50 instrument instrument NN 19261 443 51 shown show VBN 19261 443 52 in in IN 19261 443 53 Fig Fig NNP 19261 443 54 . . . 19261 444 1 37 37 CD 19261 444 2 in in IN 19261 444 3 the the DT 19261 444 4 following follow VBG 19261 444 5 manner manner NN 19261 444 6 . . . 19261 445 1 The the DT 19261 445 2 oval oval NN 19261 445 3 ring ring NN 19261 445 4 is be VBZ 19261 445 5 passed pass VBN 19261 445 6 through through IN 19261 445 7 the the DT 19261 445 8 endoscope endoscope NN 19261 445 9 until until IN 19261 445 10 it -PRON- PRP 19261 445 11 is be VBZ 19261 445 12 beyond beyond IN 19261 445 13 the the DT 19261 445 14 spring spring NN 19261 445 15 of of IN 19261 445 16 the the DT 19261 445 17 safety safety NN 19261 445 18 - - HYPH 19261 445 19 pin pin NN 19261 445 20 , , , 19261 445 21 the the DT 19261 445 22 ring ring NN 19261 445 23 is be VBZ 19261 445 24 then then RB 19261 445 25 turned turn VBN 19261 445 26 upward upward RB 19261 445 27 by by IN 19261 445 28 depressing depress VBG 19261 445 29 the the DT 19261 445 30 handle handle NN 19261 445 31 , , , 19261 445 32 and and CC 19261 445 33 by by IN 19261 445 34 the the DT 19261 445 35 aid aid NN 19261 445 36 of of IN 19261 445 37 the the DT 19261 445 38 prong prong NN 19261 445 39 the the DT 19261 445 40 pin pin NNP 19261 445 41 is be VBZ 19261 445 42 pushed push VBN 19261 445 43 into into IN 19261 445 44 the the DT 19261 445 45 ring ring NN 19261 445 46 , , , 19261 445 47 which which WDT 19261 445 48 action action NN 19261 445 49 approximates approximate VBZ 19261 445 50 the the DT 19261 445 51 point point NN 19261 445 52 of of IN 19261 445 53 the the DT 19261 445 54 pin pin NN 19261 445 55 and and CC 19261 445 56 the the DT 19261 445 57 keeper keeper NN 19261 445 58 and and CC 19261 445 59 closes close VBZ 19261 445 60 the the DT 19261 445 61 pin pin NN 19261 445 62 . . . 19261 446 1 Removal removal NN 19261 446 2 is be VBZ 19261 446 3 then then RB 19261 446 4 less less RBR 19261 446 5 difficult difficult JJ 19261 446 6 and and CC 19261 446 7 without without IN 19261 446 8 danger danger NN 19261 446 9 . . . 19261 447 1 This this DT 19261 447 2 instrument instrument NN 19261 447 3 may may MD 19261 447 4 also also RB 19261 447 5 be be VB 19261 447 6 used use VBN 19261 447 7 as as IN 19261 447 8 a a DT 19261 447 9 mechanical mechanical JJ 19261 447 10 spoon spoon NN 19261 447 11 , , , 19261 447 12 in in IN 19261 447 13 which which WDT 19261 447 14 case case NN 19261 447 15 it -PRON- PRP 19261 447 16 may may MD 19261 447 17 be be VB 19261 447 18 passed pass VBN 19261 447 19 to to IN 19261 447 20 the the DT 19261 447 21 side side NN 19261 447 22 of of IN 19261 447 23 a a DT 19261 447 24 difficultly difficultly RB 19261 447 25 grasped grasp VBN 19261 447 26 foreign foreign JJ 19261 447 27 body body NN 19261 447 28 , , , 19261 447 29 such such JJ 19261 447 30 as as IN 19261 447 31 a a DT 19261 447 32 pebble pebble NN 19261 447 33 , , , 19261 447 34 the the DT 19261 447 35 ring ring NN 19261 447 36 elevated elevate VBD 19261 447 37 and and CC 19261 447 38 the the DT 19261 447 39 object object NN 19261 447 40 withdrawn withdraw VBN 19261 447 41 . . . 19261 448 1 Elsewhere elsewhere RB 19261 448 2 will will MD 19261 448 3 be be VB 19261 448 4 found find VBN 19261 448 5 a a DT 19261 448 6 description description NN 19261 448 7 of of IN 19261 448 8 the the DT 19261 448 9 various various JJ 19261 448 10 safety safety NN 19261 448 11 - - HYPH 19261 448 12 pin pin NN 19261 448 13 closers closer NNS 19261 448 14 devised devise VBN 19261 448 15 by by IN 19261 448 16 various various JJ 19261 448 17 endoscopists endoscopist NNS 19261 448 18 . . . 19261 449 1 The the DT 19261 449 2 author author NN 19261 449 3 has have VBZ 19261 449 4 used use VBN 19261 449 5 Arrowsmith Arrowsmith NNP 19261 449 6 's 's POS 19261 449 7 closer close JJR 19261 449 8 with with IN 19261 449 9 much much JJ 19261 449 10 satisfaction satisfaction NN 19261 449 11 . . . 19261 450 1 _ _ NNP 19261 450 2 Mechanical Mechanical NNP 19261 450 3 Spoon_.--When Spoon_.--When NNP 19261 450 4 soft soft JJ 19261 450 5 , , , 19261 450 6 friable friable JJ 19261 450 7 substances substance NNS 19261 450 8 , , , 19261 450 9 such such JJ 19261 450 10 as as IN 19261 450 11 a a DT 19261 450 12 bolus bolus NN 19261 450 13 of of IN 19261 450 14 meat meat NN 19261 450 15 , , , 19261 450 16 become become VB 19261 450 17 impacted impact VBN 19261 450 18 in in IN 19261 450 19 the the DT 19261 450 20 upper upper JJ 19261 450 21 esophagus esophagus NN 19261 450 22 , , , 19261 450 23 the the DT 19261 450 24 short short JJ 19261 450 25 mechanical mechanical JJ 19261 450 26 spoon spoon NN 19261 450 27 ( ( -LRB- 19261 450 28 Fig Fig NNP 19261 450 29 . . . 19261 451 1 30 30 CD 19261 451 2 ) ) -RRB- 19261 451 3 used use VBD 19261 451 4 through through IN 19261 451 5 the the DT 19261 451 6 esophageal esophageal JJ 19261 451 7 speculum speculum NN 19261 451 8 is be VBZ 19261 451 9 of of IN 19261 451 10 great great JJ 19261 451 11 aid aid NN 19261 451 12 in in IN 19261 451 13 their -PRON- PRP$ 19261 451 14 removal removal NN 19261 451 15 . . . 19261 452 1 The the DT 19261 452 2 blade blade NN 19261 452 3 in in IN 19261 452 4 this this DT 19261 452 5 instrument instrument NN 19261 452 6 , , , 19261 452 7 as as IN 19261 452 8 the the DT 19261 452 9 name name NN 19261 452 10 suggests suggest VBZ 19261 452 11 , , , 19261 452 12 is be VBZ 19261 452 13 a a DT 19261 452 14 spoon spoon NN 19261 452 15 and and CC 19261 452 16 is be VBZ 19261 452 17 not not RB 19261 452 18 fenestrated fenestrate VBN 19261 452 19 as as IN 19261 452 20 is be VBZ 19261 452 21 the the DT 19261 452 22 safety safety NN 19261 452 23 - - HYPH 19261 452 24 pin pin NN 19261 452 25 closer close RBR 19261 452 26 , , , 19261 452 27 which which WDT 19261 452 28 if if IN 19261 452 29 used use VBN 19261 452 30 for for IN 19261 452 31 friable friable JJ 19261 452 32 substances substance NNS 19261 452 33 would would MD 19261 452 34 allow allow VB 19261 452 35 them -PRON- PRP 19261 452 36 to to TO 19261 452 37 slip slip VB 19261 452 38 through through IN 19261 452 39 the the DT 19261 452 40 fenestration fenestration NN 19261 452 41 . . . 19261 453 1 A a DT 19261 453 2 longer long JJR 19261 453 3 form form NN 19261 453 4 for for IN 19261 453 5 use use NN 19261 453 6 through through IN 19261 453 7 bronchoscopes bronchoscope NNS 19261 453 8 and and CC 19261 453 9 esophagoscopes esophagoscope NNS 19261 453 10 is be VBZ 19261 453 11 shown show VBN 19261 453 12 in in IN 19261 453 13 Fig Fig NNP 19261 453 14 . . . 19261 454 1 36 36 CD 19261 454 2 . . . 19261 455 1 A a DT 19261 455 2 laryngeal laryngeal NN 19261 455 3 curette curette NN 19261 455 4 , , , 19261 455 5 cautery cautery NN 19261 455 6 electrodes electrode NNS 19261 455 7 , , , 19261 455 8 cautery cautery NN 19261 455 9 handle handle NN 19261 455 10 , , , 19261 455 11 and and CC 19261 455 12 laryngeal laryngeal NN 19261 455 13 knife knife NN 19261 455 14 are be VBP 19261 455 15 illustrated illustrate VBN 19261 455 16 in in IN 19261 455 17 Fig Fig NNP 19261 455 18 . . . 19261 456 1 34 34 CD 19261 456 2 . . . 19261 457 1 The the DT 19261 457 2 cautery cautery NN 19261 457 3 is be VBZ 19261 457 4 to to TO 19261 457 5 be be VB 19261 457 6 used use VBN 19261 457 7 with with IN 19261 457 8 a a DT 19261 457 9 transformer transformer NN 19261 457 10 , , , 19261 457 11 or or CC 19261 457 12 a a DT 19261 457 13 storage storage NN 19261 457 14 battery battery NN 19261 457 15 . . . 19261 458 1 _ _ NNP 19261 458 2 Spectacles_.--If Spectacles_.--If NNP 19261 458 3 the the DT 19261 458 4 operator operator NN 19261 458 5 has have VBZ 19261 458 6 no no DT 19261 458 7 refractive refractive JJ 19261 458 8 error error NN 19261 458 9 he -PRON- PRP 19261 458 10 will will MD 19261 458 11 need need VB 19261 458 12 two two CD 19261 458 13 pairs pair NNS 19261 458 14 of of IN 19261 458 15 plane plane NN 19261 458 16 protective protective JJ 19261 458 17 spectacles spectacle NNS 19261 458 18 with with IN 19261 458 19 very very RB 19261 458 20 large large JJ 19261 458 21 " " '' 19261 458 22 eyes eye NNS 19261 458 23 . . . 19261 458 24 " " '' 19261 459 1 If if IN 19261 459 2 ametropic ametropic JJ 19261 459 3 , , , 19261 459 4 corrective corrective JJ 19261 459 5 lenses lense NNS 19261 459 6 are be VBP 19261 459 7 necessary necessary JJ 19261 459 8 , , , 19261 459 9 and and CC 19261 459 10 duplicate duplicate VBP 19261 459 11 spectacles spectacle NNS 19261 459 12 must must MD 19261 459 13 be be VB 19261 459 14 in in IN 19261 459 15 charge charge NN 19261 459 16 of of IN 19261 459 17 a a DT 19261 459 18 nurse nurse NN 19261 459 19 . . . 19261 460 1 For for IN 19261 460 2 presbyopia presbyopia NN 19261 460 3 two two CD 19261 460 4 pairs pair NNS 19261 460 5 of of IN 19261 460 6 spectacles spectacle NNS 19261 460 7 for for IN 19261 460 8 40 40 CD 19261 460 9 cm cm NNS 19261 460 10 . . . 19261 461 1 distance distance NN 19261 461 2 and and CC 19261 461 3 65 65 CD 19261 461 4 cm cm NNS 19261 461 5 . . . 19261 462 1 distance distance NN 19261 462 2 must must MD 19261 462 3 be be VB 19261 462 4 at at IN 19261 462 5 hand hand NN 19261 462 6 . . . 19261 463 1 Hook hook NN 19261 463 2 temple temple NN 19261 463 3 frames frame NNS 19261 463 4 should should MD 19261 463 5 be be VB 19261 463 6 used use VBN 19261 463 7 so so IN 19261 463 8 that that IN 19261 463 9 they -PRON- PRP 19261 463 10 can can MD 19261 463 11 be be VB 19261 463 12 easily easily RB 19261 463 13 changed change VBN 19261 463 14 and and CC 19261 463 15 adjusted adjust VBN 19261 463 16 by by IN 19261 463 17 the the DT 19261 463 18 nurse nurse NN 19261 463 19 when when WRB 19261 463 20 the the DT 19261 463 21 lenses lense NNS 19261 463 22 become become VBP 19261 463 23 spattered spattered JJ 19261 463 24 . . . 19261 464 1 The the DT 19261 464 2 spectacle spectacle NN 19261 464 3 nurse nurse NN 19261 464 4 has have VBZ 19261 464 5 ready ready JJ 19261 464 6 at at IN 19261 464 7 all all DT 19261 464 8 times time NNS 19261 464 9 the the DT 19261 464 10 extra extra JJ 19261 464 11 spectacles spectacle NNS 19261 464 12 , , , 19261 464 13 cleaned clean VBN 19261 464 14 and and CC 19261 464 15 warmed warm VBN 19261 464 16 in in IN 19261 464 17 a a DT 19261 464 18 pan pan NN 19261 464 19 of of IN 19261 464 20 heated heated JJ 19261 464 21 water water NN 19261 464 22 so so IN 19261 464 23 that that IN 19261 464 24 they -PRON- PRP 19261 464 25 will will MD 19261 464 26 not not RB 19261 464 27 be be VB 19261 464 28 fogged fog VBN 19261 464 29 by by IN 19261 464 30 the the DT 19261 464 31 patient patient NN 19261 464 32 's 's POS 19261 464 33 breath breath NN 19261 464 34 , , , 19261 464 35 and and CC 19261 464 36 she -PRON- PRP 19261 464 37 changes change VBZ 19261 464 38 them -PRON- PRP 19261 464 39 without without IN 19261 464 40 delay delay NN 19261 464 41 as as RB 19261 464 42 often often RB 19261 464 43 as as IN 19261 464 44 they -PRON- PRP 19261 464 45 become become VBP 19261 464 46 soiled soiled JJ 19261 464 47 . . . 19261 465 1 The the DT 19261 465 2 operator operator NN 19261 465 3 should should MD 19261 465 4 work work VB 19261 465 5 with with IN 19261 465 6 both both DT 19261 465 7 eyes eye NNS 19261 465 8 open open JJ 19261 465 9 and and CC 19261 465 10 with with IN 19261 465 11 his -PRON- PRP$ 19261 465 12 right right JJ 19261 465 13 eye eye NN 19261 465 14 at at IN 19261 465 15 the the DT 19261 465 16 tube tube NN 19261 465 17 mouth mouth NN 19261 465 18 . . . 19261 466 1 The the DT 19261 466 2 operating operating NN 19261 466 3 room room NN 19261 466 4 should should MD 19261 466 5 be be VB 19261 466 6 somewhat somewhat RB 19261 466 7 darkened darken VBN 19261 466 8 so so IN 19261 466 9 as as IN 19261 466 10 to to TO 19261 466 11 facilitate facilitate VB 19261 466 12 the the DT 19261 466 13 ignoring ignoring NN 19261 466 14 of of IN 19261 466 15 the the DT 19261 466 16 image image NN 19261 466 17 in in IN 19261 466 18 the the DT 19261 466 19 left left JJ 19261 466 20 eye eye NN 19261 466 21 ; ; : 19261 466 22 any any DT 19261 466 23 lighting lighting NN 19261 466 24 should should MD 19261 466 25 be be VB 19261 466 26 at at IN 19261 466 27 the the DT 19261 466 28 operator operator NN 19261 466 29 's 's POS 19261 466 30 back back NN 19261 466 31 , , , 19261 466 32 and and CC 19261 466 33 should should MD 19261 466 34 be be VB 19261 466 35 insufficient insufficient JJ 19261 466 36 to to TO 19261 466 37 cause cause VB 19261 466 38 reflections reflection NNS 19261 466 39 from from IN 19261 466 40 the the DT 19261 466 41 inner inner JJ 19261 466 42 surface surface NN 19261 466 43 of of IN 19261 466 44 his -PRON- PRP$ 19261 466 45 glasses glass NNS 19261 466 46 . . . 19261 467 1 [ [ -LRB- 19261 467 2 FIG FIG NNP 19261 467 3 . . . 19261 468 1 40.--The 40.--the CD 19261 468 2 author author NN 19261 468 3 's 's POS 19261 468 4 endoscopic endoscopic NN 19261 468 5 bougies bougie NNS 19261 468 6 . . . 19261 469 1 The the DT 19261 469 2 end end NN 19261 469 3 consists consist VBZ 19261 469 4 of of IN 19261 469 5 a a DT 19261 469 6 flexible flexible JJ 19261 469 7 silk silk NN 19261 469 8 woven weave VBN 19261 469 9 tip tip NN 19261 469 10 attached attach VBD 19261 469 11 securely securely RB 19261 469 12 to to IN 19261 469 13 a a DT 19261 469 14 steel steel NN 19261 469 15 shank shank JJ 19261 469 16 . . . 19261 470 1 Sizes size NNS 19261 470 2 8 8 CD 19261 470 3 to to TO 19261 470 4 30 30 CD 19261 470 5 French french JJ 19261 470 6 catheter catheter NN 19261 470 7 scale scale NN 19261 470 8 . . . 19261 471 1 A a DT 19261 471 2 metallic metallic JJ 19261 471 3 form form NN 19261 471 4 of of IN 19261 471 5 this this DT 19261 471 6 bougie bougie NN 19261 471 7 is be VBZ 19261 471 8 useful useful JJ 19261 471 9 in in IN 19261 471 10 the the DT 19261 471 11 trachea trachea NN 19261 471 12 ; ; : 19261 471 13 but but CC 19261 471 14 is be VBZ 19261 471 15 not not RB 19261 471 16 so so RB 19261 471 17 safe safe JJ 19261 471 18 for for IN 19261 471 19 esophageal esophageal JJ 19261 471 20 use use NN 19261 471 21 . . . 19261 471 22 ] ] -RRB- 19261 472 1 [ [ -LRB- 19261 472 2 FIG FIG NNP 19261 472 3 . . . 19261 473 1 41.--The 41.--the CD 19261 473 2 author author NN 19261 473 3 's 's POS 19261 473 4 laryngeal laryngeal NN 19261 473 5 bougie bougie NN 19261 473 6 for for IN 19261 473 7 the the DT 19261 473 8 dilatation dilatation NN 19261 473 9 of of IN 19261 473 10 cicatricial cicatricial JJ 19261 473 11 laryngeal laryngeal NN 19261 473 12 stenosis stenosis NN 19261 473 13 . . . 19261 474 1 Made make VBN 19261 474 2 in in IN 19261 474 3 10 10 CD 19261 474 4 sizes size NNS 19261 474 5 . . . 19261 475 1 The the DT 19261 475 2 shaded shaded JJ 19261 475 3 triangle triangle NN 19261 475 4 shows show VBZ 19261 475 5 the the DT 19261 475 6 cross cross JJ 19261 475 7 - - NN 19261 475 8 section section NN 19261 475 9 at at IN 19261 475 10 the the DT 19261 475 11 widest wide JJS 19261 475 12 part part NN 19261 475 13 . . . 19261 475 14 ] ] -RRB- 19261 476 1 [ [ -LRB- 19261 476 2 FIG FIG NNP 19261 476 3 . . . 19261 477 1 42.--The 42.--the CD 19261 477 2 author author NN 19261 477 3 's 's POS 19261 477 4 bronchoscopic bronchoscopic NN 19261 477 5 and and CC 19261 477 6 esophagoscopic esophagoscopic NN 19261 477 7 table table NN 19261 477 8 . . . 19261 477 9 ] ] -RRB- 19261 478 1 [ [ -LRB- 19261 478 2 46 46 CD 19261 478 3 ] ] -RRB- 19261 478 4 _ _ NNP 19261 478 5 Endoscopic Endoscopic NNP 19261 478 6 Table_.--Any Table_.--Any NNP 19261 478 7 operating operate VBG 19261 478 8 table table NN 19261 478 9 may may MD 19261 478 10 be be VB 19261 478 11 used use VBN 19261 478 12 , , , 19261 478 13 but but CC 19261 478 14 the the DT 19261 478 15 work work NN 19261 478 16 is be VBZ 19261 478 17 facilitated facilitate VBN 19261 478 18 if if IN 19261 478 19 a a DT 19261 478 20 special special JJ 19261 478 21 table table NN 19261 478 22 can can MD 19261 478 23 be be VB 19261 478 24 had have VBN 19261 478 25 which which WDT 19261 478 26 allows allow VBZ 19261 478 27 the the DT 19261 478 28 placing placing NN 19261 478 29 of of IN 19261 478 30 the the DT 19261 478 31 patient patient NN 19261 478 32 in in IN 19261 478 33 all all DT 19261 478 34 required require VBN 19261 478 35 positions position NNS 19261 478 36 . . . 19261 479 1 The the DT 19261 479 2 table table NN 19261 479 3 illustrated illustrate VBN 19261 479 4 in in IN 19261 479 5 fig fig NN 19261 479 6 . . . 19261 480 1 42 42 CD 19261 480 2 is be VBZ 19261 480 3 so so RB 19261 480 4 arranged arrange VBN 19261 480 5 that that IN 19261 480 6 when when WRB 19261 480 7 the the DT 19261 480 8 false false JJ 19261 480 9 top top NN 19261 480 10 is be VBZ 19261 480 11 drawn draw VBN 19261 480 12 forward forward RB 19261 480 13 on on IN 19261 480 14 the the DT 19261 480 15 railroad railroad NN 19261 480 16 , , , 19261 480 17 the the DT 19261 480 18 head head NN 19261 480 19 piece piece NN 19261 480 20 drops drop VBZ 19261 480 21 and and CC 19261 480 22 the the DT 19261 480 23 patient patient NN 19261 480 24 is be VBZ 19261 480 25 placed place VBN 19261 480 26 in in IN 19261 480 27 the the DT 19261 480 28 correct correct NN 19261 480 29 ( ( -LRB- 19261 480 30 Boyce Boyce NNP 19261 480 31 ) ) -RRB- 19261 480 32 position position NN 19261 480 33 for for IN 19261 480 34 esophagoscopy esophagoscopy JJ 19261 480 35 or or CC 19261 480 36 bronchoscopy bronchoscopy NN 19261 480 37 , , , 19261 480 38 i.e. i.e. FW 19261 480 39 , , , 19261 480 40 with with IN 19261 480 41 the the DT 19261 480 42 head head NN 19261 480 43 and and CC 19261 480 44 shoulders shoulder NNS 19261 480 45 extending extend VBG 19261 480 46 over over IN 19261 480 47 the the DT 19261 480 48 end end NN 19261 480 49 of of IN 19261 480 50 the the DT 19261 480 51 table table NN 19261 480 52 . . . 19261 481 1 By by IN 19261 481 2 means mean NNS 19261 481 3 of of IN 19261 481 4 the the DT 19261 481 5 wheel wheel NN 19261 481 6 the the DT 19261 481 7 plane plane NN 19261 481 8 of of IN 19261 481 9 the the DT 19261 481 10 table table NN 19261 481 11 may may MD 19261 481 12 be be VB 19261 481 13 altered alter VBN 19261 481 14 to to IN 19261 481 15 any any DT 19261 481 16 desired desire VBN 19261 481 17 angle angle NN 19261 481 18 of of IN 19261 481 19 inclination inclination NN 19261 481 20 or or CC 19261 481 21 height height NN 19261 481 22 of of IN 19261 481 23 head head NN 19261 481 24 . . . 19261 482 1 _ _ NNP 19261 482 2 Operating Operating NNP 19261 482 3 Room_.--All room_.--all NN 19261 482 4 endoscopic endoscopic JJ 19261 482 5 procedures procedure NNS 19261 482 6 should should MD 19261 482 7 be be VB 19261 482 8 performed perform VBN 19261 482 9 in in IN 19261 482 10 a a DT 19261 482 11 somewhat somewhat RB 19261 482 12 darkened darken VBN 19261 482 13 operating operating NN 19261 482 14 room room NN 19261 482 15 where where WRB 19261 482 16 all all PDT 19261 482 17 the the DT 19261 482 18 desired desire VBN 19261 482 19 materials material NNS 19261 482 20 are be VBP 19261 482 21 at at IN 19261 482 22 hand hand NN 19261 482 23 . . . 19261 483 1 An an DT 19261 483 2 endoscopic endoscopic JJ 19261 483 3 team team NN 19261 483 4 consists consist VBZ 19261 483 5 of of IN 19261 483 6 three three CD 19261 483 7 persons person NNS 19261 483 8 : : : 19261 483 9 the the DT 19261 483 10 operator operator NN 19261 483 11 , , , 19261 483 12 the the DT 19261 483 13 assistant assistant NN 19261 483 14 who who WP 19261 483 15 holds hold VBZ 19261 483 16 the the DT 19261 483 17 head head NN 19261 483 18 , , , 19261 483 19 and and CC 19261 483 20 the the DT 19261 483 21 instrument instrument NN 19261 483 22 assistant assistant NN 19261 483 23 . . . 19261 484 1 Another another DT 19261 484 2 person person NN 19261 484 3 is be VBZ 19261 484 4 required require VBN 19261 484 5 to to TO 19261 484 6 hold hold VB 19261 484 7 the the DT 19261 484 8 patient patient NN 19261 484 9 's 's POS 19261 484 10 arms arm NNS 19261 484 11 and and CC 19261 484 12 still still RB 19261 484 13 another another DT 19261 484 14 for for IN 19261 484 15 the the DT 19261 484 16 changing changing NN 19261 484 17 of of IN 19261 484 18 the the DT 19261 484 19 operator operator NN 19261 484 20 's 's POS 19261 484 21 glasses glass NNS 19261 484 22 when when WRB 19261 484 23 they -PRON- PRP 19261 484 24 become become VBP 19261 484 25 spattered spattered JJ 19261 484 26 . . . 19261 485 1 The the DT 19261 485 2 endoscopic endoscopic JJ 19261 485 3 team team NN 19261 485 4 of of IN 19261 485 5 three three CD 19261 485 6 maintain maintain VB 19261 485 7 surgical surgical JJ 19261 485 8 asepsis asepsis NN 19261 485 9 in in IN 19261 485 10 the the DT 19261 485 11 matter matter NN 19261 485 12 of of IN 19261 485 13 hands hand NNS 19261 485 14 and and CC 19261 485 15 gowns gown NNS 19261 485 16 , , , 19261 485 17 etc etc FW 19261 485 18 . . . 19261 486 1 The the DT 19261 486 2 battery battery NN 19261 486 3 , , , 19261 486 4 on on IN 19261 486 5 a a DT 19261 486 6 small small JJ 19261 486 7 table table NN 19261 486 8 of of IN 19261 486 9 its -PRON- PRP$ 19261 486 10 own own JJ 19261 486 11 , , , 19261 486 12 is be VBZ 19261 486 13 placed place VBN 19261 486 14 at at IN 19261 486 15 the the DT 19261 486 16 left left JJ 19261 486 17 hand hand NN 19261 486 18 of of IN 19261 486 19 the the DT 19261 486 20 operator operator NN 19261 486 21 . . . 19261 487 1 Beyond beyond IN 19261 487 2 it -PRON- PRP 19261 487 3 is be VBZ 19261 487 4 the the DT 19261 487 5 table table NN 19261 487 6 for for IN 19261 487 7 the the DT 19261 487 8 mechanical mechanical JJ 19261 487 9 aspirator aspirator NN 19261 487 10 , , , 19261 487 11 if if IN 19261 487 12 one one CD 19261 487 13 is be VBZ 19261 487 14 used use VBN 19261 487 15 . . . 19261 488 1 All all DT 19261 488 2 extra extra JJ 19261 488 3 instruments instrument NNS 19261 488 4 are be VBP 19261 488 5 placed place VBN 19261 488 6 on on IN 19261 488 7 a a DT 19261 488 8 sterile sterile JJ 19261 488 9 table table NN 19261 488 10 , , , 19261 488 11 within within IN 19261 488 12 reach reach NN 19261 488 13 , , , 19261 488 14 but but CC 19261 488 15 not not RB 19261 488 16 in in IN 19261 488 17 the the DT 19261 488 18 way way NN 19261 488 19 , , , 19261 488 20 while while IN 19261 488 21 those those DT 19261 488 22 instruments instrument NNS 19261 488 23 for for IN 19261 488 24 use use NN 19261 488 25 in in IN 19261 488 26 the the DT 19261 488 27 particular particular JJ 19261 488 28 operation operation NN 19261 488 29 are be VBP 19261 488 30 placed place VBN 19261 488 31 on on IN 19261 488 32 a a DT 19261 488 33 small small JJ 19261 488 34 instrument instrument NN 19261 488 35 table table NN 19261 488 36 back back RB 19261 488 37 of of IN 19261 488 38 the the DT 19261 488 39 endoscopist endoscopist NN 19261 488 40 . . . 19261 489 1 Only only RB 19261 489 2 those those DT 19261 489 3 instruments instrument NNS 19261 489 4 likely likely JJ 19261 489 5 to to TO 19261 489 6 be be VB 19261 489 7 wanted want VBN 19261 489 8 should should MD 19261 489 9 be be VB 19261 489 10 placed place VBN 19261 489 11 on on IN 19261 489 12 the the DT 19261 489 13 working working NN 19261 489 14 table table NN 19261 489 15 , , , 19261 489 16 so so IN 19261 489 17 that that IN 19261 489 18 there there EX 19261 489 19 shall shall MD 19261 489 20 be be VB 19261 489 21 no no DT 19261 489 22 confusion confusion NN 19261 489 23 in in IN 19261 489 24 their -PRON- PRP$ 19261 489 25 selection selection NN 19261 489 26 by by IN 19261 489 27 the the DT 19261 489 28 instrument instrument NN 19261 489 29 nurse nurse NN 19261 489 30 when when WRB 19261 489 31 called call VBD 19261 489 32 for for IN 19261 489 33 . . . 19261 490 1 Each each DT 19261 490 2 moment moment NN 19261 490 3 of of IN 19261 490 4 time time NN 19261 490 5 should should MD 19261 490 6 be be VB 19261 490 7 utilized utilize VBN 19261 490 8 when when WRB 19261 490 9 the the DT 19261 490 10 endoscopic endoscopic JJ 19261 490 11 procedure procedure NN 19261 490 12 has have VBZ 19261 490 13 been be VBN 19261 490 14 started start VBN 19261 490 15 , , , 19261 490 16 no no DT 19261 490 17 time time NN 19261 490 18 should should MD 19261 490 19 be be VB 19261 490 20 lost lose VBN 19261 490 21 in in IN 19261 490 22 the the DT 19261 490 23 hunting hunting NN 19261 490 24 or or CC 19261 490 25 separating separating NN 19261 490 26 of of IN 19261 490 27 instruments instrument NNS 19261 490 28 . . . 19261 491 1 To to TO 19261 491 2 have have VB 19261 491 3 the the DT 19261 491 4 respective respective JJ 19261 491 5 tables table NNS 19261 491 6 always always RB 19261 491 7 in in IN 19261 491 8 the the DT 19261 491 9 same same JJ 19261 491 10 position position NN 19261 491 11 relative relative JJ 19261 491 12 to to IN 19261 491 13 the the DT 19261 491 14 operator operator NN 19261 491 15 prevents prevent VBZ 19261 491 16 confusion confusion NN 19261 491 17 and and CC 19261 491 18 avoids avoid NNS 19261 491 19 delay delay NN 19261 491 20 . . . 19261 492 1 [ [ -LRB- 19261 492 2 FIG FIG NNP 19261 492 3 43.--The 43.--the CD 19261 492 4 author author NN 19261 492 5 's 's POS 19261 492 6 retrograde retrograde NN 19261 492 7 esophagoscope esophagoscope NN 19261 492 8 . . . 19261 492 9 ] ] -RRB- 19261 493 1 _ _ NNP 19261 493 2 Oxygen Oxygen NNP 19261 493 3 Tank Tank NNP 19261 493 4 and and CC 19261 493 5 Tracheotomy Tracheotomy NNP 19261 493 6 Instruments_.--Respiratory instruments_.--respiratory JJ 19261 493 7 arrest arrest NN 19261 493 8 may may MD 19261 493 9 occur occur VB 19261 493 10 from from IN 19261 493 11 shifting shift VBG 19261 493 12 of of IN 19261 493 13 a a DT 19261 493 14 foreign foreign JJ 19261 493 15 body body NN 19261 493 16 , , , 19261 493 17 pressure pressure NN 19261 493 18 of of IN 19261 493 19 the the DT 19261 493 20 esophagoscope esophagoscope NN 19261 493 21 , , , 19261 493 22 tumor tumor NN 19261 493 23 , , , 19261 493 24 or or CC 19261 493 25 diverticulum diverticulum RB 19261 493 26 full full JJ 19261 493 27 of of IN 19261 493 28 food food NN 19261 493 29 . . . 19261 494 1 Rare rare JJ 19261 494 2 as as IN 19261 494 3 these these DT 19261 494 4 contingencies contingency NNS 19261 494 5 are be VBP 19261 494 6 , , , 19261 494 7 it -PRON- PRP 19261 494 8 is be VBZ 19261 494 9 essential essential JJ 19261 494 10 that that DT 19261 494 11 means mean VBZ 19261 494 12 for for IN 19261 494 13 resuscitation resuscitation NN 19261 494 14 be be VBP 19261 494 15 at at IN 19261 494 16 hand hand NN 19261 494 17 . . . 19261 495 1 No no DT 19261 495 2 endoscopic endoscopic JJ 19261 495 3 procedure procedure NN 19261 495 4 should should MD 19261 495 5 be be VB 19261 495 6 undertaken undertake VBN 19261 495 7 without without IN 19261 495 8 a a DT 19261 495 9 set set NN 19261 495 10 of of IN 19261 495 11 tracheotomy tracheotomy NN 19261 495 12 instruments instrument NNS 19261 495 13 on on IN 19261 495 14 the the DT 19261 495 15 sterile sterile JJ 19261 495 16 table table NN 19261 495 17 within within IN 19261 495 18 instant instant JJ 19261 495 19 reach reach NN 19261 495 20 . . . 19261 496 1 In in IN 19261 496 2 respiratory respiratory JJ 19261 496 3 arrest arrest NN 19261 496 4 from from IN 19261 496 5 the the DT 19261 496 6 above above RB 19261 496 7 mentioned mention VBN 19261 496 8 causes cause NNS 19261 496 9 , , , 19261 496 10 respiratory respiratory JJ 19261 496 11 efforts effort NNS 19261 496 12 are be VBP 19261 496 13 not not RB 19261 496 14 apt apt JJ 19261 496 15 to to TO 19261 496 16 return return VB 19261 496 17 unless unless IN 19261 496 18 oxygen oxygen NN 19261 496 19 and and CC 19261 496 20 amyl amyl NN 19261 496 21 nitrite nitrite NNP 19261 496 22 are be VBP 19261 496 23 blown blow VBN 19261 496 24 into into IN 19261 496 25 the the DT 19261 496 26 trachea trachea NN 19261 496 27 either either CC 19261 496 28 through through IN 19261 496 29 a a DT 19261 496 30 tracheotomy tracheotomy NN 19261 496 31 opening opening NN 19261 496 32 or or CC 19261 496 33 better well JJR 19261 496 34 still still RB 19261 496 35 by by IN 19261 496 36 means mean NNS 19261 496 37 of of IN 19261 496 38 a a DT 19261 496 39 bronchoscope bronchoscope NN 19261 496 40 introduced introduce VBN 19261 496 41 through through IN 19261 496 42 the the DT 19261 496 43 larynx larynx NN 19261 496 44 . . . 19261 497 1 The the DT 19261 497 2 limpness limpness NN 19261 497 3 of of IN 19261 497 4 the the DT 19261 497 5 patient patient JJ 19261 497 6 renders render NNS 19261 497 7 bronchoscopy bronchoscopy VBP 19261 497 8 so so RB 19261 497 9 easy easy RB 19261 497 10 that that IN 19261 497 11 the the DT 19261 497 12 well well RB 19261 497 13 - - HYPH 19261 497 14 drilled drill VBN 19261 497 15 bronchoscopist bronchoscopist NN 19261 497 16 should should MD 19261 497 17 have have VB 19261 497 18 no no DT 19261 497 19 difficulty difficulty NN 19261 497 20 in in IN 19261 497 21 inserting insert VBG 19261 497 22 a a DT 19261 497 23 bronchoscope bronchoscope NN 19261 497 24 in in IN 19261 497 25 10 10 CD 19261 497 26 or or CC 19261 497 27 15 15 CD 19261 497 28 seconds second NNS 19261 497 29 , , , 19261 497 30 if if IN 19261 497 31 proper proper JJ 19261 497 32 preparedness preparedness NN 19261 497 33 has have VBZ 19261 497 34 been be VBN 19261 497 35 observed observe VBN 19261 497 36 . . . 19261 498 1 It -PRON- PRP 19261 498 2 is be VBZ 19261 498 3 perhaps perhaps RB 19261 498 4 relatively relatively RB 19261 498 5 rarely rarely RB 19261 498 6 that that IN 19261 498 7 such such JJ 19261 498 8 accidents accident NNS 19261 498 9 occur occur VBP 19261 498 10 , , , 19261 498 11 yet yet CC 19261 498 12 if if IN 19261 498 13 preparations preparation NNS 19261 498 14 are be VBP 19261 498 15 made make VBN 19261 498 16 for for IN 19261 498 17 such such PDT 19261 498 18 a a DT 19261 498 19 contingency contingency NN 19261 498 20 , , , 19261 498 21 a a DT 19261 498 22 life life NN 19261 498 23 may may MD 19261 498 24 be be VB 19261 498 25 saved save VBN 19261 498 26 which which WDT 19261 498 27 would would MD 19261 498 28 otherwise otherwise RB 19261 498 29 be be VB 19261 498 30 inevitably inevitably RB 19261 498 31 lost lose VBN 19261 498 32 . . . 19261 499 1 The the DT 19261 499 2 oxygen oxygen NN 19261 499 3 tank tank NN 19261 499 4 covered cover VBN 19261 499 5 with with IN 19261 499 6 a a DT 19261 499 7 sterile sterile JJ 19261 499 8 muslin muslin NN 19261 499 9 cover cover NN 19261 499 10 should should MD 19261 499 11 stand stand VB 19261 499 12 to to IN 19261 499 13 the the DT 19261 499 14 left left NN 19261 499 15 of of IN 19261 499 16 the the DT 19261 499 17 operating operating NN 19261 499 18 table table NN 19261 499 19 . . . 19261 500 1 _ _ NNP 19261 500 2 Asepsis_.--Strict Asepsis_.--Strict NNP 19261 500 3 aseptic aseptic JJ 19261 500 4 technic technic NN 19261 500 5 must must MD 19261 500 6 be be VB 19261 500 7 observed observe VBN 19261 500 8 in in IN 19261 500 9 all all DT 19261 500 10 endoscopic endoscopic JJ 19261 500 11 procedures procedure NNS 19261 500 12 . . . 19261 501 1 The the DT 19261 501 2 operator operator NN 19261 501 3 , , , 19261 501 4 first first JJ 19261 501 5 assistant assistant NN 19261 501 6 , , , 19261 501 7 and and CC 19261 501 8 instrument instrument NN 19261 501 9 nurse nurse NN 19261 501 10 must must MD 19261 501 11 use use VB 19261 501 12 the the DT 19261 501 13 same same JJ 19261 501 14 precautions precaution NNS 19261 501 15 as as IN 19261 501 16 to to TO 19261 501 17 hand hand VB 19261 501 18 sterilization sterilization NN 19261 501 19 and and CC 19261 501 20 sterile sterile JJ 19261 501 21 gowns gown NNS 19261 501 22 as as IN 19261 501 23 would would MD 19261 501 24 be be VB 19261 501 25 exercised exercise VBN 19261 501 26 in in IN 19261 501 27 any any DT 19261 501 28 surgical surgical JJ 19261 501 29 operation operation NN 19261 501 30 . . . 19261 502 1 The the DT 19261 502 2 operator operator NN 19261 502 3 and and CC 19261 502 4 first first JJ 19261 502 5 assistant assistant NN 19261 502 6 should should MD 19261 502 7 wear wear VB 19261 502 8 masks mask NNS 19261 502 9 and and CC 19261 502 10 sterile sterile JJ 19261 502 11 gloves glove NNS 19261 502 12 . . . 19261 503 1 The the DT 19261 503 2 patient patient NN 19261 503 3 is be VBZ 19261 503 4 instructed instruct VBN 19261 503 5 to to TO 19261 503 6 cleanse cleanse VB 19261 503 7 the the DT 19261 503 8 mouth mouth NN 19261 503 9 thoroughly thoroughly RB 19261 503 10 with with IN 19261 503 11 the the DT 19261 503 12 tooth tooth NNP 19261 503 13 brush brush NN 19261 503 14 and and CC 19261 503 15 a a DT 19261 503 16 20 20 CD 19261 503 17 per per NN 19261 503 18 cent cent NN 19261 503 19 alcohol alcohol NN 19261 503 20 mouth mouth NN 19261 503 21 wash wash NNP 19261 503 22 . . . 19261 503 23 Any any DT 19261 503 24 dental dental JJ 19261 503 25 defects defect NNS 19261 503 26 should should MD 19261 503 27 , , , 19261 503 28 if if IN 19261 503 29 time time NN 19261 503 30 permit permit NN 19261 503 31 , , , 19261 503 32 as as IN 19261 503 33 in in IN 19261 503 34 a a DT 19261 503 35 course course NN 19261 503 36 of of IN 19261 503 37 repeated repeat VBN 19261 503 38 treatments treatment NNS 19261 503 39 , , , 19261 503 40 be be VB 19261 503 41 remedied remedie VBN 19261 503 42 by by IN 19261 503 43 the the DT 19261 503 44 dental dental JJ 19261 503 45 surgeon surgeon NN 19261 503 46 . . . 19261 504 1 When when WRB 19261 504 2 placed place VBN 19261 504 3 on on IN 19261 504 4 the the DT 19261 504 5 table table NN 19261 504 6 with with IN 19261 504 7 neck neck NN 19261 504 8 bare bare JJ 19261 504 9 and and CC 19261 504 10 the the DT 19261 504 11 shoulders shoulder NNS 19261 504 12 unhampered unhampere VBN 19261 504 13 by by IN 19261 504 14 clothing clothing NN 19261 504 15 , , , 19261 504 16 the the DT 19261 504 17 patient patient NN 19261 504 18 is be VBZ 19261 504 19 covered cover VBN 19261 504 20 with with IN 19261 504 21 a a DT 19261 504 22 sterile sterile JJ 19261 504 23 sheet sheet NN 19261 504 24 and and CC 19261 504 25 the the DT 19261 504 26 head head NN 19261 504 27 is be VBZ 19261 504 28 enfolded enfold VBN 19261 504 29 in in IN 19261 504 30 a a DT 19261 504 31 sterile sterile JJ 19261 504 32 towel towel NN 19261 504 33 . . . 19261 505 1 The the DT 19261 505 2 face face NN 19261 505 3 is be VBZ 19261 505 4 wiped wipe VBN 19261 505 5 with with IN 19261 505 6 70 70 CD 19261 505 7 per per NN 19261 505 8 cent cent NN 19261 505 9 alcohol alcohol NN 19261 505 10 . . . 19261 506 1 It -PRON- PRP 19261 506 2 is be VBZ 19261 506 3 to to TO 19261 506 4 be be VB 19261 506 5 remembered remember VBN 19261 506 6 that that IN 19261 506 7 while while IN 19261 506 8 the the DT 19261 506 9 patient patient NN 19261 506 10 is be VBZ 19261 506 11 relatively relatively RB 19261 506 12 immune immune JJ 19261 506 13 to to IN 19261 506 14 the the DT 19261 506 15 bacteria bacteria NNS 19261 506 16 he -PRON- PRP 19261 506 17 himself -PRON- PRP 19261 506 18 harbors harbor VBZ 19261 506 19 , , , 19261 506 20 the the DT 19261 506 21 implantation implantation NN 19261 506 22 of of IN 19261 506 23 different different JJ 19261 506 24 strains strain NNS 19261 506 25 of of IN 19261 506 26 perhaps perhaps RB 19261 506 27 the the DT 19261 506 28 same same JJ 19261 506 29 type type NN 19261 506 30 of of IN 19261 506 31 organisms organism NNS 19261 506 32 may may MD 19261 506 33 prove prove VB 19261 506 34 virulent virulent NN 19261 506 35 to to IN 19261 506 36 him -PRON- PRP 19261 506 37 . . . 19261 507 1 Furthermore furthermore RB 19261 507 2 the the DT 19261 507 3 transference transference NN 19261 507 4 of of IN 19261 507 5 lues lue NNS 19261 507 6 , , , 19261 507 7 tuberculosis tuberculosis NN 19261 507 8 , , , 19261 507 9 diphtheria diphtheria NN 19261 507 10 , , , 19261 507 11 pneumonia pneumonia NN 19261 507 12 , , , 19261 507 13 erysipelas erysipelas NNP 19261 507 14 and and CC 19261 507 15 other other JJ 19261 507 16 infective infective JJ 19261 507 17 diseases disease NNS 19261 507 18 would would MD 19261 507 19 be be VB 19261 507 20 inevitable inevitable JJ 19261 507 21 if if IN 19261 507 22 sterile sterile JJ 19261 507 23 precautions precaution NNS 19261 507 24 were be VBD 19261 507 25 not not RB 19261 507 26 taken take VBN 19261 507 27 . . . 19261 508 1 All all DT 19261 508 2 of of IN 19261 508 3 the the DT 19261 508 4 tubes tube NNS 19261 508 5 and and CC 19261 508 6 forceps forceps NNS 19261 508 7 are be VBP 19261 508 8 sterilized sterilize VBN 19261 508 9 by by IN 19261 508 10 boiling boil VBG 19261 508 11 . . . 19261 509 1 The the DT 19261 509 2 light light NN 19261 509 3 - - HYPH 19261 509 4 carriers carrier NNS 19261 509 5 and and CC 19261 509 6 lamps lamp NNS 19261 509 7 may may MD 19261 509 8 be be VB 19261 509 9 sterilized sterilize VBN 19261 509 10 by by IN 19261 509 11 immersion immersion NN 19261 509 12 in in IN 19261 509 13 95 95 CD 19261 509 14 per per IN 19261 509 15 cent cent NN 19261 509 16 alcohol alcohol NN 19261 509 17 or or CC 19261 509 18 by by IN 19261 509 19 prolonged prolonged JJ 19261 509 20 exposure exposure NN 19261 509 21 to to IN 19261 509 22 formaldehyde formaldehyde NN 19261 509 23 gas gas NN 19261 509 24 . . . 19261 510 1 Continuous continuous JJ 19261 510 2 sterilization sterilization NN 19261 510 3 by by IN 19261 510 4 keeping keep VBG 19261 510 5 them -PRON- PRP 19261 510 6 put put VB 19261 510 7 away away RB 19261 510 8 in in IN 19261 510 9 a a DT 19261 510 10 metal metal NN 19261 510 11 box box NN 19261 510 12 with with IN 19261 510 13 formalin formalin NN 19261 510 14 pastilles pastille NNS 19261 510 15 or or CC 19261 510 16 other other JJ 19261 510 17 source source NN 19261 510 18 of of IN 19261 510 19 formaldehyde formaldehyde NN 19261 510 20 gas gas NN 19261 510 21 is be VBZ 19261 510 22 an an DT 19261 510 23 ideal ideal JJ 19261 510 24 method method NN 19261 510 25 . . . 19261 511 1 Knives knife NNS 19261 511 2 and and CC 19261 511 3 scissors scissor NNS 19261 511 4 are be VBP 19261 511 5 immersed immerse VBN 19261 511 6 in in IN 19261 511 7 95 95 CD 19261 511 8 per per IN 19261 511 9 cent cent NN 19261 511 10 alcohol alcohol NN 19261 511 11 , , , 19261 511 12 and and CC 19261 511 13 the the DT 19261 511 14 rubber rubber NN 19261 511 15 covered cover VBD 19261 511 16 conducting conduct VBG 19261 511 17 cords cord NNS 19261 511 18 are be VBP 19261 511 19 wiped wipe VBN 19261 511 20 with with IN 19261 511 21 the the DT 19261 511 22 same same JJ 19261 511 23 solution solution NN 19261 511 24 . . . 19261 512 1 _ _ NNP 19261 512 2 List List NNP 19261 512 3 of of IN 19261 512 4 Instruments_.--The instruments_.--the PRP$ 19261 512 5 following following JJ 19261 512 6 list list NN 19261 512 7 has have VBZ 19261 512 8 been be VBN 19261 512 9 compiled compile VBN 19261 512 10 as as IN 19261 512 11 a a DT 19261 512 12 convenient convenient JJ 19261 512 13 basis basis NN 19261 512 14 for for IN 19261 512 15 equipment equipment NN 19261 512 16 , , , 19261 512 17 to to IN 19261 512 18 which which WDT 19261 512 19 such such JJ 19261 512 20 special special JJ 19261 512 21 instruments instrument NNS 19261 512 22 as as IN 19261 512 23 may may MD 19261 512 24 be be VB 19261 512 25 needed need VBN 19261 512 26 for for IN 19261 512 27 special special JJ 19261 512 28 cases case NNS 19261 512 29 can can MD 19261 512 30 be be VB 19261 512 31 added add VBN 19261 512 32 from from IN 19261 512 33 time time NN 19261 512 34 to to IN 19261 512 35 time time NN 19261 512 36 . . . 19261 513 1 The the DT 19261 513 2 instruments instrument NNS 19261 513 3 listed list VBN 19261 513 4 are be VBP 19261 513 5 of of IN 19261 513 6 the the DT 19261 513 7 author author NN 19261 513 8 's 's POS 19261 513 9 design design NN 19261 513 10 . . . 19261 514 1 1 1 CD 19261 514 2 adult adult NN 19261 514 3 's 's POS 19261 514 4 laryngoscope laryngoscope NN 19261 514 5 . . . 19261 515 1 1 1 CD 19261 515 2 child child NN 19261 515 3 's 's POS 19261 515 4 laryngoscope laryngoscope NN 19261 515 5 . . . 19261 516 1 1 1 CD 19261 516 2 infant infant NN 19261 516 3 's 's POS 19261 516 4 diagnostic diagnostic JJ 19261 516 5 laryngoscope laryngoscope NN 19261 516 6 . . . 19261 517 1 1 1 CD 19261 517 2 anterior anterior NNP 19261 517 3 commissure commissure NNP 19261 517 4 laryngoscope laryngoscope NN 19261 517 5 . . . 19261 518 1 1 1 CD 19261 518 2 bronchoscope bronchoscope NNP 19261 518 3 , , , 19261 518 4 4 4 CD 19261 518 5 mm mm CD 19261 518 6 . . . 19261 519 1 X X NNP 19261 519 2 30 30 CD 19261 519 3 cm cm NNS 19261 519 4 . . . 19261 520 1 1 1 CD 19261 520 2 bronchoscope bronchoscope NNP 19261 520 3 , , , 19261 520 4 5 5 CD 19261 520 5 mm mm CD 19261 520 6 . . . 19261 521 1 X X NNP 19261 521 2 30 30 CD 19261 521 3 cm cm NNS 19261 521 4 . . . 19261 522 1 1 1 CD 19261 522 2 bronchoscope bronchoscope NN 19261 522 3 , , , 19261 522 4 7 7 CD 19261 522 5 mm mm NN 19261 522 6 . . . 19261 523 1 X X NNP 19261 523 2 40 40 CD 19261 523 3 cm cm NNS 19261 523 4 . . . 19261 524 1 1 1 CD 19261 524 2 bronchoscope bronchoscope NN 19261 524 3 , , , 19261 524 4 9 9 CD 19261 524 5 mm mm CD 19261 524 6 . . . 19261 525 1 X X NNP 19261 525 2 40 40 CD 19261 525 3 cm cm NNS 19261 525 4 . . . 19261 526 1 1 1 CD 19261 526 2 esophagoscope esophagoscope NN 19261 526 3 , , , 19261 526 4 7 7 CD 19261 526 5 mm mm NN 19261 526 6 . . . 19261 527 1 X X NNP 19261 527 2 45 45 CD 19261 527 3 cm cm NNS 19261 527 4 . . . 19261 528 1 1 1 CD 19261 528 2 esophagoscope esophagoscope NN 19261 528 3 , , , 19261 528 4 10 10 CD 19261 528 5 mm mm CD 19261 528 6 . . . 19261 529 1 X X NNP 19261 529 2 53 53 CD 19261 529 3 cm cm NNS 19261 529 4 . . . 19261 530 1 1 1 CD 19261 530 2 esophagoscope esophagoscope NN 19261 530 3 , , , 19261 530 4 full full JJ 19261 530 5 lumen luman NNS 19261 530 6 , , , 19261 530 7 7 7 CD 19261 530 8 mm mm NN 19261 530 9 . . . 19261 531 1 X X NNP 19261 531 2 45 45 CD 19261 531 3 cm cm NNS 19261 531 4 . . . 19261 532 1 1 1 CD 19261 532 2 esophagoscope esophagoscope NN 19261 532 3 , , , 19261 532 4 full full JJ 19261 532 5 lumen luman NNS 19261 532 6 , , , 19261 532 7 9 9 CD 19261 532 8 mm mm CD 19261 532 9 . . . 19261 533 1 X X NNP 19261 533 2 45 45 CD 19261 533 3 cm cm NNS 19261 533 4 . . . 19261 534 1 1 1 CD 19261 534 2 esophageal esophageal JJ 19261 534 3 speculum speculum NN 19261 534 4 , , , 19261 534 5 adult adult NN 19261 534 6 . . . 19261 535 1 1 1 CD 19261 535 2 esophageal esophageal JJ 19261 535 3 speculum speculum NN 19261 535 4 , , , 19261 535 5 child child NN 19261 535 6 . . . 19261 536 1 1 1 CD 19261 536 2 forward forward RB 19261 536 3 - - HYPH 19261 536 4 grasping grasp VBG 19261 536 5 forceps forceps NNS 19261 536 6 , , , 19261 536 7 delicate delicate JJ 19261 536 8 , , , 19261 536 9 40 40 CD 19261 536 10 cm cm NNS 19261 536 11 . . . 19261 537 1 1 1 CD 19261 537 2 forward forward RB 19261 537 3 - - HYPH 19261 537 4 grasping grasp VBG 19261 537 5 forceps forceps NNS 19261 537 6 , , , 19261 537 7 regular regular JJ 19261 537 8 , , , 19261 537 9 50 50 CD 19261 537 10 cm cm NNS 19261 537 11 . . . 19261 538 1 1 1 CD 19261 538 2 forward forward RB 19261 538 3 - - HYPH 19261 538 4 grasping grasp VBG 19261 538 5 forceps forceps NNS 19261 538 6 , , , 19261 538 7 regular regular JJ 19261 538 8 , , , 19261 538 9 60 60 CD 19261 538 10 cm cm NNS 19261 538 11 . . . 19261 539 1 1 1 CD 19261 539 2 side side NN 19261 539 3 - - HYPH 19261 539 4 grasping grasp VBG 19261 539 5 forceps forceps NNS 19261 539 6 , , , 19261 539 7 delicate delicate JJ 19261 539 8 , , , 19261 539 9 40 40 CD 19261 539 10 cm cm NNS 19261 539 11 . . . 19261 540 1 1 1 CD 19261 540 2 side side NN 19261 540 3 - - HYPH 19261 540 4 grasping grasp VBG 19261 540 5 forceps forceps NNS 19261 540 6 , , , 19261 540 7 regular regular JJ 19261 540 8 , , , 19261 540 9 50 50 CD 19261 540 10 cm cm NNS 19261 540 11 . . . 19261 541 1 1 1 CD 19261 541 2 side side NN 19261 541 3 - - HYPH 19261 541 4 grasping grasp VBG 19261 541 5 forceps forceps NNS 19261 541 6 , , , 19261 541 7 regular regular JJ 19261 541 8 , , , 19261 541 9 60 60 CD 19261 541 10 cm cm NNS 19261 541 11 . . . 19261 542 1 1 1 CD 19261 542 2 rotation rotation NN 19261 542 3 forceps forceps NNP 19261 542 4 , , , 19261 542 5 delicate delicate JJ 19261 542 6 , , , 19261 542 7 40 40 CD 19261 542 8 cm cm NNS 19261 542 9 . . . 19261 543 1 1 1 CD 19261 543 2 rotation rotation NN 19261 543 3 forceps forceps NNP 19261 543 4 , , , 19261 543 5 regular regular JJ 19261 543 6 , , , 19261 543 7 50 50 CD 19261 543 8 cm cm NNS 19261 543 9 . . . 19261 544 1 1 1 CD 19261 544 2 rotation rotation NN 19261 544 3 forceps forceps NNP 19261 544 4 , , , 19261 544 5 regular regular JJ 19261 544 6 , , , 19261 544 7 60 60 CD 19261 544 8 cm cm NNS 19261 544 9 . . . 19261 545 1 1 1 CD 19261 545 2 laryngeal laryngeal NN 19261 545 3 alligator alligator NN 19261 545 4 forceps forceps NNP 19261 545 5 . . . 19261 546 1 1 1 CD 19261 546 2 laryngeal laryngeal JJ 19261 546 3 papilloma papilloma NN 19261 546 4 forceps forceps NNS 19261 546 5 . . . 19261 547 1 10 10 CD 19261 547 2 esophageal esophageal JJ 19261 547 3 bougies bougie NNS 19261 547 4 , , , 19261 547 5 Nos Nos NNP 19261 547 6 . . . 19261 548 1 8 8 CD 19261 548 2 to to TO 19261 548 3 17 17 CD 19261 548 4 French french JJ 19261 548 5 ( ( -LRB- 19261 548 6 larger large JJR 19261 548 7 sizes size NNS 19261 548 8 to to IN 19261 548 9 No no NN 19261 548 10 . . . 19261 549 1 36 36 CD 19261 549 2 may may MD 19261 549 3 be be VB 19261 549 4 added add VBN 19261 549 5 ) ) -RRB- 19261 549 6 . . . 19261 550 1 1 1 CD 19261 550 2 special special JJ 19261 550 3 measuring measuring NN 19261 550 4 rule rule NN 19261 550 5 . . . 19261 551 1 6 6 CD 19261 551 2 light light NN 19261 551 3 sponge sponge NN 19261 551 4 carriers carrier NNS 19261 551 5 . . . 19261 552 1 1 1 CD 19261 552 2 aspirator aspirator NN 19261 552 3 with with IN 19261 552 4 double double JJ 19261 552 5 tube tube NN 19261 552 6 for for IN 19261 552 7 minus minus NN 19261 552 8 and and CC 19261 552 9 plus plus CC 19261 552 10 pressure pressure NN 19261 552 11 . . . 19261 553 1 2 2 CD 19261 553 2 endoscopic endoscopic JJ 19261 553 3 aspirating aspirating NN 19261 553 4 tubes tube NNS 19261 553 5 30 30 CD 19261 553 6 and and CC 19261 553 7 50 50 CD 19261 553 8 cm cm NNS 19261 553 9 . . . 19261 554 1 1 1 CD 19261 554 2 half half NN 19261 554 3 curved curved JJ 19261 554 4 hook hook NN 19261 554 5 , , , 19261 554 6 60 60 CD 19261 554 7 cm cm NNS 19261 554 8 . . . 19261 555 1 1 1 LS 19261 555 2 triple triple JJ 19261 555 3 circuit circuit NN 19261 555 4 bronchoscopy bronchoscopy NN 19261 555 5 battery battery NN 19261 555 6 . . . 19261 556 1 6 6 CD 19261 556 2 rubber rubber NN 19261 556 3 covered cover VBD 19261 556 4 conducting conduct VBG 19261 556 5 cords cord NNS 19261 556 6 for for IN 19261 556 7 battery battery NN 19261 556 8 . . . 19261 557 1 1 1 CD 19261 557 2 box box NNP 19261 557 3 bronchoscopic bronchoscopic NNP 19261 557 4 sponges sponge NNS 19261 557 5 , , , 19261 557 6 size size NN 19261 557 7 4 4 CD 19261 557 8 . . . 19261 558 1 1 1 CD 19261 558 2 box box NNP 19261 558 3 bronchoscopic bronchoscopic NNP 19261 558 4 sponges sponge NNS 19261 558 5 , , , 19261 558 6 size size NN 19261 558 7 5 5 CD 19261 558 8 . . . 19261 559 1 1 1 CD 19261 559 2 box box NNP 19261 559 3 bronchoscopic bronchoscopic NNP 19261 559 4 sponges sponge NNS 19261 559 5 , , , 19261 559 6 size size NN 19261 559 7 7 7 CD 19261 559 8 . . . 19261 560 1 1 1 CD 19261 560 2 box box NNP 19261 560 3 bronchoscopic bronchoscopic NNP 19261 560 4 sponges sponge NNS 19261 560 5 , , , 19261 560 6 size size NN 19261 560 7 10 10 CD 19261 560 8 . . . 19261 561 1 1 1 CD 19261 561 2 bite bite NN 19261 561 3 block block NN 19261 561 4 , , , 19261 561 5 1 1 CD 19261 561 6 adult adult NN 19261 561 7 . . . 19261 562 1 1 1 CD 19261 562 2 bite bite NN 19261 562 3 block block NN 19261 562 4 , , , 19261 562 5 child child NN 19261 562 6 . . . 19261 563 1 2 2 CD 19261 563 2 dozen dozen NN 19261 563 3 extra extra JJ 19261 563 4 lamps lamp NNS 19261 563 5 for for IN 19261 563 6 lighted lighted JJ 19261 563 7 instruments instrument NNS 19261 563 8 . . . 19261 564 1 1 1 LS 19261 564 2 extra extra JJ 19261 564 3 light light JJ 19261 564 4 carrier carrier NN 19261 564 5 for for IN 19261 564 6 each each DT 19261 564 7 instrument instrument NN 19261 564 8 . . . 19261 565 1 * * NFP 19261 565 2 4 4 CD 19261 565 3 yards yard NNS 19261 565 4 of of IN 19261 565 5 pipe pipe NN 19261 565 6 - - HYPH 19261 565 7 cleaning cleaning NN 19261 565 8 , , , 19261 565 9 worsted worst VBN 19261 565 10 - - HYPH 19261 565 11 covered cover VBN 19261 565 12 wire wire NN 19261 565 13 . . . 19261 566 1 [ [ -LRB- 19261 566 2 * * NFP 19261 566 3 Messrs. Messrs. NNPS 19261 566 4 George George NNP 19261 566 5 P. P. NNP 19261 566 6 Pilling Pilling NNP 19261 566 7 and and CC 19261 566 8 Sons Sons NNPS 19261 566 9 who who WP 19261 566 10 are be VBP 19261 566 11 now now RB 19261 566 12 making make VBG 19261 566 13 these these DT 19261 566 14 instruments instrument NNS 19261 566 15 supply supply VBP 19261 566 16 an an DT 19261 566 17 extra extra JJ 19261 566 18 light light JJ 19261 566 19 carrier carrier NN 19261 566 20 and and CC 19261 566 21 2 2 CD 19261 566 22 extra extra JJ 19261 566 23 lamps lamp NNS 19261 566 24 with with IN 19261 566 25 each each DT 19261 566 26 instrument instrument NN 19261 566 27 . . . 19261 566 28 ] ] -RRB- 19261 567 1 _ _ NNP 19261 567 2 Care Care NNP 19261 567 3 of of IN 19261 567 4 Instruments_.--The Instruments_.--The NNS 19261 567 5 endoscopist endoscopist JJ 19261 567 6 must must MD 19261 567 7 either either CC 19261 567 8 personally personally RB 19261 567 9 care care VB 19261 567 10 for for IN 19261 567 11 his -PRON- PRP$ 19261 567 12 instruments instrument NNS 19261 567 13 , , , 19261 567 14 or or CC 19261 567 15 have have VB 19261 567 16 an an DT 19261 567 17 instrument instrument NN 19261 567 18 nurse nurse NN 19261 567 19 in in IN 19261 567 20 his -PRON- PRP$ 19261 567 21 own own JJ 19261 567 22 employ employ NN 19261 567 23 , , , 19261 567 24 for for IN 19261 567 25 if if IN 19261 567 26 they -PRON- PRP 19261 567 27 are be VBP 19261 567 28 intrusted intrust VBN 19261 567 29 to to IN 19261 567 30 the the DT 19261 567 31 general general JJ 19261 567 32 operating operating NN 19261 567 33 room room NN 19261 567 34 routine routine NN 19261 567 35 he -PRON- PRP 19261 567 36 will will MD 19261 567 37 find find VB 19261 567 38 that that IN 19261 567 39 small small JJ 19261 567 40 parts part NNS 19261 567 41 will will MD 19261 567 42 be be VB 19261 567 43 lost lose VBN 19261 567 44 ; ; : 19261 567 45 blades blade NNS 19261 567 46 of of IN 19261 567 47 forceps forceps NNP 19261 567 48 bent bent JJ 19261 567 49 , , , 19261 567 50 broken break VBN 19261 567 51 , , , 19261 567 52 or or CC 19261 567 53 rusted rust VBD 19261 567 54 ; ; : 19261 567 55 tubes tube NNS 19261 567 56 dinged dinge VBD 19261 567 57 ; ; : 19261 567 58 drainage drainage NN 19261 567 59 canals canal NNS 19261 567 60 choked choke VBD 19261 567 61 with with IN 19261 567 62 blood blood NN 19261 567 63 or or CC 19261 567 64 secretions secretion NNS 19261 567 65 which which WDT 19261 567 66 have have VBP 19261 567 67 been be VBN 19261 567 68 coagulated coagulate VBN 19261 567 69 by by IN 19261 567 70 boiling boil VBG 19261 567 71 , , , 19261 567 72 and and CC 19261 567 73 electric electric JJ 19261 567 74 attachments attachment NNS 19261 567 75 rendered render VBN 19261 567 76 unstable unstable JJ 19261 567 77 or or CC 19261 567 78 unservicable unservicable JJ 19261 567 79 , , , 19261 567 80 by by IN 19261 567 81 boiling boil VBG 19261 567 82 , , , 19261 567 83 etc etc FW 19261 567 84 . . . 19261 568 1 The the DT 19261 568 2 tubes tube NNS 19261 568 3 should should MD 19261 568 4 be be VB 19261 568 5 cleansed cleanse VBN 19261 568 6 by by IN 19261 568 7 forcing force VBG 19261 568 8 cold cold JJ 19261 568 9 water water NN 19261 568 10 through through IN 19261 568 11 the the DT 19261 568 12 drainage drainage NN 19261 568 13 canals canal NNS 19261 568 14 with with IN 19261 568 15 the the DT 19261 568 16 aspirating aspirate VBG 19261 568 17 syringe syringe NN 19261 568 18 , , , 19261 568 19 then then RB 19261 568 20 dried dry VBN 19261 568 21 by by IN 19261 568 22 forcing force VBG 19261 568 23 pipe pipe NN 19261 568 24 - - HYPH 19261 568 25 cleaning cleaning NN 19261 568 26 worsted worst VBN 19261 568 27 - - HYPH 19261 568 28 covered cover VBN 19261 568 29 wire wire NN 19261 568 30 through through IN 19261 568 31 the the DT 19261 568 32 light light NN 19261 568 33 and and CC 19261 568 34 drainage drainage NN 19261 568 35 canals canal NNS 19261 568 36 . . . 19261 569 1 Gauze gauze NN 19261 569 2 on on IN 19261 569 3 a a DT 19261 569 4 sponge sponge JJ 19261 569 5 carrier carrier NN 19261 569 6 is be VBZ 19261 569 7 used use VBN 19261 569 8 to to TO 19261 569 9 clean clean VB 19261 569 10 the the DT 19261 569 11 main main JJ 19261 569 12 canal canal NN 19261 569 13 . . . 19261 570 1 Forceps Forceps NNP 19261 570 2 stylets stylet NNS 19261 570 3 should should MD 19261 570 4 be be VB 19261 570 5 removed remove VBN 19261 570 6 from from IN 19261 570 7 their -PRON- PRP$ 19261 570 8 cannulae cannulae NNS 19261 570 9 , , , 19261 570 10 and and CC 19261 570 11 the the DT 19261 570 12 cannulae cannulae NNS 19261 570 13 cleansed cleanse VBN 19261 570 14 with with IN 19261 570 15 cold cold JJ 19261 570 16 water water NN 19261 570 17 , , , 19261 570 18 then then RB 19261 570 19 dried dry VBD 19261 570 20 and and CC 19261 570 21 oiled oil VBD 19261 570 22 with with IN 19261 570 23 the the DT 19261 570 24 pipe pipe NN 19261 570 25 - - HYPH 19261 570 26 cleaning cleaning NN 19261 570 27 material material NN 19261 570 28 . . . 19261 571 1 The the DT 19261 571 2 stylet stylet NN 19261 571 3 should should MD 19261 571 4 have have VB 19261 571 5 any any DT 19261 571 6 rough rough JJ 19261 571 7 places place NNS 19261 571 8 smoothed smooth VBN 19261 571 9 with with IN 19261 571 10 fine fine JJ 19261 571 11 emery emery NN 19261 571 12 cloth cloth NN 19261 571 13 and and CC 19261 571 14 its -PRON- PRP$ 19261 571 15 blades blade NNS 19261 571 16 carefully carefully RB 19261 571 17 inspected inspect VBN 19261 571 18 ; ; : 19261 571 19 the the DT 19261 571 20 parts part NNS 19261 571 21 are be VBP 19261 571 22 then then RB 19261 571 23 oiled oil VBN 19261 571 24 and and CC 19261 571 25 reassembled reassemble VBN 19261 571 26 . . . 19261 572 1 Nickle Nickle NNP 19261 572 2 plating plate VBG 19261 572 3 on on IN 19261 572 4 the the DT 19261 572 5 tubes tube NNS 19261 572 6 is be VBZ 19261 572 7 apt apt JJ 19261 572 8 to to TO 19261 572 9 peel peel VB 19261 572 10 and and CC 19261 572 11 these these DT 19261 572 12 scales scale NNS 19261 572 13 have have VBP 19261 572 14 sharp sharp JJ 19261 572 15 , , , 19261 572 16 cutting cut VBG 19261 572 17 edges edge NNS 19261 572 18 which which WDT 19261 572 19 may may MD 19261 572 20 injure injure VB 19261 572 21 the the DT 19261 572 22 mucosa mucosa NNS 19261 572 23 . . . 19261 573 1 All all DT 19261 573 2 tubes tube NNS 19261 573 3 , , , 19261 573 4 therefore therefore RB 19261 573 5 , , , 19261 573 6 should should MD 19261 573 7 be be VB 19261 573 8 unplated unplated JJ 19261 573 9 . . . 19261 574 1 Rough rough JJ 19261 574 2 places place NNS 19261 574 3 on on IN 19261 574 4 the the DT 19261 574 5 tubes tube NNS 19261 574 6 should should MD 19261 574 7 be be VB 19261 574 8 smoothed smooth VBN 19261 574 9 with with IN 19261 574 10 the the DT 19261 574 11 finest fine JJS 19261 574 12 emery emery NN 19261 574 13 cloth cloth NN 19261 574 14 , , , 19261 574 15 or or CC 19261 574 16 , , , 19261 574 17 better well JJR 19261 574 18 , , , 19261 574 19 on on IN 19261 574 20 a a DT 19261 574 21 buffing buffing NN 19261 574 22 wheel wheel NN 19261 574 23 . . . 19261 575 1 The the DT 19261 575 2 dry dry JJ 19261 575 3 cells cell NNS 19261 575 4 in in IN 19261 575 5 the the DT 19261 575 6 battery battery NN 19261 575 7 should should MD 19261 575 8 be be VB 19261 575 9 renewed renew VBN 19261 575 10 about about IN 19261 575 11 every every DT 19261 575 12 4 4 CD 19261 575 13 months month NNS 19261 575 14 whether whether IN 19261 575 15 used use VBN 19261 575 16 or or CC 19261 575 17 not not RB 19261 575 18 . . . 19261 576 1 Lamps lamp NNS 19261 576 2 , , , 19261 576 3 light light JJ 19261 576 4 carriers carrier NNS 19261 576 5 , , , 19261 576 6 and and CC 19261 576 7 cords cord NNS 19261 576 8 , , , 19261 576 9 after after IN 19261 576 10 cleansing cleansing NN 19261 576 11 , , , 19261 576 12 are be VBP 19261 576 13 wiped wipe VBN 19261 576 14 with with IN 19261 576 15 95 95 CD 19261 576 16 per per NN 19261 576 17 cent cent NN 19261 576 18 alcohol alcohol NN 19261 576 19 , , , 19261 576 20 and and CC 19261 576 21 the the DT 19261 576 22 light light NN 19261 576 23 - - HYPH 19261 576 24 carriers carrier NNS 19261 576 25 with with IN 19261 576 26 the the DT 19261 576 27 lamps lamp NNS 19261 576 28 in in IN 19261 576 29 place place NN 19261 576 30 are be VBP 19261 576 31 kept keep VBN 19261 576 32 in in IN 19261 576 33 a a DT 19261 576 34 continuous continuous JJ 19261 576 35 sterilization sterilization NN 19261 576 36 box box NN 19261 576 37 containing contain VBG 19261 576 38 formaldehyde formaldehyde NN 19261 576 39 pastilles pastille NNS 19261 576 40 . . . 19261 577 1 It -PRON- PRP 19261 577 2 is be VBZ 19261 577 3 of of IN 19261 577 4 the the DT 19261 577 5 utmost utmost JJ 19261 577 6 importance importance NN 19261 577 7 that that IN 19261 577 8 instruments instrument NNS 19261 577 9 be be VB 19261 577 10 always always RB 19261 577 11 put put VBN 19261 577 12 away away RB 19261 577 13 in in IN 19261 577 14 perfect perfect JJ 19261 577 15 order order NN 19261 577 16 . . . 19261 578 1 Not not RB 19261 578 2 only only RB 19261 578 3 are be VBP 19261 578 4 cleaning clean VBG 19261 578 5 and and CC 19261 578 6 oiling oil VBG 19261 578 7 imperative imperative JJ 19261 578 8 , , , 19261 578 9 but but CC 19261 578 10 any any DT 19261 578 11 needed need VBN 19261 578 12 repairs repair NNS 19261 578 13 should should MD 19261 578 14 be be VB 19261 578 15 attended attend VBN 19261 578 16 to to IN 19261 578 17 at at IN 19261 578 18 once once RB 19261 578 19 . . . 19261 579 1 Otherwise otherwise RB 19261 579 2 it -PRON- PRP 19261 579 3 will will MD 19261 579 4 be be VB 19261 579 5 inevitable inevitable JJ 19261 579 6 that that IN 19261 579 7 when when WRB 19261 579 8 gotten get VBN 19261 579 9 out out RP 19261 579 10 in in IN 19261 579 11 an an DT 19261 579 12 emergency emergency NN 19261 579 13 they -PRON- PRP 19261 579 14 will will MD 19261 579 15 fail fail VB 19261 579 16 . . . 19261 580 1 In in IN 19261 580 2 general general JJ 19261 580 3 surgery surgery NN 19261 580 4 , , , 19261 580 5 a a DT 19261 580 6 spoon spoon NN 19261 580 7 will will MD 19261 580 8 serve serve VB 19261 580 9 for for IN 19261 580 10 a a DT 19261 580 11 retractor retractor NN 19261 580 12 and and CC 19261 580 13 good good JJ 19261 580 14 work work NN 19261 580 15 can can MD 19261 580 16 be be VB 19261 580 17 done do VBN 19261 580 18 with with IN 19261 580 19 makeshifts makeshift NNS 19261 580 20 ; ; : 19261 580 21 but but CC 19261 580 22 in in IN 19261 580 23 endoscopy endoscopy NN 19261 580 24 , , , 19261 580 25 especially especially RB 19261 580 26 in in IN 19261 580 27 the the DT 19261 580 28 small small JJ 19261 580 29 , , , 19261 580 30 delicate delicate JJ 19261 580 31 , , , 19261 580 32 natural natural JJ 19261 580 33 passages passage NNS 19261 580 34 of of IN 19261 580 35 children child NNS 19261 580 36 , , , 19261 580 37 the the DT 19261 580 38 handicap handicap NN 19261 580 39 of of IN 19261 580 40 a a DT 19261 580 41 defective defective JJ 19261 580 42 or or CC 19261 580 43 insufficient insufficient JJ 19261 580 44 armamentarium armamentarium NN 19261 580 45 may may MD 19261 580 46 make make VB 19261 580 47 all all PDT 19261 580 48 the the DT 19261 580 49 difference difference NN 19261 580 50 between between IN 19261 580 51 a a DT 19261 580 52 success success NN 19261 580 53 and and CC 19261 580 54 a a DT 19261 580 55 fatal fatal JJ 19261 580 56 failure failure NN 19261 580 57 . . . 19261 581 1 A a DT 19261 581 2 bronchoscopic bronchoscopic JJ 19261 581 3 clinic clinic NN 19261 581 4 should should MD 19261 581 5 at at RB 19261 581 6 all all DT 19261 581 7 times time NNS 19261 581 8 be be VB 19261 581 9 in in IN 19261 581 10 the the DT 19261 581 11 same same JJ 19261 581 12 state state NN 19261 581 13 of of IN 19261 581 14 preparedness preparedness NN 19261 581 15 for for IN 19261 581 16 emergency emergency NN 19261 581 17 as as IN 19261 581 18 is be VBZ 19261 581 19 everywhere everywhere RB 19261 581 20 required require VBN 19261 581 21 of of IN 19261 581 22 a a DT 19261 581 23 fire fire NN 19261 581 24 - - HYPH 19261 581 25 engine engine NN 19261 581 26 house house NN 19261 581 27 . . . 19261 582 1 [ [ -LRB- 19261 582 2 PLATE PLATE NNP 19261 582 3 I -PRON- PRP 19261 582 4 -- -- : 19261 582 5 A a DT 19261 582 6 WORKING working NN 19261 582 7 SET set NN 19261 582 8 OF of IN 19261 582 9 THE the DT 19261 582 10 AUTHOR AUTHOR NNP 19261 582 11 'S 's POS 19261 582 12 ENDOSCOPIC ENDOSCOPIC NNP 19261 582 13 TUBES tubes NN 19261 582 14 FOR for IN 19261 582 15 LARYNGOSCOPY LARYNGOSCOPY NNP 19261 582 16 , , , 19261 582 17 BRONCHOSCOPY BRONCHOSCOPY NNP 19261 582 18 , , , 19261 582 19 ESOPHAGOSCOPY ESOPHAGOSCOPY NNP 19261 582 20 , , , 19261 582 21 AND and CC 19261 582 22 GASTROSCOPY GASTROSCOPY NNP 19261 582 23 : : : 19261 582 24 A a DT 19261 582 25 , , , 19261 582 26 Adult Adult NNP 19261 582 27 's 's POS 19261 582 28 laryngoscope laryngoscope NN 19261 582 29 ; ; : 19261 582 30 B b NN 19261 582 31 , , , 19261 582 32 child child NN 19261 582 33 's 's POS 19261 582 34 laryngoscope laryngoscope NN 19261 582 35 ; ; : 19261 582 36 C C NNP 19261 582 37 , , , 19261 582 38 anterior anterior NNP 19261 582 39 commissure commissure NN 19261 582 40 laryngoscope laryngoscope NN 19261 582 41 ; ; : 19261 582 42 D d NN 19261 582 43 , , , 19261 582 44 esophageal esophageal JJ 19261 582 45 speculum speculum NN 19261 582 46 , , , 19261 582 47 child child NN 19261 582 48 's 's POS 19261 582 49 size size NN 19261 582 50 ; ; : 19261 582 51 E e NN 19261 582 52 , , , 19261 582 53 esophageal esophageal JJ 19261 582 54 speculum speculum NN 19261 582 55 , , , 19261 582 56 adult adult NN 19261 582 57 's 's POS 19261 582 58 size size NN 19261 582 59 ; ; : 19261 582 60 F F NNP 19261 582 61 , , , 19261 582 62 bronchoscope bronchoscope NN 19261 582 63 , , , 19261 582 64 infant infant NN 19261 582 65 's 's POS 19261 582 66 size size NN 19261 582 67 , , , 19261 582 68 4 4 CD 19261 582 69 mm mm CD 19261 582 70 . . . 19261 583 1 X X NNP 19261 583 2 30 30 CD 19261 583 3 cm cm NNS 19261 583 4 . . . 19261 584 1 ; ; : 19261 584 2 G g NN 19261 584 3 , , , 19261 584 4 bronchoscope bronchoscope NN 19261 584 5 , , , 19261 584 6 child child NN 19261 584 7 's 's POS 19261 584 8 size size NN 19261 584 9 , , , 19261 584 10 5 5 CD 19261 584 11 mm mm CD 19261 584 12 . . . 19261 585 1 X X NNP 19261 585 2 30 30 CD 19261 585 3 cm cm NNS 19261 585 4 . . . 19261 586 1 ; ; : 19261 586 2 H h NN 19261 586 3 , , , 19261 586 4 aspirating aspirate VBG 19261 586 5 bronchoscope bronchoscope NN 19261 586 6 for for IN 19261 586 7 adults adult NNS 19261 586 8 , , , 19261 586 9 7 7 CD 19261 586 10 mm mm NN 19261 586 11 . . . 19261 587 1 X X NNP 19261 587 2 40 40 CD 19261 587 3 cm cm NNS 19261 587 4 . . . 19261 588 1 ; ; : 19261 588 2 I -PRON- PRP 19261 588 3 , , , 19261 588 4 bronchoscope bronchoscope NN 19261 588 5 , , , 19261 588 6 adolescent adolescent JJ 19261 588 7 's 's POS 19261 588 8 size size NN 19261 588 9 , , , 19261 588 10 7 7 CD 19261 588 11 mm mm NN 19261 588 12 . . . 19261 589 1 x x NNP 19261 589 2 40 40 CD 19261 589 3 cm cm NNS 19261 589 4 . . NNP 19261 589 5 , , , 19261 589 6 used use VBN 19261 589 7 also also RB 19261 589 8 for for IN 19261 589 9 the the DT 19261 589 10 deeper deep JJR 19261 589 11 bronchi bronchi NN 19261 589 12 of of IN 19261 589 13 adults adult NNS 19261 589 14 ; ; : 19261 589 15 J J NNP 19261 589 16 , , , 19261 589 17 bronchoscope bronchoscope NN 19261 589 18 , , , 19261 589 19 adult adult NN 19261 589 20 size size NN 19261 589 21 , , , 19261 589 22 g g NNP 19261 589 23 mm mm NNP 19261 589 24 . . . 19261 590 1 x x NNP 19261 590 2 40 40 CD 19261 590 3 cm cm NNS 19261 590 4 . . . 19261 591 1 ; ; : 19261 591 2 K K NNP 19261 591 3 , , , 19261 591 4 child child NN 19261 591 5 's 's POS 19261 591 6 size size NN 19261 591 7 esophagoscope esophagoscope NN 19261 591 8 , , , 19261 591 9 7 7 CD 19261 591 10 mm mm NN 19261 591 11 . . . 19261 592 1 X X NNP 19261 592 2 45 45 CD 19261 592 3 cm cm NNS 19261 592 4 . . . 19261 593 1 ; ; : 19261 593 2 L l NN 19261 593 3 , , , 19261 593 4 adult adult NN 19261 593 5 's 's POS 19261 593 6 size size NN 19261 593 7 esophagoscope esophagoscope NN 19261 593 8 , , , 19261 593 9 full full JJ 19261 593 10 lumen luman NNS 19261 593 11 construction construction NN 19261 593 12 , , , 19261 593 13 9 9 CD 19261 593 14 mm mm CD 19261 593 15 . . . 19261 594 1 x x SYM 19261 594 2 45 45 CD 19261 594 3 cm cm NNS 19261 594 4 . . . 19261 595 1 ; ; : 19261 595 2 M M NNP 19261 595 3 , , , 19261 595 4 adult adult NN 19261 595 5 's 's POS 19261 595 6 size size NN 19261 595 7 gastroscope gastroscope NN 19261 595 8 . . . 19261 596 1 C C NNP 19261 596 2 , , , 19261 596 3 I -PRON- PRP 19261 596 4 , , , 19261 596 5 and and CC 19261 596 6 E e NN 19261 596 7 are be VBP 19261 596 8 also also RB 19261 596 9 hypopharyngoscopes hypopharyngoscope NNS 19261 596 10 . . . 19261 597 1 C C NNP 19261 597 2 is be VBZ 19261 597 3 an an DT 19261 597 4 excellent excellent JJ 19261 597 5 esophageal esophageal JJ 19261 597 6 speculum speculum NN 19261 597 7 for for IN 19261 597 8 children child NNS 19261 597 9 , , , 19261 597 10 and and CC 19261 597 11 a a DT 19261 597 12 longer long JJR 19261 597 13 model model NN 19261 597 14 is be VBZ 19261 597 15 made make VBN 19261 597 16 for for IN 19261 597 17 adults adult NNS 19261 597 18 . . . 19261 598 1 If if IN 19261 598 2 the the DT 19261 598 3 utmost utmost JJ 19261 598 4 economy economy NN 19261 598 5 must must MD 19261 598 6 be be VB 19261 598 7 practised practise VBN 19261 598 8 D d NN 19261 598 9 , , , 19261 598 10 E e NN 19261 598 11 , , , 19261 598 12 and and CC 19261 598 13 M M NNP 19261 598 14 may may MD 19261 598 15 be be VB 19261 598 16 omitted omit VBN 19261 598 17 . . . 19261 599 1 The the DT 19261 599 2 balance balance NN 19261 599 3 of of IN 19261 599 4 the the DT 19261 599 5 instruments instrument NNS 19261 599 6 are be VBP 19261 599 7 indispensable indispensable JJ 19261 599 8 if if IN 19261 599 9 adults adult NNS 19261 599 10 and and CC 19261 599 11 children child NNS 19261 599 12 are be VBP 19261 599 13 to to TO 19261 599 14 be be VB 19261 599 15 dealt deal VBN 19261 599 16 with with IN 19261 599 17 . . . 19261 600 1 The the DT 19261 600 2 instruments instrument NNS 19261 600 3 are be VBP 19261 600 4 made make VBN 19261 600 5 by by IN 19261 600 6 Charles Charles NNP 19261 600 7 J. J. NNP 19261 600 8 Pilling Pilling NNP 19261 600 9 & & CC 19261 600 10 Sons Sons NNPS 19261 600 11 , , , 19261 600 12 Philadelphia Philadelphia NNP 19261 600 13 . . . 19261 600 14 ] ] -RRB- 19261 601 1 [ [ -LRB- 19261 601 2 52 52 CD 19261 601 3 ] ] -RRB- 19261 601 4 CHAPTER CHAPTER NNP 19261 601 5 II II NNP 19261 601 6 -- -- : 19261 601 7 ANATOMY anatomy NN 19261 601 8 OF of IN 19261 601 9 LARYNX LARYNX NNP 19261 601 10 , , , 19261 601 11 TRACHEA TRACHEA NNP 19261 601 12 , , , 19261 601 13 BRONCHI BRONCHI NNP 19261 601 14 AND and CC 19261 601 15 ESOPHAGUS ESOPHAGUS NNP 19261 601 16 , , , 19261 601 17 ENDOSCOPICALLY ENDOSCOPICALLY NNP 19261 601 18 CONSIDERED considered VB 19261 601 19 The the DT 19261 601 20 _ _ NNP 19261 601 21 larynx larynx NN 19261 601 22 _ _ NNP 19261 601 23 is be VBZ 19261 601 24 a a DT 19261 601 25 cartilaginous cartilaginous JJ 19261 601 26 box box NN 19261 601 27 , , , 19261 601 28 triangular triangular NNP 19261 601 29 in in IN 19261 601 30 cross cross NN 19261 601 31 - - NN 19261 601 32 section section NN 19261 601 33 , , , 19261 601 34 with with IN 19261 601 35 the the DT 19261 601 36 apex apex NN 19261 601 37 of of IN 19261 601 38 the the DT 19261 601 39 triangle triangle NN 19261 601 40 directed direct VBN 19261 601 41 anteriorly anteriorly RB 19261 601 42 . . . 19261 602 1 It -PRON- PRP 19261 602 2 is be VBZ 19261 602 3 readily readily RB 19261 602 4 felt feel VBN 19261 602 5 in in IN 19261 602 6 the the DT 19261 602 7 neck neck NN 19261 602 8 and and CC 19261 602 9 is be VBZ 19261 602 10 a a DT 19261 602 11 landmark landmark NN 19261 602 12 for for IN 19261 602 13 the the DT 19261 602 14 operation operation NN 19261 602 15 of of IN 19261 602 16 tracheotomy tracheotomy NN 19261 602 17 . . . 19261 603 1 We -PRON- PRP 19261 603 2 are be VBP 19261 603 3 concerned concern VBN 19261 603 4 endoscopically endoscopically RB 19261 603 5 with with IN 19261 603 6 four four CD 19261 603 7 of of IN 19261 603 8 its -PRON- PRP$ 19261 603 9 cartilaginous cartilaginous JJ 19261 603 10 structures structure NNS 19261 603 11 : : : 19261 603 12 the the DT 19261 603 13 epiglottis epiglottis NN 19261 603 14 , , , 19261 603 15 the the DT 19261 603 16 two two CD 19261 603 17 arytenoid arytenoid JJ 19261 603 18 cartilages cartilage NNS 19261 603 19 , , , 19261 603 20 and and CC 19261 603 21 the the DT 19261 603 22 cricoid cricoid NN 19261 603 23 cartilage cartilage NN 19261 603 24 . . . 19261 604 1 The the DT 19261 604 2 _ _ NNP 19261 604 3 epiglottis epiglottis NN 19261 604 4 _ _ NNP 19261 604 5 , , , 19261 604 6 the the DT 19261 604 7 first first JJ 19261 604 8 landmark landmark NN 19261 604 9 in in IN 19261 604 10 direct direct JJ 19261 604 11 laryngoscopy laryngoscopy NN 19261 604 12 , , , 19261 604 13 is be VBZ 19261 604 14 a a DT 19261 604 15 leaf leaf NN 19261 604 16 - - HYPH 19261 604 17 like like JJ 19261 604 18 projection projection NN 19261 604 19 springing springing NN 19261 604 20 from from IN 19261 604 21 the the DT 19261 604 22 anterointernal anterointernal JJ 19261 604 23 surface surface NN 19261 604 24 of of IN 19261 604 25 the the DT 19261 604 26 larynx larynx NN 19261 604 27 and and CC 19261 604 28 having have VBG 19261 604 29 for for IN 19261 604 30 its -PRON- PRP$ 19261 604 31 function function NN 19261 604 32 the the DT 19261 604 33 directing directing NN 19261 604 34 of of IN 19261 604 35 the the DT 19261 604 36 bolus bolus NN 19261 604 37 of of IN 19261 604 38 food food NN 19261 604 39 into into IN 19261 604 40 the the DT 19261 604 41 pyriform pyriform NN 19261 604 42 sinuses sinus NNS 19261 604 43 . . . 19261 605 1 It -PRON- PRP 19261 605 2 does do VBZ 19261 605 3 not not RB 19261 605 4 close close VB 19261 605 5 the the DT 19261 605 6 larynx larynx NN 19261 605 7 in in IN 19261 605 8 the the DT 19261 605 9 trap trap NN 19261 605 10 - - HYPH 19261 605 11 door door NN 19261 605 12 manner manner NN 19261 605 13 formerly formerly RB 19261 605 14 taught teach VBD 19261 605 15 ; ; : 19261 605 16 a a DT 19261 605 17 fact fact NN 19261 605 18 easily easily RB 19261 605 19 demonstrated demonstrate VBN 19261 605 20 by by IN 19261 605 21 the the DT 19261 605 22 simple simple JJ 19261 605 23 insertion insertion NN 19261 605 24 of of IN 19261 605 25 the the DT 19261 605 26 direct direct JJ 19261 605 27 laryngoscope laryngoscope NN 19261 605 28 and and CC 19261 605 29 further further RB 19261 605 30 demonstrated demonstrate VBN 19261 605 31 by by IN 19261 605 32 the the DT 19261 605 33 absence absence NN 19261 605 34 of of IN 19261 605 35 dysphagia dysphagia NNP 19261 605 36 when when WRB 19261 605 37 the the DT 19261 605 38 epiglottis epiglottis NN 19261 605 39 is be VBZ 19261 605 40 surgically surgically RB 19261 605 41 removed remove VBN 19261 605 42 , , , 19261 605 43 or or CC 19261 605 44 is be VBZ 19261 605 45 destroyed destroy VBN 19261 605 46 by by IN 19261 605 47 ulceration ulceration NN 19261 605 48 . . . 19261 606 1 Closure closure NN 19261 606 2 of of IN 19261 606 3 the the DT 19261 606 4 larynx larynx NN 19261 606 5 is be VBZ 19261 606 6 accomplished accomplish VBN 19261 606 7 by by IN 19261 606 8 the the DT 19261 606 9 approximation approximation NN 19261 606 10 of of IN 19261 606 11 the the DT 19261 606 12 ventricular ventricular JJ 19261 606 13 bands band NNS 19261 606 14 , , , 19261 606 15 arytenoids arytenoid NNS 19261 606 16 and and CC 19261 606 17 aryepiglottic aryepiglottic JJ 19261 606 18 folds fold NNS 19261 606 19 , , , 19261 606 20 the the DT 19261 606 21 latter latter NN 19261 606 22 having have VBG 19261 606 23 a a DT 19261 606 24 sphincter sphincter NN 19261 606 25 - - HYPH 19261 606 26 like like JJ 19261 606 27 action action NN 19261 606 28 , , , 19261 606 29 and and CC 19261 606 30 by by IN 19261 606 31 the the DT 19261 606 32 raising raising NN 19261 606 33 and and CC 19261 606 34 tilting tilting NN 19261 606 35 of of IN 19261 606 36 the the DT 19261 606 37 larynx larynx NN 19261 606 38 . . . 19261 607 1 The the DT 19261 607 2 _ _ NNP 19261 607 3 arytenoids arytenoid NNS 19261 607 4 _ _ NNP 19261 607 5 form form NN 19261 607 6 the the DT 19261 607 7 upper upper JJ 19261 607 8 posterior posterior NN 19261 607 9 boundary boundary JJ 19261 607 10 of of IN 19261 607 11 the the DT 19261 607 12 larynx larynx NN 19261 607 13 and and CC 19261 607 14 our -PRON- PRP$ 19261 607 15 particular particular JJ 19261 607 16 interest interest NN 19261 607 17 in in IN 19261 607 18 them -PRON- PRP 19261 607 19 is be VBZ 19261 607 20 directed direct VBN 19261 607 21 toward toward IN 19261 607 22 their -PRON- PRP$ 19261 607 23 motility motility NN 19261 607 24 , , , 19261 607 25 for for IN 19261 607 26 the the DT 19261 607 27 rotation rotation NN 19261 607 28 of of IN 19261 607 29 the the DT 19261 607 30 arytenoids arytenoid NNS 19261 607 31 at at IN 19261 607 32 the the DT 19261 607 33 cricoarytenoid cricoarytenoid JJ 19261 607 34 articulations articulation NNS 19261 607 35 determines determine VBZ 19261 607 36 the the DT 19261 607 37 movements movement NNS 19261 607 38 of of IN 19261 607 39 the the DT 19261 607 40 cords cord NNS 19261 607 41 and and CC 19261 607 42 the the DT 19261 607 43 production production NN 19261 607 44 of of IN 19261 607 45 voice voice NN 19261 607 46 . . . 19261 608 1 Approximation approximation NN 19261 608 2 of of IN 19261 608 3 the the DT 19261 608 4 arytenoids arytenoid NNS 19261 608 5 is be VBZ 19261 608 6 a a DT 19261 608 7 part part NN 19261 608 8 of of IN 19261 608 9 the the DT 19261 608 10 mechanism mechanism NN 19261 608 11 of of IN 19261 608 12 closure closure NN 19261 608 13 of of IN 19261 608 14 the the DT 19261 608 15 larynx larynx NN 19261 608 16 . . . 19261 609 1 The the DT 19261 609 2 _ _ NNP 19261 609 3 cricoid cricoid NN 19261 609 4 cartilage cartilage NN 19261 609 5 _ _ NNP 19261 609 6 was be VBD 19261 609 7 regarded regard VBN 19261 609 8 by by IN 19261 609 9 esophagoscopists esophagoscopist NNS 19261 609 10 as as IN 19261 609 11 the the DT 19261 609 12 chief chief JJ 19261 609 13 obstruction obstruction NN 19261 609 14 encountered encounter VBN 19261 609 15 on on IN 19261 609 16 the the DT 19261 609 17 introduction introduction NN 19261 609 18 of of IN 19261 609 19 the the DT 19261 609 20 esophagoscope esophagoscope NN 19261 609 21 . . . 19261 610 1 As as IN 19261 610 2 shown show VBN 19261 610 3 by by IN 19261 610 4 the the DT 19261 610 5 author author NN 19261 610 6 , , , 19261 610 7 it -PRON- PRP 19261 610 8 is be VBZ 19261 610 9 the the DT 19261 610 10 cricopharyngeal cricopharyngeal NN 19261 610 11 fold fold NN 19261 610 12 , , , 19261 610 13 and and CC 19261 610 14 the the DT 19261 610 15 inconceivably inconceivably RB 19261 610 16 powerful powerful JJ 19261 610 17 pull pull NN 19261 610 18 of of IN 19261 610 19 the the DT 19261 610 20 cricopharyngeal cricopharyngeal NN 19261 610 21 muscle muscle NN 19261 610 22 on on IN 19261 610 23 the the DT 19261 610 24 cricoid cricoid NN 19261 610 25 cartilage cartilage NN 19261 610 26 , , , 19261 610 27 that that WDT 19261 610 28 causes cause VBZ 19261 610 29 the the DT 19261 610 30 difficulty difficulty NN 19261 610 31 . . . 19261 611 1 The the DT 19261 611 2 cricoid cricoid NN 19261 611 3 is be VBZ 19261 611 4 pulled pull VBN 19261 611 5 so so RB 19261 611 6 powerfully powerfully RB 19261 611 7 back back RB 19261 611 8 against against IN 19261 611 9 the the DT 19261 611 10 cervical cervical JJ 19261 611 11 spine spine NN 19261 611 12 , , , 19261 611 13 that that IN 19261 611 14 it -PRON- PRP 19261 611 15 is be VBZ 19261 611 16 hard hard JJ 19261 611 17 to to TO 19261 611 18 believe believe VB 19261 611 19 that that IN 19261 611 20 this this DT 19261 611 21 muscles muscle NNS 19261 611 22 is be VBZ 19261 611 23 inserted insert VBN 19261 611 24 into into IN 19261 611 25 the the DT 19261 611 26 median median JJ 19261 611 27 raphe raphe NN 19261 611 28 and and CC 19261 611 29 not not RB 19261 611 30 into into IN 19261 611 31 the the DT 19261 611 32 spine spine NN 19261 611 33 itself -PRON- PRP 19261 611 34 ( ( -LRB- 19261 611 35 Fig fig NN 19261 611 36 . . . 19261 612 1 68 68 CD 19261 612 2 ) ) -RRB- 19261 612 3 . . . 19261 613 1 The the DT 19261 613 2 _ _ NNP 19261 613 3 ventricular ventricular NN 19261 613 4 bands band NNS 19261 613 5 _ _ NNP 19261 613 6 or or CC 19261 613 7 false false JJ 19261 613 8 vocal vocal JJ 19261 613 9 cords cord NNS 19261 613 10 vicariously vicariously RB 19261 613 11 phonate phonate VBP 19261 613 12 in in IN 19261 613 13 the the DT 19261 613 14 absence absence NN 19261 613 15 of of IN 19261 613 16 the the DT 19261 613 17 true true JJ 19261 613 18 cords cord NNS 19261 613 19 , , , 19261 613 20 and and CC 19261 613 21 assist assist VB 19261 613 22 in in IN 19261 613 23 the the DT 19261 613 24 protective protective JJ 19261 613 25 function function NN 19261 613 26 of of IN 19261 613 27 the the DT 19261 613 28 larynx larynx NN 19261 613 29 . . . 19261 614 1 They -PRON- PRP 19261 614 2 form form VBP 19261 614 3 the the DT 19261 614 4 floor floor NN 19261 614 5 of of IN 19261 614 6 the the DT 19261 614 7 _ _ NNP 19261 614 8 ventricles ventricle NNS 19261 614 9 _ _ NNP 19261 614 10 of of IN 19261 614 11 the the DT 19261 614 12 larynx larynx NN 19261 614 13 , , , 19261 614 14 which which WDT 19261 614 15 are be VBP 19261 614 16 recesses recess NNS 19261 614 17 on on IN 19261 614 18 either either DT 19261 614 19 side side NN 19261 614 20 , , , 19261 614 21 between between IN 19261 614 22 the the DT 19261 614 23 false false JJ 19261 614 24 and and CC 19261 614 25 true true JJ 19261 614 26 cords cord NNS 19261 614 27 , , , 19261 614 28 and and CC 19261 614 29 contain contain VB 19261 614 30 numerous numerous JJ 19261 614 31 mucous mucous JJ 19261 614 32 glands gland VBZ 19261 614 33 the the DT 19261 614 34 secretion secretion NN 19261 614 35 from from IN 19261 614 36 which which WDT 19261 614 37 lubricates lubricate VBZ 19261 614 38 the the DT 19261 614 39 cords cord NNS 19261 614 40 . . . 19261 615 1 The the DT 19261 615 2 ventricles ventricle NNS 19261 615 3 are be VBP 19261 615 4 not not RB 19261 615 5 visible visible JJ 19261 615 6 by by IN 19261 615 7 mirror mirror NN 19261 615 8 laryngoscopy laryngoscopy NN 19261 615 9 , , , 19261 615 10 but but CC 19261 615 11 are be VBP 19261 615 12 readily readily RB 19261 615 13 exposed expose VBN 19261 615 14 in in IN 19261 615 15 their -PRON- PRP$ 19261 615 16 depths depth NNS 19261 615 17 by by IN 19261 615 18 lifting lift VBG 19261 615 19 the the DT 19261 615 20 respective respective JJ 19261 615 21 ventricular ventricular JJ 19261 615 22 bands band NNS 19261 615 23 with with IN 19261 615 24 the the DT 19261 615 25 tip tip NN 19261 615 26 of of IN 19261 615 27 the the DT 19261 615 28 laryngoscope laryngoscope NN 19261 615 29 . . . 19261 616 1 The the DT 19261 616 2 _ _ NNP 19261 616 3 vocal vocal JJ 19261 616 4 cords cord NNS 19261 616 5 _ _ NNP 19261 616 6 , , , 19261 616 7 which which WDT 19261 616 8 appear appear VBP 19261 616 9 white white JJ 19261 616 10 , , , 19261 616 11 flat flat JJ 19261 616 12 , , , 19261 616 13 and and CC 19261 616 14 ribbon ribbon NN 19261 616 15 - - HYPH 19261 616 16 like like JJ 19261 616 17 in in IN 19261 616 18 the the DT 19261 616 19 mirror mirror NN 19261 616 20 , , , 19261 616 21 when when WRB 19261 616 22 viewed view VBN 19261 616 23 directly directly RB 19261 616 24 assume assume VBP 19261 616 25 a a DT 19261 616 26 reddish reddish JJ 19261 616 27 color color NN 19261 616 28 , , , 19261 616 29 and and CC 19261 616 30 reveal reveal VB 19261 616 31 their -PRON- PRP$ 19261 616 32 true true JJ 19261 616 33 shelf shelf NN 19261 616 34 - - HYPH 19261 616 35 like like JJ 19261 616 36 formation formation NN 19261 616 37 . . . 19261 617 1 In in IN 19261 617 2 the the DT 19261 617 3 subglottic subglottic JJ 19261 617 4 area area NN 19261 617 5 the the DT 19261 617 6 tissues tissue NNS 19261 617 7 are be VBP 19261 617 8 vascular vascular JJ 19261 617 9 , , , 19261 617 10 and and CC 19261 617 11 , , , 19261 617 12 in in IN 19261 617 13 children child NNS 19261 617 14 especially especially RB 19261 617 15 , , , 19261 617 16 they -PRON- PRP 19261 617 17 are be VBP 19261 617 18 prone prone JJ 19261 617 19 to to TO 19261 617 20 swell swell VB 19261 617 21 when when WRB 19261 617 22 traumatized traumatize VBN 19261 617 23 , , , 19261 617 24 a a DT 19261 617 25 fact fact NN 19261 617 26 which which WDT 19261 617 27 should should MD 19261 617 28 be be VB 19261 617 29 always always RB 19261 617 30 in in IN 19261 617 31 mind mind NN 19261 617 32 to to TO 19261 617 33 emphasize emphasize VB 19261 617 34 the the DT 19261 617 35 importance importance NN 19261 617 36 of of IN 19261 617 37 gentleness gentleness NN 19261 617 38 in in IN 19261 617 39 bronchoscopy bronchoscopy NN 19261 617 40 , , , 19261 617 41 and and CC 19261 617 42 furthermore furthermore RB 19261 617 43 , , , 19261 617 44 the the DT 19261 617 45 necessity necessity NN 19261 617 46 of of IN 19261 617 47 avoiding avoid VBG 19261 617 48 this this DT 19261 617 49 region region NN 19261 617 50 in in IN 19261 617 51 tracheotomy tracheotomy NN 19261 617 52 because because IN 19261 617 53 of of IN 19261 617 54 the the DT 19261 617 55 danger danger NN 19261 617 56 of of IN 19261 617 57 producing produce VBG 19261 617 58 chronic chronic JJ 19261 617 59 laryngeal laryngeal NN 19261 617 60 stenosis stenosis NN 19261 617 61 by by IN 19261 617 62 the the DT 19261 617 63 reaction reaction NN 19261 617 64 of of IN 19261 617 65 these these DT 19261 617 66 tissues tissue NNS 19261 617 67 to to IN 19261 617 68 the the DT 19261 617 69 presence presence NN 19261 617 70 of of IN 19261 617 71 the the DT 19261 617 72 tracheotomic tracheotomic JJ 19261 617 73 cannula cannula NNP 19261 617 74 . . . 19261 618 1 The the DT 19261 618 2 _ _ NNP 19261 618 3 trachea trachea NN 19261 618 4 _ _ NNP 19261 618 5 just just RB 19261 618 6 below below IN 19261 618 7 its -PRON- PRP$ 19261 618 8 entrance entrance NN 19261 618 9 into into IN 19261 618 10 the the DT 19261 618 11 thorax thorax NN 19261 618 12 deviates deviate NNS 19261 618 13 slightly slightly RB 19261 618 14 to to IN 19261 618 15 the the DT 19261 618 16 right right NN 19261 618 17 , , , 19261 618 18 to to TO 19261 618 19 allow allow VB 19261 618 20 room room NN 19261 618 21 for for IN 19261 618 22 the the DT 19261 618 23 aorta aorta NNP 19261 618 24 . . . 19261 619 1 At at IN 19261 619 2 the the DT 19261 619 3 level level NN 19261 619 4 of of IN 19261 619 5 the the DT 19261 619 6 second second JJ 19261 619 7 costal costal JJ 19261 619 8 cartilage cartilage NN 19261 619 9 , , , 19261 619 10 the the DT 19261 619 11 third third JJ 19261 619 12 in in IN 19261 619 13 children child NNS 19261 619 14 , , , 19261 619 15 it -PRON- PRP 19261 619 16 bifurcates bifurcate VBZ 19261 619 17 into into IN 19261 619 18 the the DT 19261 619 19 right right NN 19261 619 20 and and CC 19261 619 21 left leave VBD 19261 619 22 main main JJ 19261 619 23 bronchi bronchi NN 19261 619 24 . . . 19261 620 1 Posteriorly posteriorly RB 19261 620 2 the the DT 19261 620 3 bifurcation bifurcation NN 19261 620 4 corresponds correspond VBZ 19261 620 5 to to IN 19261 620 6 about about IN 19261 620 7 the the DT 19261 620 8 fourth fourth JJ 19261 620 9 or or CC 19261 620 10 fifth fifth JJ 19261 620 11 thoracic thoracic NNP 19261 620 12 vertebra vertebra NNP 19261 620 13 , , , 19261 620 14 the the DT 19261 620 15 trachea trachea NN 19261 620 16 being be VBG 19261 620 17 elastic elastic JJ 19261 620 18 , , , 19261 620 19 and and CC 19261 620 20 displaced displace VBN 19261 620 21 by by IN 19261 620 22 various various JJ 19261 620 23 movements movement NNS 19261 620 24 . . . 19261 621 1 The the DT 19261 621 2 endoscopic endoscopic JJ 19261 621 3 appearance appearance NN 19261 621 4 of of IN 19261 621 5 the the DT 19261 621 6 trachea trachea NN 19261 621 7 is be VBZ 19261 621 8 that that DT 19261 621 9 of of IN 19261 621 10 a a DT 19261 621 11 tube tube NN 19261 621 12 flattened flatten VBD 19261 621 13 on on IN 19261 621 14 its -PRON- PRP$ 19261 621 15 posterior posterior NN 19261 621 16 wall wall NN 19261 621 17 . . . 19261 622 1 In in IN 19261 622 2 two two CD 19261 622 3 locations location NNS 19261 622 4 it -PRON- PRP 19261 622 5 normally normally RB 19261 622 6 often often RB 19261 622 7 assumes assume VBZ 19261 622 8 a a DT 19261 622 9 more more RBR 19261 622 10 or or CC 19261 622 11 less less RBR 19261 622 12 oval oval JJ 19261 622 13 outline outline NN 19261 622 14 ; ; : 19261 622 15 in in IN 19261 622 16 the the DT 19261 622 17 cervical cervical JJ 19261 622 18 region region NN 19261 622 19 , , , 19261 622 20 due due IN 19261 622 21 to to IN 19261 622 22 pressure pressure NN 19261 622 23 of of IN 19261 622 24 the the DT 19261 622 25 thyroid thyroid NNP 19261 622 26 gland gland NNP 19261 622 27 ; ; : 19261 622 28 and and CC 19261 622 29 in in IN 19261 622 30 the the DT 19261 622 31 intrathoracic intrathoracic NNP 19261 622 32 portion portion NNP 19261 622 33 just just RB 19261 622 34 above above IN 19261 622 35 the the DT 19261 622 36 bifurcation bifurcation NN 19261 622 37 where where WRB 19261 622 38 it -PRON- PRP 19261 622 39 is be VBZ 19261 622 40 crossed cross VBN 19261 622 41 by by IN 19261 622 42 the the DT 19261 622 43 aorta aorta NNP 19261 622 44 . . . 19261 623 1 This this DT 19261 623 2 latter latter JJ 19261 623 3 flattening flattening NN 19261 623 4 is be VBZ 19261 623 5 rhythmically rhythmically RB 19261 623 6 increased increase VBN 19261 623 7 with with IN 19261 623 8 each each DT 19261 623 9 pulsation pulsation NN 19261 623 10 . . . 19261 624 1 Under under IN 19261 624 2 pathological pathological JJ 19261 624 3 conditions condition NNS 19261 624 4 , , , 19261 624 5 the the DT 19261 624 6 tracheal tracheal NN 19261 624 7 outline outline NN 19261 624 8 may may MD 19261 624 9 be be VB 19261 624 10 variously variously RB 19261 624 11 altered alter VBN 19261 624 12 , , , 19261 624 13 even even RB 19261 624 14 to to IN 19261 624 15 obliteration obliteration NN 19261 624 16 of of IN 19261 624 17 the the DT 19261 624 18 lumen luman NNS 19261 624 19 . . . 19261 625 1 The the DT 19261 625 2 mucosa mucosa NNS 19261 625 3 of of IN 19261 625 4 the the DT 19261 625 5 trachea trachea NNP 19261 625 6 and and CC 19261 625 7 bronchi bronchi NNP 19261 625 8 is be VBZ 19261 625 9 moist moist JJ 19261 625 10 and and CC 19261 625 11 glistening glistening NN 19261 625 12 , , , 19261 625 13 whitish whitish NNP 19261 625 14 in in IN 19261 625 15 circular circular JJ 19261 625 16 ridges ridge NNS 19261 625 17 corresponding correspond VBG 19261 625 18 to to IN 19261 625 19 the the DT 19261 625 20 cartilaginous cartilaginous JJ 19261 625 21 rings ring NNS 19261 625 22 , , , 19261 625 23 and and CC 19261 625 24 reddish reddish JJ 19261 625 25 in in IN 19261 625 26 the the DT 19261 625 27 intervening intervene VBG 19261 625 28 grooves groove NNS 19261 625 29 . . . 19261 626 1 The the DT 19261 626 2 right right JJ 19261 626 3 bronchus bronchus NN 19261 626 4 is be VBZ 19261 626 5 shorter short JJR 19261 626 6 , , , 19261 626 7 wider wide JJR 19261 626 8 , , , 19261 626 9 and and CC 19261 626 10 more more RBR 19261 626 11 nearly nearly RB 19261 626 12 vertical vertical JJ 19261 626 13 than than IN 19261 626 14 its -PRON- PRP$ 19261 626 15 fellow fellow NN 19261 626 16 of of IN 19261 626 17 the the DT 19261 626 18 opposite opposite JJ 19261 626 19 side side NN 19261 626 20 , , , 19261 626 21 and and CC 19261 626 22 is be VBZ 19261 626 23 practically practically RB 19261 626 24 the the DT 19261 626 25 continuation continuation NN 19261 626 26 of of IN 19261 626 27 the the DT 19261 626 28 trachea trachea NN 19261 626 29 , , , 19261 626 30 while while IN 19261 626 31 the the DT 19261 626 32 left left JJ 19261 626 33 bronchus bronchu NNS 19261 626 34 might may MD 19261 626 35 be be VB 19261 626 36 considered consider VBN 19261 626 37 as as IN 19261 626 38 a a DT 19261 626 39 branch branch NN 19261 626 40 . . . 19261 627 1 The the DT 19261 627 2 deviation deviation NN 19261 627 3 of of IN 19261 627 4 the the DT 19261 627 5 right right JJ 19261 627 6 main main JJ 19261 627 7 bronchus bronchus NN 19261 627 8 is be VBZ 19261 627 9 about about RB 19261 627 10 25 25 CD 19261 627 11 degrees degree NNS 19261 627 12 , , , 19261 627 13 and and CC 19261 627 14 its -PRON- PRP$ 19261 627 15 length length NN 19261 627 16 unbranched unbranched JJ 19261 627 17 in in IN 19261 627 18 the the DT 19261 627 19 adult adult NN 19261 627 20 is be VBZ 19261 627 21 about about RB 19261 627 22 2.5 2.5 CD 19261 627 23 cm cm NNS 19261 627 24 . . . 19261 628 1 The the DT 19261 628 2 deviation deviation NN 19261 628 3 of of IN 19261 628 4 the the DT 19261 628 5 left left JJ 19261 628 6 main main JJ 19261 628 7 bronchus bronchus NN 19261 628 8 is be VBZ 19261 628 9 about about RB 19261 628 10 75 75 CD 19261 628 11 degrees degree NNS 19261 628 12 and and CC 19261 628 13 its -PRON- PRP$ 19261 628 14 adult adult NN 19261 628 15 length length NN 19261 628 16 is be VBZ 19261 628 17 about about RB 19261 628 18 5 5 CD 19261 628 19 cm cm NNS 19261 628 20 . . . 19261 629 1 The the DT 19261 629 2 right right JJ 19261 629 3 bronchus bronchus NN 19261 629 4 considered consider VBD 19261 629 5 as as IN 19261 629 6 a a DT 19261 629 7 stem stem NN 19261 629 8 , , , 19261 629 9 may may MD 19261 629 10 be be VB 19261 629 11 said say VBN 19261 629 12 to to TO 19261 629 13 give give VB 19261 629 14 off off RP 19261 629 15 three three CD 19261 629 16 branches branch NNS 19261 629 17 , , , 19261 629 18 the the DT 19261 629 19 epiarterial epiarterial JJ 19261 629 20 , , , 19261 629 21 upper- upper- JJ 19261 629 22 or or CC 19261 629 23 superior superior JJ 19261 629 24 - - HYPH 19261 629 25 lobe lobe NNP 19261 629 26 bronchus bronchu NNS 19261 629 27 ; ; : 19261 629 28 the the DT 19261 629 29 middle middle JJ 19261 629 30 - - HYPH 19261 629 31 lobe lobe NN 19261 629 32 bronchus bronchu NNS 19261 629 33 ; ; , 19261 629 34 and and CC 19261 629 35 the the DT 19261 629 36 continuation continuation NN 19261 629 37 downward downward RB 19261 629 38 , , , 19261 629 39 called call VBD 19261 629 40 the the DT 19261 629 41 lower- lower- NN 19261 629 42 or or CC 19261 629 43 inferior inferior JJ 19261 629 44 - - HYPH 19261 629 45 lobe lobe NNP 19261 629 46 bronchus bronchus NNP 19261 629 47 , , , 19261 629 48 which which WDT 19261 629 49 gives give VBZ 19261 629 50 off off RP 19261 629 51 dorsal dorsal NN 19261 629 52 , , , 19261 629 53 ventral ventral JJ 19261 629 54 and and CC 19261 629 55 lateral lateral JJ 19261 629 56 branches branch NNS 19261 629 57 . . . 19261 630 1 The the DT 19261 630 2 left left JJ 19261 630 3 main main JJ 19261 630 4 bronchus bronchus NN 19261 630 5 gives give VBZ 19261 630 6 off off RP 19261 630 7 first first RB 19261 630 8 the the DT 19261 630 9 upper upper JJ 19261 630 10 - - HYPH 19261 630 11 or or CC 19261 630 12 superior superior JJ 19261 630 13 - - HYPH 19261 630 14 lobe lobe NNP 19261 630 15 bronchus bronchus NNP 19261 630 16 , , , 19261 630 17 the the DT 19261 630 18 continuation continuation NN 19261 630 19 being be VBG 19261 630 20 the the DT 19261 630 21 lower low JJR 19261 630 22 - - HYPH 19261 630 23 or or CC 19261 630 24 inferior inferior JJ 19261 630 25 - - HYPH 19261 630 26 lobe lobe NN 19261 630 27 bronchus bronchus NNP 19261 630 28 , , , 19261 630 29 consisting consist VBG 19261 630 30 of of IN 19261 630 31 a a DT 19261 630 32 stem stem NN 19261 630 33 with with IN 19261 630 34 dorsal dorsal NN 19261 630 35 , , , 19261 630 36 ventral ventral JJ 19261 630 37 and and CC 19261 630 38 lateral lateral JJ 19261 630 39 branches branch NNS 19261 630 40 . . . 19261 631 1 [ [ -LRB- 19261 631 2 FIG FIG NNP 19261 631 3 . . . 19261 632 1 44.--Tracheo 44.--tracheo CD 19261 632 2 - - HYPH 19261 632 3 bronchial bronchial JJ 19261 632 4 tree tree NN 19261 632 5 . . . 19261 633 1 LM LM NNP 19261 633 2 , , , 19261 633 3 Left leave VBD 19261 633 4 main main JJ 19261 633 5 bronchus bronchus NN 19261 633 6 ; ; : 19261 633 7 SL SL NNP 19261 633 8 , , , 19261 633 9 superior superior JJ 19261 633 10 lobe lobe NN 19261 633 11 bronchus bronchu NNS 19261 633 12 ; ; : 19261 633 13 ML ML NNP 19261 633 14 , , , 19261 633 15 middle middle JJ 19261 633 16 lobe lobe NN 19261 633 17 bronchus bronchu NNS 19261 633 18 ; ; : 19261 633 19 IL IL NNP 19261 633 20 , , , 19261 633 21 inferior inferior NNP 19261 633 22 lobe lobe NNP 19261 633 23 bronchus bronchus NNP 19261 633 24 . . . 19261 633 25 ] ] -RRB- 19261 634 1 The the DT 19261 634 2 septum septum NN 19261 634 3 between between IN 19261 634 4 the the DT 19261 634 5 right right NN 19261 634 6 and and CC 19261 634 7 left leave VBD 19261 634 8 main main JJ 19261 634 9 bronchi bronchi NN 19261 634 10 , , , 19261 634 11 termed term VBD 19261 634 12 the the DT 19261 634 13 carina carina NN 19261 634 14 , , , 19261 634 15 is be VBZ 19261 634 16 situated situate VBN 19261 634 17 to to IN 19261 634 18 the the DT 19261 634 19 left left NN 19261 634 20 of of IN 19261 634 21 the the DT 19261 634 22 midtracheal midtracheal JJ 19261 634 23 line line NN 19261 634 24 . . . 19261 635 1 It -PRON- PRP 19261 635 2 is be VBZ 19261 635 3 recognized recognize VBN 19261 635 4 endoscopically endoscopically RB 19261 635 5 as as IN 19261 635 6 a a DT 19261 635 7 short short JJ 19261 635 8 , , , 19261 635 9 shining shine VBG 19261 635 10 ridge ridge NN 19261 635 11 running run VBG 19261 635 12 sagitally sagitally RB 19261 635 13 , , , 19261 635 14 or or CC 19261 635 15 , , , 19261 635 16 as as IN 19261 635 17 the the DT 19261 635 18 patient patient NN 19261 635 19 lies lie VBZ 19261 635 20 in in IN 19261 635 21 the the DT 19261 635 22 recumbent recumbent JJ 19261 635 23 position position NN 19261 635 24 , , , 19261 635 25 we -PRON- PRP 19261 635 26 speak speak VBP 19261 635 27 of of IN 19261 635 28 it -PRON- PRP 19261 635 29 as as IN 19261 635 30 being be VBG 19261 635 31 vertical vertical JJ 19261 635 32 . . . 19261 636 1 On on IN 19261 636 2 either either DT 19261 636 3 side side NN 19261 636 4 are be VBP 19261 636 5 seen see VBN 19261 636 6 the the DT 19261 636 7 openings opening NNS 19261 636 8 of of IN 19261 636 9 the the DT 19261 636 10 right right NN 19261 636 11 and and CC 19261 636 12 left leave VBD 19261 636 13 main main JJ 19261 636 14 bronchi bronchi NN 19261 636 15 . . . 19261 637 1 In in IN 19261 637 2 Fig Fig NNP 19261 637 3 . . . 19261 638 1 44 44 CD 19261 638 2 , , , 19261 638 3 it -PRON- PRP 19261 638 4 will will MD 19261 638 5 be be VB 19261 638 6 seen see VBN 19261 638 7 that that IN 19261 638 8 the the DT 19261 638 9 lower low JJR 19261 638 10 border border NN 19261 638 11 of of IN 19261 638 12 the the DT 19261 638 13 carina carina NN 19261 638 14 is be VBZ 19261 638 15 on on IN 19261 638 16 a a DT 19261 638 17 level level NN 19261 638 18 with with IN 19261 638 19 the the DT 19261 638 20 upper upper JJ 19261 638 21 portion portion NN 19261 638 22 of of IN 19261 638 23 the the DT 19261 638 24 orifice orifice NN 19261 638 25 of of IN 19261 638 26 the the DT 19261 638 27 right right JJ 19261 638 28 superior superior JJ 19261 638 29 - - HYPH 19261 638 30 lobe lobe NNP 19261 638 31 bronchus bronchu NNS 19261 638 32 ; ; : 19261 638 33 with with IN 19261 638 34 the the DT 19261 638 35 carina carina NN 19261 638 36 as as IN 19261 638 37 a a DT 19261 638 38 landmark landmark NN 19261 638 39 and and CC 19261 638 40 by by IN 19261 638 41 displacing displace VBG 19261 638 42 with with IN 19261 638 43 the the DT 19261 638 44 bronchoscope bronchoscope NN 19261 638 45 the the DT 19261 638 46 lateral lateral JJ 19261 638 47 wall wall NN 19261 638 48 of of IN 19261 638 49 the the DT 19261 638 50 right right JJ 19261 638 51 main main JJ 19261 638 52 bronchus bronchus NN 19261 638 53 , , , 19261 638 54 a a DT 19261 638 55 second second JJ 19261 638 56 , , , 19261 638 57 smaller small JJR 19261 638 58 , , , 19261 638 59 vertical vertical JJ 19261 638 60 spur spur NN 19261 638 61 appears appear VBZ 19261 638 62 , , , 19261 638 63 and and CC 19261 638 64 a a DT 19261 638 65 view view NN 19261 638 66 of of IN 19261 638 67 the the DT 19261 638 68 orifice orifice NN 19261 638 69 of of IN 19261 638 70 the the DT 19261 638 71 right right JJ 19261 638 72 upper upper JJ 19261 638 73 - - HYPH 19261 638 74 lobe lobe NN 19261 638 75 bronchus bronchus NN 19261 638 76 is be VBZ 19261 638 77 obtained obtain VBN 19261 638 78 , , , 19261 638 79 though though IN 19261 638 80 a a DT 19261 638 81 lumen luman NNS 19261 638 82 image image NN 19261 638 83 can can MD 19261 638 84 not not RB 19261 638 85 be be VB 19261 638 86 presented present VBN 19261 638 87 . . . 19261 639 1 On on IN 19261 639 2 passing pass VBG 19261 639 3 down down RP 19261 639 4 the the DT 19261 639 5 right right JJ 19261 639 6 stem stem NN 19261 639 7 bronchus bronchu NNS 19261 639 8 ( ( -LRB- 19261 639 9 patient patient NNP 19261 639 10 recumbent recumbent NNP 19261 639 11 ) ) -RRB- 19261 639 12 a a DT 19261 639 13 horizontal horizontal JJ 19261 639 14 partition partition NN 19261 639 15 or or CC 19261 639 16 spur spur NN 19261 639 17 is be VBZ 19261 639 18 found find VBN 19261 639 19 with with IN 19261 639 20 the the DT 19261 639 21 lumen luman NNS 19261 639 22 of of IN 19261 639 23 the the DT 19261 639 24 middle middle JJ 19261 639 25 - - HYPH 19261 639 26 lobe lobe NN 19261 639 27 bronchus bronchus NN 19261 639 28 extending extend VBG 19261 639 29 toward toward IN 19261 639 30 the the DT 19261 639 31 ventral ventral JJ 19261 639 32 surface surface NN 19261 639 33 of of IN 19261 639 34 the the DT 19261 639 35 body body NN 19261 639 36 . . . 19261 640 1 All all DT 19261 640 2 below below IN 19261 640 3 this this DT 19261 640 4 opening opening NN 19261 640 5 of of IN 19261 640 6 the the DT 19261 640 7 right right JJ 19261 640 8 middle middle JJ 19261 640 9 - - HYPH 19261 640 10 lobe lobe NNP 19261 640 11 bronchus bronchus NN 19261 640 12 constitutes constitute VBZ 19261 640 13 the the DT 19261 640 14 lower low JJR 19261 640 15 - - HYPH 19261 640 16 lobe lobe NN 19261 640 17 bronchus bronchu NNS 19261 640 18 and and CC 19261 640 19 its -PRON- PRP$ 19261 640 20 branches branch NNS 19261 640 21 . . . 19261 641 1 [ [ -LRB- 19261 641 2 FIG FIG NNP 19261 641 3 . . . 19261 642 1 45.--Bronchoscopic 45.--bronchoscopic CD 19261 642 2 views view NNS 19261 642 3 . . . 19261 643 1 S S NNP 19261 643 2 ; ; : 19261 643 3 Superior Superior NNP 19261 643 4 lobe lobe NN 19261 643 5 bronchus bronchus NN 19261 643 6 ; ; : 19261 643 7 SL SL NNP 19261 643 8 , , , 19261 643 9 superior superior JJ 19261 643 10 lobe lobe NN 19261 643 11 bronchus bronchu NNS 19261 643 12 ; ; : 19261 643 13 I -PRON- PRP 19261 643 14 , , , 19261 643 15 inferior inferior JJ 19261 643 16 lobe lobe NNP 19261 643 17 bronchus bronchu NNS 19261 643 18 ; ; : 19261 643 19 M M NNP 19261 643 20 , , , 19261 643 21 middle middle JJ 19261 643 22 lobe lobe NNP 19261 643 23 bronchus bronchus NNP 19261 643 24 . . . 19261 643 25 ] ] -RRB- 19261 644 1 [ [ -LRB- 19261 644 2 56 56 CD 19261 644 3 ] ] -RRB- 19261 644 4 Coming come VBG 19261 644 5 back back RB 19261 644 6 to to IN 19261 644 7 the the DT 19261 644 8 carina carina NN 19261 644 9 and and CC 19261 644 10 passing pass VBG 19261 644 11 down down RP 19261 644 12 the the DT 19261 644 13 left left JJ 19261 644 14 bronchus bronchus NN 19261 644 15 , , , 19261 644 16 the the DT 19261 644 17 relatively relatively RB 19261 644 18 great great JJ 19261 644 19 distance distance NN 19261 644 20 from from IN 19261 644 21 the the DT 19261 644 22 carina carina NN 19261 644 23 to to IN 19261 644 24 the the DT 19261 644 25 upper upper JJ 19261 644 26 - - HYPH 19261 644 27 lobe lobe NN 19261 644 28 bronchus bronchus NN 19261 644 29 is be VBZ 19261 644 30 noted note VBN 19261 644 31 . . . 19261 645 1 The the DT 19261 645 2 spur spur NN 19261 645 3 dividing divide VBG 19261 645 4 the the DT 19261 645 5 orifices orifice NNS 19261 645 6 of of IN 19261 645 7 the the DT 19261 645 8 left left JJ 19261 645 9 upper- upper- NN 19261 645 10 and and CC 19261 645 11 lower low JJR 19261 645 12 - - HYPH 19261 645 13 lobe lobe NNP 19261 645 14 bronchi bronchi NNP 19261 645 15 is be VBZ 19261 645 16 oblique oblique JJ 19261 645 17 in in IN 19261 645 18 direction direction NN 19261 645 19 , , , 19261 645 20 and and CC 19261 645 21 it -PRON- PRP 19261 645 22 is be VBZ 19261 645 23 possible possible JJ 19261 645 24 to to TO 19261 645 25 see see VB 19261 645 26 more more JJR 19261 645 27 of of IN 19261 645 28 the the DT 19261 645 29 lumen luman NNS 19261 645 30 of of IN 19261 645 31 the the DT 19261 645 32 left left JJ 19261 645 33 upper upper JJ 19261 645 34 - - HYPH 19261 645 35 lobe lobe NN 19261 645 36 bronchus bronchu NNS 19261 645 37 than than IN 19261 645 38 of of IN 19261 645 39 its -PRON- PRP$ 19261 645 40 homologue homologue NN 19261 645 41 on on IN 19261 645 42 the the DT 19261 645 43 right right NN 19261 645 44 . . . 19261 646 1 Below below IN 19261 646 2 this this DT 19261 646 3 are be VBP 19261 646 4 seen see VBN 19261 646 5 the the DT 19261 646 6 lower low JJR 19261 646 7 - - HYPH 19261 646 8 lobe lobe NN 19261 646 9 bronchus bronchu NNS 19261 646 10 and and CC 19261 646 11 its -PRON- PRP$ 19261 646 12 divisions division NNS 19261 646 13 ( ( -LRB- 19261 646 14 Fig fig NN 19261 646 15 . . . 19261 647 1 45 45 CD 19261 647 2 ) ) -RRB- 19261 647 3 . . . 19261 648 1 _ _ NNP 19261 648 2 Dimensions Dimensions NNPS 19261 648 3 of of IN 19261 648 4 the the DT 19261 648 5 Trachea Trachea NNP 19261 648 6 and and CC 19261 648 7 Bronchi_.--It Bronchi_.--It NNP 19261 648 8 will will MD 19261 648 9 be be VB 19261 648 10 noted note VBN 19261 648 11 that that IN 19261 648 12 the the DT 19261 648 13 bronchi bronchi NNP 19261 648 14 divide divide NN 19261 648 15 monopodially monopodially RB 19261 648 16 , , , 19261 648 17 not not RB 19261 648 18 dichotomously dichotomously RB 19261 648 19 . . . 19261 649 1 While while IN 19261 649 2 the the DT 19261 649 3 lumina lumina NN 19261 649 4 of of IN 19261 649 5 the the DT 19261 649 6 individual individual JJ 19261 649 7 bronchi bronchi NNP 19261 649 8 diminish diminish NNP 19261 649 9 as as IN 19261 649 10 the the DT 19261 649 11 bronchi bronchi NN 19261 649 12 divide divide NN 19261 649 13 , , , 19261 649 14 the the DT 19261 649 15 sum sum NN 19261 649 16 of of IN 19261 649 17 the the DT 19261 649 18 areas area NNS 19261 649 19 shows show VBZ 19261 649 20 a a DT 19261 649 21 progressive progressive JJ 19261 649 22 increase increase NN 19261 649 23 in in IN 19261 649 24 total total JJ 19261 649 25 tubular tubular NNP 19261 649 26 area area NN 19261 649 27 of of IN 19261 649 28 cross cross NN 19261 649 29 - - NN 19261 649 30 section section NN 19261 649 31 . . . 19261 650 1 Thus thus RB 19261 650 2 , , , 19261 650 3 the the DT 19261 650 4 sum sum NN 19261 650 5 of of IN 19261 650 6 the the DT 19261 650 7 areas area NNS 19261 650 8 of of IN 19261 650 9 cross cross JJ 19261 650 10 - - NN 19261 650 11 section section NN 19261 650 12 of of IN 19261 650 13 the the DT 19261 650 14 two two CD 19261 650 15 main main JJ 19261 650 16 bronchi bronchi NN 19261 650 17 , , , 19261 650 18 right right UH 19261 650 19 and and CC 19261 650 20 left leave VBD 19261 650 21 , , , 19261 650 22 is be VBZ 19261 650 23 greater great JJR 19261 650 24 than than IN 19261 650 25 the the DT 19261 650 26 area area NN 19261 650 27 of of IN 19261 650 28 cross cross NN 19261 650 29 section section NN 19261 650 30 of of IN 19261 650 31 the the DT 19261 650 32 trachea trachea NN 19261 650 33 . . . 19261 651 1 This this DT 19261 651 2 follows follow VBZ 19261 651 3 the the DT 19261 651 4 well well RB 19261 651 5 known know VBN 19261 651 6 dynamic dynamic JJ 19261 651 7 law law NN 19261 651 8 . . . 19261 652 1 The the DT 19261 652 2 relative relative JJ 19261 652 3 increase increase NN 19261 652 4 in in IN 19261 652 5 surface surface NN 19261 652 6 as as IN 19261 652 7 the the DT 19261 652 8 tubes tube NNS 19261 652 9 branch branch NN 19261 652 10 and and CC 19261 652 11 diminish diminish VB 19261 652 12 in in IN 19261 652 13 size size NN 19261 652 14 increases increase VBZ 19261 652 15 the the DT 19261 652 16 friction friction NN 19261 652 17 of of IN 19261 652 18 the the DT 19261 652 19 passing pass VBG 19261 652 20 air air NN 19261 652 21 , , , 19261 652 22 so so IN 19261 652 23 that that IN 19261 652 24 an an DT 19261 652 25 actual actual JJ 19261 652 26 increase increase NN 19261 652 27 in in IN 19261 652 28 area area NN 19261 652 29 of of IN 19261 652 30 cross cross NN 19261 652 31 section section NN 19261 652 32 is be VBZ 19261 652 33 necessary necessary JJ 19261 652 34 , , , 19261 652 35 to to TO 19261 652 36 avoid avoid VB 19261 652 37 increasing increase VBG 19261 652 38 resistance resistance NN 19261 652 39 to to IN 19261 652 40 the the DT 19261 652 41 passage passage NN 19261 652 42 of of IN 19261 652 43 air air NN 19261 652 44 . . . 19261 653 1 The the DT 19261 653 2 cadaveric cadaveric JJ 19261 653 3 dimensions dimension NNS 19261 653 4 of of IN 19261 653 5 the the DT 19261 653 6 tracheobronchial tracheobronchial JJ 19261 653 7 tree tree NN 19261 653 8 may may MD 19261 653 9 be be VB 19261 653 10 epitomized epitomize VBN 19261 653 11 approximately approximately RB 19261 653 12 as as IN 19261 653 13 follows follow VBZ 19261 653 14 : : : 19261 653 15 Adult Adult NNP 19261 653 16 Male Male NNP 19261 653 17 Female Female NNP 19261 653 18 Child Child NNP 19261 653 19 Infant Infant NNP 19261 653 20 Diameter Diameter NNP 19261 653 21 trachea trachea NN 19261 653 22 , , , 19261 653 23 14 14 CD 19261 653 24 X x NN 19261 653 25 20 20 CD 19261 653 26 12 12 CD 19261 653 27 X x SYM 19261 653 28 16 16 CD 19261 653 29 8 8 CD 19261 653 30 X x SYM 19261 653 31 10 10 CD 19261 653 32 6 6 CD 19261 653 33 X x NN 19261 653 34 7 7 CD 19261 653 35 Length Length NNP 19261 653 36 trachea trachea NN 19261 653 37 , , , 19261 653 38 cm cm NNP 19261 653 39 . . . 19261 654 1 12.0 12.0 CD 19261 654 2 10.0 10.0 CD 19261 654 3 6.0 6.0 CD 19261 654 4 4.0 4.0 CD 19261 654 5 Length length NN 19261 654 6 right right JJ 19261 654 7 bronchus bronchus NN 19261 654 8 2.5 2.5 CD 19261 654 9 2.5 2.5 CD 19261 654 10 2.0 2.0 CD 19261 654 11 1.5 1.5 CD 19261 654 12 Length Length NNP 19261 654 13 left leave VBN 19261 654 14 bronchus bronchu NNS 19261 654 15 5.0 5.0 CD 19261 654 16 5.0 5.0 CD 19261 654 17 3.0 3.0 CD 19261 654 18 2.5 2.5 CD 19261 654 19 Length length NN 19261 654 20 upper upper JJ 19261 654 21 teeth tooth NNS 19261 654 22 to to TO 19261 654 23 trachea trachea VB 19261 654 24 15.0 15.0 CD 19261 654 25 23.0 23.0 CD 19261 654 26 10.0 10.0 CD 19261 654 27 9.0 9.0 CD 19261 654 28 Length Length NNP 19261 654 29 total total NN 19261 654 30 to to IN 19261 654 31 secondary secondary JJ 19261 654 32 bronchus bronchus NNP 19261 654 33 32.0 32.0 CD 19261 654 34 28.0 28.0 CD 19261 654 35 19.0 19.0 CD 19261 654 36 15.0 15.0 CD 19261 654 37 In in IN 19261 654 38 considering consider VBG 19261 654 39 the the DT 19261 654 40 foregoing foregoing NN 19261 654 41 table table NN 19261 654 42 it -PRON- PRP 19261 654 43 is be VBZ 19261 654 44 to to TO 19261 654 45 be be VB 19261 654 46 remembered remember VBN 19261 654 47 that that IN 19261 654 48 in in IN 19261 654 49 life life NN 19261 654 50 muscle muscle NN 19261 654 51 tonus tonus NN 19261 654 52 varies vary VBZ 19261 654 53 the the DT 19261 654 54 lumen luman NNS 19261 654 55 and and CC 19261 654 56 on on IN 19261 654 57 the the DT 19261 654 58 whole whole JJ 19261 654 59 renders render NNS 19261 654 60 it -PRON- PRP 19261 654 61 smaller smaller RBR 19261 654 62 . . . 19261 655 1 In in IN 19261 655 2 the the DT 19261 655 3 selection selection NN 19261 655 4 of of IN 19261 655 5 tubes tube NNS 19261 655 6 it -PRON- PRP 19261 655 7 must must MD 19261 655 8 be be VB 19261 655 9 remembered remember VBN 19261 655 10 that that IN 19261 655 11 the the DT 19261 655 12 full full JJ 19261 655 13 diameter diameter NN 19261 655 14 of of IN 19261 655 15 the the DT 19261 655 16 trachea trachea NN 19261 655 17 is be VBZ 19261 655 18 not not RB 19261 655 19 available available JJ 19261 655 20 on on IN 19261 655 21 account account NN 19261 655 22 of of IN 19261 655 23 the the DT 19261 655 24 glottic glottic JJ 19261 655 25 aperture aperture NN 19261 655 26 which which WDT 19261 655 27 in in IN 19261 655 28 the the DT 19261 655 29 adult adult NN 19261 655 30 is be VBZ 19261 655 31 a a DT 19261 655 32 triangle triangle NN 19261 655 33 measuring measure VBG 19261 655 34 approximately approximately RB 19261 655 35 12 12 CD 19261 655 36 X x NN 19261 655 37 22 22 CD 19261 655 38 X x NN 19261 655 39 22 22 CD 19261 655 40 mm mm NN 19261 655 41 . . . 19261 656 1 and and CC 19261 656 2 permitting permit VBG 19261 656 3 the the DT 19261 656 4 passage passage NN 19261 656 5 of of IN 19261 656 6 a a DT 19261 656 7 tube tube NN 19261 656 8 not not RB 19261 656 9 over over IN 19261 656 10 10 10 CD 19261 656 11 mm mm NNS 19261 656 12 . . . 19261 657 1 in in IN 19261 657 2 diameter diameter NN 19261 657 3 without without IN 19261 657 4 risk risk NN 19261 657 5 of of IN 19261 657 6 injury injury NN 19261 657 7 . . . 19261 658 1 Furthermore furthermore RB 19261 658 2 a a DT 19261 658 3 tube tube NN 19261 658 4 which which WDT 19261 658 5 filled fill VBD 19261 658 6 the the DT 19261 658 7 trachea trachea NN 19261 658 8 would would MD 19261 658 9 be be VB 19261 658 10 too too RB 19261 658 11 large large JJ 19261 658 12 to to TO 19261 658 13 enter enter VB 19261 658 14 either either CC 19261 658 15 main main JJ 19261 658 16 bronchus bronchus NN 19261 658 17 . . . 19261 659 1 The the DT 19261 659 2 normal normal JJ 19261 659 3 movements movement NNS 19261 659 4 of of IN 19261 659 5 the the DT 19261 659 6 trachea trachea NN 19261 659 7 and and CC 19261 659 8 bronchi bronchi NNP 19261 659 9 are be VBP 19261 659 10 respiratory respiratory JJ 19261 659 11 , , , 19261 659 12 pulsatory pulsatory JJ 19261 659 13 , , , 19261 659 14 bechic bechic JJ 19261 659 15 , , , 19261 659 16 and and CC 19261 659 17 deglutitory deglutitory JJ 19261 659 18 . . . 19261 660 1 The the DT 19261 660 2 two two CD 19261 660 3 former former JJ 19261 660 4 are be VBP 19261 660 5 rhythmic rhythmic JJ 19261 660 6 while while IN 19261 660 7 the the DT 19261 660 8 two two CD 19261 660 9 latter latter JJ 19261 660 10 are be VBP 19261 660 11 intermittently intermittently RB 19261 660 12 noted note VBN 19261 660 13 during during IN 19261 660 14 bronchoscopy bronchoscopy NN 19261 660 15 . . . 19261 661 1 It -PRON- PRP 19261 661 2 is be VBZ 19261 661 3 readily readily RB 19261 661 4 observed observe VBN 19261 661 5 that that IN 19261 661 6 the the DT 19261 661 7 bronchi bronchi NNP 19261 661 8 elongate elongate NNP 19261 661 9 and and CC 19261 661 10 expand expand VB 19261 661 11 during during IN 19261 661 12 inspiration inspiration NN 19261 661 13 while while IN 19261 661 14 during during IN 19261 661 15 expiration expiration NN 19261 661 16 they -PRON- PRP 19261 661 17 shorten shorten VBP 19261 661 18 and and CC 19261 661 19 contract contract VBP 19261 661 20 . . . 19261 662 1 The the DT 19261 662 2 bronchoscopist bronchoscopist NN 19261 662 3 must must MD 19261 662 4 learn learn VB 19261 662 5 to to TO 19261 662 6 work work VB 19261 662 7 in in IN 19261 662 8 spite spite NN 19261 662 9 of of IN 19261 662 10 the the DT 19261 662 11 fact fact NN 19261 662 12 that that IN 19261 662 13 the the DT 19261 662 14 bronchi bronchi NNP 19261 662 15 dilate dilate NNP 19261 662 16 , , , 19261 662 17 contract contract NN 19261 662 18 , , , 19261 662 19 elongate elongate NN 19261 662 20 , , , 19261 662 21 shorten shorten NNP 19261 662 22 , , , 19261 662 23 kink kink NN 19261 662 24 , , , 19261 662 25 and and CC 19261 662 26 are be VBP 19261 662 27 dinged dinge VBN 19261 662 28 and and CC 19261 662 29 pushed push VBN 19261 662 30 this this DT 19261 662 31 way way NN 19261 662 32 and and CC 19261 662 33 that that DT 19261 662 34 . . . 19261 663 1 It -PRON- PRP 19261 663 2 is be VBZ 19261 663 3 this this DT 19261 663 4 resiliency resiliency NN 19261 663 5 and and CC 19261 663 6 movability movability NN 19261 663 7 that that WDT 19261 663 8 make make VBP 19261 663 9 bronchoscopy bronchoscopy RB 19261 663 10 possible possible JJ 19261 663 11 . . . 19261 664 1 The the DT 19261 664 2 inspiratory inspiratory JJ 19261 664 3 enlargement enlargement NN 19261 664 4 of of IN 19261 664 5 lumen luman NNS 19261 664 6 opens open VBZ 19261 664 7 up up RP 19261 664 8 the the DT 19261 664 9 forceps forceps NNS 19261 664 10 spaces space NNS 19261 664 11 , , , 19261 664 12 and and CC 19261 664 13 the the DT 19261 664 14 facile facile JJ 19261 664 15 bronchoscopist bronchoscopist NN 19261 664 16 avails avail VBZ 19261 664 17 himself -PRON- PRP 19261 664 18 of of IN 19261 664 19 the the DT 19261 664 20 opportunity opportunity NN 19261 664 21 to to TO 19261 664 22 seize seize VB 19261 664 23 the the DT 19261 664 24 foreign foreign JJ 19261 664 25 body body NN 19261 664 26 . . . 19261 665 1 THE the DT 19261 665 2 ESOPHAGUS ESOPHAGUS NNP 19261 665 3 A a DT 19261 665 4 few few JJ 19261 665 5 of of IN 19261 665 6 the the DT 19261 665 7 anatomical anatomical JJ 19261 665 8 details detail NNS 19261 665 9 must must MD 19261 665 10 be be VB 19261 665 11 kept keep VBN 19261 665 12 especially especially RB 19261 665 13 in in IN 19261 665 14 mind mind NN 19261 665 15 when when WRB 19261 665 16 it -PRON- PRP 19261 665 17 is be VBZ 19261 665 18 desired desire VBN 19261 665 19 to to TO 19261 665 20 introduce introduce VB 19261 665 21 straight straight JJ 19261 665 22 and and CC 19261 665 23 rigid rigid JJ 19261 665 24 instruments instrument NNS 19261 665 25 down down IN 19261 665 26 the the DT 19261 665 27 lumen luman NNS 19261 665 28 of of IN 19261 665 29 the the DT 19261 665 30 gullet gullet NN 19261 665 31 . . . 19261 666 1 First first RB 19261 666 2 and and CC 19261 666 3 most most RBS 19261 666 4 important important JJ 19261 666 5 is be VBZ 19261 666 6 the the DT 19261 666 7 fact fact NN 19261 666 8 that that IN 19261 666 9 the the DT 19261 666 10 esophageal esophageal JJ 19261 666 11 walls wall NNS 19261 666 12 are be VBP 19261 666 13 exceedingly exceedingly RB 19261 666 14 thin thin JJ 19261 666 15 and and CC 19261 666 16 delicate delicate JJ 19261 666 17 and and CC 19261 666 18 require require VB 19261 666 19 the the DT 19261 666 20 most most RBS 19261 666 21 careful careful JJ 19261 666 22 manipulation manipulation NN 19261 666 23 . . . 19261 667 1 Because because IN 19261 667 2 of of IN 19261 667 3 this this DT 19261 667 4 delicacy delicacy NN 19261 667 5 of of IN 19261 667 6 the the DT 19261 667 7 walls wall NNS 19261 667 8 and and CC 19261 667 9 because because IN 19261 667 10 the the DT 19261 667 11 esophagus esophagus NN 19261 667 12 , , , 19261 667 13 being be VBG 19261 667 14 a a DT 19261 667 15 constant constant JJ 19261 667 16 passageway passageway NN 19261 667 17 for for IN 19261 667 18 bacteria bacteria NNS 19261 667 19 from from IN 19261 667 20 the the DT 19261 667 21 mouth mouth NN 19261 667 22 to to IN 19261 667 23 the the DT 19261 667 24 stomach stomach NN 19261 667 25 , , , 19261 667 26 is be VBZ 19261 667 27 never never RB 19261 667 28 sterile sterile JJ 19261 667 29 , , , 19261 667 30 surgical surgical JJ 19261 667 31 procedures procedure NNS 19261 667 32 are be VBP 19261 667 33 associated associate VBN 19261 667 34 with with IN 19261 667 35 infective infective JJ 19261 667 36 risks risk NNS 19261 667 37 . . . 19261 668 1 For for IN 19261 668 2 some some DT 19261 668 3 other other JJ 19261 668 4 and and CC 19261 668 5 not not RB 19261 668 6 fully fully RB 19261 668 7 understood understand VBN 19261 668 8 reason reason NN 19261 668 9 , , , 19261 668 10 the the DT 19261 668 11 esophagus esophagus NN 19261 668 12 is be VBZ 19261 668 13 , , , 19261 668 14 surgically surgically RB 19261 668 15 speaking speak VBG 19261 668 16 , , , 19261 668 17 one one CD 19261 668 18 of of IN 19261 668 19 the the DT 19261 668 20 most most RBS 19261 668 21 intolerant intolerant JJ 19261 668 22 of of IN 19261 668 23 all all DT 19261 668 24 human human JJ 19261 668 25 viscera viscera NNS 19261 668 26 . . . 19261 669 1 The the DT 19261 669 2 anterior anterior JJ 19261 669 3 wall wall NN 19261 669 4 of of IN 19261 669 5 the the DT 19261 669 6 esophagus esophagus NN 19261 669 7 is be VBZ 19261 669 8 in in IN 19261 669 9 a a DT 19261 669 10 part part NN 19261 669 11 of of IN 19261 669 12 its -PRON- PRP$ 19261 669 13 course course NN 19261 669 14 , , , 19261 669 15 in in IN 19261 669 16 close close JJ 19261 669 17 relation relation NN 19261 669 18 to to IN 19261 669 19 the the DT 19261 669 20 posterior posterior NN 19261 669 21 wall wall NN 19261 669 22 of of IN 19261 669 23 the the DT 19261 669 24 trachea trachea NN 19261 669 25 , , , 19261 669 26 and and CC 19261 669 27 this this DT 19261 669 28 portion portion NN 19261 669 29 is be VBZ 19261 669 30 called call VBN 19261 669 31 the the DT 19261 669 32 party party NN 19261 669 33 wall wall NN 19261 669 34 . . . 19261 670 1 It -PRON- PRP 19261 670 2 is be VBZ 19261 670 3 this this DT 19261 670 4 party party NN 19261 670 5 wall wall NN 19261 670 6 that that WDT 19261 670 7 contains contain VBZ 19261 670 8 the the DT 19261 670 9 lymph lymph NN 19261 670 10 drainage drainage NN 19261 670 11 system system NN 19261 670 12 of of IN 19261 670 13 the the DT 19261 670 14 posterior posterior NN 19261 670 15 portion portion NN 19261 670 16 of of IN 19261 670 17 the the DT 19261 670 18 larynx larynx NN 19261 670 19 , , , 19261 670 20 and and CC 19261 670 21 it -PRON- PRP 19261 670 22 is be VBZ 19261 670 23 largely largely RB 19261 670 24 by by IN 19261 670 25 this this DT 19261 670 26 route route NN 19261 670 27 that that WDT 19261 670 28 posteriorly posteriorly RB 19261 670 29 located locate VBN 19261 670 30 malignant malignant JJ 19261 670 31 laryngeal laryngeal NN 19261 670 32 neoplasms neoplasm NNS 19261 670 33 early early RB 19261 670 34 metastasize metastasize NN 19261 670 35 to to IN 19261 670 36 the the DT 19261 670 37 mediastinum mediastinum NN 19261 670 38 . . . 19261 671 1 [ [ -LRB- 19261 671 2 58 58 CD 19261 671 3 ] ] -RRB- 19261 671 4 [ [ -LRB- 19261 671 5 FIG FIG NNP 19261 671 6 46.--Esophagoscopic 46.--esophagoscopic CD 19261 671 7 and and CC 19261 671 8 Gastroscopic Gastroscopic NNP 19261 671 9 Chart Chart NNP 19261 671 10 BIRTH BIRTH NNP 19261 671 11 1 1 CD 19261 671 12 yr yr NN 19261 671 13 . . NNP 19261 671 14 3 3 CD 19261 671 15 yrs yrs NN 19261 671 16 . . . 19261 672 1 6 6 CD 19261 672 2 yrs yrs NN 19261 672 3 . . . 19261 673 1 10 10 CD 19261 673 2 yrs yrs NN 19261 673 3 . . . 19261 674 1 14 14 CD 19261 674 2 yrs yrs NN 19261 674 3 . . . 19261 674 4 ADULTS ADULTS NNP 19261 674 5 23 23 CD 19261 674 6 27 27 CD 19261 674 7 30 30 CD 19261 674 8 33 33 CD 19261 674 9 36 36 CD 19261 674 10 43 43 CD 19261 674 11 53 53 CD 19261 674 12 Cm Cm NNS 19261 674 13 . . . 19261 675 1 GREATER greater JJ 19261 675 2 CURVATURE CURVATURE NNP 19261 675 3 18 18 CD 19261 675 4 20 20 CD 19261 675 5 22 22 CD 19261 675 6 25 25 CD 19261 675 7 27 27 CD 19261 675 8 34 34 CD 19261 675 9 40 40 CD 19261 675 10 Cm Cm NNS 19261 675 11 . . . 19261 676 1 CARDIA CARDIA NNP 19261 676 2 19 19 CD 19261 676 3 21 21 CD 19261 676 4 23 23 CD 19261 676 5 24 24 CD 19261 676 6 25 25 CD 19261 676 7 31 31 CD 19261 676 8 36 36 CD 19261 676 9 Cm Cm NNS 19261 676 10 . . . 19261 677 1 HIATUS HIATUS NNP 19261 677 2 13 13 CD 19261 677 3 15 15 CD 19261 677 4 16 16 CD 19261 677 5 18 18 CD 19261 677 6 20 20 CD 19261 677 7 24 24 CD 19261 677 8 27 27 CD 19261 677 9 Cm Cm NNS 19261 677 10 . . . 19261 678 1 LEFT LEFT NNP 19261 678 2 BRONCHUS BRONCHUS NNP 19261 678 3 12 12 CD 19261 678 4 14 14 CD 19261 678 5 15 15 CD 19261 678 6 16 16 CD 19261 678 7 17 17 CD 19261 678 8 21 21 CD 19261 678 9 23 23 CD 19261 678 10 Cm Cm NNS 19261 678 11 . . . 19261 679 1 AORTA AORTA NNP 19261 679 2 7 7 CD 19261 679 3 9 9 CD 19261 679 4 10 10 CD 19261 679 5 11 11 CD 19261 679 6 12 12 CD 19261 679 7 14 14 CD 19261 679 8 16 16 CD 19261 679 9 Cm Cm NNS 19261 679 10 . . . 19261 680 1 CRICOPHARYINGEUS CRICOPHARYINGEUS NNP 19261 680 2 0 0 CD 19261 680 3 0 0 CD 19261 680 4 0 0 CD 19261 680 5 0 0 CD 19261 680 6 0 0 CD 19261 680 7 0 0 CD 19261 680 8 0 0 CD 19261 680 9 Cm cm NN 19261 680 10 . . . 19261 681 1 INCISORS INCISORS NNP 19261 681 2 FIG FIG NNP 19261 681 3 . . . 19261 682 1 46.--The 46.--the DT 19261 682 2 author author NN 19261 682 3 's 's POS 19261 682 4 esophagoscopic esophagoscopic NN 19261 682 5 chart chart NN 19261 682 6 of of IN 19261 682 7 approximate approximate JJ 19261 682 8 distances distance NNS 19261 682 9 of of IN 19261 682 10 the the DT 19261 682 11 esophageal esophageal JJ 19261 682 12 narrowings narrowing NNS 19261 682 13 from from IN 19261 682 14 the the DT 19261 682 15 upper upper JJ 19261 682 16 incisor incisor NN 19261 682 17 teeth tooth NNS 19261 682 18 , , , 19261 682 19 arranged arrange VBN 19261 682 20 for for IN 19261 682 21 convenient convenient JJ 19261 682 22 reference reference NN 19261 682 23 during during IN 19261 682 24 esophagoscopy esophagoscopy NN 19261 682 25 in in IN 19261 682 26 the the DT 19261 682 27 dorsally dorsally RB 19261 682 28 recumbent recumbent JJ 19261 682 29 patient patient NN 19261 682 30 . . . 19261 682 31 ] ] -RRB- 19261 683 1 The the DT 19261 683 2 lengths length NNS 19261 683 3 of of IN 19261 683 4 the the DT 19261 683 5 esophagus esophagus NN 19261 683 6 at at IN 19261 683 7 different different JJ 19261 683 8 ages age NNS 19261 683 9 are be VBP 19261 683 10 shown show VBN 19261 683 11 diagrammatically diagrammatically RB 19261 683 12 in in IN 19261 683 13 Fig Fig NNP 19261 683 14 . . . 19261 684 1 46 46 CD 19261 684 2 . . . 19261 685 1 The the DT 19261 685 2 diameter diameter NN 19261 685 3 of of IN 19261 685 4 the the DT 19261 685 5 esophageal esophageal JJ 19261 685 6 lumen luman NNS 19261 685 7 varies vary VBZ 19261 685 8 greatly greatly RB 19261 685 9 with with IN 19261 685 10 the the DT 19261 685 11 elasticity elasticity NN 19261 685 12 of of IN 19261 685 13 the the DT 19261 685 14 esophageal esophageal JJ 19261 685 15 walls wall NNS 19261 685 16 ; ; : 19261 685 17 its -PRON- PRP$ 19261 685 18 diameter diameter NN 19261 685 19 at at IN 19261 685 20 the the DT 19261 685 21 four four CD 19261 685 22 points point NNS 19261 685 23 of of IN 19261 685 24 anatomical anatomical JJ 19261 685 25 constriction constriction NN 19261 685 26 is be VBZ 19261 685 27 shown show VBN 19261 685 28 in in IN 19261 685 29 the the DT 19261 685 30 following following JJ 19261 685 31 table table NN 19261 685 32 : : : 19261 685 33 Constriction Constriction NNP 19261 685 34 Diameter Diameter NNP 19261 685 35 Vertebra Vertebra NNP 19261 685 36 Cricopharyngeal Cricopharyngeal NNP 19261 685 37 Transverse Transverse NNP 19261 685 38 23 23 CD 19261 685 39 mm mm NNS 19261 685 40 . . . 19261 686 1 ( ( -LRB- 19261 686 2 1 1 CD 19261 686 3 in in IN 19261 686 4 . . . 19261 686 5 ) ) -RRB- 19261 687 1 Sixth sixth JJ 19261 687 2 cervical cervical JJ 19261 687 3 Antero Antero NNP 19261 687 4 - - HYPH 19261 687 5 posterior posterior NNP 19261 687 6 17 17 CD 19261 687 7 mm mm NNS 19261 687 8 . . . 19261 688 1 ( ( -LRB- 19261 688 2 3/4 3/4 CD 19261 688 3 in in IN 19261 688 4 . . . 19261 688 5 ) ) -RRB- 19261 689 1 Aortic Aortic NNP 19261 689 2 Transverse Transverse NNP 19261 689 3 24 24 CD 19261 689 4 mm mm CD 19261 689 5 . . . 19261 690 1 ( ( -LRB- 19261 690 2 1 1 CD 19261 690 3 in in IN 19261 690 4 . . . 19261 690 5 ) ) -RRB- 19261 691 1 Fourth fourth JJ 19261 691 2 thoracic thoracic NN 19261 691 3 Antero Antero NNP 19261 691 4 - - HYPH 19261 691 5 posterior posterior NNP 19261 691 6 19 19 CD 19261 691 7 mm mm NNS 19261 691 8 . . . 19261 692 1 ( ( -LRB- 19261 692 2 3/4 3/4 CD 19261 692 3 in in IN 19261 692 4 . . . 19261 692 5 ) ) -RRB- 19261 693 1 Left left JJ 19261 693 2 - - HYPH 19261 693 3 bronchial bronchial JJ 19261 693 4 Transverse Transverse NNP 19261 693 5 23 23 CD 19261 693 6 mm mm CD 19261 693 7 . . . 19261 694 1 ( ( -LRB- 19261 694 2 1 1 CD 19261 694 3 in in IN 19261 694 4 . . . 19261 694 5 ) ) -RRB- 19261 695 1 Fifth fifth JJ 19261 695 2 thoracic thoracic NN 19261 695 3 Antero Antero NNP 19261 695 4 - - HYPH 19261 695 5 posterior posterior NNP 19261 695 6 17 17 CD 19261 695 7 mm mm NNS 19261 695 8 . . . 19261 696 1 ( ( -LRB- 19261 696 2 3/4 3/4 CD 19261 696 3 in in IN 19261 696 4 . . . 19261 696 5 ) ) -RRB- 19261 697 1 Diaphragmatic Diaphragmatic NNP 19261 697 2 Transverse Transverse NNP 19261 697 3 23 23 CD 19261 697 4 mm mm NNS 19261 697 5 . . . 19261 698 1 ( ( -LRB- 19261 698 2 1 1 CD 19261 698 3 in+ in+ IN 19261 698 4 ) ) -RRB- 19261 698 5 Tenth tenth JJ 19261 698 6 thoracic thoracic NN 19261 698 7 Antero Antero NNP 19261 698 8 - - HYPH 19261 698 9 posterior posterior NNP 19261 698 10 23 23 CD 19261 698 11 mm mm NNS 19261 698 12 . . . 19261 699 1 ( ( -LRB- 19261 699 2 in.-- in.-- UH 19261 699 3 ) ) -RRB- 19261 699 4 For for IN 19261 699 5 practical practical JJ 19261 699 6 endoscopic endoscopic NN 19261 699 7 purposes purpose NNS 19261 699 8 it -PRON- PRP 19261 699 9 is be VBZ 19261 699 10 only only RB 19261 699 11 necessary necessary JJ 19261 699 12 to to TO 19261 699 13 remember remember VB 19261 699 14 that that IN 19261 699 15 in in IN 19261 699 16 a a DT 19261 699 17 normal normal JJ 19261 699 18 esophagus esophagus NN 19261 699 19 , , , 19261 699 20 straight straight JJ 19261 699 21 and and CC 19261 699 22 rigid rigid JJ 19261 699 23 tubes tube NNS 19261 699 24 of of IN 19261 699 25 7 7 CD 19261 699 26 mm mm CD 19261 699 27 . . . 19261 700 1 diameter diameter NN 19261 700 2 should should MD 19261 700 3 pass pass VB 19261 700 4 freely freely RB 19261 700 5 in in IN 19261 700 6 infants infant NNS 19261 700 7 , , , 19261 700 8 and and CC 19261 700 9 in in IN 19261 700 10 adults adult NNS 19261 700 11 , , , 19261 700 12 tubes tube NNS 19261 700 13 of of IN 19261 700 14 10 10 CD 19261 700 15 mm mm NNS 19261 700 16 . . . 19261 701 1 The the DT 19261 701 2 4 4 CD 19261 701 3 demonstrable demonstrable JJ 19261 701 4 constrictions constriction NNS 19261 701 5 from from IN 19261 701 6 above above IN 19261 701 7 downward downward NN 19261 701 8 are be VBP 19261 701 9 at at IN 19261 701 10 1 1 CD 19261 701 11 . . . 19261 702 1 The the DT 19261 702 2 crico crico NN 19261 702 3 - - HYPH 19261 702 4 pharyngeal pharyngeal NN 19261 702 5 fold fold NN 19261 702 6 . . . 19261 703 1 2 2 LS 19261 703 2 . . . 19261 704 1 The the DT 19261 704 2 crossing crossing NN 19261 704 3 of of IN 19261 704 4 the the DT 19261 704 5 aorta aorta NNP 19261 704 6 . . . 19261 705 1 3 3 LS 19261 705 2 . . . 19261 706 1 The the DT 19261 706 2 crossing crossing NN 19261 706 3 of of IN 19261 706 4 the the DT 19261 706 5 left left JJ 19261 706 6 bronchus bronchu NNS 19261 706 7 . . . 19261 707 1 4 4 LS 19261 707 2 . . . 19261 708 1 The the DT 19261 708 2 hiatus hiatus NN 19261 708 3 esophageus esophageus NN 19261 708 4 . . . 19261 709 1 There there EX 19261 709 2 is be VBZ 19261 709 3 a a DT 19261 709 4 definite definite JJ 19261 709 5 fifth fifth JJ 19261 709 6 narrowing narrowing NN 19261 709 7 of of IN 19261 709 8 the the DT 19261 709 9 esophageal esophageal JJ 19261 709 10 lumen luman NNS 19261 709 11 not not RB 19261 709 12 easily easily RB 19261 709 13 demonstrated demonstrate VBN 19261 709 14 esophagoscopically esophagoscopically RB 19261 709 15 and and CC 19261 709 16 not not RB 19261 709 17 seen see VBN 19261 709 18 during during IN 19261 709 19 dissection dissection NN 19261 709 20 , , , 19261 709 21 but but CC 19261 709 22 readily readily RB 19261 709 23 shown show VBN 19261 709 24 functionally functionally RB 19261 709 25 by by IN 19261 709 26 the the DT 19261 709 27 fact fact NN 19261 709 28 that that IN 19261 709 29 almost almost RB 19261 709 30 all all DT 19261 709 31 foreign foreign JJ 19261 709 32 bodies body NNS 19261 709 33 lodge lodge VBP 19261 709 34 at at IN 19261 709 35 this this DT 19261 709 36 point point NN 19261 709 37 . . . 19261 710 1 This this DT 19261 710 2 narrowing narrowing NN 19261 710 3 occurs occur VBZ 19261 710 4 at at IN 19261 710 5 the the DT 19261 710 6 superior superior JJ 19261 710 7 aperture aperture NN 19261 710 8 of of IN 19261 710 9 the the DT 19261 710 10 thorax thorax NN 19261 710 11 and and CC 19261 710 12 is be VBZ 19261 710 13 probably probably RB 19261 710 14 produced produce VBN 19261 710 15 by by IN 19261 710 16 the the DT 19261 710 17 crowding crowding NN 19261 710 18 of of IN 19261 710 19 the the DT 19261 710 20 numerous numerous JJ 19261 710 21 organs organ NNS 19261 710 22 which which WDT 19261 710 23 enter enter VBP 19261 710 24 or or CC 19261 710 25 leave leave VBP 19261 710 26 the the DT 19261 710 27 thorax thorax NN 19261 710 28 through through IN 19261 710 29 this this DT 19261 710 30 orifice orifice NN 19261 710 31 . . . 19261 711 1 _ _ NNP 19261 711 2 The the DT 19261 711 3 crico crico JJ 19261 711 4 - - HYPH 19261 711 5 pharyngeal pharyngeal NN 19261 711 6 constriction constriction NN 19261 711 7 _ _ NNP 19261 711 8 , , , 19261 711 9 as as IN 19261 711 10 already already RB 19261 711 11 mentioned mention VBN 19261 711 12 , , , 19261 711 13 is be VBZ 19261 711 14 produced produce VBN 19261 711 15 by by IN 19261 711 16 the the DT 19261 711 17 tonic tonic NN 19261 711 18 contraction contraction NN 19261 711 19 of of IN 19261 711 20 a a DT 19261 711 21 specialized specialized JJ 19261 711 22 band band NN 19261 711 23 of of IN 19261 711 24 the the DT 19261 711 25 orbicular orbicular JJ 19261 711 26 fibers fiber NNS 19261 711 27 of of IN 19261 711 28 the the DT 19261 711 29 lowermost lowermost JJS 19261 711 30 portion portion NN 19261 711 31 of of IN 19261 711 32 the the DT 19261 711 33 inferior inferior JJ 19261 711 34 pharyngeal pharyngeal NN 19261 711 35 constrictor constrictor NN 19261 711 36 muscle muscle NN 19261 711 37 , , , 19261 711 38 called call VBD 19261 711 39 the the DT 19261 711 40 cricopharyngeal cricopharyngeal NN 19261 711 41 muscle muscle NN 19261 711 42 . . . 19261 712 1 As as IN 19261 712 2 shown show VBN 19261 712 3 by by IN 19261 712 4 the the DT 19261 712 5 author author NN 19261 712 6 it -PRON- PRP 19261 712 7 is be VBZ 19261 712 8 this this DT 19261 712 9 muscle muscle NN 19261 712 10 and and CC 19261 712 11 not not RB 19261 712 12 the the DT 19261 712 13 cricoid cricoid JJ 19261 712 14 cartilage cartilage NN 19261 712 15 alone alone RB 19261 712 16 that that WDT 19261 712 17 causes cause VBZ 19261 712 18 the the DT 19261 712 19 difficulty difficulty NN 19261 712 20 in in IN 19261 712 21 the the DT 19261 712 22 insertion insertion NN 19261 712 23 of of IN 19261 712 24 an an DT 19261 712 25 esophagoscope esophagoscope NN 19261 712 26 . . . 19261 713 1 This this DT 19261 713 2 muscle muscle NN 19261 713 3 is be VBZ 19261 713 4 attached attach VBN 19261 713 5 laterally laterally RB 19261 713 6 to to IN 19261 713 7 the the DT 19261 713 8 edges edge NNS 19261 713 9 of of IN 19261 713 10 the the DT 19261 713 11 signet signet NN 19261 713 12 of of IN 19261 713 13 the the DT 19261 713 14 cricoid cricoid NN 19261 713 15 which which WDT 19261 713 16 it -PRON- PRP 19261 713 17 pulls pull VBZ 19261 713 18 with with IN 19261 713 19 an an DT 19261 713 20 incomprehensible incomprehensible JJ 19261 713 21 power power NN 19261 713 22 against against IN 19261 713 23 the the DT 19261 713 24 posterior posterior NN 19261 713 25 wall wall NN 19261 713 26 of of IN 19261 713 27 the the DT 19261 713 28 hypopharynx hypopharynx NNP 19261 713 29 , , , 19261 713 30 thus thus RB 19261 713 31 closing close VBG 19261 713 32 the the DT 19261 713 33 mouth mouth NN 19261 713 34 of of IN 19261 713 35 the the DT 19261 713 36 esophagus esophagus NN 19261 713 37 . . . 19261 714 1 Its -PRON- PRP$ 19261 714 2 other other JJ 19261 714 3 attachment attachment NN 19261 714 4 is be VBZ 19261 714 5 in in IN 19261 714 6 the the DT 19261 714 7 median median JJ 19261 714 8 posterior posterior NN 19261 714 9 raphe raphe NN 19261 714 10 . . . 19261 715 1 Between between IN 19261 715 2 these these DT 19261 715 3 circular circular JJ 19261 715 4 fibers fiber NNS 19261 715 5 ( ( -LRB- 19261 715 6 the the DT 19261 715 7 cricopharyngeal cricopharyngeal NN 19261 715 8 muscle muscle NN 19261 715 9 ) ) -RRB- 19261 715 10 and and CC 19261 715 11 the the DT 19261 715 12 oblique oblique JJ 19261 715 13 fibers fiber NNS 19261 715 14 of of IN 19261 715 15 the the DT 19261 715 16 inferior inferior JJ 19261 715 17 constrictor constrictor NN 19261 715 18 muscle muscle NN 19261 715 19 there there EX 19261 715 20 is be VBZ 19261 715 21 a a DT 19261 715 22 weakly weakly RB 19261 715 23 supported support VBN 19261 715 24 point point NN 19261 715 25 through through IN 19261 715 26 which which WDT 19261 715 27 the the DT 19261 715 28 esophageal esophageal JJ 19261 715 29 wall wall NN 19261 715 30 may may MD 19261 715 31 herniate herniate VB 19261 715 32 to to TO 19261 715 33 form form VB 19261 715 34 the the DT 19261 715 35 so so RB 19261 715 36 - - HYPH 19261 715 37 called call VBN 19261 715 38 pulsion pulsion NN 19261 715 39 diverticulum diverticulum NN 19261 715 40 . . . 19261 716 1 It -PRON- PRP 19261 716 2 is be VBZ 19261 716 3 at at IN 19261 716 4 this this DT 19261 716 5 weak weak JJ 19261 716 6 point point NN 19261 716 7 that that IN 19261 716 8 fatal fatal JJ 19261 716 9 esophagoscopic esophagoscopic NN 19261 716 10 perforation perforation NN 19261 716 11 by by IN 19261 716 12 inexperienced inexperienced JJ 19261 716 13 operators operator NNS 19261 716 14 is be VBZ 19261 716 15 most most RBS 19261 716 16 likely likely JJ 19261 716 17 to to TO 19261 716 18 occur occur VB 19261 716 19 . . . 19261 717 1 _ _ NNP 19261 717 2 The the DT 19261 717 3 aortic aortic JJ 19261 717 4 narrowing narrow VBG 19261 717 5 _ _ NNP 19261 717 6 of of IN 19261 717 7 the the DT 19261 717 8 esophagus esophagus NN 19261 717 9 may may MD 19261 717 10 not not RB 19261 717 11 be be VB 19261 717 12 noticed notice VBN 19261 717 13 at at RB 19261 717 14 all all RB 19261 717 15 if if IN 19261 717 16 the the DT 19261 717 17 patient patient NN 19261 717 18 is be VBZ 19261 717 19 placed place VBN 19261 717 20 in in IN 19261 717 21 the the DT 19261 717 22 proper proper JJ 19261 717 23 sequential sequential NN 19261 717 24 " " `` 19261 717 25 high high JJ 19261 717 26 - - HYPH 19261 717 27 low low JJ 19261 717 28 " " '' 19261 717 29 position position NN 19261 717 30 . . . 19261 718 1 It -PRON- PRP 19261 718 2 is be VBZ 19261 718 3 only only RB 19261 718 4 when when WRB 19261 718 5 the the DT 19261 718 6 tube tube NN 19261 718 7 - - HYPH 19261 718 8 mouth mouth NN 19261 718 9 is be VBZ 19261 718 10 directed direct VBN 19261 718 11 against against IN 19261 718 12 the the DT 19261 718 13 left left JJ 19261 718 14 anterior anterior NNP 19261 718 15 wall wall NN 19261 718 16 that that IN 19261 718 17 the the DT 19261 718 18 actively actively RB 19261 718 19 pulsating pulsate VBG 19261 718 20 aorta aorta NNP 19261 718 21 is be VBZ 19261 718 22 felt feel VBN 19261 718 23 . . . 19261 719 1 The the DT 19261 719 2 bronchial bronchial JJ 19261 719 3 narrowing narrowing NN 19261 719 4 of of IN 19261 719 5 the the DT 19261 719 6 esophagus esophagus NN 19261 719 7 is be VBZ 19261 719 8 due due JJ 19261 719 9 to to IN 19261 719 10 backward backward JJ 19261 719 11 displacement displacement NN 19261 719 12 caused cause VBN 19261 719 13 by by IN 19261 719 14 the the DT 19261 719 15 passage passage NN 19261 719 16 of of IN 19261 719 17 the the DT 19261 719 18 left left JJ 19261 719 19 bronchus bronchu NNS 19261 719 20 over over IN 19261 719 21 the the DT 19261 719 22 anterior anterior JJ 19261 719 23 wall wall NN 19261 719 24 of of IN 19261 719 25 the the DT 19261 719 26 esophagus esophagus NN 19261 719 27 at at IN 19261 719 28 about about RB 19261 719 29 27 27 CD 19261 719 30 cm cm NNS 19261 719 31 . . . 19261 720 1 from from IN 19261 720 2 the the DT 19261 720 3 upper upper JJ 19261 720 4 teeth tooth NNS 19261 720 5 in in IN 19261 720 6 the the DT 19261 720 7 adult adult NN 19261 720 8 . . . 19261 721 1 The the DT 19261 721 2 ridge ridge NN 19261 721 3 is be VBZ 19261 721 4 quite quite RB 19261 721 5 prominent prominent JJ 19261 721 6 in in IN 19261 721 7 some some DT 19261 721 8 patients patient NNS 19261 721 9 , , , 19261 721 10 especially especially RB 19261 721 11 those those DT 19261 721 12 with with IN 19261 721 13 dilatation dilatation NN 19261 721 14 from from IN 19261 721 15 stenoses stenosis NNS 19261 721 16 lower low JJR 19261 721 17 down down RP 19261 721 18 . . . 19261 722 1 The the DT 19261 722 2 hiatal hiatal JJ 19261 722 3 narrowing narrowing NN 19261 722 4 is be VBZ 19261 722 5 both both CC 19261 722 6 anatomic anatomic JJ 19261 722 7 and and CC 19261 722 8 spasmodic spasmodic JJ 19261 722 9 . . . 19261 723 1 The the DT 19261 723 2 peculiar peculiar JJ 19261 723 3 arrangement arrangement NN 19261 723 4 of of IN 19261 723 5 the the DT 19261 723 6 tendinous tendinous JJ 19261 723 7 and and CC 19261 723 8 muscular muscular JJ 19261 723 9 structure structure NN 19261 723 10 of of IN 19261 723 11 the the DT 19261 723 12 diaphragm diaphragm JJ 19261 723 13 acts act NNS 19261 723 14 on on IN 19261 723 15 this this DT 19261 723 16 hiatal hiatal JJ 19261 723 17 opening opening NN 19261 723 18 in in IN 19261 723 19 a a DT 19261 723 20 sphincter sphincter NN 19261 723 21 - - HYPH 19261 723 22 like like JJ 19261 723 23 fashion fashion NN 19261 723 24 . . . 19261 724 1 There there EX 19261 724 2 are be VBP 19261 724 3 also also RB 19261 724 4 special special JJ 19261 724 5 bundles bundle NNS 19261 724 6 of of IN 19261 724 7 muscle muscle NN 19261 724 8 fibers fiber NNS 19261 724 9 extending extend VBG 19261 724 10 from from IN 19261 724 11 the the DT 19261 724 12 crura crura NNP 19261 724 13 of of IN 19261 724 14 the the DT 19261 724 15 diaphragm diaphragm NNP 19261 724 16 and and CC 19261 724 17 surrounding surround VBG 19261 724 18 the the DT 19261 724 19 esophagus esophagus NN 19261 724 20 , , , 19261 724 21 which which WDT 19261 724 22 contribute contribute VBP 19261 724 23 to to IN 19261 724 24 tonic tonic NN 19261 724 25 closure closure NN 19261 724 26 in in IN 19261 724 27 the the DT 19261 724 28 same same JJ 19261 724 29 way way NN 19261 724 30 that that WDT 19261 724 31 a a DT 19261 724 32 pinch pinch NN 19261 724 33 - - HYPH 19261 724 34 cock cock NN 19261 724 35 closes close VBZ 19261 724 36 a a DT 19261 724 37 rubber rubber NN 19261 724 38 tube tube NN 19261 724 39 . . . 19261 725 1 The the DT 19261 725 2 author author NN 19261 725 3 has have VBZ 19261 725 4 called call VBN 19261 725 5 the the DT 19261 725 6 hiatal hiatal JJ 19261 725 7 closure closure NN 19261 725 8 the the DT 19261 725 9 " " `` 19261 725 10 diaphragmatic diaphragmatic JJ 19261 725 11 pinchcock pinchcock NN 19261 725 12 . . . 19261 725 13 " " '' 19261 726 1 _ _ NNP 19261 726 2 Direction Direction NNP 19261 726 3 of of IN 19261 726 4 the the DT 19261 726 5 Esophagus_.--The esophagus_.--the JJ 19261 726 6 esophagus esophagus NN 19261 726 7 enters enter VBZ 19261 726 8 the the DT 19261 726 9 chest chest NN 19261 726 10 in in IN 19261 726 11 a a DT 19261 726 12 decidedly decidedly RB 19261 726 13 backward backward RB 19261 726 14 as as RB 19261 726 15 well well RB 19261 726 16 as as IN 19261 726 17 downward downward JJ 19261 726 18 direction direction NN 19261 726 19 , , , 19261 726 20 parallel parallel NN 19261 726 21 to to IN 19261 726 22 that that DT 19261 726 23 of of IN 19261 726 24 the the DT 19261 726 25 trachea trachea NN 19261 726 26 , , , 19261 726 27 following follow VBG 19261 726 28 the the DT 19261 726 29 curves curve NNS 19261 726 30 of of IN 19261 726 31 the the DT 19261 726 32 cervical cervical JJ 19261 726 33 and and CC 19261 726 34 upper upper JJ 19261 726 35 dorsal dorsal NN 19261 726 36 spine spine NN 19261 726 37 . . . 19261 727 1 Below below IN 19261 727 2 the the DT 19261 727 3 left left JJ 19261 727 4 bronchus bronchus NN 19261 727 5 the the DT 19261 727 6 esophagus esophagus NN 19261 727 7 turns turn VBZ 19261 727 8 forward forward RB 19261 727 9 , , , 19261 727 10 passing pass VBG 19261 727 11 through through IN 19261 727 12 the the DT 19261 727 13 hiatus hiatus NN 19261 727 14 in in IN 19261 727 15 the the DT 19261 727 16 diaphragm diaphragm NNP 19261 727 17 anterior anterior NNP 19261 727 18 to to IN 19261 727 19 and and CC 19261 727 20 to to IN 19261 727 21 the the DT 19261 727 22 left left NN 19261 727 23 of of IN 19261 727 24 the the DT 19261 727 25 aorta aorta NN 19261 727 26 . . . 19261 728 1 The the DT 19261 728 2 lower low JJR 19261 728 3 third third JJ 19261 728 4 of of IN 19261 728 5 the the DT 19261 728 6 esophagus esophagus NN 19261 728 7 in in IN 19261 728 8 addition addition NN 19261 728 9 to to IN 19261 728 10 its -PRON- PRP$ 19261 728 11 anterior anterior JJ 19261 728 12 curvature curvature NN 19261 728 13 turns turn VBZ 19261 728 14 strongly strongly RB 19261 728 15 to to IN 19261 728 16 the the DT 19261 728 17 left left NN 19261 728 18 , , , 19261 728 19 so so IN 19261 728 20 that that IN 19261 728 21 an an DT 19261 728 22 esophagoscope esophagoscope NN 19261 728 23 inserted insert VBN 19261 728 24 from from IN 19261 728 25 the the DT 19261 728 26 right right JJ 19261 728 27 angle angle NN 19261 728 28 of of IN 19261 728 29 the the DT 19261 728 30 mouth mouth NN 19261 728 31 , , , 19261 728 32 when when WRB 19261 728 33 introduced introduce VBN 19261 728 34 into into IN 19261 728 35 the the DT 19261 728 36 stomach stomach NN 19261 728 37 , , , 19261 728 38 points point NNS 19261 728 39 in in IN 19261 728 40 the the DT 19261 728 41 direction direction NN 19261 728 42 of of IN 19261 728 43 the the DT 19261 728 44 anterior anterior JJ 19261 728 45 superior superior JJ 19261 728 46 spine spine NN 19261 728 47 of of IN 19261 728 48 the the DT 19261 728 49 left left JJ 19261 728 50 ileum ileum NN 19261 728 51 . . . 19261 729 1 It -PRON- PRP 19261 729 2 is be VBZ 19261 729 3 necessary necessary JJ 19261 729 4 to to TO 19261 729 5 keep keep VB 19261 729 6 this this DT 19261 729 7 general general JJ 19261 729 8 course course NN 19261 729 9 constantly constantly RB 19261 729 10 in in IN 19261 729 11 mind mind NN 19261 729 12 in in IN 19261 729 13 all all DT 19261 729 14 cases case NNS 19261 729 15 of of IN 19261 729 16 esophagoscopy esophagoscopy NN 19261 729 17 , , , 19261 729 18 but but CC 19261 729 19 particularly particularly RB 19261 729 20 in in IN 19261 729 21 those those DT 19261 729 22 cases case NNS 19261 729 23 in in IN 19261 729 24 which which WDT 19261 729 25 there there EX 19261 729 26 is be VBZ 19261 729 27 marked mark VBN 19261 729 28 dilatation dilatation NN 19261 729 29 of of IN 19261 729 30 the the DT 19261 729 31 esophagus esophagus NN 19261 729 32 following follow VBG 19261 729 33 spasm spasm NN 19261 729 34 at at IN 19261 729 35 the the DT 19261 729 36 diaphragm diaphragm JJ 19261 729 37 level level NN 19261 729 38 . . . 19261 730 1 In in IN 19261 730 2 such such JJ 19261 730 3 cases case NNS 19261 730 4 the the DT 19261 730 5 aid aid NN 19261 730 6 of of IN 19261 730 7 this this DT 19261 730 8 knowledge knowledge NN 19261 730 9 of of IN 19261 730 10 direction direction NN 19261 730 11 will will MD 19261 730 12 greatly greatly RB 19261 730 13 simplify simplify VB 19261 730 14 the the DT 19261 730 15 finding finding NN 19261 730 16 of of IN 19261 730 17 the the DT 19261 730 18 hiatus hiatus NNP 19261 730 19 esophageus esophageus NNP 19261 730 20 in in IN 19261 730 21 the the DT 19261 730 22 floor floor NN 19261 730 23 of of IN 19261 730 24 the the DT 19261 730 25 dilatation dilatation NN 19261 730 26 . . . 19261 731 1 The the DT 19261 731 2 extrinsic extrinsic NN 19261 731 3 or or CC 19261 731 4 transmitted transmit VBN 19261 731 5 movements movement NNS 19261 731 6 of of IN 19261 731 7 the the DT 19261 731 8 esophagus esophagu NNS 19261 731 9 are be VBP 19261 731 10 respiratory respiratory JJ 19261 731 11 and and CC 19261 731 12 pulsatory pulsatory JJ 19261 731 13 , , , 19261 731 14 and and CC 19261 731 15 to to IN 19261 731 16 a a DT 19261 731 17 slight slight JJ 19261 731 18 extent extent NN 19261 731 19 , , , 19261 731 20 bechic bechic JJ 19261 731 21 . . . 19261 732 1 The the DT 19261 732 2 respiratory respiratory JJ 19261 732 3 movements movement NNS 19261 732 4 consist consist VBP 19261 732 5 in in IN 19261 732 6 a a DT 19261 732 7 dilatation dilatation NN 19261 732 8 or or CC 19261 732 9 opening opening NN 19261 732 10 up up RP 19261 732 11 of of IN 19261 732 12 the the DT 19261 732 13 thoracic thoracic NNP 19261 732 14 esophageal esophageal JJ 19261 732 15 lumen luman NNS 19261 732 16 during during IN 19261 732 17 inspiration inspiration NN 19261 732 18 , , , 19261 732 19 due due IN 19261 732 20 to to IN 19261 732 21 the the DT 19261 732 22 negative negative JJ 19261 732 23 intrathoracic intrathoracic NN 19261 732 24 pressure pressure NN 19261 732 25 . . . 19261 733 1 The the DT 19261 733 2 normal normal JJ 19261 733 3 pulsatory pulsatory JJ 19261 733 4 movements movement NNS 19261 733 5 are be VBP 19261 733 6 due due JJ 19261 733 7 to to IN 19261 733 8 the the DT 19261 733 9 pulsatile pulsatile JJ 19261 733 10 pressure pressure NN 19261 733 11 of of IN 19261 733 12 the the DT 19261 733 13 aorta aorta NNP 19261 733 14 , , , 19261 733 15 found find VBN 19261 733 16 at at IN 19261 733 17 the the DT 19261 733 18 4th 4th JJ 19261 733 19 thoracic thoracic NNP 19261 733 20 vertebra vertebra NNP 19261 733 21 ( ( -LRB- 19261 733 22 24 24 CD 19261 733 23 cm cm NNS 19261 733 24 . . . 19261 734 1 from from IN 19261 734 2 the the DT 19261 734 3 upper upper JJ 19261 734 4 teeth tooth NNS 19261 734 5 in in IN 19261 734 6 the the DT 19261 734 7 adult adult NN 19261 734 8 ) ) -RRB- 19261 734 9 , , , 19261 734 10 and and CC 19261 734 11 of of IN 19261 734 12 the the DT 19261 734 13 heart heart NN 19261 734 14 itself -PRON- PRP 19261 734 15 , , , 19261 734 16 most most RBS 19261 734 17 markedly markedly RB 19261 734 18 felt feel VBD 19261 734 19 at at IN 19261 734 20 the the DT 19261 734 21 level level NN 19261 734 22 of of IN 19261 734 23 the the DT 19261 734 24 7th 7th JJ 19261 734 25 and and CC 19261 734 26 8th 8th JJ 19261 734 27 thoracic thoracic NNP 19261 734 28 vertebrae vertebrae NNP 19261 734 29 ( ( -LRB- 19261 734 30 about about RB 19261 734 31 30 30 CD 19261 734 32 cm cm NNS 19261 734 33 . . . 19261 735 1 from from IN 19261 735 2 the the DT 19261 735 3 upper upper JJ 19261 735 4 teeth tooth NNS 19261 735 5 in in IN 19261 735 6 adults adult NNS 19261 735 7 ) ) -RRB- 19261 735 8 . . . 19261 736 1 As as IN 19261 736 2 the the DT 19261 736 3 distances distance NNS 19261 736 4 of of IN 19261 736 5 all all PDT 19261 736 6 the the DT 19261 736 7 narrowings narrowing NNS 19261 736 8 vary vary VBP 19261 736 9 with with IN 19261 736 10 age age NN 19261 736 11 , , , 19261 736 12 it -PRON- PRP 19261 736 13 is be VBZ 19261 736 14 useful useful JJ 19261 736 15 to to TO 19261 736 16 frame frame VB 19261 736 17 and and CC 19261 736 18 hang hang VB 19261 736 19 up up RP 19261 736 20 for for IN 19261 736 21 reference reference NN 19261 736 22 a a DT 19261 736 23 copy copy NN 19261 736 24 of of IN 19261 736 25 the the DT 19261 736 26 chart chart NN 19261 736 27 ( ( -LRB- 19261 736 28 Fig fig NN 19261 736 29 . . . 19261 737 1 46 46 CD 19261 737 2 ) ) -RRB- 19261 737 3 . . . 19261 738 1 The the DT 19261 738 2 intrinsic intrinsic JJ 19261 738 3 movements movement NNS 19261 738 4 of of IN 19261 738 5 the the DT 19261 738 6 esophagus esophagus NN 19261 738 7 are be VBP 19261 738 8 involuntary involuntary JJ 19261 738 9 muscular muscular JJ 19261 738 10 contractions contraction NNS 19261 738 11 , , , 19261 738 12 as as IN 19261 738 13 in in IN 19261 738 14 deglutition deglutition NN 19261 738 15 and and CC 19261 738 16 regurgitation regurgitation NN 19261 738 17 ; ; , 19261 738 18 spasmodic spasmodic JJ 19261 738 19 , , , 19261 738 20 the the DT 19261 738 21 latter latter JJ 19261 738 22 usually usually RB 19261 738 23 having have VBG 19261 738 24 some some DT 19261 738 25 pathologic pathologic JJ 19261 738 26 cause cause NN 19261 738 27 ; ; : 19261 738 28 and and CC 19261 738 29 tonic tonic NN 19261 738 30 , , , 19261 738 31 as as IN 19261 738 32 the the DT 19261 738 33 normal normal JJ 19261 738 34 hiatal hiatal JJ 19261 738 35 closure closure NN 19261 738 36 , , , 19261 738 37 in in IN 19261 738 38 the the DT 19261 738 39 author author NN 19261 738 40 's 's POS 19261 738 41 opinion opinion NN 19261 738 42 may may MD 19261 738 43 be be VB 19261 738 44 considered consider VBN 19261 738 45 . . . 19261 739 1 Swallowing swallow VBG 19261 739 2 may may MD 19261 739 3 be be VB 19261 739 4 involuntary involuntary JJ 19261 739 5 or or CC 19261 739 6 voluntary voluntary JJ 19261 739 7 . . . 19261 740 1 The the DT 19261 740 2 constrictors constrictor NNS 19261 740 3 are be VBP 19261 740 4 anatomically anatomically RB 19261 740 5 not not RB 19261 740 6 considered consider VBN 19261 740 7 part part NN 19261 740 8 of of IN 19261 740 9 esophagus esophagus FW 19261 740 10 proper proper JJ 19261 740 11 . . . 19261 741 1 When when WRB 19261 741 2 the the DT 19261 741 3 constrictors constrictor NNS 19261 741 4 voluntarily voluntarily RB 19261 741 5 deliver deliver VBP 19261 741 6 the the DT 19261 741 7 bolus bolus NN 19261 741 8 past past IN 19261 741 9 the the DT 19261 741 10 cricopharyngeal cricopharyngeal NN 19261 741 11 fold fold VB 19261 741 12 , , , 19261 741 13 the the DT 19261 741 14 involuntary involuntary JJ 19261 741 15 or or CC 19261 741 16 peristaltic peristaltic JJ 19261 741 17 contractions contraction NNS 19261 741 18 of of IN 19261 741 19 the the DT 19261 741 20 esophageal esophageal JJ 19261 741 21 mural mural NN 19261 741 22 musculature musculature NN 19261 741 23 carry carry VBP 19261 741 24 the the DT 19261 741 25 bolus bolus NN 19261 741 26 on on IN 19261 741 27 downward downward NNP 19261 741 28 . . . 19261 742 1 There there EX 19261 742 2 is be VBZ 19261 742 3 no no DT 19261 742 4 sphincter sphincter NN 19261 742 5 at at IN 19261 742 6 the the DT 19261 742 7 cardiac cardiac JJ 19261 742 8 end end NN 19261 742 9 of of IN 19261 742 10 the the DT 19261 742 11 esophagus esophagus NN 19261 742 12 . . . 19261 743 1 The the DT 19261 743 2 site site NN 19261 743 3 of of IN 19261 743 4 spasmodic spasmodic JJ 19261 743 5 stenosis stenosis NN 19261 743 6 in in IN 19261 743 7 the the DT 19261 743 8 lower low JJR 19261 743 9 third third NN 19261 743 10 , , , 19261 743 11 the the DT 19261 743 12 so so RB 19261 743 13 - - HYPH 19261 743 14 called call VBN 19261 743 15 cardiospasm cardiospasm NN 19261 743 16 , , , 19261 743 17 was be VBD 19261 743 18 first first RB 19261 743 19 demonstrated demonstrate VBN 19261 743 20 by by IN 19261 743 21 the the DT 19261 743 22 author author NN 19261 743 23 to to TO 19261 743 24 be be VB 19261 743 25 located locate VBN 19261 743 26 at at IN 19261 743 27 the the DT 19261 743 28 hiatus hiatus NNP 19261 743 29 esophageus esophageus NNP 19261 743 30 and and CC 19261 743 31 the the DT 19261 743 32 spasmodic spasmodic JJ 19261 743 33 contractions contraction NNS 19261 743 34 are be VBP 19261 743 35 of of IN 19261 743 36 the the DT 19261 743 37 specialized specialized JJ 19261 743 38 muscle muscle NN 19261 743 39 fibers fiber NNS 19261 743 40 there there RB 19261 743 41 encircling encircle VBG 19261 743 42 the the DT 19261 743 43 esophagus esophagus NN 19261 743 44 , , , 19261 743 45 and and CC 19261 743 46 might may MD 19261 743 47 be be VB 19261 743 48 termed term VBN 19261 743 49 " " `` 19261 743 50 phrenospasm phrenospasm NN 19261 743 51 , , , 19261 743 52 " " '' 19261 743 53 or or CC 19261 743 54 " " `` 19261 743 55 hiatal hiatal JJ 19261 743 56 esophagismus esophagismus NNP 19261 743 57 . . . 19261 743 58 " " '' 19261 744 1 Regurgitation regurgitation NN 19261 744 2 of of IN 19261 744 3 food food NN 19261 744 4 from from IN 19261 744 5 the the DT 19261 744 6 stomach stomach NN 19261 744 7 is be VBZ 19261 744 8 normally normally RB 19261 744 9 prevented prevent VBN 19261 744 10 by by IN 19261 744 11 the the DT 19261 744 12 hiatal hiatal JJ 19261 744 13 muscular muscular JJ 19261 744 14 diaphragmatic diaphragmatic JJ 19261 744 15 closure closure NN 19261 744 16 ( ( -LRB- 19261 744 17 called call VBN 19261 744 18 by by IN 19261 744 19 the the DT 19261 744 20 author author NN 19261 744 21 the the DT 19261 744 22 " " `` 19261 744 23 diaphragmatic diaphragmatic JJ 19261 744 24 pinchcock pinchcock NN 19261 744 25 " " '' 19261 744 26 ) ) -RRB- 19261 744 27 plus plus CC 19261 744 28 the the DT 19261 744 29 kinking kinking NN 19261 744 30 of of IN 19261 744 31 the the DT 19261 744 32 abdominal abdominal JJ 19261 744 33 esophagus esophagus NN 19261 744 34 . . . 19261 745 1 In in IN 19261 745 2 the the DT 19261 745 3 author author NN 19261 745 4 's 's POS 19261 745 5 opinion opinion NN 19261 745 6 there there EX 19261 745 7 is be VBZ 19261 745 8 no no DT 19261 745 9 spasm spasm NN 19261 745 10 in in IN 19261 745 11 the the DT 19261 745 12 disease disease NN 19261 745 13 called call VBN 19261 745 14 " " `` 19261 745 15 cardiospasm cardiospasm NN 19261 745 16 . . . 19261 745 17 " " '' 19261 746 1 It -PRON- PRP 19261 746 2 is be VBZ 19261 746 3 simply simply RB 19261 746 4 the the DT 19261 746 5 failure failure NN 19261 746 6 of of IN 19261 746 7 the the DT 19261 746 8 diaphragmatic diaphragmatic JJ 19261 746 9 pinchcock pinchcock NN 19261 746 10 to to TO 19261 746 11 open open VB 19261 746 12 normally normally RB 19261 746 13 in in IN 19261 746 14 the the DT 19261 746 15 deglutitory deglutitory JJ 19261 746 16 cycle cycle NN 19261 746 17 . . . 19261 747 1 A a DT 19261 747 2 better well JJR 19261 747 3 name name NN 19261 747 4 is be VBZ 19261 747 5 functional functional JJ 19261 747 6 hiatal hiatal JJ 19261 747 7 stenosis stenosis NN 19261 747 8 . . . 19261 748 1 At at IN 19261 748 2 retrograde retrograde NN 19261 748 3 esophagoscopy esophagoscopy RB 19261 748 4 the the DT 19261 748 5 cardia cardia NN 19261 748 6 and and CC 19261 748 7 abdominal abdominal JJ 19261 748 8 esophagus esophagu NNS 19261 748 9 do do VBP 19261 748 10 not not RB 19261 748 11 seem seem VB 19261 748 12 to to TO 19261 748 13 exist exist VB 19261 748 14 . . . 19261 749 1 The the DT 19261 749 2 top top NN 19261 749 3 of of IN 19261 749 4 the the DT 19261 749 5 stomach stomach NN 19261 749 6 seems seem VBZ 19261 749 7 to to TO 19261 749 8 be be VB 19261 749 9 closed close VBN 19261 749 10 by by IN 19261 749 11 the the DT 19261 749 12 diaphragmatic diaphragmatic JJ 19261 749 13 pinchcock pinchcock NN 19261 749 14 in in IN 19261 749 15 the the DT 19261 749 16 same same JJ 19261 749 17 way way NN 19261 749 18 that that WDT 19261 749 19 the the DT 19261 749 20 top top NN 19261 749 21 of of IN 19261 749 22 a a DT 19261 749 23 bag bag NN 19261 749 24 is be VBZ 19261 749 25 closed close VBN 19261 749 26 by by IN 19261 749 27 a a DT 19261 749 28 puckering puckering JJ 19261 749 29 string string NN 19261 749 30 . . . 19261 750 1 [ [ -LRB- 19261 750 2 63 63 CD 19261 750 3 ] ] -RRB- 19261 750 4 CHAPTER CHAPTER NNP 19261 750 5 III iii CD 19261 750 6 -- -- : 19261 750 7 PREPARATION preparation NN 19261 750 8 OF of IN 19261 750 9 THE the DT 19261 750 10 PATIENT PATIENT NNP 19261 750 11 FOR for IN 19261 750 12 PERORAL PERORAL NNS 19261 750 13 ENDOSCOPY endoscopy VBP 19261 750 14 The the DT 19261 750 15 suggestions suggestion NNS 19261 750 16 of of IN 19261 750 17 the the DT 19261 750 18 author author NN 19261 750 19 in in IN 19261 750 20 the the DT 19261 750 21 earlier early JJR 19261 750 22 volumes volume NNS 19261 750 23 in in IN 19261 750 24 regard regard NN 19261 750 25 to to IN 19261 750 26 preparation preparation NN 19261 750 27 of of IN 19261 750 28 the the DT 19261 750 29 patient patient NN 19261 750 30 , , , 19261 750 31 as as IN 19261 750 32 for for IN 19261 750 33 any any DT 19261 750 34 operation operation NN 19261 750 35 , , , 19261 750 36 by by IN 19261 750 37 a a DT 19261 750 38 bath bath NN 19261 750 39 , , , 19261 750 40 laxative laxative NN 19261 750 41 , , , 19261 750 42 etc etc FW 19261 750 43 . . FW 19261 750 44 , , , 19261 750 45 and and CC 19261 750 46 especially especially RB 19261 750 47 by by IN 19261 750 48 special special JJ 19261 750 49 cleansing cleansing NN 19261 750 50 of of IN 19261 750 51 the the DT 19261 750 52 mouth mouth NN 19261 750 53 with with IN 19261 750 54 25 25 CD 19261 750 55 per per NN 19261 750 56 cent cent NN 19261 750 57 alcohol alcohol NN 19261 750 58 , , , 19261 750 59 have have VBP 19261 750 60 received receive VBN 19261 750 61 general general JJ 19261 750 62 endorsement endorsement NN 19261 750 63 . . . 19261 751 1 Care care NN 19261 751 2 should should MD 19261 751 3 be be VB 19261 751 4 taken take VBN 19261 751 5 not not RB 19261 751 6 to to TO 19261 751 7 set set VB 19261 751 8 up up RP 19261 751 9 undue undue JJ 19261 751 10 reaction reaction NN 19261 751 11 by by IN 19261 751 12 vigorous vigorous JJ 19261 751 13 scrubbing scrubbing NN 19261 751 14 of of IN 19261 751 15 gums gum NNS 19261 751 16 unaccustomed unaccustomed JJ 19261 751 17 to to IN 19261 751 18 it -PRON- PRP 19261 751 19 . . . 19261 752 1 Artificial artificial JJ 19261 752 2 dentures denture NNS 19261 752 3 should should MD 19261 752 4 be be VB 19261 752 5 removed remove VBN 19261 752 6 . . . 19261 753 1 Even even RB 19261 753 2 if if IN 19261 753 3 no no DT 19261 753 4 anesthetic anesthetic NN 19261 753 5 is be VBZ 19261 753 6 to to TO 19261 753 7 be be VB 19261 753 8 used use VBN 19261 753 9 , , , 19261 753 10 the the DT 19261 753 11 patient patient NN 19261 753 12 should should MD 19261 753 13 be be VB 19261 753 14 fasted fast VBN 19261 753 15 for for IN 19261 753 16 five five CD 19261 753 17 hours hour NNS 19261 753 18 if if IN 19261 753 19 possible possible JJ 19261 753 20 , , , 19261 753 21 even even RB 19261 753 22 for for IN 19261 753 23 direct direct JJ 19261 753 24 laryngoscopy laryngoscopy NN 19261 753 25 in in IN 19261 753 26 order order NN 19261 753 27 to to TO 19261 753 28 forestall forestall VB 19261 753 29 vomiting vomiting NN 19261 753 30 . . . 19261 754 1 Except except IN 19261 754 2 in in IN 19261 754 3 emergency emergency NN 19261 754 4 cases case NNS 19261 754 5 every every DT 19261 754 6 patient patient NN 19261 754 7 should should MD 19261 754 8 be be VB 19261 754 9 gone go VBN 19261 754 10 over over RP 19261 754 11 by by IN 19261 754 12 an an DT 19261 754 13 internist internist NN 19261 754 14 for for IN 19261 754 15 organic organic JJ 19261 754 16 disease disease NN 19261 754 17 in in IN 19261 754 18 any any DT 19261 754 19 form form NN 19261 754 20 . . . 19261 755 1 If if IN 19261 755 2 an an DT 19261 755 3 endolaryngeal endolaryngeal JJ 19261 755 4 operation operation NN 19261 755 5 is be VBZ 19261 755 6 needed need VBN 19261 755 7 by by IN 19261 755 8 a a DT 19261 755 9 nephritic nephritic JJ 19261 755 10 , , , 19261 755 11 preparatory preparatory JJ 19261 755 12 treatment treatment NN 19261 755 13 may may MD 19261 755 14 prevent prevent VB 19261 755 15 laryngeal laryngeal NN 19261 755 16 edema edema NN 19261 755 17 or or CC 19261 755 18 other other JJ 19261 755 19 complications complication NNS 19261 755 20 . . . 19261 756 1 Hemophilia Hemophilia NNP 19261 756 2 should should MD 19261 756 3 be be VB 19261 756 4 thought think VBN 19261 756 5 of of IN 19261 756 6 . . . 19261 757 1 It -PRON- PRP 19261 757 2 is be VBZ 19261 757 3 quite quite RB 19261 757 4 common common JJ 19261 757 5 for for IN 19261 757 6 the the DT 19261 757 7 first first JJ 19261 757 8 symptom symptom NN 19261 757 9 of of IN 19261 757 10 an an DT 19261 757 11 aortic aortic JJ 19261 757 12 aneurysm aneurysm NNS 19261 757 13 to to TO 19261 757 14 be be VB 19261 757 15 an an DT 19261 757 16 impaired impaired JJ 19261 757 17 power power NN 19261 757 18 to to TO 19261 757 19 swallow swallow VB 19261 757 20 , , , 19261 757 21 or or CC 19261 757 22 the the DT 19261 757 23 lodgment lodgment NN 19261 757 24 of of IN 19261 757 25 a a DT 19261 757 26 bolus bolus NN 19261 757 27 of of IN 19261 757 28 meat meat NN 19261 757 29 or or CC 19261 757 30 other other JJ 19261 757 31 foreign foreign JJ 19261 757 32 body body NN 19261 757 33 . . . 19261 758 1 If if IN 19261 758 2 aneurysm aneurysm NNS 19261 758 3 is be VBZ 19261 758 4 present present JJ 19261 758 5 and and CC 19261 758 6 esophagoscopy esophagoscopy JJ 19261 758 7 is be VBZ 19261 758 8 necessary necessary JJ 19261 758 9 , , , 19261 758 10 as as IN 19261 758 11 it -PRON- PRP 19261 758 12 always always RB 19261 758 13 is be VBZ 19261 758 14 in in IN 19261 758 15 foreign foreign JJ 19261 758 16 body body NN 19261 758 17 cases case NNS 19261 758 18 , , , 19261 758 19 " " '' 19261 758 20 to to TO 19261 758 21 be be VB 19261 758 22 fore fore RB 19261 758 23 - - HYPH 19261 758 24 warned warn VBN 19261 758 25 is be VBZ 19261 758 26 to to TO 19261 758 27 be be VB 19261 758 28 forearmed forearm VBN 19261 758 29 . . . 19261 758 30 " " '' 19261 759 1 Pulmonary pulmonary JJ 19261 759 2 tuberculosis tuberculosis NN 19261 759 3 is be VBZ 19261 759 4 often often RB 19261 759 5 unsuspected unsuspected JJ 19261 759 6 in in IN 19261 759 7 very very RB 19261 759 8 young young JJ 19261 759 9 children child NNS 19261 759 10 . . . 19261 760 1 There there EX 19261 760 2 is be VBZ 19261 760 3 great great JJ 19261 760 4 danger danger NN 19261 760 5 from from IN 19261 760 6 tracheal tracheal NN 19261 760 7 pressure pressure NN 19261 760 8 by by IN 19261 760 9 an an DT 19261 760 10 esophageal esophageal JJ 19261 760 11 diverticulum diverticulum NN 19261 760 12 or or CC 19261 760 13 dilatation dilatation NN 19261 760 14 distended distend VBN 19261 760 15 with with IN 19261 760 16 food food NN 19261 760 17 ; ; : 19261 760 18 or or CC 19261 760 19 the the DT 19261 760 20 food food NN 19261 760 21 maybe maybe RB 19261 760 22 regurgitated regurgitate VBD 19261 760 23 and and CC 19261 760 24 aspirated aspirate VBN 19261 760 25 into into IN 19261 760 26 the the DT 19261 760 27 larynx larynx NNP 19261 760 28 and and CC 19261 760 29 trachea trachea NNP 19261 760 30 . . . 19261 761 1 Therefore therefore RB 19261 761 2 , , , 19261 761 3 in in IN 19261 761 4 all all DT 19261 761 5 esophageal esophageal JJ 19261 761 6 cases case NNS 19261 761 7 the the DT 19261 761 8 esophagus esophagus NN 19261 761 9 should should MD 19261 761 10 be be VB 19261 761 11 emptied empty VBN 19261 761 12 by by IN 19261 761 13 regurgitation regurgitation NN 19261 761 14 induced induce VBN 19261 761 15 by by IN 19261 761 16 titillating titillate VBG 19261 761 17 the the DT 19261 761 18 fauces fauce NNS 19261 761 19 with with IN 19261 761 20 the the DT 19261 761 21 finger finger NN 19261 761 22 after after IN 19261 761 23 swallowing swallow VBG 19261 761 24 a a DT 19261 761 25 tumblerful tumblerful NN 19261 761 26 of of IN 19261 761 27 water water NN 19261 761 28 , , , 19261 761 29 pressure pressure NN 19261 761 30 on on IN 19261 761 31 the the DT 19261 761 32 neck neck NN 19261 761 33 , , , 19261 761 34 etc etc FW 19261 761 35 . . . 19261 762 1 Aspiration aspiration NN 19261 762 2 will will MD 19261 762 3 succeed succeed VB 19261 762 4 in in IN 19261 762 5 some some DT 19261 762 6 cases case NNS 19261 762 7 . . . 19261 763 1 In in IN 19261 763 2 others other NNS 19261 763 3 it -PRON- PRP 19261 763 4 is be VBZ 19261 763 5 absolutely absolutely RB 19261 763 6 necessary necessary JJ 19261 763 7 to to TO 19261 763 8 remove remove VB 19261 763 9 food food NN 19261 763 10 with with IN 19261 763 11 the the DT 19261 763 12 esophagoscope esophagoscope NN 19261 763 13 . . . 19261 764 1 If if IN 19261 764 2 the the DT 19261 764 3 aspirating aspirating NN 19261 764 4 tube tube NN 19261 764 5 becomes become VBZ 19261 764 6 clogged clog VBN 19261 764 7 by by IN 19261 764 8 solid solid JJ 19261 764 9 food food NN 19261 764 10 , , , 19261 764 11 the the DT 19261 764 12 method method NN 19261 764 13 of of IN 19261 764 14 swab swab JJ 19261 764 15 aspiration aspiration NN 19261 764 16 mentioned mention VBN 19261 764 17 under under IN 19261 764 18 bronchoscopy bronchoscopy NN 19261 764 19 will will MD 19261 764 20 succeed succeed VB 19261 764 21 . . . 19261 765 1 Of of RB 19261 765 2 course course RB 19261 765 3 there there EX 19261 765 4 is be VBZ 19261 765 5 usually usually RB 19261 765 6 no no DT 19261 765 7 cough cough NN 19261 765 8 to to TO 19261 765 9 aid aid VB 19261 765 10 , , , 19261 765 11 but but CC 19261 765 12 the the DT 19261 765 13 involuntary involuntary JJ 19261 765 14 abdominal abdominal NNP 19261 765 15 and and CC 19261 765 16 thoracic thoracic NNP 19261 765 17 compression compression NNP 19261 765 18 helps help VBZ 19261 765 19 . . . 19261 766 1 Should Should MD 19261 766 2 a a DT 19261 766 3 patient patient JJ 19261 766 4 arrive arrive NN 19261 766 5 in in IN 19261 766 6 a a DT 19261 766 7 serious serious JJ 19261 766 8 state state NN 19261 766 9 of of IN 19261 766 10 water water NN 19261 766 11 - - HYPH 19261 766 12 hunger hunger NN 19261 766 13 , , , 19261 766 14 as as IN 19261 766 15 part part NN 19261 766 16 of of IN 19261 766 17 the the DT 19261 766 18 preparation preparation NN 19261 766 19 the the DT 19261 766 20 patient patient NN 19261 766 21 must must MD 19261 766 22 be be VB 19261 766 23 given give VBN 19261 766 24 water water NN 19261 766 25 by by IN 19261 766 26 hypodermoclysis hypodermoclysis NN 19261 766 27 and and CC 19261 766 28 enteroclysis enteroclysis NN 19261 766 29 , , , 19261 766 30 and and CC 19261 766 31 if if IN 19261 766 32 necessary necessary JJ 19261 766 33 the the DT 19261 766 34 endoscopy endoscopy NN 19261 766 35 , , , 19261 766 36 except except IN 19261 766 37 in in IN 19261 766 38 dyspneic dyspneic NN 19261 766 39 cases case NNS 19261 766 40 , , , 19261 766 41 must must MD 19261 766 42 be be VB 19261 766 43 delayed delay VBN 19261 766 44 until until IN 19261 766 45 the the DT 19261 766 46 danger danger NN 19261 766 47 of of IN 19261 766 48 water water NN 19261 766 49 - - HYPH 19261 766 50 starvation starvation NN 19261 766 51 is be VBZ 19261 766 52 past past JJ 19261 766 53 . . . 19261 767 1 As as IN 19261 767 2 pointed point VBN 19261 767 3 out out RP 19261 767 4 by by IN 19261 767 5 Ellen Ellen NNP 19261 767 6 J. J. NNP 19261 767 7 Patterson Patterson NNP 19261 767 8 the the DT 19261 767 9 size size NN 19261 767 10 of of IN 19261 767 11 the the DT 19261 767 12 thymus thymus NNP 19261 767 13 gland gland NNP 19261 767 14 should should MD 19261 767 15 be be VB 19261 767 16 studied study VBN 19261 767 17 before before IN 19261 767 18 an an DT 19261 767 19 esophagoscopy esophagoscopy NN 19261 767 20 is be VBZ 19261 767 21 done do VBN 19261 767 22 on on IN 19261 767 23 a a DT 19261 767 24 child child NN 19261 767 25 . . . 19261 768 1 Every every DT 19261 768 2 patient patient NN 19261 768 3 should should MD 19261 768 4 be be VB 19261 768 5 examined examine VBN 19261 768 6 by by IN 19261 768 7 indirect indirect JJ 19261 768 8 , , , 19261 768 9 mirror mirror NN 19261 768 10 laryngoscopy laryngoscopy NN 19261 768 11 as as IN 19261 768 12 a a DT 19261 768 13 preliminary preliminary NN 19261 768 14 to to IN 19261 768 15 peroral peroral NNP 19261 768 16 endoscopy endoscopy VB 19261 768 17 for for IN 19261 768 18 any any DT 19261 768 19 purpose purpose NN 19261 768 20 whatsoever whatsoever RB 19261 768 21 . . . 19261 769 1 This this DT 19261 769 2 becomes become VBZ 19261 769 3 doubly doubly RB 19261 769 4 necessary necessary JJ 19261 769 5 in in IN 19261 769 6 cases case NNS 19261 769 7 that that WDT 19261 769 8 are be VBP 19261 769 9 to to TO 19261 769 10 be be VB 19261 769 11 anesthetized anesthetize VBN 19261 769 12 . . . 19261 770 1 [ [ -LRB- 19261 770 2 65 65 CD 19261 770 3 ] ] -RRB- 19261 770 4 CHAPTER CHAPTER NNP 19261 770 5 IV IV NNP 19261 770 6 -- -- : 19261 770 7 ANESTHESIA ANESTHESIA NNS 19261 770 8 FOR for IN 19261 770 9 PERORAL PERORAL NNS 19261 770 10 ENDOSCOPY endoscopy VBP 19261 770 11 A a DT 19261 770 12 dyspneic dyspneic NN 19261 770 13 patient patient NN 19261 770 14 should should MD 19261 770 15 never never RB 19261 770 16 be be VB 19261 770 17 given give VBN 19261 770 18 a a DT 19261 770 19 general general JJ 19261 770 20 anesthetic anesthetic NN 19261 770 21 . . . 19261 771 1 Cocaine cocaine NN 19261 771 2 should should MD 19261 771 3 not not RB 19261 771 4 be be VB 19261 771 5 used use VBN 19261 771 6 on on IN 19261 771 7 children child NNS 19261 771 8 under under IN 19261 771 9 ten ten CD 19261 771 10 years year NNS 19261 771 11 of of IN 19261 771 12 age age NN 19261 771 13 because because IN 19261 771 14 of of IN 19261 771 15 its -PRON- PRP$ 19261 771 16 extreme extreme JJ 19261 771 17 toxicity toxicity NN 19261 771 18 . . . 19261 772 1 To to IN 19261 772 2 these these DT 19261 772 3 two two CD 19261 772 4 postulates postulate NNS 19261 772 5 always always RB 19261 772 6 in in IN 19261 772 7 mind mind NN 19261 772 8 , , , 19261 772 9 a a DT 19261 772 10 third third JJ 19261 772 11 one one NN 19261 772 12 , , , 19261 772 13 applicable applicable JJ 19261 772 14 to to IN 19261 772 15 both both CC 19261 772 16 general general JJ 19261 772 17 and and CC 19261 772 18 local local JJ 19261 772 19 anesthesia anesthesia NNP 19261 772 20 , , , 19261 772 21 is be VBZ 19261 772 22 to to TO 19261 772 23 be be VB 19261 772 24 added add VBN 19261 772 25 -- -- : 19261 772 26 total total JJ 19261 772 27 abolition abolition NN 19261 772 28 of of IN 19261 772 29 the the DT 19261 772 30 cough cough NN 19261 772 31 - - HYPH 19261 772 32 reflex reflex NNP 19261 772 33 should should MD 19261 772 34 be be VB 19261 772 35 for for IN 19261 772 36 short short JJ 19261 772 37 periods period NNS 19261 772 38 only only RB 19261 772 39 . . . 19261 773 1 General General NNP 19261 773 2 anesthesia anesthesia NNP 19261 773 3 is be VBZ 19261 773 4 never never RB 19261 773 5 used use VBN 19261 773 6 in in IN 19261 773 7 the the DT 19261 773 8 Bronchoscopic Bronchoscopic NNP 19261 773 9 Clinic Clinic NNP 19261 773 10 for for IN 19261 773 11 endoscopic endoscopic JJ 19261 773 12 procedures procedure NNS 19261 773 13 . . . 19261 774 1 The the DT 19261 774 2 choice choice NN 19261 774 3 for for IN 19261 774 4 each each DT 19261 774 5 operator operator NN 19261 774 6 must must MD 19261 774 7 , , , 19261 774 8 however however RB 19261 774 9 , , , 19261 774 10 be be VB 19261 774 11 a a DT 19261 774 12 matter matter NN 19261 774 13 for for IN 19261 774 14 individual individual JJ 19261 774 15 decision decision NN 19261 774 16 , , , 19261 774 17 and and CC 19261 774 18 will will MD 19261 774 19 depend depend VB 19261 774 20 upon upon IN 19261 774 21 the the DT 19261 774 22 personal personal JJ 19261 774 23 equation equation NN 19261 774 24 , , , 19261 774 25 and and CC 19261 774 26 degree degree NN 19261 774 27 of of IN 19261 774 28 skill skill NN 19261 774 29 of of IN 19261 774 30 the the DT 19261 774 31 operator operator NN 19261 774 32 , , , 19261 774 33 and and CC 19261 774 34 his -PRON- PRP$ 19261 774 35 ability ability NN 19261 774 36 to to TO 19261 774 37 quiet quiet VB 19261 774 38 the the DT 19261 774 39 apprehensions apprehension NNS 19261 774 40 of of IN 19261 774 41 the the DT 19261 774 42 patient patient NN 19261 774 43 . . . 19261 775 1 In in IN 19261 775 2 other other JJ 19261 775 3 words word NNS 19261 775 4 , , , 19261 775 5 the the DT 19261 775 6 operator operator NN 19261 775 7 must must MD 19261 775 8 decide decide VB 19261 775 9 what what WP 19261 775 10 is be VBZ 19261 775 11 best good JJS 19261 775 12 for for IN 19261 775 13 his -PRON- PRP$ 19261 775 14 particular particular JJ 19261 775 15 patient patient NN 19261 775 16 under under IN 19261 775 17 the the DT 19261 775 18 conditions condition NNS 19261 775 19 then then RB 19261 775 20 existing exist VBG 19261 775 21 . . . 19261 776 1 _ _ NNP 19261 776 2 Children Children NNP 19261 776 3 _ _ NNP 19261 776 4 in in IN 19261 776 5 the the DT 19261 776 6 Bronchoscopic Bronchoscopic NNP 19261 776 7 Clinic Clinic NNP 19261 776 8 receive receive VBP 19261 776 9 neither neither CC 19261 776 10 local local JJ 19261 776 11 nor nor CC 19261 776 12 general general JJ 19261 776 13 anesthesia anesthesia NNP 19261 776 14 , , , 19261 776 15 nor nor CC 19261 776 16 sedative sedative JJ 19261 776 17 , , , 19261 776 18 for for IN 19261 776 19 laryngoscopic laryngoscopic JJ 19261 776 20 operations operation NNS 19261 776 21 or or CC 19261 776 22 esophagoscopy esophagoscopy NN 19261 776 23 . . . 19261 777 1 Bronchoscopy bronchoscopy RB 19261 777 2 in in IN 19261 777 3 the the DT 19261 777 4 older old JJR 19261 777 5 children child NNS 19261 777 6 when when WRB 19261 777 7 no no DT 19261 777 8 dyspnea dyspnea NN 19261 777 9 is be VBZ 19261 777 10 present present JJ 19261 777 11 has have VBZ 19261 777 12 in in IN 19261 777 13 recent recent JJ 19261 777 14 years year NNS 19261 777 15 , , , 19261 777 16 at at IN 19261 777 17 the the DT 19261 777 18 suggestion suggestion NN 19261 777 19 of of IN 19261 777 20 Prof. Prof. NNP 19261 777 21 Hare Hare NNP 19261 777 22 , , , 19261 777 23 been be VBN 19261 777 24 preceded precede VBN 19261 777 25 by by IN 19261 777 26 a a DT 19261 777 27 full full JJ 19261 777 28 dose dose NN 19261 777 29 of of IN 19261 777 30 morphin morphin NNP 19261 777 31 sulphate sulphate NN 19261 777 32 ( ( -LRB- 19261 777 33 i.e. i.e. FW 19261 777 34 , , , 19261 777 35 1/8 1/8 CD 19261 777 36 grain grain NN 19261 777 37 for for IN 19261 777 38 a a DT 19261 777 39 child child NN 19261 777 40 of of IN 19261 777 41 six six CD 19261 777 42 years year NNS 19261 777 43 ) ) -RRB- 19261 777 44 or or CC 19261 777 45 a a DT 19261 777 46 full full JJ 19261 777 47 physiologic physiologic JJ 19261 777 48 dose dose NN 19261 777 49 of of IN 19261 777 50 sodium sodium NN 19261 777 51 bromide bromide NN 19261 777 52 . . . 19261 778 1 The the DT 19261 778 2 apprehension apprehension NN 19261 778 3 is be VBZ 19261 778 4 thus thus RB 19261 778 5 somewhat somewhat RB 19261 778 6 allayed allay VBN 19261 778 7 and and CC 19261 778 8 the the DT 19261 778 9 excessive excessive JJ 19261 778 10 cough cough NN 19261 778 11 - - HYPH 19261 778 12 reflex reflex NN 19261 778 13 quieted quiet VBN 19261 778 14 . . . 19261 779 1 The the DT 19261 779 2 morphine morphine NN 19261 779 3 should should MD 19261 779 4 be be VB 19261 779 5 given give VBN 19261 779 6 not not RB 19261 779 7 less less JJR 19261 779 8 than than IN 19261 779 9 an an DT 19261 779 10 hour hour NN 19261 779 11 and and CC 19261 779 12 a a DT 19261 779 13 half half NN 19261 779 14 before before RB 19261 779 15 bronchoscopy bronchoscopy NN 19261 779 16 to to TO 19261 779 17 allow allow VB 19261 779 18 time time NN 19261 779 19 for for IN 19261 779 20 the the DT 19261 779 21 onset onset NN 19261 779 22 of of IN 19261 779 23 the the DT 19261 779 24 soporific soporific JJ 19261 779 25 and and CC 19261 779 26 antispasmodic antispasmodic JJ 19261 779 27 effects effect NNS 19261 779 28 which which WDT 19261 779 29 are be VBP 19261 779 30 the the DT 19261 779 31 desiderata desiderata NN 19261 779 32 , , , 19261 779 33 not not RB 19261 779 34 the the DT 19261 779 35 analgesic analgesic JJ 19261 779 36 effects effect NNS 19261 779 37 . . . 19261 780 1 Dosage dosage NN 19261 780 2 is be VBZ 19261 780 3 more more RBR 19261 780 4 dependent dependent JJ 19261 780 5 on on IN 19261 780 6 temperament temperament NN 19261 780 7 than than IN 19261 780 8 on on IN 19261 780 9 age age NN 19261 780 10 or or CC 19261 780 11 body body NN 19261 780 12 weight weight NN 19261 780 13 . . . 19261 781 1 Atropine atropine NN 19261 781 2 is be VBZ 19261 781 3 advantageously advantageously RB 19261 781 4 added add VBN 19261 781 5 to to TO 19261 781 6 morphine morphine VB 19261 781 7 in in IN 19261 781 8 bronchoscopy bronchoscopy NN 19261 781 9 for for IN 19261 781 10 foreign foreign JJ 19261 781 11 bodies body NNS 19261 781 12 , , , 19261 781 13 not not RB 19261 781 14 only only RB 19261 781 15 for for IN 19261 781 16 the the DT 19261 781 17 usual usual JJ 19261 781 18 reasons reason NNS 19261 781 19 but but CC 19261 781 20 for for IN 19261 781 21 its -PRON- PRP$ 19261 781 22 effect effect NN 19261 781 23 as as IN 19261 781 24 an an DT 19261 781 25 antispasmodic antispasmodic NN 19261 781 26 , , , 19261 781 27 and and CC 19261 781 28 especially especially RB 19261 781 29 for for IN 19261 781 30 its -PRON- PRP$ 19261 781 31 diminution diminution NN 19261 781 32 of of IN 19261 781 33 endobronchial endobronchial JJ 19261 781 34 secretions secretion NNS 19261 781 35 . . . 19261 782 1 True true JJ 19261 782 2 , , , 19261 782 3 it -PRON- PRP 19261 782 4 does do VBZ 19261 782 5 not not RB 19261 782 6 diminish diminish VB 19261 782 7 pus pus NNP 19261 782 8 , , , 19261 782 9 but but CC 19261 782 10 by by IN 19261 782 11 diminishing diminish VBG 19261 782 12 the the DT 19261 782 13 outpouring outpoure VBG 19261 782 14 of of IN 19261 782 15 normal normal JJ 19261 782 16 secretions secretion NNS 19261 782 17 that that WDT 19261 782 18 dilute dilute VBP 19261 782 19 the the DT 19261 782 20 pus pus NNP 19261 782 21 the the DT 19261 782 22 total total JJ 19261 782 23 quantity quantity NN 19261 782 24 of of IN 19261 782 25 fluid fluid JJ 19261 782 26 encountered encounter VBN 19261 782 27 is be VBZ 19261 782 28 less less JJR 19261 782 29 than than IN 19261 782 30 it -PRON- PRP 19261 782 31 otherwise otherwise RB 19261 782 32 would would MD 19261 782 33 be be VB 19261 782 34 . . . 19261 783 1 In in IN 19261 783 2 cases case NNS 19261 783 3 of of IN 19261 783 4 large large JJ 19261 783 5 quantities quantity NNS 19261 783 6 of of IN 19261 783 7 pus pus NN 19261 783 8 , , , 19261 783 9 as as IN 19261 783 10 in in IN 19261 783 11 pulmonary pulmonary JJ 19261 783 12 abscess abscess NN 19261 783 13 and and CC 19261 783 14 bronchiectasis bronchiectasis NN 19261 783 15 , , , 19261 783 16 however however RB 19261 783 17 , , , 19261 783 18 no no DT 19261 783 19 diminution diminution NN 19261 783 20 is be VBZ 19261 783 21 noticeable noticeable JJ 19261 783 22 . . . 19261 784 1 No no DT 19261 784 2 food food NN 19261 784 3 or or CC 19261 784 4 water water NN 19261 784 5 is be VBZ 19261 784 6 allowed allow VBN 19261 784 7 for for IN 19261 784 8 5 5 CD 19261 784 9 hours hour NNS 19261 784 10 prior prior RB 19261 784 11 to to IN 19261 784 12 any any DT 19261 784 13 endoscopic endoscopic JJ 19261 784 14 procedure procedure NN 19261 784 15 , , , 19261 784 16 whether whether IN 19261 784 17 sedatives sedative NNS 19261 784 18 or or CC 19261 784 19 anesthetics anesthetic NNS 19261 784 20 are be VBP 19261 784 21 to to TO 19261 784 22 be be VB 19261 784 23 given give VBN 19261 784 24 or or CC 19261 784 25 not not RB 19261 784 26 . . . 19261 785 1 If if IN 19261 785 2 the the DT 19261 785 3 stomach stomach NN 19261 785 4 is be VBZ 19261 785 5 not not RB 19261 785 6 empty empty JJ 19261 785 7 vomiting vomiting NN 19261 785 8 from from IN 19261 785 9 contact contact NN 19261 785 10 of of IN 19261 785 11 the the DT 19261 785 12 tube tube NN 19261 785 13 in in IN 19261 785 14 the the DT 19261 785 15 pharynx pharynx NN 19261 785 16 will will MD 19261 785 17 interfere interfere VB 19261 785 18 with with IN 19261 785 19 work work NN 19261 785 20 . . . 19261 786 1 With with IN 19261 786 2 _ _ NNP 19261 786 3 adults adult NNS 19261 786 4 _ _ NNP 19261 786 5 no no DT 19261 786 6 anesthesia anesthesia NNP 19261 786 7 , , , 19261 786 8 general general JJ 19261 786 9 or or CC 19261 786 10 local local JJ 19261 786 11 , , , 19261 786 12 is be VBZ 19261 786 13 given give VBN 19261 786 14 for for IN 19261 786 15 esophagoscopy esophagoscopy NN 19261 786 16 . . . 19261 787 1 For for IN 19261 787 2 laryngeal laryngeal JJ 19261 787 3 operation operation NN 19261 787 4 and and CC 19261 787 5 bronchoscopy bronchoscopy VB 19261 787 6 the the DT 19261 787 7 following follow VBG 19261 787 8 technic technic NN 19261 787 9 is be VBZ 19261 787 10 used use VBN 19261 787 11 : : : 19261 787 12 One one CD 19261 787 13 hour hour NN 19261 787 14 before before IN 19261 787 15 operation operation NN 19261 787 16 the the DT 19261 787 17 patient patient NN 19261 787 18 is be VBZ 19261 787 19 given give VBN 19261 787 20 hypodermatically hypodermatically RB 19261 787 21 a a DT 19261 787 22 full full JJ 19261 787 23 physiologic physiologic JJ 19261 787 24 dose dose NN 19261 787 25 of of IN 19261 787 26 morphin morphin NNP 19261 787 27 sulphate sulphate NN 19261 787 28 ( ( -LRB- 19261 787 29 from from IN 19261 787 30 1/4 1/4 CD 19261 787 31 , , , 19261 787 32 to to IN 19261 787 33 3/8 3/8 CD 19261 787 34 gr gr NNP 19261 787 35 . . . 19261 787 36 ) ) -RRB- 19261 788 1 guarded guard VBN 19261 788 2 with with IN 19261 788 3 atropin atropin JJ 19261 788 4 sulphate sulphate NN 19261 788 5 ( ( -LRB- 19261 788 6 gr gr NNP 19261 788 7 . . . 19261 789 1 1/150 1/150 LS 19261 789 2 ) ) -RRB- 19261 789 3 . . . 19261 790 1 Care care NN 19261 790 2 must must MD 19261 790 3 be be VB 19261 790 4 taken take VBN 19261 790 5 that that IN 19261 790 6 the the DT 19261 790 7 injection injection NN 19261 790 8 be be VB 19261 790 9 not not RB 19261 790 10 given give VBN 19261 790 11 into into IN 19261 790 12 a a DT 19261 790 13 vein vein NN 19261 790 14 . . . 19261 791 1 On on IN 19261 791 2 the the DT 19261 791 3 operating operating NN 19261 791 4 table table NN 19261 791 5 the the DT 19261 791 6 epiglottis epiglottis NN 19261 791 7 and and CC 19261 791 8 pharynx pharynx NN 19261 791 9 are be VBP 19261 791 10 painted paint VBN 19261 791 11 with with IN 19261 791 12 10 10 CD 19261 791 13 per per NN 19261 791 14 cent cent NN 19261 791 15 solution solution NN 19261 791 16 of of IN 19261 791 17 cocain cocain NN 19261 791 18 . . . 19261 792 1 Two two CD 19261 792 2 applications application NNS 19261 792 3 are be VBP 19261 792 4 usually usually RB 19261 792 5 sufficient sufficient JJ 19261 792 6 completely completely RB 19261 792 7 to to TO 19261 792 8 anesthetize anesthetize VB 19261 792 9 the the DT 19261 792 10 exterior exterior NN 19261 792 11 and and CC 19261 792 12 interior interior NN 19261 792 13 of of IN 19261 792 14 the the DT 19261 792 15 larynx larynx NN 19261 792 16 by by IN 19261 792 17 blocking block VBG 19261 792 18 of of IN 19261 792 19 the the DT 19261 792 20 superior superior JJ 19261 792 21 laryngeal laryngeal NN 19261 792 22 nerve nerve NN 19261 792 23 without without IN 19261 792 24 any any DT 19261 792 25 endolaryngeal endolaryngeal JJ 19261 792 26 applications application NNS 19261 792 27 . . . 19261 793 1 The the DT 19261 793 2 laryngoscope laryngoscope NN 19261 793 3 is be VBZ 19261 793 4 now now RB 19261 793 5 introduced introduce VBN 19261 793 6 and and CC 19261 793 7 if if IN 19261 793 8 found find VBD 19261 793 9 necessary necessary JJ 19261 793 10 a a DT 19261 793 11 20 20 CD 19261 793 12 per per NN 19261 793 13 cent cent NN 19261 793 14 cocain cocain NN 19261 793 15 solution solution NN 19261 793 16 is be VBZ 19261 793 17 applied apply VBN 19261 793 18 to to IN 19261 793 19 the the DT 19261 793 20 interior interior NN 19261 793 21 of of IN 19261 793 22 the the DT 19261 793 23 larynx larynx NN 19261 793 24 and and CC 19261 793 25 subglottic subglottic JJ 19261 793 26 region region NN 19261 793 27 , , , 19261 793 28 by by IN 19261 793 29 means mean NNS 19261 793 30 of of IN 19261 793 31 gauze gauze NN 19261 793 32 swabs swab NNS 19261 793 33 fastened fasten VBN 19261 793 34 to to IN 19261 793 35 the the DT 19261 793 36 sponge sponge JJ 19261 793 37 carriers carrier NNS 19261 793 38 . . . 19261 794 1 Here here RB 19261 794 2 also also RB 19261 794 3 two two CD 19261 794 4 applications application NNS 19261 794 5 are be VBP 19261 794 6 quite quite RB 19261 794 7 sufficient sufficient JJ 19261 794 8 to to TO 19261 794 9 produce produce VB 19261 794 10 complete complete JJ 19261 794 11 anesthesia anesthesia NNP 19261 794 12 in in IN 19261 794 13 the the DT 19261 794 14 larynx larynx NN 19261 794 15 . . . 19261 795 1 If if IN 19261 795 2 bronchoscopy bronchoscopy NN 19261 795 3 is be VBZ 19261 795 4 to to TO 19261 795 5 be be VB 19261 795 6 done do VBN 19261 795 7 the the DT 19261 795 8 gauze gauze NN 19261 795 9 swab swab NN 19261 795 10 is be VBZ 19261 795 11 carried carry VBN 19261 795 12 down down RP 19261 795 13 through through IN 19261 795 14 the the DT 19261 795 15 exposed expose VBN 19261 795 16 glottis glottis NN 19261 795 17 to to IN 19261 795 18 the the DT 19261 795 19 carina carina NN 19261 795 20 , , , 19261 795 21 thus thus RB 19261 795 22 anesthetizing anesthetize VBG 19261 795 23 the the DT 19261 795 24 tracheal tracheal NN 19261 795 25 mucosa mucosa NNS 19261 795 26 . . . 19261 796 1 If if IN 19261 796 2 further further JJ 19261 796 3 anesthetization anesthetization NN 19261 796 4 of of IN 19261 796 5 the the DT 19261 796 6 bronchial bronchial JJ 19261 796 7 mucosa mucosa NNS 19261 796 8 is be VBZ 19261 796 9 required require VBN 19261 796 10 , , , 19261 796 11 cocain cocain VB 19261 796 12 may may MD 19261 796 13 be be VB 19261 796 14 applied apply VBN 19261 796 15 in in IN 19261 796 16 the the DT 19261 796 17 same same JJ 19261 796 18 manner manner NN 19261 796 19 through through IN 19261 796 20 the the DT 19261 796 21 bronchoscope bronchoscope NN 19261 796 22 . . . 19261 797 1 In in IN 19261 797 2 all all PDT 19261 797 3 these these DT 19261 797 4 local local JJ 19261 797 5 applications application NNS 19261 797 6 prolonged prolong VBD 19261 797 7 contact contact NN 19261 797 8 of of IN 19261 797 9 the the DT 19261 797 10 swab swab NN 19261 797 11 is be VBZ 19261 797 12 much much RB 19261 797 13 more more RBR 19261 797 14 efficient efficient JJ 19261 797 15 than than IN 19261 797 16 simply simply RB 19261 797 17 painting paint VBG 19261 797 18 the the DT 19261 797 19 surface surface NN 19261 797 20 . . . 19261 798 1 [ [ -LRB- 19261 798 2 67 67 CD 19261 798 3 ] ] -RRB- 19261 798 4 In in IN 19261 798 5 cases case NNS 19261 798 6 in in IN 19261 798 7 which which WDT 19261 798 8 cocain cocain NN 19261 798 9 is be VBZ 19261 798 10 deemed deem VBN 19261 798 11 contraindicated contraindicated NNP 19261 798 12 morphin morphin NNP 19261 798 13 alone alone RB 19261 798 14 is be VBZ 19261 798 15 used use VBN 19261 798 16 . . . 19261 799 1 If if IN 19261 799 2 given give VBN 19261 799 3 in in IN 19261 799 4 sufficient sufficient JJ 19261 799 5 dosage dosage NN 19261 799 6 cocain cocain NN 19261 799 7 can can MD 19261 799 8 be be VB 19261 799 9 altogether altogether RB 19261 799 10 dispensed dispense VBN 19261 799 11 with with IN 19261 799 12 in in IN 19261 799 13 any any DT 19261 799 14 case case NN 19261 799 15 . . . 19261 800 1 It -PRON- PRP 19261 800 2 is be VBZ 19261 800 3 perhaps perhaps RB 19261 800 4 _ _ NNP 19261 800 5 safer safe JJR 19261 800 6 for for IN 19261 800 7 the the DT 19261 800 8 beginner beginner NN 19261 800 9 _ _ NNP 19261 800 10 in in IN 19261 800 11 his -PRON- PRP$ 19261 800 12 early early JJ 19261 800 13 cases case NNS 19261 800 14 of of IN 19261 800 15 esophagoscopy esophagoscopy NN 19261 800 16 to to TO 19261 800 17 have have VB 19261 800 18 the the DT 19261 800 19 patient patient NN 19261 800 20 relaxed relax VBN 19261 800 21 by by IN 19261 800 22 an an DT 19261 800 23 ether ether NN 19261 800 24 anesthesia anesthesia NNP 19261 800 25 , , , 19261 800 26 provided provide VBD 19261 800 27 the the DT 19261 800 28 patient patient NN 19261 800 29 is be VBZ 19261 800 30 not not RB 19261 800 31 dyspneic dyspneic VBG 19261 800 32 to to TO 19261 800 33 begin begin VB 19261 800 34 with with IN 19261 800 35 , , , 19261 800 36 or or CC 19261 800 37 made make VBN 19261 800 38 so so RB 19261 800 39 by by IN 19261 800 40 faulty faulty JJ 19261 800 41 position position NN 19261 800 42 or or CC 19261 800 43 by by IN 19261 800 44 pressure pressure NN 19261 800 45 of of IN 19261 800 46 the the DT 19261 800 47 esophagoscopic esophagoscopic NNP 19261 800 48 tube tube NN 19261 800 49 mouth mouth NN 19261 800 50 on on IN 19261 800 51 the the DT 19261 800 52 tracheoesophageal tracheoesophageal JJ 19261 800 53 " " `` 19261 800 54 party party NN 19261 800 55 wall wall NN 19261 800 56 . . . 19261 800 57 " " '' 19261 801 1 As as IN 19261 801 2 proficiency proficiency NN 19261 801 3 develops develop VBZ 19261 801 4 , , , 19261 801 5 however however RB 19261 801 6 , , , 19261 801 7 he -PRON- PRP 19261 801 8 will will MD 19261 801 9 find find VB 19261 801 10 anesthesia anesthesia NNP 19261 801 11 unnecessary unnecessary JJ 19261 801 12 . . . 19261 802 1 Local local JJ 19261 802 2 anesthesia anesthesia NNP 19261 802 3 is be VBZ 19261 802 4 needless needless JJ 19261 802 5 for for IN 19261 802 6 esophagoscopy esophagoscopy NN 19261 802 7 , , , 19261 802 8 and and CC 19261 802 9 if if IN 19261 802 10 used use VBN 19261 802 11 at at RB 19261 802 12 all all RB 19261 802 13 should should MD 19261 802 14 be be VB 19261 802 15 limited limit VBN 19261 802 16 to to IN 19261 802 17 the the DT 19261 802 18 laryngopharynx laryngopharynx NN 19261 802 19 and and CC 19261 802 20 never never RB 19261 802 21 applied apply VBD 19261 802 22 to to IN 19261 802 23 the the DT 19261 802 24 esophagus esophagus NN 19261 802 25 , , , 19261 802 26 for for IN 19261 802 27 the the DT 19261 802 28 esophagus esophagus NN 19261 802 29 is be VBZ 19261 802 30 without without IN 19261 802 31 sensation sensation NN 19261 802 32 , , , 19261 802 33 as as IN 19261 802 34 anyone anyone NN 19261 802 35 may may MD 19261 802 36 observe observe VB 19261 802 37 in in IN 19261 802 38 drinking drink VBG 19261 802 39 hot hot JJ 19261 802 40 liquids liquid NNS 19261 802 41 . . . 19261 803 1 _ _ NNP 19261 803 2 Direct direct JJ 19261 803 3 laryngoscopy laryngoscopy NN 19261 803 4 in in IN 19261 803 5 children child NNS 19261 803 6 _ _ NNP 19261 803 7 requires require VBZ 19261 803 8 neither neither CC 19261 803 9 local local JJ 19261 803 10 nor nor CC 19261 803 11 general general JJ 19261 803 12 anesthesia anesthesia NNP 19261 803 13 , , , 19261 803 14 either either CC 19261 803 15 for for IN 19261 803 16 diagnosis diagnosis NN 19261 803 17 or or CC 19261 803 18 for for IN 19261 803 19 removal removal NN 19261 803 20 of of IN 19261 803 21 foreign foreign JJ 19261 803 22 bodies body NNS 19261 803 23 or or CC 19261 803 24 growths growth NNS 19261 803 25 from from IN 19261 803 26 the the DT 19261 803 27 larynx larynx NN 19261 803 28 . . . 19261 804 1 General General NNP 19261 804 2 anesthesia anesthesia NNP 19261 804 3 is be VBZ 19261 804 4 contraindicated contraindicated JJ 19261 804 5 because because IN 19261 804 6 of of IN 19261 804 7 the the DT 19261 804 8 dyspnea dyspnea JJ 19261 804 9 apt apt NN 19261 804 10 to to TO 19261 804 11 be be VB 19261 804 12 present present JJ 19261 804 13 , , , 19261 804 14 and and CC 19261 804 15 because because IN 19261 804 16 the the DT 19261 804 17 struggles struggle NNS 19261 804 18 of of IN 19261 804 19 the the DT 19261 804 20 patient patient NN 19261 804 21 might may MD 19261 804 22 cause cause VB 19261 804 23 a a DT 19261 804 24 dislodgment dislodgment NN 19261 804 25 of of IN 19261 804 26 the the DT 19261 804 27 laryngeal laryngeal NN 19261 804 28 intruder intruder NN 19261 804 29 and and CC 19261 804 30 aspiration aspiration NN 19261 804 31 to to IN 19261 804 32 a a DT 19261 804 33 lower low JJR 19261 804 34 level level NN 19261 804 35 . . . 19261 805 1 The the DT 19261 805 2 latter latter JJ 19261 805 3 accident accident NN 19261 805 4 is be VBZ 19261 805 5 also also RB 19261 805 6 prone prone JJ 19261 805 7 to to TO 19261 805 8 follow follow VB 19261 805 9 attempts attempt NNS 19261 805 10 to to TO 19261 805 11 cocainize cocainize VB 19261 805 12 the the DT 19261 805 13 larynx larynx NN 19261 805 14 . . . 19261 806 1 _ _ NNP 19261 806 2 Technic Technic NNP 19261 806 3 for for IN 19261 806 4 General General NNP 19261 806 5 Anesthesia_.--For Anesthesia_.--For NNP 19261 806 6 esophagoscopy esophagoscopy JJ 19261 806 7 and and CC 19261 806 8 gastroscopy gastroscopy JJ 19261 806 9 , , , 19261 806 10 if if IN 19261 806 11 general general JJ 19261 806 12 anesthesia anesthesia NNP 19261 806 13 is be VBZ 19261 806 14 desired desire VBN 19261 806 15 , , , 19261 806 16 ether ether NN 19261 806 17 may may MD 19261 806 18 be be VB 19261 806 19 started start VBN 19261 806 20 by by IN 19261 806 21 the the DT 19261 806 22 usual usual JJ 19261 806 23 method method NN 19261 806 24 and and CC 19261 806 25 continued continue VBN 19261 806 26 by by IN 19261 806 27 dropping drop VBG 19261 806 28 upon upon IN 19261 806 29 folded fold VBN 19261 806 30 gauze gauze NN 19261 806 31 laid lay VBN 19261 806 32 over over IN 19261 806 33 the the DT 19261 806 34 mouth mouth NN 19261 806 35 after after IN 19261 806 36 the the DT 19261 806 37 tube tube NN 19261 806 38 is be VBZ 19261 806 39 introduced introduce VBN 19261 806 40 . . . 19261 807 1 Endo Endo NNP 19261 807 2 - - HYPH 19261 807 3 tracheal tracheal NN 19261 807 4 administration administration NN 19261 807 5 of of IN 19261 807 6 ether ether NN 19261 807 7 is be VBZ 19261 807 8 , , , 19261 807 9 however however RB 19261 807 10 , , , 19261 807 11 far far RB 19261 807 12 safer safe JJR 19261 807 13 than than IN 19261 807 14 peroral peroral JJ 19261 807 15 administration administration NN 19261 807 16 , , , 19261 807 17 for for IN 19261 807 18 it -PRON- PRP 19261 807 19 overcomes overcome VBZ 19261 807 20 the the DT 19261 807 21 danger danger NN 19261 807 22 of of IN 19261 807 23 respiratory respiratory JJ 19261 807 24 arrest arrest NN 19261 807 25 from from IN 19261 807 26 pressure pressure NN 19261 807 27 of of IN 19261 807 28 the the DT 19261 807 29 esophagoscope esophagoscope NN 19261 807 30 , , , 19261 807 31 foreign foreign JJ 19261 807 32 body body NN 19261 807 33 , , , 19261 807 34 or or CC 19261 807 35 both both DT 19261 807 36 , , , 19261 807 37 on on IN 19261 807 38 the the DT 19261 807 39 trachea trachea NN 19261 807 40 . . . 19261 808 1 Chloroform chloroform NN 19261 808 2 should should MD 19261 808 3 not not RB 19261 808 4 be be VB 19261 808 5 used use VBN 19261 808 6 for for IN 19261 808 7 esophagoscopy esophagoscopy JJ 19261 808 8 or or CC 19261 808 9 gastroscopy gastroscopy JJ 19261 808 10 because because IN 19261 808 11 of of IN 19261 808 12 its -PRON- PRP$ 19261 808 13 depressant depressant JJ 19261 808 14 action action NN 19261 808 15 on on IN 19261 808 16 the the DT 19261 808 17 respiratory respiratory JJ 19261 808 18 center center NN 19261 808 19 . . . 19261 809 1 For for IN 19261 809 2 bronchoscopy bronchoscopy JJ 19261 809 3 , , , 19261 809 4 ether ether NN 19261 809 5 or or CC 19261 809 6 chloroform chloroform NN 19261 809 7 may may MD 19261 809 8 be be VB 19261 809 9 started start VBN 19261 809 10 in in IN 19261 809 11 the the DT 19261 809 12 usual usual JJ 19261 809 13 way way NN 19261 809 14 and and CC 19261 809 15 continued continue VBN 19261 809 16 by by IN 19261 809 17 insufflating insufflate VBG 19261 809 18 through through IN 19261 809 19 the the DT 19261 809 20 branch branch NN 19261 809 21 tube tube NN 19261 809 22 of of IN 19261 809 23 the the DT 19261 809 24 bronchoscope bronchoscope NN 19261 809 25 by by IN 19261 809 26 means mean NNS 19261 809 27 of of IN 19261 809 28 the the DT 19261 809 29 apparatus apparatus NN 19261 809 30 shown show VBN 19261 809 31 in in IN 19261 809 32 Fig Fig NNP 19261 809 33 . . . 19261 810 1 13 13 CD 19261 810 2 . . . 19261 811 1 In in IN 19261 811 2 case case NN 19261 811 3 of of IN 19261 811 4 paralysis paralysis NN 19261 811 5 of of IN 19261 811 6 the the DT 19261 811 7 larynx larynx NN 19261 811 8 , , , 19261 811 9 even even RB 19261 811 10 if if IN 19261 811 11 only only JJ 19261 811 12 monolateral monolateral NNP 19261 811 13 , , , 19261 811 14 a a DT 19261 811 15 general general JJ 19261 811 16 anesthetic anesthetic NN 19261 811 17 if if IN 19261 811 18 needed need VBN 19261 811 19 should should MD 19261 811 20 be be VB 19261 811 21 given give VBN 19261 811 22 by by IN 19261 811 23 intratracheal intratracheal JJ 19261 811 24 insufflation insufflation NN 19261 811 25 . . . 19261 812 1 If if IN 19261 812 2 the the DT 19261 812 3 apparatus apparatus NN 19261 812 4 for for IN 19261 812 5 this this DT 19261 812 6 is be VBZ 19261 812 7 not not RB 19261 812 8 available available JJ 19261 812 9 the the DT 19261 812 10 patient patient NN 19261 812 11 should should MD 19261 812 12 be be VB 19261 812 13 tracheotomized tracheotomize VBN 19261 812 14 . . . 19261 813 1 Hence hence RB 19261 813 2 , , , 19261 813 3 every every DT 19261 813 4 adult adult NN 19261 813 5 patient patient NN 19261 813 6 should should MD 19261 813 7 be be VB 19261 813 8 examined examine VBN 19261 813 9 with with IN 19261 813 10 a a DT 19261 813 11 throat throat NN 19261 813 12 mirror mirror NN 19261 813 13 before before IN 19261 813 14 general general NNP 19261 813 15 anesthesia anesthesia NNP 19261 813 16 for for IN 19261 813 17 any any DT 19261 813 18 purpose purpose NN 19261 813 19 , , , 19261 813 20 and and CC 19261 813 21 the the DT 19261 813 22 necessity necessity NN 19261 813 23 becomes become VBZ 19261 813 24 doubly doubly RB 19261 813 25 imperative imperative JJ 19261 813 26 before before IN 19261 813 27 goiter goiter NNP 19261 813 28 operations operation NNS 19261 813 29 . . . 19261 814 1 A a DT 19261 814 2 number number NN 19261 814 3 of of IN 19261 814 4 fatalities fatality NNS 19261 814 5 have have VBP 19261 814 6 occurred occur VBN 19261 814 7 from from IN 19261 814 8 neglect neglect NN 19261 814 9 of of IN 19261 814 10 this this DT 19261 814 11 precaution precaution NN 19261 814 12 . . . 19261 815 1 _ _ NNP 19261 815 2 Anesthetizing anesthetize VBG 19261 815 3 a a DT 19261 815 4 tracheotomized tracheotomized JJ 19261 815 5 patient patient NN 19261 815 6 _ _ NNP 19261 815 7 is be VBZ 19261 815 8 free free JJ 19261 815 9 from from IN 19261 815 10 danger danger NN 19261 815 11 so so RB 19261 815 12 long long RB 19261 815 13 as as IN 19261 815 14 the the DT 19261 815 15 cannula cannula NN 19261 815 16 is be VBZ 19261 815 17 kept keep VBN 19261 815 18 free free JJ 19261 815 19 from from IN 19261 815 20 secretion secretion NN 19261 815 21 . . . 19261 816 1 Ether ether NN 19261 816 2 is be VBZ 19261 816 3 dropped drop VBN 19261 816 4 on on IN 19261 816 5 gauze gauze NN 19261 816 6 laid lay VBN 19261 816 7 over over IN 19261 816 8 the the DT 19261 816 9 tracheotomic tracheotomic NNP 19261 816 10 cannula cannula NNP 19261 816 11 and and CC 19261 816 12 the the DT 19261 816 13 anesthesia anesthesia NNP 19261 816 14 watched watch VBN 19261 816 15 in in IN 19261 816 16 the the DT 19261 816 17 usual usual JJ 19261 816 18 manner manner NN 19261 816 19 . . . 19261 817 1 If if IN 19261 817 2 the the DT 19261 817 3 laryngeal laryngeal JJ 19261 817 4 stenosis stenosis NN 19261 817 5 is be VBZ 19261 817 6 not not RB 19261 817 7 complete complete JJ 19261 817 8 , , , 19261 817 9 ether ether NN 19261 817 10 - - HYPH 19261 817 11 saturated saturate VBN 19261 817 12 gauze gauze NN 19261 817 13 is be VBZ 19261 817 14 to to TO 19261 817 15 be be VB 19261 817 16 placed place VBN 19261 817 17 over over IN 19261 817 18 the the DT 19261 817 19 mouth mouth NN 19261 817 20 as as RB 19261 817 21 well well RB 19261 817 22 as as IN 19261 817 23 over over IN 19261 817 24 the the DT 19261 817 25 tracheotomy tracheotomy NN 19261 817 26 tube tube NN 19261 817 27 . . . 19261 818 1 _ _ NNP 19261 818 2 Endo Endo NNP 19261 818 3 - - HYPH 19261 818 4 tracheal tracheal NN 19261 818 5 anesthesia anesthesia NNP 19261 818 6 _ _ NNP 19261 818 7 is be VBZ 19261 818 8 by by IN 19261 818 9 far far RB 19261 818 10 the the DT 19261 818 11 safest safe JJS 19261 818 12 way way NN 19261 818 13 for for IN 19261 818 14 the the DT 19261 818 15 administration administration NN 19261 818 16 of of IN 19261 818 17 ether ether NN 19261 818 18 for for IN 19261 818 19 any any DT 19261 818 20 purpose purpose NN 19261 818 21 . . . 19261 819 1 By by IN 19261 819 2 means mean NNS 19261 819 3 of of IN 19261 819 4 the the DT 19261 819 5 silk silk NN 19261 819 6 - - HYPH 19261 819 7 woven weave VBN 19261 819 8 catheter catheter NN 19261 819 9 introduced introduce VBD 19261 819 10 into into IN 19261 819 11 the the DT 19261 819 12 trachea trachea NN 19261 819 13 , , , 19261 819 14 ether ether NN 19261 819 15 - - HYPH 19261 819 16 laden laden JJ 19261 819 17 air air NN 19261 819 18 from from IN 19261 819 19 an an DT 19261 819 20 insufflation insufflation NN 19261 819 21 apparatus apparatus NN 19261 819 22 is be VBZ 19261 819 23 piped pipe VBN 19261 819 24 down down RP 19261 819 25 to to IN 19261 819 26 the the DT 19261 819 27 lungs lung NNS 19261 819 28 continuously continuously RB 19261 819 29 , , , 19261 819 30 and and CC 19261 819 31 the the DT 19261 819 32 strong strong JJ 19261 819 33 return return NN 19261 819 34 - - HYPH 19261 819 35 flow flow NN 19261 819 36 prevents prevent NNS 19261 819 37 blood blood NN 19261 819 38 and and CC 19261 819 39 secretions secretion NNS 19261 819 40 from from IN 19261 819 41 entering enter VBG 19261 819 42 the the DT 19261 819 43 lower low JJR 19261 819 44 air air NN 19261 819 45 - - HYPH 19261 819 46 passages passage NNS 19261 819 47 . . . 19261 820 1 The the DT 19261 820 2 catheter catheter NN 19261 820 3 should should MD 19261 820 4 be be VB 19261 820 5 of of IN 19261 820 6 a a DT 19261 820 7 size size NN 19261 820 8 , , , 19261 820 9 relative relative JJ 19261 820 10 to to IN 19261 820 11 that that DT 19261 820 12 of of IN 19261 820 13 the the DT 19261 820 14 glottic glottic JJ 19261 820 15 chink chink NN 19261 820 16 , , , 19261 820 17 to to TO 19261 820 18 permit permit VB 19261 820 19 a a DT 19261 820 20 free free JJ 19261 820 21 return return NN 19261 820 22 - - HYPH 19261 820 23 flow flow NN 19261 820 24 . . . 19261 821 1 A a DT 19261 821 2 number number NN 19261 821 3 24 24 CD 19261 821 4 French French NNP 19261 821 5 is be VBZ 19261 821 6 readily readily RB 19261 821 7 accommodated accommodate VBN 19261 821 8 by by IN 19261 821 9 the the DT 19261 821 10 adult adult NN 19261 821 11 larynx larynx NN 19261 821 12 and and CC 19261 821 13 lies lie VBZ 19261 821 14 well well RB 19261 821 15 out out IN 19261 821 16 of of IN 19261 821 17 the the DT 19261 821 18 way way NN 19261 821 19 along along IN 19261 821 20 the the DT 19261 821 21 posterior posterior NN 19261 821 22 wall wall NN 19261 821 23 of of IN 19261 821 24 the the DT 19261 821 25 larynx larynx NN 19261 821 26 . . . 19261 822 1 Because because IN 19261 822 2 of of IN 19261 822 3 the the DT 19261 822 4 little little JJ 19261 822 5 room room NN 19261 822 6 occupied occupy VBN 19261 822 7 by by IN 19261 822 8 the the DT 19261 822 9 insufflation insufflation NN 19261 822 10 catheter catheter NN 19261 822 11 this this DT 19261 822 12 method method NN 19261 822 13 affords afford VBZ 19261 822 14 ideal ideal JJ 19261 822 15 anesthesia anesthesia NNP 19261 822 16 for for IN 19261 822 17 external external JJ 19261 822 18 laryngeal laryngeal NN 19261 822 19 operations operation NNS 19261 822 20 . . . 19261 823 1 Operations operation NNS 19261 823 2 on on IN 19261 823 3 the the DT 19261 823 4 nose nose NN 19261 823 5 , , , 19261 823 6 accessory accessory NN 19261 823 7 sinuses sinus NNS 19261 823 8 and and CC 19261 823 9 the the DT 19261 823 10 pharynx pharynx NN 19261 823 11 , , , 19261 823 12 apt apt JJ 19261 823 13 to to TO 19261 823 14 be be VB 19261 823 15 attended attend VBN 19261 823 16 by by IN 19261 823 17 considerable considerable JJ 19261 823 18 bleeding bleeding NN 19261 823 19 , , , 19261 823 20 are be VBP 19261 823 21 rendered render VBN 19261 823 22 free free JJ 19261 823 23 from from IN 19261 823 24 the the DT 19261 823 25 danger danger NN 19261 823 26 of of IN 19261 823 27 aspiration aspiration NN 19261 823 28 pneumonia pneumonia NN 19261 823 29 by by IN 19261 823 30 endotracheal endotracheal NN 19261 823 31 anesthesia anesthesia NNP 19261 823 32 . . . 19261 824 1 It -PRON- PRP 19261 824 2 is be VBZ 19261 824 3 the the DT 19261 824 4 safest safe JJS 19261 824 5 anesthesia anesthesia NNP 19261 824 6 for for IN 19261 824 7 goiter goiter NNP 19261 824 8 operations operation NNS 19261 824 9 . . . 19261 825 1 Endo endo JJ 19261 825 2 - - HYPH 19261 825 3 tracheal tracheal NN 19261 825 4 anesthesia anesthesia NNS 19261 825 5 has have VBZ 19261 825 6 rendered render VBN 19261 825 7 needless needless JJ 19261 825 8 the the DT 19261 825 9 intricate intricate JJ 19261 825 10 negative negative JJ 19261 825 11 pressure pressure NN 19261 825 12 chamber chamber NN 19261 825 13 formerly formerly RB 19261 825 14 required require VBN 19261 825 15 for for IN 19261 825 16 thoracic thoracic NN 19261 825 17 surgery surgery NN 19261 825 18 , , , 19261 825 19 for for IN 19261 825 20 by by IN 19261 825 21 proper proper JJ 19261 825 22 regulation regulation NN 19261 825 23 of of IN 19261 825 24 the the DT 19261 825 25 pressure pressure NN 19261 825 26 under under IN 19261 825 27 which which WDT 19261 825 28 the the DT 19261 825 29 ether ether NN 19261 825 30 ladened ladened JJ 19261 825 31 air air NN 19261 825 32 is be VBZ 19261 825 33 delivered deliver VBN 19261 825 34 , , , 19261 825 35 a a DT 19261 825 36 lung lung NN 19261 825 37 may may MD 19261 825 38 be be VB 19261 825 39 held hold VBN 19261 825 40 in in IN 19261 825 41 any any DT 19261 825 42 desired desire VBN 19261 825 43 degree degree NN 19261 825 44 of of IN 19261 825 45 expansion expansion NN 19261 825 46 when when WRB 19261 825 47 the the DT 19261 825 48 pleural pleural JJ 19261 825 49 cavity cavity NN 19261 825 50 is be VBZ 19261 825 51 opened open VBN 19261 825 52 . . . 19261 826 1 It -PRON- PRP 19261 826 2 is be VBZ 19261 826 3 indicated indicate VBN 19261 826 4 in in IN 19261 826 5 operations operation NNS 19261 826 6 of of IN 19261 826 7 the the DT 19261 826 8 head head NN 19261 826 9 , , , 19261 826 10 neck neck NN 19261 826 11 , , , 19261 826 12 or or CC 19261 826 13 thorax thorax NN 19261 826 14 , , , 19261 826 15 in in IN 19261 826 16 which which WDT 19261 826 17 there there EX 19261 826 18 is be VBZ 19261 826 19 danger danger NN 19261 826 20 of of IN 19261 826 21 respiratory respiratory JJ 19261 826 22 arrest arrest NN 19261 826 23 by by IN 19261 826 24 centric centric NN 19261 826 25 inhibition inhibition NN 19261 826 26 or or CC 19261 826 27 peripheral peripheral JJ 19261 826 28 pressure pressure NN 19261 826 29 ; ; : 19261 826 30 in in IN 19261 826 31 operations operation NNS 19261 826 32 in in IN 19261 826 33 which which WDT 19261 826 34 there there EX 19261 826 35 is be VBZ 19261 826 36 a a DT 19261 826 37 possibility possibility NN 19261 826 38 of of IN 19261 826 39 excessive excessive JJ 19261 826 40 bleeding bleeding NN 19261 826 41 and and CC 19261 826 42 aspiration aspiration NN 19261 826 43 of of IN 19261 826 44 blood blood NN 19261 826 45 or or CC 19261 826 46 secretions secretion NNS 19261 826 47 ; ; : 19261 826 48 and and CC 19261 826 49 in in IN 19261 826 50 operations operation NNS 19261 826 51 where where WRB 19261 826 52 it -PRON- PRP 19261 826 53 is be VBZ 19261 826 54 desired desire VBN 19261 826 55 to to TO 19261 826 56 keep keep VB 19261 826 57 the the DT 19261 826 58 anesthetist anesthetist NN 19261 826 59 away away RB 19261 826 60 from from IN 19261 826 61 the the DT 19261 826 62 operating operating NN 19261 826 63 field field NN 19261 826 64 . . . 19261 827 1 Various various JJ 19261 827 2 forms form NNS 19261 827 3 of of IN 19261 827 4 apparatus apparatus NN 19261 827 5 for for IN 19261 827 6 the the DT 19261 827 7 delivery delivery NN 19261 827 8 of of IN 19261 827 9 the the DT 19261 827 10 ether ether NN 19261 827 11 - - HYPH 19261 827 12 laden laden JJ 19261 827 13 vapor vapor NN 19261 827 14 are be VBP 19261 827 15 supplied supply VBN 19261 827 16 by by IN 19261 827 17 instrument instrument NN 19261 827 18 makers maker NNS 19261 827 19 with with IN 19261 827 20 explicit explicit JJ 19261 827 21 directions direction NNS 19261 827 22 as as IN 19261 827 23 to to IN 19261 827 24 their -PRON- PRP$ 19261 827 25 mechanical mechanical JJ 19261 827 26 management management NN 19261 827 27 . . . 19261 828 1 We -PRON- PRP 19261 828 2 are be VBP 19261 828 3 concerned concern VBN 19261 828 4 here here RB 19261 828 5 mainly mainly RB 19261 828 6 with with IN 19261 828 7 the the DT 19261 828 8 technic technic NN 19261 828 9 of of IN 19261 828 10 the the DT 19261 828 11 insertion insertion NN 19261 828 12 of of IN 19261 828 13 the the DT 19261 828 14 intratracheal intratracheal NN 19261 828 15 tube tube NN 19261 828 16 . . . 19261 829 1 The the DT 19261 829 2 larynx larynx NN 19261 829 3 should should MD 19261 829 4 be be VB 19261 829 5 examined examine VBN 19261 829 6 with with IN 19261 829 7 the the DT 19261 829 8 mirror mirror NN 19261 829 9 , , , 19261 829 10 preferably preferably RB 19261 829 11 before before IN 19261 829 12 the the DT 19261 829 13 day day NN 19261 829 14 of of IN 19261 829 15 operation operation NN 19261 829 16 , , , 19261 829 17 for for IN 19261 829 18 evidence evidence NN 19261 829 19 of of IN 19261 829 20 disease disease NN 19261 829 21 , , , 19261 829 22 and and CC 19261 829 23 incidentally incidentally RB 19261 829 24 to to TO 19261 829 25 determine determine VB 19261 829 26 the the DT 19261 829 27 size size NN 19261 829 28 of of IN 19261 829 29 the the DT 19261 829 30 catheter catheter NN 19261 829 31 to to TO 19261 829 32 be be VB 19261 829 33 introduced introduce VBN 19261 829 34 , , , 19261 829 35 though though IN 19261 829 36 the the DT 19261 829 37 latter latter NN 19261 829 38 can can MD 19261 829 39 be be VB 19261 829 40 determined determine VBN 19261 829 41 after after IN 19261 829 42 the the DT 19261 829 43 larynx larynx NN 19261 829 44 is be VBZ 19261 829 45 laryngoscopically laryngoscopically RB 19261 829 46 exposed expose VBN 19261 829 47 . . . 19261 830 1 The the DT 19261 830 2 following following JJ 19261 830 3 list list NN 19261 830 4 of of IN 19261 830 5 rules rule NNS 19261 830 6 for for IN 19261 830 7 the the DT 19261 830 8 introduction introduction NN 19261 830 9 of of IN 19261 830 10 the the DT 19261 830 11 catheter catheter NN 19261 830 12 will will MD 19261 830 13 be be VB 19261 830 14 of of IN 19261 830 15 service service NN 19261 830 16 ( ( -LRB- 19261 830 17 see see VB 19261 830 18 Fig Fig NNP 19261 830 19 . . . 19261 831 1 59 59 LS 19261 831 2 ) ) -RRB- 19261 831 3 . . . 19261 832 1 RULES rule NNS 19261 832 2 FOR for IN 19261 832 3 INSERTION insertion NN 19261 832 4 OF of IN 19261 832 5 THE the DT 19261 832 6 CATHETER CATHETER NNP 19261 832 7 FOR for IN 19261 832 8 INSUFFLATION insufflation NN 19261 832 9 ANESTHESIA ANESTHESIA NNP 19261 832 10 1 1 CD 19261 832 11 . . . 19261 833 1 The the DT 19261 833 2 patient patient NN 19261 833 3 should should MD 19261 833 4 be be VB 19261 833 5 fully fully RB 19261 833 6 under under IN 19261 833 7 the the DT 19261 833 8 anesthetic anesthetic JJ 19261 833 9 by by IN 19261 833 10 the the DT 19261 833 11 open open JJ 19261 833 12 method method NN 19261 833 13 so so IN 19261 833 14 as as IN 19261 833 15 to to TO 19261 833 16 get get VB 19261 833 17 full full JJ 19261 833 18 relaxation relaxation NN 19261 833 19 of of IN 19261 833 20 the the DT 19261 833 21 muscles muscle NNS 19261 833 22 of of IN 19261 833 23 the the DT 19261 833 24 neck neck NN 19261 833 25 . . . 19261 834 1 2 2 LS 19261 834 2 . . . 19261 835 1 The the DT 19261 835 2 patient patient NN 19261 835 3 's 's POS 19261 835 4 head head NN 19261 835 5 must must MD 19261 835 6 be be VB 19261 835 7 in in IN 19261 835 8 full full JJ 19261 835 9 extension extension NN 19261 835 10 with with IN 19261 835 11 the the DT 19261 835 12 vertex vertex NN 19261 835 13 firmly firmly RB 19261 835 14 pushed push VBD 19261 835 15 down down RP 19261 835 16 toward toward IN 19261 835 17 the the DT 19261 835 18 feet foot NNS 19261 835 19 of of IN 19261 835 20 the the DT 19261 835 21 patient patient NN 19261 835 22 , , , 19261 835 23 so so IN 19261 835 24 as as IN 19261 835 25 to to TO 19261 835 26 throw throw VB 19261 835 27 the the DT 19261 835 28 neck neck NN 19261 835 29 upward upward RB 19261 835 30 and and CC 19261 835 31 bring bring VB 19261 835 32 the the DT 19261 835 33 occiput occiput NN 19261 835 34 down down RP 19261 835 35 as as RB 19261 835 36 close close RB 19261 835 37 as as IN 19261 835 38 possible possible JJ 19261 835 39 beneath beneath IN 19261 835 40 the the DT 19261 835 41 cervical cervical JJ 19261 835 42 vertebrae vertebra NNS 19261 835 43 . . . 19261 836 1 3 3 LS 19261 836 2 . . . 19261 837 1 No no DT 19261 837 2 gag gag NN 19261 837 3 should should MD 19261 837 4 be be VB 19261 837 5 used use VBN 19261 837 6 , , , 19261 837 7 because because IN 19261 837 8 the the DT 19261 837 9 patient patient NN 19261 837 10 should should MD 19261 837 11 be be VB 19261 837 12 sufficiently sufficiently RB 19261 837 13 anesthetized anesthetize VBN 19261 837 14 not not RB 19261 837 15 to to TO 19261 837 16 need need VB 19261 837 17 a a DT 19261 837 18 gag gag NN 19261 837 19 , , , 19261 837 20 and and CC 19261 837 21 because because IN 19261 837 22 wide wide JJ 19261 837 23 gagging gagging NN 19261 837 24 defeats defeat NNS 19261 837 25 the the DT 19261 837 26 exposure exposure NN 19261 837 27 of of IN 19261 837 28 the the DT 19261 837 29 larynx larynx NN 19261 837 30 by by IN 19261 837 31 jamming jam VBG 19261 837 32 down down IN 19261 837 33 the the DT 19261 837 34 mandible mandible NN 19261 837 35 . . . 19261 838 1 4 4 LS 19261 838 2 . . . 19261 839 1 The the DT 19261 839 2 epiglottis epiglottis NN 19261 839 3 must must MD 19261 839 4 be be VB 19261 839 5 identified identify VBN 19261 839 6 before before IN 19261 839 7 it -PRON- PRP 19261 839 8 is be VBZ 19261 839 9 passed pass VBN 19261 839 10 . . . 19261 840 1 5 5 CD 19261 840 2 . . . 19261 841 1 The the DT 19261 841 2 speculum speculum NN 19261 841 3 must must MD 19261 841 4 pass pass VB 19261 841 5 sufficiently sufficiently RB 19261 841 6 far far RB 19261 841 7 below below IN 19261 841 8 the the DT 19261 841 9 tip tip NN 19261 841 10 of of IN 19261 841 11 the the DT 19261 841 12 epiglottis epiglottis NN 19261 841 13 so so IN 19261 841 14 that that IN 19261 841 15 the the DT 19261 841 16 latter latter JJ 19261 841 17 will will MD 19261 841 18 not not RB 19261 841 19 slip slip VB 19261 841 20 . . . 19261 842 1 6 6 CD 19261 842 2 . . . 19261 843 1 Too too RB 19261 843 2 deep deep JJ 19261 843 3 insertion insertion NN 19261 843 4 must must MD 19261 843 5 be be VB 19261 843 6 avoided avoid VBN 19261 843 7 , , , 19261 843 8 as as IN 19261 843 9 in in IN 19261 843 10 this this DT 19261 843 11 case case NN 19261 843 12 the the DT 19261 843 13 speculum speculum NN 19261 843 14 goes go VBZ 19261 843 15 posterior posterior RB 19261 843 16 to to IN 19261 843 17 the the DT 19261 843 18 cricoid cricoid NN 19261 843 19 , , , 19261 843 20 and and CC 19261 843 21 the the DT 19261 843 22 cricoid cricoid NN 19261 843 23 is be VBZ 19261 843 24 lifted lift VBN 19261 843 25 , , , 19261 843 26 exposing expose VBG 19261 843 27 the the DT 19261 843 28 mouth mouth NN 19261 843 29 of of IN 19261 843 30 the the DT 19261 843 31 esophagus esophagus NN 19261 843 32 , , , 19261 843 33 which which WDT 19261 843 34 is be VBZ 19261 843 35 bewildering bewilder VBG 19261 843 36 until until IN 19261 843 37 sufficient sufficient JJ 19261 843 38 education education NN 19261 843 39 of of IN 19261 843 40 the the DT 19261 843 41 eye eye NN 19261 843 42 enables enable VBZ 19261 843 43 the the DT 19261 843 44 operator operator NN 19261 843 45 to to TO 19261 843 46 recognize recognize VB 19261 843 47 the the DT 19261 843 48 landmarks landmark NNS 19261 843 49 . . . 19261 844 1 7 7 LS 19261 844 2 . . . 19261 845 1 The the DT 19261 845 2 patient patient NN 19261 845 3 's 's POS 19261 845 4 head head NN 19261 845 5 is be VBZ 19261 845 6 lifted lift VBN 19261 845 7 off off RP 19261 845 8 the the DT 19261 845 9 table table NN 19261 845 10 by by IN 19261 845 11 the the DT 19261 845 12 spatular spatular JJ 19261 845 13 tip tip NN 19261 845 14 of of IN 19261 845 15 the the DT 19261 845 16 laryngoscope laryngoscope NN 19261 845 17 . . . 19261 846 1 Actual actual JJ 19261 846 2 lifting lifting NN 19261 846 3 of of IN 19261 846 4 the the DT 19261 846 5 head head NN 19261 846 6 will will MD 19261 846 7 not not RB 19261 846 8 be be VB 19261 846 9 necessary necessary JJ 19261 846 10 if if IN 19261 846 11 the the DT 19261 846 12 patient patient NN 19261 846 13 is be VBZ 19261 846 14 fully fully RB 19261 846 15 relaxed relaxed JJ 19261 846 16 ; ; : 19261 846 17 but but CC 19261 846 18 the the DT 19261 846 19 idea idea NN 19261 846 20 of of IN 19261 846 21 lifting lift VBG 19261 846 22 conveys convey VBZ 19261 846 23 the the DT 19261 846 24 proper proper JJ 19261 846 25 conception conception NN 19261 846 26 of of IN 19261 846 27 laryngeal laryngeal JJ 19261 846 28 exposure exposure NN 19261 846 29 ( ( -LRB- 19261 846 30 Fig fig NN 19261 846 31 . . . 19261 847 1 55 55 CD 19261 847 2 ) ) -RRB- 19261 847 3 . . . 19261 848 1 [ [ -LRB- 19261 848 2 71 71 CD 19261 848 3 ] ] -RRB- 19261 848 4 CHAPTER chapter NN 19261 848 5 V V NNP 19261 848 6 -- -- : 19261 848 7 BRONCHOSCOPIC BRONCHOSCOPIC NNP 19261 848 8 OXYGEN OXYGEN NNP 19261 848 9 INSUFFLATION INSUFFLATION NNP 19261 848 10 Bronchoscopic Bronchoscopic NNP 19261 848 11 oxygen oxygen NN 19261 848 12 insufflation insufflation NN 19261 848 13 is be VBZ 19261 848 14 a a DT 19261 848 15 life life NN 19261 848 16 - - HYPH 19261 848 17 saving save VBG 19261 848 18 measure measure NN 19261 848 19 equalled equal VBN 19261 848 20 by by IN 19261 848 21 no no DT 19261 848 22 other other JJ 19261 848 23 method method NN 19261 848 24 known know VBN 19261 848 25 to to IN 19261 848 26 the the DT 19261 848 27 science science NN 19261 848 28 of of IN 19261 848 29 medicine medicine NN 19261 848 30 , , , 19261 848 31 in in IN 19261 848 32 all all DT 19261 848 33 cases case NNS 19261 848 34 of of IN 19261 848 35 asphyxia asphyxia NN 19261 848 36 , , , 19261 848 37 or or CC 19261 848 38 apnea apnea RB 19261 848 39 , , , 19261 848 40 present present JJ 19261 848 41 or or CC 19261 848 42 impending impending JJ 19261 848 43 . . . 19261 849 1 Its -PRON- PRP$ 19261 849 2 especial especial JJ 19261 849 3 sphere sphere NN 19261 849 4 of of IN 19261 849 5 usefulness usefulness NN 19261 849 6 is be VBZ 19261 849 7 in in IN 19261 849 8 severe severe JJ 19261 849 9 cases case NNS 19261 849 10 of of IN 19261 849 11 electric electric JJ 19261 849 12 shock shock NN 19261 849 13 , , , 19261 849 14 hanging hanging NN 19261 849 15 , , , 19261 849 16 smoke smoke NN 19261 849 17 asphyxia asphyxia NN 19261 849 18 , , , 19261 849 19 strangulation strangulation NN 19261 849 20 , , , 19261 849 21 suffocation suffocation NN 19261 849 22 , , , 19261 849 23 thoracic thoracic NNP 19261 849 24 or or CC 19261 849 25 abdominal abdominal JJ 19261 849 26 pressure pressure NN 19261 849 27 , , , 19261 849 28 apnea apnea NNP 19261 849 29 , , , 19261 849 30 acute acute JJ 19261 849 31 traumatic traumatic JJ 19261 849 32 pneumothorax pneumothorax NNS 19261 849 33 , , , 19261 849 34 respiratory respiratory JJ 19261 849 35 arrest arrest NN 19261 849 36 from from IN 19261 849 37 absence absence NN 19261 849 38 of of IN 19261 849 39 sufficient sufficient JJ 19261 849 40 oxygen oxygen NN 19261 849 41 , , , 19261 849 42 or or CC 19261 849 43 apnea apnea RB 19261 849 44 from from IN 19261 849 45 the the DT 19261 849 46 presence presence NN 19261 849 47 of of IN 19261 849 48 quantities quantity NNS 19261 849 49 of of IN 19261 849 50 irrespirable irrespirable JJ 19261 849 51 or or CC 19261 849 52 irritant irritant JJ 19261 849 53 gases gas NNS 19261 849 54 . . . 19261 850 1 Combined combine VBN 19261 850 2 with with IN 19261 850 3 bronchoscopic bronchoscopic JJ 19261 850 4 aspiration aspiration NN 19261 850 5 of of IN 19261 850 6 secretions secretion NNS 19261 850 7 it -PRON- PRP 19261 850 8 is be VBZ 19261 850 9 the the DT 19261 850 10 best good JJS 19261 850 11 method method NN 19261 850 12 of of IN 19261 850 13 treatment treatment NN 19261 850 14 for for IN 19261 850 15 poisoning poisoning NN 19261 850 16 by by IN 19261 850 17 chlorine chlorine NN 19261 850 18 gas gas NN 19261 850 19 , , , 19261 850 20 asphyxiating asphyxiate VBG 19261 850 21 , , , 19261 850 22 and and CC 19261 850 23 other other JJ 19261 850 24 war war NN 19261 850 25 gases gas NNS 19261 850 26 . . . 19261 851 1 Bronchoscopic bronchoscopic JJ 19261 851 2 oxygen oxygen NN 19261 851 3 insufflation insufflation NN 19261 851 4 should should MD 19261 851 5 be be VB 19261 851 6 taught teach VBN 19261 851 7 to to IN 19261 851 8 every every DT 19261 851 9 interne interne NN 19261 851 10 in in IN 19261 851 11 every every DT 19261 851 12 hospital hospital NN 19261 851 13 . . . 19261 852 1 The the DT 19261 852 2 emergency emergency NN 19261 852 3 or or CC 19261 852 4 accident accident NN 19261 852 5 ward ward NN 19261 852 6 of of IN 19261 852 7 every every DT 19261 852 8 hospital hospital NN 19261 852 9 should should MD 19261 852 10 have have VB 19261 852 11 the the DT 19261 852 12 necessary necessary JJ 19261 852 13 equipment equipment NN 19261 852 14 and and CC 19261 852 15 an an DT 19261 852 16 interne interne FW 19261 852 17 familiar familiar JJ 19261 852 18 with with IN 19261 852 19 its -PRON- PRP$ 19261 852 20 use use NN 19261 852 21 . . . 19261 853 1 The the DT 19261 853 2 method method NN 19261 853 3 is be VBZ 19261 853 4 simple simple JJ 19261 853 5 , , , 19261 853 6 once once IN 19261 853 7 the the DT 19261 853 8 knack knack NN 19261 853 9 is be VBZ 19261 853 10 acquired acquire VBN 19261 853 11 . . . 19261 854 1 The the DT 19261 854 2 patient patient NN 19261 854 3 being be VBG 19261 854 4 limp limp JJ 19261 854 5 and and CC 19261 854 6 recumbent recumbent NN 19261 854 7 on on IN 19261 854 8 a a DT 19261 854 9 table table NN 19261 854 10 , , , 19261 854 11 the the DT 19261 854 12 larynx larynx NN 19261 854 13 is be VBZ 19261 854 14 exposed expose VBN 19261 854 15 with with IN 19261 854 16 the the DT 19261 854 17 laryngoscope laryngoscope NN 19261 854 18 , , , 19261 854 19 and and CC 19261 854 20 the the DT 19261 854 21 bronchoscope bronchoscope NN 19261 854 22 is be VBZ 19261 854 23 inserted insert VBN 19261 854 24 as as IN 19261 854 25 hereinafter hereinafter NN 19261 854 26 described describe VBN 19261 854 27 . . . 19261 855 1 The the DT 19261 855 2 oxygen oxygen NN 19261 855 3 is be VBZ 19261 855 4 turned turn VBN 19261 855 5 on on RP 19261 855 6 at at IN 19261 855 7 the the DT 19261 855 8 tank tank NN 19261 855 9 and and CC 19261 855 10 the the DT 19261 855 11 flow flow NN 19261 855 12 regulated regulate VBN 19261 855 13 before before IN 19261 855 14 the the DT 19261 855 15 rubber rubber NN 19261 855 16 tube tube NN 19261 855 17 from from IN 19261 855 18 the the DT 19261 855 19 wash wash NN 19261 855 20 - - HYPH 19261 855 21 bottle bottle NN 19261 855 22 of of IN 19261 855 23 tank tank NN 19261 855 24 is be VBZ 19261 855 25 attached attach VBN 19261 855 26 to to IN 19261 855 27 the the DT 19261 855 28 side side NN 19261 855 29 - - HYPH 19261 855 30 outlet outlet NN 19261 855 31 of of IN 19261 855 32 the the DT 19261 855 33 bronchoscope bronchoscope NN 19261 855 34 . . . 19261 856 1 It -PRON- PRP 19261 856 2 is be VBZ 19261 856 3 necessary necessary JJ 19261 856 4 to to TO 19261 856 5 be be VB 19261 856 6 certain certain JJ 19261 856 7 that that IN 19261 856 8 the the DT 19261 856 9 flow flow NN 19261 856 10 is be VBZ 19261 856 11 gentle gentle JJ 19261 856 12 , , , 19261 856 13 so so IN 19261 856 14 that that IN 19261 856 15 , , , 19261 856 16 with with IN 19261 856 17 a a DT 19261 856 18 free free JJ 19261 856 19 return return NN 19261 856 20 flow flow NN 19261 856 21 the the DT 19261 856 22 introduced introduce VBN 19261 856 23 pressure pressure NN 19261 856 24 does do VBZ 19261 856 25 not not RB 19261 856 26 exceed exceed VB 19261 856 27 the the DT 19261 856 28 capillary capillary JJ 19261 856 29 pressure pressure NN 19261 856 30 ; ; : 19261 856 31 otherwise otherwise RB 19261 856 32 the the DT 19261 856 33 blood blood NN 19261 856 34 will will MD 19261 856 35 be be VB 19261 856 36 forced force VBN 19261 856 37 out out IN 19261 856 38 of of IN 19261 856 39 the the DT 19261 856 40 capillaries capillary NNS 19261 856 41 and and CC 19261 856 42 the the DT 19261 856 43 ischemia ischemia NN 19261 856 44 of of IN 19261 856 45 the the DT 19261 856 46 lungs lung NNS 19261 856 47 will will MD 19261 856 48 be be VB 19261 856 49 fatal fatal JJ 19261 856 50 . . . 19261 857 1 Another another DT 19261 857 2 danger danger NN 19261 857 3 is be VBZ 19261 857 4 that that IN 19261 857 5 overdistension overdistension NN 19261 857 6 causes cause VBZ 19261 857 7 inhibition inhibition NN 19261 857 8 of of IN 19261 857 9 inspiration inspiration NN 19261 857 10 resulting result VBG 19261 857 11 in in IN 19261 857 12 apnea apnea RB 19261 857 13 continuing continue VBG 19261 857 14 as as RB 19261 857 15 long long RB 19261 857 16 as as IN 19261 857 17 the the DT 19261 857 18 distension distension NN 19261 857 19 is be VBZ 19261 857 20 maintained maintain VBN 19261 857 21 , , , 19261 857 22 if if IN 19261 857 23 not not RB 19261 857 24 longer long RBR 19261 857 25 . . . 19261 858 1 The the DT 19261 858 2 return return NN 19261 858 3 flow flow NN 19261 858 4 from from IN 19261 858 5 the the DT 19261 858 6 bronchoscope bronchoscope NN 19261 858 7 should should MD 19261 858 8 be be VB 19261 858 9 interrupted interrupt VBN 19261 858 10 for for IN 19261 858 11 2 2 CD 19261 858 12 or or CC 19261 858 13 3 3 CD 19261 858 14 seconds second NNS 19261 858 15 several several JJ 19261 858 16 times time NNS 19261 858 17 a a DT 19261 858 18 minute minute NN 19261 858 19 to to TO 19261 858 20 inflate inflate VB 19261 858 21 the the DT 19261 858 22 lungs lung NNS 19261 858 23 , , , 19261 858 24 but but CC 19261 858 25 the the DT 19261 858 26 flow flow NN 19261 858 27 must must MD 19261 858 28 not not RB 19261 858 29 be be VB 19261 858 30 occluded occlude VBN 19261 858 31 longer long RBR 19261 858 32 than than IN 19261 858 33 3 3 CD 19261 858 34 seconds second NNS 19261 858 35 , , , 19261 858 36 because because IN 19261 858 37 the the DT 19261 858 38 intrapulmonary intrapulmonary JJ 19261 858 39 pressure pressure NN 19261 858 40 would would MD 19261 858 41 rise rise VB 19261 858 42 . . . 19261 859 1 A a DT 19261 859 2 pearl pearl NN 19261 859 3 of of IN 19261 859 4 amyl amyl NN 19261 859 5 nitrite nitrite NNP 19261 859 6 may may MD 19261 859 7 be be VB 19261 859 8 broken break VBN 19261 859 9 in in IN 19261 859 10 the the DT 19261 859 11 wash wash NN 19261 859 12 bottle bottle NN 19261 859 13 . . . 19261 860 1 Slow slow VB 19261 860 2 rhythmic rhythmic JJ 19261 860 3 artificial artificial JJ 19261 860 4 respiratory respiratory JJ 19261 860 5 movements movement NNS 19261 860 6 are be VBP 19261 860 7 a a DT 19261 860 8 useful useful JJ 19261 860 9 adjunct adjunct NN 19261 860 10 , , , 19261 860 11 and and CC 19261 860 12 unless unless IN 19261 860 13 the the DT 19261 860 14 operator operator NN 19261 860 15 is be VBZ 19261 860 16 very very RB 19261 860 17 skillful skillful JJ 19261 860 18 in in IN 19261 860 19 gauging gauge VBG 19261 860 20 the the DT 19261 860 21 alternate alternate JJ 19261 860 22 pressures pressure NNS 19261 860 23 and and CC 19261 860 24 releases release NNS 19261 860 25 with with IN 19261 860 26 the the DT 19261 860 27 thumb thumb NN 19261 860 28 according accord VBG 19261 860 29 to to IN 19261 860 30 the the DT 19261 860 31 oxygen oxygen NN 19261 860 32 pressure pressure NN 19261 860 33 , , , 19261 860 34 it -PRON- PRP 19261 860 35 is be VBZ 19261 860 36 vitally vitally RB 19261 860 37 necessary necessary JJ 19261 860 38 to to TO 19261 860 39 fill fill VB 19261 860 40 and and CC 19261 860 41 deflate deflate VB 19261 860 42 the the DT 19261 860 43 lungs lung NNS 19261 860 44 rhythmically rhythmically RB 19261 860 45 by by IN 19261 860 46 one one CD 19261 860 47 of of IN 19261 860 48 the the DT 19261 860 49 well well RB 19261 860 50 known know VBN 19261 860 51 methods method NNS 19261 860 52 of of IN 19261 860 53 artificial artificial JJ 19261 860 54 respiration respiration NN 19261 860 55 . . . 19261 861 1 Anyone anyone NN 19261 861 2 skilled skilled JJ 19261 861 3 in in IN 19261 861 4 the the DT 19261 861 5 introduction introduction NN 19261 861 6 of of IN 19261 861 7 the the DT 19261 861 8 bronchoscope bronchoscope NN 19261 861 9 can can MD 19261 861 10 do do VB 19261 861 11 bronchoscopy bronchoscopy VB 19261 861 12 in in IN 19261 861 13 a a DT 19261 861 14 few few JJ 19261 861 15 seconds second NNS 19261 861 16 , , , 19261 861 17 and and CC 19261 861 18 it -PRON- PRP 19261 861 19 is be VBZ 19261 861 20 especially especially RB 19261 861 21 easy easy JJ 19261 861 22 in in IN 19261 861 23 cases case NNS 19261 861 24 of of IN 19261 861 25 respiratory respiratory JJ 19261 861 26 arrest arrest NN 19261 861 27 , , , 19261 861 28 because because IN 19261 861 29 of of IN 19261 861 30 the the DT 19261 861 31 limp limp JJ 19261 861 32 condition condition NN 19261 861 33 of of IN 19261 861 34 the the DT 19261 861 35 patient patient NN 19261 861 36 . . . 19261 862 1 The the DT 19261 862 2 foregoing foregoing NN 19261 862 3 applies apply VBZ 19261 862 4 to to IN 19261 862 5 cases case NNS 19261 862 6 in in IN 19261 862 7 which which WDT 19261 862 8 a a DT 19261 862 9 pulmotor pulmotor NN 19261 862 10 would would MD 19261 862 11 be be VB 19261 862 12 used use VBN 19261 862 13 , , , 19261 862 14 such such JJ 19261 862 15 as as IN 19261 862 16 apnea apnea NN 19261 862 17 from from IN 19261 862 18 electric electric JJ 19261 862 19 shocks shock NNS 19261 862 20 , , , 19261 862 21 etc etc FW 19261 862 22 . . . 19261 863 1 For for IN 19261 863 2 obstructive obstructive JJ 19261 863 3 dyspnea dyspnea NN 19261 863 4 and and CC 19261 863 5 asphyxia asphyxia NN 19261 863 6 , , , 19261 863 7 tracheotomy tracheotomy NNP 19261 863 8 is be VBZ 19261 863 9 the the DT 19261 863 10 procedure procedure NN 19261 863 11 of of IN 19261 863 12 choice choice NN 19261 863 13 , , , 19261 863 14 and and CC 19261 863 15 the the DT 19261 863 16 skillful skillful JJ 19261 863 17 tracheotomist tracheotomist NN 19261 863 18 would would MD 19261 863 19 be be VB 19261 863 20 justified justify VBN 19261 863 21 in in IN 19261 863 22 preferring prefer VBG 19261 863 23 tracheotomy tracheotomy NN 19261 863 24 for for IN 19261 863 25 the the DT 19261 863 26 other other JJ 19261 863 27 class class NN 19261 863 28 of of IN 19261 863 29 cases case NNS 19261 863 30 , , , 19261 863 31 insufflating insufflate VBG 19261 863 32 the the DT 19261 863 33 oxygen oxygen NN 19261 863 34 and and CC 19261 863 35 amyl amyl NNP 19261 863 36 nitrite nitrite NNP 19261 863 37 through through IN 19261 863 38 the the DT 19261 863 39 tracheotomic tracheotomic JJ 19261 863 40 wound wound NN 19261 863 41 . . . 19261 864 1 The the DT 19261 864 2 pulmotor pulmotor NN 19261 864 3 and and CC 19261 864 4 similar similar JJ 19261 864 5 mechanisms mechanism NNS 19261 864 6 are be VBP 19261 864 7 , , , 19261 864 8 perhaps perhaps RB 19261 864 9 , , , 19261 864 10 the the DT 19261 864 11 best good JJS 19261 864 12 things thing NNS 19261 864 13 the the DT 19261 864 14 use use NN 19261 864 15 of of IN 19261 864 16 which which WDT 19261 864 17 can can MD 19261 864 18 be be VB 19261 864 19 taught teach VBN 19261 864 20 to to IN 19261 864 21 laymen layman NNS 19261 864 22 ; ; : 19261 864 23 but but CC 19261 864 24 as as IN 19261 864 25 compared compare VBN 19261 864 26 to to IN 19261 864 27 bronchoscopic bronchoscopic NNP 19261 864 28 oxygen oxygen NNP 19261 864 29 insufflation insufflation NN 19261 864 30 they -PRON- PRP 19261 864 31 are be VBP 19261 864 32 woefully woefully RB 19261 864 33 inefficient inefficient JJ 19261 864 34 , , , 19261 864 35 because because IN 19261 864 36 the the DT 19261 864 37 intraoral intraoral JJ 19261 864 38 pressure pressure NN 19261 864 39 forces force NNS 19261 864 40 the the DT 19261 864 41 tongue tongue NN 19261 864 42 back back RB 19261 864 43 over over IN 19261 864 44 the the DT 19261 864 45 laryngeal laryngeal JJ 19261 864 46 orifice orifice NN 19261 864 47 , , , 19261 864 48 obstructing obstruct VBG 19261 864 49 the the DT 19261 864 50 airway airway NN 19261 864 51 in in IN 19261 864 52 this this DT 19261 864 53 " " `` 19261 864 54 death death NN 19261 864 55 zone zone NN 19261 864 56 . . . 19261 864 57 " " '' 19261 865 1 By by IN 19261 865 2 the the DT 19261 865 3 introduction introduction NN 19261 865 4 of of IN 19261 865 5 the the DT 19261 865 6 bronchoscope bronchoscope NN 19261 865 7 this this DT 19261 865 8 death death NN 19261 865 9 zone zone NN 19261 865 10 is be VBZ 19261 865 11 entirely entirely RB 19261 865 12 eliminated eliminate VBN 19261 865 13 , , , 19261 865 14 and and CC 19261 865 15 a a DT 19261 865 16 free free JJ 19261 865 17 airway airway NN 19261 865 18 established establish VBN 19261 865 19 for for IN 19261 865 20 piping pipe VBG 19261 865 21 the the DT 19261 865 22 oxygen oxygen NN 19261 865 23 directly directly RB 19261 865 24 into into IN 19261 865 25 the the DT 19261 865 26 lungs lung NNS 19261 865 27 . . . 19261 866 1 [ [ -LRB- 19261 866 2 73 73 CD 19261 866 3 ] ] -RRB- 19261 866 4 CHAPTER CHAPTER NNP 19261 866 5 VI VI NNP 19261 866 6 -- -- : 19261 866 7 POSITION position NN 19261 866 8 OF of IN 19261 866 9 THE the DT 19261 866 10 PATIENT PATIENT NNP 19261 866 11 FOR for IN 19261 866 12 PERORAL PERORAL NNS 19261 866 13 ENDOSCOPY endoscopy VBP 19261 866 14 It -PRON- PRP 19261 866 15 is be VBZ 19261 866 16 the the DT 19261 866 17 author author NN 19261 866 18 's 's POS 19261 866 19 invariable invariable JJ 19261 866 20 practice practice NN 19261 866 21 to to TO 19261 866 22 place place VB 19261 866 23 the the DT 19261 866 24 patient patient NN 19261 866 25 in in IN 19261 866 26 the the DT 19261 866 27 dorsally dorsally RB 19261 866 28 recumbent recumbent JJ 19261 866 29 position position NN 19261 866 30 . . . 19261 867 1 The the DT 19261 867 2 sitting sit VBG 19261 867 3 position position NN 19261 867 4 is be VBZ 19261 867 5 less less RBR 19261 867 6 favorable favorable JJ 19261 867 7 . . . 19261 868 1 While while IN 19261 868 2 lying lie VBG 19261 868 3 on on IN 19261 868 4 a a DT 19261 868 5 well well RB 19261 868 6 - - HYPH 19261 868 7 padded padded JJ 19261 868 8 , , , 19261 868 9 flat flat JJ 19261 868 10 table table NN 19261 868 11 the the DT 19261 868 12 patient patient NN 19261 868 13 is be VBZ 19261 868 14 readily readily RB 19261 868 15 controlled control VBN 19261 868 16 , , , 19261 868 17 the the DT 19261 868 18 head head NN 19261 868 19 is be VBZ 19261 868 20 freely freely RB 19261 868 21 movable movable JJ 19261 868 22 , , , 19261 868 23 secretions secretion NNS 19261 868 24 can can MD 19261 868 25 be be VB 19261 868 26 easily easily RB 19261 868 27 removed remove VBN 19261 868 28 , , , 19261 868 29 the the DT 19261 868 30 view view NN 19261 868 31 obtained obtain VBN 19261 868 32 by by IN 19261 868 33 the the DT 19261 868 34 endoscopist endoscopist NN 19261 868 35 is be VBZ 19261 868 36 truly truly RB 19261 868 37 direct direct JJ 19261 868 38 ( ( -LRB- 19261 868 39 without without IN 19261 868 40 reversal reversal NN 19261 868 41 of of IN 19261 868 42 sides side NNS 19261 868 43 ) ) -RRB- 19261 868 44 , , , 19261 868 45 and and CC 19261 868 46 , , , 19261 868 47 most most RBS 19261 868 48 important important JJ 19261 868 49 , , , 19261 868 50 the the DT 19261 868 51 employment employment NN 19261 868 52 of of IN 19261 868 53 one one CD 19261 868 54 position position NN 19261 868 55 only only RB 19261 868 56 favors favor VBZ 19261 868 57 smoother smooth JJR 19261 868 58 and and CC 19261 868 59 more more RBR 19261 868 60 efficient efficient JJ 19261 868 61 team team NN 19261 868 62 work work NN 19261 868 63 , , , 19261 868 64 and and CC 19261 868 65 a a DT 19261 868 66 better well JJR 19261 868 67 endoscopic endoscopic JJ 19261 868 68 technic technic NN 19261 868 69 . . . 19261 869 1 _ _ NNP 19261 869 2 General General NNP 19261 869 3 Principles Principles NNPS 19261 869 4 of of IN 19261 869 5 Position_.--As Position_.--As NNP 19261 869 6 will will MD 19261 869 7 be be VB 19261 869 8 seen see VBN 19261 869 9 in in IN 19261 869 10 Fig Fig NNP 19261 869 11 . . . 19261 870 1 47 47 CD 19261 870 2 the the DT 19261 870 3 trachea trachea NN 19261 870 4 and and CC 19261 870 5 esophagus esophagus NN 19261 870 6 are be VBP 19261 870 7 not not RB 19261 870 8 horizontal horizontal JJ 19261 870 9 in in IN 19261 870 10 the the DT 19261 870 11 thorax thorax NN 19261 870 12 , , , 19261 870 13 but but CC 19261 870 14 their -PRON- PRP$ 19261 870 15 long long JJ 19261 870 16 axes axis NNS 19261 870 17 follow follow VBP 19261 870 18 the the DT 19261 870 19 curves curve NNS 19261 870 20 of of IN 19261 870 21 the the DT 19261 870 22 cervical cervical JJ 19261 870 23 and and CC 19261 870 24 dorsal dorsal NN 19261 870 25 spine spine NN 19261 870 26 . . . 19261 871 1 Therefore therefore RB 19261 871 2 , , , 19261 871 3 if if IN 19261 871 4 we -PRON- PRP 19261 871 5 are be VBP 19261 871 6 to to TO 19261 871 7 bring bring VB 19261 871 8 the the DT 19261 871 9 buccal buccal JJ 19261 871 10 cavity cavity NN 19261 871 11 and and CC 19261 871 12 pharynx pharynx NN 19261 871 13 in in IN 19261 871 14 a a DT 19261 871 15 straight straight JJ 19261 871 16 line line NN 19261 871 17 with with IN 19261 871 18 the the DT 19261 871 19 trachea trachea NN 19261 871 20 and and CC 19261 871 21 esophagus esophagus FW 19261 871 22 it -PRON- PRP 19261 871 23 will will MD 19261 871 24 be be VB 19261 871 25 found find VBN 19261 871 26 necessary necessary JJ 19261 871 27 to to TO 19261 871 28 elevate elevate VB 19261 871 29 the the DT 19261 871 30 whole whole JJ 19261 871 31 head head NN 19261 871 32 above above IN 19261 871 33 the the DT 19261 871 34 plane plane NN 19261 871 35 of of IN 19261 871 36 the the DT 19261 871 37 table table NN 19261 871 38 , , , 19261 871 39 and and CC 19261 871 40 at at IN 19261 871 41 the the DT 19261 871 42 same same JJ 19261 871 43 time time NN 19261 871 44 make make VB 19261 871 45 extension extension NN 19261 871 46 at at IN 19261 871 47 the the DT 19261 871 48 occipito occipito NNP 19261 871 49 - - HYPH 19261 871 50 atloid atloid NNP 19261 871 51 joint joint NN 19261 871 52 . . . 19261 872 1 By by IN 19261 872 2 this this DT 19261 872 3 maneuver maneuver NN 19261 872 4 the the DT 19261 872 5 cervical cervical JJ 19261 872 6 spine spine NN 19261 872 7 is be VBZ 19261 872 8 brought bring VBN 19261 872 9 in in IN 19261 872 10 line line NN 19261 872 11 with with IN 19261 872 12 the the DT 19261 872 13 upper upper JJ 19261 872 14 portion portion NN 19261 872 15 of of IN 19261 872 16 the the DT 19261 872 17 dorsal dorsal NN 19261 872 18 spine spine NN 19261 872 19 as as IN 19261 872 20 shown show VBN 19261 872 21 in in IN 19261 872 22 Fig Fig NNP 19261 872 23 . . . 19261 873 1 55 55 CD 19261 873 2 . . . 19261 874 1 It -PRON- PRP 19261 874 2 was be VBD 19261 874 3 formerly formerly RB 19261 874 4 taught teach VBN 19261 874 5 , , , 19261 874 6 and and CC 19261 874 7 often often RB 19261 874 8 in in IN 19261 874 9 spite spite NN 19261 874 10 of of IN 19261 874 11 my -PRON- PRP$ 19261 874 12 better well JJR 19261 874 13 knowledge knowledge NN 19261 874 14 I -PRON- PRP 19261 874 15 am be VBP 19261 874 16 still still RB 19261 874 17 unconsciously unconsciously RB 19261 874 18 prone prone JJ 19261 874 19 to to TO 19261 874 20 allow allow VB 19261 874 21 the the DT 19261 874 22 head head NN 19261 874 23 and and CC 19261 874 24 cervical cervical JJ 19261 874 25 spine spine NN 19261 874 26 to to TO 19261 874 27 assume assume VB 19261 874 28 a a DT 19261 874 29 lower low JJR 19261 874 30 position position NN 19261 874 31 than than IN 19261 874 32 the the DT 19261 874 33 plane plane NN 19261 874 34 of of IN 19261 874 35 the the DT 19261 874 36 table table NN 19261 874 37 , , , 19261 874 38 the the DT 19261 874 39 so so RB 19261 874 40 - - HYPH 19261 874 41 called call VBN 19261 874 42 Rose Rose NNP 19261 874 43 position position NN 19261 874 44 . . . 19261 875 1 With with IN 19261 875 2 the the DT 19261 875 3 head head NN 19261 875 4 so so RB 19261 875 5 placed place VBN 19261 875 6 , , , 19261 875 7 it -PRON- PRP 19261 875 8 is be VBZ 19261 875 9 impossible impossible JJ 19261 875 10 to to TO 19261 875 11 enter enter VB 19261 875 12 the the DT 19261 875 13 lower low JJR 19261 875 14 air air NN 19261 875 15 or or CC 19261 875 16 food food NN 19261 875 17 passages passage NNS 19261 875 18 with with IN 19261 875 19 a a DT 19261 875 20 rigid rigid JJ 19261 875 21 tube tube NN 19261 875 22 , , , 19261 875 23 as as IN 19261 875 24 will will MD 19261 875 25 be be VB 19261 875 26 shown show VBN 19261 875 27 by by IN 19261 875 28 a a DT 19261 875 29 study study NN 19261 875 30 of of IN 19261 875 31 the the DT 19261 875 32 radiograph radiograph NN 19261 875 33 shown show VBN 19261 875 34 in in IN 19261 875 35 Fig Fig NNP 19261 875 36 . . . 19261 876 1 49 49 CD 19261 876 2 . . . 19261 877 1 Extension extension NN 19261 877 2 of of IN 19261 877 3 the the DT 19261 877 4 head head NN 19261 877 5 on on IN 19261 877 6 the the DT 19261 877 7 occipito occipito NNP 19261 877 8 - - HYPH 19261 877 9 atloid atloid NNP 19261 877 10 joint joint NN 19261 877 11 is be VBZ 19261 877 12 for for IN 19261 877 13 the the DT 19261 877 14 purpose purpose NN 19261 877 15 of of IN 19261 877 16 freeing free VBG 19261 877 17 the the DT 19261 877 18 tube tube NN 19261 877 19 from from IN 19261 877 20 the the DT 19261 877 21 teeth tooth NNS 19261 877 22 , , , 19261 877 23 and and CC 19261 877 24 the the DT 19261 877 25 amount amount NN 19261 877 26 required require VBN 19261 877 27 will will MD 19261 877 28 vary vary VB 19261 877 29 with with IN 19261 877 30 the the DT 19261 877 31 degree degree NN 19261 877 32 to to TO 19261 877 33 which which WDT 19261 877 34 the the DT 19261 877 35 mouth mouth NN 19261 877 36 can can MD 19261 877 37 be be VB 19261 877 38 opened open VBN 19261 877 39 . . . 19261 878 1 Whether whether IN 19261 878 2 the the DT 19261 878 3 head head NN 19261 878 4 be be VB 19261 878 5 extended extend VBN 19261 878 6 , , , 19261 878 7 flexed flex VBN 19261 878 8 , , , 19261 878 9 or or CC 19261 878 10 kept keep VBD 19261 878 11 mid mid NN 19261 878 12 - - NN 19261 878 13 way way NN 19261 878 14 , , , 19261 878 15 the the DT 19261 878 16 fundamental fundamental JJ 19261 878 17 principle principle NN 19261 878 18 in in IN 19261 878 19 the the DT 19261 878 20 introduction introduction NN 19261 878 21 of of IN 19261 878 22 all all DT 19261 878 23 endoscopic endoscopic JJ 19261 878 24 tubes tube NNS 19261 878 25 is be VBZ 19261 878 26 the the DT 19261 878 27 anterior anterior NN 19261 878 28 placing place VBG 19261 878 29 of of IN 19261 878 30 the the DT 19261 878 31 cervical cervical JJ 19261 878 32 spine spine NN 19261 878 33 and and CC 19261 878 34 the the DT 19261 878 35 high high JJ 19261 878 36 elevation elevation NN 19261 878 37 of of IN 19261 878 38 the the DT 19261 878 39 head head NN 19261 878 40 . . . 19261 879 1 The the DT 19261 879 2 esophagus esophagus NN 19261 879 3 , , , 19261 879 4 just just RB 19261 879 5 behind behind IN 19261 879 6 the the DT 19261 879 7 heart heart NN 19261 879 8 , , , 19261 879 9 turns turn VBZ 19261 879 10 ventrally ventrally RB 19261 879 11 and and CC 19261 879 12 to to IN 19261 879 13 the the DT 19261 879 14 left left NN 19261 879 15 . . . 19261 880 1 In in IN 19261 880 2 order order NN 19261 880 3 to to TO 19261 880 4 pass pass VB 19261 880 5 a a DT 19261 880 6 rigid rigid JJ 19261 880 7 tube tube NN 19261 880 8 through through IN 19261 880 9 this this DT 19261 880 10 ventral ventral JJ 19261 880 11 curve curve NN 19261 880 12 the the DT 19261 880 13 dorsal dorsal NN 19261 880 14 spine spine NN 19261 880 15 is be VBZ 19261 880 16 now now RB 19261 880 17 extended extend VBN 19261 880 18 by by IN 19261 880 19 lowering lower VBG 19261 880 20 the the DT 19261 880 21 head head NN 19261 880 22 and and CC 19261 880 23 shoulders shoulder NNS 19261 880 24 below below IN 19261 880 25 the the DT 19261 880 26 plane plane NN 19261 880 27 of of IN 19261 880 28 the the DT 19261 880 29 table table NN 19261 880 30 . . . 19261 881 1 This this DT 19261 881 2 will will MD 19261 881 3 be be VB 19261 881 4 further further RB 19261 881 5 explained explain VBN 19261 881 6 in in IN 19261 881 7 the the DT 19261 881 8 chapter chapter NN 19261 881 9 on on IN 19261 881 10 esophagoscopy esophagoscopy NNP 19261 881 11 . . . 19261 882 1 In in IN 19261 882 2 all all DT 19261 882 3 of of IN 19261 882 4 these these DT 19261 882 5 procedures procedure NNS 19261 882 6 , , , 19261 882 7 the the DT 19261 882 8 nose nose NN 19261 882 9 of of IN 19261 882 10 the the DT 19261 882 11 patient patient NN 19261 882 12 should should MD 19261 882 13 be be VB 19261 882 14 directed direct VBN 19261 882 15 toward toward IN 19261 882 16 the the DT 19261 882 17 zenith zenith NN 19261 882 18 , , , 19261 882 19 and and CC 19261 882 20 the the DT 19261 882 21 assistant assistant NN 19261 882 22 should should MD 19261 882 23 _ _ NNP 19261 882 24 prevent prevent VB 19261 882 25 rotation rotation NN 19261 882 26 of of IN 19261 882 27 the the DT 19261 882 28 head head NN 19261 882 29 _ _ NNP 19261 882 30 as as RB 19261 882 31 well well RB 19261 882 32 as as IN 19261 882 33 _ _ NNP 19261 882 34 prevent prevent NN 19261 882 35 lowering lowering NN 19261 882 36 of of IN 19261 882 37 the the DT 19261 882 38 head head NN 19261 882 39 _ _ NNP 19261 882 40 . . . 19261 883 1 The the DT 19261 883 2 patient patient NN 19261 883 3 should should MD 19261 883 4 be be VB 19261 883 5 urged urge VBN 19261 883 6 as as IN 19261 883 7 follows follow VBZ 19261 883 8 : : : 19261 883 9 " " `` 19261 883 10 Do do VB 19261 883 11 n't not RB 19261 883 12 hold hold VB 19261 883 13 yourself -PRON- PRP 19261 883 14 so so RB 19261 883 15 rigid rigid JJ 19261 883 16 . . . 19261 883 17 " " '' 19261 884 1 " " `` 19261 884 2 Let let VB 19261 884 3 your -PRON- PRP$ 19261 884 4 head head NN 19261 884 5 and and CC 19261 884 6 neck neck NN 19261 884 7 go go VB 19261 884 8 loose loose JJ 19261 884 9 . . . 19261 884 10 " " '' 19261 885 1 " " `` 19261 885 2 Let let VB 19261 885 3 your -PRON- PRP$ 19261 885 4 head head NN 19261 885 5 rest rest VB 19261 885 6 in in IN 19261 885 7 my -PRON- PRP$ 19261 885 8 hand hand NN 19261 885 9 . . . 19261 885 10 " " '' 19261 886 1 " " `` 19261 886 2 Do do VB 19261 886 3 n't not RB 19261 886 4 try try VB 19261 886 5 to to TO 19261 886 6 hold hold VB 19261 886 7 it -PRON- PRP 19261 886 8 . . . 19261 886 9 " " '' 19261 887 1 " " `` 19261 887 2 Let let VB 19261 887 3 me -PRON- PRP 19261 887 4 hold hold VB 19261 887 5 it -PRON- PRP 19261 887 6 . . . 19261 887 7 " " '' 19261 888 1 " " `` 19261 888 2 Relax relax VB 19261 888 3 . . . 19261 888 4 " " '' 19261 889 1 " " `` 19261 889 2 Do do VBP 19261 889 3 n't not RB 19261 889 4 raise raise VB 19261 889 5 your -PRON- PRP$ 19261 889 6 chest chest NN 19261 889 7 . . . 19261 889 8 " " '' 19261 890 1 [ [ -LRB- 19261 890 2 FIG FIG NNP 19261 890 3 . . . 19261 891 1 47.--Schematic 47.--schematic CD 19261 891 2 illustration illustration NN 19261 891 3 of of IN 19261 891 4 normal normal JJ 19261 891 5 position position NN 19261 891 6 of of IN 19261 891 7 the the DT 19261 891 8 intra intra JJ 19261 891 9 - - JJ 19261 891 10 thoracic thoracic JJ 19261 891 11 trachea trachea NNP 19261 891 12 and and CC 19261 891 13 esophagus esophagus NNP 19261 891 14 and and CC 19261 891 15 also also RB 19261 891 16 of of IN 19261 891 17 the the DT 19261 891 18 entire entire JJ 19261 891 19 trachea trachea NN 19261 891 20 when when WRB 19261 891 21 the the DT 19261 891 22 patient patient NN 19261 891 23 is be VBZ 19261 891 24 in in IN 19261 891 25 the the DT 19261 891 26 correct correct JJ 19261 891 27 position position NN 19261 891 28 for for IN 19261 891 29 peroral peroral JJ 19261 891 30 bronchoscopy bronchoscopy NN 19261 891 31 . . . 19261 892 1 When when WRB 19261 892 2 the the DT 19261 892 3 head head NN 19261 892 4 is be VBZ 19261 892 5 thrown throw VBN 19261 892 6 backward backward RB 19261 892 7 ( ( -LRB- 19261 892 8 as as IN 19261 892 9 in in IN 19261 892 10 the the DT 19261 892 11 Rose Rose NNP 19261 892 12 position position NN 19261 892 13 ) ) -RRB- 19261 892 14 the the DT 19261 892 15 anterior anterior JJ 19261 892 16 convexity convexity NN 19261 892 17 of of IN 19261 892 18 the the DT 19261 892 19 cervical cervical JJ 19261 892 20 spine spine NN 19261 892 21 is be VBZ 19261 892 22 transmitted transmit VBN 19261 892 23 to to IN 19261 892 24 the the DT 19261 892 25 trachea trachea NN 19261 892 26 and and CC 19261 892 27 esophagus esophagus NNP 19261 892 28 and and CC 19261 892 29 their -PRON- PRP$ 19261 892 30 axes axis NNS 19261 892 31 deviated deviate VBN 19261 892 32 . . . 19261 893 1 The the DT 19261 893 2 anterior anterior JJ 19261 893 3 deviation deviation NN 19261 893 4 of of IN 19261 893 5 the the DT 19261 893 6 lower low JJR 19261 893 7 third third JJ 19261 893 8 of of IN 19261 893 9 the the DT 19261 893 10 esophagus esophagus NN 19261 893 11 shows show VBZ 19261 893 12 the the DT 19261 893 13 anatomical anatomical JJ 19261 893 14 basis basis NN 19261 893 15 for for IN 19261 893 16 the the DT 19261 893 17 " " `` 19261 893 18 high high JJ 19261 893 19 low low JJ 19261 893 20 " " '' 19261 893 21 position position NN 19261 893 22 for for IN 19261 893 23 esophagoscopy esophagoscopy NN 19261 893 24 ] ] -RRB- 19261 893 25 [ [ -LRB- 19261 893 26 FIG FIG NNP 19261 893 27 . . . 19261 894 1 48.--Correct 48.--correct CD 19261 894 2 position position NN 19261 894 3 of of IN 19261 894 4 the the DT 19261 894 5 cervical cervical JJ 19261 894 6 spine spine NN 19261 894 7 for for IN 19261 894 8 esophagoscopy esophagoscopy NN 19261 894 9 and and CC 19261 894 10 bronchoscopy bronchoscopy NN 19261 894 11 . . . 19261 895 1 ( ( -LRB- 19261 895 2 _ _ NNP 19261 895 3 Illustration Illustration NNP 19261 895 4 reproduced reproduce VBN 19261 895 5 from from IN 19261 895 6 author author NN 19261 895 7 's 's POS 19261 895 8 article article NN 19261 895 9 Jour Jour NNP 19261 895 10 . . . 19261 896 1 Am Am NNP 19261 896 2 . . . 19261 897 1 Med Med NNP 19261 897 2 . . . 19261 898 1 Assoc Assoc NNP 19261 898 2 . . . 19261 898 3 , , , 19261 898 4 Sept. September NNP 19261 898 5 25 25 CD 19261 898 6 , , , 19261 898 7 1909 1909 CD 19261 898 8 _ _ NNP 19261 898 9 ) ) -RRB- 19261 898 10 ] ] -RRB- 19261 898 11 [ [ -LRB- 19261 898 12 FIG FIG NNP 19261 898 13 . . . 19261 899 1 49.--Curved 49.--curved CD 19261 899 2 position position NN 19261 899 3 of of IN 19261 899 4 the the DT 19261 899 5 cervical cervical JJ 19261 899 6 spine spine NN 19261 899 7 , , , 19261 899 8 with with IN 19261 899 9 anterior anterior JJ 19261 899 10 convexity convexity NN 19261 899 11 , , , 19261 899 12 in in IN 19261 899 13 the the DT 19261 899 14 Rose Rose NNP 19261 899 15 position position NN 19261 899 16 , , , 19261 899 17 rendering render VBG 19261 899 18 esophagoscopy esophagoscopy JJ 19261 899 19 and and CC 19261 899 20 bronchoscopy bronchoscopy VB 19261 899 21 difficult difficult JJ 19261 899 22 or or CC 19261 899 23 impossible impossible JJ 19261 899 24 . . . 19261 900 1 The the DT 19261 900 2 devious devious JJ 19261 900 3 course course NN 19261 900 4 of of IN 19261 900 5 the the DT 19261 900 6 pharynx pharynx NN 19261 900 7 , , , 19261 900 8 larynx larynx NNP 19261 900 9 and and CC 19261 900 10 trachea trachea NNP 19261 900 11 are be VBP 19261 900 12 plainly plainly RB 19261 900 13 visible visible JJ 19261 900 14 . . . 19261 901 1 The the DT 19261 901 2 extension extension NN 19261 901 3 is be VBZ 19261 901 4 incorrectly incorrectly RB 19261 901 5 imparted impart VBN 19261 901 6 to to IN 19261 901 7 the the DT 19261 901 8 whole whole JJ 19261 901 9 cervical cervical JJ 19261 901 10 spine spine NN 19261 901 11 instead instead RB 19261 901 12 of of IN 19261 901 13 only only RB 19261 901 14 to to IN 19261 901 15 the the DT 19261 901 16 occipito occipito NNP 19261 901 17 - - HYPH 19261 901 18 atloid atloid NNP 19261 901 19 joint joint NN 19261 901 20 . . . 19261 902 1 This this DT 19261 902 2 is be VBZ 19261 902 3 the the DT 19261 902 4 usual usual JJ 19261 902 5 and and CC 19261 902 6 very very RB 19261 902 7 faulty faulty JJ 19261 902 8 conception conception NN 19261 902 9 of of IN 19261 902 10 the the DT 19261 902 11 extended extended JJ 19261 902 12 position position NN 19261 902 13 . . . 19261 903 1 ( ( -LRB- 19261 903 2 _ _ NNP 19261 903 3 Illustration Illustration NNP 19261 903 4 reproduced reproduce VBN 19261 903 5 from from IN 19261 903 6 author author NN 19261 903 7 's 's POS 19261 903 8 article article NN 19261 903 9 , , , 19261 903 10 Jour Jour NNP 19261 903 11 . . . 19261 904 1 Am Am NNP 19261 904 2 . . . 19261 905 1 Med Med NNP 19261 905 2 . . . 19261 906 1 Assoc Assoc NNP 19261 906 2 . . . 19261 906 3 , , , 19261 906 4 Sept. September NNP 19261 906 5 25 25 CD 19261 906 6 , , , 19261 906 7 1909 1909 CD 19261 906 8 . . . 19261 906 9 _ _ NNP 19261 906 10 ) ) -RRB- 19261 906 11 ] ] -RRB- 19261 906 12 [ [ -LRB- 19261 906 13 76 76 CD 19261 906 14 ] ] -RRB- 19261 906 15 For for IN 19261 906 16 _ _ NNP 19261 906 17 direct direct JJ 19261 906 18 laryngoscopy laryngoscopy NN 19261 906 19 _ _ NNP 19261 906 20 the the DT 19261 906 21 patient patient NN 19261 906 22 's 's POS 19261 906 23 head head NN 19261 906 24 is be VBZ 19261 906 25 raised raise VBN 19261 906 26 above above IN 19261 906 27 the the DT 19261 906 28 plane plane NN 19261 906 29 of of IN 19261 906 30 the the DT 19261 906 31 table table NN 19261 906 32 by by IN 19261 906 33 the the DT 19261 906 34 first first JJ 19261 906 35 assistant assistant NN 19261 906 36 , , , 19261 906 37 who who WP 19261 906 38 stands stand VBZ 19261 906 39 to to IN 19261 906 40 the the DT 19261 906 41 right right NN 19261 906 42 of of IN 19261 906 43 the the DT 19261 906 44 patient patient NN 19261 906 45 , , , 19261 906 46 holding hold VBG 19261 906 47 the the DT 19261 906 48 bite bite NN 19261 906 49 block block NN 19261 906 50 on on IN 19261 906 51 his -PRON- PRP$ 19261 906 52 right right JJ 19261 906 53 thumb thumb NN 19261 906 54 inserted insert VBN 19261 906 55 in in IN 19261 906 56 the the DT 19261 906 57 left left JJ 19261 906 58 corner corner NN 19261 906 59 of of IN 19261 906 60 the the DT 19261 906 61 patient patient NN 19261 906 62 's 's POS 19261 906 63 mouth mouth NN 19261 906 64 , , , 19261 906 65 while while IN 19261 906 66 his -PRON- PRP$ 19261 906 67 extended extended JJ 19261 906 68 right right JJ 19261 906 69 hand hand NN 19261 906 70 lies lie VBZ 19261 906 71 along along IN 19261 906 72 the the DT 19261 906 73 left left JJ 19261 906 74 side side NN 19261 906 75 of of IN 19261 906 76 the the DT 19261 906 77 patient patient NN 19261 906 78 's 's POS 19261 906 79 cheek cheek NN 19261 906 80 and and CC 19261 906 81 head head NN 19261 906 82 , , , 19261 906 83 and and CC 19261 906 84 prevents prevent VBZ 19261 906 85 rotation rotation NN 19261 906 86 . . . 19261 907 1 His -PRON- PRP$ 19261 907 2 left left JJ 19261 907 3 hand hand NN 19261 907 4 , , , 19261 907 5 placed place VBN 19261 907 6 under under IN 19261 907 7 the the DT 19261 907 8 patient patient NN 19261 907 9 's 's POS 19261 907 10 occiput occiput NN 19261 907 11 , , , 19261 907 12 elevates elevate VBZ 19261 907 13 the the DT 19261 907 14 head head NN 19261 907 15 and and CC 19261 907 16 maintains maintain VBZ 19261 907 17 the the DT 19261 907 18 desired desire VBN 19261 907 19 degree degree NN 19261 907 20 of of IN 19261 907 21 extension extension NN 19261 907 22 at at IN 19261 907 23 the the DT 19261 907 24 occipito occipito NNP 19261 907 25 - - HYPH 19261 907 26 atloid atloid NNP 19261 907 27 joint joint NN 19261 907 28 ( ( -LRB- 19261 907 29 Fig fig NN 19261 907 30 . . . 19261 908 1 50 50 CD 19261 908 2 ) ) -RRB- 19261 908 3 . . . 19261 909 1 [ [ -LRB- 19261 909 2 FIG FIG NNP 19261 909 3 50.--Direct 50.--direct CD 19261 909 4 laryngoscopy laryngoscopy NN 19261 909 5 , , , 19261 909 6 recumbent recumbent JJ 19261 909 7 patient patient NN 19261 909 8 . . . 19261 910 1 The the DT 19261 910 2 second second JJ 19261 910 3 assistant assistant NN 19261 910 4 is be VBZ 19261 910 5 sitting sit VBG 19261 910 6 holding hold VBG 19261 910 7 the the DT 19261 910 8 head head NN 19261 910 9 in in IN 19261 910 10 the the DT 19261 910 11 Boyce Boyce NNP 19261 910 12 position position NN 19261 910 13 , , , 19261 910 14 his -PRON- PRP$ 19261 910 15 left left JJ 19261 910 16 forearm forearm NN 19261 910 17 on on IN 19261 910 18 his -PRON- PRP$ 19261 910 19 left left JJ 19261 910 20 thigh thigh NN 19261 910 21 his -PRON- PRP$ 19261 910 22 left left JJ 19261 910 23 foot foot NN 19261 910 24 on on IN 19261 910 25 a a DT 19261 910 26 stool stool NN 19261 910 27 whose whose WP$ 19261 910 28 top top NN 19261 910 29 is be VBZ 19261 910 30 65 65 CD 19261 910 31 cm cm NNS 19261 910 32 . . . 19261 911 1 lower low JJR 19261 911 2 than than IN 19261 911 3 the the DT 19261 911 4 table table NN 19261 911 5 - - HYPH 19261 911 6 top top NN 19261 911 7 . . . 19261 912 1 His -PRON- PRP$ 19261 912 2 left left JJ 19261 912 3 hand hand NN 19261 912 4 is be VBZ 19261 912 5 on on IN 19261 912 6 the the DT 19261 912 7 patient patient NN 19261 912 8 's 's POS 19261 912 9 sterile sterile RB 19261 912 10 - - HYPH 19261 912 11 covered cover VBN 19261 912 12 scalp scalp NN 19261 912 13 , , , 19261 912 14 the the DT 19261 912 15 thumb thumb NN 19261 912 16 on on IN 19261 912 17 the the DT 19261 912 18 forehead forehead NN 19261 912 19 , , , 19261 912 20 the the DT 19261 912 21 fingers finger NNS 19261 912 22 under under IN 19261 912 23 the the DT 19261 912 24 occiput occiput NN 19261 912 25 , , , 19261 912 26 making make VBG 19261 912 27 forced force VBN 19261 912 28 extension extension NN 19261 912 29 . . . 19261 913 1 The the DT 19261 913 2 right right JJ 19261 913 3 forearm forearm NN 19261 913 4 passes pass VBZ 19261 913 5 under under IN 19261 913 6 the the DT 19261 913 7 neck neck NN 19261 913 8 of of IN 19261 913 9 the the DT 19261 913 10 patient patient NN 19261 913 11 , , , 19261 913 12 so so IN 19261 913 13 that that IN 19261 913 14 the the DT 19261 913 15 index index NN 19261 913 16 finger finger NN 19261 913 17 of of IN 19261 913 18 the the DT 19261 913 19 right right JJ 19261 913 20 hand hand NN 19261 913 21 holds hold VBZ 19261 913 22 the the DT 19261 913 23 bite bite NN 19261 913 24 - - HYPH 19261 913 25 block block NN 19261 913 26 in in IN 19261 913 27 the the DT 19261 913 28 left left JJ 19261 913 29 corner corner NN 19261 913 30 of of IN 19261 913 31 the the DT 19261 913 32 patient patient NN 19261 913 33 's 's POS 19261 913 34 mouth mouth NN 19261 913 35 . . . 19261 914 1 The the DT 19261 914 2 fingers finger NNS 19261 914 3 of of IN 19261 914 4 the the DT 19261 914 5 operator operator NN 19261 914 6 's 's POS 19261 914 7 right right JJ 19261 914 8 hand hand NN 19261 914 9 pulls pull VBZ 19261 914 10 the the DT 19261 914 11 upper upper JJ 19261 914 12 lip lip NN 19261 914 13 out out IN 19261 914 14 of of IN 19261 914 15 all all DT 19261 914 16 danger danger NN 19261 914 17 of of IN 19261 914 18 getting get VBG 19261 914 19 pinched pinch VBN 19261 914 20 between between IN 19261 914 21 the the DT 19261 914 22 teeth tooth NNS 19261 914 23 and and CC 19261 914 24 the the DT 19261 914 25 laryngoscope laryngoscope NN 19261 914 26 . . . 19261 915 1 This this DT 19261 915 2 is be VBZ 19261 915 3 a a DT 19261 915 4 precaution precaution NN 19261 915 5 of of IN 19261 915 6 the the DT 19261 915 7 utmost utmost JJ 19261 915 8 importance importance NN 19261 915 9 and and CC 19261 915 10 the the DT 19261 915 11 trained train VBN 19261 915 12 habit habit NN 19261 915 13 of of IN 19261 915 14 doing do VBG 19261 915 15 it -PRON- PRP 19261 915 16 must must MD 19261 915 17 be be VB 19261 915 18 developed develop VBN 19261 915 19 by by IN 19261 915 20 the the DT 19261 915 21 peroral peroral JJ 19261 915 22 endoscopist endoscopist NN 19261 915 23 . . . 19261 915 24 ] ] -RRB- 19261 916 1 _ _ NNP 19261 916 2 Position Position NNP 19261 916 3 for for IN 19261 916 4 Bronchoscopy Bronchoscopy NNP 19261 916 5 and and CC 19261 916 6 Esophagoscopy_.--The Esophagoscopy_.--The NFP 19261 916 7 dorsally dorsally RB 19261 916 8 recumbent recumbent JJ 19261 916 9 patient patient NN 19261 916 10 is be VBZ 19261 916 11 so so RB 19261 916 12 placed place VBN 19261 916 13 that that IN 19261 916 14 the the DT 19261 916 15 head head NN 19261 916 16 and and CC 19261 916 17 shoulders shoulder NNS 19261 916 18 extend extend VBP 19261 916 19 beyond beyond IN 19261 916 20 the the DT 19261 916 21 table table NN 19261 916 22 , , , 19261 916 23 the the DT 19261 916 24 edge edge NN 19261 916 25 of of IN 19261 916 26 which which WDT 19261 916 27 supports support VBZ 19261 916 28 the the DT 19261 916 29 thorax thorax NN 19261 916 30 at at IN 19261 916 31 about about IN 19261 916 32 the the DT 19261 916 33 level level NN 19261 916 34 of of IN 19261 916 35 the the DT 19261 916 36 scapulae scapula NNS 19261 916 37 . . . 19261 917 1 During during IN 19261 917 2 introduction introduction NN 19261 917 3 , , , 19261 917 4 the the DT 19261 917 5 head head NN 19261 917 6 must must MD 19261 917 7 be be VB 19261 917 8 maintained maintain VBN 19261 917 9 in in IN 19261 917 10 the the DT 19261 917 11 same same JJ 19261 917 12 relative relative JJ 19261 917 13 position position NN 19261 917 14 to to IN 19261 917 15 the the DT 19261 917 16 table table NN 19261 917 17 as as IN 19261 917 18 that that DT 19261 917 19 described describe VBD 19261 917 20 for for IN 19261 917 21 direct direct JJ 19261 917 22 laryngoscopy laryngoscopy NN 19261 917 23 , , , 19261 917 24 that that RB 19261 917 25 is is RB 19261 917 26 , , , 19261 917 27 elevated elevated JJ 19261 917 28 and and CC 19261 917 29 extended extended JJ 19261 917 30 . . . 19261 918 1 The the DT 19261 918 2 first first JJ 19261 918 3 assistant assistant NN 19261 918 4 , , , 19261 918 5 in in IN 19261 918 6 this this DT 19261 918 7 case case NN 19261 918 8 , , , 19261 918 9 sits sit VBZ 19261 918 10 on on IN 19261 918 11 a a DT 19261 918 12 stool stool NN 19261 918 13 to to IN 19261 918 14 the the DT 19261 918 15 right right NN 19261 918 16 of of IN 19261 918 17 the the DT 19261 918 18 patient patient NN 19261 918 19 's 's POS 19261 918 20 head head NN 19261 918 21 , , , 19261 918 22 his -PRON- PRP$ 19261 918 23 left left JJ 19261 918 24 foot foot NN 19261 918 25 resting rest VBG 19261 918 26 on on IN 19261 918 27 a a DT 19261 918 28 box box NN 19261 918 29 about about RB 19261 918 30 14 14 CD 19261 918 31 inches inch NNS 19261 918 32 in in IN 19261 918 33 height height NN 19261 918 34 , , , 19261 918 35 the the DT 19261 918 36 left left JJ 19261 918 37 knee knee NN 19261 918 38 supporting support VBG 19261 918 39 the the DT 19261 918 40 assistant assistant NN 19261 918 41 's 's POS 19261 918 42 left left JJ 19261 918 43 hand hand NN 19261 918 44 , , , 19261 918 45 which which WDT 19261 918 46 being be VBG 19261 918 47 placed place VBN 19261 918 48 under under IN 19261 918 49 the the DT 19261 918 50 occiput occiput NN 19261 918 51 of of IN 19261 918 52 the the DT 19261 918 53 patient patient NN 19261 918 54 maintains maintain NNS 19261 918 55 elevation elevation NN 19261 918 56 and and CC 19261 918 57 extension extension NN 19261 918 58 . . . 19261 919 1 The the DT 19261 919 2 right right JJ 19261 919 3 arm arm NN 19261 919 4 of of IN 19261 919 5 the the DT 19261 919 6 assistant assistant NN 19261 919 7 passes pass VBZ 19261 919 8 under under IN 19261 919 9 the the DT 19261 919 10 neck neck NN 19261 919 11 of of IN 19261 919 12 the the DT 19261 919 13 patient patient NN 19261 919 14 , , , 19261 919 15 the the DT 19261 919 16 bite bite NN 19261 919 17 block block NN 19261 919 18 being be VBG 19261 919 19 carried carry VBN 19261 919 20 on on IN 19261 919 21 the the DT 19261 919 22 middle middle JJ 19261 919 23 finger finger NN 19261 919 24 of of IN 19261 919 25 the the DT 19261 919 26 right right JJ 19261 919 27 hand hand NN 19261 919 28 and and CC 19261 919 29 inserted insert VBD 19261 919 30 into into IN 19261 919 31 the the DT 19261 919 32 left left JJ 19261 919 33 side side NN 19261 919 34 of of IN 19261 919 35 the the DT 19261 919 36 patient patient NN 19261 919 37 's 's POS 19261 919 38 mouth mouth NN 19261 919 39 . . . 19261 920 1 The the DT 19261 920 2 right right JJ 19261 920 3 hand hand NN 19261 920 4 also also RB 19261 920 5 prevents prevent VBZ 19261 920 6 rotation rotation NN 19261 920 7 of of IN 19261 920 8 the the DT 19261 920 9 head head NN 19261 920 10 ( ( -LRB- 19261 920 11 Fig fig NN 19261 920 12 . . . 19261 921 1 51 51 CD 19261 921 2 ) ) -RRB- 19261 921 3 . . . 19261 922 1 As as IN 19261 922 2 the the DT 19261 922 3 bronchoscope bronchoscope NN 19261 922 4 or or CC 19261 922 5 esophagoscope esophagoscope NN 19261 922 6 is be VBZ 19261 922 7 further far RBR 19261 922 8 inserted insert VBN 19261 922 9 , , , 19261 922 10 the the DT 19261 922 11 head head NN 19261 922 12 must must MD 19261 922 13 be be VB 19261 922 14 placed place VBN 19261 922 15 so so IN 19261 922 16 that that IN 19261 922 17 the the DT 19261 922 18 tube tube NN 19261 922 19 corresponds correspond VBZ 19261 922 20 to to IN 19261 922 21 the the DT 19261 922 22 axis axi NNS 19261 922 23 of of IN 19261 922 24 the the DT 19261 922 25 lumen luman NNS 19261 922 26 of of IN 19261 922 27 the the DT 19261 922 28 passage passage NN 19261 922 29 to to TO 19261 922 30 be be VB 19261 922 31 examined examine VBN 19261 922 32 . . . 19261 923 1 If if IN 19261 923 2 the the DT 19261 923 3 left left JJ 19261 923 4 bronchus bronchus NN 19261 923 5 is be VBZ 19261 923 6 being be VBG 19261 923 7 explored explore VBN 19261 923 8 , , , 19261 923 9 the the DT 19261 923 10 head head NN 19261 923 11 must must MD 19261 923 12 be be VB 19261 923 13 brought bring VBN 19261 923 14 strongly strongly RB 19261 923 15 to to IN 19261 923 16 the the DT 19261 923 17 right right NN 19261 923 18 . . . 19261 924 1 If if IN 19261 924 2 the the DT 19261 924 3 right right JJ 19261 924 4 middle middle NNP 19261 924 5 lobe lobe NNP 19261 924 6 bronchus bronchus NNP 19261 924 7 is be VBZ 19261 924 8 being be VBG 19261 924 9 searched search VBN 19261 924 10 , , , 19261 924 11 the the DT 19261 924 12 head head NN 19261 924 13 would would MD 19261 924 14 require require VB 19261 924 15 some some DT 19261 924 16 left left JJ 19261 924 17 lateral lateral JJ 19261 924 18 deflection deflection NN 19261 924 19 and and CC 19261 924 20 a a DT 19261 924 21 considerable considerable JJ 19261 924 22 degree degree NN 19261 924 23 of of IN 19261 924 24 lowering lowering NN 19261 924 25 , , , 19261 924 26 for for IN 19261 924 27 this this DT 19261 924 28 bronchus bronchus NN 19261 924 29 , , , 19261 924 30 as as IN 19261 924 31 before before IN 19261 924 32 mentioned mention VBN 19261 924 33 , , , 19261 924 34 extends extend VBZ 19261 924 35 anteriorly anteriorly RB 19261 924 36 . . . 19261 925 1 During during IN 19261 925 2 esophagoscopy esophagoscopy RB 19261 925 3 when when WRB 19261 925 4 the the DT 19261 925 5 level level NN 19261 925 6 of of IN 19261 925 7 the the DT 19261 925 8 heart heart NN 19261 925 9 is be VBZ 19261 925 10 reached reach VBN 19261 925 11 , , , 19261 925 12 the the DT 19261 925 13 head head NN 19261 925 14 and and CC 19261 925 15 upper upper JJ 19261 925 16 thorax thorax NN 19261 925 17 must must MD 19261 925 18 be be VB 19261 925 19 strongly strongly RB 19261 925 20 depressed depressed JJ 19261 925 21 below below IN 19261 925 22 the the DT 19261 925 23 plane plane NN 19261 925 24 of of IN 19261 925 25 the the DT 19261 925 26 table table NN 19261 925 27 in in IN 19261 925 28 order order NN 19261 925 29 to to TO 19261 925 30 follow follow VB 19261 925 31 the the DT 19261 925 32 axis axi NNS 19261 925 33 of of IN 19261 925 34 the the DT 19261 925 35 lumen luman NNS 19261 925 36 of of IN 19261 925 37 the the DT 19261 925 38 ventrally ventrally RB 19261 925 39 turning turn VBG 19261 925 40 esophagus esophagus NN 19261 925 41 ; ; : 19261 925 42 at at IN 19261 925 43 the the DT 19261 925 44 same same JJ 19261 925 45 time time NN 19261 925 46 the the DT 19261 925 47 head head NN 19261 925 48 must must MD 19261 925 49 be be VB 19261 925 50 brought bring VBN 19261 925 51 somewhat somewhat RB 19261 925 52 to to IN 19261 925 53 the the DT 19261 925 54 right right NN 19261 925 55 , , , 19261 925 56 since since IN 19261 925 57 the the DT 19261 925 58 esophagus esophagus NN 19261 925 59 in in IN 19261 925 60 this this DT 19261 925 61 region region NN 19261 925 62 deviates deviate VBZ 19261 925 63 strongly strongly RB 19261 925 64 to to IN 19261 925 65 the the DT 19261 925 66 left left NN 19261 925 67 . . . 19261 926 1 [ [ -LRB- 19261 926 2 FIG FIG NNP 19261 926 3 . . . 19261 927 1 51.--Position 51.--position CD 19261 927 2 of of IN 19261 927 3 patient patient NN 19261 927 4 and and CC 19261 927 5 assistant assistant NN 19261 927 6 for for IN 19261 927 7 introduction introduction NN 19261 927 8 of of IN 19261 927 9 the the DT 19261 927 10 bronchoscope bronchoscope NN 19261 927 11 and and CC 19261 927 12 esophagoscope esophagoscope NN 19261 927 13 . . . 19261 928 1 The the DT 19261 928 2 middle middle NN 19261 928 3 of of IN 19261 928 4 the the DT 19261 928 5 scapulae scapula NNS 19261 928 6 rest rest NN 19261 928 7 on on IN 19261 928 8 the the DT 19261 928 9 edge edge NN 19261 928 10 of of IN 19261 928 11 the the DT 19261 928 12 table table NN 19261 928 13 ; ; : 19261 928 14 the the DT 19261 928 15 head head NN 19261 928 16 and and CC 19261 928 17 shoulders shoulder NNS 19261 928 18 , , , 19261 928 19 free free JJ 19261 928 20 to to TO 19261 928 21 move move VB 19261 928 22 , , , 19261 928 23 are be VBP 19261 928 24 supported support VBN 19261 928 25 by by IN 19261 928 26 the the DT 19261 928 27 assistant assistant NN 19261 928 28 , , , 19261 928 29 whose whose WP$ 19261 928 30 right right JJ 19261 928 31 arm arm NN 19261 928 32 passes pass VBZ 19261 928 33 under under IN 19261 928 34 the the DT 19261 928 35 neck neck NN 19261 928 36 ; ; : 19261 928 37 the the DT 19261 928 38 right right JJ 19261 928 39 middle middle NNP 19261 928 40 finger finger NN 19261 928 41 inserts insert VBZ 19261 928 42 the the DT 19261 928 43 bite bite NN 19261 928 44 block block NN 19261 928 45 into into IN 19261 928 46 the the DT 19261 928 47 left left JJ 19261 928 48 side side NN 19261 928 49 of of IN 19261 928 50 the the DT 19261 928 51 mouth mouth NN 19261 928 52 . . . 19261 929 1 The the DT 19261 929 2 left left JJ 19261 929 3 hand hand NN 19261 929 4 , , , 19261 929 5 resting rest VBG 19261 929 6 on on IN 19261 929 7 the the DT 19261 929 8 left left JJ 19261 929 9 knee knee NN 19261 929 10 maintains maintain VBZ 19261 929 11 the the DT 19261 929 12 desired desire VBN 19261 929 13 degree degree NN 19261 929 14 of of IN 19261 929 15 elevation elevation NN 19261 929 16 , , , 19261 929 17 extension extension NN 19261 929 18 and and CC 19261 929 19 lateral lateral JJ 19261 929 20 deflection deflection NN 19261 929 21 required require VBN 19261 929 22 by by IN 19261 929 23 the the DT 19261 929 24 operator operator NN 19261 929 25 . . . 19261 930 1 The the DT 19261 930 2 patient patient NN 19261 930 3 's 's POS 19261 930 4 vertex vertex NN 19261 930 5 should should MD 19261 930 6 be be VB 19261 930 7 10 10 CD 19261 930 8 cm cm NNS 19261 930 9 . . . 19261 931 1 higher high JJR 19261 931 2 than than IN 19261 931 3 the the DT 19261 931 4 level level NN 19261 931 5 of of IN 19261 931 6 the the DT 19261 931 7 top top NN 19261 931 8 of of IN 19261 931 9 the the DT 19261 931 10 table table NN 19261 931 11 . . . 19261 932 1 This this DT 19261 932 2 is be VBZ 19261 932 3 the the DT 19261 932 4 Boyce Boyce NNP 19261 932 5 position position NN 19261 932 6 , , , 19261 932 7 which which WDT 19261 932 8 has have VBZ 19261 932 9 never never RB 19261 932 10 been be VBN 19261 932 11 improved improve VBN 19261 932 12 upon upon IN 19261 932 13 for for IN 19261 932 14 bronchoscopy bronchoscopy NN 19261 932 15 and and CC 19261 932 16 esophagoscopy esophagoscopy NN 19261 932 17 . . . 19261 932 18 ] ] -RRB- 19261 933 1 [ [ -LRB- 19261 933 2 FIG FIG NNP 19261 933 3 . . . 19261 934 1 52.--Schema 52.--schema CD 19261 934 2 of of IN 19261 934 3 position position NN 19261 934 4 for for IN 19261 934 5 endoscopy endoscopy NN 19261 934 6 . . . 19261 935 1 A. A. NNP 19261 936 1 Normal normal JJ 19261 936 2 recumbency recumbency NN 19261 936 3 on on IN 19261 936 4 the the DT 19261 936 5 table table NN 19261 936 6 with with IN 19261 936 7 pillow pillow NN 19261 936 8 supporting support VBG 19261 936 9 the the DT 19261 936 10 head head NN 19261 936 11 . . . 19261 937 1 The the DT 19261 937 2 larynx larynx NN 19261 937 3 can can MD 19261 937 4 be be VB 19261 937 5 directly directly RB 19261 937 6 examined examine VBN 19261 937 7 in in IN 19261 937 8 this this DT 19261 937 9 position position NN 19261 937 10 , , , 19261 937 11 but but CC 19261 937 12 a a DT 19261 937 13 better well JJR 19261 937 14 position position NN 19261 937 15 is be VBZ 19261 937 16 obtainable obtainable JJ 19261 937 17 . . . 19261 938 1 B. B. NNP 19261 939 1 Head Head NNP 19261 939 2 is be VBZ 19261 939 3 raised raise VBN 19261 939 4 to to IN 19261 939 5 proper proper JJ 19261 939 6 position position NN 19261 939 7 with with IN 19261 939 8 head head NN 19261 939 9 flexed flex VBN 19261 939 10 . . . 19261 940 1 Muscles muscle NNS 19261 940 2 of of IN 19261 940 3 front front NN 19261 940 4 of of IN 19261 940 5 neck neck NN 19261 940 6 are be VBP 19261 940 7 relaxed relaxed JJ 19261 940 8 and and CC 19261 940 9 exposure exposure NN 19261 940 10 of of IN 19261 940 11 larynx larynx NN 19261 940 12 thus thus RB 19261 940 13 rendered render VBN 19261 940 14 easier easy JJR 19261 940 15 ; ; : 19261 940 16 but but CC 19261 940 17 , , , 19261 940 18 for for IN 19261 940 19 most most JJS 19261 940 20 endoscopic endoscopic JJ 19261 940 21 work work NN 19261 940 22 , , , 19261 940 23 a a DT 19261 940 24 certain certain JJ 19261 940 25 amount amount NN 19261 940 26 of of IN 19261 940 27 extension extension NN 19261 940 28 is be VBZ 19261 940 29 desired desire VBN 19261 940 30 . . . 19261 941 1 The the DT 19261 941 2 elevation elevation NN 19261 941 3 is be VBZ 19261 941 4 the the DT 19261 941 5 important important JJ 19261 941 6 thing thing NN 19261 941 7 . . . 19261 942 1 C. C. NNP 19261 942 2 The the DT 19261 942 3 neck neck NN 19261 942 4 being be VBG 19261 942 5 maintained maintain VBN 19261 942 6 in in IN 19261 942 7 position position NN 19261 942 8 B B NNP 19261 942 9 , , , 19261 942 10 the the DT 19261 942 11 desired desire VBN 19261 942 12 amount amount NN 19261 942 13 of of IN 19261 942 14 extension extension NN 19261 942 15 of of IN 19261 942 16 the the DT 19261 942 17 head head NN 19261 942 18 is be VBZ 19261 942 19 obtained obtain VBN 19261 942 20 by by IN 19261 942 21 a a DT 19261 942 22 movement movement NN 19261 942 23 limited limit VBN 19261 942 24 to to IN 19261 942 25 the the DT 19261 942 26 occipito occipito NNP 19261 942 27 - - HYPH 19261 942 28 atloid atloid JJ 19261 942 29 articulation articulation NN 19261 942 30 by by IN 19261 942 31 the the DT 19261 942 32 assistant assistant NN 19261 942 33 's 's POS 19261 942 34 hand hand NN 19261 942 35 placed place VBN 19261 942 36 as as IN 19261 942 37 shown show VBN 19261 942 38 by by IN 19261 942 39 the the DT 19261 942 40 dart dart NN 19261 942 41 ( ( -LRB- 19261 942 42 B b NN 19261 942 43 ) ) -RRB- 19261 942 44 . . . 19261 943 1 D. D. NNP 19261 943 2 Faulty Faulty NNP 19261 943 3 position position NN 19261 943 4 . . . 19261 944 1 Unless unless IN 19261 944 2 prevented prevent VBN 19261 944 3 , , , 19261 944 4 almost almost RB 19261 944 5 all all DT 19261 944 6 patients patient NNS 19261 944 7 will will MD 19261 944 8 heave heave VB 19261 944 9 up up RP 19261 944 10 the the DT 19261 944 11 chest chest NN 19261 944 12 and and CC 19261 944 13 arch arch VB 19261 944 14 the the DT 19261 944 15 lumbar lumbar NNP 19261 944 16 spine spine NN 19261 944 17 so so IN 19261 944 18 as as IN 19261 944 19 to to TO 19261 944 20 defeat defeat VB 19261 944 21 the the DT 19261 944 22 object object NN 19261 944 23 and and CC 19261 944 24 to to TO 19261 944 25 render render VB 19261 944 26 endoscopy endoscopy VB 19261 944 27 difficult difficult JJ 19261 944 28 by by IN 19261 944 29 bringing bring VBG 19261 944 30 the the DT 19261 944 31 chest chest NN 19261 944 32 up up IN 19261 944 33 to to IN 19261 944 34 the the DT 19261 944 35 high high RB 19261 944 36 - - HYPH 19261 944 37 held hold VBN 19261 944 38 head head NN 19261 944 39 , , , 19261 944 40 thus thus RB 19261 944 41 assuming assume VBG 19261 944 42 the the DT 19261 944 43 same same JJ 19261 944 44 relation relation NN 19261 944 45 of of IN 19261 944 46 the the DT 19261 944 47 head head NN 19261 944 48 to to IN 19261 944 49 the the DT 19261 944 50 chest chest NN 19261 944 51 as as IN 19261 944 52 exists exist VBZ 19261 944 53 in in IN 19261 944 54 the the DT 19261 944 55 Rose Rose NNP 19261 944 56 position position NN 19261 944 57 ( ( -LRB- 19261 944 58 a a DT 19261 944 59 faulty faulty JJ 19261 944 60 one one NN 19261 944 61 for for IN 19261 944 62 endoscopy endoscopy NN 19261 944 63 ) ) -RRB- 19261 944 64 as as IN 19261 944 65 will will MD 19261 944 66 be be VB 19261 944 67 understood understand VBN 19261 944 68 by by IN 19261 944 69 assuming assume VBG 19261 944 70 that that IN 19261 944 71 the the DT 19261 944 72 dotted dotted JJ 19261 944 73 line line NN 19261 944 74 , , , 19261 944 75 E e NN 19261 944 76 , , , 19261 944 77 represents represent VBZ 19261 944 78 the the DT 19261 944 79 table table NN 19261 944 80 . . . 19261 945 1 If if IN 19261 945 2 the the DT 19261 945 3 pelvis pelvi NNS 19261 945 4 be be VBP 19261 945 5 not not RB 19261 945 6 held hold VBN 19261 945 7 down down RP 19261 945 8 to to IN 19261 945 9 the the DT 19261 945 10 table table NN 19261 945 11 the the DT 19261 945 12 patient patient NN 19261 945 13 may may MD 19261 945 14 even even RB 19261 945 15 assume assume VB 19261 945 16 the the DT 19261 945 17 opisthotonous opisthotonous JJ 19261 945 18 position position NN 19261 945 19 by by IN 19261 945 20 supporting support VBG 19261 945 21 his -PRON- PRP$ 19261 945 22 weight weight NN 19261 945 23 on on IN 19261 945 24 his -PRON- PRP$ 19261 945 25 heels heel NNS 19261 945 26 on on IN 19261 945 27 the the DT 19261 945 28 table table NN 19261 945 29 and and CC 19261 945 30 his -PRON- PRP$ 19261 945 31 head head NN 19261 945 32 on on IN 19261 945 33 the the DT 19261 945 34 assistant assistant NN 19261 945 35 's 's POS 19261 945 36 hand hand NN 19261 945 37 . . . 19261 945 38 ] ] -RRB- 19261 946 1 In in IN 19261 946 2 obtaining obtain VBG 19261 946 3 the the DT 19261 946 4 position position NN 19261 946 5 of of IN 19261 946 6 high high JJ 19261 946 7 head head NN 19261 946 8 with with IN 19261 946 9 occipito occipito NNP 19261 946 10 - - HYPH 19261 946 11 atloid atloid NNP 19261 946 12 extension extension NN 19261 946 13 , , , 19261 946 14 the the DT 19261 946 15 easiest easy JJS 19261 946 16 and and CC 19261 946 17 most most RBS 19261 946 18 certain certain JJ 19261 946 19 method method NN 19261 946 20 , , , 19261 946 21 as as IN 19261 946 22 pointed point VBD 19261 946 23 out out RP 19261 946 24 to to IN 19261 946 25 me -PRON- PRP 19261 946 26 by by IN 19261 946 27 my -PRON- PRP$ 19261 946 28 assistant assistant NN 19261 946 29 , , , 19261 946 30 Gabriel Gabriel NNP 19261 946 31 Tucker Tucker NNP 19261 946 32 , , , 19261 946 33 is be VBZ 19261 946 34 first first JJ 19261 946 35 to to TO 19261 946 36 raise raise VB 19261 946 37 the the DT 19261 946 38 head head NN 19261 946 39 , , , 19261 946 40 strongly strongly RB 19261 946 41 flexed flexed JJ 19261 946 42 , , , 19261 946 43 as as IN 19261 946 44 shown show VBN 19261 946 45 in in IN 19261 946 46 Fig Fig NNP 19261 946 47 . . . 19261 947 1 52 52 CD 19261 947 2 ; ; : 19261 947 3 then then RB 19261 947 4 while while IN 19261 947 5 maintaining maintain VBG 19261 947 6 it -PRON- PRP 19261 947 7 there there RB 19261 947 8 , , , 19261 947 9 make make VB 19261 947 10 the the DT 19261 947 11 occipito occipito JJ 19261 947 12 - - HYPH 19261 947 13 atloid atloid NNP 19261 947 14 extension extension NN 19261 947 15 . . . 19261 948 1 This this DT 19261 948 2 has have VBZ 19261 948 3 proven prove VBN 19261 948 4 better well RBR 19261 948 5 than than IN 19261 948 6 to to TO 19261 948 7 elevate elevate VB 19261 948 8 and and CC 19261 948 9 extend extend VB 19261 948 10 in in IN 19261 948 11 a a DT 19261 948 12 combined combined JJ 19261 948 13 simultaneous simultaneous JJ 19261 948 14 movement movement NN 19261 948 15 . . . 19261 949 1 If if IN 19261 949 2 the the DT 19261 949 3 patient patient NN 19261 949 4 would would MD 19261 949 5 relax relax VB 19261 949 6 to to TO 19261 949 7 limpness limpness VB 19261 949 8 exposure exposure NN 19261 949 9 of of IN 19261 949 10 the the DT 19261 949 11 larynx larynx NN 19261 949 12 would would MD 19261 949 13 be be VB 19261 949 14 easily easily RB 19261 949 15 obtained obtain VBN 19261 949 16 , , , 19261 949 17 simply simply RB 19261 949 18 by by IN 19261 949 19 lifting lift VBG 19261 949 20 the the DT 19261 949 21 head head NN 19261 949 22 with with IN 19261 949 23 the the DT 19261 949 24 lip lip NN 19261 949 25 of of IN 19261 949 26 the the DT 19261 949 27 laryngoscope laryngoscope NN 19261 949 28 passed pass VBN 19261 949 29 below below IN 19261 949 30 the the DT 19261 949 31 tip tip NN 19261 949 32 of of IN 19261 949 33 the the DT 19261 949 34 epiglottis epiglottis NN 19261 949 35 ( ( -LRB- 19261 949 36 as as IN 19261 949 37 in in IN 19261 949 38 Fig Fig NNP 19261 949 39 . . . 19261 950 1 55 55 CD 19261 950 2 ) ) -RRB- 19261 950 3 and and CC 19261 950 4 no no DT 19261 950 5 holding holding NN 19261 950 6 of of IN 19261 950 7 the the DT 19261 950 8 head head NN 19261 950 9 would would MD 19261 950 10 be be VB 19261 950 11 necessary necessary JJ 19261 950 12 . . . 19261 951 1 But but CC 19261 951 2 only only RB 19261 951 3 rarely rarely RB 19261 951 4 is be VBZ 19261 951 5 a a DT 19261 951 6 patient patient NN 19261 951 7 found find VBN 19261 951 8 who who WP 19261 951 9 can can MD 19261 951 10 do do VB 19261 951 11 this this DT 19261 951 12 . . . 19261 952 1 This this DT 19261 952 2 degree degree NN 19261 952 3 of of IN 19261 952 4 relaxation relaxation NN 19261 952 5 is be VBZ 19261 952 6 of of IN 19261 952 7 course course NN 19261 952 8 , , , 19261 952 9 present present JJ 19261 952 10 in in IN 19261 952 11 profound profound JJ 19261 952 12 general general JJ 19261 952 13 ether ether NN 19261 952 14 anesthesia anesthesia NNP 19261 952 15 , , , 19261 952 16 which which WDT 19261 952 17 is be VBZ 19261 952 18 not not RB 19261 952 19 to to TO 19261 952 20 be be VB 19261 952 21 thought think VBN 19261 952 22 of of IN 19261 952 23 for for IN 19261 952 24 direct direct JJ 19261 952 25 laryngoscopy laryngoscopy NN 19261 952 26 , , , 19261 952 27 except except IN 19261 952 28 when when WRB 19261 952 29 it -PRON- PRP 19261 952 30 is be VBZ 19261 952 31 used use VBN 19261 952 32 for for IN 19261 952 33 the the DT 19261 952 34 purpose purpose NN 19261 952 35 of of IN 19261 952 36 insertion insertion NN 19261 952 37 of of IN 19261 952 38 intratracheal intratracheal JJ 19261 952 39 insufflation insufflation NN 19261 952 40 anesthetic anesthetic JJ 19261 952 41 tubes tube NNS 19261 952 42 . . . 19261 953 1 For for IN 19261 953 2 this this DT 19261 953 3 , , , 19261 953 4 of of IN 19261 953 5 course course NN 19261 953 6 , , , 19261 953 7 the the DT 19261 953 8 patient patient NN 19261 953 9 is be VBZ 19261 953 10 already already RB 19261 953 11 to to TO 19261 953 12 be be VB 19261 953 13 deeply deeply RB 19261 953 14 anesthetized anesthetize VBN 19261 953 15 . . . 19261 954 1 The the DT 19261 954 2 muscular muscular JJ 19261 954 3 tension tension NN 19261 954 4 exerted exert VBN 19261 954 5 by by IN 19261 954 6 some some DT 19261 954 7 patients patient NNS 19261 954 8 in in IN 19261 954 9 assuming assume VBG 19261 954 10 and and CC 19261 954 11 holding hold VBG 19261 954 12 a a DT 19261 954 13 faulty faulty JJ 19261 954 14 position position NN 19261 954 15 is be VBZ 19261 954 16 almost almost RB 19261 954 17 as as RB 19261 954 18 much much JJ 19261 954 19 of of IN 19261 954 20 a a DT 19261 954 21 hindrance hindrance NN 19261 954 22 to to IN 19261 954 23 peroral peroral NNP 19261 954 24 endoscopy endoscopy VB 19261 954 25 as as IN 19261 954 26 is be VBZ 19261 954 27 the the DT 19261 954 28 position position NN 19261 954 29 itself -PRON- PRP 19261 954 30 . . . 19261 955 1 The the DT 19261 955 2 tendency tendency NN 19261 955 3 of of IN 19261 955 4 the the DT 19261 955 5 patient patient NN 19261 955 6 to to TO 19261 955 7 heave heave VB 19261 955 8 up up RP 19261 955 9 his -PRON- PRP$ 19261 955 10 chest chest NN 19261 955 11 and and CC 19261 955 12 assume assume VB 19261 955 13 a a DT 19261 955 14 false false JJ 19261 955 15 position position NN 19261 955 16 simulating simulate VBG 19261 955 17 the the DT 19261 955 18 opisthotonous opisthotonous JJ 19261 955 19 position position NN 19261 955 20 ( ( -LRB- 19261 955 21 Fig fig NN 19261 955 22 . . . 19261 956 1 52 52 CD 19261 956 2 ) ) -RRB- 19261 956 3 must must MD 19261 956 4 be be VB 19261 956 5 overcome overcome VBN 19261 956 6 by by IN 19261 956 7 persuasion persuasion NN 19261 956 8 . . . 19261 957 1 This this DT 19261 957 2 position position NN 19261 957 3 has have VBZ 19261 957 4 all all PDT 19261 957 5 the the DT 19261 957 6 disadvantages disadvantage NNS 19261 957 7 of of IN 19261 957 8 the the DT 19261 957 9 Rose Rose NNP 19261 957 10 position position NN 19261 957 11 for for IN 19261 957 12 endoscopy endoscopy NN 19261 957 13 . . . 19261 958 1 [ [ -LRB- 19261 958 2 FIG FIG NNP 19261 958 3 . . . 19261 959 1 53.--The 53.--the CD 19261 959 2 author author NN 19261 959 3 's 's POS 19261 959 4 position position NN 19261 959 5 for for IN 19261 959 6 the the DT 19261 959 7 removal removal NN 19261 959 8 of of IN 19261 959 9 foreign foreign JJ 19261 959 10 bodies body NNS 19261 959 11 from from IN 19261 959 12 the the DT 19261 959 13 larynx larynx NN 19261 959 14 or or CC 19261 959 15 from from IN 19261 959 16 any any DT 19261 959 17 of of IN 19261 959 18 the the DT 19261 959 19 upper upper JJ 19261 959 20 air air NN 19261 959 21 or or CC 19261 959 22 food food NN 19261 959 23 passages passage NNS 19261 959 24 . . . 19261 960 1 If if IN 19261 960 2 dislodged dislodge VBN 19261 960 3 , , , 19261 960 4 the the DT 19261 960 5 intruder intruder NN 19261 960 6 will will MD 19261 960 7 not not RB 19261 960 8 be be VB 19261 960 9 aided aid VBN 19261 960 10 by by IN 19261 960 11 gravity gravity NN 19261 960 12 to to TO 19261 960 13 reach reach VB 19261 960 14 a a DT 19261 960 15 deeper deep JJR 19261 960 16 lodgement lodgement NN 19261 960 17 . . . 19261 960 18 ] ] -RRB- 19261 961 1 The the DT 19261 961 2 one one CD 19261 961 3 exception exception NN 19261 961 4 to to IN 19261 961 5 these these DT 19261 961 6 general general JJ 19261 961 7 positions position NNS 19261 961 8 is be VBZ 19261 961 9 found find VBN 19261 961 10 in in IN 19261 961 11 procedures procedure NNS 19261 961 12 for for IN 19261 961 13 the the DT 19261 961 14 removal removal NN 19261 961 15 of of IN 19261 961 16 foreign foreign JJ 19261 961 17 bodies body NNS 19261 961 18 from from IN 19261 961 19 the the DT 19261 961 20 larynx larynx NN 19261 961 21 . . . 19261 962 1 In in IN 19261 962 2 such such JJ 19261 962 3 cases case NNS 19261 962 4 , , , 19261 962 5 while while IN 19261 962 6 the the DT 19261 962 7 same same JJ 19261 962 8 relative relative JJ 19261 962 9 position position NN 19261 962 10 of of IN 19261 962 11 the the DT 19261 962 12 head head NN 19261 962 13 to to IN 19261 962 14 the the DT 19261 962 15 plane plane NN 19261 962 16 of of IN 19261 962 17 the the DT 19261 962 18 table table NN 19261 962 19 is be VBZ 19261 962 20 maintained maintain VBN 19261 962 21 , , , 19261 962 22 the the DT 19261 962 23 whole whole JJ 19261 962 24 table table NN 19261 962 25 top top NN 19261 962 26 is be VBZ 19261 962 27 so so RB 19261 962 28 inclined inclined JJ 19261 962 29 as as IN 19261 962 30 to to TO 19261 962 31 elevate elevate VB 19261 962 32 the the DT 19261 962 33 feet foot NNS 19261 962 34 and and CC 19261 962 35 lower lower VB 19261 962 36 the the DT 19261 962 37 head head NN 19261 962 38 , , , 19261 962 39 known know VBN 19261 962 40 as as IN 19261 962 41 Jackson Jackson NNP 19261 962 42 's 's POS 19261 962 43 position position NN 19261 962 44 . . . 19261 963 1 This this DT 19261 963 2 semi semi NN 19261 963 3 - - JJ 19261 963 4 inversion inversion NN 19261 963 5 of of IN 19261 963 6 the the DT 19261 963 7 patient patient NN 19261 963 8 allows allow VBZ 19261 963 9 the the DT 19261 963 10 foreign foreign JJ 19261 963 11 body body NN 19261 963 12 to to TO 19261 963 13 drop drop VB 19261 963 14 into into IN 19261 963 15 the the DT 19261 963 16 pharynx pharynx NN 19261 963 17 if if IN 19261 963 18 it -PRON- PRP 19261 963 19 should should MD 19261 963 20 be be VB 19261 963 21 dislodged dislodge VBN 19261 963 22 , , , 19261 963 23 or or CC 19261 963 24 slip slip VB 19261 963 25 from from IN 19261 963 26 the the DT 19261 963 27 forceps forceps NNPS 19261 963 28 ( ( -LRB- 19261 963 29 Fig fig NN 19261 963 30 . . . 19261 964 1 53 53 CD 19261 964 2 ) ) -RRB- 19261 964 3 . . . 19261 965 1 [ [ -LRB- 19261 965 2 82 82 CD 19261 965 3 ] ] -RRB- 19261 965 4 CHAPTER CHAPTER NNP 19261 965 5 VII vii NN 19261 965 6 -- -- : 19261 965 7 DIRECT DIRECT NNP 19261 965 8 LARYNGOSCOPY LARYNGOSCOPY NNP 19261 965 9 _ _ NNP 19261 965 10 Importance Importance NNP 19261 965 11 of of IN 19261 965 12 Mirror Mirror NNP 19261 965 13 Examination Examination NNP 19261 965 14 of of IN 19261 965 15 the the DT 19261 965 16 Larynx_.--The Larynx_.--The NNP 19261 965 17 presence presence NN 19261 965 18 of of IN 19261 965 19 the the DT 19261 965 20 direct direct JJ 19261 965 21 laryngoscope laryngoscope NN 19261 965 22 incites incite VBZ 19261 965 23 spasmodic spasmodic JJ 19261 965 24 laryngeal laryngeal NN 19261 965 25 reflexes reflex NNS 19261 965 26 , , , 19261 965 27 and and CC 19261 965 28 the the DT 19261 965 29 traction traction NN 19261 965 30 exerted exert VBD 19261 965 31 somewhat somewhat RB 19261 965 32 distorts distort VBZ 19261 965 33 the the DT 19261 965 34 tissues tissue NNS 19261 965 35 , , , 19261 965 36 so so IN 19261 965 37 that that IN 19261 965 38 accurate accurate JJ 19261 965 39 observations observation NNS 19261 965 40 of of IN 19261 965 41 variations variation NNS 19261 965 42 in in IN 19261 965 43 laryngeal laryngeal JJ 19261 965 44 mobility mobility NN 19261 965 45 are be VBP 19261 965 46 difficult difficult JJ 19261 965 47 to to TO 19261 965 48 obtain obtain VB 19261 965 49 . . . 19261 966 1 The the DT 19261 966 2 function function NN 19261 966 3 of of IN 19261 966 4 the the DT 19261 966 5 laryngeal laryngeal NN 19261 966 6 muscles muscle NNS 19261 966 7 and and CC 19261 966 8 structures structure NNS 19261 966 9 , , , 19261 966 10 therefore therefore RB 19261 966 11 , , , 19261 966 12 can can MD 19261 966 13 best best RB 19261 966 14 be be VB 19261 966 15 studied study VBN 19261 966 16 with with IN 19261 966 17 the the DT 19261 966 18 laryngeal laryngeal NN 19261 966 19 mirror mirror NN 19261 966 20 , , , 19261 966 21 except except IN 19261 966 22 in in IN 19261 966 23 infants infant NNS 19261 966 24 and and CC 19261 966 25 small small JJ 19261 966 26 children child NNS 19261 966 27 who who WP 19261 966 28 will will MD 19261 966 29 not not RB 19261 966 30 tolerate tolerate VB 19261 966 31 the the DT 19261 966 32 procedure procedure NN 19261 966 33 of of IN 19261 966 34 indirect indirect JJ 19261 966 35 laryngoscopy laryngoscopy NN 19261 966 36 . . . 19261 967 1 A a DT 19261 967 2 true true JJ 19261 967 3 idea idea NN 19261 967 4 of of IN 19261 967 5 the the DT 19261 967 6 depth depth NN 19261 967 7 of of IN 19261 967 8 the the DT 19261 967 9 larynx larynx NN 19261 967 10 is be VBZ 19261 967 11 not not RB 19261 967 12 obtained obtain VBN 19261 967 13 with with IN 19261 967 14 the the DT 19261 967 15 mirror mirror NN 19261 967 16 , , , 19261 967 17 and and CC 19261 967 18 a a DT 19261 967 19 view view NN 19261 967 20 of of IN 19261 967 21 the the DT 19261 967 22 ventricles ventricle NNS 19261 967 23 is be VBZ 19261 967 24 rarely rarely RB 19261 967 25 had have VBN 19261 967 26 . . . 19261 968 1 With with IN 19261 968 2 the the DT 19261 968 3 introduction introduction NN 19261 968 4 of of IN 19261 968 5 the the DT 19261 968 6 direct direct JJ 19261 968 7 laryngoscope laryngoscope NN 19261 968 8 it -PRON- PRP 19261 968 9 is be VBZ 19261 968 10 found find VBN 19261 968 11 that that IN 19261 968 12 the the DT 19261 968 13 larynx larynx NN 19261 968 14 is be VBZ 19261 968 15 funnel funnel NN 19261 968 16 shaped shaped JJ 19261 968 17 , , , 19261 968 18 and and CC 19261 968 19 that that IN 19261 968 20 the the DT 19261 968 21 adult adult NN 19261 968 22 cords cord NNS 19261 968 23 are be VBP 19261 968 24 situated situate VBN 19261 968 25 about about RB 19261 968 26 3 3 CD 19261 968 27 cm cm NNS 19261 968 28 . . . 19261 969 1 below below IN 19261 969 2 the the DT 19261 969 3 aryepiglottic aryepiglottic JJ 19261 969 4 folds fold NNS 19261 969 5 ; ; : 19261 969 6 the the DT 19261 969 7 cords cord NNS 19261 969 8 also also RB 19261 969 9 assume assume VBP 19261 969 10 their -PRON- PRP$ 19261 969 11 true true JJ 19261 969 12 shelf shelf NN 19261 969 13 - - HYPH 19261 969 14 like like JJ 19261 969 15 character character NN 19261 969 16 and and CC 19261 969 17 take take VB 19261 969 18 on on RP 19261 969 19 a a DT 19261 969 20 pinkish pinkish NN 19261 969 21 or or CC 19261 969 22 yellowish yellowish JJ 19261 969 23 tinge tinge NN 19261 969 24 , , , 19261 969 25 rather rather RB 19261 969 26 than than IN 19261 969 27 the the DT 19261 969 28 pearly pearly RB 19261 969 29 white white JJ 19261 969 30 seen see VBN 19261 969 31 in in IN 19261 969 32 the the DT 19261 969 33 mirror mirror NN 19261 969 34 . . . 19261 970 1 They -PRON- PRP 19261 970 2 are be VBP 19261 970 3 not not RB 19261 970 4 to to IN 19261 970 5 any any DT 19261 970 6 extent extent NN 19261 970 7 differentiated differentiate VBN 19261 970 8 by by IN 19261 970 9 color color NN 19261 970 10 from from IN 19261 970 11 the the DT 19261 970 12 neighboring neighboring NN 19261 970 13 structures structure NNS 19261 970 14 . . . 19261 971 1 Their -PRON- PRP$ 19261 971 2 recognition recognition NN 19261 971 3 depends depend VBZ 19261 971 4 almost almost RB 19261 971 5 wholly wholly RB 19261 971 6 on on IN 19261 971 7 form form NN 19261 971 8 , , , 19261 971 9 position position NN 19261 971 10 and and CC 19261 971 11 movement movement NN 19261 971 12 . . . 19261 972 1 Accurate accurate JJ 19261 972 2 observation observation NN 19261 972 3 is be VBZ 19261 972 4 stimulated stimulate VBN 19261 972 5 in in IN 19261 972 6 all all DT 19261 972 7 pathologic pathologic JJ 19261 972 8 cases case NNS 19261 972 9 by by IN 19261 972 10 making make VBG 19261 972 11 colored color VBN 19261 972 12 crayon crayon NN 19261 972 13 sketches sketch NNS 19261 972 14 , , , 19261 972 15 however however RB 19261 972 16 crude crude JJ 19261 972 17 , , , 19261 972 18 of of IN 19261 972 19 the the DT 19261 972 20 mirror mirror NN 19261 972 21 image image NN 19261 972 22 of of IN 19261 972 23 the the DT 19261 972 24 larynx larynx NN 19261 972 25 . . . 19261 973 1 The the DT 19261 973 2 location location NN 19261 973 3 of of IN 19261 973 4 a a DT 19261 973 5 growth growth NN 19261 973 6 may may MD 19261 973 7 be be VB 19261 973 8 thus thus RB 19261 973 9 graphically graphically RB 19261 973 10 recorded record VBN 19261 973 11 , , , 19261 973 12 so so IN 19261 973 13 that that IN 19261 973 14 at at IN 19261 973 15 the the DT 19261 973 16 time time NN 19261 973 17 of of IN 19261 973 18 operation operation NN 19261 973 19 a a DT 19261 973 20 glance glance NN 19261 973 21 will will MD 19261 973 22 serve serve VB 19261 973 23 to to TO 19261 973 24 refresh refresh VB 19261 973 25 the the DT 19261 973 26 memory memory NN 19261 973 27 as as IN 19261 973 28 to to IN 19261 973 29 its -PRON- PRP$ 19261 973 30 site site NN 19261 973 31 . . . 19261 974 1 It -PRON- PRP 19261 974 2 is be VBZ 19261 974 3 to to TO 19261 974 4 be be VB 19261 974 5 constantly constantly RB 19261 974 6 kept keep VBN 19261 974 7 in in IN 19261 974 8 mind mind NN 19261 974 9 , , , 19261 974 10 however however RB 19261 974 11 , , , 19261 974 12 that that IN 19261 974 13 in in IN 19261 974 14 the the DT 19261 974 15 mirror mirror NN 19261 974 16 image image NN 19261 974 17 the the DT 19261 974 18 sides side NNS 19261 974 19 are be VBP 19261 974 20 reversed reverse VBN 19261 974 21 because because IN 19261 974 22 of of IN 19261 974 23 the the DT 19261 974 24 facing face VBG 19261 974 25 positions position NNS 19261 974 26 of of IN 19261 974 27 the the DT 19261 974 28 examiner examiner NN 19261 974 29 and and CC 19261 974 30 patient patient NN 19261 974 31 . . . 19261 975 1 Direct direct JJ 19261 975 2 laryngoscopy laryngoscopy NN 19261 975 3 is be VBZ 19261 975 4 the the DT 19261 975 5 only only JJ 19261 975 6 method method NN 19261 975 7 by by IN 19261 975 8 which which WDT 19261 975 9 the the DT 19261 975 10 larynx larynx NN 19261 975 11 of of IN 19261 975 12 children child NNS 19261 975 13 can can MD 19261 975 14 be be VB 19261 975 15 seen see VBN 19261 975 16 . . . 19261 976 1 The the DT 19261 976 2 procedure procedure NN 19261 976 3 need nee MD 19261 976 4 require require VB 19261 976 5 less less JJR 19261 976 6 than than IN 19261 976 7 a a DT 19261 976 8 minute minute NN 19261 976 9 of of IN 19261 976 10 time time NN 19261 976 11 , , , 19261 976 12 and and CC 19261 976 13 an an DT 19261 976 14 accurate accurate JJ 19261 976 15 diagnosis diagnosis NN 19261 976 16 of of IN 19261 976 17 the the DT 19261 976 18 condition condition NN 19261 976 19 present present NN 19261 976 20 , , , 19261 976 21 whether whether IN 19261 976 22 papilloma papilloma NN 19261 976 23 , , , 19261 976 24 foreign foreign JJ 19261 976 25 body body NN 19261 976 26 , , , 19261 976 27 diphtheria diphtheria NN 19261 976 28 , , , 19261 976 29 paralysis paralysis NN 19261 976 30 , , , 19261 976 31 etc etc FW 19261 976 32 . . . 19261 976 33 , , , 19261 976 34 may may MD 19261 976 35 be be VB 19261 976 36 thus thus RB 19261 976 37 obtained obtain VBN 19261 976 38 . . . 19261 977 1 The the DT 19261 977 2 posterior posterior NN 19261 977 3 pharyngeal pharyngeal NN 19261 977 4 wall wall NN 19261 977 5 should should MD 19261 977 6 be be VB 19261 977 7 examined examine VBN 19261 977 8 in in IN 19261 977 9 all all DT 19261 977 10 dyspneic dyspneic NN 19261 977 11 children child NNS 19261 977 12 for for IN 19261 977 13 the the DT 19261 977 14 possible possible JJ 19261 977 15 existence existence NN 19261 977 16 of of IN 19261 977 17 retropharyngeal retropharyngeal JJ 19261 977 18 abscess abscess NN 19261 977 19 . . . 19261 978 1 [ [ -LRB- 19261 978 2 PLATE PLATE NNP 19261 978 3 II ii CD 19261 978 4 -- -- : 19261 978 5 DIRECT DIRECT NNP 19261 978 6 AND and CC 19261 978 7 INDIRECT INDIRECT NNP 19261 978 8 LARYNGEAL LARYNGEAL NNP 19261 978 9 VIEWS view NNS 19261 978 10 FROM from IN 19261 978 11 AUTHOR AUTHOR NNP 19261 978 12 'S 's POS 19261 978 13 OIL OIL NNP 19261 978 14 - - HYPH 19261 978 15 COLOR color NN 19261 978 16 DRAWINGS drawings NN 19261 978 17 FROM from IN 19261 978 18 LIFE life NN 19261 978 19 : : : 19261 978 20 1 1 LS 19261 978 21 , , , 19261 978 22 Epiglottis epiglottis NN 19261 978 23 of of IN 19261 978 24 child child NN 19261 978 25 as as IN 19261 978 26 seen see VBN 19261 978 27 by by IN 19261 978 28 direct direct JJ 19261 978 29 laryngoscopy laryngoscopy NN 19261 978 30 in in IN 19261 978 31 the the DT 19261 978 32 recumbent recumbent JJ 19261 978 33 position position NN 19261 978 34 . . . 19261 979 1 2 2 LS 19261 979 2 , , , 19261 979 3 Normal normal JJ 19261 979 4 larynx larynx NN 19261 979 5 spasmodically spasmodically RB 19261 979 6 closed close VBD 19261 979 7 , , , 19261 979 8 as as IN 19261 979 9 is be VBZ 19261 979 10 usual usual JJ 19261 979 11 on on IN 19261 979 12 first first JJ 19261 979 13 exposure exposure NN 19261 979 14 without without IN 19261 979 15 anesthesia anesthesia NNP 19261 979 16 . . . 19261 980 1 3 3 LS 19261 980 2 , , , 19261 980 3 Same same JJ 19261 980 4 on on IN 19261 980 5 inspiration inspiration NN 19261 980 6 . . . 19261 981 1 4 4 LS 19261 981 2 , , , 19261 981 3 Supraglottic supraglottic JJ 19261 981 4 papillomata papillomata NN 19261 981 5 as as IN 19261 981 6 seen see VBN 19261 981 7 on on IN 19261 981 8 direct direct JJ 19261 981 9 laryngoscopy laryngoscopy NN 19261 981 10 in in IN 19261 981 11 a a DT 19261 981 12 child child NN 19261 981 13 of of IN 19261 981 14 two two CD 19261 981 15 years year NNS 19261 981 16 . . . 19261 982 1 5 5 CD 19261 982 2 , , , 19261 982 3 Cyst Cyst NNP 19261 982 4 of of IN 19261 982 5 the the DT 19261 982 6 larynx larynx NN 19261 982 7 in in IN 19261 982 8 a a DT 19261 982 9 child child NN 19261 982 10 of of IN 19261 982 11 four four CD 19261 982 12 years year NNS 19261 982 13 , , , 19261 982 14 seen see VBN 19261 982 15 on on IN 19261 982 16 direct direct JJ 19261 982 17 laryngoscopy laryngoscopy NN 19261 982 18 without without IN 19261 982 19 anesthesia anesthesia NNP 19261 982 20 . . . 19261 983 1 6 6 CD 19261 983 2 , , , 19261 983 3 Indirect indirect JJ 19261 983 4 view view NN 19261 983 5 of of IN 19261 983 6 larynx larynx NN 19261 983 7 eight eight CD 19261 983 8 weeks week NNS 19261 983 9 after after IN 19261 983 10 thyrotomy thyrotomy NN 19261 983 11 for for IN 19261 983 12 cancer cancer NN 19261 983 13 of of IN 19261 983 14 the the DT 19261 983 15 right right JJ 19261 983 16 cord cord NN 19261 983 17 in in IN 19261 983 18 a a DT 19261 983 19 man man NN 19261 983 20 of of IN 19261 983 21 fifty fifty CD 19261 983 22 years year NNS 19261 983 23 . . . 19261 984 1 7 7 LS 19261 984 2 , , , 19261 984 3 Same same JJ 19261 984 4 after after IN 19261 984 5 two two CD 19261 984 6 years year NNS 19261 984 7 . . . 19261 985 1 An an DT 19261 985 2 adventitious adventitious JJ 19261 985 3 band band NN 19261 985 4 indistinguishable indistinguishable JJ 19261 985 5 from from IN 19261 985 6 the the DT 19261 985 7 original original JJ 19261 985 8 one one NN 19261 985 9 has have VBZ 19261 985 10 replaced replace VBN 19261 985 11 the the DT 19261 985 12 lost lose VBN 19261 985 13 cord cord NN 19261 985 14 . . . 19261 986 1 8 8 LS 19261 986 2 , , , 19261 986 3 Condition Condition NNP 19261 986 4 of of IN 19261 986 5 the the DT 19261 986 6 larynx larynx NN 19261 986 7 three three CD 19261 986 8 years year NNS 19261 986 9 after after IN 19261 986 10 hemilaryngectomy hemilaryngectomy NN 19261 986 11 for for IN 19261 986 12 epithelioma epithelioma NN 19261 986 13 in in IN 19261 986 14 a a DT 19261 986 15 patient patient JJ 19261 986 16 fifty fifty CD 19261 986 17 - - HYPH 19261 986 18 one one CD 19261 986 19 years year NNS 19261 986 20 of of IN 19261 986 21 age age NN 19261 986 22 . . . 19261 987 1 Thyrotomy Thyrotomy NNP 19261 987 2 revealed reveal VBD 19261 987 3 such such JJ 19261 987 4 extensive extensive JJ 19261 987 5 involvement involvement NN 19261 987 6 , , , 19261 987 7 with with IN 19261 987 8 an an DT 19261 987 9 open open JJ 19261 987 10 ulceration ulceration NN 19261 987 11 which which WDT 19261 987 12 had have VBD 19261 987 13 reached reach VBN 19261 987 14 the the DT 19261 987 15 perichondrium perichondrium NN 19261 987 16 , , , 19261 987 17 that that IN 19261 987 18 the the DT 19261 987 19 entire entire JJ 19261 987 20 left left JJ 19261 987 21 wing wing NN 19261 987 22 of of IN 19261 987 23 the the DT 19261 987 24 thyroid thyroid NN 19261 987 25 cartilage cartilage NN 19261 987 26 was be VBD 19261 987 27 removed remove VBN 19261 987 28 with with IN 19261 987 29 the the DT 19261 987 30 left left JJ 19261 987 31 arytenoid arytenoid NN 19261 987 32 . . . 19261 988 1 A a DT 19261 988 2 sufficiently sufficiently RB 19261 988 3 wide wide JJ 19261 988 4 removal removal NN 19261 988 5 was be VBD 19261 988 6 accomplished accomplish VBN 19261 988 7 without without IN 19261 988 8 removing remove VBG 19261 988 9 any any DT 19261 988 10 part part NN 19261 988 11 of of IN 19261 988 12 the the DT 19261 988 13 esophageal esophageal JJ 19261 988 14 wall wall NN 19261 988 15 below below IN 19261 988 16 the the DT 19261 988 17 level level NN 19261 988 18 of of IN 19261 988 19 the the DT 19261 988 20 crico crico NN 19261 988 21 - - HYPH 19261 988 22 arytenoid arytenoid NN 19261 988 23 joint joint NN 19261 988 24 . . . 19261 989 1 There there EX 19261 989 2 is be VBZ 19261 989 3 no no DT 19261 989 4 attempt attempt NN 19261 989 5 on on IN 19261 989 6 the the DT 19261 989 7 part part NN 19261 989 8 of of IN 19261 989 9 nature nature NN 19261 989 10 to to TO 19261 989 11 form form VB 19261 989 12 an an DT 19261 989 13 adventitious adventitious JJ 19261 989 14 cord cord NN 19261 989 15 on on IN 19261 989 16 the the DT 19261 989 17 left left JJ 19261 989 18 side side NN 19261 989 19 . . . 19261 990 1 The the DT 19261 990 2 normal normal JJ 19261 990 3 arytenoid arytenoid NN 19261 990 4 drew draw VBD 19261 990 5 the the DT 19261 990 6 normal normal JJ 19261 990 7 cord cord NN 19261 990 8 over over RB 19261 990 9 , , , 19261 990 10 approximately approximately RB 19261 990 11 to to IN 19261 990 12 the the DT 19261 990 13 edge edge NN 19261 990 14 of of IN 19261 990 15 the the DT 19261 990 16 cicatricial cicatricial JJ 19261 990 17 tissue tissue NN 19261 990 18 of of IN 19261 990 19 the the DT 19261 990 20 operated operated JJ 19261 990 21 side side NN 19261 990 22 . . . 19261 991 1 The the DT 19261 991 2 voice voice NN 19261 991 3 , , , 19261 991 4 at at IN 19261 991 5 first first RB 19261 991 6 a a DT 19261 991 7 very very RB 19261 991 8 hoarse hoarse JJ 19261 991 9 whisper whisper NN 19261 991 10 , , , 19261 991 11 eventually eventually RB 19261 991 12 was be VBD 19261 991 13 fairly fairly RB 19261 991 14 loud loud JJ 19261 991 15 , , , 19261 991 16 though though IN 19261 991 17 slightly slightly RB 19261 991 18 husky husky JJ 19261 991 19 and and CC 19261 991 20 inflexible inflexible JJ 19261 991 21 . . . 19261 992 1 9 9 CD 19261 992 2 , , , 19261 992 3 The the DT 19261 992 4 pharynx pharynx NN 19261 992 5 seen see VBN 19261 992 6 one one CD 19261 992 7 year year NN 19261 992 8 after after IN 19261 992 9 laryngectomy laryngectomy NN 19261 992 10 for for IN 19261 992 11 endothelioma endothelioma NN 19261 992 12 in in IN 19261 992 13 a a DT 19261 992 14 man man NN 19261 992 15 aged age VBN 19261 992 16 sixty sixty CD 19261 992 17 - - HYPH 19261 992 18 eight eight CD 19261 992 19 years year NNS 19261 992 20 . . . 19261 993 1 The the DT 19261 993 2 purple purple JJ 19261 993 3 papilla papilla NN 19261 993 4 ; ; , 19261 993 5 anteriorly anteriorly RB 19261 993 6 are be VBP 19261 993 7 at at IN 19261 993 8 the the DT 19261 993 9 base base NN 19261 993 10 of of IN 19261 993 11 the the DT 19261 993 12 tongue tongue NN 19261 993 13 , , , 19261 993 14 and and CC 19261 993 15 from from IN 19261 993 16 this this DT 19261 993 17 the the DT 19261 993 18 mucosa mucosa NNS 19261 993 19 slopes slope VBZ 19261 993 20 downward downward RB 19261 993 21 and and CC 19261 993 22 backward backward RB 19261 993 23 smoothly smoothly RB 19261 993 24 into into IN 19261 993 25 the the DT 19261 993 26 esophagus esophagus NN 19261 993 27 . . . 19261 994 1 There there EX 19261 994 2 are be VBP 19261 994 3 some some DT 19261 994 4 slight slight JJ 19261 994 5 folds fold NNS 19261 994 6 toward toward IN 19261 994 7 the the DT 19261 994 8 left left NN 19261 994 9 and and CC 19261 994 10 some some DT 19261 994 11 of of IN 19261 994 12 these these DT 19261 994 13 are be VBP 19261 994 14 quite quite RB 19261 994 15 cicatricial cicatricial JJ 19261 994 16 . . . 19261 995 1 The the DT 19261 995 2 epiglottis epiglottis NN 19261 995 3 was be VBD 19261 995 4 removed remove VBN 19261 995 5 at at IN 19261 995 6 operation operation NN 19261 995 7 . . . 19261 996 1 The the DT 19261 996 2 trachea trachea NN 19261 996 3 was be VBD 19261 996 4 sutured suture VBN 19261 996 5 to to IN 19261 996 6 the the DT 19261 996 7 skin skin NN 19261 996 8 and and CC 19261 996 9 did do VBD 19261 996 10 not not RB 19261 996 11 communicate communicate VB 19261 996 12 with with IN 19261 996 13 the the DT 19261 996 14 pharynx pharynx NN 19261 996 15 . . . 19261 997 1 ( ( -LRB- 19261 997 2 Direct direct JJ 19261 997 3 view view NN 19261 997 4 . . . 19261 997 5 ) ) -RRB- 19261 997 6 ] ] -RRB- 19261 998 1 _ _ NNP 19261 998 2 Contraindications contraindication NNS 19261 998 3 to to IN 19261 998 4 Direct direct JJ 19261 998 5 Laryngoscopy_.--There laryngoscopy_.--there NN 19261 998 6 are be VBP 19261 998 7 no no DT 19261 998 8 absolute absolute JJ 19261 998 9 contraindications contraindication NNS 19261 998 10 to to TO 19261 998 11 direct direct VB 19261 998 12 laryngoscopy laryngoscopy NN 19261 998 13 in in IN 19261 998 14 any any DT 19261 998 15 case case NN 19261 998 16 where where WRB 19261 998 17 direct direct JJ 19261 998 18 laryngoscopy laryngoscopy NN 19261 998 19 is be VBZ 19261 998 20 really really RB 19261 998 21 needed need VBN 19261 998 22 for for IN 19261 998 23 diagnosis diagnosis NN 19261 998 24 or or CC 19261 998 25 treatment treatment NN 19261 998 26 . . . 19261 999 1 In in IN 19261 999 2 extremely extremely RB 19261 999 3 dyspneic dyspneic NN 19261 999 4 patients patient NNS 19261 999 5 , , , 19261 999 6 if if IN 19261 999 7 the the DT 19261 999 8 operator operator NN 19261 999 9 is be VBZ 19261 999 10 not not RB 19261 999 11 confident confident JJ 19261 999 12 in in IN 19261 999 13 his -PRON- PRP$ 19261 999 14 ability ability NN 19261 999 15 for for IN 19261 999 16 a a DT 19261 999 17 prompt prompt JJ 19261 999 18 and and CC 19261 999 19 sure sure JJ 19261 999 20 introduction introduction NN 19261 999 21 of of IN 19261 999 22 a a DT 19261 999 23 bronchoscope bronchoscope NN 19261 999 24 , , , 19261 999 25 it -PRON- PRP 19261 999 26 may may MD 19261 999 27 be be VB 19261 999 28 wise wise JJ 19261 999 29 to to TO 19261 999 30 do do VB 19261 999 31 a a DT 19261 999 32 tracheotomy tracheotomy NN 19261 999 33 first first RB 19261 999 34 . . . 19261 1000 1 _ _ NNP 19261 1000 2 Instructions Instructions NNP 19261 1000 3 to to IN 19261 1000 4 the the DT 19261 1000 5 Patient_.--Before patient_.--before NN 19261 1000 6 beginning begin VBG 19261 1000 7 endoscopy endoscopy VB 19261 1000 8 the the DT 19261 1000 9 patient patient NN 19261 1000 10 should should MD 19261 1000 11 be be VB 19261 1000 12 told tell VBN 19261 1000 13 that that IN 19261 1000 14 he -PRON- PRP 19261 1000 15 will will MD 19261 1000 16 feel feel VB 19261 1000 17 a a DT 19261 1000 18 very very RB 19261 1000 19 disagreeable disagreeable JJ 19261 1000 20 pressure pressure NN 19261 1000 21 on on IN 19261 1000 22 his -PRON- PRP$ 19261 1000 23 neck neck NN 19261 1000 24 and and CC 19261 1000 25 that that IN 19261 1000 26 he -PRON- PRP 19261 1000 27 may may MD 19261 1000 28 feel feel VB 19261 1000 29 as as IN 19261 1000 30 though though IN 19261 1000 31 he -PRON- PRP 19261 1000 32 were be VBD 19261 1000 33 about about JJ 19261 1000 34 to to TO 19261 1000 35 choke choke VB 19261 1000 36 . . . 19261 1001 1 He -PRON- PRP 19261 1001 2 must must MD 19261 1001 3 be be VB 19261 1001 4 gently gently RB 19261 1001 5 but but CC 19261 1001 6 positively positively RB 19261 1001 7 made make VBN 19261 1001 8 to to TO 19261 1001 9 understand understand VB 19261 1001 10 ( ( -LRB- 19261 1001 11 1 1 CD 19261 1001 12 ) ) -RRB- 19261 1001 13 that that IN 19261 1001 14 while while IN 19261 1001 15 the the DT 19261 1001 16 procedure procedure NN 19261 1001 17 is be VBZ 19261 1001 18 alarming alarming JJ 19261 1001 19 , , , 19261 1001 20 it -PRON- PRP 19261 1001 21 is be VBZ 19261 1001 22 absolutely absolutely RB 19261 1001 23 free free JJ 19261 1001 24 from from IN 19261 1001 25 danger danger NN 19261 1001 26 ; ; : 19261 1001 27 ( ( -LRB- 19261 1001 28 2 2 LS 19261 1001 29 ) ) -RRB- 19261 1001 30 that that WDT 19261 1001 31 you -PRON- PRP 19261 1001 32 know know VBP 19261 1001 33 just just RB 19261 1001 34 how how WRB 19261 1001 35 it -PRON- PRP 19261 1001 36 feels feel VBZ 19261 1001 37 ; ; : 19261 1001 38 ( ( -LRB- 19261 1001 39 3 3 LS 19261 1001 40 ) ) -RRB- 19261 1001 41 that that IN 19261 1001 42 you -PRON- PRP 19261 1001 43 will will MD 19261 1001 44 not not RB 19261 1001 45 allow allow VB 19261 1001 46 his -PRON- PRP$ 19261 1001 47 breath breath NN 19261 1001 48 to to TO 19261 1001 49 be be VB 19261 1001 50 shut shut VBN 19261 1001 51 off off RP 19261 1001 52 completely completely RB 19261 1001 53 ; ; , 19261 1001 54 ( ( -LRB- 19261 1001 55 4 4 LS 19261 1001 56 ) ) -RRB- 19261 1001 57 that that IN 19261 1001 58 he -PRON- PRP 19261 1001 59 can can MD 19261 1001 60 help help VB 19261 1001 61 you -PRON- PRP 19261 1001 62 and and CC 19261 1001 63 himself -PRON- PRP 19261 1001 64 very very RB 19261 1001 65 much much RB 19261 1001 66 by by IN 19261 1001 67 paying pay VBG 19261 1001 68 close close JJ 19261 1001 69 attention attention NN 19261 1001 70 to to IN 19261 1001 71 breathing breathe VBG 19261 1001 72 deeply deeply RB 19261 1001 73 and and CC 19261 1001 74 regularly regularly RB 19261 1001 75 ; ; : 19261 1001 76 ( ( -LRB- 19261 1001 77 5 5 CD 19261 1001 78 ) ) -RRB- 19261 1001 79 and and CC 19261 1001 80 that that IN 19261 1001 81 he -PRON- PRP 19261 1001 82 must must MD 19261 1001 83 not not RB 19261 1001 84 draw draw VB 19261 1001 85 himself -PRON- PRP 19261 1001 86 up up RP 19261 1001 87 rigidly rigidly RB 19261 1001 88 as as IN 19261 1001 89 though though RB 19261 1001 90 " " `` 19261 1001 91 walking walk VBG 19261 1001 92 on on IN 19261 1001 93 ice ice NN 19261 1001 94 , , , 19261 1001 95 " " '' 19261 1001 96 but but CC 19261 1001 97 must must MD 19261 1001 98 be be VB 19261 1001 99 easy easy JJ 19261 1001 100 and and CC 19261 1001 101 relaxed relaxed JJ 19261 1001 102 . . . 19261 1002 1 _ _ NNP 19261 1002 2 Direct Direct NNP 19261 1002 3 Laryngoscopy Laryngoscopy NNP 19261 1002 4 . . . 19261 1003 1 Adult adult JJ 19261 1003 2 Patient_.--Before patient_.--before NN 19261 1003 3 starting start VBG 19261 1003 4 , , , 19261 1003 5 every every DT 19261 1003 6 detail detail NN 19261 1003 7 in in IN 19261 1003 8 regard regard NN 19261 1003 9 to to IN 19261 1003 10 instrumental instrumental JJ 19261 1003 11 equipment equipment NN 19261 1003 12 and and CC 19261 1003 13 operating operating NN 19261 1003 14 room room NN 19261 1003 15 assistants assistant NNS 19261 1003 16 , , , 19261 1003 17 ( ( -LRB- 19261 1003 18 including include VBG 19261 1003 19 an an DT 19261 1003 20 assistant assistant NN 19261 1003 21 to to TO 19261 1003 22 hold hold VB 19261 1003 23 the the DT 19261 1003 24 arms arm NNS 19261 1003 25 and and CC 19261 1003 26 legs leg NNS 19261 1003 27 of of IN 19261 1003 28 the the DT 19261 1003 29 patient patient NN 19261 1003 30 ) ) -RRB- 19261 1003 31 must must MD 19261 1003 32 be be VB 19261 1003 33 complete complete JJ 19261 1003 34 . . . 19261 1004 1 Preparation preparation NN 19261 1004 2 of of IN 19261 1004 3 the the DT 19261 1004 4 patient patient NN 19261 1004 5 and and CC 19261 1004 6 the the DT 19261 1004 7 technic technic NN 19261 1004 8 of of IN 19261 1004 9 local local JJ 19261 1004 10 anesthesia anesthesia NNS 19261 1004 11 have have VBP 19261 1004 12 been be VBN 19261 1004 13 discussed discuss VBN 19261 1004 14 in in IN 19261 1004 15 their -PRON- PRP$ 19261 1004 16 respective respective JJ 19261 1004 17 chapters chapter NNS 19261 1004 18 . . . 19261 1005 1 The the DT 19261 1005 2 dorsally dorsally RB 19261 1005 3 recumbent recumbent JJ 19261 1005 4 patient patient NN 19261 1005 5 is be VBZ 19261 1005 6 draped drape VBN 19261 1005 7 with with IN 19261 1005 8 ( ( -LRB- 19261 1005 9 not not RB 19261 1005 10 pinned pin VBN 19261 1005 11 in in IN 19261 1005 12 ) ) -RRB- 19261 1005 13 a a DT 19261 1005 14 sterile sterile JJ 19261 1005 15 sheet sheet NN 19261 1005 16 . . . 19261 1006 1 The the DT 19261 1006 2 head head NN 19261 1006 3 , , , 19261 1006 4 covered cover VBN 19261 1006 5 by by IN 19261 1006 6 sterile sterile JJ 19261 1006 7 towels towel NNS 19261 1006 8 , , , 19261 1006 9 is be VBZ 19261 1006 10 elevated elevate VBN 19261 1006 11 , , , 19261 1006 12 and and CC 19261 1006 13 slight slight JJ 19261 1006 14 extension extension NN 19261 1006 15 is be VBZ 19261 1006 16 made make VBN 19261 1006 17 at at IN 19261 1006 18 the the DT 19261 1006 19 occipitoatloid occipitoatloid JJ 19261 1006 20 joint joint NN 19261 1006 21 by by IN 19261 1006 22 the the DT 19261 1006 23 left left JJ 19261 1006 24 hand hand NN 19261 1006 25 of of IN 19261 1006 26 the the DT 19261 1006 27 first first JJ 19261 1006 28 assistant assistant NN 19261 1006 29 . . . 19261 1007 1 The the DT 19261 1007 2 bite bite NN 19261 1007 3 block block NN 19261 1007 4 placed place VBN 19261 1007 5 on on IN 19261 1007 6 the the DT 19261 1007 7 assistant assistant NN 19261 1007 8 's 's POS 19261 1007 9 right right JJ 19261 1007 10 thumb thumb NN 19261 1007 11 is be VBZ 19261 1007 12 inserted insert VBN 19261 1007 13 into into IN 19261 1007 14 the the DT 19261 1007 15 left left JJ 19261 1007 16 angle angle NN 19261 1007 17 of of IN 19261 1007 18 the the DT 19261 1007 19 patient patient NN 19261 1007 20 's 's POS 19261 1007 21 open open JJ 19261 1007 22 mouth mouth NN 19261 1007 23 ( ( -LRB- 19261 1007 24 see see VB 19261 1007 25 Fig Fig NNP 19261 1007 26 . . . 19261 1008 1 50 50 CD 19261 1008 2 ) ) -RRB- 19261 1008 3 . . . 19261 1009 1 The the DT 19261 1009 2 laryngoscope laryngoscope NN 19261 1009 3 must must MD 19261 1009 4 always always RB 19261 1009 5 and and CC 19261 1009 6 invariably invariably RB 19261 1009 7 be be VB 19261 1009 8 held hold VBN 19261 1009 9 in in IN 19261 1009 10 the the DT 19261 1009 11 left left JJ 19261 1009 12 hand hand NN 19261 1009 13 , , , 19261 1009 14 and and CC 19261 1009 15 in in IN 19261 1009 16 such such PDT 19261 1009 17 a a DT 19261 1009 18 manner manner NN 19261 1009 19 that that IN 19261 1009 20 the the DT 19261 1009 21 greatest great JJS 19261 1009 22 amount amount NN 19261 1009 23 of of IN 19261 1009 24 traction traction NN 19261 1009 25 is be VBZ 19261 1009 26 made make VBN 19261 1009 27 at at IN 19261 1009 28 the the DT 19261 1009 29 swell swell NN 19261 1009 30 of of IN 19261 1009 31 the the DT 19261 1009 32 horizontal horizontal JJ 19261 1009 33 bar bar NN 19261 1009 34 of of IN 19261 1009 35 the the DT 19261 1009 36 handle handle NN 19261 1009 37 , , , 19261 1009 38 rather rather RB 19261 1009 39 than than IN 19261 1009 40 on on IN 19261 1009 41 the the DT 19261 1009 42 vertical vertical JJ 19261 1009 43 bar bar NN 19261 1009 44 . . . 19261 1010 1 The the DT 19261 1010 2 right right JJ 19261 1010 3 hand hand NN 19261 1010 4 is be VBZ 19261 1010 5 then then RB 19261 1010 6 free free JJ 19261 1010 7 for for IN 19261 1010 8 the the DT 19261 1010 9 manipulation manipulation NN 19261 1010 10 of of IN 19261 1010 11 forceps forceps NNP 19261 1010 12 , , , 19261 1010 13 and and CC 19261 1010 14 the the DT 19261 1010 15 insertion insertion NN 19261 1010 16 of of IN 19261 1010 17 the the DT 19261 1010 18 bronchoscope bronchoscope NN 19261 1010 19 or or CC 19261 1010 20 other other JJ 19261 1010 21 instrument instrument NN 19261 1010 22 . . . 19261 1011 1 During during IN 19261 1011 2 introduction introduction NN 19261 1011 3 , , , 19261 1011 4 the the DT 19261 1011 5 fingers finger NNS 19261 1011 6 of of IN 19261 1011 7 the the DT 19261 1011 8 right right JJ 19261 1011 9 hand hand NN 19261 1011 10 retract retract VB 19261 1011 11 the the DT 19261 1011 12 upper upper JJ 19261 1011 13 lip lip NN 19261 1011 14 so so IN 19261 1011 15 as as IN 19261 1011 16 to to TO 19261 1011 17 prevent prevent VB 19261 1011 18 its -PRON- PRP$ 19261 1011 19 being be VBG 19261 1011 20 pinched pinch VBN 19261 1011 21 between between IN 19261 1011 22 the the DT 19261 1011 23 laryngoscope laryngoscope NN 19261 1011 24 and and CC 19261 1011 25 the the DT 19261 1011 26 teeth tooth NNS 19261 1011 27 . . . 19261 1012 1 The the DT 19261 1012 2 introduction introduction NN 19261 1012 3 of of IN 19261 1012 4 the the DT 19261 1012 5 direct direct JJ 19261 1012 6 laryngoscope laryngoscope NN 19261 1012 7 and and CC 19261 1012 8 exposure exposure NN 19261 1012 9 of of IN 19261 1012 10 the the DT 19261 1012 11 larynx larynx NN 19261 1012 12 is be VBZ 19261 1012 13 best well RBS 19261 1012 14 described describe VBN 19261 1012 15 in in IN 19261 1012 16 two two CD 19261 1012 17 stages stage NNS 19261 1012 18 . . . 19261 1013 1 1 1 LS 19261 1013 2 . . . 19261 1014 1 Exposure exposure NN 19261 1014 2 and and CC 19261 1014 3 identification identification NN 19261 1014 4 of of IN 19261 1014 5 the the DT 19261 1014 6 epiglottis epiglottis NN 19261 1014 7 . . . 19261 1015 1 2 2 LS 19261 1015 2 . . . 19261 1016 1 Elevation elevation NN 19261 1016 2 of of IN 19261 1016 3 the the DT 19261 1016 4 epiglottis epiglottis NN 19261 1016 5 and and CC 19261 1016 6 all all PDT 19261 1016 7 the the DT 19261 1016 8 tissues tissue NNS 19261 1016 9 attached attach VBN 19261 1016 10 to to IN 19261 1016 11 the the DT 19261 1016 12 hyoid hyoid NN 19261 1016 13 bone bone NN 19261 1016 14 , , , 19261 1016 15 so so IN 19261 1016 16 as as IN 19261 1016 17 to to TO 19261 1016 18 expose expose VB 19261 1016 19 the the DT 19261 1016 20 larynx larynx NN 19261 1016 21 to to TO 19261 1016 22 direct direct VB 19261 1016 23 view view NN 19261 1016 24 . . . 19261 1017 1 _ _ NNP 19261 1017 2 First First NNP 19261 1017 3 Stage_.--The stage_.--the IN 19261 1017 4 spatular spatular JJ 19261 1017 5 end end NN 19261 1017 6 of of IN 19261 1017 7 the the DT 19261 1017 8 laryngoscope laryngoscope NN 19261 1017 9 is be VBZ 19261 1017 10 introduced introduce VBN 19261 1017 11 in in IN 19261 1017 12 the the DT 19261 1017 13 right right JJ 19261 1017 14 side side NN 19261 1017 15 of of IN 19261 1017 16 the the DT 19261 1017 17 patient patient NN 19261 1017 18 's 's POS 19261 1017 19 mouth mouth NN 19261 1017 20 , , , 19261 1017 21 along along IN 19261 1017 22 the the DT 19261 1017 23 right right JJ 19261 1017 24 side side NN 19261 1017 25 of of IN 19261 1017 26 the the DT 19261 1017 27 anterior anterior JJ 19261 1017 28 two two CD 19261 1017 29 - - HYPH 19261 1017 30 thirds third NNS 19261 1017 31 of of IN 19261 1017 32 the the DT 19261 1017 33 tongue tongue NN 19261 1017 34 . . . 19261 1018 1 It -PRON- PRP 19261 1018 2 was be VBD 19261 1018 3 the the DT 19261 1018 4 German german JJ 19261 1018 5 method method NN 19261 1018 6 to to TO 19261 1018 7 introduce introduce VB 19261 1018 8 the the DT 19261 1018 9 laryngoscope laryngoscope NN 19261 1018 10 over over IN 19261 1018 11 the the DT 19261 1018 12 dorsum dorsum NN 19261 1018 13 of of IN 19261 1018 14 the the DT 19261 1018 15 tongue tongue NN 19261 1018 16 but but CC 19261 1018 17 in in IN 19261 1018 18 order order NN 19261 1018 19 to to TO 19261 1018 20 elevate elevate VB 19261 1018 21 this this DT 19261 1018 22 sometimes sometimes RB 19261 1018 23 powerful powerful JJ 19261 1018 24 muscular muscular JJ 19261 1018 25 organ organ NN 19261 1018 26 considerable considerable JJ 19261 1018 27 force force NN 19261 1018 28 may may MD 19261 1018 29 be be VB 19261 1018 30 required require VBN 19261 1018 31 , , , 19261 1018 32 which which WDT 19261 1018 33 exercise exercise NN 19261 1018 34 of of IN 19261 1018 35 force force NN 19261 1018 36 may may MD 19261 1018 37 be be VB 19261 1018 38 entirely entirely RB 19261 1018 39 avoided avoid VBN 19261 1018 40 by by IN 19261 1018 41 crowding crowd VBG 19261 1018 42 the the DT 19261 1018 43 tongue tongue NN 19261 1018 44 over over RP 19261 1018 45 to to IN 19261 1018 46 the the DT 19261 1018 47 left left NN 19261 1018 48 . . . 19261 1019 1 When when WRB 19261 1019 2 the the DT 19261 1019 3 posterior posterior NN 19261 1019 4 third third JJ 19261 1019 5 stage stage NN 19261 1019 6 of of IN 19261 1019 7 the the DT 19261 1019 8 tongue tongue NN 19261 1019 9 is be VBZ 19261 1019 10 reached reach VBN 19261 1019 11 , , , 19261 1019 12 the the DT 19261 1019 13 tip tip NN 19261 1019 14 of of IN 19261 1019 15 the the DT 19261 1019 16 laryngoscope laryngoscope NN 19261 1019 17 is be VBZ 19261 1019 18 directed direct VBN 19261 1019 19 toward toward IN 19261 1019 20 the the DT 19261 1019 21 midline midline NN 19261 1019 22 and and CC 19261 1019 23 the the DT 19261 1019 24 dorsum dorsum NN 19261 1019 25 of of IN 19261 1019 26 the the DT 19261 1019 27 tongue tongue NN 19261 1019 28 is be VBZ 19261 1019 29 elevated elevate VBN 19261 1019 30 by by IN 19261 1019 31 a a DT 19261 1019 32 lifting lifting NN 19261 1019 33 motion motion NN 19261 1019 34 imparted impart VBD 19261 1019 35 to to IN 19261 1019 36 the the DT 19261 1019 37 laryngoscope laryngoscope NN 19261 1019 38 . . . 19261 1020 1 The the DT 19261 1020 2 epiglottis epiglottis NN 19261 1020 3 will will MD 19261 1020 4 then then RB 19261 1020 5 be be VB 19261 1020 6 seen see VBN 19261 1020 7 to to TO 19261 1020 8 project project VB 19261 1020 9 into into IN 19261 1020 10 the the DT 19261 1020 11 endoscopic endoscopic JJ 19261 1020 12 field field NN 19261 1020 13 , , , 19261 1020 14 as as IN 19261 1020 15 seen see VBN 19261 1020 16 in in IN 19261 1020 17 Fig Fig NNP 19261 1020 18 . . . 19261 1021 1 54 54 CD 19261 1021 2 . . . 19261 1022 1 [ [ -LRB- 19261 1022 2 FIG FIG NNP 19261 1022 3 . . . 19261 1023 1 54.--End 54.--end CD 19261 1023 2 of of IN 19261 1023 3 the the DT 19261 1023 4 first first JJ 19261 1023 5 of of IN 19261 1023 6 direct direct JJ 19261 1023 7 laryngoscopy laryngoscopy NN 19261 1023 8 , , , 19261 1023 9 recumbent recumbent JJ 19261 1023 10 adult adult NN 19261 1023 11 patient patient NN 19261 1023 12 . . . 19261 1024 1 The the DT 19261 1024 2 epiglottis epiglottis NN 19261 1024 3 is be VBZ 19261 1024 4 exposed expose VBN 19261 1024 5 by by IN 19261 1024 6 a a DT 19261 1024 7 lifting lifting JJ 19261 1024 8 motion motion NN 19261 1024 9 of of IN 19261 1024 10 the the DT 19261 1024 11 spatular spatular JJ 19261 1024 12 tip tip NN 19261 1024 13 on on IN 19261 1024 14 the the DT 19261 1024 15 tongue tongue NN 19261 1024 16 anterior anterior NN 19261 1024 17 to to IN 19261 1024 18 the the DT 19261 1024 19 epiglottis epiglottis NN 19261 1024 20 . . . 19261 1024 21 ] ] -RRB- 19261 1025 1 _ _ NNP 19261 1025 2 Second Second NNP 19261 1025 3 Stage_.--The stage_.--the IN 19261 1025 4 spatular spatular JJ 19261 1025 5 end end NN 19261 1025 6 of of IN 19261 1025 7 the the DT 19261 1025 8 laryngoscope laryngoscope NN 19261 1025 9 should should MD 19261 1025 10 now now RB 19261 1025 11 be be VB 19261 1025 12 tipped tip VBN 19261 1025 13 back back RB 19261 1025 14 toward toward IN 19261 1025 15 the the DT 19261 1025 16 posterior posterior NN 19261 1025 17 wall wall NN 19261 1025 18 of of IN 19261 1025 19 the the DT 19261 1025 20 pharynx pharynx NN 19261 1025 21 , , , 19261 1025 22 passed pass VBD 19261 1025 23 posterior posterior RB 19261 1025 24 to to IN 19261 1025 25 the the DT 19261 1025 26 epiglottis epiglottis NN 19261 1025 27 , , , 19261 1025 28 and and CC 19261 1025 29 advanced advance VBD 19261 1025 30 about about RB 19261 1025 31 1 1 CD 19261 1025 32 cm cm NNS 19261 1025 33 . . . 19261 1026 1 The the DT 19261 1026 2 larynx larynx NN 19261 1026 3 is be VBZ 19261 1026 4 now now RB 19261 1026 5 exposed expose VBN 19261 1026 6 by by IN 19261 1026 7 a a DT 19261 1026 8 motion motion NN 19261 1026 9 that that WDT 19261 1026 10 is be VBZ 19261 1026 11 best well RBS 19261 1026 12 described describe VBN 19261 1026 13 as as IN 19261 1026 14 a a DT 19261 1026 15 suspension suspension NN 19261 1026 16 of of IN 19261 1026 17 the the DT 19261 1026 18 head head NN 19261 1026 19 and and CC 19261 1026 20 all all PDT 19261 1026 21 the the DT 19261 1026 22 structures structure NNS 19261 1026 23 attached attach VBN 19261 1026 24 to to IN 19261 1026 25 the the DT 19261 1026 26 hyoid hyoid NN 19261 1026 27 bone bone NN 19261 1026 28 on on IN 19261 1026 29 the the DT 19261 1026 30 tip tip NN 19261 1026 31 of of IN 19261 1026 32 the the DT 19261 1026 33 spatular spatular JJ 19261 1026 34 end end NN 19261 1026 35 of of IN 19261 1026 36 the the DT 19261 1026 37 laryngoscope laryngoscope NN 19261 1026 38 ( ( -LRB- 19261 1026 39 Fig fig NN 19261 1026 40 . . . 19261 1027 1 55 55 CD 19261 1027 2 ) ) -RRB- 19261 1027 3 . . . 19261 1028 1 Particular particular JJ 19261 1028 2 care care NN 19261 1028 3 must must MD 19261 1028 4 be be VB 19261 1028 5 taken take VBN 19261 1028 6 at at IN 19261 1028 7 this this DT 19261 1028 8 stage stage NN 19261 1028 9 not not RB 19261 1028 10 to to TO 19261 1028 11 pry pry VB 19261 1028 12 on on IN 19261 1028 13 the the DT 19261 1028 14 upper upper JJ 19261 1028 15 teeth tooth NNS 19261 1028 16 ; ; : 19261 1028 17 but but CC 19261 1028 18 rather rather RB 19261 1028 19 to to TO 19261 1028 20 impart impart VB 19261 1028 21 a a DT 19261 1028 22 lifting lifting NN 19261 1028 23 motion motion NN 19261 1028 24 with with IN 19261 1028 25 the the DT 19261 1028 26 tip tip NN 19261 1028 27 of of IN 19261 1028 28 the the DT 19261 1028 29 speculum speculum NN 19261 1028 30 without without IN 19261 1028 31 depressing depress VBG 19261 1028 32 the the DT 19261 1028 33 proximal proximal JJ 19261 1028 34 tubular tubular JJ 19261 1028 35 orifice orifice NN 19261 1028 36 . . . 19261 1029 1 It -PRON- PRP 19261 1029 2 is be VBZ 19261 1029 3 to to TO 19261 1029 4 be be VB 19261 1029 5 emphasized emphasize VBN 19261 1029 6 that that IN 19261 1029 7 while while IN 19261 1029 8 some some DT 19261 1029 9 pressure pressure NN 19261 1029 10 is be VBZ 19261 1029 11 necessary necessary JJ 19261 1029 12 in in IN 19261 1029 13 the the DT 19261 1029 14 lifting lifting NN 19261 1029 15 motion motion NN 19261 1029 16 , , , 19261 1029 17 great great JJ 19261 1029 18 force force NN 19261 1029 19 should should MD 19261 1029 20 never never RB 19261 1029 21 be be VB 19261 1029 22 used use VBN 19261 1029 23 ; ; : 19261 1029 24 the the DT 19261 1029 25 art art NN 19261 1029 26 is be VBZ 19261 1029 27 a a DT 19261 1029 28 gentle gentle JJ 19261 1029 29 one one NN 19261 1029 30 . . . 19261 1030 1 The the DT 19261 1030 2 first first JJ 19261 1030 3 view view NN 19261 1030 4 is be VBZ 19261 1030 5 apt apt JJ 19261 1030 6 to to TO 19261 1030 7 find find VB 19261 1030 8 the the DT 19261 1030 9 larynx larynx NN 19261 1030 10 in in IN 19261 1030 11 state state NN 19261 1030 12 of of IN 19261 1030 13 spasm spasm NN 19261 1030 14 , , , 19261 1030 15 and and CC 19261 1030 16 affords afford VBZ 19261 1030 17 an an DT 19261 1030 18 excellent excellent JJ 19261 1030 19 demonstration demonstration NN 19261 1030 20 of of IN 19261 1030 21 the the DT 19261 1030 22 fact fact NN 19261 1030 23 that that IN 19261 1030 24 the the DT 19261 1030 25 larynx larynx NN 19261 1030 26 can can MD 19261 1030 27 he -PRON- PRP 19261 1030 28 completely completely RB 19261 1030 29 closed close VBD 19261 1030 30 without without IN 19261 1030 31 the the DT 19261 1030 32 aid aid NN 19261 1030 33 of of IN 19261 1030 34 the the DT 19261 1030 35 epiglottis epiglottis NN 19261 1030 36 . . . 19261 1031 1 Usually usually RB 19261 1031 2 little little JJ 19261 1031 3 more more RBR 19261 1031 4 is be VBZ 19261 1031 5 seen see VBN 19261 1031 6 than than IN 19261 1031 7 the the DT 19261 1031 8 two two CD 19261 1031 9 rounded round VBN 19261 1031 10 arytenoid arytenoid JJ 19261 1031 11 masses masse NNS 19261 1031 12 , , , 19261 1031 13 and and CC 19261 1031 14 , , , 19261 1031 15 anterior anterior NN 19261 1031 16 to to IN 19261 1031 17 them -PRON- PRP 19261 1031 18 , , , 19261 1031 19 the the DT 19261 1031 20 ventricular ventricular NN 19261 1031 21 bands band NNS 19261 1031 22 in in IN 19261 1031 23 more more RBR 19261 1031 24 or or CC 19261 1031 25 less less RBR 19261 1031 26 close close JJ 19261 1031 27 apposition apposition NN 19261 1031 28 hiding hide VBG 19261 1031 29 the the DT 19261 1031 30 cords cord NNS 19261 1031 31 ( ( -LRB- 19261 1031 32 Fig fig NN 19261 1031 33 . . . 19261 1032 1 56 56 LS 19261 1032 2 ) ) -RRB- 19261 1032 3 . . . 19261 1033 1 With with IN 19261 1033 2 deep deep JJ 19261 1033 3 general general JJ 19261 1033 4 anesthesia anesthesia NNS 19261 1033 5 or or CC 19261 1033 6 thorough thorough JJ 19261 1033 7 local local JJ 19261 1033 8 anesthesia anesthesia NNS 19261 1033 9 the the DT 19261 1033 10 spasm spasm NN 19261 1033 11 may may MD 19261 1033 12 not not RB 19261 1033 13 be be VB 19261 1033 14 present present JJ 19261 1033 15 . . . 19261 1034 1 By by IN 19261 1034 2 asking ask VBG 19261 1034 3 the the DT 19261 1034 4 patient patient NN 19261 1034 5 to to TO 19261 1034 6 take take VB 19261 1034 7 a a DT 19261 1034 8 deep deep JJ 19261 1034 9 breath breath NN 19261 1034 10 and and CC 19261 1034 11 maintain maintain VB 19261 1034 12 steady steady JJ 19261 1034 13 breathing breathing NN 19261 1034 14 , , , 19261 1034 15 or or CC 19261 1034 16 perhaps perhaps RB 19261 1034 17 by by IN 19261 1034 18 requesting request VBG 19261 1034 19 a a DT 19261 1034 20 phonatory phonatory JJ 19261 1034 21 effort effort NN 19261 1034 22 , , , 19261 1034 23 the the DT 19261 1034 24 larynx larynx NN 19261 1034 25 will will MD 19261 1034 26 open open VB 19261 1034 27 widely widely RB 19261 1034 28 and and CC 19261 1034 29 the the DT 19261 1034 30 cords cord NNS 19261 1034 31 be be VB 19261 1034 32 revealed reveal VBN 19261 1034 33 . . . 19261 1035 1 If if IN 19261 1035 2 the the DT 19261 1035 3 anterior anterior JJ 19261 1035 4 commissure commissure NN 19261 1035 5 of of IN 19261 1035 6 the the DT 19261 1035 7 larynx larynx NN 19261 1035 8 is be VBZ 19261 1035 9 not not RB 19261 1035 10 readily readily RB 19261 1035 11 seen see VBN 19261 1035 12 , , , 19261 1035 13 the the DT 19261 1035 14 lifting lifting NN 19261 1035 15 motion motion NN 19261 1035 16 and and CC 19261 1035 17 elevation elevation NN 19261 1035 18 of of IN 19261 1035 19 the the DT 19261 1035 20 head head NN 19261 1035 21 should should MD 19261 1035 22 be be VB 19261 1035 23 increased increase VBN 19261 1035 24 , , , 19261 1035 25 and and CC 19261 1035 26 if if IN 19261 1035 27 there there EX 19261 1035 28 is be VBZ 19261 1035 29 still still RB 19261 1035 30 difficulty difficulty NN 19261 1035 31 in in IN 19261 1035 32 exposing expose VBG 19261 1035 33 the the DT 19261 1035 34 anterior anterior NN 19261 1035 35 commissure commissure NN 19261 1035 36 the the DT 19261 1035 37 assistant assistant NN 19261 1035 38 holding hold VBG 19261 1035 39 the the DT 19261 1035 40 head head NN 19261 1035 41 should should MD 19261 1035 42 with with IN 19261 1035 43 the the DT 19261 1035 44 index index NN 19261 1035 45 finger finger NN 19261 1035 46 externally externally RB 19261 1035 47 on on IN 19261 1035 48 the the DT 19261 1035 49 neck neck NN 19261 1035 50 depress depress NN 19261 1035 51 the the DT 19261 1035 52 thyroid thyroid NN 19261 1035 53 cartilage cartilage NN 19261 1035 54 . . . 19261 1036 1 If if IN 19261 1036 2 by by IN 19261 1036 3 this this DT 19261 1036 4 technic technic NN 19261 1036 5 the the DT 19261 1036 6 larynx larynx NN 19261 1036 7 fails fail VBZ 19261 1036 8 to to TO 19261 1036 9 be be VB 19261 1036 10 revealed reveal VBN 19261 1036 11 the the DT 19261 1036 12 endoscopist endoscopist NN 19261 1036 13 should should MD 19261 1036 14 ask ask VB 19261 1036 15 himself -PRON- PRP 19261 1036 16 which which WDT 19261 1036 17 of of IN 19261 1036 18 the the DT 19261 1036 19 following follow VBG 19261 1036 20 rules rule NNS 19261 1036 21 he -PRON- PRP 19261 1036 22 has have VBZ 19261 1036 23 violated violate VBN 19261 1036 24 . . . 19261 1037 1 [ [ -LRB- 19261 1037 2 FIG FIG NNP 19261 1037 3 . . . 19261 1038 1 55.--Schema 55.--schema CD 19261 1038 2 illustrating illustrate VBG 19261 1038 3 the the DT 19261 1038 4 technic technic NN 19261 1038 5 of of IN 19261 1038 6 direct direct JJ 19261 1038 7 laryngoscopy laryngoscopy NN 19261 1038 8 on on IN 19261 1038 9 the the DT 19261 1038 10 recumbent recumbent JJ 19261 1038 11 patient patient NN 19261 1038 12 . . . 19261 1039 1 The the DT 19261 1039 2 motion motion NN 19261 1039 3 is be VBZ 19261 1039 4 imparted impart VBN 19261 1039 5 to to IN 19261 1039 6 the the DT 19261 1039 7 tip tip NN 19261 1039 8 of of IN 19261 1039 9 the the DT 19261 1039 10 laryngoscope laryngoscope NN 19261 1039 11 as as IN 19261 1039 12 if if IN 19261 1039 13 to to TO 19261 1039 14 lift lift VB 19261 1039 15 the the DT 19261 1039 16 patient patient NN 19261 1039 17 by by IN 19261 1039 18 his -PRON- PRP$ 19261 1039 19 hyoid hyoid NN 19261 1039 20 hone hone NN 19261 1039 21 . . . 19261 1040 1 The the DT 19261 1040 2 portion portion NN 19261 1040 3 of of IN 19261 1040 4 the the DT 19261 1040 5 table table NN 19261 1040 6 indicated indicate VBN 19261 1040 7 by by IN 19261 1040 8 the the DT 19261 1040 9 dotted dotted JJ 19261 1040 10 line line NN 19261 1040 11 may may MD 19261 1040 12 be be VB 19261 1040 13 dropped drop VBN 19261 1040 14 or or CC 19261 1040 15 not not RB 19261 1040 16 , , , 19261 1040 17 but but CC 19261 1040 18 the the DT 19261 1040 19 back back NN 19261 1040 20 of of IN 19261 1040 21 the the DT 19261 1040 22 head head NN 19261 1040 23 must must MD 19261 1040 24 never never RB 19261 1040 25 go go VB 19261 1040 26 lower low JJR 19261 1040 27 than than IN 19261 1040 28 here here RB 19261 1040 29 shown show VBN 19261 1040 30 , , , 19261 1040 31 for for IN 19261 1040 32 direct direct JJ 19261 1040 33 laryngoscopy laryngoscopy NN 19261 1040 34 ; ; : 19261 1040 35 and and CC 19261 1040 36 it -PRON- PRP 19261 1040 37 is be VBZ 19261 1040 38 better well JJR 19261 1040 39 to to TO 19261 1040 40 have have VB 19261 1040 41 it -PRON- PRP 19261 1040 42 at at RB 19261 1040 43 least least RBS 19261 1040 44 10 10 CD 19261 1040 45 cm cm NNS 19261 1040 46 . . . 19261 1041 1 above above IN 19261 1041 2 the the DT 19261 1041 3 level level NN 19261 1041 4 of of IN 19261 1041 5 the the DT 19261 1041 6 table table NN 19261 1041 7 . . . 19261 1042 1 The the DT 19261 1042 2 table table NN 19261 1042 3 may may MD 19261 1042 4 be be VB 19261 1042 5 used use VBN 19261 1042 6 as as IN 19261 1042 7 a a DT 19261 1042 8 rest rest NN 19261 1042 9 for for IN 19261 1042 10 the the DT 19261 1042 11 operator operator NN 19261 1042 12 's 's POS 19261 1042 13 left leave VBN 19261 1042 14 elbow elbow VB 19261 1042 15 to to TO 19261 1042 16 take take VB 19261 1042 17 the the DT 19261 1042 18 weight weight NN 19261 1042 19 of of IN 19261 1042 20 the the DT 19261 1042 21 head head NN 19261 1042 22 . . . 19261 1043 1 ( ( -LRB- 19261 1043 2 Note note VB 19261 1043 3 that that IN 19261 1043 4 in in IN 19261 1043 5 bronchoscopy bronchoscopy NN 19261 1043 6 and and CC 19261 1043 7 esophagoscopy esophagoscopy VB 19261 1043 8 the the DT 19261 1043 9 head head NN 19261 1043 10 section section NN 19261 1043 11 of of IN 19261 1043 12 the the DT 19261 1043 13 table table NN 19261 1043 14 must must MD 19261 1043 15 be be VB 19261 1043 16 dropped drop VBN 19261 1043 17 , , , 19261 1043 18 so so IN 19261 1043 19 as as IN 19261 1043 20 to to TO 19261 1043 21 leave leave VB 19261 1043 22 the the DT 19261 1043 23 head head NN 19261 1043 24 and and CC 19261 1043 25 neck neck NN 19261 1043 26 of of IN 19261 1043 27 the the DT 19261 1043 28 patient patient NN 19261 1043 29 out out RP 19261 1043 30 in in IN 19261 1043 31 the the DT 19261 1043 32 air air NN 19261 1043 33 , , , 19261 1043 34 supported support VBN 19261 1043 35 by by IN 19261 1043 36 the the DT 19261 1043 37 second second JJ 19261 1043 38 assistant assistant NN 19261 1043 39 . . . 19261 1043 40 ) ) -RRB- 19261 1043 41 ] ] -RRB- 19261 1044 1 [ [ -LRB- 19261 1044 2 FIG FIG NNP 19261 1044 3 . . . 19261 1045 1 56.--Endoscopic 56.--Endoscopic NNP 19261 1045 2 view view NN 19261 1045 3 at at IN 19261 1045 4 the the DT 19261 1045 5 end end NN 19261 1045 6 of of IN 19261 1045 7 the the DT 19261 1045 8 second second JJ 19261 1045 9 stage stage NN 19261 1045 10 of of IN 19261 1045 11 direct direct JJ 19261 1045 12 laryngoscopy laryngoscopy NN 19261 1045 13 . . . 19261 1046 1 Recumbent recumbent JJ 19261 1046 2 patient patient NN 19261 1046 3 . . . 19261 1047 1 Larynx Larynx NNP 19261 1047 2 exposed expose VBD 19261 1047 3 waiting wait VBG 19261 1047 4 for for IN 19261 1047 5 larynx larynx NNP 19261 1047 6 to to TO 19261 1047 7 relax relax VB 19261 1047 8 its -PRON- PRP$ 19261 1047 9 spasmodic spasmodic JJ 19261 1047 10 contraction contraction NN 19261 1047 11 . . . 19261 1047 12 ] ] -RRB- 19261 1048 1 RULES rule NNS 19261 1048 2 FOR for IN 19261 1048 3 DIRECT direct JJ 19261 1048 4 LARYNGOSCOPY LARYNGOSCOPY NNP 19261 1048 5 1 1 CD 19261 1048 6 . . . 19261 1049 1 The the DT 19261 1049 2 laryngoscope laryngoscope NN 19261 1049 3 must must MD 19261 1049 4 always always RB 19261 1049 5 be be VB 19261 1049 6 held hold VBN 19261 1049 7 in in IN 19261 1049 8 the the DT 19261 1049 9 left left JJ 19261 1049 10 hand hand NN 19261 1049 11 , , , 19261 1049 12 never never RB 19261 1049 13 in in IN 19261 1049 14 the the DT 19261 1049 15 right right NN 19261 1049 16 . . . 19261 1050 1 2 2 LS 19261 1050 2 . . . 19261 1051 1 The the DT 19261 1051 2 operator operator NN 19261 1051 3 's 's POS 19261 1051 4 right right JJ 19261 1051 5 index index NN 19261 1051 6 finger finger NN 19261 1051 7 ( ( -LRB- 19261 1051 8 never never RB 19261 1051 9 the the DT 19261 1051 10 left left NN 19261 1051 11 ) ) -RRB- 19261 1051 12 should should MD 19261 1051 13 be be VB 19261 1051 14 used use VBN 19261 1051 15 to to TO 19261 1051 16 retract retract VB 19261 1051 17 the the DT 19261 1051 18 patient patient NN 19261 1051 19 's 's POS 19261 1051 20 upper upper JJ 19261 1051 21 lip lip NN 19261 1051 22 so so IN 19261 1051 23 that that IN 19261 1051 24 there there EX 19261 1051 25 is be VBZ 19261 1051 26 no no DT 19261 1051 27 danger danger NN 19261 1051 28 of of IN 19261 1051 29 pinching pinch VBG 19261 1051 30 the the DT 19261 1051 31 lip lip NN 19261 1051 32 between between IN 19261 1051 33 the the DT 19261 1051 34 instrument instrument NN 19261 1051 35 and and CC 19261 1051 36 the the DT 19261 1051 37 teeth tooth NNS 19261 1051 38 . . . 19261 1052 1 3 3 LS 19261 1052 2 . . . 19261 1053 1 The the DT 19261 1053 2 patient patient NN 19261 1053 3 's 's POS 19261 1053 4 head head NN 19261 1053 5 must must MD 19261 1053 6 always always RB 19261 1053 7 be be VB 19261 1053 8 exactly exactly RB 19261 1053 9 in in IN 19261 1053 10 the the DT 19261 1053 11 middle middle JJ 19261 1053 12 line line NN 19261 1053 13 , , , 19261 1053 14 not not RB 19261 1053 15 rotated rotate VBN 19261 1053 16 to to IN 19261 1053 17 the the DT 19261 1053 18 right right NN 19261 1053 19 or or CC 19261 1053 20 left leave VBN 19261 1053 21 , , , 19261 1053 22 nor nor CC 19261 1053 23 bent bent JJ 19261 1053 24 over over IN 19261 1053 25 sidewise sidewise NN 19261 1053 26 ; ; : 19261 1053 27 and and CC 19261 1053 28 the the DT 19261 1053 29 entire entire JJ 19261 1053 30 head head NN 19261 1053 31 must must MD 19261 1053 32 be be VB 19261 1053 33 forward forward RB 19261 1053 34 with with IN 19261 1053 35 extension extension NN 19261 1053 36 at at IN 19261 1053 37 the the DT 19261 1053 38 occipitoatloid occipitoatloid JJ 19261 1053 39 joint joint NN 19261 1053 40 only only RB 19261 1053 41 . . . 19261 1054 1 4 4 LS 19261 1054 2 . . . 19261 1055 1 The the DT 19261 1055 2 laryngoscope laryngoscope NN 19261 1055 3 is be VBZ 19261 1055 4 inserted insert VBN 19261 1055 5 to to IN 19261 1055 6 the the DT 19261 1055 7 right right JJ 19261 1055 8 side side NN 19261 1055 9 of of IN 19261 1055 10 the the DT 19261 1055 11 anterior anterior JJ 19261 1055 12 two two CD 19261 1055 13 - - HYPH 19261 1055 14 thirds third NNS 19261 1055 15 of of IN 19261 1055 16 the the DT 19261 1055 17 tongue tongue NN 19261 1055 18 , , , 19261 1055 19 the the DT 19261 1055 20 tip tip NN 19261 1055 21 of of IN 19261 1055 22 the the DT 19261 1055 23 spatula spatula NN 19261 1055 24 being be VBG 19261 1055 25 directed direct VBN 19261 1055 26 toward toward IN 19261 1055 27 the the DT 19261 1055 28 midline midline NN 19261 1055 29 when when WRB 19261 1055 30 the the DT 19261 1055 31 posterior posterior NN 19261 1055 32 third third JJ 19261 1055 33 of of IN 19261 1055 34 the the DT 19261 1055 35 tongue tongue NN 19261 1055 36 is be VBZ 19261 1055 37 reached reach VBN 19261 1055 38 . . . 19261 1056 1 5 5 CD 19261 1056 2 . . . 19261 1057 1 The the DT 19261 1057 2 epiglottis epiglottis NN 19261 1057 3 must must MD 19261 1057 4 always always RB 19261 1057 5 be be VB 19261 1057 6 identified identify VBN 19261 1057 7 before before IN 19261 1057 8 any any DT 19261 1057 9 attempt attempt NN 19261 1057 10 is be VBZ 19261 1057 11 made make VBN 19261 1057 12 to to TO 19261 1057 13 expose expose VB 19261 1057 14 the the DT 19261 1057 15 larynx larynx NN 19261 1057 16 . . . 19261 1058 1 6 6 CD 19261 1058 2 . . . 19261 1059 1 When when WRB 19261 1059 2 first first RB 19261 1059 3 inserting insert VBG 19261 1059 4 the the DT 19261 1059 5 laryngoscope laryngoscope NN 19261 1059 6 to to TO 19261 1059 7 find find VB 19261 1059 8 the the DT 19261 1059 9 epiglottis epiglottis NN 19261 1059 10 , , , 19261 1059 11 great great JJ 19261 1059 12 care care NN 19261 1059 13 should should MD 19261 1059 14 be be VB 19261 1059 15 taken take VBN 19261 1059 16 not not RB 19261 1059 17 to to TO 19261 1059 18 insert insert VB 19261 1059 19 too too RB 19261 1059 20 deeply deeply RB 19261 1059 21 lest lest IN 19261 1059 22 the the DT 19261 1059 23 epiglottis epiglottis NN 19261 1059 24 be be VB 19261 1059 25 overridden overridden JJ 19261 1059 26 and and CC 19261 1059 27 thus thus RB 19261 1059 28 hidden hide VBN 19261 1059 29 . . . 19261 1060 1 7 7 LS 19261 1060 2 . . . 19261 1061 1 After after IN 19261 1061 2 identification identification NN 19261 1061 3 of of IN 19261 1061 4 the the DT 19261 1061 5 epiglottis epiglottis NN 19261 1061 6 , , , 19261 1061 7 too too RB 19261 1061 8 deep deep JJ 19261 1061 9 insertion insertion NN 19261 1061 10 of of IN 19261 1061 11 the the DT 19261 1061 12 laryngoscope laryngoscope NN 19261 1061 13 must must MD 19261 1061 14 be be VB 19261 1061 15 carefully carefully RB 19261 1061 16 avoided avoid VBN 19261 1061 17 lest lest IN 19261 1061 18 the the DT 19261 1061 19 spatula spatula NN 19261 1061 20 be be VB 19261 1061 21 inserted insert VBN 19261 1061 22 back back RB 19261 1061 23 of of IN 19261 1061 24 the the DT 19261 1061 25 arytenoids arytenoid NNS 19261 1061 26 into into IN 19261 1061 27 the the DT 19261 1061 28 hypo hypo JJ 19261 1061 29 - - HYPH 19261 1061 30 pharynx pharynx NN 19261 1061 31 . . . 19261 1062 1 8 8 LS 19261 1062 2 . . . 19261 1063 1 Exposure exposure NN 19261 1063 2 of of IN 19261 1063 3 the the DT 19261 1063 4 larynx larynx NN 19261 1063 5 is be VBZ 19261 1063 6 accomplished accomplish VBN 19261 1063 7 by by IN 19261 1063 8 pulling pull VBG 19261 1063 9 forward forward RB 19261 1063 10 the the DT 19261 1063 11 epiglottis epiglottis NN 19261 1063 12 and and CC 19261 1063 13 the the DT 19261 1063 14 tissues tissue NNS 19261 1063 15 attached attach VBN 19261 1063 16 to to IN 19261 1063 17 the the DT 19261 1063 18 hyoid hyoid NN 19261 1063 19 bone bone NN 19261 1063 20 , , , 19261 1063 21 and and CC 19261 1063 22 not not RB 19261 1063 23 by by IN 19261 1063 24 prying pry VBG 19261 1063 25 these these DT 19261 1063 26 tissues tissue NNS 19261 1063 27 forward forward RB 19261 1063 28 with with IN 19261 1063 29 the the DT 19261 1063 30 upper upper JJ 19261 1063 31 teeth tooth NNS 19261 1063 32 as as IN 19261 1063 33 a a DT 19261 1063 34 fulcrum fulcrum NN 19261 1063 35 . . . 19261 1064 1 9 9 CD 19261 1064 2 . . . 19261 1065 1 Care care NN 19261 1065 2 must must MD 19261 1065 3 be be VB 19261 1065 4 taken take VBN 19261 1065 5 to to TO 19261 1065 6 avoid avoid VB 19261 1065 7 mistaking mistake VBG 19261 1065 8 the the DT 19261 1065 9 ary ary JJ 19261 1065 10 - - HYPH 19261 1065 11 epiglottic epiglottic JJ 19261 1065 12 fold fold NN 19261 1065 13 for for IN 19261 1065 14 the the DT 19261 1065 15 epiglottis epiglottis NN 19261 1065 16 itself -PRON- PRP 19261 1065 17 . . . 19261 1066 1 ( ( -LRB- 19261 1066 2 Most most RBS 19261 1066 3 likely likely JJ 19261 1066 4 to to TO 19261 1066 5 occur occur VB 19261 1066 6 as as IN 19261 1066 7 the the DT 19261 1066 8 result result NN 19261 1066 9 of of IN 19261 1066 10 rotation rotation NN 19261 1066 11 of of IN 19261 1066 12 the the DT 19261 1066 13 patient patient NN 19261 1066 14 's 's POS 19261 1066 15 head head NN 19261 1066 16 . . . 19261 1066 17 ) ) -RRB- 19261 1067 1 10 10 CD 19261 1067 2 . . . 19261 1068 1 The the DT 19261 1068 2 tube tube NN 19261 1068 3 should should MD 19261 1068 4 not not RB 19261 1068 5 be be VB 19261 1068 6 retained retain VBN 19261 1068 7 too too RB 19261 1068 8 long long RB 19261 1068 9 in in IN 19261 1068 10 place place NN 19261 1068 11 , , , 19261 1068 12 but but CC 19261 1068 13 should should MD 19261 1068 14 be be VB 19261 1068 15 removed remove VBN 19261 1068 16 and and CC 19261 1068 17 the the DT 19261 1068 18 patient patient NN 19261 1068 19 permitted permit VBD 19261 1068 20 to to TO 19261 1068 21 swallow swallow VB 19261 1068 22 the the DT 19261 1068 23 accumulated accumulate VBN 19261 1068 24 saliva saliva NN 19261 1068 25 , , , 19261 1068 26 which which WDT 19261 1068 27 , , , 19261 1068 28 if if IN 19261 1068 29 the the DT 19261 1068 30 laryngoscope laryngoscope NN 19261 1068 31 is be VBZ 19261 1068 32 too too RB 19261 1068 33 long long JJ 19261 1068 34 in in IN 19261 1068 35 place place NN 19261 1068 36 , , , 19261 1068 37 will will MD 19261 1068 38 trickle trickle VB 19261 1068 39 down down IN 19261 1068 40 the the DT 19261 1068 41 trachea trachea NN 19261 1068 42 and and CC 19261 1068 43 cause cause VB 19261 1068 44 cough cough NN 19261 1068 45 . . . 19261 1069 1 ( ( -LRB- 19261 1069 2 Swallowing swallow VBG 19261 1069 3 is be VBZ 19261 1069 4 almost almost RB 19261 1069 5 impossible impossible JJ 19261 1069 6 while while IN 19261 1069 7 the the DT 19261 1069 8 laryngoscope laryngoscope NN 19261 1069 9 is be VBZ 19261 1069 10 in in IN 19261 1069 11 position position NN 19261 1069 12 . . . 19261 1069 13 ) ) -RRB- 19261 1070 1 The the DT 19261 1070 2 secretions secretion NNS 19261 1070 3 may may MD 19261 1070 4 be be VB 19261 1070 5 removed remove VBN 19261 1070 6 with with IN 19261 1070 7 the the DT 19261 1070 8 aspirator aspirator NN 19261 1070 9 . . . 19261 1071 1 11 11 CD 19261 1071 2 . . . 19261 1072 1 The the DT 19261 1072 2 patient patient NN 19261 1072 3 must must MD 19261 1072 4 be be VB 19261 1072 5 instructed instruct VBN 19261 1072 6 to to TO 19261 1072 7 breathe breathe VB 19261 1072 8 deeply deeply RB 19261 1072 9 and and CC 19261 1072 10 quietly quietly RB 19261 1072 11 without without IN 19261 1072 12 making make VBG 19261 1072 13 a a DT 19261 1072 14 sound sound NN 19261 1072 15 . . . 19261 1073 1 [ [ -LRB- 19261 1073 2 88 88 CD 19261 1073 3 ] ] -RRB- 19261 1073 4 _ _ NNP 19261 1073 5 Difficulties difficulty NNS 19261 1073 6 of of IN 19261 1073 7 Direct Direct NNP 19261 1073 8 Laryngoscopy_.--The Laryngoscopy_.--The NNP 19261 1073 9 larynx larynx NN 19261 1073 10 can can MD 19261 1073 11 be be VB 19261 1073 12 directly directly RB 19261 1073 13 exposed expose VBN 19261 1073 14 in in IN 19261 1073 15 any any DT 19261 1073 16 patient patient NN 19261 1073 17 whose whose WP$ 19261 1073 18 mouth mouth NN 19261 1073 19 can can MD 19261 1073 20 be be VB 19261 1073 21 opened open VBN 19261 1073 22 , , , 19261 1073 23 although although IN 19261 1073 24 the the DT 19261 1073 25 ease ease NN 19261 1073 26 varies vary VBZ 19261 1073 27 greatly greatly RB 19261 1073 28 with with IN 19261 1073 29 the the DT 19261 1073 30 type type NN 19261 1073 31 of of IN 19261 1073 32 patient patient NN 19261 1073 33 . . . 19261 1074 1 Failure failure NN 19261 1074 2 to to TO 19261 1074 3 expose expose VB 19261 1074 4 the the DT 19261 1074 5 epiglottis epiglottis NN 19261 1074 6 is be VBZ 19261 1074 7 usually usually RB 19261 1074 8 due due JJ 19261 1074 9 to to IN 19261 1074 10 too too RB 19261 1074 11 great great JJ 19261 1074 12 haste haste NN 19261 1074 13 to to TO 19261 1074 14 enter enter VB 19261 1074 15 the the DT 19261 1074 16 speculum speculum NN 19261 1074 17 all all PDT 19261 1074 18 the the DT 19261 1074 19 way way NN 19261 1074 20 down down RB 19261 1074 21 . . . 19261 1075 1 The the DT 19261 1075 2 spatula spatula NN 19261 1075 3 should should MD 19261 1075 4 glide glide VB 19261 1075 5 slowly slowly RB 19261 1075 6 along along IN 19261 1075 7 the the DT 19261 1075 8 posterior posterior NN 19261 1075 9 third third JJ 19261 1075 10 of of IN 19261 1075 11 the the DT 19261 1075 12 tongue tongue NN 19261 1075 13 until until IN 19261 1075 14 it -PRON- PRP 19261 1075 15 reaches reach VBZ 19261 1075 16 the the DT 19261 1075 17 glossoepiglottic glossoepiglottic JJ 19261 1075 18 fossa fossa NN 19261 1075 19 , , , 19261 1075 20 while while IN 19261 1075 21 at at IN 19261 1075 22 the the DT 19261 1075 23 same same JJ 19261 1075 24 time time NN 19261 1075 25 the the DT 19261 1075 26 tongue tongue NN 19261 1075 27 is be VBZ 19261 1075 28 lifted lift VBN 19261 1075 29 ; ; : 19261 1075 30 when when WRB 19261 1075 31 this this DT 19261 1075 32 is be VBZ 19261 1075 33 done do VBN 19261 1075 34 the the DT 19261 1075 35 epiglottis epiglottis NN 19261 1075 36 will will MD 19261 1075 37 stand stand VB 19261 1075 38 out out RP 19261 1075 39 in in IN 19261 1075 40 strong strong JJ 19261 1075 41 relief relief NN 19261 1075 42 . . . 19261 1076 1 The the DT 19261 1076 2 beginner beginner NN 19261 1076 3 is be VBZ 19261 1076 4 apt apt JJ 19261 1076 5 to to TO 19261 1076 6 insert insert VB 19261 1076 7 the the DT 19261 1076 8 speculum speculum NN 19261 1076 9 too too RB 19261 1076 10 far far RB 19261 1076 11 and and CC 19261 1076 12 expose expose VB 19261 1076 13 the the DT 19261 1076 14 hypopharynx hypopharynx NN 19261 1076 15 rather rather RB 19261 1076 16 than than IN 19261 1076 17 the the DT 19261 1076 18 larynx larynx NN 19261 1076 19 . . . 19261 1077 1 The the DT 19261 1077 2 elusiveness elusiveness NN 19261 1077 3 of of IN 19261 1077 4 the the DT 19261 1077 5 epiglottis epiglottis NN 19261 1077 6 and and CC 19261 1077 7 its -PRON- PRP$ 19261 1077 8 tendency tendency NN 19261 1077 9 to to TO 19261 1077 10 retreat retreat VB 19261 1077 11 downward downward RB 19261 1077 12 are be VBP 19261 1077 13 very very RB 19261 1077 14 much much RB 19261 1077 15 accentuated accentuate VBN 19261 1077 16 in in IN 19261 1077 17 patients patient NNS 19261 1077 18 who who WP 19261 1077 19 have have VBP 19261 1077 20 worn wear VBN 19261 1077 21 a a DT 19261 1077 22 tracheotomic tracheotomic JJ 19261 1077 23 cannula cannula NN 19261 1077 24 ; ; : 19261 1077 25 and and CC 19261 1077 26 if if IN 19261 1077 27 still still RB 19261 1077 28 wearing wear VBG 19261 1077 29 it -PRON- PRP 19261 1077 30 , , , 19261 1077 31 the the DT 19261 1077 32 patient patient NN 19261 1077 33 can can MD 19261 1077 34 wait wait VB 19261 1077 35 indefinitely indefinitely RB 19261 1077 36 before before IN 19261 1077 37 opening open VBG 19261 1077 38 his -PRON- PRP$ 19261 1077 39 glottis glottis NN 19261 1077 40 . . . 19261 1078 1 Over over IN 19261 1078 2 extension extension NN 19261 1078 3 of of IN 19261 1078 4 the the DT 19261 1078 5 patient patient NN 19261 1078 6 's 's POS 19261 1078 7 head head NN 19261 1078 8 is be VBZ 19261 1078 9 a a DT 19261 1078 10 frequent frequent JJ 19261 1078 11 cause cause NN 19261 1078 12 of of IN 19261 1078 13 difficulty difficulty NN 19261 1078 14 . . . 19261 1079 1 If if IN 19261 1079 2 the the DT 19261 1079 3 head head NN 19261 1079 4 is be VBZ 19261 1079 5 held hold VBN 19261 1079 6 high high JJ 19261 1079 7 enough enough JJ 19261 1079 8 extension extension NN 19261 1079 9 is be VBZ 19261 1079 10 not not RB 19261 1079 11 necessary necessary JJ 19261 1079 12 , , , 19261 1079 13 and and CC 19261 1079 14 the the DT 19261 1079 15 less less JJR 19261 1079 16 the the DT 19261 1079 17 extension extension NN 19261 1079 18 the the DT 19261 1079 19 less less RBR 19261 1079 20 muscular muscular JJ 19261 1079 21 tension tension NN 19261 1079 22 there there EX 19261 1079 23 is be VBZ 19261 1079 24 in in IN 19261 1079 25 the the DT 19261 1079 26 anterior anterior NNP 19261 1079 27 cervical cervical JJ 19261 1079 28 muscles muscle NNS 19261 1079 29 . . . 19261 1080 1 Only only RB 19261 1080 2 one one CD 19261 1080 3 arytenoid arytenoid JJ 19261 1080 4 eminence eminence NN 19261 1080 5 may may MD 19261 1080 6 be be VB 19261 1080 7 seen see VBN 19261 1080 8 . . . 19261 1081 1 The the DT 19261 1081 2 right right NN 19261 1081 3 and and CC 19261 1081 4 the the DT 19261 1081 5 left left JJ 19261 1081 6 look look VBP 19261 1081 7 different different JJ 19261 1081 8 . . . 19261 1082 1 Practice practice NN 19261 1082 2 will will MD 19261 1082 3 facilitate facilitate VB 19261 1082 4 identification identification NN 19261 1082 5 , , , 19261 1082 6 so so IN 19261 1082 7 that that IN 19261 1082 8 the the DT 19261 1082 9 endoscopist endoscopist NN 19261 1082 10 will will MD 19261 1082 11 at at IN 19261 1082 12 once once RB 19261 1082 13 know know VB 19261 1082 14 which which WDT 19261 1082 15 way way NN 19261 1082 16 to to TO 19261 1082 17 look look VB 19261 1082 18 for for IN 19261 1082 19 the the DT 19261 1082 20 glottis glottis NN 19261 1082 21 . . . 19261 1083 1 Of of IN 19261 1083 2 the the DT 19261 1083 3 difficulties difficulty NNS 19261 1083 4 that that WDT 19261 1083 5 pertain pertain VBP 19261 1083 6 to to IN 19261 1083 7 the the DT 19261 1083 8 operator operator NN 19261 1083 9 himself -PRON- PRP 19261 1083 10 the the DT 19261 1083 11 greatest great JJS 19261 1083 12 is be VBZ 19261 1083 13 lack lack NN 19261 1083 14 of of IN 19261 1083 15 practice practice NN 19261 1083 16 . . . 19261 1084 1 He -PRON- PRP 19261 1084 2 must must MD 19261 1084 3 learn learn VB 19261 1084 4 to to TO 19261 1084 5 recognize recognize VB 19261 1084 6 the the DT 19261 1084 7 landmarks landmark NNS 19261 1084 8 even even RB 19261 1084 9 though though IN 19261 1084 10 a a DT 19261 1084 11 high high JJ 19261 1084 12 degree degree NN 19261 1084 13 of of IN 19261 1084 14 spasm spasm NN 19261 1084 15 be be VB 19261 1084 16 present present JJ 19261 1084 17 . . . 19261 1085 1 The the DT 19261 1085 2 epiglottis epiglottis NN 19261 1085 3 and and CC 19261 1085 4 the the DT 19261 1085 5 two two CD 19261 1085 6 rounded rounded JJ 19261 1085 7 eminences eminence NNS 19261 1085 8 corresponding correspond VBG 19261 1085 9 to to IN 19261 1085 10 the the DT 19261 1085 11 arytenoids arytenoid NNS 19261 1085 12 must must MD 19261 1085 13 be be VB 19261 1085 14 in in IN 19261 1085 15 the the DT 19261 1085 16 mind mind NN 19261 1085 17 's 's POS 19261 1085 18 eye eye NN 19261 1085 19 , , , 19261 1085 20 for for IN 19261 1085 21 it -PRON- PRP 19261 1085 22 is be VBZ 19261 1085 23 only only RB 19261 1085 24 on on IN 19261 1085 25 deep deep JJ 19261 1085 26 , , , 19261 1085 27 relaxed relaxed JJ 19261 1085 28 inspiration inspiration NN 19261 1085 29 that that IN 19261 1085 30 anything anything NN 19261 1085 31 like like IN 19261 1085 32 a a DT 19261 1085 33 typical typical JJ 19261 1085 34 picture picture NN 19261 1085 35 of of IN 19261 1085 36 the the DT 19261 1085 37 larynx larynx NN 19261 1085 38 will will MD 19261 1085 39 be be VB 19261 1085 40 seen see VBN 19261 1085 41 . . . 19261 1086 1 He -PRON- PRP 19261 1086 2 must must MD 19261 1086 3 know know VB 19261 1086 4 also also RB 19261 1086 5 the the DT 19261 1086 6 right right NN 19261 1086 7 from from IN 19261 1086 8 the the DT 19261 1086 9 left left JJ 19261 1086 10 arytenoid arytenoid NN 19261 1086 11 when when WRB 19261 1086 12 only only RB 19261 1086 13 one one CD 19261 1086 14 is be VBZ 19261 1086 15 seen see VBN 19261 1086 16 in in IN 19261 1086 17 order order NN 19261 1086 18 to to TO 19261 1086 19 know know VB 19261 1086 20 whether whether IN 19261 1086 21 to to TO 19261 1086 22 move move VB 19261 1086 23 the the DT 19261 1086 24 lip lip NN 19261 1086 25 of of IN 19261 1086 26 the the DT 19261 1086 27 laryngoscope laryngoscope NN 19261 1086 28 to to IN 19261 1086 29 the the DT 19261 1086 30 right right NN 19261 1086 31 or or CC 19261 1086 32 the the DT 19261 1086 33 left left NN 19261 1086 34 for for IN 19261 1086 35 exposure exposure NN 19261 1086 36 of of IN 19261 1086 37 the the DT 19261 1086 38 interior interior NN 19261 1086 39 of of IN 19261 1086 40 the the DT 19261 1086 41 larynx larynx NN 19261 1086 42 . . . 19261 1087 1 _ _ NNP 19261 1087 2 Instruments Instruments NNPS 19261 1087 3 for for IN 19261 1087 4 Direct Direct NNP 19261 1087 5 Laryngoscopy_.--In Laryngoscopy_.--In NNP 19261 1087 6 undertaking undertake VBG 19261 1087 7 direct direct JJ 19261 1087 8 laryngoscopy laryngoscopy NN 19261 1087 9 one one PRP 19261 1087 10 must must MD 19261 1087 11 always always RB 19261 1087 12 be be VB 19261 1087 13 prepared prepare VBN 19261 1087 14 for for IN 19261 1087 15 bronchoscopy bronchoscopy JJ 19261 1087 16 , , , 19261 1087 17 esophagoscopy esophagoscopy NN 19261 1087 18 , , , 19261 1087 19 and and CC 19261 1087 20 tracheotomy tracheotomy NN 19261 1087 21 , , , 19261 1087 22 as as RB 19261 1087 23 well well RB 19261 1087 24 . . . 19261 1088 1 Preparations preparation NNS 19261 1088 2 for for IN 19261 1088 3 bronchoscopy bronchoscopy NN 19261 1088 4 are be VBP 19261 1088 5 necessary necessary JJ 19261 1088 6 because because IN 19261 1088 7 the the DT 19261 1088 8 pathological pathological JJ 19261 1088 9 condition condition NN 19261 1088 10 may may MD 19261 1088 11 not not RB 19261 1088 12 be be VB 19261 1088 13 found find VBN 19261 1088 14 in in IN 19261 1088 15 the the DT 19261 1088 16 larynx larynx NN 19261 1088 17 , , , 19261 1088 18 and and CC 19261 1088 19 further further JJ 19261 1088 20 search search NN 19261 1088 21 of of IN 19261 1088 22 the the DT 19261 1088 23 trachea trachea NN 19261 1088 24 or or CC 19261 1088 25 bronchi bronchi NNP 19261 1088 26 may may MD 19261 1088 27 be be VB 19261 1088 28 required require VBN 19261 1088 29 . . . 19261 1089 1 A a DT 19261 1089 2 foreign foreign JJ 19261 1089 3 body body NN 19261 1089 4 in in IN 19261 1089 5 the the DT 19261 1089 6 larynx larynx NN 19261 1089 7 may may MD 19261 1089 8 be be VB 19261 1089 9 aspirated aspirate VBN 19261 1089 10 to to IN 19261 1089 11 a a DT 19261 1089 12 deeper deep JJR 19261 1089 13 location location NN 19261 1089 14 and and CC 19261 1089 15 could could MD 19261 1089 16 only only RB 19261 1089 17 be be VB 19261 1089 18 followed follow VBN 19261 1089 19 with with IN 19261 1089 20 the the DT 19261 1089 21 bronchoscope bronchoscope NN 19261 1089 22 . . . 19261 1090 1 Sudden sudden JJ 19261 1090 2 respiratory respiratory JJ 19261 1090 3 arrest arrest NN 19261 1090 4 might may MD 19261 1090 5 occur occur VB 19261 1090 6 , , , 19261 1090 7 from from IN 19261 1090 8 pathology pathology NN 19261 1090 9 or or CC 19261 1090 10 foreign foreign JJ 19261 1090 11 body body NN 19261 1090 12 , , , 19261 1090 13 necessitating necessitate VBG 19261 1090 14 the the DT 19261 1090 15 inserting inserting NN 19261 1090 16 of of IN 19261 1090 17 the the DT 19261 1090 18 bronchoscope bronchoscope NN 19261 1090 19 for for IN 19261 1090 20 breathing breathe VBG 19261 1090 21 purposes purpose NNS 19261 1090 22 , , , 19261 1090 23 and and CC 19261 1090 24 the the DT 19261 1090 25 insufflation insufflation NN 19261 1090 26 of of IN 19261 1090 27 oxygen oxygen NN 19261 1090 28 and and CC 19261 1090 29 amyl amyl NNP 19261 1090 30 nitrite nitrite NNP 19261 1090 31 . . . 19261 1091 1 Trachectomy Trachectomy NNP 19261 1091 2 might may MD 19261 1091 3 be be VB 19261 1091 4 required require VBN 19261 1091 5 for for IN 19261 1091 6 dyspnea dyspnea JJ 19261 1091 7 or or CC 19261 1091 8 other other JJ 19261 1091 9 reasons reason NNS 19261 1091 10 . . . 19261 1092 1 It -PRON- PRP 19261 1092 2 might may MD 19261 1092 3 be be VB 19261 1092 4 necessary necessary JJ 19261 1092 5 to to TO 19261 1092 6 explore explore VB 19261 1092 7 the the DT 19261 1092 8 esophagus esophagus NN 19261 1092 9 for for IN 19261 1092 10 conditions condition NNS 19261 1092 11 associated associate VBN 19261 1092 12 with with IN 19261 1092 13 laryngeal laryngeal JJ 19261 1092 14 lesions lesion NNS 19261 1092 15 , , , 19261 1092 16 as as IN 19261 1092 17 for for IN 19261 1092 18 instance instance NN 19261 1092 19 a a DT 19261 1092 20 foreign foreign JJ 19261 1092 21 body body NN 19261 1092 22 in in IN 19261 1092 23 the the DT 19261 1092 24 esophagus esophagus NN 19261 1092 25 causing cause VBG 19261 1092 26 dyspnea dyspnea VBN 19261 1092 27 by by IN 19261 1092 28 pressure pressure NN 19261 1092 29 . . . 19261 1093 1 In in IN 19261 1093 2 short short JJ 19261 1093 3 , , , 19261 1093 4 when when WRB 19261 1093 5 planning plan VBG 19261 1093 6 for for IN 19261 1093 7 direct direct JJ 19261 1093 8 laryngoscopy laryngoscopy NN 19261 1093 9 , , , 19261 1093 10 bronchoscopy bronchoscopy NN 19261 1093 11 , , , 19261 1093 12 or or CC 19261 1093 13 esophagoscopy esophagoscopy RB 19261 1093 14 , , , 19261 1093 15 prepare prepare VB 19261 1093 16 for for IN 19261 1093 17 all all DT 19261 1093 18 three three CD 19261 1093 19 , , , 19261 1093 20 and and CC 19261 1093 21 for for IN 19261 1093 22 tracheotomy tracheotomy NN 19261 1093 23 . . . 19261 1094 1 A a DT 19261 1094 2 properly properly RB 19261 1094 3 done do VBN 19261 1094 4 direct direct JJ 19261 1094 5 laryngoscopy laryngoscopy NN 19261 1094 6 would would MD 19261 1094 7 never never RB 19261 1094 8 precipitate precipitate VB 19261 1094 9 a a DT 19261 1094 10 tracheotomy tracheotomy NN 19261 1094 11 in in IN 19261 1094 12 an an DT 19261 1094 13 unanesthetized unanesthetized JJ 19261 1094 14 patient patient NN 19261 1094 15 ; ; : 19261 1094 16 but but CC 19261 1094 17 direct direct JJ 19261 1094 18 laryngoscopy laryngoscopy NN 19261 1094 19 has have VBZ 19261 1094 20 to to TO 19261 1094 21 deal deal VB 19261 1094 22 so so RB 19261 1094 23 frequently frequently RB 19261 1094 24 with with IN 19261 1094 25 laryngeal laryngeal JJ 19261 1094 26 stenosis stenosis NN 19261 1094 27 , , , 19261 1094 28 that that DT 19261 1094 29 routine routine JJ 19261 1094 30 preparation preparation NN 19261 1094 31 for for IN 19261 1094 32 tracheotomy tracheotomy NN 19261 1094 33 a a DT 19261 1094 34 hundred hundred CD 19261 1094 35 unnecessary unnecessary JJ 19261 1094 36 times time NNS 19261 1094 37 is be VBZ 19261 1094 38 fully fully RB 19261 1094 39 compensated compensate VBN 19261 1094 40 for for IN 19261 1094 41 by by IN 19261 1094 42 the the DT 19261 1094 43 certainty certainty NN 19261 1094 44 of of IN 19261 1094 45 preparedness preparedness NN 19261 1094 46 when when WRB 19261 1094 47 the the DT 19261 1094 48 rare rare JJ 19261 1094 49 but but CC 19261 1094 50 urgent urgent JJ 19261 1094 51 occasion occasion NN 19261 1094 52 arises arise VBZ 19261 1094 53 . . . 19261 1095 1 _ _ NNP 19261 1095 2 Direct Direct NNP 19261 1095 3 Laryngoscopy Laryngoscopy NNP 19261 1095 4 in in IN 19261 1095 5 Children_.--The children_.--the ADD 19261 1095 6 epiglottis epiglottis NN 19261 1095 7 in in IN 19261 1095 8 children child NNS 19261 1095 9 is be VBZ 19261 1095 10 usually usually RB 19261 1095 11 strongly strongly RB 19261 1095 12 curled curl VBN 19261 1095 13 , , , 19261 1095 14 often often RB 19261 1095 15 omega omega NN 19261 1095 16 shaped shape VBD 19261 1095 17 , , , 19261 1095 18 and and CC 19261 1095 19 is be VBZ 19261 1095 20 very very RB 19261 1095 21 elusive elusive JJ 19261 1095 22 and and CC 19261 1095 23 slippery slippery JJ 19261 1095 24 . . . 19261 1096 1 The the DT 19261 1096 2 larynx larynx NN 19261 1096 3 of of IN 19261 1096 4 a a DT 19261 1096 5 child child NN 19261 1096 6 is be VBZ 19261 1096 7 very very RB 19261 1096 8 freely freely RB 19261 1096 9 movable movable JJ 19261 1096 10 in in IN 19261 1096 11 the the DT 19261 1096 12 neck neck NN 19261 1096 13 during during IN 19261 1096 14 respiration respiration NN 19261 1096 15 and and CC 19261 1096 16 deglutition deglutition NN 19261 1096 17 , , , 19261 1096 18 and and CC 19261 1096 19 has have VBZ 19261 1096 20 a a DT 19261 1096 21 strong strong JJ 19261 1096 22 tendency tendency NN 19261 1096 23 to to TO 19261 1096 24 retreat retreat VB 19261 1096 25 downward downward RB 19261 1096 26 during during IN 19261 1096 27 examination examination NN 19261 1096 28 , , , 19261 1096 29 and and CC 19261 1096 30 thus thus RB 19261 1096 31 withdraw withdraw VB 19261 1096 32 the the DT 19261 1096 33 epiglottis epiglottis NN 19261 1096 34 after after IN 19261 1096 35 the the DT 19261 1096 36 arytenoids arytenoid NNS 19261 1096 37 have have VBP 19261 1096 38 been be VBN 19261 1096 39 exposed expose VBN 19261 1096 40 . . . 19261 1097 1 In in IN 19261 1097 2 following follow VBG 19261 1097 3 down down RP 19261 1097 4 with with IN 19261 1097 5 the the DT 19261 1097 6 laryngoscope laryngoscope NN 19261 1097 7 the the DT 19261 1097 8 speculum speculum NN 19261 1097 9 is be VBZ 19261 1097 10 prone prone JJ 19261 1097 11 to to TO 19261 1097 12 enter enter VB 19261 1097 13 the the DT 19261 1097 14 hypopharynx hypopharynx NN 19261 1097 15 . . . 19261 1098 1 Lifting lift VBG 19261 1098 2 in in IN 19261 1098 3 this this DT 19261 1098 4 location location NN 19261 1098 5 will will MD 19261 1098 6 expose expose VB 19261 1098 7 the the DT 19261 1098 8 mouth mouth NN 19261 1098 9 of of IN 19261 1098 10 the the DT 19261 1098 11 esophagus esophagus NN 19261 1098 12 and and CC 19261 1098 13 shut shut VBD 19261 1098 14 off off RP 19261 1098 15 the the DT 19261 1098 16 larynx larynx NN 19261 1098 17 , , , 19261 1098 18 and and CC 19261 1098 19 may may MD 19261 1098 20 cause cause VB 19261 1098 21 respiratory respiratory JJ 19261 1098 22 arrest arrest NN 19261 1098 23 . . . 19261 1099 1 Practice practice NN 19261 1099 2 , , , 19261 1099 3 however however RB 19261 1099 4 , , , 19261 1099 5 will will MD 19261 1099 6 soon soon RB 19261 1099 7 develop develop VB 19261 1099 8 a a DT 19261 1099 9 technic technic NN 19261 1099 10 and and CC 19261 1099 11 ability ability NN 19261 1099 12 to to TO 19261 1099 13 recognize recognize VB 19261 1099 14 the the DT 19261 1099 15 landmarks landmark NNS 19261 1099 16 in in IN 19261 1099 17 state state NN 19261 1099 18 of of IN 19261 1099 19 spasm spasm NN 19261 1099 20 , , , 19261 1099 21 so so IN 19261 1099 22 that that IN 19261 1099 23 on on IN 19261 1099 24 exposing expose VBG 19261 1099 25 the the DT 19261 1099 26 approximated approximate VBN 19261 1099 27 arytenoid arytenoid NN 19261 1099 28 eminences eminence VBZ 19261 1099 29 the the DT 19261 1099 30 endoscopist endoscopist NN 19261 1099 31 will will MD 19261 1099 32 maintain maintain VB 19261 1099 33 his -PRON- PRP$ 19261 1099 34 position position NN 19261 1099 35 and and CC 19261 1099 36 wait wait VB 19261 1099 37 for for IN 19261 1099 38 the the DT 19261 1099 39 larynx larynx NN 19261 1099 40 to to TO 19261 1099 41 open open VB 19261 1099 42 . . . 19261 1100 1 The the DT 19261 1100 2 procedure procedure NN 19261 1100 3 should should MD 19261 1100 4 be be VB 19261 1100 5 done do VBN 19261 1100 6 without without IN 19261 1100 7 any any DT 19261 1100 8 form form NN 19261 1100 9 of of IN 19261 1100 10 anesthesia anesthesia NNP 19261 1100 11 for for IN 19261 1100 12 the the DT 19261 1100 13 following follow VBG 19261 1100 14 reasons reason NNS 19261 1100 15 : : : 19261 1100 16 1 1 CD 19261 1100 17 . . . 19261 1101 1 Anesthesia Anesthesia NNP 19261 1101 2 is be VBZ 19261 1101 3 unnecessary unnecessary JJ 19261 1101 4 . . . 19261 1102 1 2 2 LS 19261 1102 2 . . . 19261 1103 1 It -PRON- PRP 19261 1103 2 is be VBZ 19261 1103 3 extremely extremely RB 19261 1103 4 dangerous dangerous JJ 19261 1103 5 in in IN 19261 1103 6 a a DT 19261 1103 7 dyspneic dyspneic NN 19261 1103 8 patient patient NN 19261 1103 9 . . . 19261 1104 1 3 3 LS 19261 1104 2 . . . 19261 1105 1 It -PRON- PRP 19261 1105 2 is be VBZ 19261 1105 3 inadmissable inadmissable JJ 19261 1105 4 in in IN 19261 1105 5 a a DT 19261 1105 6 patient patient NN 19261 1105 7 with with IN 19261 1105 8 diphtheria diphtheria NN 19261 1105 9 . . . 19261 1106 1 4 4 LS 19261 1106 2 . . . 19261 1107 1 If if IN 19261 1107 2 anesthesia anesthesia NNP 19261 1107 3 is be VBZ 19261 1107 4 to to TO 19261 1107 5 be be VB 19261 1107 6 used use VBN 19261 1107 7 , , , 19261 1107 8 direct direct JJ 19261 1107 9 laryngoscopy laryngoscopy NN 19261 1107 10 will will MD 19261 1107 11 never never RB 19261 1107 12 reach reach VB 19261 1107 13 its -PRON- PRP$ 19261 1107 14 full full JJ 19261 1107 15 degree degree NN 19261 1107 16 of of IN 19261 1107 17 usefulness usefulness NN 19261 1107 18 , , , 19261 1107 19 because because IN 19261 1107 20 anesthesia anesthesia NNP 19261 1107 21 makes make VBZ 19261 1107 22 a a DT 19261 1107 23 major major JJ 19261 1107 24 procedure procedure NN 19261 1107 25 out out IN 19261 1107 26 of of IN 19261 1107 27 a a DT 19261 1107 28 minor minor JJ 19261 1107 29 one one NN 19261 1107 30 . . . 19261 1108 1 5 5 CD 19261 1108 2 . . . 19261 1109 1 Cocain cocain VB 19261 1109 2 in in IN 19261 1109 3 children child NNS 19261 1109 4 is be VBZ 19261 1109 5 dangerous dangerous JJ 19261 1109 6 , , , 19261 1109 7 and and CC 19261 1109 8 its -PRON- PRP$ 19261 1109 9 application application NN 19261 1109 10 more more RBR 19261 1109 11 annoying annoying JJ 19261 1109 12 than than IN 19261 1109 13 the the DT 19261 1109 14 examination examination NN 19261 1109 15 . . . 19261 1110 1 _ _ NNP 19261 1110 2 Inducing induce VBG 19261 1110 3 a a DT 19261 1110 4 Child child NN 19261 1110 5 to to TO 19261 1110 6 Open open VB 19261 1110 7 its -PRON- PRP$ 19261 1110 8 Mouth Mouth NNP 19261 1110 9 ( ( -LRB- 19261 1110 10 Author Author NNP 19261 1110 11 's 's POS 19261 1110 12 Method)_.--The method)_.--the NN 19261 1110 13 wounding wounding NN 19261 1110 14 of of IN 19261 1110 15 the the DT 19261 1110 16 child child NN 19261 1110 17 's 's POS 19261 1110 18 mouth mouth NN 19261 1110 19 , , , 19261 1110 20 gums gum NNS 19261 1110 21 , , , 19261 1110 22 and and CC 19261 1110 23 lips lip NNS 19261 1110 24 , , , 19261 1110 25 in in IN 19261 1110 26 the the DT 19261 1110 27 often often RB 19261 1110 28 inefficacious inefficacious JJ 19261 1110 29 methods method NNS 19261 1110 30 with with IN 19261 1110 31 gags gag NNS 19261 1110 32 , , , 19261 1110 33 hemostats hemostat NNS 19261 1110 34 , , , 19261 1110 35 raspatories raspatorie NNS 19261 1110 36 , , , 19261 1110 37 etcetera etcetera NN 19261 1110 38 , , , 19261 1110 39 are be VBP 19261 1110 40 entirely entirely RB 19261 1110 41 unnecessary unnecessary JJ 19261 1110 42 . . . 19261 1111 1 The the DT 19261 1111 2 mouth mouth NN 19261 1111 3 of of IN 19261 1111 4 any any DT 19261 1111 5 child child NN 19261 1111 6 not not RB 19261 1111 7 unconscious unconscious JJ 19261 1111 8 can can MD 19261 1111 9 be be VB 19261 1111 10 opened open VBN 19261 1111 11 quickly quickly RB 19261 1111 12 and and CC 19261 1111 13 without without IN 19261 1111 14 the the DT 19261 1111 15 slightest slight JJS 19261 1111 16 harm harm NN 19261 1111 17 by by IN 19261 1111 18 passing pass VBG 19261 1111 19 a a DT 19261 1111 20 curved curved JJ 19261 1111 21 probe probe NN 19261 1111 22 between between IN 19261 1111 23 the the DT 19261 1111 24 clenched clenched JJ 19261 1111 25 jaws jaw NNS 19261 1111 26 back back RB 19261 1111 27 of of IN 19261 1111 28 the the DT 19261 1111 29 molars molar NNS 19261 1111 30 and and CC 19261 1111 31 down down RB 19261 1111 32 back back RB 19261 1111 33 of of IN 19261 1111 34 the the DT 19261 1111 35 tongue tongue NN 19261 1111 36 toward toward IN 19261 1111 37 the the DT 19261 1111 38 laryngopharynx laryngopharynx NN 19261 1111 39 . . . 19261 1112 1 This this DT 19261 1112 2 will will MD 19261 1112 3 cause cause VB 19261 1112 4 the the DT 19261 1112 5 child child NN 19261 1112 6 to to TO 19261 1112 7 gag gag VB 19261 1112 8 , , , 19261 1112 9 when when WRB 19261 1112 10 its -PRON- PRP$ 19261 1112 11 mouth mouth NN 19261 1112 12 invariably invariably RB 19261 1112 13 opens open VBZ 19261 1112 14 . . . 19261 1113 1 [ [ -LRB- 19261 1113 2 91 91 CD 19261 1113 3 ] ] -RRB- 19261 1113 4 CHAPTER chapter NN 19261 1113 5 VIII viii NN 19261 1113 6 -- -- : 19261 1113 7 DIRECT DIRECT NNP 19261 1113 8 LARYNGOSCOPY LARYNGOSCOPY NNP 19261 1113 9 ( ( -LRB- 19261 1113 10 _ _ NNP 19261 1113 11 Continued Continued NNP 19261 1113 12 _ _ NNP 19261 1113 13 ) ) -RRB- 19261 1113 14 _ _ NNP 19261 1113 15 Technic Technic NNP 19261 1113 16 of of IN 19261 1113 17 Laryngeal Laryngeal NNP 19261 1113 18 Operations_.--Preparation operations_.--preparation NN 19261 1113 19 of of IN 19261 1113 20 the the DT 19261 1113 21 patient patient NN 19261 1113 22 and and CC 19261 1113 23 anesthesia anesthesia NNP 19261 1113 24 have have VBP 19261 1113 25 been be VBN 19261 1113 26 mentioned mention VBN 19261 1113 27 under under IN 19261 1113 28 their -PRON- PRP$ 19261 1113 29 respective respective JJ 19261 1113 30 chapters chapter NNS 19261 1113 31 . . . 19261 1114 1 The the DT 19261 1114 2 prime prime JJ 19261 1114 3 essential essential NN 19261 1114 4 of of IN 19261 1114 5 successful successful JJ 19261 1114 6 laryngeal laryngeal NN 19261 1114 7 operations operation NNS 19261 1114 8 is be VBZ 19261 1114 9 perfect perfect JJ 19261 1114 10 mastery mastery NN 19261 1114 11 of of IN 19261 1114 12 continuous continuous JJ 19261 1114 13 left left JJ 19261 1114 14 - - HYPH 19261 1114 15 handed handed JJ 19261 1114 16 laryngeal laryngeal NN 19261 1114 17 exposure exposure NN 19261 1114 18 . . . 19261 1115 1 The the DT 19261 1115 2 right right JJ 19261 1115 3 hand hand NN 19261 1115 4 must must MD 19261 1115 5 be be VB 19261 1115 6 equally equally RB 19261 1115 7 trained train VBN 19261 1115 8 in in IN 19261 1115 9 the the DT 19261 1115 10 manipulation manipulation NN 19261 1115 11 of of IN 19261 1115 12 forceps forceps NNP 19261 1115 13 , , , 19261 1115 14 and and CC 19261 1115 15 the the DT 19261 1115 16 right right JJ 19261 1115 17 eye eye NN 19261 1115 18 to to TO 19261 1115 19 gauge gauge VB 19261 1115 20 depth depth NN 19261 1115 21 . . . 19261 1116 1 Blood blood NN 19261 1116 2 and and CC 19261 1116 3 secretions secretion NNS 19261 1116 4 are be VBP 19261 1116 5 best best RB 19261 1116 6 removed remove VBN 19261 1116 7 by by IN 19261 1116 8 a a DT 19261 1116 9 suction suction NN 19261 1116 10 tube tube NN 19261 1116 11 ( ( -LRB- 19261 1116 12 Fig fig NN 19261 1116 13 . . . 19261 1117 1 9 9 CD 19261 1117 2 ) ) -RRB- 19261 1117 3 inserted insert VBD 19261 1117 4 through through IN 19261 1117 5 the the DT 19261 1117 6 laryngoscope laryngoscope NN 19261 1117 7 , , , 19261 1117 8 or or CC 19261 1117 9 directly directly RB 19261 1117 10 into into IN 19261 1117 11 the the DT 19261 1117 12 pharynx pharynx NN 19261 1117 13 outside outside IN 19261 1117 14 the the DT 19261 1117 15 laryngoscope laryngoscope NN 19261 1117 16 . . . 19261 1118 1 _ _ NNP 19261 1118 2 For for IN 19261 1118 3 the the DT 19261 1118 4 removal removal NN 19261 1118 5 of of IN 19261 1118 6 benign benign JJ 19261 1118 7 growths growth NNS 19261 1118 8 _ _ IN 19261 1118 9 the the DT 19261 1118 10 author author NN 19261 1118 11 's 's POS 19261 1118 12 papilloma papilloma NN 19261 1118 13 forceps forceps NNS 19261 1118 14 , , , 19261 1118 15 Fig Fig NNP 19261 1118 16 . . . 19261 1119 1 29 29 CD 19261 1119 2 , , , 19261 1119 3 or or CC 19261 1119 4 the the DT 19261 1119 5 laryngeal laryngeal NN 19261 1119 6 grasping grasp VBG 19261 1119 7 forceps forceps NNP 19261 1119 8 shown show VBN 19261 1119 9 in in IN 19261 1119 10 Fig Fig NNP 19261 1119 11 . . . 19261 1120 1 17 17 CD 19261 1120 2 will will MD 19261 1120 3 prove prove VB 19261 1120 4 more more RBR 19261 1120 5 satisfactory satisfactory JJ 19261 1120 6 than than IN 19261 1120 7 any any DT 19261 1120 8 form form NN 19261 1120 9 of of IN 19261 1120 10 cutting cut VBG 19261 1120 11 forceps forceps NNS 19261 1120 12 . . . 19261 1121 1 These these DT 19261 1121 2 growths growth NNS 19261 1121 3 should should MD 19261 1121 4 be be VB 19261 1121 5 removed remove VBN 19261 1121 6 superficially superficially RB 19261 1121 7 flush flush JJ 19261 1121 8 with with IN 19261 1121 9 the the DT 19261 1121 10 normal normal JJ 19261 1121 11 structure structure NN 19261 1121 12 . . . 19261 1122 1 The the DT 19261 1122 2 crushing crushing NN 19261 1122 3 of of IN 19261 1122 4 the the DT 19261 1122 5 base base NN 19261 1122 6 incident incident NN 19261 1122 7 to to IN 19261 1122 8 the the DT 19261 1122 9 plucking plucking NN 19261 1122 10 off off RP 19261 1122 11 of of IN 19261 1122 12 the the DT 19261 1122 13 growth growth NN 19261 1122 14 causes cause VBZ 19261 1122 15 its -PRON- PRP$ 19261 1122 16 recession recession NN 19261 1122 17 . . . 19261 1123 1 By by IN 19261 1123 2 this this DT 19261 1123 3 conservative conservative JJ 19261 1123 4 method method NN 19261 1123 5 damage damage NN 19261 1123 6 to to IN 19261 1123 7 the the DT 19261 1123 8 cords cord NNS 19261 1123 9 and and CC 19261 1123 10 impairment impairment NN 19261 1123 11 of of IN 19261 1123 12 the the DT 19261 1123 13 voice voice NN 19261 1123 14 are be VBP 19261 1123 15 avoided avoid VBN 19261 1123 16 . . . 19261 1124 1 For for IN 19261 1124 2 growths growth NNS 19261 1124 3 in in IN 19261 1124 4 the the DT 19261 1124 5 anterior anterior JJ 19261 1124 6 portion portion NN 19261 1124 7 of of IN 19261 1124 8 the the DT 19261 1124 9 larynx larynx NN 19261 1124 10 , , , 19261 1124 11 and and CC 19261 1124 12 in in IN 19261 1124 13 fact fact NN 19261 1124 14 for for IN 19261 1124 15 the the DT 19261 1124 16 removal removal NN 19261 1124 17 of of IN 19261 1124 18 most most JJS 19261 1124 19 small small JJ 19261 1124 20 benign benign JJ 19261 1124 21 growths growth NNS 19261 1124 22 , , , 19261 1124 23 the the DT 19261 1124 24 anterior anterior NNP 19261 1124 25 commissure commissure NN 19261 1124 26 laryngoscope laryngoscope NNP 19261 1124 27 is be VBZ 19261 1124 28 especially especially RB 19261 1124 29 adapted adapt VBN 19261 1124 30 . . . 19261 1125 1 Its -PRON- PRP$ 19261 1125 2 shape shape NN 19261 1125 3 allows allow VBZ 19261 1125 4 its -PRON- PRP$ 19261 1125 5 introduction introduction NN 19261 1125 6 into into IN 19261 1125 7 the the DT 19261 1125 8 vestibule vestibule NN 19261 1125 9 of of IN 19261 1125 10 the the DT 19261 1125 11 larynx larynx NN 19261 1125 12 , , , 19261 1125 13 and and CC 19261 1125 14 if if IN 19261 1125 15 desired desire VBN 19261 1125 16 it -PRON- PRP 19261 1125 17 may may MD 19261 1125 18 be be VB 19261 1125 19 introduced introduce VBN 19261 1125 20 through through IN 19261 1125 21 the the DT 19261 1125 22 glottic glottic JJ 19261 1125 23 chink chink NN 19261 1125 24 for for IN 19261 1125 25 the the DT 19261 1125 26 treatment treatment NN 19261 1125 27 of of IN 19261 1125 28 subglottic subglottic JJ 19261 1125 29 conditions condition NNS 19261 1125 30 . . . 19261 1126 1 It -PRON- PRP 19261 1126 2 will will MD 19261 1126 3 not not RB 19261 1126 4 infrequently infrequently RB 19261 1126 5 be be VB 19261 1126 6 observed observe VBN 19261 1126 7 that that IN 19261 1126 8 a a DT 19261 1126 9 pedunculated pedunculate VBN 19261 1126 10 subglottic subglottic JJ 19261 1126 11 growth growth NN 19261 1126 12 which which WDT 19261 1126 13 is be VBZ 19261 1126 14 found find VBN 19261 1126 15 with with IN 19261 1126 16 difficulty difficulty NN 19261 1126 17 will will MD 19261 1126 18 be be VB 19261 1126 19 pulled pull VBN 19261 1126 20 upward upward RB 19261 1126 21 into into IN 19261 1126 22 view view NN 19261 1126 23 by by IN 19261 1126 24 the the DT 19261 1126 25 gauze gauze NN 19261 1126 26 swab swab NN 19261 1126 27 introduced introduce VBN 19261 1126 28 to to TO 19261 1126 29 remove remove VB 19261 1126 30 secretions secretion NNS 19261 1126 31 . . . 19261 1127 1 The the DT 19261 1127 2 growth growth NN 19261 1127 3 is be VBZ 19261 1127 4 then then RB 19261 1127 5 often often RB 19261 1127 6 held hold VBN 19261 1127 7 tightly tightly RB 19261 1127 8 between between IN 19261 1127 9 the the DT 19261 1127 10 approximated approximate VBN 19261 1127 11 cords cord NNS 19261 1127 12 for for IN 19261 1127 13 a a DT 19261 1127 14 few few JJ 19261 1127 15 seconds second NNS 19261 1127 16 -- -- : 19261 1127 17 perhaps perhaps RB 19261 1127 18 long long RB 19261 1127 19 enough enough RB 19261 1127 20 to to TO 19261 1127 21 grasp grasp VB 19261 1127 22 it -PRON- PRP 19261 1127 23 with with IN 19261 1127 24 forceps forceps NNP 19261 1127 25 . . . 19261 1128 1 [ [ -LRB- 19261 1128 2 92 92 CD 19261 1128 3 ] ] -RRB- 19261 1128 4 _ _ NNP 19261 1128 5 Removal Removal NNP 19261 1128 6 of of IN 19261 1128 7 Growth Growth NNP 19261 1128 8 from from IN 19261 1128 9 the the DT 19261 1128 10 Laryngeal Laryngeal NNP 19261 1128 11 Ventricle_.--After ventricle_.--after NN 19261 1128 12 exposing expose VBG 19261 1128 13 the the DT 19261 1128 14 larynx larynx NN 19261 1128 15 in in IN 19261 1128 16 the the DT 19261 1128 17 usual usual JJ 19261 1128 18 manner manner NN 19261 1128 19 , , , 19261 1128 20 if if IN 19261 1128 21 the the DT 19261 1128 22 head head NN 19261 1128 23 is be VBZ 19261 1128 24 turned turn VBN 19261 1128 25 strongly strongly RB 19261 1128 26 to to IN 19261 1128 27 the the DT 19261 1128 28 right right NN 19261 1128 29 , , , 19261 1128 30 the the DT 19261 1128 31 tip tip NN 19261 1128 32 of of IN 19261 1128 33 the the DT 19261 1128 34 laryngoscope laryngoscope NN 19261 1128 35 , , , 19261 1128 36 directed direct VBN 19261 1128 37 from from IN 19261 1128 38 the the DT 19261 1128 39 right right JJ 19261 1128 40 side side NN 19261 1128 41 of of IN 19261 1128 42 the the DT 19261 1128 43 mouth mouth NN 19261 1128 44 , , , 19261 1128 45 may may MD 19261 1128 46 be be VB 19261 1128 47 used use VBN 19261 1128 48 to to TO 19261 1128 49 lift lift VB 19261 1128 50 the the DT 19261 1128 51 left left JJ 19261 1128 52 ventricular ventricular JJ 19261 1128 53 hand hand NN 19261 1128 54 and and CC 19261 1128 55 thus thus RB 19261 1128 56 expose expose VB 19261 1128 57 the the DT 19261 1128 58 ventricle ventricle NN 19261 1128 59 , , , 19261 1128 60 from from IN 19261 1128 61 which which WDT 19261 1128 62 a a DT 19261 1128 63 growth growth NN 19261 1128 64 may may MD 19261 1128 65 be be VB 19261 1128 66 removed remove VBN 19261 1128 67 in in IN 19261 1128 68 the the DT 19261 1128 69 usual usual JJ 19261 1128 70 manner manner NN 19261 1128 71 ( ( -LRB- 19261 1128 72 Fig fig NN 19261 1128 73 . . . 19261 1129 1 57 57 CD 19261 1129 2 ) ) -RRB- 19261 1129 3 . . . 19261 1130 1 The the DT 19261 1130 2 right right JJ 19261 1130 3 ventricle ventricle NN 19261 1130 4 is be VBZ 19261 1130 5 exposed expose VBN 19261 1130 6 by by IN 19261 1130 7 working work VBG 19261 1130 8 from from IN 19261 1130 9 the the DT 19261 1130 10 left left JJ 19261 1130 11 side side NN 19261 1130 12 of of IN 19261 1130 13 the the DT 19261 1130 14 mouth mouth NN 19261 1130 15 . . . 19261 1131 1 [ [ -LRB- 19261 1131 2 FIG FIG NNP 19261 1131 3 . . . 19261 1132 1 57.-Schema 57.-schema LS 19261 1132 2 illustrating illustrate VBG 19261 1132 3 the the DT 19261 1132 4 lateral lateral JJ 19261 1132 5 method method NN 19261 1132 6 of of IN 19261 1132 7 exposing expose VBG 19261 1132 8 a a DT 19261 1132 9 growth growth NN 19261 1132 10 in in IN 19261 1132 11 the the DT 19261 1132 12 ventricle ventricle NN 19261 1132 13 of of IN 19261 1132 14 Morgagni Morgagni NNP 19261 1132 15 , , , 19261 1132 16 by by IN 19261 1132 17 bending bend VBG 19261 1132 18 the the DT 19261 1132 19 patient patient NN 19261 1132 20 's 's POS 19261 1132 21 head head NN 19261 1132 22 to to IN 19261 1132 23 the the DT 19261 1132 24 opposite opposite JJ 19261 1132 25 side side NN 19261 1132 26 , , , 19261 1132 27 while while IN 19261 1132 28 the the DT 19261 1132 29 second second JJ 19261 1132 30 assistant assistant NN 19261 1132 31 externally externally RB 19261 1132 32 fixes fix VBZ 19261 1132 33 the the DT 19261 1132 34 larynx larynx NN 19261 1132 35 with with IN 19261 1132 36 his -PRON- PRP$ 19261 1132 37 hand hand NN 19261 1132 38 . . . 19261 1133 1 M M NNP 19261 1133 2 , , , 19261 1133 3 Patient Patient NNP 19261 1133 4 's 's POS 19261 1133 5 mouth mouth NN 19261 1133 6 ; ; , 19261 1133 7 T T NNP 19261 1133 8 , , , 19261 1133 9 thyroid thyroid NN 19261 1133 10 cartilage cartilage NN 19261 1133 11 ; ; : 19261 1133 12 R r NN 19261 1133 13 , , , 19261 1133 14 right right JJ 19261 1133 15 side side NN 19261 1133 16 ; ; : 19261 1133 17 L l NN 19261 1133 18 , , , 19261 1133 19 left leave VBD 19261 1133 20 . . . 19261 1134 1 V v NN 19261 1134 2 , , , 19261 1134 3 B b NN 19261 1134 4 , , , 19261 1134 5 ventricular ventricular NN 19261 1134 6 band band NN 19261 1134 7 . . . 19261 1135 1 C C NNP 19261 1135 2 , , , 19261 1135 3 C C NNP 19261 1135 4 , , , 19261 1135 5 vocal vocal NN 19261 1135 6 cord cord NN 19261 1135 7 . . . 19261 1136 1 The the DT 19261 1136 2 circular circular JJ 19261 1136 3 drawing drawing NN 19261 1136 4 indicates indicate VBZ 19261 1136 5 the the DT 19261 1136 6 endoscopic endoscopic JJ 19261 1136 7 view view NN 19261 1136 8 obtainable obtainable JJ 19261 1136 9 by by IN 19261 1136 10 this this DT 19261 1136 11 method method NN 19261 1136 12 . . . 19261 1137 1 The the DT 19261 1137 2 tube tube NN 19261 1137 3 , , , 19261 1137 4 E e NN 19261 1137 5 , , , 19261 1137 6 is be VBZ 19261 1137 7 dropped drop VBN 19261 1137 8 to to IN 19261 1137 9 the the DT 19261 1137 10 corner corner NN 19261 1137 11 of of IN 19261 1137 12 the the DT 19261 1137 13 mouth mouth NN 19261 1137 14 , , , 19261 1137 15 B b NN 19261 1137 16 , , , 19261 1137 17 and and CC 19261 1137 18 the the DT 19261 1137 19 tube tube NN 19261 1137 20 is be VBZ 19261 1137 21 inserted insert VBN 19261 1137 22 down down RP 19261 1137 23 to to IN 19261 1137 24 R. R. NNP 19261 1137 25 The the DT 19261 1137 26 lip lip NN 19261 1137 27 of of IN 19261 1137 28 the the DT 19261 1137 29 spatula spatula NN 19261 1137 30 can can MD 19261 1137 31 then then RB 19261 1137 32 be be VB 19261 1137 33 used use VBN 19261 1137 34 to to TO 19261 1137 35 lift lift VB 19261 1137 36 the the DT 19261 1137 37 ventricular ventricular JJ 19261 1137 38 band band NN 19261 1137 39 so so IN 19261 1137 40 as as IN 19261 1137 41 to to TO 19261 1137 42 expose expose VB 19261 1137 43 more more JJR 19261 1137 44 of of IN 19261 1137 45 the the DT 19261 1137 46 ventricle ventricle NN 19261 1137 47 . . . 19261 1138 1 The the DT 19261 1138 2 drawing drawing NN 19261 1138 3 shows show VBZ 19261 1138 4 an an DT 19261 1138 5 unusually unusually RB 19261 1138 6 shallow shallow JJ 19261 1138 7 ventricle ventricle NN 19261 1138 8 . . . 19261 1138 9 ] ] -RRB- 19261 1139 1 _ _ NNP 19261 1139 2 Taking take VBG 19261 1139 3 a a DT 19261 1139 4 Laryngeal Laryngeal NNP 19261 1139 5 Specimen Specimen NNP 19261 1139 6 for for IN 19261 1139 7 Diagnosis_.--The diagnosis_.--the CD 19261 1139 8 diagnosis diagnosis NN 19261 1139 9 of of IN 19261 1139 10 carcinoma carcinoma NN 19261 1139 11 , , , 19261 1139 12 sarcoma sarcoma NN 19261 1139 13 , , , 19261 1139 14 and and CC 19261 1139 15 some some DT 19261 1139 16 other other JJ 19261 1139 17 conditions condition NNS 19261 1139 18 can can MD 19261 1139 19 be be VB 19261 1139 20 made make VBN 19261 1139 21 certain certain JJ 19261 1139 22 only only RB 19261 1139 23 by by IN 19261 1139 24 microscopic microscopic JJ 19261 1139 25 study study NN 19261 1139 26 of of IN 19261 1139 27 tissue tissue NN 19261 1139 28 removed remove VBN 19261 1139 29 from from IN 19261 1139 30 the the DT 19261 1139 31 growth growth NN 19261 1139 32 . . . 19261 1140 1 The the DT 19261 1140 2 specimen speciman NNS 19261 1140 3 should should MD 19261 1140 4 be be VB 19261 1140 5 ample ample JJ 19261 1140 6 but but CC 19261 1140 7 will will MD 19261 1140 8 necessarily necessarily RB 19261 1140 9 be be VB 19261 1140 10 small small JJ 19261 1140 11 . . . 19261 1141 1 If if IN 19261 1141 2 the the DT 19261 1141 3 suspected suspect VBN 19261 1141 4 growth growth NN 19261 1141 5 be be VBP 19261 1141 6 small small JJ 19261 1141 7 it -PRON- PRP 19261 1141 8 should should MD 19261 1141 9 be be VB 19261 1141 10 removed remove VBN 19261 1141 11 entire entire JJ 19261 1141 12 , , , 19261 1141 13 together together RB 19261 1141 14 with with IN 19261 1141 15 some some DT 19261 1141 16 of of IN 19261 1141 17 the the DT 19261 1141 18 basal basal NN 19261 1141 19 tissues tissue NNS 19261 1141 20 . . . 19261 1142 1 If if IN 19261 1142 2 it -PRON- PRP 19261 1142 3 is be VBZ 19261 1142 4 a a DT 19261 1142 5 large large JJ 19261 1142 6 growth growth NN 19261 1142 7 , , , 19261 1142 8 and and CC 19261 1142 9 there there EX 19261 1142 10 are be VBP 19261 1142 11 objections objection NNS 19261 1142 12 to to IN 19261 1142 13 its -PRON- PRP$ 19261 1142 14 entire entire JJ 19261 1142 15 removal removal NN 19261 1142 16 , , , 19261 1142 17 the the DT 19261 1142 18 edge edge NN 19261 1142 19 of of IN 19261 1142 20 the the DT 19261 1142 21 growth growth NN 19261 1142 22 , , , 19261 1142 23 including include VBG 19261 1142 24 apparently apparently RB 19261 1142 25 normal normal JJ 19261 1142 26 as as RB 19261 1142 27 well well RB 19261 1142 28 as as IN 19261 1142 29 neoplastic neoplastic JJ 19261 1142 30 tissue tissue NN 19261 1142 31 , , , 19261 1142 32 is be VBZ 19261 1142 33 necessary necessary JJ 19261 1142 34 . . . 19261 1143 1 If if IN 19261 1143 2 it -PRON- PRP 19261 1143 3 is be VBZ 19261 1143 4 a a DT 19261 1143 5 diffuse diffuse NN 19261 1143 6 infiltrative infiltrative JJ 19261 1143 7 process process NN 19261 1143 8 , , , 19261 1143 9 a a DT 19261 1143 10 specimen speciman NNS 19261 1143 11 should should MD 19261 1143 12 be be VB 19261 1143 13 taken take VBN 19261 1143 14 from from IN 19261 1143 15 at at RB 19261 1143 16 least least RBS 19261 1143 17 two two CD 19261 1143 18 locations location NNS 19261 1143 19 . . . 19261 1144 1 Tissue tissue NN 19261 1144 2 for for IN 19261 1144 3 biopsy biopsy NN 19261 1144 4 is be VBZ 19261 1144 5 to to TO 19261 1144 6 be be VB 19261 1144 7 taken take VBN 19261 1144 8 with with IN 19261 1144 9 the the DT 19261 1144 10 punch punch NN 19261 1144 11 forceps forceps NNS 19261 1144 12 shown show VBN 19261 1144 13 in in IN 19261 1144 14 Fig Fig NNP 19261 1144 15 . . . 19261 1145 1 28 28 CD 19261 1145 2 or or CC 19261 1145 3 that that IN 19261 1145 4 in in IN 19261 1145 5 Fig Fig NNP 19261 1145 6 . . . 19261 1146 1 33 33 CD 19261 1146 2 . . . 19261 1147 1 The the DT 19261 1147 2 forceps forceps NNS 19261 1147 3 may may MD 19261 1147 4 be be VB 19261 1147 5 inserted insert VBN 19261 1147 6 through through IN 19261 1147 7 the the DT 19261 1147 8 tube tube NN 19261 1147 9 or or CC 19261 1147 10 from from IN 19261 1147 11 the the DT 19261 1147 12 angle angle NN 19261 1147 13 of of IN 19261 1147 14 the the DT 19261 1147 15 mouth mouth NN 19261 1147 16 ; ; : 19261 1147 17 the the DT 19261 1147 18 " " `` 19261 1147 19 extubal extubal NN 19261 1147 20 " " '' 19261 1147 21 method method NN 19261 1147 22 ( ( -LRB- 19261 1147 23 see see VB 19261 1147 24 Fig Fig NNP 19261 1147 25 . . . 19261 1148 1 58 58 CD 19261 1148 2 ) ) -RRB- 19261 1148 3 . . . 19261 1149 1 [ [ -LRB- 19261 1149 2 FIG FIG NNP 19261 1149 3 . . . 19261 1150 1 58.--Schema 58.--schema CD 19261 1150 2 illustrating illustrate VBG 19261 1150 3 removal removal NN 19261 1150 4 of of IN 19261 1150 5 a a DT 19261 1150 6 tumor tumor NN 19261 1150 7 from from IN 19261 1150 8 the the DT 19261 1150 9 upper upper JJ 19261 1150 10 part part NN 19261 1150 11 of of IN 19261 1150 12 the the DT 19261 1150 13 larynx larynx NN 19261 1150 14 by by IN 19261 1150 15 the the DT 19261 1150 16 author author NN 19261 1150 17 's 's POS 19261 1150 18 " " `` 19261 1150 19 extubal extubal NN 19261 1150 20 " " '' 19261 1150 21 method method NN 19261 1150 22 for for IN 19261 1150 23 large large JJ 19261 1150 24 tumors tumor NNS 19261 1150 25 . . . 19261 1151 1 The the DT 19261 1151 2 large large JJ 19261 1151 3 alligator alligator NN 19261 1151 4 basket basket NN 19261 1151 5 punch punch NN 19261 1151 6 forceps forceps NNP 19261 1151 7 , , , 19261 1151 8 F F NNP 19261 1151 9 , , , 19261 1151 10 is be VBZ 19261 1151 11 inserted insert VBN 19261 1151 12 from from IN 19261 1151 13 the the DT 19261 1151 14 right right JJ 19261 1151 15 corner corner NN 19261 1151 16 of of IN 19261 1151 17 the the DT 19261 1151 18 mouth mouth NN 19261 1151 19 and and CC 19261 1151 20 the the DT 19261 1151 21 jaws jaw NNS 19261 1151 22 are be VBP 19261 1151 23 placed place VBN 19261 1151 24 over over IN 19261 1151 25 the the DT 19261 1151 26 tumor tumor NN 19261 1151 27 , , , 19261 1151 28 T T NNP 19261 1151 29 , , , 19261 1151 30 under under IN 19261 1151 31 guidance guidance NN 19261 1151 32 of of IN 19261 1151 33 the the DT 19261 1151 34 eye eye NN 19261 1151 35 looking look VBG 19261 1151 36 through through IN 19261 1151 37 the the DT 19261 1151 38 laryngoscope laryngoscope NN 19261 1151 39 , , , 19261 1151 40 L. L. NNP 19261 1151 41 This this DT 19261 1151 42 method method NN 19261 1151 43 is be VBZ 19261 1151 44 not not RB 19261 1151 45 used use VBN 19261 1151 46 for for IN 19261 1151 47 small small JJ 19261 1151 48 tumors tumor NNS 19261 1151 49 . . . 19261 1152 1 It -PRON- PRP 19261 1152 2 is be VBZ 19261 1152 3 excellent excellent JJ 19261 1152 4 for for IN 19261 1152 5 amputation amputation NN 19261 1152 6 of of IN 19261 1152 7 the the DT 19261 1152 8 epiglottis epiglottis NN 19261 1152 9 with with IN 19261 1152 10 these these DT 19261 1152 11 same same JJ 19261 1152 12 punch punch NN 19261 1152 13 forceps forceps NNS 19261 1152 14 or or CC 19261 1152 15 with with IN 19261 1152 16 the the DT 19261 1152 17 heavy heavy JJ 19261 1152 18 snare snare NN 19261 1152 19 . . . 19261 1152 20 ] ] -RRB- 19261 1153 1 _ _ NNP 19261 1153 2 Removal Removal NNP 19261 1153 3 of of IN 19261 1153 4 large large JJ 19261 1153 5 benign benign JJ 19261 1153 6 tumors tumor NNS 19261 1153 7 above above IN 19261 1153 8 the the DT 19261 1153 9 cords cord NNS 19261 1153 10 _ _ NNP 19261 1153 11 may may MD 19261 1153 12 be be VB 19261 1153 13 done do VBN 19261 1153 14 with with IN 19261 1153 15 the the DT 19261 1153 16 snare snare NN 19261 1153 17 or or CC 19261 1153 18 with with IN 19261 1153 19 the the DT 19261 1153 20 large large JJ 19261 1153 21 laryngeal laryngeal NN 19261 1153 22 punch punch NN 19261 1153 23 forceps forceps NNS 19261 1153 24 . . . 19261 1154 1 Both both DT 19261 1154 2 are be VBP 19261 1154 3 used use VBN 19261 1154 4 in in IN 19261 1154 5 the the DT 19261 1154 6 extubal extubal NN 19261 1154 7 method method NN 19261 1154 8 . . . 19261 1155 1 _ _ NNP 19261 1155 2 Amputation Amputation NNP 19261 1155 3 of of IN 19261 1155 4 the the DT 19261 1155 5 epiglottis epiglottis NN 19261 1155 6 _ _ NNP 19261 1155 7 for for IN 19261 1155 8 palliation palliation NN 19261 1155 9 of of IN 19261 1155 10 odynophagia odynophagia NN 19261 1155 11 or or CC 19261 1155 12 dysphagia dysphagia NN 19261 1155 13 in in IN 19261 1155 14 tuberculous tuberculous JJ 19261 1155 15 or or CC 19261 1155 16 malignant malignant JJ 19261 1155 17 disease disease NN 19261 1155 18 , , , 19261 1155 19 is be VBZ 19261 1155 20 of of IN 19261 1155 21 benefit benefit NN 19261 1155 22 when when WRB 19261 1155 23 the the DT 19261 1155 24 ulceration ulceration NN 19261 1155 25 is be VBZ 19261 1155 26 confined confine VBN 19261 1155 27 to to IN 19261 1155 28 this this DT 19261 1155 29 region region NN 19261 1155 30 ; ; : 19261 1155 31 though though IN 19261 1155 32 as as IN 19261 1155 33 to to TO 19261 1155 34 tuberculosis tuberculosis VB 19261 1155 35 the the DT 19261 1155 36 author author NN 19261 1155 37 feels feel VBZ 19261 1155 38 rather rather RB 19261 1155 39 conservatingly conservatingly RB 19261 1155 40 inclined inclined JJ 19261 1155 41 . . . 19261 1156 1 Early early JJ 19261 1156 2 malignancy malignancy NN 19261 1156 3 of of IN 19261 1156 4 the the DT 19261 1156 5 extreme extreme JJ 19261 1156 6 tip tip NN 19261 1156 7 can can MD 19261 1156 8 be be VB 19261 1156 9 cured cure VBN 19261 1156 10 by by IN 19261 1156 11 such such JJ 19261 1156 12 means mean NNS 19261 1156 13 . . . 19261 1157 1 The the DT 19261 1157 2 function function NN 19261 1157 3 of of IN 19261 1157 4 the the DT 19261 1157 5 epiglottis epiglottis NN 19261 1157 6 seems seem VBZ 19261 1157 7 to to TO 19261 1157 8 be be VB 19261 1157 9 to to TO 19261 1157 10 split split VB 19261 1157 11 the the DT 19261 1157 12 food food NN 19261 1157 13 bolus bolus NN 19261 1157 14 and and CC 19261 1157 15 direct direct VB 19261 1157 16 its -PRON- PRP$ 19261 1157 17 portions portion NNS 19261 1157 18 laterally laterally RB 19261 1157 19 into into IN 19261 1157 20 the the DT 19261 1157 21 pyriform pyriform NN 19261 1157 22 sinuses sinus NNS 19261 1157 23 , , , 19261 1157 24 rather rather RB 19261 1157 25 than than IN 19261 1157 26 to to TO 19261 1157 27 take take VB 19261 1157 28 any any DT 19261 1157 29 important important JJ 19261 1157 30 part part NN 19261 1157 31 in in IN 19261 1157 32 the the DT 19261 1157 33 closure closure NN 19261 1157 34 of of IN 19261 1157 35 the the DT 19261 1157 36 larynx larynx NN 19261 1157 37 . . . 19261 1158 1 Following follow VBG 19261 1158 2 the the DT 19261 1158 3 removal removal NN 19261 1158 4 of of IN 19261 1158 5 the the DT 19261 1158 6 epiglottis epiglottis NN 19261 1158 7 there there EX 19261 1158 8 is be VBZ 19261 1158 9 rarely rarely RB 19261 1158 10 complaint complaint NN 19261 1158 11 of of IN 19261 1158 12 food food NN 19261 1158 13 entering enter VBG 19261 1158 14 the the DT 19261 1158 15 larynx larynx NN 19261 1158 16 . . . 19261 1159 1 The the DT 19261 1159 2 projecting projecting NN 19261 1159 3 portion portion NN 19261 1159 4 of of IN 19261 1159 5 the the DT 19261 1159 6 epiglottis epiglottis NN 19261 1159 7 may may MD 19261 1159 8 be be VB 19261 1159 9 amputated amputate VBN 19261 1159 10 with with IN 19261 1159 11 a a DT 19261 1159 12 heavy heavy JJ 19261 1159 13 snare snare NN 19261 1159 14 , , , 19261 1159 15 or or CC 19261 1159 16 by by IN 19261 1159 17 means mean NNS 19261 1159 18 of of IN 19261 1159 19 the the DT 19261 1159 20 large large JJ 19261 1159 21 laryngeal laryngeal NN 19261 1159 22 punch punch NN 19261 1159 23 forceps forceps NNP 19261 1159 24 ( ( -LRB- 19261 1159 25 Fig fig NN 19261 1159 26 . . . 19261 1160 1 33 33 CD 19261 1160 2 ) ) -RRB- 19261 1160 3 . . . 19261 1161 1 _ _ NNP 19261 1161 2 Endoscopic Endoscopic NNP 19261 1161 3 Operations Operations NNP 19261 1161 4 for for IN 19261 1161 5 Laryngeal Laryngeal NNP 19261 1161 6 Stenosis_.--Web stenosis_.--web JJ 19261 1161 7 formations formation NNS 19261 1161 8 may may MD 19261 1161 9 be be VB 19261 1161 10 excised excise VBN 19261 1161 11 with with IN 19261 1161 12 sliding slide VBG 19261 1161 13 punch punch NN 19261 1161 14 forceps forceps NNS 19261 1161 15 , , , 19261 1161 16 or or CC 19261 1161 17 if if IN 19261 1161 18 the the DT 19261 1161 19 web web NN 19261 1161 20 is be VBZ 19261 1161 21 due due JJ 19261 1161 22 to to IN 19261 1161 23 contraction contraction NN 19261 1161 24 only only RB 19261 1161 25 , , , 19261 1161 26 incision incision NN 19261 1161 27 of of IN 19261 1161 28 the the DT 19261 1161 29 true true JJ 19261 1161 30 band band NN 19261 1161 31 may may MD 19261 1161 32 allow allow VB 19261 1161 33 its -PRON- PRP$ 19261 1161 34 retraction retraction NN 19261 1161 35 . . . 19261 1162 1 In in IN 19261 1162 2 some some DT 19261 1162 3 instances instance NNS 19261 1162 4 liberation liberation NN 19261 1162 5 of of IN 19261 1162 6 adhesions adhesion NNS 19261 1162 7 will will MD 19261 1162 8 favor favor VB 19261 1162 9 the the DT 19261 1162 10 formation formation NN 19261 1162 11 of of IN 19261 1162 12 adventitious adventitious JJ 19261 1162 13 vocal vocal JJ 19261 1162 14 cords cord NNS 19261 1162 15 . . . 19261 1163 1 A a DT 19261 1163 2 sharp sharp JJ 19261 1163 3 anterior anterior JJ 19261 1163 4 commissure commissure NN 19261 1163 5 is be VBZ 19261 1163 6 a a DT 19261 1163 7 large large JJ 19261 1163 8 factor factor NN 19261 1163 9 in in IN 19261 1163 10 good good JJ 19261 1163 11 phonation phonation NN 19261 1163 12 . . . 19261 1164 1 _ _ NNP 19261 1164 2 Endoscopic Endoscopic NNP 19261 1164 3 evisceration evisceration NN 19261 1164 4 of of IN 19261 1164 5 the the DT 19261 1164 6 larynx larynx NN 19261 1164 7 _ _ NNP 19261 1164 8 will will MD 19261 1164 9 cure cure VB 19261 1164 10 a a DT 19261 1164 11 few few JJ 19261 1164 12 cases case NNS 19261 1164 13 of of IN 19261 1164 14 laryngeal laryngeal JJ 19261 1164 15 cicatricial cicatricial JJ 19261 1164 16 stenosis stenosis NN 19261 1164 17 , , , 19261 1164 18 and and CC 19261 1164 19 should should MD 19261 1164 20 be be VB 19261 1164 21 tried try VBN 19261 1164 22 before before IN 19261 1164 23 resorting resort VBG 19261 1164 24 to to IN 19261 1164 25 laryngostomy laryngostomy NN 19261 1164 26 . . . 19261 1165 1 A a DT 19261 1165 2 sliding slide VBG 19261 1165 3 punch punch NN 19261 1165 4 forceps forceps NNP 19261 1165 5 is be VBZ 19261 1165 6 used use VBN 19261 1165 7 to to TO 19261 1165 8 remove remove VB 19261 1165 9 all all PDT 19261 1165 10 the the DT 19261 1165 11 tissue tissue NN 19261 1165 12 in in IN 19261 1165 13 the the DT 19261 1165 14 larynx larynx NN 19261 1165 15 out out RP 19261 1165 16 to to IN 19261 1165 17 the the DT 19261 1165 18 perichondrium perichondrium NN 19261 1165 19 , , , 19261 1165 20 but but CC 19261 1165 21 care care NN 19261 1165 22 should should MD 19261 1165 23 be be VB 19261 1165 24 taken take VBN 19261 1165 25 in in IN 19261 1165 26 cicatricial cicatricial JJ 19261 1165 27 cases case NNS 19261 1165 28 to to TO 19261 1165 29 avoid avoid VB 19261 1165 30 removing remove VBG 19261 1165 31 any any DT 19261 1165 32 part part NN 19261 1165 33 of of IN 19261 1165 34 either either DT 19261 1165 35 arytenoid arytenoid JJ 19261 1165 36 cartilage cartilage NN 19261 1165 37 . . . 19261 1166 1 In in IN 19261 1166 2 cases case NNS 19261 1166 3 of of IN 19261 1166 4 posticus posticus NN 19261 1166 5 paralysis paralysis NN 19261 1166 6 the the DT 19261 1166 7 excision excision NN 19261 1166 8 may may MD 19261 1166 9 include include VB 19261 1166 10 portions portion NNS 19261 1166 11 of of IN 19261 1166 12 the the DT 19261 1166 13 vocal vocal JJ 19261 1166 14 processes process NNS 19261 1166 15 of of IN 19261 1166 16 the the DT 19261 1166 17 arytenoids arytenoid NNS 19261 1166 18 . . . 19261 1167 1 Ventriculocordectomy ventriculocordectomy NN 19261 1167 2 is be VBZ 19261 1167 3 preferable preferable JJ 19261 1167 4 to to IN 19261 1167 5 evisceration evisceration VB 19261 1167 6 . . . 19261 1168 1 The the DT 19261 1168 2 ventricular ventricular JJ 19261 1168 3 floor floor NN 19261 1168 4 is be VBZ 19261 1168 5 removed remove VBN 19261 1168 6 with with IN 19261 1168 7 punch punch NN 19261 1168 8 forceps forceps NNP 19261 1168 9 ( ( -LRB- 19261 1168 10 Fig fig NN 19261 1168 11 . . . 19261 1169 1 33 33 CD 19261 1169 2 ) ) -RRB- 19261 1169 3 first first RB 19261 1169 4 on on IN 19261 1169 5 one one CD 19261 1169 6 side side NN 19261 1169 7 , , , 19261 1169 8 then then RB 19261 1169 9 after after IN 19261 1169 10 two two CD 19261 1169 11 months month NNS 19261 1169 12 , , , 19261 1169 13 on on IN 19261 1169 14 the the DT 19261 1169 15 other other JJ 19261 1169 16 . . . 19261 1170 1 _ _ NNP 19261 1170 2 Vocal Vocal NNP 19261 1170 3 Results_.--A Results_.--A NNP 19261 1170 4 whispering whispering NN 19261 1170 5 voice voice NN 19261 1170 6 can can MD 19261 1170 7 always always RB 19261 1170 8 be be VB 19261 1170 9 had have VBN 19261 1170 10 as as RB 19261 1170 11 long long RB 19261 1170 12 as as IN 19261 1170 13 air air NN 19261 1170 14 can can MD 19261 1170 15 pass pass VB 19261 1170 16 through through IN 19261 1170 17 the the DT 19261 1170 18 larynx larynx NN 19261 1170 19 , , , 19261 1170 20 and and CC 19261 1170 21 this this DT 19261 1170 22 may may MD 19261 1170 23 be be VB 19261 1170 24 developed develop VBN 19261 1170 25 to to IN 19261 1170 26 a a DT 19261 1170 27 very very RB 19261 1170 28 loud loud JJ 19261 1170 29 penetrating penetrating NN 19261 1170 30 stage stage NN 19261 1170 31 whisper whisper NN 19261 1170 32 . . . 19261 1171 1 If if IN 19261 1171 2 the the DT 19261 1171 3 arytenoid arytenoid JJ 19261 1171 4 motility motility NN 19261 1171 5 has have VBZ 19261 1171 6 been be VBN 19261 1171 7 uninjured uninjured JJ 19261 1171 8 the the DT 19261 1171 9 repeated repeat VBN 19261 1171 10 pulls pull NNS 19261 1171 11 on on IN 19261 1171 12 the the DT 19261 1171 13 scar scar JJ 19261 1171 14 tissue tissue NN 19261 1171 15 may may MD 19261 1171 16 draw draw VB 19261 1171 17 out out RP 19261 1171 18 adventitious adventitious JJ 19261 1171 19 bands band NNS 19261 1171 20 and and CC 19261 1171 21 develop develop VB 19261 1171 22 a a DT 19261 1171 23 loud loud JJ 19261 1171 24 , , , 19261 1171 25 useful useful JJ 19261 1171 26 , , , 19261 1171 27 though though IN 19261 1171 28 perhaps perhaps RB 19261 1171 29 rough rough JJ 19261 1171 30 and and CC 19261 1171 31 inflexible inflexible JJ 19261 1171 32 voice voice NN 19261 1171 33 . . . 19261 1172 1 _ _ NNP 19261 1172 2 Galvano Galvano NNP 19261 1172 3 - - HYPH 19261 1172 4 cauterization cauterization NN 19261 1172 5 _ _ NNP 19261 1172 6 is be VBZ 19261 1172 7 the the DT 19261 1172 8 best good JJS 19261 1172 9 method method NN 19261 1172 10 of of IN 19261 1172 11 treatment treatment NN 19261 1172 12 for for IN 19261 1172 13 chronic chronic JJ 19261 1172 14 subglottic subglottic JJ 19261 1172 15 edema edema NN 19261 1172 16 or or CC 19261 1172 17 hyperplasia hyperplasia NN 19261 1172 18 such such JJ 19261 1172 19 as as IN 19261 1172 20 is be VBZ 19261 1172 21 seen see VBN 19261 1172 22 in in IN 19261 1172 23 children child NNS 19261 1172 24 following follow VBG 19261 1172 25 diphtheria diphtheria NN 19261 1172 26 , , , 19261 1172 27 when when WRB 19261 1172 28 the the DT 19261 1172 29 stenosis stenosis NN 19261 1172 30 produced produce VBD 19261 1172 31 prevents prevent NNS 19261 1172 32 extubation extubation NN 19261 1172 33 or or CC 19261 1172 34 decannulation decannulation NN 19261 1172 35 . . . 19261 1173 1 The the DT 19261 1173 2 utmost utmost JJ 19261 1173 3 caution caution NN 19261 1173 4 should should MD 19261 1173 5 be be VB 19261 1173 6 used use VBN 19261 1173 7 to to TO 19261 1173 8 avoid avoid VB 19261 1173 9 deep deep JJ 19261 1173 10 cauterizations cauterization NNS 19261 1173 11 ; ; : 19261 1173 12 they -PRON- PRP 19261 1173 13 are be VBP 19261 1173 14 almost almost RB 19261 1173 15 certain certain JJ 19261 1173 16 to to TO 19261 1173 17 set set VB 19261 1173 18 up up RP 19261 1173 19 perichondritis perichondritis NN 19261 1173 20 which which WDT 19261 1173 21 will will MD 19261 1173 22 increase increase VB 19261 1173 23 the the DT 19261 1173 24 stenosis stenosis NN 19261 1173 25 . . . 19261 1174 1 Some some DT 19261 1174 2 of of IN 19261 1174 3 the the DT 19261 1174 4 most most RBS 19261 1174 5 difficult difficult JJ 19261 1174 6 cases case NNS 19261 1174 7 that that WDT 19261 1174 8 have have VBP 19261 1174 9 come come VBN 19261 1174 10 to to IN 19261 1174 11 the the DT 19261 1174 12 author author NN 19261 1174 13 have have VBP 19261 1174 14 been be VBN 19261 1174 15 previously previously RB 19261 1174 16 cauterized cauterize VBN 19261 1174 17 too too RB 19261 1174 18 deeply deeply RB 19261 1174 19 . . . 19261 1175 1 _ _ NNP 19261 1175 2 Galvano Galvano NNP 19261 1175 3 - - HYPH 19261 1175 4 cautery cautery NN 19261 1175 5 puncture puncture NN 19261 1175 6 _ _ NNP 19261 1175 7 of of IN 19261 1175 8 tuberculous tuberculous JJ 19261 1175 9 infiltrations infiltration NNS 19261 1175 10 of of IN 19261 1175 11 the the DT 19261 1175 12 larynx larynx NN 19261 1175 13 at at IN 19261 1175 14 times time NNS 19261 1175 15 yields yield NNS 19261 1175 16 excellent excellent JJ 19261 1175 17 results result NNS 19261 1175 18 in in IN 19261 1175 19 cases case NNS 19261 1175 20 with with IN 19261 1175 21 mild mild JJ 19261 1175 22 pulmonary pulmonary JJ 19261 1175 23 lesions lesion NNS 19261 1175 24 , , , 19261 1175 25 and and CC 19261 1175 26 has have VBZ 19261 1175 27 quite quite RB 19261 1175 28 replaced replace VBN 19261 1175 29 the the DT 19261 1175 30 use use NN 19261 1175 31 of of IN 19261 1175 32 the the DT 19261 1175 33 curette curette NN 19261 1175 34 , , , 19261 1175 35 lactic lactic JJ 19261 1175 36 acid acid NN 19261 1175 37 , , , 19261 1175 38 and and CC 19261 1175 39 other other JJ 19261 1175 40 caustics caustic NNS 19261 1175 41 . . . 19261 1176 1 The the DT 19261 1176 2 direct direct JJ 19261 1176 3 method method NN 19261 1176 4 of of IN 19261 1176 5 exposing expose VBG 19261 1176 6 the the DT 19261 1176 7 larynx larynx NN 19261 1176 8 renders render VBZ 19261 1176 9 the the DT 19261 1176 10 application application NN 19261 1176 11 of of IN 19261 1176 12 the the DT 19261 1176 13 cautery cautery NN 19261 1176 14 point point NN 19261 1176 15 easy easy RB 19261 1176 16 and and CC 19261 1176 17 accurate accurate JJ 19261 1176 18 . . . 19261 1177 1 In in IN 19261 1177 2 severely severely RB 19261 1177 3 stenosed stenose VBN 19261 1177 4 tuberculous tuberculous JJ 19261 1177 5 larynges larynx NNS 19261 1177 6 a a DT 19261 1177 7 tracheotomy tracheotomy NN 19261 1177 8 should should MD 19261 1177 9 first first RB 19261 1177 10 be be VB 19261 1177 11 done do VBN 19261 1177 12 , , , 19261 1177 13 for for IN 19261 1177 14 though though IN 19261 1177 15 the the DT 19261 1177 16 reaction reaction NN 19261 1177 17 is be VBZ 19261 1177 18 slight slight JJ 19261 1177 19 it -PRON- PRP 19261 1177 20 might may MD 19261 1177 21 be be VB 19261 1177 22 sufficient sufficient JJ 19261 1177 23 to to TO 19261 1177 24 close close VB 19261 1177 25 a a DT 19261 1177 26 narrowed narrow VBN 19261 1177 27 glottis glottis NN 19261 1177 28 . . . 19261 1178 1 The the DT 19261 1178 2 technic technic NN 19261 1178 3 is be VBZ 19261 1178 4 the the DT 19261 1178 5 usual usual JJ 19261 1178 6 one one NN 19261 1178 7 for for IN 19261 1178 8 laryngeal laryngeal JJ 19261 1178 9 operations operation NNS 19261 1178 10 . . . 19261 1179 1 Local local JJ 19261 1179 2 anesthesia anesthesia NNP 19261 1179 3 suffices suffice VBZ 19261 1179 4 . . . 19261 1180 1 The the DT 19261 1180 2 larynx larynx NN 19261 1180 3 is be VBZ 19261 1180 4 exposed expose VBN 19261 1180 5 . . . 19261 1181 1 The the DT 19261 1181 2 rheostat rheostat NN 19261 1181 3 having have VBG 19261 1181 4 been be VBN 19261 1181 5 previously previously RB 19261 1181 6 adjusted adjust VBN 19261 1181 7 to to TO 19261 1181 8 heat heat VB 19261 1181 9 the the DT 19261 1181 10 electrode electrode NN 19261 1181 11 to to IN 19261 1181 12 nearly nearly RB 19261 1181 13 white white NNP 19261 1181 14 heat heat NNP 19261 1181 15 , , , 19261 1181 16 the the DT 19261 1181 17 circuit circuit NN 19261 1181 18 is be VBZ 19261 1181 19 broken break VBN 19261 1181 20 and and CC 19261 1181 21 the the DT 19261 1181 22 electrode electrode NN 19261 1181 23 introduced introduce VBD 19261 1181 24 cold cold JJ 19261 1181 25 . . . 19261 1182 1 When when WRB 19261 1182 2 the the DT 19261 1182 3 point point NN 19261 1182 4 is be VBZ 19261 1182 5 in in IN 19261 1182 6 contact contact NN 19261 1182 7 with with IN 19261 1182 8 the the DT 19261 1182 9 desired desire VBN 19261 1182 10 location location NN 19261 1182 11 the the DT 19261 1182 12 current current NN 19261 1182 13 is be VBZ 19261 1182 14 turned turn VBN 19261 1182 15 on on RP 19261 1182 16 and and CC 19261 1182 17 the the DT 19261 1182 18 point point NN 19261 1182 19 thrust thrust VBN 19261 1182 20 in in IN 19261 1182 21 as as RB 19261 1182 22 deeply deeply RB 19261 1182 23 as as IN 19261 1182 24 desired desire VBN 19261 1182 25 . . . 19261 1183 1 Usually usually RB 19261 1183 2 it -PRON- PRP 19261 1183 3 should should MD 19261 1183 4 penetrate penetrate VB 19261 1183 5 until until IN 19261 1183 6 a a DT 19261 1183 7 firm firm JJ 19261 1183 8 resistance resistance NN 19261 1183 9 is be VBZ 19261 1183 10 felt feel VBN 19261 1183 11 ; ; : 19261 1183 12 but but CC 19261 1183 13 care care NN 19261 1183 14 must must MD 19261 1183 15 be be VB 19261 1183 16 used use VBN 19261 1183 17 not not RB 19261 1183 18 to to TO 19261 1183 19 damage damage VB 19261 1183 20 the the DT 19261 1183 21 cricoarytenoid cricoarytenoid JJ 19261 1183 22 joint joint NN 19261 1183 23 . . . 19261 1184 1 The the DT 19261 1184 2 circuit circuit NN 19261 1184 3 is be VBZ 19261 1184 4 broken break VBN 19261 1184 5 at at IN 19261 1184 6 the the DT 19261 1184 7 instant instant NN 19261 1184 8 of of IN 19261 1184 9 withdrawal withdrawal NN 19261 1184 10 . . . 19261 1185 1 Punctures puncture NNS 19261 1185 2 should should MD 19261 1185 3 be be VB 19261 1185 4 made make VBN 19261 1185 5 as as RB 19261 1185 6 nearly nearly RB 19261 1185 7 as as IN 19261 1185 8 possible possible JJ 19261 1185 9 perpendicular perpendicular JJ 19261 1185 10 to to IN 19261 1185 11 the the DT 19261 1185 12 surface surface NN 19261 1185 13 , , , 19261 1185 14 so so IN 19261 1185 15 as as IN 19261 1185 16 to to TO 19261 1185 17 minimize minimize VB 19261 1185 18 the the DT 19261 1185 19 destruction destruction NN 19261 1185 20 of of IN 19261 1185 21 epithelium epithelium NN 19261 1185 22 and and CC 19261 1185 23 thus thus RB 19261 1185 24 lessen lessen VBD 19261 1185 25 the the DT 19261 1185 26 reaction reaction NN 19261 1185 27 . . . 19261 1186 1 A a DT 19261 1186 2 minute minute JJ 19261 1186 3 gray gray JJ 19261 1186 4 fibrous fibrous JJ 19261 1186 5 slough slough NN 19261 1186 6 detaches detach VBZ 19261 1186 7 itself -PRON- PRP 19261 1186 8 in in IN 19261 1186 9 a a DT 19261 1186 10 few few JJ 19261 1186 11 days day NNS 19261 1186 12 . . . 19261 1187 1 Cautery cautery NN 19261 1187 2 puncture puncture NN 19261 1187 3 should should MD 19261 1187 4 be be VB 19261 1187 5 repeated repeat VBN 19261 1187 6 every every DT 19261 1187 7 two two CD 19261 1187 8 or or CC 19261 1187 9 three three CD 19261 1187 10 weeks week NNS 19261 1187 11 , , , 19261 1187 12 selecting select VBG 19261 1187 13 a a DT 19261 1187 14 new new JJ 19261 1187 15 location location NN 19261 1187 16 each each DT 19261 1187 17 time time NN 19261 1187 18 , , , 19261 1187 19 until until IN 19261 1187 20 the the DT 19261 1187 21 desired desire VBN 19261 1187 22 result result NN 19261 1187 23 is be VBZ 19261 1187 24 obtained obtain VBN 19261 1187 25 . . . 19261 1188 1 Great great JJ 19261 1188 2 caution caution NN 19261 1188 3 , , , 19261 1188 4 as as IN 19261 1188 5 mentioned mention VBN 19261 1188 6 above above RB 19261 1188 7 , , , 19261 1188 8 must must MD 19261 1188 9 be be VB 19261 1188 10 used use VBN 19261 1188 11 to to TO 19261 1188 12 avoid avoid VB 19261 1188 13 setting set VBG 19261 1188 14 up up RP 19261 1188 15 perichondritis perichondritis NN 19261 1188 16 . . . 19261 1189 1 Many many JJ 19261 1189 2 cases case NNS 19261 1189 3 of of IN 19261 1189 4 laryngeal laryngeal JJ 19261 1189 5 tuberculosis tuberculosis NN 19261 1189 6 will will MD 19261 1189 7 recover recover VB 19261 1189 8 as as RB 19261 1189 9 quickly quickly RB 19261 1189 10 by by IN 19261 1189 11 silence silence NN 19261 1189 12 and and CC 19261 1189 13 a a DT 19261 1189 14 general general JJ 19261 1189 15 antituberculous antituberculous JJ 19261 1189 16 regime regime NN 19261 1189 17 . . . 19261 1190 1 _ _ NNP 19261 1190 2 Radium Radium NNP 19261 1190 3 _ _ NNP 19261 1190 4 , , , 19261 1190 5 in in IN 19261 1190 6 form form NN 19261 1190 7 of of IN 19261 1190 8 capsules capsule NNS 19261 1190 9 or or CC 19261 1190 10 of of IN 19261 1190 11 needles needle NNS 19261 1190 12 inserted insert VBN 19261 1190 13 in in IN 19261 1190 14 the the DT 19261 1190 15 tissues tissue NNS 19261 1190 16 may may MD 19261 1190 17 be be VB 19261 1190 18 applied apply VBN 19261 1190 19 with with IN 19261 1190 20 great great JJ 19261 1190 21 accuracy accuracy NN 19261 1190 22 ; ; : 19261 1190 23 but but CC 19261 1190 24 the the DT 19261 1190 25 author author NN 19261 1190 26 is be VBZ 19261 1190 27 strongly strongly RB 19261 1190 28 impressed impressed JJ 19261 1190 29 with with IN 19261 1190 30 pyriform pyriform NN 19261 1190 31 sinus sinus NN 19261 1190 32 applications application NNS 19261 1190 33 by by IN 19261 1190 34 the the DT 19261 1190 35 Freer Freer NNP 19261 1190 36 method method NN 19261 1190 37 . . . 19261 1191 1 _ _ NNP 19261 1191 2 After After NNP 19261 1191 3 - - HYPH 19261 1191 4 care care NN 19261 1191 5 of of IN 19261 1191 6 endolaryngeal endolaryngeal JJ 19261 1191 7 operations operation NNS 19261 1191 8 _ _ NNP 19261 1191 9 includes include VBZ 19261 1191 10 careful careful JJ 19261 1191 11 cleansing cleansing NN 19261 1191 12 of of IN 19261 1191 13 the the DT 19261 1191 14 teeth tooth NNS 19261 1191 15 and and CC 19261 1191 16 mouth mouth NN 19261 1191 17 ; ; , 19261 1191 18 and and CC 19261 1191 19 if if IN 19261 1191 20 the the DT 19261 1191 21 extrinsic extrinsic JJ 19261 1191 22 area area NN 19261 1191 23 of of IN 19261 1191 24 the the DT 19261 1191 25 larynx larynx NN 19261 1191 26 is be VBZ 19261 1191 27 involved involve VBN 19261 1191 28 in in IN 19261 1191 29 the the DT 19261 1191 30 wound wound NN 19261 1191 31 , , , 19261 1191 32 sterile sterile JJ 19261 1191 33 liquid liquid JJ 19261 1191 34 food food NN 19261 1191 35 and and CC 19261 1191 36 water water NN 19261 1191 37 should should MD 19261 1191 38 be be VB 19261 1191 39 given give VBN 19261 1191 40 for for IN 19261 1191 41 four four CD 19261 1191 42 days day NNS 19261 1191 43 . . . 19261 1192 1 The the DT 19261 1192 2 patient patient NN 19261 1192 3 should should MD 19261 1192 4 be be VB 19261 1192 5 watched watch VBN 19261 1192 6 for for IN 19261 1192 7 complications complication NNS 19261 1192 8 by by IN 19261 1192 9 a a DT 19261 1192 10 special special JJ 19261 1192 11 nurse nurse NN 19261 1192 12 who who WP 19261 1192 13 is be VBZ 19261 1192 14 familiar familiar JJ 19261 1192 15 with with IN 19261 1192 16 the the DT 19261 1192 17 signs sign NNS 19261 1192 18 of of IN 19261 1192 19 laryngeal laryngeal NNP 19261 1192 20 dyspnea dyspnea NNP 19261 1192 21 ( ( -LRB- 19261 1192 22 q.v q.v NNP 19261 1192 23 . . . 19261 1192 24 ) ) -RRB- 19261 1192 25 . . . 19261 1193 1 _ _ NNP 19261 1193 2 Complications Complications NNPS 19261 1193 3 during during IN 19261 1193 4 endolaryngeal endolaryngeal JJ 19261 1193 5 operations operation NNS 19261 1193 6 _ _ NNP 19261 1193 7 are be VBP 19261 1193 8 rare rare JJ 19261 1193 9 . . . 19261 1194 1 Dyspnea Dyspnea NNP 19261 1194 2 may may MD 19261 1194 3 require require VB 19261 1194 4 tracheotomy tracheotomy NN 19261 1194 5 . . . 19261 1195 1 Idiosyncrasy idiosyncrasy JJ 19261 1195 2 to to TO 19261 1195 3 cocain cocain VB 19261 1195 4 , , , 19261 1195 5 or or CC 19261 1195 6 the the DT 19261 1195 7 sight sight NN 19261 1195 8 or or CC 19261 1195 9 taste taste NN 19261 1195 10 of of IN 19261 1195 11 blood blood NN 19261 1195 12 may may MD 19261 1195 13 nauseate nauseate VB 19261 1195 14 the the DT 19261 1195 15 patient patient NN 19261 1195 16 and and CC 19261 1195 17 cause cause NNP 19261 1195 18 syncope syncope NN 19261 1195 19 . . . 19261 1196 1 Serious serious JJ 19261 1196 2 hemorrhage hemorrhage NN 19261 1196 3 could could MD 19261 1196 4 occur occur VB 19261 1196 5 only only RB 19261 1196 6 in in IN 19261 1196 7 a a DT 19261 1196 8 hemophile hemophile NN 19261 1196 9 . . . 19261 1197 1 The the DT 19261 1197 2 careless careless JJ 19261 1197 3 handling handling NN 19261 1197 4 of of IN 19261 1197 5 a a DT 19261 1197 6 bite bite NN 19261 1197 7 block block NN 19261 1197 8 might may MD 19261 1197 9 damage damage VB 19261 1197 10 a a DT 19261 1197 11 frail frail NN 19261 1197 12 tool tool NN 19261 1197 13 or or CC 19261 1197 14 dental dental JJ 19261 1197 15 fixture fixture NN 19261 1197 16 . . . 19261 1198 1 _ _ NNP 19261 1198 2 Complications Complications NNPS 19261 1198 3 after after IN 19261 1198 4 endolaryngeal endolaryngeal JJ 19261 1198 5 operations operation NNS 19261 1198 6 _ _ NNP 19261 1198 7 are be VBP 19261 1198 8 unusual unusual JJ 19261 1198 9 . . . 19261 1199 1 Carelessness carelessness NN 19261 1199 2 in in IN 19261 1199 3 asepsis asepsis NN 19261 1199 4 has have VBZ 19261 1199 5 been be VBN 19261 1199 6 known know VBN 19261 1199 7 to to TO 19261 1199 8 cause cause VB 19261 1199 9 cervical cervical JJ 19261 1199 10 cellulitis cellulitis NN 19261 1199 11 . . . 19261 1200 1 Emphysema Emphysema NNP 19261 1200 2 of of IN 19261 1200 3 the the DT 19261 1200 4 neck neck NN 19261 1200 5 has have VBZ 19261 1200 6 occurred occur VBN 19261 1200 7 . . . 19261 1201 1 Edema Edema NNP 19261 1201 2 of of IN 19261 1201 3 the the DT 19261 1201 4 larynx larynx NN 19261 1201 5 occasionally occasionally RB 19261 1201 6 occurs occur VBZ 19261 1201 7 , , , 19261 1201 8 and and CC 19261 1201 9 might may MD 19261 1201 10 necessitate necessitate VB 19261 1201 11 tracheotomy tracheotomy NN 19261 1201 12 . . . 19261 1202 1 Serious serious JJ 19261 1202 2 bleeding bleeding NN 19261 1202 3 after after IN 19261 1202 4 operation operation NN 19261 1202 5 is be VBZ 19261 1202 6 very very RB 19261 1202 7 rare rare JJ 19261 1202 8 except except IN 19261 1202 9 in in IN 19261 1202 10 bleeders bleeder NNS 19261 1202 11 . . . 19261 1203 1 Hemorrhage hemorrhage NN 19261 1203 2 within within IN 19261 1203 3 the the DT 19261 1203 4 larynx larynx NN 19261 1203 5 can can MD 19261 1203 6 be be VB 19261 1203 7 stopped stop VBN 19261 1203 8 by by IN 19261 1203 9 the the DT 19261 1203 10 introduction introduction NN 19261 1203 11 of of IN 19261 1203 12 a a DT 19261 1203 13 roll roll NN 19261 1203 14 of of IN 19261 1203 15 gauze gauze NN 19261 1203 16 from from IN 19261 1203 17 above above RB 19261 1203 18 , , , 19261 1203 19 tracheotomy tracheotomy NN 19261 1203 20 having have VBG 19261 1203 21 been be VBN 19261 1203 22 previously previously RB 19261 1203 23 performed perform VBN 19261 1203 24 . . . 19261 1204 1 Morphin Morphin NNP 19261 1204 2 subcutaneously subcutaneously RB 19261 1204 3 administered administer VBD 19261 1204 4 , , , 19261 1204 5 has have VBZ 19261 1204 6 a a DT 19261 1204 7 constricting constrict VBG 19261 1204 8 action action NN 19261 1204 9 on on IN 19261 1204 10 the the DT 19261 1204 11 vessels vessel NNS 19261 1204 12 which which WDT 19261 1204 13 renders render VBZ 19261 1204 14 it -PRON- PRP 19261 1204 15 of of IN 19261 1204 16 value value NN 19261 1204 17 in in IN 19261 1204 18 controlling control VBG 19261 1204 19 hemorrhage hemorrhage NN 19261 1204 20 . . . 19261 1205 1 [ [ -LRB- 19261 1205 2 97 97 CD 19261 1205 3 ] ] -RRB- 19261 1205 4 CHAPTER CHAPTER NNP 19261 1205 5 IX ix NN 19261 1205 6 -- -- : 19261 1205 7 INTRODUCTION introduction NN 19261 1205 8 OF of IN 19261 1205 9 THE the DT 19261 1205 10 BRONCHOSCOPE bronchoscope NN 19261 1205 11 No no DT 19261 1205 12 one one PRP 19261 1205 13 should should MD 19261 1205 14 do do VB 19261 1205 15 bronchoscopy bronchoscopy VB 19261 1205 16 until until IN 19261 1205 17 he -PRON- PRP 19261 1205 18 is be VBZ 19261 1205 19 able able JJ 19261 1205 20 to to TO 19261 1205 21 expose expose VB 19261 1205 22 the the DT 19261 1205 23 glottis glottis NN 19261 1205 24 by by IN 19261 1205 25 left left JJ 19261 1205 26 - - HYPH 19261 1205 27 handed handed JJ 19261 1205 28 direct direct JJ 19261 1205 29 laryngoscopy laryngoscopy NN 19261 1205 30 in in IN 19261 1205 31 less less JJR 19261 1205 32 than than IN 19261 1205 33 one one CD 19261 1205 34 minute minute NN 19261 1205 35 . . . 19261 1206 1 When when WRB 19261 1206 2 he -PRON- PRP 19261 1206 3 has have VBZ 19261 1206 4 mastered master VBN 19261 1206 5 this this DT 19261 1206 6 , , , 19261 1206 7 one one CD 19261 1206 8 minute minute NN 19261 1206 9 more more RBR 19261 1206 10 should should MD 19261 1206 11 be be VB 19261 1206 12 sufficient sufficient JJ 19261 1206 13 to to TO 19261 1206 14 introduce introduce VB 19261 1206 15 the the DT 19261 1206 16 bronchoscope bronchoscope NN 19261 1206 17 into into IN 19261 1206 18 the the DT 19261 1206 19 trachea trachea NN 19261 1206 20 . . . 19261 1207 1 TECHNIC TECHNIC NNP 19261 1207 2 OF of IN 19261 1207 3 BRONCHOSCOPY BRONCHOSCOPY NNP 19261 1207 4 Local local JJ 19261 1207 5 anesthesia anesthesia NNP 19261 1207 6 is be VBZ 19261 1207 7 usually usually RB 19261 1207 8 employed employ VBN 19261 1207 9 in in IN 19261 1207 10 the the DT 19261 1207 11 adult adult NN 19261 1207 12 . . . 19261 1208 1 The the DT 19261 1208 2 patient patient NN 19261 1208 3 is be VBZ 19261 1208 4 placed place VBN 19261 1208 5 in in IN 19261 1208 6 the the DT 19261 1208 7 Boyce Boyce NNP 19261 1208 8 position position NN 19261 1208 9 shown show VBN 19261 1208 10 in in IN 19261 1208 11 Fig Fig NNP 19261 1208 12 . . . 19261 1209 1 51 51 CD 19261 1209 2 , , , 19261 1209 3 with with IN 19261 1209 4 head head NN 19261 1209 5 and and CC 19261 1209 6 shoulders shoulder NNS 19261 1209 7 projecting project VBG 19261 1209 8 over over IN 19261 1209 9 the the DT 19261 1209 10 edge edge NN 19261 1209 11 of of IN 19261 1209 12 the the DT 19261 1209 13 table table NN 19261 1209 14 and and CC 19261 1209 15 supported support VBN 19261 1209 16 by by IN 19261 1209 17 an an DT 19261 1209 18 assistant assistant NN 19261 1209 19 . . . 19261 1210 1 The the DT 19261 1210 2 glottis glottis NN 19261 1210 3 is be VBZ 19261 1210 4 exposed expose VBN 19261 1210 5 by by IN 19261 1210 6 left left JJ 19261 1210 7 - - HYPH 19261 1210 8 handed handed JJ 19261 1210 9 laryngoscopy laryngoscopy NN 19261 1210 10 . . . 19261 1211 1 The the DT 19261 1211 2 instrument instrument NN 19261 1211 3 - - HYPH 19261 1211 4 assistant assistant NN 19261 1211 5 now now RB 19261 1211 6 inserts insert VBZ 19261 1211 7 the the DT 19261 1211 8 distal distal JJ 19261 1211 9 end end NN 19261 1211 10 of of IN 19261 1211 11 the the DT 19261 1211 12 bronchoscope bronchoscope NN 19261 1211 13 into into IN 19261 1211 14 the the DT 19261 1211 15 lumen luman NNS 19261 1211 16 of of IN 19261 1211 17 the the DT 19261 1211 18 laryngoscope laryngoscope NN 19261 1211 19 , , , 19261 1211 20 the the DT 19261 1211 21 handle handle NN 19261 1211 22 being be VBG 19261 1211 23 directed direct VBN 19261 1211 24 to to IN 19261 1211 25 the the DT 19261 1211 26 right right NN 19261 1211 27 in in IN 19261 1211 28 a a DT 19261 1211 29 horizontal horizontal JJ 19261 1211 30 position position NN 19261 1211 31 . . . 19261 1212 1 The the DT 19261 1212 2 operator operator NN 19261 1212 3 now now RB 19261 1212 4 grasps grasp VBZ 19261 1212 5 the the DT 19261 1212 6 bronchoscope bronchoscope NN 19261 1212 7 , , , 19261 1212 8 his -PRON- PRP$ 19261 1212 9 eye eye NN 19261 1212 10 is be VBZ 19261 1212 11 transferred transfer VBN 19261 1212 12 from from IN 19261 1212 13 the the DT 19261 1212 14 laryngoscope laryngoscope NN 19261 1212 15 to to IN 19261 1212 16 the the DT 19261 1212 17 bronchoscope bronchoscope NN 19261 1212 18 , , , 19261 1212 19 and and CC 19261 1212 20 the the DT 19261 1212 21 bronchoscope bronchoscope NN 19261 1212 22 is be VBZ 19261 1212 23 advanced advanced JJ 19261 1212 24 and and CC 19261 1212 25 so so RB 19261 1212 26 directed direct VBD 19261 1212 27 that that IN 19261 1212 28 a a DT 19261 1212 29 good good JJ 19261 1212 30 view view NN 19261 1212 31 of of IN 19261 1212 32 the the DT 19261 1212 33 glottis glottis NN 19261 1212 34 is be VBZ 19261 1212 35 obtained obtain VBN 19261 1212 36 . . . 19261 1213 1 The the DT 19261 1213 2 slanted slanted JJ 19261 1213 3 end end NN 19261 1213 4 of of IN 19261 1213 5 the the DT 19261 1213 6 bronchoscope bronchoscope NN 19261 1213 7 should should MD 19261 1213 8 then then RB 19261 1213 9 be be VB 19261 1213 10 directed direct VBN 19261 1213 11 to to IN 19261 1213 12 the the DT 19261 1213 13 left left NN 19261 1213 14 , , , 19261 1213 15 so so IN 19261 1213 16 as as RB 19261 1213 17 clearly clearly RB 19261 1213 18 to to TO 19261 1213 19 expose expose VB 19261 1213 20 the the DT 19261 1213 21 left left JJ 19261 1213 22 cord cord NN 19261 1213 23 . . . 19261 1214 1 In in IN 19261 1214 2 this this DT 19261 1214 3 position position NN 19261 1214 4 it -PRON- PRP 19261 1214 5 will will MD 19261 1214 6 be be VB 19261 1214 7 found find VBN 19261 1214 8 that that IN 19261 1214 9 the the DT 19261 1214 10 tip tip NN 19261 1214 11 of of IN 19261 1214 12 the the DT 19261 1214 13 slanted slanted JJ 19261 1214 14 end end NN 19261 1214 15 is be VBZ 19261 1214 16 in in IN 19261 1214 17 the the DT 19261 1214 18 center center NN 19261 1214 19 of of IN 19261 1214 20 the the DT 19261 1214 21 glottic glottic JJ 19261 1214 22 chink chink NN 19261 1214 23 and and CC 19261 1214 24 will will MD 19261 1214 25 slip slip VB 19261 1214 26 readily readily RB 19261 1214 27 into into IN 19261 1214 28 the the DT 19261 1214 29 trachea trachea NN 19261 1214 30 . . . 19261 1215 1 No no DT 19261 1215 2 great great JJ 19261 1215 3 force force NN 19261 1215 4 should should MD 19261 1215 5 be be VB 19261 1215 6 used use VBN 19261 1215 7 , , , 19261 1215 8 because because IN 19261 1215 9 if if IN 19261 1215 10 the the DT 19261 1215 11 bronchoscope bronchoscope NN 19261 1215 12 does do VBZ 19261 1215 13 not not RB 19261 1215 14 go go VB 19261 1215 15 through through IN 19261 1215 16 readily readily RB 19261 1215 17 , , , 19261 1215 18 either either CC 19261 1215 19 the the DT 19261 1215 20 tube tube NN 19261 1215 21 is be VBZ 19261 1215 22 too too RB 19261 1215 23 large large JJ 19261 1215 24 a a DT 19261 1215 25 size size NN 19261 1215 26 or or CC 19261 1215 27 it -PRON- PRP 19261 1215 28 is be VBZ 19261 1215 29 not not RB 19261 1215 30 correctly correctly RB 19261 1215 31 placed place VBN 19261 1215 32 ( ( -LRB- 19261 1215 33 Fig fig NN 19261 1215 34 . . . 19261 1216 1 60 60 CD 19261 1216 2 ) ) -RRB- 19261 1216 3 . . . 19261 1217 1 Normally normally RB 19261 1217 2 , , , 19261 1217 3 however however RB 19261 1217 4 , , , 19261 1217 5 there there EX 19261 1217 6 is be VBZ 19261 1217 7 some some DT 19261 1217 8 slight slight JJ 19261 1217 9 resistance resistance NN 19261 1217 10 , , , 19261 1217 11 which which WDT 19261 1217 12 in in IN 19261 1217 13 cases case NNS 19261 1217 14 of of IN 19261 1217 15 subglottic subglottic JJ 19261 1217 16 laryngitis laryngitis NN 19261 1217 17 may may MD 19261 1217 18 be be VB 19261 1217 19 considerable considerable JJ 19261 1217 20 . . . 19261 1218 1 The the DT 19261 1218 2 trained train VBN 19261 1218 3 laryngologist laryngologist NN 19261 1218 4 will will MD 19261 1218 5 readily readily RB 19261 1218 6 determine determine VB 19261 1218 7 by by IN 19261 1218 8 sense sense NN 19261 1218 9 of of IN 19261 1218 10 touch touch NN 19261 1218 11 the the DT 19261 1218 12 degree degree NN 19261 1218 13 of of IN 19261 1218 14 pressure pressure NN 19261 1218 15 necessary necessary JJ 19261 1218 16 to to TO 19261 1218 17 overcome overcome VB 19261 1218 18 it -PRON- PRP 19261 1218 19 . . . 19261 1219 1 When when WRB 19261 1219 2 the the DT 19261 1219 3 bronchoscope bronchoscope NN 19261 1219 4 has have VBZ 19261 1219 5 been be VBN 19261 1219 6 inserted insert VBN 19261 1219 7 to to IN 19261 1219 8 about about IN 19261 1219 9 the the DT 19261 1219 10 second second JJ 19261 1219 11 or or CC 19261 1219 12 third third JJ 19261 1219 13 tracheal tracheal NN 19261 1219 14 ring ring NN 19261 1219 15 , , , 19261 1219 16 the the DT 19261 1219 17 heavy heavy JJ 19261 1219 18 laryngoscope laryngoscope NN 19261 1219 19 is be VBZ 19261 1219 20 removed remove VBN 19261 1219 21 by by IN 19261 1219 22 rotating rotate VBG 19261 1219 23 the the DT 19261 1219 24 handle handle NN 19261 1219 25 to to IN 19261 1219 26 the the DT 19261 1219 27 left left NN 19261 1219 28 , , , 19261 1219 29 removing remove VBG 19261 1219 30 the the DT 19261 1219 31 slide slide NN 19261 1219 32 , , , 19261 1219 33 and and CC 19261 1219 34 withdrawing withdraw VBG 19261 1219 35 the the DT 19261 1219 36 instrument instrument NN 19261 1219 37 . . . 19261 1220 1 Care care NN 19261 1220 2 must must MD 19261 1220 3 be be VB 19261 1220 4 taken take VBN 19261 1220 5 that that IN 19261 1220 6 the the DT 19261 1220 7 bronchoscope bronchoscope NN 19261 1220 8 is be VBZ 19261 1220 9 not not RB 19261 1220 10 withdrawn withdraw VBN 19261 1220 11 or or CC 19261 1220 12 coughed cough VBN 19261 1220 13 out out RP 19261 1220 14 during during IN 19261 1220 15 the the DT 19261 1220 16 removal removal NN 19261 1220 17 of of IN 19261 1220 18 the the DT 19261 1220 19 laryngoscope laryngoscope NN 19261 1220 20 ; ; : 19261 1220 21 this this DT 19261 1220 22 can can MD 19261 1220 23 be be VB 19261 1220 24 avoided avoid VBN 19261 1220 25 by by IN 19261 1220 26 allowing allow VBG 19261 1220 27 the the DT 19261 1220 28 ocular ocular JJ 19261 1220 29 end end NN 19261 1220 30 to to IN 19261 1220 31 rest rest NN 19261 1220 32 against against IN 19261 1220 33 the the DT 19261 1220 34 gown gown JJ 19261 1220 35 - - HYPH 19261 1220 36 covered cover VBN 19261 1220 37 chest chest NN 19261 1220 38 of of IN 19261 1220 39 the the DT 19261 1220 40 operator operator NN 19261 1220 41 . . . 19261 1221 1 If if IN 19261 1221 2 preferred prefer VBD 19261 1221 3 the the DT 19261 1221 4 operator operator NN 19261 1221 5 may may MD 19261 1221 6 train train VB 19261 1221 7 his -PRON- PRP$ 19261 1221 8 instrumental instrumental JJ 19261 1221 9 assistant assistant NN 19261 1221 10 to to TO 19261 1221 11 take take VB 19261 1221 12 off off RP 19261 1221 13 the the DT 19261 1221 14 laryngoscope laryngoscope NN 19261 1221 15 , , , 19261 1221 16 while while IN 19261 1221 17 the the DT 19261 1221 18 operator operator NN 19261 1221 19 devotes devote VBZ 19261 1221 20 his -PRON- PRP$ 19261 1221 21 attention attention NN 19261 1221 22 to to IN 19261 1221 23 preventing prevent VBG 19261 1221 24 the the DT 19261 1221 25 withdrawal withdrawal NN 19261 1221 26 of of IN 19261 1221 27 the the DT 19261 1221 28 bronchoscope bronchoscope NN 19261 1221 29 by by IN 19261 1221 30 holding hold VBG 19261 1221 31 the the DT 19261 1221 32 handle handle NN 19261 1221 33 with with IN 19261 1221 34 his -PRON- PRP$ 19261 1221 35 right right JJ 19261 1221 36 hand hand NN 19261 1221 37 . . . 19261 1222 1 At at IN 19261 1222 2 the the DT 19261 1222 3 moment moment NN 19261 1222 4 of of IN 19261 1222 5 insertion insertion NN 19261 1222 6 of of IN 19261 1222 7 the the DT 19261 1222 8 bronchoscope bronchoscope NN 19261 1222 9 through through IN 19261 1222 10 the the DT 19261 1222 11 glottis glottis NN 19261 1222 12 , , , 19261 1222 13 an an DT 19261 1222 14 especially especially RB 19261 1222 15 strong strong JJ 19261 1222 16 upward upward JJ 19261 1222 17 lift lift NN 19261 1222 18 on on IN 19261 1222 19 the the DT 19261 1222 20 beak beak NN 19261 1222 21 of of IN 19261 1222 22 the the DT 19261 1222 23 spatula spatula NN 19261 1222 24 will will MD 19261 1222 25 facilitate facilitate VB 19261 1222 26 the the DT 19261 1222 27 passage passage NN 19261 1222 28 . . . 19261 1223 1 It -PRON- PRP 19261 1223 2 is be VBZ 19261 1223 3 necessary necessary JJ 19261 1223 4 to to TO 19261 1223 5 be be VB 19261 1223 6 certain certain JJ 19261 1223 7 that that IN 19261 1223 8 the the DT 19261 1223 9 axis axi NNS 19261 1223 10 of of IN 19261 1223 11 the the DT 19261 1223 12 bronchoscope bronchoscope NN 19261 1223 13 corresponds correspond VBZ 19261 1223 14 to to IN 19261 1223 15 the the DT 19261 1223 16 axis axi NNS 19261 1223 17 of of IN 19261 1223 18 the the DT 19261 1223 19 trachea trachea NN 19261 1223 20 , , , 19261 1223 21 in in IN 19261 1223 22 order order NN 19261 1223 23 to to TO 19261 1223 24 avoid avoid VB 19261 1223 25 injury injury NN 19261 1223 26 to to IN 19261 1223 27 the the DT 19261 1223 28 subglottic subglottic JJ 19261 1223 29 tissue tissue NN 19261 1223 30 which which WDT 19261 1223 31 might may MD 19261 1223 32 be be VB 19261 1223 33 followed follow VBN 19261 1223 34 by by IN 19261 1223 35 subglottic subglottic JJ 19261 1223 36 edema edema NN 19261 1223 37 ( ( -LRB- 19261 1223 38 Fig fig NN 19261 1223 39 . . . 19261 1224 1 47 47 CD 19261 1224 2 ) ) -RRB- 19261 1224 3 . . . 19261 1225 1 If if IN 19261 1225 2 the the DT 19261 1225 3 subglottic subglottic JJ 19261 1225 4 region region NN 19261 1225 5 is be VBZ 19261 1225 6 already already RB 19261 1225 7 edematous edematous JJ 19261 1225 8 and and CC 19261 1225 9 causes cause VBZ 19261 1225 10 resistance resistance NN 19261 1225 11 , , , 19261 1225 12 slight slight JJ 19261 1225 13 rotation rotation NN 19261 1225 14 to to IN 19261 1225 15 the the DT 19261 1225 16 laryngoscope laryngoscope NN 19261 1225 17 , , , 19261 1225 18 and and CC 19261 1225 19 bronchoscope bronchoscope NN 19261 1225 20 will will MD 19261 1225 21 cause cause VB 19261 1225 22 the the DT 19261 1225 23 bronchoscope bronchoscope NN 19261 1225 24 to to TO 19261 1225 25 enter enter VB 19261 1225 26 more more RBR 19261 1225 27 easily easily RB 19261 1225 28 . . . 19261 1226 1 [ [ -LRB- 19261 1226 2 FIG FIG NNP 19261 1226 3 . . . 19261 1227 1 59.--Insufflation 59.--insufflation CD 19261 1227 2 anesthesia anesthesia NNP 19261 1227 3 with with IN 19261 1227 4 Elsberg Elsberg NNP 19261 1227 5 apparatus apparatus NN 19261 1227 6 . . . 19261 1228 1 Anesthetist anesthetist NN 19261 1228 2 has have VBZ 19261 1228 3 exposed expose VBN 19261 1228 4 the the DT 19261 1228 5 larynx larynx NN 19261 1228 6 and and CC 19261 1228 7 is be VBZ 19261 1228 8 about about JJ 19261 1228 9 to to TO 19261 1228 10 introduce introduce VB 19261 1228 11 the the DT 19261 1228 12 silk silk NN 19261 1228 13 - - HYPH 19261 1228 14 woven weave VBN 19261 1228 15 catheter catheter NN 19261 1228 16 . . . 19261 1229 1 Note note VB 19261 1229 2 the the DT 19261 1229 3 full full JJ 19261 1229 4 extension extension NN 19261 1229 5 of of IN 19261 1229 6 the the DT 19261 1229 7 head head NN 19261 1229 8 on on IN 19261 1229 9 the the DT 19261 1229 10 table table NN 19261 1229 11 . . . 19261 1229 12 ] ] -RRB- 19261 1230 1 [ [ -LRB- 19261 1230 2 FIG FIG NNP 19261 1230 3 . . . 19261 1231 1 60.--Schema 60.--schema CD 19261 1231 2 illustrating illustrate VBG 19261 1231 3 the the DT 19261 1231 4 introduction introduction NN 19261 1231 5 of of IN 19261 1231 6 the the DT 19261 1231 7 bronchoscope bronchoscope NN 19261 1231 8 through through IN 19261 1231 9 the the DT 19261 1231 10 glottis glottis NN 19261 1231 11 , , , 19261 1231 12 recumbent recumbent JJ 19261 1231 13 patient patient NN 19261 1231 14 . . . 19261 1232 1 The the DT 19261 1232 2 handle handle NN 19261 1232 3 , , , 19261 1232 4 H h NN 19261 1232 5 , , , 19261 1232 6 is be VBZ 19261 1232 7 always always RB 19261 1232 8 horizontally horizontally RB 19261 1232 9 to to IN 19261 1232 10 the the DT 19261 1232 11 right right NN 19261 1232 12 . . . 19261 1233 1 When when WRB 19261 1233 2 the the DT 19261 1233 3 glottis glottis NN 19261 1233 4 is be VBZ 19261 1233 5 first first RB 19261 1233 6 seen see VBN 19261 1233 7 through through IN 19261 1233 8 the the DT 19261 1233 9 tube tube NN 19261 1233 10 it -PRON- PRP 19261 1233 11 should should MD 19261 1233 12 be be VB 19261 1233 13 centrally centrally RB 19261 1233 14 located locate VBN 19261 1233 15 as as IN 19261 1233 16 at at IN 19261 1233 17 K. K. NNP 19261 1233 18 At at IN 19261 1233 19 the the DT 19261 1233 20 next next JJ 19261 1233 21 inspiration inspiration NN 19261 1233 22 the the DT 19261 1233 23 end end NN 19261 1233 24 B b NN 19261 1233 25 , , , 19261 1233 26 is be VBZ 19261 1233 27 moved move VBN 19261 1233 28 horizontally horizontally RB 19261 1233 29 to to IN 19261 1233 30 the the DT 19261 1233 31 left left NN 19261 1233 32 as as IN 19261 1233 33 shown show VBN 19261 1233 34 by by IN 19261 1233 35 the the DT 19261 1233 36 dart dart NN 19261 1233 37 , , , 19261 1233 38 M M NNP 19261 1233 39 , , , 19261 1233 40 until until IN 19261 1233 41 the the DT 19261 1233 42 glottis glottis NN 19261 1233 43 shows show VBZ 19261 1233 44 at at IN 19261 1233 45 the the DT 19261 1233 46 right right JJ 19261 1233 47 edge edge NN 19261 1233 48 of of IN 19261 1233 49 the the DT 19261 1233 50 field field NN 19261 1233 51 , , , 19261 1233 52 C. C. NNP 19261 1233 53 This this DT 19261 1233 54 means mean VBZ 19261 1233 55 that that IN 19261 1233 56 the the DT 19261 1233 57 point point NN 19261 1233 58 of of IN 19261 1233 59 the the DT 19261 1233 60 lip lip NN 19261 1233 61 , , , 19261 1233 62 B b NN 19261 1233 63 , , , 19261 1233 64 is be VBZ 19261 1233 65 at at IN 19261 1233 66 the the DT 19261 1233 67 median median JJ 19261 1233 68 line line NN 19261 1233 69 , , , 19261 1233 70 and and CC 19261 1233 71 it -PRON- PRP 19261 1233 72 is be VBZ 19261 1233 73 then then RB 19261 1233 74 quickly quickly RB 19261 1233 75 ( ( -LRB- 19261 1233 76 not not RB 19261 1233 77 violently violently RB 19261 1233 78 ) ) -RRB- 19261 1233 79 pushed push VBN 19261 1233 80 through through RB 19261 1233 81 into into IN 19261 1233 82 the the DT 19261 1233 83 trachea trachea NN 19261 1233 84 . . . 19261 1234 1 At at IN 19261 1234 2 this this DT 19261 1234 3 same same JJ 19261 1234 4 moment moment NN 19261 1234 5 or or CC 19261 1234 6 the the DT 19261 1234 7 instant instant NN 19261 1234 8 before before RB 19261 1234 9 , , , 19261 1234 10 the the DT 19261 1234 11 hyoid hyoid NN 19261 1234 12 bone bone NN 19261 1234 13 is be VBZ 19261 1234 14 given give VBN 19261 1234 15 a a DT 19261 1234 16 quick quick JJ 19261 1234 17 additional additional JJ 19261 1234 18 lift lift NN 19261 1234 19 with with IN 19261 1234 20 the the DT 19261 1234 21 tip tip NN 19261 1234 22 of of IN 19261 1234 23 the the DT 19261 1234 24 laryngoscope laryngoscope NN 19261 1234 25 . . . 19261 1234 26 ] ] -RRB- 19261 1235 1 [ [ -LRB- 19261 1235 2 FIG FIG NNP 19261 1235 3 . . . 19261 1236 1 61.--Schema 61.--schema CD 19261 1236 2 illustrating illustrate VBG 19261 1236 3 oral oral JJ 19261 1236 4 bronchoscopy bronchoscopy NN 19261 1236 5 . . . 19261 1237 1 The the DT 19261 1237 2 portion portion NN 19261 1237 3 of of IN 19261 1237 4 the the DT 19261 1237 5 table table NN 19261 1237 6 here here RB 19261 1237 7 shown show VBN 19261 1237 8 under under IN 19261 1237 9 the the DT 19261 1237 10 head head NN 19261 1237 11 is be VBZ 19261 1237 12 , , , 19261 1237 13 in in IN 19261 1237 14 actual actual JJ 19261 1237 15 work work NN 19261 1237 16 , , , 19261 1237 17 dropped drop VBD 19261 1237 18 all all PDT 19261 1237 19 the the DT 19261 1237 20 way way NN 19261 1237 21 down down RB 19261 1237 22 perpendicularly perpendicularly RB 19261 1237 23 . . . 19261 1238 1 It -PRON- PRP 19261 1238 2 appears appear VBZ 19261 1238 3 in in IN 19261 1238 4 these these DT 19261 1238 5 drawings drawing NNS 19261 1238 6 as as IN 19261 1238 7 a a DT 19261 1238 8 dotted dotted JJ 19261 1238 9 line line NN 19261 1238 10 to to TO 19261 1238 11 emphasize emphasize VB 19261 1238 12 the the DT 19261 1238 13 fact fact NN 19261 1238 14 that that IN 19261 1238 15 the the DT 19261 1238 16 head head NN 19261 1238 17 must must MD 19261 1238 18 be be VB 19261 1238 19 above above IN 19261 1238 20 the the DT 19261 1238 21 level level NN 19261 1238 22 of of IN 19261 1238 23 the the DT 19261 1238 24 table table NN 19261 1238 25 during during IN 19261 1238 26 introduction introduction NN 19261 1238 27 of of IN 19261 1238 28 the the DT 19261 1238 29 bronchoscope bronchoscope NN 19261 1238 30 into into IN 19261 1238 31 the the DT 19261 1238 32 trachea trachea NN 19261 1238 33 . . . 19261 1239 1 A a DT 19261 1239 2 , , , 19261 1239 3 Exposure exposure NN 19261 1239 4 of of IN 19261 1239 5 larynx larynx NN 19261 1239 6 ; ; : 19261 1239 7 B b NN 19261 1239 8 , , , 19261 1239 9 bronchoscope bronchoscope NNP 19261 1239 10 introduced introduce VBN 19261 1239 11 ; ; : 19261 1239 12 C C NNP 19261 1239 13 , , , 19261 1239 14 slide slide NN 19261 1239 15 removed remove VBN 19261 1239 16 ; ; : 19261 1239 17 D d NN 19261 1239 18 , , , 19261 1239 19 laryngoscope laryngoscope NN 19261 1239 20 removed remove VBN 19261 1239 21 leaving leave VBG 19261 1239 22 bronchoscope bronchoscope NN 19261 1239 23 alone alone RB 19261 1239 24 in in IN 19261 1239 25 position position NN 19261 1239 26 . . . 19261 1239 27 ] ] -RRB- 19261 1240 1 _ _ NNP 19261 1240 2 Difficulties difficulty NNS 19261 1240 3 in in IN 19261 1240 4 the the DT 19261 1240 5 Introduction introduction NN 19261 1240 6 of of IN 19261 1240 7 the the DT 19261 1240 8 Bronchoscope_.--The bronchoscope_.--the JJ 19261 1240 9 beginner beginner NN 19261 1240 10 may may MD 19261 1240 11 enter enter VB 19261 1240 12 the the DT 19261 1240 13 esophagus esophagus NN 19261 1240 14 instead instead RB 19261 1240 15 of of IN 19261 1240 16 the the DT 19261 1240 17 trachea trachea NN 19261 1240 18 : : : 19261 1240 19 this this DT 19261 1240 20 might may MD 19261 1240 21 be be VB 19261 1240 22 a a DT 19261 1240 23 dangerous dangerous JJ 19261 1240 24 accident accident NN 19261 1240 25 in in IN 19261 1240 26 a a DT 19261 1240 27 dyspneic dyspneic NN 19261 1240 28 case case NN 19261 1240 29 , , , 19261 1240 30 for for IN 19261 1240 31 the the DT 19261 1240 32 tube tube NN 19261 1240 33 could could MD 19261 1240 34 , , , 19261 1240 35 by by IN 19261 1240 36 pressure pressure NN 19261 1240 37 on on IN 19261 1240 38 the the DT 19261 1240 39 trachea trachea NN 19261 1240 40 , , , 19261 1240 41 cause cause VB 19261 1240 42 respiratory respiratory JJ 19261 1240 43 arrest arrest NN 19261 1240 44 . . . 19261 1241 1 A a DT 19261 1241 2 bronchoscope bronchoscope NN 19261 1241 3 thus thus RB 19261 1241 4 misplaced misplace VBN 19261 1241 5 should should MD 19261 1241 6 be be VB 19261 1241 7 resterilized resterilize VBN 19261 1241 8 before before IN 19261 1241 9 introducing introduce VBG 19261 1241 10 it -PRON- PRP 19261 1241 11 into into IN 19261 1241 12 the the DT 19261 1241 13 air air NN 19261 1241 14 passages passage NNS 19261 1241 15 , , , 19261 1241 16 for for CC 19261 1241 17 while while IN 19261 1241 18 the the DT 19261 1241 19 lower low JJR 19261 1241 20 air air NN 19261 1241 21 passages passage NNS 19261 1241 22 are be VBP 19261 1241 23 usually usually RB 19261 1241 24 free free JJ 19261 1241 25 from from IN 19261 1241 26 bacteria bacteria NNS 19261 1241 27 , , , 19261 1241 28 the the DT 19261 1241 29 esophagus esophagus NN 19261 1241 30 is be VBZ 19261 1241 31 a a DT 19261 1241 32 septic septic JJ 19261 1241 33 canal canal NN 19261 1241 34 . . . 19261 1242 1 If if IN 19261 1242 2 the the DT 19261 1242 3 given give VBN 19261 1242 4 technic technic NN 19261 1242 5 is be VBZ 19261 1242 6 carefully carefully RB 19261 1242 7 carried carry VBN 19261 1242 8 out out RP 19261 1242 9 the the DT 19261 1242 10 bronchoscope bronchoscope NN 19261 1242 11 will will MD 19261 1242 12 not not RB 19261 1242 13 be be VB 19261 1242 14 contaminated contaminate VBN 19261 1242 15 with with IN 19261 1242 16 mouth mouth NN 19261 1242 17 secretions secretion NNS 19261 1242 18 . . . 19261 1243 1 The the DT 19261 1243 2 trachea trachea NN 19261 1243 3 is be VBZ 19261 1243 4 recognized recognize VBN 19261 1243 5 as as IN 19261 1243 6 an an DT 19261 1243 7 open open JJ 19261 1243 8 tube tube NN 19261 1243 9 , , , 19261 1243 10 with with IN 19261 1243 11 whitish whitish JJ 19261 1243 12 rings ring NNS 19261 1243 13 , , , 19261 1243 14 and and CC 19261 1243 15 the the DT 19261 1243 16 expiratory expiratory NN 19261 1243 17 blast blast NN 19261 1243 18 can can MD 19261 1243 19 be be VB 19261 1243 20 felt feel VBN 19261 1243 21 and and CC 19261 1243 22 tubular tubular JJ 19261 1243 23 breathing breathing NN 19261 1243 24 heard hear VBD 19261 1243 25 ; ; : 19261 1243 26 while while IN 19261 1243 27 if if IN 19261 1243 28 by by IN 19261 1243 29 mistake mistake NN 19261 1243 30 the the DT 19261 1243 31 bronchoscope bronchoscope NN 19261 1243 32 has have VBZ 19261 1243 33 entered enter VBN 19261 1243 34 the the DT 19261 1243 35 gullet gullet NN 19261 1243 36 it -PRON- PRP 19261 1243 37 will will MD 19261 1243 38 be be VB 19261 1243 39 observed observe VBN 19261 1243 40 that that IN 19261 1243 41 the the DT 19261 1243 42 cervical cervical JJ 19261 1243 43 esophagus esophagus NN 19261 1243 44 has have VBZ 19261 1243 45 collapsed collapse VBN 19261 1243 46 walls wall NNS 19261 1243 47 . . . 19261 1244 1 A a DT 19261 1244 2 puff puff NN 19261 1244 3 of of IN 19261 1244 4 air air NN 19261 1244 5 may may MD 19261 1244 6 be be VB 19261 1244 7 felt feel VBN 19261 1244 8 and and CC 19261 1244 9 a a DT 19261 1244 10 fluttering fluttering JJ 19261 1244 11 sound sound NN 19261 1244 12 heard hear VBD 19261 1244 13 when when WRB 19261 1244 14 the the DT 19261 1244 15 tube tube NN 19261 1244 16 is be VBZ 19261 1244 17 in in IN 19261 1244 18 the the DT 19261 1244 19 esophagus esophagus NN 19261 1244 20 , , , 19261 1244 21 but but CC 19261 1244 22 these these DT 19261 1244 23 lack lack VBP 19261 1244 24 the the DT 19261 1244 25 intensity intensity NN 19261 1244 26 of of IN 19261 1244 27 the the DT 19261 1244 28 tracheal tracheal NN 19261 1244 29 blast blast NN 19261 1244 30 . . . 19261 1245 1 Usually usually RB 19261 1245 2 a a DT 19261 1245 3 free free JJ 19261 1245 4 flow flow NN 19261 1245 5 of of IN 19261 1245 6 secretion secretion NN 19261 1245 7 is be VBZ 19261 1245 8 met meet VBN 19261 1245 9 with with IN 19261 1245 10 in in IN 19261 1245 11 the the DT 19261 1245 12 esophagus esophagus NN 19261 1245 13 . . . 19261 1246 1 In in IN 19261 1246 2 diseased disease VBN 19261 1246 3 states state NNS 19261 1246 4 the the DT 19261 1246 5 tracheal tracheal NN 19261 1246 6 rings ring NNS 19261 1246 7 may may MD 19261 1246 8 not not RB 19261 1246 9 be be VB 19261 1246 10 visible visible JJ 19261 1246 11 because because IN 19261 1246 12 of of IN 19261 1246 13 swollen swollen JJ 19261 1246 14 mucosa mucosa NNS 19261 1246 15 , , , 19261 1246 16 or or CC 19261 1246 17 the the DT 19261 1246 18 trachea trachea NN 19261 1246 19 itself -PRON- PRP 19261 1246 20 may may MD 19261 1246 21 be be VB 19261 1246 22 in in IN 19261 1246 23 partial partial JJ 19261 1246 24 collapse collapse NN 19261 1246 25 from from IN 19261 1246 26 external external JJ 19261 1246 27 pressure pressure NN 19261 1246 28 . . . 19261 1247 1 The the DT 19261 1247 2 true true JJ 19261 1247 3 expiratory expiratory NN 19261 1247 4 blast blast NN 19261 1247 5 will will MD 19261 1247 6 , , , 19261 1247 7 however however RB 19261 1247 8 , , , 19261 1247 9 always always RB 19261 1247 10 be be VB 19261 1247 11 recognized recognize VBN 19261 1247 12 when when WRB 19261 1247 13 the the DT 19261 1247 14 tube tube NN 19261 1247 15 is be VBZ 19261 1247 16 in in IN 19261 1247 17 the the DT 19261 1247 18 trachea trachea NN 19261 1247 19 . . . 19261 1248 1 Wide wide JJ 19261 1248 2 gagging gagging NN 19261 1248 3 of of IN 19261 1248 4 the the DT 19261 1248 5 mouth mouth NN 19261 1248 6 renders render VBZ 19261 1248 7 exposure exposure NN 19261 1248 8 of of IN 19261 1248 9 the the DT 19261 1248 10 larynx larynx NNP 19261 1248 11 difficult difficult JJ 19261 1248 12 . . . 19261 1249 1 [ [ -LRB- 19261 1249 2 FIG FIG NNP 19261 1249 3 . . . 19261 1250 1 62.--Insertion 62.--insertion CD 19261 1250 2 of of IN 19261 1250 3 the the DT 19261 1250 4 bronchoscope bronchoscope NN 19261 1250 5 . . . 19261 1251 1 Note note VB 19261 1251 2 direction direction NN 19261 1251 3 of of IN 19261 1251 4 the the DT 19261 1251 5 trachea trachea NN 19261 1251 6 as as IN 19261 1251 7 indicated indicate VBN 19261 1251 8 by by IN 19261 1251 9 the the DT 19261 1251 10 bronchoscope bronchoscope NN 19261 1251 11 . . . 19261 1252 1 Note note VB 19261 1252 2 that that IN 19261 1252 3 the the DT 19261 1252 4 patient patient NN 19261 1252 5 's 's POS 19261 1252 6 head head NN 19261 1252 7 is be VBZ 19261 1252 8 held hold VBN 19261 1252 9 above above IN 19261 1252 10 the the DT 19261 1252 11 level level NN 19261 1252 12 of of IN 19261 1252 13 the the DT 19261 1252 14 table table NN 19261 1252 15 . . . 19261 1253 1 The the DT 19261 1253 2 assistant assistant NN 19261 1253 3 's 's POS 19261 1253 4 left left JJ 19261 1253 5 hand hand NN 19261 1253 6 should should MD 19261 1253 7 be be VB 19261 1253 8 at at IN 19261 1253 9 the the DT 19261 1253 10 patient patient NN 19261 1253 11 's 's POS 19261 1253 12 mouth mouth NN 19261 1253 13 holding hold VBG 19261 1253 14 the the DT 19261 1253 15 bite bite NN 19261 1253 16 - - HYPH 19261 1253 17 block block NN 19261 1253 18 . . . 19261 1254 1 This this DT 19261 1254 2 is be VBZ 19261 1254 3 removed remove VBN 19261 1254 4 and and CC 19261 1254 5 the the DT 19261 1254 6 assistant assistant NN 19261 1254 7 is be VBZ 19261 1254 8 on on IN 19261 1254 9 the the DT 19261 1254 10 wrong wrong JJ 19261 1254 11 side side NN 19261 1254 12 of of IN 19261 1254 13 the the DT 19261 1254 14 table table NN 19261 1254 15 in in IN 19261 1254 16 the the DT 19261 1254 17 illustration illustration NN 19261 1254 18 in in IN 19261 1254 19 order order NN 19261 1254 20 not not RB 19261 1254 21 to to TO 19261 1254 22 hide hide VB 19261 1254 23 the the DT 19261 1254 24 position position NN 19261 1254 25 of of IN 19261 1254 26 the the DT 19261 1254 27 operator operator NN 19261 1254 28 's 's POS 19261 1254 29 hands hand NNS 19261 1254 30 . . . 19261 1255 1 Note note VB 19261 1255 2 the the DT 19261 1255 3 handle handle NN 19261 1255 4 of of IN 19261 1255 5 the the DT 19261 1255 6 bronchoscope bronchoscope NN 19261 1255 7 is be VBZ 19261 1255 8 to to IN 19261 1255 9 the the DT 19261 1255 10 right right NN 19261 1255 11 . . . 19261 1255 12 ] ] -RRB- 19261 1256 1 [ [ -LRB- 19261 1256 2 FIG FIG NNP 19261 1256 3 . . . 19261 1257 1 63.--The 63.--the DT 19261 1257 2 heavy heavy JJ 19261 1257 3 laryngoscope laryngoscope NN 19261 1257 4 has have VBZ 19261 1257 5 been be VBN 19261 1257 6 removed remove VBN 19261 1257 7 leaving leave VBG 19261 1257 8 the the DT 19261 1257 9 light light JJ 19261 1257 10 bronchoscope bronchoscope NN 19261 1257 11 in in IN 19261 1257 12 position position NN 19261 1257 13 . . . 19261 1258 1 The the DT 19261 1258 2 operator operator NN 19261 1258 3 is be VBZ 19261 1258 4 inserting insert VBG 19261 1258 5 forceps forceps NNP 19261 1258 6 . . . 19261 1259 1 Note note VB 19261 1259 2 how how WRB 19261 1259 3 the the DT 19261 1259 4 left left JJ 19261 1259 5 hand hand NN 19261 1259 6 of of IN 19261 1259 7 the the DT 19261 1259 8 operator operator NN 19261 1259 9 holds hold VBZ 19261 1259 10 the the DT 19261 1259 11 tube tube NN 19261 1259 12 lightly lightly RB 19261 1259 13 between between IN 19261 1259 14 the the DT 19261 1259 15 thumb thumb NN 19261 1259 16 and and CC 19261 1259 17 first first JJ 19261 1259 18 two two CD 19261 1259 19 fingers finger NNS 19261 1259 20 of of IN 19261 1259 21 the the DT 19261 1259 22 left left JJ 19261 1259 23 hand hand NN 19261 1259 24 , , , 19261 1259 25 while while IN 19261 1259 26 the the DT 19261 1259 27 last last JJ 19261 1259 28 two two CD 19261 1259 29 fingers finger NNS 19261 1259 30 are be VBP 19261 1259 31 hooked hook VBN 19261 1259 32 over over IN 19261 1259 33 the the DT 19261 1259 34 upper upper JJ 19261 1259 35 teeth tooth NNS 19261 1259 36 of of IN 19261 1259 37 the the DT 19261 1259 38 patient patient NN 19261 1259 39 " " `` 19261 1259 40 anchoring anchor VBG 19261 1259 41 " " '' 19261 1259 42 the the DT 19261 1259 43 tube tube NN 19261 1259 44 to to TO 19261 1259 45 prevent prevent VB 19261 1259 46 it -PRON- PRP 19261 1259 47 moving move VBG 19261 1259 48 in in IN 19261 1259 49 or or CC 19261 1259 50 out out RB 19261 1259 51 or or CC 19261 1259 52 otherwise otherwise RB 19261 1259 53 changing change VBG 19261 1259 54 the the DT 19261 1259 55 relation relation NN 19261 1259 56 of of IN 19261 1259 57 the the DT 19261 1259 58 distal distal JJ 19261 1259 59 tube tube NN 19261 1259 60 - - HYPH 19261 1259 61 mouth mouth NN 19261 1259 62 to to IN 19261 1259 63 a a DT 19261 1259 64 foreign foreign JJ 19261 1259 65 body body NN 19261 1259 66 or or CC 19261 1259 67 a a DT 19261 1259 68 growth growth NN 19261 1259 69 while while IN 19261 1259 70 forceps forceps NNS 19261 1259 71 are be VBP 19261 1259 72 being be VBG 19261 1259 73 used use VBN 19261 1259 74 . . . 19261 1260 1 Thus thus RB 19261 1260 2 , , , 19261 1260 3 also also RB 19261 1260 4 , , , 19261 1260 5 any any DT 19261 1260 6 desired desire VBN 19261 1260 7 location location NN 19261 1260 8 of of IN 19261 1260 9 the the DT 19261 1260 10 tube tube NN 19261 1260 11 can can MD 19261 1260 12 be be VB 19261 1260 13 maintained maintain VBN 19261 1260 14 in in IN 19261 1260 15 systematic systematic JJ 19261 1260 16 exploration exploration NN 19261 1260 17 . . . 19261 1261 1 The the DT 19261 1261 2 assistant assistant NN 19261 1261 3 's 's POS 19261 1261 4 left left JJ 19261 1261 5 hand hand NN 19261 1261 6 is be VBZ 19261 1261 7 dropped drop VBN 19261 1261 8 out out IN 19261 1261 9 of of IN 19261 1261 10 the the DT 19261 1261 11 way way NN 19261 1261 12 to to TO 19261 1261 13 show show VB 19261 1261 14 the the DT 19261 1261 15 operator operator NN 19261 1261 16 's 's POS 19261 1261 17 method method NN 19261 1261 18 . . . 19261 1262 1 The the DT 19261 1262 2 assistant assistant NN 19261 1262 3 during during IN 19261 1262 4 bronchoscopy bronchoscopy NN 19261 1262 5 holds hold VBZ 19261 1262 6 the the DT 19261 1262 7 bite bite NN 19261 1262 8 - - HYPH 19261 1262 9 block block NN 19261 1262 10 like like IN 19261 1262 11 a a DT 19261 1262 12 thimble thimble NN 19261 1262 13 on on IN 19261 1262 14 the the DT 19261 1262 15 index index NN 19261 1262 16 finger finger NN 19261 1262 17 of of IN 19261 1262 18 the the DT 19261 1262 19 left left JJ 19261 1262 20 hand hand NN 19261 1262 21 , , , 19261 1262 22 and and CC 19261 1262 23 the the DT 19261 1262 24 assistant assistant NN 19261 1262 25 should should MD 19261 1262 26 be be VB 19261 1262 27 on on IN 19261 1262 28 the the DT 19261 1262 29 right right JJ 19261 1262 30 side side NN 19261 1262 31 of of IN 19261 1262 32 the the DT 19261 1262 33 patient patient NN 19261 1262 34 . . . 19261 1263 1 He -PRON- PRP 19261 1263 2 is be VBZ 19261 1263 3 here here RB 19261 1263 4 put put VBN 19261 1263 5 wrongly wrongly RB 19261 1263 6 on on IN 19261 1263 7 the the DT 19261 1263 8 left left JJ 19261 1263 9 side side NN 19261 1263 10 so so IN 19261 1263 11 as as IN 19261 1263 12 not not RB 19261 1263 13 to to TO 19261 1263 14 hide hide VB 19261 1263 15 the the DT 19261 1263 16 instruments instrument NNS 19261 1263 17 and and CC 19261 1263 18 the the DT 19261 1263 19 manner manner NN 19261 1263 20 of of IN 19261 1263 21 holding hold VBG 19261 1263 22 them -PRON- PRP 19261 1263 23 . . . 19261 1263 24 ] ] -RRB- 19261 1264 1 _ _ NNP 19261 1264 2 Examination Examination NNP 19261 1264 3 of of IN 19261 1264 4 the the DT 19261 1264 5 Trachea Trachea NNP 19261 1264 6 and and CC 19261 1264 7 Bronchi_.--All bronchi_.--all DT 19261 1264 8 bronchial bronchial JJ 19261 1264 9 orifices orifice NNS 19261 1264 10 must must MD 19261 1264 11 be be VB 19261 1264 12 identified identify VBN 19261 1264 13 _ _ NNP 19261 1264 14 seriatim seriatim NN 19261 1264 15 _ _ NNP 19261 1264 16 ; ; : 19261 1264 17 because because IN 19261 1264 18 this this DT 19261 1264 19 is be VBZ 19261 1264 20 the the DT 19261 1264 21 only only JJ 19261 1264 22 way way NN 19261 1264 23 by by IN 19261 1264 24 which which WDT 19261 1264 25 the the DT 19261 1264 26 bronchoscopist bronchoscopist NN 19261 1264 27 can can MD 19261 1264 28 know know VB 19261 1264 29 what what WP 19261 1264 30 part part NN 19261 1264 31 of of IN 19261 1264 32 the the DT 19261 1264 33 tree tree NN 19261 1264 34 he -PRON- PRP 19261 1264 35 is be VBZ 19261 1264 36 examining examine VBG 19261 1264 37 . . . 19261 1265 1 Appearances appearance NNS 19261 1265 2 alone alone RB 19261 1265 3 are be VBP 19261 1265 4 not not RB 19261 1265 5 enough enough JJ 19261 1265 6 . . . 19261 1266 1 It -PRON- PRP 19261 1266 2 is be VBZ 19261 1266 3 the the DT 19261 1266 4 order order NN 19261 1266 5 in in IN 19261 1266 6 which which WDT 19261 1266 7 they -PRON- PRP 19261 1266 8 are be VBP 19261 1266 9 exposed expose VBN 19261 1266 10 that that WDT 19261 1266 11 enables enable VBZ 19261 1266 12 the the DT 19261 1266 13 inexperienced inexperienced JJ 19261 1266 14 operator operator NN 19261 1266 15 to to TO 19261 1266 16 know know VB 19261 1266 17 the the DT 19261 1266 18 orifices orifice NNS 19261 1266 19 . . . 19261 1267 1 After after IN 19261 1267 2 the the DT 19261 1267 3 removal removal NN 19261 1267 4 of of IN 19261 1267 5 the the DT 19261 1267 6 laryngoscope laryngoscope NN 19261 1267 7 , , , 19261 1267 8 the the DT 19261 1267 9 bronchoscope bronchoscope NN 19261 1267 10 is be VBZ 19261 1267 11 to to TO 19261 1267 12 be be VB 19261 1267 13 held hold VBN 19261 1267 14 by by IN 19261 1267 15 the the DT 19261 1267 16 left left JJ 19261 1267 17 hand hand NN 19261 1267 18 like like IN 19261 1267 19 a a DT 19261 1267 20 billiard billiard NN 19261 1267 21 cue cue NN 19261 1267 22 , , , 19261 1267 23 the the DT 19261 1267 24 terminal terminal JJ 19261 1267 25 phalanges phalanx NNS 19261 1267 26 of of IN 19261 1267 27 the the DT 19261 1267 28 left left JJ 19261 1267 29 middle middle NN 19261 1267 30 and and CC 19261 1267 31 ring re VBG 19261 1267 32 fingers finger NNS 19261 1267 33 hooking hook VBG 19261 1267 34 over over IN 19261 1267 35 the the DT 19261 1267 36 upper upper JJ 19261 1267 37 teeth tooth NNS 19261 1267 38 , , , 19261 1267 39 while while IN 19261 1267 40 the the DT 19261 1267 41 thumb thumb NN 19261 1267 42 and and CC 19261 1267 43 index index NN 19261 1267 44 finger finger NN 19261 1267 45 hold hold VBP 19261 1267 46 the the DT 19261 1267 47 bronchoscope bronchoscope NN 19261 1267 48 , , , 19261 1267 49 clamping clamp VBG 19261 1267 50 it -PRON- PRP 19261 1267 51 to to IN 19261 1267 52 the the DT 19261 1267 53 teeth tooth NNS 19261 1267 54 tightly tightly RB 19261 1267 55 or or CC 19261 1267 56 loosely loosely RB 19261 1267 57 as as IN 19261 1267 58 required require VBN 19261 1267 59 ( ( -LRB- 19261 1267 60 Fig fig NN 19261 1267 61 . . . 19261 1268 1 63 63 CD 19261 1268 2 ) ) -RRB- 19261 1268 3 . . . 19261 1269 1 Thus thus RB 19261 1269 2 the the DT 19261 1269 3 tube tube NN 19261 1269 4 may may MD 19261 1269 5 be be VB 19261 1269 6 anchored anchor VBN 19261 1269 7 in in IN 19261 1269 8 any any DT 19261 1269 9 position position NN 19261 1269 10 , , , 19261 1269 11 or or CC 19261 1269 12 at at IN 19261 1269 13 any any DT 19261 1269 14 depth depth NN 19261 1269 15 , , , 19261 1269 16 and and CC 19261 1269 17 the the DT 19261 1269 18 right right JJ 19261 1269 19 hand hand NN 19261 1269 20 which which WDT 19261 1269 21 was be VBD 19261 1269 22 directing direct VBG 19261 1269 23 the the DT 19261 1269 24 tube tube NN 19261 1269 25 may may MD 19261 1269 26 be be VB 19261 1269 27 used use VBN 19261 1269 28 for for IN 19261 1269 29 the the DT 19261 1269 30 manipulation manipulation NN 19261 1269 31 of of IN 19261 1269 32 instruments instrument NNS 19261 1269 33 . . . 19261 1270 1 The the DT 19261 1270 2 grasp grasp NN 19261 1270 3 of of IN 19261 1270 4 the the DT 19261 1270 5 bronchoscope bronchoscope NN 19261 1270 6 in in IN 19261 1270 7 the the DT 19261 1270 8 right right JJ 19261 1270 9 hand hand NN 19261 1270 10 should should MD 19261 1270 11 be be VB 19261 1270 12 similar similar JJ 19261 1270 13 to to IN 19261 1270 14 that that DT 19261 1270 15 of of IN 19261 1270 16 holding hold VBG 19261 1270 17 a a DT 19261 1270 18 pen pen NN 19261 1270 19 , , , 19261 1270 20 that that RB 19261 1270 21 is is RB 19261 1270 22 , , , 19261 1270 23 the the DT 19261 1270 24 thumb thumb NN 19261 1270 25 , , , 19261 1270 26 first first RB 19261 1270 27 , , , 19261 1270 28 and and CC 19261 1270 29 second second JJ 19261 1270 30 fingers finger NNS 19261 1270 31 , , , 19261 1270 32 encircle encircle VB 19261 1270 33 the the DT 19261 1270 34 shaft shaft NN 19261 1270 35 of of IN 19261 1270 36 the the DT 19261 1270 37 tube tube NN 19261 1270 38 . . . 19261 1271 1 The the DT 19261 1271 2 bronchoscope bronchoscope NN 19261 1271 3 should should MD 19261 1271 4 never never RB 19261 1271 5 be be VB 19261 1271 6 held hold VBN 19261 1271 7 by by IN 19261 1271 8 the the DT 19261 1271 9 handle handle NN 19261 1271 10 ( ( -LRB- 19261 1271 11 Fig fig NN 19261 1271 12 . . . 19261 1272 1 64 64 CD 19261 1272 2 ) ) -RRB- 19261 1272 3 for for IN 19261 1272 4 this this DT 19261 1272 5 grasp grasp NN 19261 1272 6 does do VBZ 19261 1272 7 not not RB 19261 1272 8 allow allow VB 19261 1272 9 of of IN 19261 1272 10 tactile tactile NN 19261 1272 11 sense sense NN 19261 1272 12 transmission transmission NN 19261 1272 13 , , , 19261 1272 14 is be VBZ 19261 1272 15 rigid rigid JJ 19261 1272 16 , , , 19261 1272 17 awkward awkward JJ 19261 1272 18 , , , 19261 1272 19 and and CC 19261 1272 20 renders render VBZ 19261 1272 21 rotation rotation NN 19261 1272 22 of of IN 19261 1272 23 the the DT 19261 1272 24 tube tube NN 19261 1272 25 a a DT 19261 1272 26 wrist wrist NN 19261 1272 27 motion motion NN 19261 1272 28 instead instead RB 19261 1272 29 of of IN 19261 1272 30 but but CC 19261 1272 31 a a DT 19261 1272 32 gentle gentle JJ 19261 1272 33 finger finger NN 19261 1272 34 action action NN 19261 1272 35 . . . 19261 1273 1 Any any DT 19261 1273 2 secretion secretion NN 19261 1273 3 in in IN 19261 1273 4 the the DT 19261 1273 5 trachea trachea NN 19261 1273 6 is be VBZ 19261 1273 7 to to TO 19261 1273 8 be be VB 19261 1273 9 removed remove VBN 19261 1273 10 by by IN 19261 1273 11 sponge sponge JJ 19261 1273 12 pumping pumping NN 19261 1273 13 before before IN 19261 1273 14 the the DT 19261 1273 15 bronchoscope bronchoscope NN 19261 1273 16 is be VBZ 19261 1273 17 advanced advanced JJ 19261 1273 18 . . . 19261 1274 1 The the DT 19261 1274 2 inspection inspection NN 19261 1274 3 of of IN 19261 1274 4 the the DT 19261 1274 5 walls wall NNS 19261 1274 6 of of IN 19261 1274 7 the the DT 19261 1274 8 trachea trachea NN 19261 1274 9 is be VBZ 19261 1274 10 accomplished accomplish VBN 19261 1274 11 by by IN 19261 1274 12 weaving weave VBG 19261 1274 13 from from IN 19261 1274 14 side side NN 19261 1274 15 to to IN 19261 1274 16 side side NN 19261 1274 17 and and CC 19261 1274 18 , , , 19261 1274 19 if if IN 19261 1274 20 necessary necessary JJ 19261 1274 21 , , , 19261 1274 22 up up RB 19261 1274 23 and and CC 19261 1274 24 down down RB 19261 1274 25 ; ; : 19261 1274 26 the the DT 19261 1274 27 head head NN 19261 1274 28 being be VBG 19261 1274 29 deflected deflect VBN 19261 1274 30 as as IN 19261 1274 31 required require VBN 19261 1274 32 during during IN 19261 1274 33 the the DT 19261 1274 34 search search NN 19261 1274 35 of of IN 19261 1274 36 the the DT 19261 1274 37 passages passage NNS 19261 1274 38 , , , 19261 1274 39 so so IN 19261 1274 40 that that IN 19261 1274 41 the the DT 19261 1274 42 larynx larynx NN 19261 1274 43 be be VB 19261 1274 44 not not RB 19261 1274 45 made make VBN 19261 1274 46 the the DT 19261 1274 47 fulcrum fulcrum NN 19261 1274 48 in in IN 19261 1274 49 the the DT 19261 1274 50 lever lever NN 19261 1274 51 - - HYPH 19261 1274 52 like like JJ 19261 1274 53 action action NN 19261 1274 54 . . . 19261 1275 1 [ [ -LRB- 19261 1275 2 FIG FIG NNP 19261 1275 3 . . . 19261 1276 1 64.--At 64.--at CD 19261 1276 2 A a NN 19261 1276 3 is be VBZ 19261 1276 4 shown show VBN 19261 1276 5 an an DT 19261 1276 6 incorrect incorrect JJ 19261 1276 7 manner manner NN 19261 1276 8 of of IN 19261 1276 9 holding hold VBG 19261 1276 10 the the DT 19261 1276 11 bronchoscope bronchoscope NN 19261 1276 12 . . . 19261 1277 1 The the DT 19261 1277 2 grasp grasp NN 19261 1277 3 is be VBZ 19261 1277 4 too too RB 19261 1277 5 rigid rigid JJ 19261 1277 6 and and CC 19261 1277 7 the the DT 19261 1277 8 position position NN 19261 1277 9 of of IN 19261 1277 10 the the DT 19261 1277 11 hand hand NN 19261 1277 12 is be VBZ 19261 1277 13 awkward awkward JJ 19261 1277 14 . . . 19261 1278 1 B b UH 19261 1278 2 , , , 19261 1278 3 Correct correct JJ 19261 1278 4 manner manner NN 19261 1278 5 , , , 19261 1278 6 the the DT 19261 1278 7 collar collar NN 19261 1278 8 being be VBG 19261 1278 9 held hold VBN 19261 1278 10 lightly lightly RB 19261 1278 11 between between IN 19261 1278 12 the the DT 19261 1278 13 finger finger NN 19261 1278 14 and and CC 19261 1278 15 the the DT 19261 1278 16 thumb thumb NN 19261 1278 17 The the DT 19261 1278 18 thumb thumb NN 19261 1278 19 must must MD 19261 1278 20 not not RB 19261 1278 21 occlude occlude VB 19261 1278 22 the the DT 19261 1278 23 tube tube NN 19261 1278 24 mouth mouth NN 19261 1278 25 . . . 19261 1278 26 ] ] -RRB- 19261 1279 1 _ _ NNP 19261 1279 2 The the DT 19261 1279 3 Fulcrum Fulcrum NNP 19261 1279 4 of of IN 19261 1279 5 the the DT 19261 1279 6 Bronchoscopic Bronchoscopic NNP 19261 1279 7 Lever Lever NNP 19261 1279 8 is be VBZ 19261 1279 9 at at IN 19261 1279 10 the the DT 19261 1279 11 Upper Upper NNP 19261 1279 12 Thoracic Thoracic NNP 19261 1279 13 Aperture Aperture NNP 19261 1279 14 ; ; : 19261 1279 15 Never never RB 19261 1279 16 at at IN 19261 1279 17 the the DT 19261 1279 18 Larynx_.--Disregard larynx_.--disregard NN 19261 1279 19 of of IN 19261 1279 20 this this DT 19261 1279 21 rule rule NN 19261 1279 22 will will MD 19261 1279 23 cause cause VB 19261 1279 24 subglottic subglottic JJ 19261 1279 25 edema edema NN 19261 1279 26 and and CC 19261 1279 27 will will MD 19261 1279 28 limit limit VB 19261 1279 29 the the DT 19261 1279 30 lateral lateral JJ 19261 1279 31 motion motion NN 19261 1279 32 of of IN 19261 1279 33 the the DT 19261 1279 34 tip tip NN 19261 1279 35 of of IN 19261 1279 36 the the DT 19261 1279 37 bronchoscope bronchoscope NN 19261 1279 38 . . . 19261 1280 1 It -PRON- PRP 19261 1280 2 is be VBZ 19261 1280 3 the the DT 19261 1280 4 function function NN 19261 1280 5 of of IN 19261 1280 6 the the DT 19261 1280 7 assistant assistant NN 19261 1280 8 to to TO 19261 1280 9 make make VB 19261 1280 10 the the DT 19261 1280 11 head head NN 19261 1280 12 and and CC 19261 1280 13 neck neck NN 19261 1280 14 follow follow VBP 19261 1280 15 the the DT 19261 1280 16 direction direction NN 19261 1280 17 of of IN 19261 1280 18 the the DT 19261 1280 19 proximal proximal JJ 19261 1280 20 end end NN 19261 1280 21 of of IN 19261 1280 22 the the DT 19261 1280 23 bronchoscope bronchoscope NN 19261 1280 24 and and CC 19261 1280 25 thus thus RB 19261 1280 26 avoid avoid VBP 19261 1280 27 any any DT 19261 1280 28 pressure pressure NN 19261 1280 29 on on IN 19261 1280 30 the the DT 19261 1280 31 larynx larynx NN 19261 1280 32 ( ( -LRB- 19261 1280 33 see see VB 19261 1280 34 Peroral Peroral NNP 19261 1280 35 Endoscopy Endoscopy NNP 19261 1280 36 , , , 19261 1280 37 Fig Fig NNP 19261 1280 38 . . . 19261 1281 1 135 135 CD 19261 1281 2 , , , 19261 1281 3 p. p. NN 19261 1281 4 164 164 CD 19261 1281 5 ) ) -RRB- 19261 1281 6 . . . 19261 1282 1 In in IN 19261 1282 2 passing pass VBG 19261 1282 3 down down RP 19261 1282 4 the the DT 19261 1282 5 trachea trachea NN 19261 1282 6 the the DT 19261 1282 7 following follow VBG 19261 1282 8 two two CD 19261 1282 9 rules rule NNS 19261 1282 10 must must MD 19261 1282 11 be be VB 19261 1282 12 kept keep VBN 19261 1282 13 in in IN 19261 1282 14 mind mind NN 19261 1282 15 : : : 19261 1282 16 1 1 LS 19261 1282 17 . . . 19261 1283 1 Before before IN 19261 1283 2 attempting attempt VBG 19261 1283 3 to to TO 19261 1283 4 enter enter VB 19261 1283 5 either either CC 19261 1283 6 main main JJ 19261 1283 7 bronchus bronchus NN 19261 1283 8 the the DT 19261 1283 9 carina carina NN 19261 1283 10 must must MD 19261 1283 11 be be VB 19261 1283 12 identified identify VBN 19261 1283 13 . . . 19261 1284 1 2 2 LS 19261 1284 2 . . . 19261 1285 1 Before before IN 19261 1285 2 entering enter VBG 19261 1285 3 either either CC 19261 1285 4 main main JJ 19261 1285 5 bronchus bronchus NN 19261 1285 6 the the DT 19261 1285 7 orifices orifice NNS 19261 1285 8 of of IN 19261 1285 9 both both DT 19261 1285 10 should should MD 19261 1285 11 be be VB 19261 1285 12 identified identify VBN 19261 1285 13 and and CC 19261 1285 14 inspected inspect VBN 19261 1285 15 . . . 19261 1286 1 _ _ NNP 19261 1286 2 The the DT 19261 1286 3 carina carina NN 19261 1286 4 _ _ NNP 19261 1286 5 is be VBZ 19261 1286 6 identified identify VBN 19261 1286 7 as as IN 19261 1286 8 a a DT 19261 1286 9 sharp sharp JJ 19261 1286 10 vertical vertical JJ 19261 1286 11 spur spur NN 19261 1286 12 ( ( -LRB- 19261 1286 13 recumbent recumbent JJ 19261 1286 14 patient patient NN 19261 1286 15 ) ) -RRB- 19261 1286 16 at at IN 19261 1286 17 the the DT 19261 1286 18 distal distal JJ 19261 1286 19 end end NN 19261 1286 20 of of IN 19261 1286 21 the the DT 19261 1286 22 trachea trachea NN 19261 1286 23 , , , 19261 1286 24 on on IN 19261 1286 25 either either DT 19261 1286 26 side side NN 19261 1286 27 of of IN 19261 1286 28 which which WDT 19261 1286 29 are be VBP 19261 1286 30 the the DT 19261 1286 31 openings opening NNS 19261 1286 32 of of IN 19261 1286 33 the the DT 19261 1286 34 main main JJ 19261 1286 35 bronchi bronchi NN 19261 1286 36 . . . 19261 1287 1 As as IN 19261 1287 2 the the DT 19261 1287 3 carina carina NN 19261 1287 4 is be VBZ 19261 1287 5 situated situate VBN 19261 1287 6 to to IN 19261 1287 7 the the DT 19261 1287 8 left left NN 19261 1287 9 of of IN 19261 1287 10 the the DT 19261 1287 11 midline midline NN 19261 1287 12 of of IN 19261 1287 13 the the DT 19261 1287 14 trachea trachea NN 19261 1287 15 , , , 19261 1287 16 the the DT 19261 1287 17 lip lip NN 19261 1287 18 of of IN 19261 1287 19 the the DT 19261 1287 20 bronchoscope bronchoscope NN 19261 1287 21 should should MD 19261 1287 22 be be VB 19261 1287 23 turned turn VBN 19261 1287 24 toward toward IN 19261 1287 25 the the DT 19261 1287 26 left left NN 19261 1287 27 , , , 19261 1287 28 and and CC 19261 1287 29 slight slight JJ 19261 1287 30 lateral lateral JJ 19261 1287 31 pressure pressure NN 19261 1287 32 should should MD 19261 1287 33 be be VB 19261 1287 34 made make VBN 19261 1287 35 on on IN 19261 1287 36 the the DT 19261 1287 37 left left JJ 19261 1287 38 tracheal tracheal NN 19261 1287 39 wall wall NN 19261 1287 40 while while IN 19261 1287 41 the the DT 19261 1287 42 head head NN 19261 1287 43 of of IN 19261 1287 44 the the DT 19261 1287 45 patient patient NN 19261 1287 46 is be VBZ 19261 1287 47 held hold VBN 19261 1287 48 slightly slightly RB 19261 1287 49 to to IN 19261 1287 50 the the DT 19261 1287 51 right right NN 19261 1287 52 . . . 19261 1288 1 This this DT 19261 1288 2 will will MD 19261 1288 3 expose expose VB 19261 1288 4 the the DT 19261 1288 5 left left JJ 19261 1288 6 bronchial bronchial JJ 19261 1288 7 orifice orifice NN 19261 1288 8 and and CC 19261 1288 9 carina carina NNP 19261 1288 10 . . . 19261 1289 1 _ _ NNP 19261 1289 2 Entering enter VBG 19261 1289 3 the the DT 19261 1289 4 Bronchi_.--The Bronchi_.--The NNP 19261 1289 5 lip lip NN 19261 1289 6 of of IN 19261 1289 7 the the DT 19261 1289 8 bronchoscope bronchoscope NN 19261 1289 9 should should MD 19261 1289 10 be be VB 19261 1289 11 turned turn VBN 19261 1289 12 in in RP 19261 1289 13 the the DT 19261 1289 14 direction direction NN 19261 1289 15 of of IN 19261 1289 16 the the DT 19261 1289 17 bronchus bronchu NNS 19261 1289 18 to to TO 19261 1289 19 be be VB 19261 1289 20 explored explore VBN 19261 1289 21 , , , 19261 1289 22 and and CC 19261 1289 23 the the DT 19261 1289 24 axis axi NNS 19261 1289 25 of of IN 19261 1289 26 the the DT 19261 1289 27 bronchoscope bronchoscope NN 19261 1289 28 should should MD 19261 1289 29 be be VB 19261 1289 30 made make VBN 19261 1289 31 to to TO 19261 1289 32 correspond correspond VB 19261 1289 33 as as RB 19261 1289 34 nearly nearly RB 19261 1289 35 as as IN 19261 1289 36 possible possible JJ 19261 1289 37 to to IN 19261 1289 38 the the DT 19261 1289 39 axis axis NN 19261 1289 40 of of IN 19261 1289 41 this this DT 19261 1289 42 bronchus bronchus NN 19261 1289 43 . . . 19261 1290 1 The the DT 19261 1290 2 position position NN 19261 1290 3 of of IN 19261 1290 4 the the DT 19261 1290 5 lip lip NN 19261 1290 6 is be VBZ 19261 1290 7 designated designate VBN 19261 1290 8 by by IN 19261 1290 9 the the DT 19261 1290 10 direction direction NN 19261 1290 11 taken take VBN 19261 1290 12 by by IN 19261 1290 13 the the DT 19261 1290 14 handle handle NN 19261 1290 15 . . . 19261 1291 1 Upon upon IN 19261 1291 2 entering enter VBG 19261 1291 3 the the DT 19261 1291 4 right right JJ 19261 1291 5 bronchus bronchus NN 19261 1291 6 , , , 19261 1291 7 the the DT 19261 1291 8 handle handle NN 19261 1291 9 of of IN 19261 1291 10 the the DT 19261 1291 11 bronchoscope bronchoscope NN 19261 1291 12 is be VBZ 19261 1291 13 turned turn VBN 19261 1291 14 horizontally horizontally RB 19261 1291 15 to to IN 19261 1291 16 the the DT 19261 1291 17 right right NN 19261 1291 18 , , , 19261 1291 19 and and CC 19261 1291 20 at at IN 19261 1291 21 the the DT 19261 1291 22 same same JJ 19261 1291 23 time time NN 19261 1291 24 the the DT 19261 1291 25 assistant assistant NN 19261 1291 26 deflects deflect VBZ 19261 1291 27 the the DT 19261 1291 28 head head NN 19261 1291 29 to to IN 19261 1291 30 the the DT 19261 1291 31 left left NN 19261 1291 32 . . . 19261 1292 1 _ _ NNP 19261 1292 2 The the DT 19261 1292 3 right right JJ 19261 1292 4 upper upper JJ 19261 1292 5 - - HYPH 19261 1292 6 lobe lobe NN 19261 1292 7 bronchus bronchus NNP 19261 1292 8 _ _ NNP 19261 1292 9 is be VBZ 19261 1292 10 recognized recognize VBN 19261 1292 11 by by IN 19261 1292 12 its -PRON- PRP$ 19261 1292 13 vertical vertical JJ 19261 1292 14 spur spur NN 19261 1292 15 ; ; : 19261 1292 16 the the DT 19261 1292 17 orifice orifice NN 19261 1292 18 is be VBZ 19261 1292 19 exposed expose VBN 19261 1292 20 by by IN 19261 1292 21 displacing displace VBG 19261 1292 22 the the DT 19261 1292 23 right right JJ 19261 1292 24 lateral lateral JJ 19261 1292 25 wall wall NN 19261 1292 26 of of IN 19261 1292 27 the the DT 19261 1292 28 right right JJ 19261 1292 29 main main JJ 19261 1292 30 bronchus bronchus NN 19261 1292 31 at at IN 19261 1292 32 the the DT 19261 1292 33 level level NN 19261 1292 34 of of IN 19261 1292 35 the the DT 19261 1292 36 carina carina NN 19261 1292 37 . . . 19261 1293 1 Usually usually RB 19261 1293 2 this this DT 19261 1293 3 orifice orifice NN 19261 1293 4 will will MD 19261 1293 5 be be VB 19261 1293 6 thus thus RB 19261 1293 7 brought bring VBN 19261 1293 8 into into IN 19261 1293 9 view view NN 19261 1293 10 . . . 19261 1294 1 If if IN 19261 1294 2 not not RB 19261 1294 3 the the DT 19261 1294 4 bronchoscope bronchoscope NN 19261 1294 5 may may MD 19261 1294 6 be be VB 19261 1294 7 advanced advance VBN 19261 1294 8 downward downward RB 19261 1294 9 1 1 CD 19261 1294 10 or or CC 19261 1294 11 2 2 CD 19261 1294 12 cm cm NNS 19261 1294 13 . . NNP 19261 1294 14 , , , 19261 1294 15 carefully carefully RB 19261 1294 16 to to TO 19261 1294 17 avoid avoid VB 19261 1294 18 overriding override VBG 19261 1294 19 . . . 19261 1295 1 This this DT 19261 1295 2 branch branch NN 19261 1295 3 is be VBZ 19261 1295 4 sometimes sometimes RB 19261 1295 5 found find VBN 19261 1295 6 coming come VBG 19261 1295 7 off off IN 19261 1295 8 the the DT 19261 1295 9 trachea trachea NN 19261 1295 10 itself -PRON- PRP 19261 1295 11 , , , 19261 1295 12 and and CC 19261 1295 13 even even RB 19261 1295 14 if if IN 19261 1295 15 it -PRON- PRP 19261 1295 16 does do VBZ 19261 1295 17 not not RB 19261 1295 18 , , , 19261 1295 19 the the DT 19261 1295 20 overriding overriding NN 19261 1295 21 of of IN 19261 1295 22 the the DT 19261 1295 23 orifice orifice NN 19261 1295 24 is be VBZ 19261 1295 25 certain certain JJ 19261 1295 26 if if IN 19261 1295 27 the the DT 19261 1295 28 right right JJ 19261 1295 29 bronchus bronchus NN 19261 1295 30 is be VBZ 19261 1295 31 entered enter VBN 19261 1295 32 before before IN 19261 1295 33 search search NN 19261 1295 34 is be VBZ 19261 1295 35 made make VBN 19261 1295 36 for for IN 19261 1295 37 the the DT 19261 1295 38 upper upper JJ 19261 1295 39 - - HYPH 19261 1295 40 lobe lobe NN 19261 1295 41 - - HYPH 19261 1295 42 bronchial bronchial JJ 19261 1295 43 orifice orifice NN 19261 1295 44 . . . 19261 1296 1 The the DT 19261 1296 2 head head NN 19261 1296 3 must must MD 19261 1296 4 be be VB 19261 1296 5 moved move VBN 19261 1296 6 strongly strongly RB 19261 1296 7 to to IN 19261 1296 8 the the DT 19261 1296 9 left left NN 19261 1296 10 in in IN 19261 1296 11 order order NN 19261 1296 12 to to TO 19261 1296 13 view view VB 19261 1296 14 the the DT 19261 1296 15 orifice orifice NN 19261 1296 16 . . . 19261 1297 1 A a DT 19261 1297 2 lumen luman NNS 19261 1297 3 image image NN 19261 1297 4 of of IN 19261 1297 5 the the DT 19261 1297 6 right right JJ 19261 1297 7 upper upper JJ 19261 1297 8 - - HYPH 19261 1297 9 lobe lobe NN 19261 1297 10 bronchus bronchus NN 19261 1297 11 is be VBZ 19261 1297 12 not not RB 19261 1297 13 obtainable obtainable JJ 19261 1297 14 because because IN 19261 1297 15 of of IN 19261 1297 16 the the DT 19261 1297 17 sharp sharp JJ 19261 1297 18 angles angle NNS 19261 1297 19 at at IN 19261 1297 20 which which WDT 19261 1297 21 it -PRON- PRP 19261 1297 22 is be VBZ 19261 1297 23 given give VBN 19261 1297 24 off off RP 19261 1297 25 . . . 19261 1298 1 _ _ NNP 19261 1298 2 The the DT 19261 1298 3 left left JJ 19261 1298 4 upper upper JJ 19261 1298 5 - - HYPH 19261 1298 6 lobe lobe NN 19261 1298 7 bronchus bronchus NNP 19261 1298 8 _ _ NNP 19261 1298 9 is be VBZ 19261 1298 10 entered enter VBN 19261 1298 11 by by IN 19261 1298 12 keeping keep VBG 19261 1298 13 the the DT 19261 1298 14 handle handle NN 19261 1298 15 of of IN 19261 1298 16 the the DT 19261 1298 17 bronchoscope bronchoscope NN 19261 1298 18 ( ( -LRB- 19261 1298 19 and and CC 19261 1298 20 consequently consequently RB 19261 1298 21 the the DT 19261 1298 22 lip lip NN 19261 1298 23 ) ) -RRB- 19261 1298 24 to to IN 19261 1298 25 the the DT 19261 1298 26 left left NN 19261 1298 27 , , , 19261 1298 28 and and CC 19261 1298 29 , , , 19261 1298 30 by by IN 19261 1298 31 keeping keep VBG 19261 1298 32 the the DT 19261 1298 33 head head NN 19261 1298 34 of of IN 19261 1298 35 the the DT 19261 1298 36 patient patient NN 19261 1298 37 strongly strongly RB 19261 1298 38 to to IN 19261 1298 39 the the DT 19261 1298 40 right right NN 19261 1298 41 as as IN 19261 1298 42 the the DT 19261 1298 43 bronchoscopist bronchoscopist NN 19261 1298 44 goes go VBZ 19261 1298 45 down down IN 19261 1298 46 the the DT 19261 1298 47 left left JJ 19261 1298 48 main main JJ 19261 1298 49 bronchus bronchus NN 19261 1298 50 . . . 19261 1299 1 This this DT 19261 1299 2 causes cause VBZ 19261 1299 3 the the DT 19261 1299 4 lip lip NN 19261 1299 5 of of IN 19261 1299 6 the the DT 19261 1299 7 bronchoscope bronchoscope NN 19261 1299 8 to to TO 19261 1299 9 bear bear VB 19261 1299 10 strongly strongly RB 19261 1299 11 on on IN 19261 1299 12 the the DT 19261 1299 13 left left JJ 19261 1299 14 wall wall NN 19261 1299 15 of of IN 19261 1299 16 the the DT 19261 1299 17 left left JJ 19261 1299 18 main main JJ 19261 1299 19 bronchus bronchus NN 19261 1299 20 , , , 19261 1299 21 consequently consequently RB 19261 1299 22 the the DT 19261 1299 23 left left JJ 19261 1299 24 upper upper JJ 19261 1299 25 - - HYPH 19261 1299 26 lobe lobe NN 19261 1299 27 - - HYPH 19261 1299 28 bronchial bronchial JJ 19261 1299 29 orifice orifice NN 19261 1299 30 will will MD 19261 1299 31 not not RB 19261 1299 32 be be VB 19261 1299 33 overridden overridden JJ 19261 1299 34 . . . 19261 1300 1 The the DT 19261 1300 2 spur spur NN 19261 1300 3 separating separate VBG 19261 1300 4 the the DT 19261 1300 5 upper upper JJ 19261 1300 6 - - HYPH 19261 1300 7 lobe lobe NN 19261 1300 8 - - HYPH 19261 1300 9 bronchial bronchial JJ 19261 1300 10 orifice orifice NN 19261 1300 11 from from IN 19261 1300 12 the the DT 19261 1300 13 stem stem NN 19261 1300 14 bronchus bronchus NN 19261 1300 15 is be VBZ 19261 1300 16 at at IN 19261 1300 17 an an DT 19261 1300 18 angle angle NN 19261 1300 19 approximately approximately RB 19261 1300 20 from from IN 19261 1300 21 two two CD 19261 1300 22 to to TO 19261 1300 23 eight eight CD 19261 1300 24 o'clock o'clock NN 19261 1300 25 , , , 19261 1300 26 as as IN 19261 1300 27 usually usually RB 19261 1300 28 seen see VBN 19261 1300 29 in in IN 19261 1300 30 the the DT 19261 1300 31 recumbent recumbent JJ 19261 1300 32 patient patient NN 19261 1300 33 . . . 19261 1301 1 A a DT 19261 1301 2 lumen luman NNS 19261 1301 3 image image NN 19261 1301 4 of of IN 19261 1301 5 a a DT 19261 1301 6 descending descend VBG 19261 1301 7 branch branch NN 19261 1301 8 of of IN 19261 1301 9 the the DT 19261 1301 10 upper upper JJ 19261 1301 11 - - HYPH 19261 1301 12 lobe lobe NN 19261 1301 13 bronchus bronchus NN 19261 1301 14 is be VBZ 19261 1301 15 often often RB 19261 1301 16 obtained obtain VBN 19261 1301 17 , , , 19261 1301 18 if if IN 19261 1301 19 the the DT 19261 1301 20 patient patient NN 19261 1301 21 's 's POS 19261 1301 22 head head NN 19261 1301 23 be be VB 19261 1301 24 borne bear VBN 19261 1301 25 strongly strongly RB 19261 1301 26 enough enough RB 19261 1301 27 to to IN 19261 1301 28 the the DT 19261 1301 29 right right NN 19261 1301 30 . . . 19261 1302 1 [ [ -LRB- 19261 1302 2 FIG FIG NNP 19261 1302 3 . . . 19261 1303 1 65.--Schema 65.--schema LS 19261 1303 2 illustrating illustrate VBG 19261 1303 3 the the DT 19261 1303 4 entering entering NN 19261 1303 5 of of IN 19261 1303 6 the the DT 19261 1303 7 anteriorly anteriorly RB 19261 1303 8 branching branch VBG 19261 1303 9 middle middle JJ 19261 1303 10 lobe lobe NNP 19261 1303 11 bronchus bronchu NNS 19261 1303 12 . . . 19261 1304 1 T T NNP 19261 1304 2 , , , 19261 1304 3 Trachea Trachea NNP 19261 1304 4 ; ; : 19261 1304 5 B b NN 19261 1304 6 , , , 19261 1304 7 orifice orifice NN 19261 1304 8 of of IN 19261 1304 9 left left JJ 19261 1304 10 main main JJ 19261 1304 11 bronchus bronchus NN 19261 1304 12 at at IN 19261 1304 13 bifurcation bifurcation NN 19261 1304 14 of of IN 19261 1304 15 trachea trachea NNP 19261 1304 16 . . . 19261 1305 1 The the DT 19261 1305 2 bronchoscope bronchoscope NN 19261 1305 3 , , , 19261 1305 4 S S NNP 19261 1305 5 , , , 19261 1305 6 is be VBZ 19261 1305 7 in in IN 19261 1305 8 the the DT 19261 1305 9 right right JJ 19261 1305 10 main main JJ 19261 1305 11 bronchus bronchus NN 19261 1305 12 , , , 19261 1305 13 pointing point VBG 19261 1305 14 in in IN 19261 1305 15 the the DT 19261 1305 16 direction direction NN 19261 1305 17 of of IN 19261 1305 18 the the DT 19261 1305 19 right right JJ 19261 1305 20 inferior inferior JJ 19261 1305 21 lobe lobe NNP 19261 1305 22 bronchus bronchus NNP 19261 1305 23 , , , 19261 1305 24 I. I. NNP 19261 1306 1 In in IN 19261 1306 2 order order NN 19261 1306 3 to to TO 19261 1306 4 cause cause VB 19261 1306 5 the the DT 19261 1306 6 lip lip NN 19261 1306 7 to to TO 19261 1306 8 enter enter VB 19261 1306 9 the the DT 19261 1306 10 middle middle NNP 19261 1306 11 lobe lobe NNP 19261 1306 12 bronchus bronchus NNP 19261 1306 13 , , , 19261 1306 14 M M NNP 19261 1306 15 , , , 19261 1306 16 it -PRON- PRP 19261 1306 17 is be VBZ 19261 1306 18 necessary necessary JJ 19261 1306 19 to to TO 19261 1306 20 drop drop VB 19261 1306 21 the the DT 19261 1306 22 head head NN 19261 1306 23 so so IN 19261 1306 24 that that IN 19261 1306 25 the the DT 19261 1306 26 bronchoscope bronchoscope NN 19261 1306 27 in in IN 19261 1306 28 the the DT 19261 1306 29 trachea trachea NN 19261 1306 30 TT TT NNP 19261 1306 31 , , , 19261 1306 32 will will MD 19261 1306 33 point point VB 19261 1306 34 properly properly RB 19261 1306 35 to to TO 19261 1306 36 enable enable VB 19261 1306 37 the the DT 19261 1306 38 lip lip NN 19261 1306 39 of of IN 19261 1306 40 the the DT 19261 1306 41 tube tube NN 19261 1306 42 mouth mouth NN 19261 1306 43 to to TO 19261 1306 44 enter enter VB 19261 1306 45 the the DT 19261 1306 46 middle middle NNP 19261 1306 47 lobe lobe NNP 19261 1306 48 bronchus bronchus NNP 19261 1306 49 , , , 19261 1306 50 as as IN 19261 1306 51 it -PRON- PRP 19261 1306 52 is be VBZ 19261 1306 53 seen see VBN 19261 1306 54 to to TO 19261 1306 55 have have VB 19261 1306 56 done do VBN 19261 1306 57 at at IN 19261 1306 58 ML ML NNP 19261 1306 59 . . . 19261 1306 60 ] ] -RRB- 19261 1307 1 Branches branch NNS 19261 1307 2 of of IN 19261 1307 3 the the DT 19261 1307 4 stem stem NN 19261 1307 5 bronchus bronchu NNS 19261 1307 6 in in IN 19261 1307 7 either either DT 19261 1307 8 lung lung NN 19261 1307 9 are be VBP 19261 1307 10 exposed expose VBN 19261 1307 11 , , , 19261 1307 12 or or CC 19261 1307 13 their -PRON- PRP$ 19261 1307 14 respective respective JJ 19261 1307 15 lumina lumina NN 19261 1307 16 presented present VBD 19261 1307 17 , , , 19261 1307 18 by by IN 19261 1307 19 manipulation manipulation NN 19261 1307 20 of of IN 19261 1307 21 the the DT 19261 1307 22 lip lip NN 19261 1307 23 of of IN 19261 1307 24 the the DT 19261 1307 25 bronchoscope bronchoscope NN 19261 1307 26 , , , 19261 1307 27 with with IN 19261 1307 28 movement movement NN 19261 1307 29 of of IN 19261 1307 30 the the DT 19261 1307 31 head head NN 19261 1307 32 in in IN 19261 1307 33 the the DT 19261 1307 34 required require VBN 19261 1307 35 direction direction NN 19261 1307 36 . . . 19261 1308 1 Posterior posterior JJ 19261 1308 2 branches branch NNS 19261 1308 3 require require VBP 19261 1308 4 the the DT 19261 1308 5 head head NN 19261 1308 6 quite quite RB 19261 1308 7 high high JJ 19261 1308 8 . . . 19261 1309 1 A a DT 19261 1309 2 large large JJ 19261 1309 3 one one NN 19261 1309 4 in in IN 19261 1309 5 the the DT 19261 1309 6 left left JJ 19261 1309 7 stem stem NN 19261 1309 8 just just RB 19261 1309 9 below below IN 19261 1309 10 the the DT 19261 1309 11 left left JJ 19261 1309 12 upper upper JJ 19261 1309 13 - - HYPH 19261 1309 14 lobe lobe NN 19261 1309 15 bronchus bronchus NN 19261 1309 16 is be VBZ 19261 1309 17 often often RB 19261 1309 18 invaded invade VBN 19261 1309 19 by by IN 19261 1309 20 foreign foreign JJ 19261 1309 21 bodies body NNS 19261 1309 22 . . . 19261 1310 1 Anterior Anterior NNP 19261 1310 2 branches branch NNS 19261 1310 3 require require VBP 19261 1310 4 lowering lower VBG 19261 1310 5 the the DT 19261 1310 6 head head NN 19261 1310 7 . . . 19261 1311 1 The the DT 19261 1311 2 _ _ NNP 19261 1311 3 middle middle JJ 19261 1311 4 - - HYPH 19261 1311 5 lobe lobe NN 19261 1311 6 bronchus bronchus NNP 19261 1311 7 _ _ NNP 19261 1311 8 is be VBZ 19261 1311 9 the the DT 19261 1311 10 largest large JJS 19261 1311 11 of of IN 19261 1311 12 all all DT 19261 1311 13 anterior anterior JJ 19261 1311 14 branches branch NNS 19261 1311 15 . . . 19261 1312 1 Its -PRON- PRP$ 19261 1312 2 almost almost RB 19261 1312 3 horizontal horizontal JJ 19261 1312 4 spur spur NN 19261 1312 5 is be VBZ 19261 1312 6 brought bring VBN 19261 1312 7 into into IN 19261 1312 8 view view NN 19261 1312 9 by by IN 19261 1312 10 directing direct VBG 19261 1312 11 the the DT 19261 1312 12 lip lip NN 19261 1312 13 of of IN 19261 1312 14 the the DT 19261 1312 15 bronchoscope bronchoscope NN 19261 1312 16 upward upward RB 19261 1312 17 , , , 19261 1312 18 and and CC 19261 1312 19 dropping drop VBG 19261 1312 20 the the DT 19261 1312 21 head head NN 19261 1312 22 of of IN 19261 1312 23 the the DT 19261 1312 24 patient patient NN 19261 1312 25 until until IN 19261 1312 26 the the DT 19261 1312 27 lip lip NN 19261 1312 28 bears bear VBZ 19261 1312 29 strongly strongly RB 19261 1312 30 on on IN 19261 1312 31 the the DT 19261 1312 32 anterior anterior JJ 19261 1312 33 wall wall NN 19261 1312 34 of of IN 19261 1312 35 the the DT 19261 1312 36 right right JJ 19261 1312 37 bronchus bronchus NN 19261 1312 38 ( ( -LRB- 19261 1312 39 see see VB 19261 1312 40 Fig Fig NNP 19261 1312 41 . . . 19261 1313 1 65 65 CD 19261 1313 2 ) ) -RRB- 19261 1313 3 . . . 19261 1314 1 [ [ -LRB- 19261 1314 2 106 106 CD 19261 1314 3 ] ] -RRB- 19261 1314 4 CHAPTER chapter NN 19261 1314 5 X x NN 19261 1314 6 -- -- : 19261 1314 7 INTRODUCTION introduction NN 19261 1314 8 OF of IN 19261 1314 9 THE the DT 19261 1314 10 ESOPHAGOSCOPE esophagoscope NN 19261 1314 11 The the DT 19261 1314 12 esophagoscope esophagoscope NN 19261 1314 13 is be VBZ 19261 1314 14 to to TO 19261 1314 15 be be VB 19261 1314 16 passed pass VBN 19261 1314 17 only only RB 19261 1314 18 with with IN 19261 1314 19 ocular ocular JJ 19261 1314 20 guidance guidance NN 19261 1314 21 , , , 19261 1314 22 never never RB 19261 1314 23 blindly blindly RB 19261 1314 24 with with IN 19261 1314 25 a a DT 19261 1314 26 mandrin mandrin NN 19261 1314 27 or or CC 19261 1314 28 obturator obturator NN 19261 1314 29 , , , 19261 1314 30 as as IN 19261 1314 31 was be VBD 19261 1314 32 done do VBN 19261 1314 33 before before IN 19261 1314 34 the the DT 19261 1314 35 bevel bevel NN 19261 1314 36 - - HYPH 19261 1314 37 ended end VBN 19261 1314 38 esophagoscope esophagoscope NN 19261 1314 39 was be VBD 19261 1314 40 developed develop VBN 19261 1314 41 . . . 19261 1315 1 Blind blind JJ 19261 1315 2 introduction introduction NN 19261 1315 3 of of IN 19261 1315 4 the the DT 19261 1315 5 esophagoscope esophagoscope NN 19261 1315 6 is be VBZ 19261 1315 7 equally equally RB 19261 1315 8 as as RB 19261 1315 9 dangerous dangerous JJ 19261 1315 10 as as IN 19261 1315 11 blind blind JJ 19261 1315 12 bouginage bouginage NN 19261 1315 13 . . . 19261 1316 1 It -PRON- PRP 19261 1316 2 is be VBZ 19261 1316 3 almost almost RB 19261 1316 4 certain certain JJ 19261 1316 5 to to TO 19261 1316 6 cause cause VB 19261 1316 7 over over RB 19261 1316 8 - - HYPH 19261 1316 9 riding riding NN 19261 1316 10 of of IN 19261 1316 11 foreign foreign JJ 19261 1316 12 bodies body NNS 19261 1316 13 and and CC 19261 1316 14 disease disease NN 19261 1316 15 . . . 19261 1317 1 In in IN 19261 1317 2 either either DT 19261 1317 3 condition condition NN 19261 1317 4 perforation perforation NN 19261 1317 5 of of IN 19261 1317 6 the the DT 19261 1317 7 esophagus esophagus NN 19261 1317 8 is be VBZ 19261 1317 9 possible possible JJ 19261 1317 10 by by IN 19261 1317 11 pushing push VBG 19261 1317 12 a a DT 19261 1317 13 sharp sharp JJ 19261 1317 14 foreign foreign JJ 19261 1317 15 body body NN 19261 1317 16 through through IN 19261 1317 17 the the DT 19261 1317 18 normal normal JJ 19261 1317 19 wall wall NN 19261 1317 20 or or CC 19261 1317 21 by by IN 19261 1317 22 penetrating penetrate VBG 19261 1317 23 a a DT 19261 1317 24 wall wall NN 19261 1317 25 weakened weaken VBN 19261 1317 26 by by IN 19261 1317 27 disease disease NN 19261 1317 28 . . . 19261 1318 1 Landmarks landmark NNS 19261 1318 2 must must MD 19261 1318 3 be be VB 19261 1318 4 identified identify VBN 19261 1318 5 as as IN 19261 1318 6 reached reach VBN 19261 1318 7 , , , 19261 1318 8 in in IN 19261 1318 9 order order NN 19261 1318 10 to to TO 19261 1318 11 know know VB 19261 1318 12 the the DT 19261 1318 13 locality locality NN 19261 1318 14 reached reach VBD 19261 1318 15 . . . 19261 1319 1 The the DT 19261 1319 2 secretions secretion NNS 19261 1319 3 present present VBP 19261 1319 4 form form NN 19261 1319 5 sufficient sufficient JJ 19261 1319 6 lubrication lubrication NN 19261 1319 7 for for IN 19261 1319 8 the the DT 19261 1319 9 instrument instrument NN 19261 1319 10 . . . 19261 1320 1 A a DT 19261 1320 2 clear clear JJ 19261 1320 3 conception conception NN 19261 1320 4 of of IN 19261 1320 5 the the DT 19261 1320 6 endoscopic endoscopic NNP 19261 1320 7 anatomy anatomy NN 19261 1320 8 , , , 19261 1320 9 the the DT 19261 1320 10 narrowings narrowing NNS 19261 1320 11 , , , 19261 1320 12 direction direction NN 19261 1320 13 , , , 19261 1320 14 and and CC 19261 1320 15 changes change NNS 19261 1320 16 of of IN 19261 1320 17 direction direction NN 19261 1320 18 of of IN 19261 1320 19 the the DT 19261 1320 20 axis axi NNS 19261 1320 21 of of IN 19261 1320 22 the the DT 19261 1320 23 esophagus esophagus NN 19261 1320 24 , , , 19261 1320 25 are be VBP 19261 1320 26 necessary necessary JJ 19261 1320 27 . . . 19261 1321 1 The the DT 19261 1321 2 services service NNS 19261 1321 3 of of IN 19261 1321 4 a a DT 19261 1321 5 trained train VBN 19261 1321 6 assistant assistant NN 19261 1321 7 to to TO 19261 1321 8 place place VB 19261 1321 9 the the DT 19261 1321 10 head head NN 19261 1321 11 in in IN 19261 1321 12 the the DT 19261 1321 13 proper proper JJ 19261 1321 14 sequential sequential NN 19261 1321 15 " " `` 19261 1321 16 high high JJ 19261 1321 17 - - HYPH 19261 1321 18 low low JJ 19261 1321 19 " " '' 19261 1321 20 positions position NNS 19261 1321 21 are be VBP 19261 1321 22 indispensible indispensible JJ 19261 1321 23 ( ( -LRB- 19261 1321 24 Figs fig NNS 19261 1321 25 . . . 19261 1322 1 52 52 CD 19261 1322 2 and and CC 19261 1322 3 70 70 CD 19261 1322 4 ) ) -RRB- 19261 1322 5 . . . 19261 1323 1 Introduction introduction NN 19261 1323 2 may may MD 19261 1323 3 be be VB 19261 1323 4 divided divide VBN 19261 1323 5 into into IN 19261 1323 6 four four CD 19261 1323 7 stages stage NNS 19261 1323 8 . . . 19261 1324 1 1 1 LS 19261 1324 2 . . . 19261 1325 1 Entering enter VBG 19261 1325 2 the the DT 19261 1325 3 right right JJ 19261 1325 4 pyriform pyriform NN 19261 1325 5 sinus sinus NN 19261 1325 6 . . . 19261 1326 1 2 2 LS 19261 1326 2 . . . 19261 1327 1 Passing pass VBG 19261 1327 2 the the DT 19261 1327 3 cricopharyngeus cricopharyngeus NN 19261 1327 4 . . . 19261 1328 1 3 3 LS 19261 1328 2 . . . 19261 1329 1 Passing pass VBG 19261 1329 2 through through IN 19261 1329 3 the the DT 19261 1329 4 thoracic thoracic NNP 19261 1329 5 esophagus esophagus NNP 19261 1329 6 . . . 19261 1330 1 4 4 LS 19261 1330 2 . . . 19261 1331 1 Passing pass VBG 19261 1331 2 through through IN 19261 1331 3 the the DT 19261 1331 4 hiatus hiatus NN 19261 1331 5 . . . 19261 1332 1 The the DT 19261 1332 2 patient patient NN 19261 1332 3 is be VBZ 19261 1332 4 placed place VBN 19261 1332 5 in in IN 19261 1332 6 the the DT 19261 1332 7 Boyce Boyce NNP 19261 1332 8 position position NN 19261 1332 9 as as IN 19261 1332 10 described describe VBN 19261 1332 11 in in IN 19261 1332 12 Chapter Chapter NNP 19261 1332 13 VI VI NNP 19261 1332 14 . . . 19261 1333 1 As as IN 19261 1333 2 previously previously RB 19261 1333 3 stated state VBN 19261 1333 4 , , , 19261 1333 5 the the DT 19261 1333 6 esophagus esophagus NN 19261 1333 7 in in IN 19261 1333 8 its -PRON- PRP$ 19261 1333 9 upper upper JJ 19261 1333 10 portion portion NN 19261 1333 11 follows follow VBZ 19261 1333 12 the the DT 19261 1333 13 curves curve NNS 19261 1333 14 of of IN 19261 1333 15 the the DT 19261 1333 16 cervical cervical JJ 19261 1333 17 and and CC 19261 1333 18 dorsal dorsal NN 19261 1333 19 spine spine NN 19261 1333 20 . . . 19261 1334 1 It -PRON- PRP 19261 1334 2 is be VBZ 19261 1334 3 necessary necessary JJ 19261 1334 4 , , , 19261 1334 5 therefore therefore RB 19261 1334 6 , , , 19261 1334 7 to to TO 19261 1334 8 bring bring VB 19261 1334 9 the the DT 19261 1334 10 cervical cervical JJ 19261 1334 11 spine spine NN 19261 1334 12 into into IN 19261 1334 13 a a DT 19261 1334 14 straight straight JJ 19261 1334 15 line line NN 19261 1334 16 with with IN 19261 1334 17 the the DT 19261 1334 18 upper upper JJ 19261 1334 19 portion portion NN 19261 1334 20 of of IN 19261 1334 21 the the DT 19261 1334 22 dorsal dorsal NN 19261 1334 23 spine spine NN 19261 1334 24 and and CC 19261 1334 25 this this DT 19261 1334 26 is be VBZ 19261 1334 27 accomplished accomplish VBN 19261 1334 28 by by IN 19261 1334 29 elevation elevation NN 19261 1334 30 of of IN 19261 1334 31 the the DT 19261 1334 32 head head NN 19261 1334 33 -- -- : 19261 1334 34 the the DT 19261 1334 35 " " `` 19261 1334 36 high high JJ 19261 1334 37 " " '' 19261 1334 38 position position NN 19261 1334 39 ( ( -LRB- 19261 1334 40 Figs fig NNS 19261 1334 41 . . . 19261 1335 1 66 66 CD 19261 1335 2 - - SYM 19261 1335 3 71 71 CD 19261 1335 4 ) ) -RRB- 19261 1335 5 . . . 19261 1336 1 [ [ -LRB- 19261 1336 2 PLATE PLATE NNP 19261 1336 3 III iii CD 19261 1336 4 -- -- : 19261 1336 5 ESOPHAGOSCOPIC esophagoscopic NN 19261 1336 6 VIEWS view NNS 19261 1336 7 FROM from IN 19261 1336 8 OIL oil NN 19261 1336 9 - - HYPH 19261 1336 10 COLOR color NN 19261 1336 11 DRAWINGS DRAWINGS NNP 19261 1336 12 FROM from IN 19261 1336 13 LIFE life NN 19261 1336 14 , , , 19261 1336 15 BY by IN 19261 1336 16 THE the DT 19261 1336 17 AUTHOR AUTHOR NNP 19261 1336 18 : : : 19261 1336 19 1 1 LS 19261 1336 20 , , , 19261 1336 21 Direct direct JJ 19261 1336 22 view view NN 19261 1336 23 of of IN 19261 1336 24 the the DT 19261 1336 25 larynx larynx NN 19261 1336 26 and and CC 19261 1336 27 laryngopharynx laryngopharynx NNP 19261 1336 28 in in IN 19261 1336 29 the the DT 19261 1336 30 dorsally dorsally RB 19261 1336 31 recumbent recumbent JJ 19261 1336 32 patient patient NN 19261 1336 33 , , , 19261 1336 34 the the DT 19261 1336 35 epiglottis epiglottis NN 19261 1336 36 and and CC 19261 1336 37 hyoid hyoid NN 19261 1336 38 bone bone NN 19261 1336 39 being be VBG 19261 1336 40 lifted lift VBN 19261 1336 41 with with IN 19261 1336 42 the the DT 19261 1336 43 direct direct JJ 19261 1336 44 laryngoscope laryngoscope NN 19261 1336 45 or or CC 19261 1336 46 the the DT 19261 1336 47 esophageal esophageal JJ 19261 1336 48 speculum speculum NN 19261 1336 49 . . . 19261 1337 1 The the DT 19261 1337 2 spasmodically spasmodically RB 19261 1337 3 adducted adduct VBD 19261 1337 4 vocal vocal JJ 19261 1337 5 cords cord NNS 19261 1337 6 are be VBP 19261 1337 7 partially partially RB 19261 1337 8 hidden hide VBN 19261 1337 9 by by IN 19261 1337 10 the the DT 19261 1337 11 over over NN 19261 1337 12 - - HYPH 19261 1337 13 hang hang NN 19261 1337 14 of of IN 19261 1337 15 the the DT 19261 1337 16 spasmodically spasmodically RB 19261 1337 17 prominent prominent JJ 19261 1337 18 ventricular ventricular JJ 19261 1337 19 hands hand NNS 19261 1337 20 . . . 19261 1338 1 Posterior posterior JJ 19261 1338 2 to to IN 19261 1338 3 this this DT 19261 1338 4 the the DT 19261 1338 5 aryepiglottic aryepiglottic JJ 19261 1338 6 folds fold NNS 19261 1338 7 ending end VBG 19261 1338 8 posteriorly posteriorly RB 19261 1338 9 in in IN 19261 1338 10 the the DT 19261 1338 11 arytenoid arytenoid JJ 19261 1338 12 eminences eminence NNS 19261 1338 13 are be VBP 19261 1338 14 seen see VBN 19261 1338 15 in in IN 19261 1338 16 apposition apposition NN 19261 1338 17 . . . 19261 1339 1 The the DT 19261 1339 2 esophagoscope esophagoscope NN 19261 1339 3 should should MD 19261 1339 4 be be VB 19261 1339 5 passed pass VBN 19261 1339 6 to to IN 19261 1339 7 the the DT 19261 1339 8 right right NN 19261 1339 9 of of IN 19261 1339 10 the the DT 19261 1339 11 median median JJ 19261 1339 12 line line NN 19261 1339 13 into into IN 19261 1339 14 the the DT 19261 1339 15 right right JJ 19261 1339 16 pyriform pyriform NN 19261 1339 17 sinus sinus NN 19261 1339 18 , , , 19261 1339 19 represented represent VBN 19261 1339 20 here here RB 19261 1339 21 by by IN 19261 1339 22 the the DT 19261 1339 23 right right JJ 19261 1339 24 arm arm NN 19261 1339 25 of of IN 19261 1339 26 the the DT 19261 1339 27 dark dark JJ 19261 1339 28 crescent crescent NN 19261 1339 29 . . . 19261 1340 1 2 2 LS 19261 1340 2 , , , 19261 1340 3 The the DT 19261 1340 4 right right JJ 19261 1340 5 pyriform pyriform NN 19261 1340 6 sinus sinus NN 19261 1340 7 in in IN 19261 1340 8 the the DT 19261 1340 9 dorsally dorsally RB 19261 1340 10 recumbent recumbent JJ 19261 1340 11 patient patient NN 19261 1340 12 , , , 19261 1340 13 the the DT 19261 1340 14 eminence eminence NN 19261 1340 15 at at IN 19261 1340 16 the the DT 19261 1340 17 upper upper JJ 19261 1340 18 left left JJ 19261 1340 19 border border NN 19261 1340 20 , , , 19261 1340 21 corresponds correspond VBZ 19261 1340 22 to to IN 19261 1340 23 the the DT 19261 1340 24 edge edge NN 19261 1340 25 of of IN 19261 1340 26 the the DT 19261 1340 27 cricoid cricoid NN 19261 1340 28 cartilage cartilage NN 19261 1340 29 . . . 19261 1341 1 3 3 LS 19261 1341 2 , , , 19261 1341 3 The the DT 19261 1341 4 cricopharyngeal cricopharyngeal JJ 19261 1341 5 constriction constriction NN 19261 1341 6 of of IN 19261 1341 7 the the DT 19261 1341 8 esophagus esophagus NN 19261 1341 9 in in IN 19261 1341 10 the the DT 19261 1341 11 dorsally dorsally RB 19261 1341 12 recumbent recumbent JJ 19261 1341 13 patient patient NN 19261 1341 14 , , , 19261 1341 15 the the DT 19261 1341 16 cricoid cricoid NN 19261 1341 17 cartilage cartilage NN 19261 1341 18 being be VBG 19261 1341 19 lifted lift VBN 19261 1341 20 forward forward RB 19261 1341 21 with with IN 19261 1341 22 the the DT 19261 1341 23 esophageal esophageal JJ 19261 1341 24 speculum speculum NN 19261 1341 25 . . . 19261 1342 1 The the DT 19261 1342 2 lower low JJR 19261 1342 3 ( ( -LRB- 19261 1342 4 posterior posterior NN 19261 1342 5 ) ) -RRB- 19261 1342 6 half half NN 19261 1342 7 of of IN 19261 1342 8 the the DT 19261 1342 9 lumen luman NNS 19261 1342 10 is be VBZ 19261 1342 11 closed close VBN 19261 1342 12 by by IN 19261 1342 13 the the DT 19261 1342 14 fold fold JJ 19261 1342 15 corresponding correspond VBG 19261 1342 16 to to IN 19261 1342 17 the the DT 19261 1342 18 orbicular orbicular JJ 19261 1342 19 fibers fiber NNS 19261 1342 20 of of IN 19261 1342 21 the the DT 19261 1342 22 cricopharyngeus cricopharyngeus NN 19261 1342 23 which which WDT 19261 1342 24 advances advance VBZ 19261 1342 25 spasmodically spasmodically RB 19261 1342 26 from from IN 19261 1342 27 the the DT 19261 1342 28 posterior posterior NN 19261 1342 29 wall wall NN 19261 1342 30 . . . 19261 1343 1 ( ( -LRB- 19261 1343 2 Compare compare VB 19261 1343 3 Fig Fig NNP 19261 1343 4 . . . 19261 1344 1 10 10 CD 19261 1344 2 . . . 19261 1344 3 ) ) -RRB- 19261 1345 1 This this DT 19261 1345 2 view view NN 19261 1345 3 is be VBZ 19261 1345 4 not not RB 19261 1345 5 obtained obtain VBN 19261 1345 6 with with IN 19261 1345 7 an an DT 19261 1345 8 esophagoscope esophagoscope NN 19261 1345 9 . . . 19261 1346 1 4 4 LS 19261 1346 2 , , , 19261 1346 3 Passing pass VBG 19261 1346 4 through through IN 19261 1346 5 the the DT 19261 1346 6 right right JJ 19261 1346 7 pyriform pyriform NN 19261 1346 8 sinus sinus NN 19261 1346 9 with with IN 19261 1346 10 the the DT 19261 1346 11 esophagoscope esophagoscope NN 19261 1346 12 ; ; : 19261 1346 13 dorsally dorsally RB 19261 1346 14 recumbent recumbent JJ 19261 1346 15 patient patient NN 19261 1346 16 . . . 19261 1347 1 The the DT 19261 1347 2 walls wall NNS 19261 1347 3 seem seem VBP 19261 1347 4 in in IN 19261 1347 5 tight tight JJ 19261 1347 6 apposition apposition NN 19261 1347 7 , , , 19261 1347 8 and and CC 19261 1347 9 , , , 19261 1347 10 at at IN 19261 1347 11 the the DT 19261 1347 12 edges edge NNS 19261 1347 13 of of IN 19261 1347 14 the the DT 19261 1347 15 slit slit NN 19261 1347 16 - - HYPH 19261 1347 17 like like JJ 19261 1347 18 lumen luman NNS 19261 1347 19 , , , 19261 1347 20 bulge bulge NN 19261 1347 21 toward toward IN 19261 1347 22 the the DT 19261 1347 23 observer observer NN 19261 1347 24 . . . 19261 1348 1 The the DT 19261 1348 2 direction direction NN 19261 1348 3 of of IN 19261 1348 4 the the DT 19261 1348 5 axis axi NNS 19261 1348 6 of of IN 19261 1348 7 the the DT 19261 1348 8 slit slit JJ 19261 1348 9 varies varie NNS 19261 1348 10 , , , 19261 1348 11 and and CC 19261 1348 12 in in IN 19261 1348 13 some some DT 19261 1348 14 instances instance NNS 19261 1348 15 it -PRON- PRP 19261 1348 16 is be VBZ 19261 1348 17 like like IN 19261 1348 18 a a DT 19261 1348 19 rosette rosette NN 19261 1348 20 , , , 19261 1348 21 depending depend VBG 19261 1348 22 on on IN 19261 1348 23 the the DT 19261 1348 24 degree degree NN 19261 1348 25 of of IN 19261 1348 26 spasm spasm NN 19261 1348 27 . . . 19261 1349 1 5 5 CD 19261 1349 2 , , , 19261 1349 3 Cervical cervical JJ 19261 1349 4 esophagus esophagu NNS 19261 1349 5 . . . 19261 1350 1 The the DT 19261 1350 2 lumen luman NNS 19261 1350 3 is be VBZ 19261 1350 4 not not RB 19261 1350 5 so so RB 19261 1350 6 patulent patulent JJ 19261 1350 7 during during IN 19261 1350 8 inspiration inspiration NN 19261 1350 9 as as IN 19261 1350 10 lower low JJR 19261 1350 11 down down RP 19261 1350 12 ; ; : 19261 1350 13 and and CC 19261 1350 14 it -PRON- PRP 19261 1350 15 closes close VBZ 19261 1350 16 completely completely RB 19261 1350 17 during during IN 19261 1350 18 expiration expiration NN 19261 1350 19 . . . 19261 1351 1 6 6 CD 19261 1351 2 , , , 19261 1351 3 Thoracic Thoracic NNP 19261 1351 4 esophagus esophagus FW 19261 1351 5 ; ; : 19261 1351 6 dorsally dorsally RB 19261 1351 7 recumbent recumbent JJ 19261 1351 8 patient patient NN 19261 1351 9 . . . 19261 1352 1 The the DT 19261 1352 2 ridge ridge NN 19261 1352 3 crossing crossing NN 19261 1352 4 above above IN 19261 1352 5 the the DT 19261 1352 6 lumen luman NNS 19261 1352 7 corresponds correspond VBZ 19261 1352 8 to to IN 19261 1352 9 the the DT 19261 1352 10 left left JJ 19261 1352 11 bronchus bronchu NNS 19261 1352 12 . . . 19261 1353 1 It -PRON- PRP 19261 1353 2 is be VBZ 19261 1353 3 seldom seldom RB 19261 1353 4 so so RB 19261 1353 5 prominent prominent JJ 19261 1353 6 as as IN 19261 1353 7 in in IN 19261 1353 8 this this DT 19261 1353 9 patient patient NN 19261 1353 10 , , , 19261 1353 11 but but CC 19261 1353 12 can can MD 19261 1353 13 always always RB 19261 1353 14 be be VB 19261 1353 15 found find VBN 19261 1353 16 if if IN 19261 1353 17 searched search VBN 19261 1353 18 for for IN 19261 1353 19 . . . 19261 1354 1 7 7 LS 19261 1354 2 , , , 19261 1354 3 The the DT 19261 1354 4 normal normal JJ 19261 1354 5 esophagus esophagus NN 19261 1354 6 at at IN 19261 1354 7 the the DT 19261 1354 8 hiatus hiatus NN 19261 1354 9 . . . 19261 1355 1 This this DT 19261 1355 2 is be VBZ 19261 1355 3 often often RB 19261 1355 4 mistaken mistaken JJ 19261 1355 5 for for IN 19261 1355 6 the the DT 19261 1355 7 cardia cardia NN 19261 1355 8 by by IN 19261 1355 9 esophagoscopists esophagoscopist NNS 19261 1355 10 . . . 19261 1356 1 It -PRON- PRP 19261 1356 2 is be VBZ 19261 1356 3 more more RBR 19261 1356 4 truly truly RB 19261 1356 5 a a DT 19261 1356 6 sphincter sphincter NN 19261 1356 7 than than IN 19261 1356 8 the the DT 19261 1356 9 cardia cardia NN 19261 1356 10 itself -PRON- PRP 19261 1356 11 . . . 19261 1357 1 In in IN 19261 1357 2 the the DT 19261 1357 3 author author NN 19261 1357 4 's 's POS 19261 1357 5 opinion opinion NN 19261 1357 6 there there EX 19261 1357 7 is be VBZ 19261 1357 8 no no DT 19261 1357 9 truly truly RB 19261 1357 10 sphincteric sphincteric JJ 19261 1357 11 action action NN 19261 1357 12 at at IN 19261 1357 13 the the DT 19261 1357 14 cardia cardia NN 19261 1357 15 . . . 19261 1358 1 It -PRON- PRP 19261 1358 2 is be VBZ 19261 1358 3 the the DT 19261 1358 4 failure failure NN 19261 1358 5 of of IN 19261 1358 6 this this DT 19261 1358 7 hiatal hiatal JJ 19261 1358 8 sphincter sphincter NN 19261 1358 9 to to TO 19261 1358 10 open open VB 19261 1358 11 as as IN 19261 1358 12 in in IN 19261 1358 13 the the DT 19261 1358 14 normal normal JJ 19261 1358 15 deglutitory deglutitory JJ 19261 1358 16 cycle cycle NN 19261 1358 17 that that WDT 19261 1358 18 produces produce VBZ 19261 1358 19 the the DT 19261 1358 20 syndrome syndrome NN 19261 1358 21 called call VBN 19261 1358 22 " " `` 19261 1358 23 cardiospasm cardiospasm NN 19261 1358 24 . . . 19261 1358 25 " " '' 19261 1359 1 8 8 LS 19261 1359 2 , , , 19261 1359 3 View View NNP 19261 1359 4 in in IN 19261 1359 5 the the DT 19261 1359 6 stomach stomach NN 19261 1359 7 with with IN 19261 1359 8 the the DT 19261 1359 9 open open JJ 19261 1359 10 - - HYPH 19261 1359 11 tube tube NN 19261 1359 12 gastroscope gastroscope NN 19261 1359 13 . . . 19261 1360 1 The the DT 19261 1360 2 form form NN 19261 1360 3 of of IN 19261 1360 4 the the DT 19261 1360 5 folds fold NNS 19261 1360 6 varies vary VBZ 19261 1360 7 continually continually RB 19261 1360 8 . . . 19261 1361 1 9 9 CD 19261 1361 2 , , , 19261 1361 3 Sarcoma Sarcoma NNP 19261 1361 4 of of IN 19261 1361 5 the the DT 19261 1361 6 posterior posterior NN 19261 1361 7 wall wall NN 19261 1361 8 of of IN 19261 1361 9 the the DT 19261 1361 10 upper upper JJ 19261 1361 11 third third NN 19261 1361 12 of of IN 19261 1361 13 the the DT 19261 1361 14 esophagus esophagus NN 19261 1361 15 in in IN 19261 1361 16 a a DT 19261 1361 17 woman woman NN 19261 1361 18 of of IN 19261 1361 19 thirty thirty CD 19261 1361 20 - - HYPH 19261 1361 21 one one CD 19261 1361 22 years year NNS 19261 1361 23 . . . 19261 1362 1 Seen see VBN 19261 1362 2 through through IN 19261 1362 3 the the DT 19261 1362 4 esophageal esophageal JJ 19261 1362 5 speculum speculum NN 19261 1362 6 , , , 19261 1362 7 patient patient NN 19261 1362 8 sitting sitting NN 19261 1362 9 . . . 19261 1363 1 The the DT 19261 1363 2 lumen luman NNS 19261 1363 3 of of IN 19261 1363 4 the the DT 19261 1363 5 mouth mouth NN 19261 1363 6 of of IN 19261 1363 7 the the DT 19261 1363 8 esophagus esophagus NN 19261 1363 9 , , , 19261 1363 10 much much RB 19261 1363 11 encroached encroach VBN 19261 1363 12 upon upon IN 19261 1363 13 by by IN 19261 1363 14 the the DT 19261 1363 15 sarcomatous sarcomatous JJ 19261 1363 16 infiltration infiltration NN 19261 1363 17 , , , 19261 1363 18 is be VBZ 19261 1363 19 seen see VBN 19261 1363 20 at at IN 19261 1363 21 the the DT 19261 1363 22 lower low JJR 19261 1363 23 part part NN 19261 1363 24 of of IN 19261 1363 25 the the DT 19261 1363 26 circle circle NN 19261 1363 27 . . . 19261 1364 1 10 10 CD 19261 1364 2 , , , 19261 1364 3 Coin Coin NNP 19261 1364 4 ( ( -LRB- 19261 1364 5 half half JJ 19261 1364 6 - - HYPH 19261 1364 7 dollar dollar NN 19261 1364 8 ) ) -RRB- 19261 1364 9 wedged wedge VBD 19261 1364 10 in in IN 19261 1364 11 the the DT 19261 1364 12 upper upper JJ 19261 1364 13 third third NN 19261 1364 14 of of IN 19261 1364 15 the the DT 19261 1364 16 esophagus esophagus NN 19261 1364 17 of of IN 19261 1364 18 a a DT 19261 1364 19 boy boy NN 19261 1364 20 aged age VBN 19261 1364 21 fourteen fourteen CD 19261 1364 22 years year NNS 19261 1364 23 . . . 19261 1365 1 Seen see VBN 19261 1365 2 through through IN 19261 1365 3 the the DT 19261 1365 4 esophageal esophageal JJ 19261 1365 5 speculum speculum NN 19261 1365 6 , , , 19261 1365 7 recumbent recumbent JJ 19261 1365 8 patient patient NN 19261 1365 9 . . . 19261 1366 1 Forceps forceps NNS 19261 1366 2 are be VBP 19261 1366 3 retracting retract VBG 19261 1366 4 the the DT 19261 1366 5 posterior posterior NN 19261 1366 6 lip lip NN 19261 1366 7 of of IN 19261 1366 8 the the DT 19261 1366 9 esophageal esophageal JJ 19261 1366 10 " " `` 19261 1366 11 mouth mouth NN 19261 1366 12 " " '' 19261 1366 13 preparatory preparatory JJ 19261 1366 14 to to IN 19261 1366 15 removal removal NN 19261 1366 16 . . . 19261 1367 1 11 11 CD 19261 1367 2 , , , 19261 1367 3 Fungating fungate VBG 19261 1367 4 squamous squamous RB 19261 1367 5 - - HYPH 19261 1367 6 celled celle VBN 19261 1367 7 epithelioma epithelioma NN 19261 1367 8 in in IN 19261 1367 9 a a DT 19261 1367 10 man man NN 19261 1367 11 of of IN 19261 1367 12 seventy seventy CD 19261 1367 13 - - HYPH 19261 1367 14 four four CD 19261 1367 15 years year NNS 19261 1367 16 . . . 19261 1368 1 Fungations fungation NNS 19261 1368 2 are be VBP 19261 1368 3 not not RB 19261 1368 4 always always RB 19261 1368 5 present present JJ 19261 1368 6 , , , 19261 1368 7 and and CC 19261 1368 8 are be VBP 19261 1368 9 often often RB 19261 1368 10 pale pale JJ 19261 1368 11 and and CC 19261 1368 12 edematous edematous JJ 19261 1368 13 . . . 19261 1369 1 12 12 CD 19261 1369 2 , , , 19261 1369 3 Cicatricial cicatricial JJ 19261 1369 4 stenosis stenosis NN 19261 1369 5 of of IN 19261 1369 6 the the DT 19261 1369 7 esophagus esophagus NN 19261 1369 8 due due IN 19261 1369 9 to to IN 19261 1369 10 the the DT 19261 1369 11 swallowing swallowing NN 19261 1369 12 of of IN 19261 1369 13 lye lye NN 19261 1369 14 in in IN 19261 1369 15 a a DT 19261 1369 16 boy boy NN 19261 1369 17 of of IN 19261 1369 18 four four CD 19261 1369 19 years year NNS 19261 1369 20 . . . 19261 1370 1 Below below IN 19261 1370 2 tile tile JJ 19261 1370 3 upper upper JJ 19261 1370 4 stricture stricture NN 19261 1370 5 is be VBZ 19261 1370 6 seen see VBN 19261 1370 7 a a DT 19261 1370 8 second second JJ 19261 1370 9 stricture stricture NN 19261 1370 10 . . . 19261 1371 1 An an DT 19261 1371 2 ulcer ulcer NN 19261 1371 3 surrounded surround VBN 19261 1371 4 by by IN 19261 1371 5 an an DT 19261 1371 6 inflammatory inflammatory JJ 19261 1371 7 areola areola NN 19261 1371 8 and and CC 19261 1371 9 the the DT 19261 1371 10 granulation granulation NN 19261 1371 11 tissue tissue NN 19261 1371 12 together together RB 19261 1371 13 illustrates illustrate VBZ 19261 1371 14 the the DT 19261 1371 15 etiology etiology NN 19261 1371 16 of of IN 19261 1371 17 cicatricial cicatricial JJ 19261 1371 18 tissue tissue NN 19261 1371 19 . . . 19261 1372 1 The the DT 19261 1372 2 fan fan NN 19261 1372 3 - - HYPH 19261 1372 4 shaped shape VBN 19261 1372 5 scar scar NN 19261 1372 6 is be VBZ 19261 1372 7 really really RB 19261 1372 8 almost almost RB 19261 1372 9 linear linear JJ 19261 1372 10 , , , 19261 1372 11 but but CC 19261 1372 12 it -PRON- PRP 19261 1372 13 is be VBZ 19261 1372 14 viewed view VBN 19261 1372 15 in in IN 19261 1372 16 perspective perspective NN 19261 1372 17 . . . 19261 1373 1 Patient Patient NNP 19261 1373 2 was be VBD 19261 1373 3 cured cure VBN 19261 1373 4 by by IN 19261 1373 5 esophagoscopic esophagoscopic NNP 19261 1373 6 dilatation dilatation NN 19261 1373 7 . . . 19261 1374 1 13 13 CD 19261 1374 2 , , , 19261 1374 3 Angioma Angioma NNP 19261 1374 4 of of IN 19261 1374 5 the the DT 19261 1374 6 esophagus esophagus NN 19261 1374 7 in in IN 19261 1374 8 a a DT 19261 1374 9 man man NN 19261 1374 10 of of IN 19261 1374 11 forty forty CD 19261 1374 12 years year NNS 19261 1374 13 . . . 19261 1375 1 The the DT 19261 1375 2 patient patient NN 19261 1375 3 had have VBD 19261 1375 4 hemorrhoids hemorrhoid NNS 19261 1375 5 and and CC 19261 1375 6 varicose varicose VB 19261 1375 7 veins vein NNS 19261 1375 8 of of IN 19261 1375 9 the the DT 19261 1375 10 legs leg NNS 19261 1375 11 . . . 19261 1376 1 14 14 CD 19261 1376 2 , , , 19261 1376 3 Luetic luetic JJ 19261 1376 4 ulcer ulcer NN 19261 1376 5 of of IN 19261 1376 6 the the DT 19261 1376 7 esophagus esophagus NN 19261 1376 8 26 26 CD 19261 1376 9 cm cm NNS 19261 1376 10 . . . 19261 1377 1 from from IN 19261 1377 2 the the DT 19261 1377 3 upper upper JJ 19261 1377 4 teeth tooth NNS 19261 1377 5 in in IN 19261 1377 6 a a DT 19261 1377 7 woman woman NN 19261 1377 8 of of IN 19261 1377 9 thirty thirty CD 19261 1377 10 - - HYPH 19261 1377 11 eight eight CD 19261 1377 12 years year NNS 19261 1377 13 . . . 19261 1378 1 Two two CD 19261 1378 2 scars scar NNS 19261 1378 3 from from IN 19261 1378 4 healed heal VBN 19261 1378 5 ulcerations ulceration NNS 19261 1378 6 are be VBP 19261 1378 7 seen see VBN 19261 1378 8 in in IN 19261 1378 9 perspective perspective NN 19261 1378 10 on on IN 19261 1378 11 the the DT 19261 1378 12 anterior anterior NNP 19261 1378 13 wall wall NN 19261 1378 14 . . . 19261 1379 1 Branching branch VBG 19261 1379 2 vessels vessel NNS 19261 1379 3 are be VBP 19261 1379 4 seen see VBN 19261 1379 5 in in IN 19261 1379 6 the the DT 19261 1379 7 livid livid JJ 19261 1379 8 areola areola NN 19261 1379 9 of of IN 19261 1379 10 the the DT 19261 1379 11 ulcers ulcer NNS 19261 1379 12 . . . 19261 1380 1 15 15 CD 19261 1380 2 , , , 19261 1380 3 Tuberculosis Tuberculosis NNP 19261 1380 4 of of IN 19261 1380 5 the the DT 19261 1380 6 esophagus esophagus NN 19261 1380 7 in in IN 19261 1380 8 a a DT 19261 1380 9 man man NN 19261 1380 10 of of IN 19261 1380 11 thirty thirty CD 19261 1380 12 - - HYPH 19261 1380 13 four four CD 19261 1380 14 years year NNS 19261 1380 15 . . . 19261 1381 1 16 16 CD 19261 1381 2 , , , 19261 1381 3 Leukoplakia Leukoplakia NNP 19261 1381 4 of of IN 19261 1381 5 the the DT 19261 1381 6 esophagus esophagus NN 19261 1381 7 near near IN 19261 1381 8 the the DT 19261 1381 9 hiatus hiatus NN 19261 1381 10 in in IN 19261 1381 11 a a DT 19261 1381 12 man man NN 19261 1381 13 aged age VBN 19261 1381 14 fifty fifty CD 19261 1381 15 - - HYPH 19261 1381 16 six six CD 19261 1381 17 years year NNS 19261 1381 18 . . . 19261 1381 19 ] ] -RRB- 19261 1382 1 The the DT 19261 1382 2 hypopharynx hypopharynx JJ 19261 1382 3 tapers taper NNS 19261 1382 4 down down RP 19261 1382 5 to to IN 19261 1382 6 the the DT 19261 1382 7 gullet gullet NN 19261 1382 8 like like IN 19261 1382 9 a a DT 19261 1382 10 funnel funnel NN 19261 1382 11 , , , 19261 1382 12 and and CC 19261 1382 13 the the DT 19261 1382 14 larynx larynx NN 19261 1382 15 is be VBZ 19261 1382 16 suspended suspend VBN 19261 1382 17 in in IN 19261 1382 18 its -PRON- PRP$ 19261 1382 19 lumen luman NNS 19261 1382 20 from from IN 19261 1382 21 the the DT 19261 1382 22 anterior anterior NNP 19261 1382 23 wall wall NN 19261 1382 24 . . . 19261 1383 1 The the DT 19261 1383 2 larynx larynx NN 19261 1383 3 is be VBZ 19261 1383 4 attached attach VBN 19261 1383 5 only only RB 19261 1383 6 to to IN 19261 1383 7 the the DT 19261 1383 8 anterior anterior NNP 19261 1383 9 wall wall NN 19261 1383 10 , , , 19261 1383 11 but but CC 19261 1383 12 is be VBZ 19261 1383 13 held hold VBN 19261 1383 14 closely closely RB 19261 1383 15 against against IN 19261 1383 16 the the DT 19261 1383 17 posterior posterior NN 19261 1383 18 pharyngeal pharyngeal NN 19261 1383 19 wall wall NN 19261 1383 20 by by IN 19261 1383 21 the the DT 19261 1383 22 action action NN 19261 1383 23 of of IN 19261 1383 24 the the DT 19261 1383 25 inferior inferior JJ 19261 1383 26 constrictor constrictor NN 19261 1383 27 of of IN 19261 1383 28 the the DT 19261 1383 29 pharynx pharynx NN 19261 1383 30 , , , 19261 1383 31 and and CC 19261 1383 32 particularly particularly RB 19261 1383 33 by by IN 19261 1383 34 its -PRON- PRP$ 19261 1383 35 specialized specialize VBN 19261 1383 36 portion portion NN 19261 1383 37 -- -- : 19261 1383 38 the the DT 19261 1383 39 cricopharyngeus cricopharyngeus NNP 19261 1383 40 muscle muscle NN 19261 1383 41 . . . 19261 1384 1 A a DT 19261 1384 2 bolus bolus NN 19261 1384 3 of of IN 19261 1384 4 food food NN 19261 1384 5 is be VBZ 19261 1384 6 split split VBN 19261 1384 7 by by IN 19261 1384 8 the the DT 19261 1384 9 epiglottis epiglottis NN 19261 1384 10 and and CC 19261 1384 11 the the DT 19261 1384 12 two two CD 19261 1384 13 portions portion NNS 19261 1384 14 drifted drift VBD 19261 1384 15 laterally laterally RB 19261 1384 16 into into IN 19261 1384 17 the the DT 19261 1384 18 pyriform pyriform NN 19261 1384 19 sinuses sinus NNS 19261 1384 20 , , , 19261 1384 21 the the DT 19261 1384 22 recesses recess NNS 19261 1384 23 seen see VBN 19261 1384 24 on on IN 19261 1384 25 either either DT 19261 1384 26 side side NN 19261 1384 27 of of IN 19261 1384 28 the the DT 19261 1384 29 larynx larynx NN 19261 1384 30 . . . 19261 1385 1 But but CC 19261 1385 2 little little JJ 19261 1385 3 of of IN 19261 1385 4 the the DT 19261 1385 5 food food NN 19261 1385 6 bolus bolus NN 19261 1385 7 passes pass VBZ 19261 1385 8 posterior posterior NN 19261 1385 9 to to IN 19261 1385 10 the the DT 19261 1385 11 larynx larynx NN 19261 1385 12 during during IN 19261 1385 13 the the DT 19261 1385 14 act act NN 19261 1385 15 of of IN 19261 1385 16 swallowing swallow VBG 19261 1385 17 . . . 19261 1386 1 It -PRON- PRP 19261 1386 2 is be VBZ 19261 1386 3 through through IN 19261 1386 4 the the DT 19261 1386 5 pyriform pyriform NN 19261 1386 6 sinus sinus NN 19261 1386 7 that that IN 19261 1386 8 the the DT 19261 1386 9 esophagoscope esophagoscope NN 19261 1386 10 is be VBZ 19261 1386 11 to to TO 19261 1386 12 be be VB 19261 1386 13 inserted insert VBN 19261 1386 14 , , , 19261 1386 15 thereby thereby RB 19261 1386 16 following follow VBG 19261 1386 17 the the DT 19261 1386 18 natural natural JJ 19261 1386 19 food food NN 19261 1386 20 passage passage NN 19261 1386 21 . . . 19261 1387 1 To to TO 19261 1387 2 insert insert VB 19261 1387 3 the the DT 19261 1387 4 esophagoscope esophagoscope NN 19261 1387 5 in in IN 19261 1387 6 the the DT 19261 1387 7 midline midline NN 19261 1387 8 , , , 19261 1387 9 posterior posterior RB 19261 1387 10 to to IN 19261 1387 11 the the DT 19261 1387 12 arytenoids arytenoid NNS 19261 1387 13 , , , 19261 1387 14 requires require VBZ 19261 1387 15 a a DT 19261 1387 16 degree degree NN 19261 1387 17 of of IN 19261 1387 18 force force NN 19261 1387 19 dangerous dangerous JJ 19261 1387 20 to to TO 19261 1387 21 exert exert VB 19261 1387 22 and and CC 19261 1387 23 almost almost RB 19261 1387 24 certain certain JJ 19261 1387 25 to to TO 19261 1387 26 produce produce VB 19261 1387 27 damage damage NN 19261 1387 28 to to IN 19261 1387 29 the the DT 19261 1387 30 cricoarytenoid cricoarytenoid JJ 19261 1387 31 joint joint NN 19261 1387 32 or or CC 19261 1387 33 to to IN 19261 1387 34 the the DT 19261 1387 35 pharyngeal pharyngeal NN 19261 1387 36 wall wall NN 19261 1387 37 , , , 19261 1387 38 or or CC 19261 1387 39 to to IN 19261 1387 40 both both DT 19261 1387 41 . . . 19261 1388 1 The the DT 19261 1388 2 esophagoscope esophagoscope NN 19261 1388 3 is be VBZ 19261 1388 4 steadied steady VBN 19261 1388 5 by by IN 19261 1388 6 the the DT 19261 1388 7 left left JJ 19261 1388 8 hand hand NN 19261 1388 9 like like IN 19261 1388 10 a a DT 19261 1388 11 billiard billiard NN 19261 1388 12 cue cue NN 19261 1388 13 , , , 19261 1388 14 the the DT 19261 1388 15 terminal terminal JJ 19261 1388 16 phalanges phalanx NNS 19261 1388 17 of of IN 19261 1388 18 the the DT 19261 1388 19 left left JJ 19261 1388 20 middle middle NN 19261 1388 21 and and CC 19261 1388 22 ring re VBG 19261 1388 23 fingers finger NNS 19261 1388 24 hooked hook VBN 19261 1388 25 over over IN 19261 1388 26 the the DT 19261 1388 27 upper upper JJ 19261 1388 28 teeth tooth NNS 19261 1388 29 , , , 19261 1388 30 while while IN 19261 1388 31 the the DT 19261 1388 32 left left JJ 19261 1388 33 index index NN 19261 1388 34 finger finger NN 19261 1388 35 and and CC 19261 1388 36 thumb thumb NN 19261 1388 37 encircle encircle NN 19261 1388 38 the the DT 19261 1388 39 tube tube NN 19261 1388 40 and and CC 19261 1388 41 retract retract VB 19261 1388 42 the the DT 19261 1388 43 upper upper JJ 19261 1388 44 lip lip NN 19261 1388 45 to to TO 19261 1388 46 prevent prevent VB 19261 1388 47 its -PRON- PRP$ 19261 1388 48 being be VBG 19261 1388 49 pinched pinch VBN 19261 1388 50 between between IN 19261 1388 51 the the DT 19261 1388 52 tube tube NN 19261 1388 53 and and CC 19261 1388 54 upper upper JJ 19261 1388 55 teeth tooth NNS 19261 1388 56 . . . 19261 1389 1 The the DT 19261 1389 2 right right JJ 19261 1389 3 hand hand NN 19261 1389 4 holds hold VBZ 19261 1389 5 the the DT 19261 1389 6 tube tube NN 19261 1389 7 in in IN 19261 1389 8 pen pen NN 19261 1389 9 fashion fashion NN 19261 1389 10 at at IN 19261 1389 11 the the DT 19261 1389 12 collar collar NN 19261 1389 13 of of IN 19261 1389 14 the the DT 19261 1389 15 handle handle NN 19261 1389 16 , , , 19261 1389 17 not not RB 19261 1389 18 by by IN 19261 1389 19 the the DT 19261 1389 20 handle handle NN 19261 1389 21 . . . 19261 1390 1 During during IN 19261 1390 2 introduction introduction NN 19261 1390 3 the the DT 19261 1390 4 handle handle NN 19261 1390 5 is be VBZ 19261 1390 6 to to TO 19261 1390 7 be be VB 19261 1390 8 pointed point VBN 19261 1390 9 upward upward RB 19261 1390 10 toward toward IN 19261 1390 11 the the DT 19261 1390 12 zenith zenith NN 19261 1390 13 . . . 19261 1391 1 _ _ NNP 19261 1391 2 Stage Stage NNP 19261 1391 3 I. I. NNP 19261 1392 1 Entering enter VBG 19261 1392 2 the the DT 19261 1392 3 Right Right NNP 19261 1392 4 Pyriform Pyriform NNP 19261 1392 5 Sinus_.--The Sinus_.--The NNP 19261 1392 6 operator operator NN 19261 1392 7 standing standing NN 19261 1392 8 ( ( -LRB- 19261 1392 9 as as IN 19261 1392 10 in in IN 19261 1392 11 Fig Fig NNP 19261 1392 12 . . . 19261 1393 1 66 66 CD 19261 1393 2 ) ) -RRB- 19261 1393 3 , , , 19261 1393 4 inserts insert VBZ 19261 1393 5 the the DT 19261 1393 6 esophagoscope esophagoscope NN 19261 1393 7 along along IN 19261 1393 8 the the DT 19261 1393 9 right right JJ 19261 1393 10 side side NN 19261 1393 11 of of IN 19261 1393 12 the the DT 19261 1393 13 tongue tongue NN 19261 1393 14 as as RB 19261 1393 15 far far RB 19261 1393 16 as as IN 19261 1393 17 and and CC 19261 1393 18 down down IN 19261 1393 19 the the DT 19261 1393 20 posterior posterior JJ 19261 1393 21 pharyngeal pharyngeal NN 19261 1393 22 wall wall NN 19261 1393 23 . . . 19261 1394 1 A a DT 19261 1394 2 lifting lift VBG 19261 1394 3 motion motion NN 19261 1394 4 imparted impart VBD 19261 1394 5 to to IN 19261 1394 6 the the DT 19261 1394 7 tip tip NN 19261 1394 8 of of IN 19261 1394 9 the the DT 19261 1394 10 esophagoscope esophagoscope NN 19261 1394 11 by by IN 19261 1394 12 the the DT 19261 1394 13 left left JJ 19261 1394 14 thumb thumb NN 19261 1394 15 will will MD 19261 1394 16 bring bring VB 19261 1394 17 the the DT 19261 1394 18 rounded rounded JJ 19261 1394 19 right right JJ 19261 1394 20 arytenoid arytenoid JJ 19261 1394 21 eminence eminence NN 19261 1394 22 into into IN 19261 1394 23 view view NN 19261 1394 24 ( ( -LRB- 19261 1394 25 A a NN 19261 1394 26 , , , 19261 1394 27 Fig fig NN 19261 1394 28 . . . 19261 1395 1 69 69 CD 19261 1395 2 ) ) -RRB- 19261 1395 3 . . . 19261 1396 1 This this DT 19261 1396 2 is be VBZ 19261 1396 3 the the DT 19261 1396 4 landmark landmark NN 19261 1396 5 of of IN 19261 1396 6 the the DT 19261 1396 7 pyriform pyriform NN 19261 1396 8 sinus sinus NN 19261 1396 9 , , , 19261 1396 10 and and CC 19261 1396 11 care care NN 19261 1396 12 must must MD 19261 1396 13 be be VB 19261 1396 14 taken take VBN 19261 1396 15 to to TO 19261 1396 16 avoid avoid VB 19261 1396 17 injury injury NN 19261 1396 18 by by IN 19261 1396 19 hooking hook VBG 19261 1396 20 the the DT 19261 1396 21 tube tube NN 19261 1396 22 mouth mouth NN 19261 1396 23 over over IN 19261 1396 24 it -PRON- PRP 19261 1396 25 or or CC 19261 1396 26 its -PRON- PRP$ 19261 1396 27 fellow fellow NN 19261 1396 28 . . . 19261 1397 1 The the DT 19261 1397 2 tip tip NN 19261 1397 3 of of IN 19261 1397 4 the the DT 19261 1397 5 tube tube NN 19261 1397 6 should should MD 19261 1397 7 now now RB 19261 1397 8 be be VB 19261 1397 9 directed direct VBN 19261 1397 10 somewhat somewhat RB 19261 1397 11 toward toward IN 19261 1397 12 the the DT 19261 1397 13 midline midline NN 19261 1397 14 , , , 19261 1397 15 remembering remember VBG 19261 1397 16 the the DT 19261 1397 17 funnel funnel NN 19261 1397 18 shape shape NN 19261 1397 19 of of IN 19261 1397 20 the the DT 19261 1397 21 hypopharynx hypopharynx NNP 19261 1397 22 . . . 19261 1398 1 It -PRON- PRP 19261 1398 2 will will MD 19261 1398 3 then then RB 19261 1398 4 be be VB 19261 1398 5 found find VBN 19261 1398 6 to to TO 19261 1398 7 glide glide VB 19261 1398 8 readily readily RB 19261 1398 9 through through IN 19261 1398 10 the the DT 19261 1398 11 right right JJ 19261 1398 12 pyriform pyriform NN 19261 1398 13 sinus sinus NN 19261 1398 14 for for IN 19261 1398 15 2 2 CD 19261 1398 16 or or CC 19261 1398 17 3 3 CD 19261 1398 18 cm cm NNP 19261 1398 19 . . NNP 19261 1398 20 , , , 19261 1398 21 when when WRB 19261 1398 22 it -PRON- PRP 19261 1398 23 comes come VBZ 19261 1398 24 to to IN 19261 1398 25 a a DT 19261 1398 26 full full JJ 19261 1398 27 stop stop NN 19261 1398 28 , , , 19261 1398 29 and and CC 19261 1398 30 the the DT 19261 1398 31 lumen luman NNS 19261 1398 32 disappears disappear VBZ 19261 1398 33 . . . 19261 1399 1 This this DT 19261 1399 2 is be VBZ 19261 1399 3 the the DT 19261 1399 4 spasmodically spasmodically RB 19261 1399 5 closed close VBN 19261 1399 6 cricopharyngeal cricopharyngeal NN 19261 1399 7 constriction constriction NN 19261 1399 8 . . . 19261 1400 1 [ [ -LRB- 19261 1400 2 FIG FIG NNP 19261 1400 3 . . . 19261 1401 1 66.--Esophagoscopy 66.--esophagoscopy CD 19261 1401 2 by by IN 19261 1401 3 the the DT 19261 1401 4 author author NN 19261 1401 5 's 's POS 19261 1401 6 " " `` 19261 1401 7 high high JJ 19261 1401 8 - - HYPH 19261 1401 9 low low JJ 19261 1401 10 " " '' 19261 1401 11 method method NN 19261 1401 12 . . . 19261 1402 1 First first JJ 19261 1402 2 stage stage NN 19261 1402 3 . . . 19261 1403 1 " " `` 19261 1403 2 High high JJ 19261 1403 3 " " '' 19261 1403 4 position position NN 19261 1403 5 . . . 19261 1404 1 Finding find VBG 19261 1404 2 the the DT 19261 1404 3 right right JJ 19261 1404 4 pyriform pyriform NN 19261 1404 5 sinus sinus NN 19261 1404 6 . . . 19261 1405 1 In in IN 19261 1405 2 this this DT 19261 1405 3 and and CC 19261 1405 4 the the DT 19261 1405 5 second second JJ 19261 1405 6 stage stage NN 19261 1405 7 the the DT 19261 1405 8 patient patient NN 19261 1405 9 's 's POS 19261 1405 10 vertex vertex NN 19261 1405 11 is be VBZ 19261 1405 12 about about RB 19261 1405 13 15 15 CD 19261 1405 14 cm cm NNS 19261 1405 15 . . . 19261 1406 1 above above IN 19261 1406 2 the the DT 19261 1406 3 level level NN 19261 1406 4 of of IN 19261 1406 5 the the DT 19261 1406 6 table table NN 19261 1406 7 . . . 19261 1406 8 ] ] -RRB- 19261 1407 1 _ _ NNP 19261 1407 2 Stage Stage NNP 19261 1407 3 2 2 CD 19261 1407 4 . . . 19261 1408 1 Passing pass VBG 19261 1408 2 the the DT 19261 1408 3 cricopharyngeus cricopharyngeus NN 19261 1408 4 _ _ NNP 19261 1408 5 is be VBZ 19261 1408 6 the the DT 19261 1408 7 most most RBS 19261 1408 8 difficult difficult JJ 19261 1408 9 part part NN 19261 1408 10 of of IN 19261 1408 11 esophagoscopy esophagoscopy NN 19261 1408 12 , , , 19261 1408 13 especially especially RB 19261 1408 14 if if IN 19261 1408 15 the the DT 19261 1408 16 patient patient NN 19261 1408 17 is be VBZ 19261 1408 18 unanesthetized unanesthetized JJ 19261 1408 19 . . . 19261 1409 1 Local local JJ 19261 1409 2 anesthesia anesthesia NNS 19261 1409 3 helps help VBZ 19261 1409 4 little little JJ 19261 1409 5 , , , 19261 1409 6 if if IN 19261 1409 7 at at RB 19261 1409 8 all all RB 19261 1409 9 . . . 19261 1410 1 The the DT 19261 1410 2 handle handle NN 19261 1410 3 of of IN 19261 1410 4 the the DT 19261 1410 5 esophagoscope esophagoscope NN 19261 1410 6 is be VBZ 19261 1410 7 still still RB 19261 1410 8 pointing point VBG 19261 1410 9 upward upward RB 19261 1410 10 and and CC 19261 1410 11 consequently consequently RB 19261 1410 12 we -PRON- PRP 19261 1410 13 are be VBP 19261 1410 14 sure sure JJ 19261 1410 15 that that IN 19261 1410 16 the the DT 19261 1410 17 lip lip NN 19261 1410 18 of of IN 19261 1410 19 the the DT 19261 1410 20 esophagoscope esophagoscope NN 19261 1410 21 is be VBZ 19261 1410 22 directed direct VBN 19261 1410 23 anteriorly anteriorly RB 19261 1410 24 . . . 19261 1411 1 Force force NN 19261 1411 2 must must MD 19261 1411 3 not not RB 19261 1411 4 be be VB 19261 1411 5 used use VBN 19261 1411 6 , , , 19261 1411 7 but but CC 19261 1411 8 steady steady JJ 19261 1411 9 firm firm JJ 19261 1411 10 pressure pressure NN 19261 1411 11 against against IN 19261 1411 12 the the DT 19261 1411 13 tonically tonically RB 19261 1411 14 contracted contract VBN 19261 1411 15 cricopharyngeus cricopharyngeus NNP 19261 1411 16 is be VBZ 19261 1411 17 made make VBN 19261 1411 18 , , , 19261 1411 19 while while IN 19261 1411 20 at at IN 19261 1411 21 the the DT 19261 1411 22 same same JJ 19261 1411 23 time time NN 19261 1411 24 the the DT 19261 1411 25 distal distal JJ 19261 1411 26 end end NN 19261 1411 27 of of IN 19261 1411 28 the the DT 19261 1411 29 esophagoscope esophagoscope NN 19261 1411 30 is be VBZ 19261 1411 31 lifted lift VBN 19261 1411 32 by by IN 19261 1411 33 the the DT 19261 1411 34 left left JJ 19261 1411 35 thumb thumb NN 19261 1411 36 . . . 19261 1412 1 At at IN 19261 1412 2 the the DT 19261 1412 3 first first JJ 19261 1412 4 inspiration inspiration NN 19261 1412 5 a a DT 19261 1412 6 lumen luman NNS 19261 1412 7 will will MD 19261 1412 8 usually usually RB 19261 1412 9 appear appear VB 19261 1412 10 in in IN 19261 1412 11 the the DT 19261 1412 12 upper upper JJ 19261 1412 13 portion portion NN 19261 1412 14 of of IN 19261 1412 15 the the DT 19261 1412 16 endoscopic endoscopic JJ 19261 1412 17 field field NN 19261 1412 18 . . . 19261 1413 1 The the DT 19261 1413 2 tip tip NN 19261 1413 3 of of IN 19261 1413 4 the the DT 19261 1413 5 esophagoscope esophagoscope NN 19261 1413 6 enters enter VBZ 19261 1413 7 this this DT 19261 1413 8 lumen luman NNS 19261 1413 9 and and CC 19261 1413 10 the the DT 19261 1413 11 slanted slanted JJ 19261 1413 12 end end NN 19261 1413 13 slides slide VBZ 19261 1413 14 over over IN 19261 1413 15 the the DT 19261 1413 16 fold fold NN 19261 1413 17 of of IN 19261 1413 18 the the DT 19261 1413 19 cricopharyngeus cricopharyngeus NN 19261 1413 20 into into IN 19261 1413 21 the the DT 19261 1413 22 cervical cervical JJ 19261 1413 23 esophagus esophagus NN 19261 1413 24 . . . 19261 1414 1 There there EX 19261 1414 2 is be VBZ 19261 1414 3 usually usually RB 19261 1414 4 from from IN 19261 1414 5 1 1 CD 19261 1414 6 to to IN 19261 1414 7 3 3 CD 19261 1414 8 cm cm NNS 19261 1414 9 . . . 19261 1415 1 of of IN 19261 1415 2 this this DT 19261 1415 3 constricted constrict VBN 19261 1415 4 lumen luman NNS 19261 1415 5 at at IN 19261 1415 6 the the DT 19261 1415 7 level level NN 19261 1415 8 of of IN 19261 1415 9 the the DT 19261 1415 10 cricopharyngeus cricopharyngeus NN 19261 1415 11 and and CC 19261 1415 12 the the DT 19261 1415 13 subjacent subjacent JJ 19261 1415 14 orbicular orbicular JJ 19261 1415 15 esophageal esophageal JJ 19261 1415 16 fibers fiber NNS 19261 1415 17 . . . 19261 1416 1 [ [ -LRB- 19261 1416 2 109 109 CD 19261 1416 3 ] ] -RRB- 19261 1416 4 [ [ -LRB- 19261 1416 5 FIG FIG NNP 19261 1416 6 . . . 19261 1417 1 67.--Schematic 67.--schematic CD 19261 1417 2 illustration illustration NN 19261 1417 3 of of IN 19261 1417 4 the the DT 19261 1417 5 author author NN 19261 1417 6 's 's POS 19261 1417 7 " " `` 19261 1417 8 high high JJ 19261 1417 9 - - HYPH 19261 1417 10 low low JJ 19261 1417 11 " " '' 19261 1417 12 method method NN 19261 1417 13 of of IN 19261 1417 14 esophagoscopy esophagoscopy NN 19261 1417 15 . . . 19261 1418 1 In in IN 19261 1418 2 the the DT 19261 1418 3 first first JJ 19261 1418 4 and and CC 19261 1418 5 second second JJ 19261 1418 6 stages stage NNS 19261 1418 7 the the DT 19261 1418 8 patient patient NN 19261 1418 9 's 's POS 19261 1418 10 head head NN 19261 1418 11 fully fully RB 19261 1418 12 extended extend VBN 19261 1418 13 is be VBZ 19261 1418 14 held hold VBN 19261 1418 15 high high JJ 19261 1418 16 so so IN 19261 1418 17 as as IN 19261 1418 18 to to TO 19261 1418 19 bring bring VB 19261 1418 20 it -PRON- PRP 19261 1418 21 in in IN 19261 1418 22 line line NN 19261 1418 23 with with IN 19261 1418 24 the the DT 19261 1418 25 thoracic thoracic NNP 19261 1418 26 esophagus esophagus NNP 19261 1418 27 , , , 19261 1418 28 as as IN 19261 1418 29 shown show VBN 19261 1418 30 above above RB 19261 1418 31 . . . 19261 1419 1 The the DT 19261 1419 2 Rose Rose NNP 19261 1419 3 position position NN 19261 1419 4 is be VBZ 19261 1419 5 shown show VBN 19261 1419 6 by by IN 19261 1419 7 way way NN 19261 1419 8 of of IN 19261 1419 9 accentuation accentuation NN 19261 1419 10 . . . 19261 1419 11 ] ] -RRB- 19261 1420 1 [ [ -LRB- 19261 1420 2 FIG FIG NNP 19261 1420 3 . . . 19261 1421 1 68.--Schematic 68.--schematic CD 19261 1421 2 illustration illustration NN 19261 1421 3 of of IN 19261 1421 4 the the DT 19261 1421 5 anatomic anatomic JJ 19261 1421 6 basis basis NN 19261 1421 7 for for IN 19261 1421 8 difficulty difficulty NN 19261 1421 9 in in IN 19261 1421 10 introduction introduction NN 19261 1421 11 of of IN 19261 1421 12 the the DT 19261 1421 13 esophagoscope esophagoscope NN 19261 1421 14 . . . 19261 1422 1 The the DT 19261 1422 2 cricoid cricoid NN 19261 1422 3 cartilage cartilage NN 19261 1422 4 is be VBZ 19261 1422 5 pulled pull VBN 19261 1422 6 backward backward RB 19261 1422 7 against against IN 19261 1422 8 the the DT 19261 1422 9 cervical cervical JJ 19261 1422 10 spine spine NN 19261 1422 11 , , , 19261 1422 12 by by IN 19261 1422 13 the the DT 19261 1422 14 cricopharyngeus cricopharyngeus NN 19261 1422 15 , , , 19261 1422 16 so so RB 19261 1422 17 strongly strongly RB 19261 1422 18 that that IN 19261 1422 19 it -PRON- PRP 19261 1422 20 is be VBZ 19261 1422 21 difficult difficult JJ 19261 1422 22 to to TO 19261 1422 23 realize realize VB 19261 1422 24 that that IN 19261 1422 25 the the DT 19261 1422 26 cricopharyngeus cricopharyngeus NN 19261 1422 27 is be VBZ 19261 1422 28 not not RB 19261 1422 29 inserted insert VBN 19261 1422 30 into into IN 19261 1422 31 the the DT 19261 1422 32 vertebral vertebral JJ 19261 1422 33 periosteum periosteum NN 19261 1422 34 instead instead RB 19261 1422 35 of of IN 19261 1422 36 into into IN 19261 1422 37 the the DT 19261 1422 38 median median JJ 19261 1422 39 raphe raphe NN 19261 1422 40 . . . 19261 1422 41 ] ] -RRB- 19261 1423 1 [ [ -LRB- 19261 1423 2 FIG FIG NNP 19261 1423 3 . . . 19261 1424 1 69.--The 69.--the CD 19261 1424 2 upper upper JJ 19261 1424 3 illustration illustration NN 19261 1424 4 shows show VBZ 19261 1424 5 movements movement NNS 19261 1424 6 necessary necessary JJ 19261 1424 7 for for IN 19261 1424 8 passing pass VBG 19261 1424 9 the the DT 19261 1424 10 cricopharyngeus cricopharyngeus NN 19261 1424 11 . . . 19261 1425 1 The the DT 19261 1425 2 lower low JJR 19261 1425 3 illustration illustration NN 19261 1425 4 shows show VBZ 19261 1425 5 schematically schematically RB 19261 1425 6 the the DT 19261 1425 7 method method NN 19261 1425 8 of of IN 19261 1425 9 finding find VBG 19261 1425 10 the the DT 19261 1425 11 pyriform pyriform NN 19261 1425 12 sinus sinus NN 19261 1425 13 in in IN 19261 1425 14 the the DT 19261 1425 15 author author NN 19261 1425 16 's 's POS 19261 1425 17 method method NN 19261 1425 18 of of IN 19261 1425 19 esophagoscopy esophagoscopy NN 19261 1425 20 . . . 19261 1426 1 The the DT 19261 1426 2 large large JJ 19261 1426 3 circle circle NN 19261 1426 4 represents represent VBZ 19261 1426 5 the the DT 19261 1426 6 cricoid cricoid NN 19261 1426 7 cartilage cartilage NN 19261 1426 8 . . . 19261 1427 1 G G NNP 19261 1427 2 , , , 19261 1427 3 Glottic glottic JJ 19261 1427 4 chink chink NN 19261 1427 5 , , , 19261 1427 6 spasmodically spasmodically RB 19261 1427 7 closed closed JJ 19261 1427 8 ; ; : 19261 1427 9 VB VB NNP 19261 1427 10 , , , 19261 1427 11 ventricular ventricular JJ 19261 1427 12 band band NN 19261 1427 13 ; ; : 19261 1427 14 A a DT 19261 1427 15 , , , 19261 1427 16 right right JJ 19261 1427 17 arytenoid arytenoid JJ 19261 1427 18 eminence eminence NN 19261 1427 19 ; ; : 19261 1427 20 P p NN 19261 1427 21 , , , 19261 1427 22 right right JJ 19261 1427 23 pyriform pyriform NN 19261 1427 24 sinus sinus NN 19261 1427 25 , , , 19261 1427 26 through through IN 19261 1427 27 which which WDT 19261 1427 28 the the DT 19261 1427 29 tube tube NN 19261 1427 30 is be VBZ 19261 1427 31 passed pass VBN 19261 1427 32 in in IN 19261 1427 33 the the DT 19261 1427 34 recumbent recumbent JJ 19261 1427 35 posture posture NN 19261 1427 36 . . . 19261 1428 1 The the DT 19261 1428 2 pyriform pyriform NN 19261 1428 3 sinuses sinus NNS 19261 1428 4 are be VBP 19261 1428 5 the the DT 19261 1428 6 normal normal JJ 19261 1428 7 food food NN 19261 1428 8 passages passage NNS 19261 1428 9 . . . 19261 1428 10 ] ] -RRB- 19261 1429 1 _ _ NNP 19261 1429 2 Stage Stage NNP 19261 1429 3 3 3 CD 19261 1429 4 . . . 19261 1430 1 Passing pass VBG 19261 1430 2 Through through IN 19261 1430 3 the the DT 19261 1430 4 Thoracic Thoracic NNP 19261 1430 5 Esophagus_.--The Esophagus_.--The NNP 19261 1430 6 thoracic thoracic NNP 19261 1430 7 esophagus esophagus NN 19261 1430 8 will will MD 19261 1430 9 be be VB 19261 1430 10 seen see VBN 19261 1430 11 to to TO 19261 1430 12 expand expand VB 19261 1430 13 during during IN 19261 1430 14 inspiration inspiration NN 19261 1430 15 and and CC 19261 1430 16 contract contract NN 19261 1430 17 during during IN 19261 1430 18 expiration expiration NN 19261 1430 19 , , , 19261 1430 20 due due IN 19261 1430 21 to to IN 19261 1430 22 the the DT 19261 1430 23 change change NN 19261 1430 24 in in IN 19261 1430 25 thoracic thoracic NNP 19261 1430 26 pressure pressure NN 19261 1430 27 . . . 19261 1431 1 The the DT 19261 1431 2 esophagoscope esophagoscope NN 19261 1431 3 usually usually RB 19261 1431 4 glides glide VBZ 19261 1431 5 easily easily RB 19261 1431 6 through through IN 19261 1431 7 the the DT 19261 1431 8 thoracic thoracic NNP 19261 1431 9 esophagus esophagus NNP 19261 1431 10 if if IN 19261 1431 11 the the DT 19261 1431 12 patient patient NN 19261 1431 13 's 's POS 19261 1431 14 position position NN 19261 1431 15 is be VBZ 19261 1431 16 correct correct JJ 19261 1431 17 . . . 19261 1432 1 After after IN 19261 1432 2 the the DT 19261 1432 3 levels level NNS 19261 1432 4 of of IN 19261 1432 5 the the DT 19261 1432 6 aorta aorta NN 19261 1432 7 and and CC 19261 1432 8 left left JJ 19261 1432 9 bronchus bronchu NNS 19261 1432 10 are be VBP 19261 1432 11 passed pass VBN 19261 1432 12 the the DT 19261 1432 13 lumen luman NNS 19261 1432 14 of of IN 19261 1432 15 the the DT 19261 1432 16 esophagus esophagus NN 19261 1432 17 seems seem VBZ 19261 1432 18 to to TO 19261 1432 19 have have VB 19261 1432 20 a a DT 19261 1432 21 tendency tendency NN 19261 1432 22 to to TO 19261 1432 23 disappear disappear VB 19261 1432 24 anteriorly anteriorly RB 19261 1432 25 . . . 19261 1433 1 The the DT 19261 1433 2 lumen luman NNS 19261 1433 3 must must MD 19261 1433 4 be be VB 19261 1433 5 kept keep VBN 19261 1433 6 in in IN 19261 1433 7 axial axial JJ 19261 1433 8 view view NN 19261 1433 9 and and CC 19261 1433 10 the the DT 19261 1433 11 head head NN 19261 1433 12 lowered lower VBD 19261 1433 13 as as IN 19261 1433 14 required require VBN 19261 1433 15 for for IN 19261 1433 16 this this DT 19261 1433 17 purpose purpose NN 19261 1433 18 . . . 19261 1434 1 _ _ NNP 19261 1434 2 Stage Stage NNP 19261 1434 3 4 4 CD 19261 1434 4 . . . 19261 1435 1 Passing pass VBG 19261 1435 2 Through through IN 19261 1435 3 the the DT 19261 1435 4 Hiatus Hiatus NNP 19261 1435 5 Esophageus_.--When Esophageus_.--When NNP 19261 1435 6 the the DT 19261 1435 7 head head NN 19261 1435 8 is be VBZ 19261 1435 9 dropped drop VBN 19261 1435 10 , , , 19261 1435 11 it -PRON- PRP 19261 1435 12 must must MD 19261 1435 13 at at IN 19261 1435 14 the the DT 19261 1435 15 same same JJ 19261 1435 16 time time NN 19261 1435 17 be be VB 19261 1435 18 moved move VBN 19261 1435 19 horizontally horizontally RB 19261 1435 20 to to IN 19261 1435 21 the the DT 19261 1435 22 right right NN 19261 1435 23 in in IN 19261 1435 24 order order NN 19261 1435 25 that that IN 19261 1435 26 the the DT 19261 1435 27 axis axi NNS 19261 1435 28 of of IN 19261 1435 29 the the DT 19261 1435 30 tube tube NN 19261 1435 31 shall shall MD 19261 1435 32 correspond correspond VB 19261 1435 33 to to IN 19261 1435 34 the the DT 19261 1435 35 axis axi NNS 19261 1435 36 of of IN 19261 1435 37 the the DT 19261 1435 38 lower low JJR 19261 1435 39 third third JJ 19261 1435 40 of of IN 19261 1435 41 the the DT 19261 1435 42 esophagus esophagus NN 19261 1435 43 , , , 19261 1435 44 which which WDT 19261 1435 45 deviates deviate VBZ 19261 1435 46 to to IN 19261 1435 47 the the DT 19261 1435 48 left left NN 19261 1435 49 and and CC 19261 1435 50 turns turn VBZ 19261 1435 51 anteriorly anteriorly RB 19261 1435 52 . . . 19261 1436 1 The the DT 19261 1436 2 head head NN 19261 1436 3 and and CC 19261 1436 4 shoulders shoulder NNS 19261 1436 5 at at IN 19261 1436 6 this this DT 19261 1436 7 time time NN 19261 1436 8 will will MD 19261 1436 9 be be VB 19261 1436 10 found find VBN 19261 1436 11 to to TO 19261 1436 12 be be VB 19261 1436 13 considerably considerably RB 19261 1436 14 below below IN 19261 1436 15 the the DT 19261 1436 16 plane plane NN 19261 1436 17 of of IN 19261 1436 18 the the DT 19261 1436 19 table table NN 19261 1436 20 top top NN 19261 1436 21 ( ( -LRB- 19261 1436 22 Fig fig NN 19261 1436 23 . . . 19261 1437 1 71 71 CD 19261 1437 2 ) ) -RRB- 19261 1437 3 . . . 19261 1438 1 The the DT 19261 1438 2 hiatal hiatal JJ 19261 1438 3 constriction constriction NN 19261 1438 4 may may MD 19261 1438 5 assume assume VB 19261 1438 6 the the DT 19261 1438 7 form form NN 19261 1438 8 of of IN 19261 1438 9 a a DT 19261 1438 10 slit slit NN 19261 1438 11 or or CC 19261 1438 12 rosette rosette NN 19261 1438 13 . . . 19261 1439 1 If if IN 19261 1439 2 the the DT 19261 1439 3 rosette rosette NN 19261 1439 4 or or CC 19261 1439 5 slit slit NN 19261 1439 6 can can MD 19261 1439 7 not not RB 19261 1439 8 be be VB 19261 1439 9 promptly promptly RB 19261 1439 10 found find VBN 19261 1439 11 , , , 19261 1439 12 as as IN 19261 1439 13 may may MD 19261 1439 14 be be VB 19261 1439 15 the the DT 19261 1439 16 case case NN 19261 1439 17 in in IN 19261 1439 18 various various JJ 19261 1439 19 degrees degree NNS 19261 1439 20 of of IN 19261 1439 21 diffuse diffuse NN 19261 1439 22 dilatation dilatation NN 19261 1439 23 , , , 19261 1439 24 the the DT 19261 1439 25 tube tube NN 19261 1439 26 mouth mouth NN 19261 1439 27 must must MD 19261 1439 28 be be VB 19261 1439 29 shifted shift VBN 19261 1439 30 farther farther RB 19261 1439 31 to to IN 19261 1439 32 the the DT 19261 1439 33 left left JJ 19261 1439 34 and and CC 19261 1439 35 anteriorly anteriorly RB 19261 1439 36 . . . 19261 1440 1 When when WRB 19261 1440 2 the the DT 19261 1440 3 tube tube NN 19261 1440 4 mouth mouth NN 19261 1440 5 is be VBZ 19261 1440 6 centered center VBN 19261 1440 7 over over IN 19261 1440 8 the the DT 19261 1440 9 hiatal hiatal JJ 19261 1440 10 constriction constriction NN 19261 1440 11 moderately moderately RB 19261 1440 12 firm firm JJ 19261 1440 13 pressure pressure NN 19261 1440 14 continued continue VBD 19261 1440 15 for for IN 19261 1440 16 a a DT 19261 1440 17 short short JJ 19261 1440 18 time time NN 19261 1440 19 will will MD 19261 1440 20 cause cause VB 19261 1440 21 it -PRON- PRP 19261 1440 22 to to TO 19261 1440 23 yield yield VB 19261 1440 24 . . . 19261 1441 1 Then then RB 19261 1441 2 the the DT 19261 1441 3 tube tube NN 19261 1441 4 , , , 19261 1441 5 maintaining maintain VBG 19261 1441 6 this this DT 19261 1441 7 same same JJ 19261 1441 8 direction direction NN 19261 1441 9 will will MD 19261 1441 10 , , , 19261 1441 11 without without IN 19261 1441 12 further further JJ 19261 1441 13 trouble trouble NN 19261 1441 14 glide glide NN 19261 1441 15 into into IN 19261 1441 16 and and CC 19261 1441 17 through through IN 19261 1441 18 the the DT 19261 1441 19 abdominal abdominal JJ 19261 1441 20 esophagus esophagus NN 19261 1441 21 . . . 19261 1442 1 The the DT 19261 1442 2 cardia cardia NN 19261 1442 3 will will MD 19261 1442 4 not not RB 19261 1442 5 be be VB 19261 1442 6 noticed notice VBN 19261 1442 7 as as IN 19261 1442 8 a a DT 19261 1442 9 constriction constriction NN 19261 1442 10 , , , 19261 1442 11 but but CC 19261 1442 12 its -PRON- PRP$ 19261 1442 13 appearance appearance NN 19261 1442 14 will will MD 19261 1442 15 be be VB 19261 1442 16 announced announce VBN 19261 1442 17 by by IN 19261 1442 18 the the DT 19261 1442 19 rolling rolling NN 19261 1442 20 in in IN 19261 1442 21 of of IN 19261 1442 22 reddish reddish JJ 19261 1442 23 gastric gastric JJ 19261 1442 24 mucosal mucosal NN 19261 1442 25 folds fold NNS 19261 1442 26 , , , 19261 1442 27 and and CC 19261 1442 28 by by IN 19261 1442 29 a a DT 19261 1442 30 gush gush NN 19261 1442 31 of of IN 19261 1442 32 fluid fluid NN 19261 1442 33 from from IN 19261 1442 34 the the DT 19261 1442 35 stomach stomach NN 19261 1442 36 . . . 19261 1443 1 [ [ -LRB- 19261 1443 2 FIG FIG NNP 19261 1443 3 . . . 19261 1444 1 70.--Schematic 70.--schematic CD 19261 1444 2 illustration illustration NN 19261 1444 3 of of IN 19261 1444 4 the the DT 19261 1444 5 author author NN 19261 1444 6 's 's POS 19261 1444 7 " " `` 19261 1444 8 high high JJ 19261 1444 9 - - HYPH 19261 1444 10 low low JJ 19261 1444 11 " " '' 19261 1444 12 method method NN 19261 1444 13 of of IN 19261 1444 14 esophagoscopy esophagoscopy JJ 19261 1444 15 , , , 19261 1444 16 fourth fourth JJ 19261 1444 17 stage stage NN 19261 1444 18 . . . 19261 1445 1 Passing pass VBG 19261 1445 2 the the DT 19261 1445 3 hiatus hiatus NN 19261 1445 4 . . . 19261 1446 1 The the DT 19261 1446 2 head head NN 19261 1446 3 is be VBZ 19261 1446 4 dropped drop VBN 19261 1446 5 from from IN 19261 1446 6 the the DT 19261 1446 7 position position NN 19261 1446 8 of of IN 19261 1446 9 the the DT 19261 1446 10 1st 1st JJ 19261 1446 11 and and CC 19261 1446 12 2nd 2nd JJ 19261 1446 13 stages stage NNS 19261 1446 14 , , , 19261 1446 15 CL CL NNP 19261 1446 16 , , , 19261 1446 17 to to IN 19261 1446 18 the the DT 19261 1446 19 position position NN 19261 1446 20 T T NNP 19261 1446 21 , , , 19261 1446 22 and and CC 19261 1446 23 at at IN 19261 1446 24 the the DT 19261 1446 25 same same JJ 19261 1446 26 time time NN 19261 1446 27 the the DT 19261 1446 28 head head NN 19261 1446 29 and and CC 19261 1446 30 shoulders shoulder NNS 19261 1446 31 are be VBP 19261 1446 32 moved move VBN 19261 1446 33 to to IN 19261 1446 34 the the DT 19261 1446 35 right right NN 19261 1446 36 ( ( -LRB- 19261 1446 37 without without IN 19261 1446 38 rotation rotation NN 19261 1446 39 ) ) -RRB- 19261 1446 40 which which WDT 19261 1446 41 gives give VBZ 19261 1446 42 the the DT 19261 1446 43 necessary necessary JJ 19261 1446 44 direction direction NN 19261 1446 45 for for IN 19261 1446 46 passing pass VBG 19261 1446 47 the the DT 19261 1446 48 hiatus hiatus NN 19261 1446 49 . . . 19261 1446 50 ] ] -RRB- 19261 1447 1 [ [ -LRB- 19261 1447 2 FIG FIG NNP 19261 1447 3 . . . 19261 1448 1 71.--Esophagoscopy 71.--esophagoscopy CD 19261 1448 2 by by IN 19261 1448 3 the the DT 19261 1448 4 author author NN 19261 1448 5 's 's POS 19261 1448 6 " " `` 19261 1448 7 high high JJ 19261 1448 8 - - HYPH 19261 1448 9 low low JJ 19261 1448 10 " " '' 19261 1448 11 method method NN 19261 1448 12 . . . 19261 1449 1 Stage stage NN 19261 1449 2 4 4 CD 19261 1449 3 . . . 19261 1450 1 Passing pass VBG 19261 1450 2 the the DT 19261 1450 3 hiatus hiatus NN 19261 1450 4 The the DT 19261 1450 5 patient patient NN 19261 1450 6 's 's POS 19261 1450 7 vertex vertex NN 19261 1450 8 is be VBZ 19261 1450 9 about about RB 19261 1450 10 5 5 CD 19261 1450 11 cm cm NNS 19261 1450 12 . . . 19261 1451 1 below below IN 19261 1451 2 the the DT 19261 1451 3 top top NN 19261 1451 4 of of IN 19261 1451 5 the the DT 19261 1451 6 table table NN 19261 1451 7 . . . 19261 1451 8 ] ] -RRB- 19261 1452 1 _ _ NNP 19261 1452 2 Normal normal JJ 19261 1452 3 esophageal esophageal JJ 19261 1452 4 mucosa mucosa NNS 19261 1452 5 _ _ NNP 19261 1452 6 under under IN 19261 1452 7 proper proper JJ 19261 1452 8 illumination illumination NN 19261 1452 9 is be VBZ 19261 1452 10 glistening glisten VBG 19261 1452 11 and and CC 19261 1452 12 of of IN 19261 1452 13 a a DT 19261 1452 14 yellowish yellowish JJ 19261 1452 15 or or CC 19261 1452 16 bluish bluish JJ 19261 1452 17 pink pink NN 19261 1452 18 . . . 19261 1453 1 The the DT 19261 1453 2 folds fold NNS 19261 1453 3 are be VBP 19261 1453 4 soft soft JJ 19261 1453 5 and and CC 19261 1453 6 velvety velvety JJ 19261 1453 7 , , , 19261 1453 8 rendering render VBG 19261 1453 9 infiltration infiltration NN 19261 1453 10 quickly quickly RB 19261 1453 11 noticeable noticeable JJ 19261 1453 12 . . . 19261 1454 1 The the DT 19261 1454 2 cricoid cricoid NN 19261 1454 3 cartilage cartilage NN 19261 1454 4 shows show VBZ 19261 1454 5 white white JJ 19261 1454 6 through through IN 19261 1454 7 the the DT 19261 1454 8 mucosa mucosa NNS 19261 1454 9 . . . 19261 1455 1 The the DT 19261 1455 2 gastric gastric JJ 19261 1455 3 mucosa mucosa NN 19261 1455 4 is be VBZ 19261 1455 5 a a DT 19261 1455 6 darker dark JJR 19261 1455 7 pink pink JJ 19261 1455 8 than than IN 19261 1455 9 that that DT 19261 1455 10 of of IN 19261 1455 11 the the DT 19261 1455 12 esophagus esophagus NN 19261 1455 13 and and CC 19261 1455 14 when when WRB 19261 1455 15 actively actively RB 19261 1455 16 secreting secrete VBG 19261 1455 17 , , , 19261 1455 18 its -PRON- PRP$ 19261 1455 19 color color NN 19261 1455 20 in in IN 19261 1455 21 some some DT 19261 1455 22 cases case NNS 19261 1455 23 tends tend VBZ 19261 1455 24 toward toward IN 19261 1455 25 crimson crimson NN 19261 1455 26 . . . 19261 1456 1 _ _ NNP 19261 1456 2 Secretions Secretions NNPS 19261 1456 3 _ _ NNP 19261 1456 4 in in IN 19261 1456 5 the the DT 19261 1456 6 esophagus esophagus NN 19261 1456 7 are be VBP 19261 1456 8 readily readily RB 19261 1456 9 aspirated aspirate VBN 19261 1456 10 through through IN 19261 1456 11 the the DT 19261 1456 12 drainage drainage NN 19261 1456 13 canal canal NN 19261 1456 14 by by IN 19261 1456 15 a a DT 19261 1456 16 negative negative JJ 19261 1456 17 pressure pressure NN 19261 1456 18 pump pump NN 19261 1456 19 . . . 19261 1457 1 Food food NN 19261 1457 2 particles particle NNS 19261 1457 3 are be VBP 19261 1457 4 best best RB 19261 1457 5 removed remove VBN 19261 1457 6 by by IN 19261 1457 7 " " `` 19261 1457 8 sponge sponge NN 19261 1457 9 pumping pumping NN 19261 1457 10 , , , 19261 1457 11 " " '' 19261 1457 12 or or CC 19261 1457 13 with with IN 19261 1457 14 forceps forceps NNS 19261 1457 15 . . . 19261 1458 1 Should Should MD 19261 1458 2 the the DT 19261 1458 3 drainage drainage NN 19261 1458 4 canal canal NN 19261 1458 5 become become VBP 19261 1458 6 obstructed obstructed JJ 19261 1458 7 positive positive JJ 19261 1458 8 pressure pressure NN 19261 1458 9 from from IN 19261 1458 10 the the DT 19261 1458 11 pump pump NN 19261 1458 12 will will MD 19261 1458 13 clear clear VB 19261 1458 14 the the DT 19261 1458 15 canal canal NN 19261 1458 16 . . . 19261 1459 1 _ _ NNP 19261 1459 2 Difficulties difficulty NNS 19261 1459 3 of of IN 19261 1459 4 Esophagoscopy_.--The Esophagoscopy_.--The NNS 19261 1459 5 beginner beginner NN 19261 1459 6 may may MD 19261 1459 7 find find VB 19261 1459 8 the the DT 19261 1459 9 esophagoscope esophagoscope NN 19261 1459 10 seemingly seemingly RB 19261 1459 11 rigidly rigidly RB 19261 1459 12 fixed fix VBN 19261 1459 13 , , , 19261 1459 14 so so IN 19261 1459 15 that that IN 19261 1459 16 it -PRON- PRP 19261 1459 17 can can MD 19261 1459 18 be be VB 19261 1459 19 neither neither CC 19261 1459 20 introduced introduce VBN 19261 1459 21 nor nor CC 19261 1459 22 withdrawn withdraw VBN 19261 1459 23 . . . 19261 1460 1 This this DT 19261 1460 2 usually usually RB 19261 1460 3 results result VBZ 19261 1460 4 from from IN 19261 1460 5 a a DT 19261 1460 6 wedging wedging NN 19261 1460 7 of of IN 19261 1460 8 the the DT 19261 1460 9 tube tube NN 19261 1460 10 in in IN 19261 1460 11 the the DT 19261 1460 12 dental dental JJ 19261 1460 13 angle angle NN 19261 1460 14 , , , 19261 1460 15 and and CC 19261 1460 16 is be VBZ 19261 1460 17 overcome overcome VBN 19261 1460 18 by by IN 19261 1460 19 a a DT 19261 1460 20 wider wide JJR 19261 1460 21 opening opening NN 19261 1460 22 of of IN 19261 1460 23 the the DT 19261 1460 24 jaws jaw NNS 19261 1460 25 , , , 19261 1460 26 or or CC 19261 1460 27 perhaps perhaps RB 19261 1460 28 by by IN 19261 1460 29 easing ease VBG 19261 1460 30 up up RP 19261 1460 31 of of IN 19261 1460 32 the the DT 19261 1460 33 bite bite NN 19261 1460 34 block block NN 19261 1460 35 , , , 19261 1460 36 but but CC 19261 1460 37 most most RBS 19261 1460 38 often often RB 19261 1460 39 by by IN 19261 1460 40 correcting correct VBG 19261 1460 41 the the DT 19261 1460 42 position position NN 19261 1460 43 of of IN 19261 1460 44 the the DT 19261 1460 45 patient patient NN 19261 1460 46 's 's POS 19261 1460 47 head head NN 19261 1460 48 . . . 19261 1461 1 If if IN 19261 1461 2 the the DT 19261 1461 3 beginner beginner NN 19261 1461 4 can can MD 19261 1461 5 not not RB 19261 1461 6 start start VB 19261 1461 7 the the DT 19261 1461 8 tube tube NN 19261 1461 9 into into IN 19261 1461 10 the the DT 19261 1461 11 pyriform pyriform NN 19261 1461 12 sinus sinus NN 19261 1461 13 in in IN 19261 1461 14 an an DT 19261 1461 15 adult adult NN 19261 1461 16 , , , 19261 1461 17 it -PRON- PRP 19261 1461 18 is be VBZ 19261 1461 19 a a DT 19261 1461 20 good good JJ 19261 1461 21 plan plan NN 19261 1461 22 to to TO 19261 1461 23 expose expose VB 19261 1461 24 the the DT 19261 1461 25 arytenoid arytenoid JJ 19261 1461 26 eminence eminence NN 19261 1461 27 with with IN 19261 1461 28 the the DT 19261 1461 29 laryngoscope laryngoscope NN 19261 1461 30 and and CC 19261 1461 31 then then RB 19261 1461 32 to to TO 19261 1461 33 insert insert VB 19261 1461 34 the the DT 19261 1461 35 7 7 CD 19261 1461 36 mm mm NN 19261 1461 37 . . . 19261 1462 1 esophagoscope esophagoscope VB 19261 1462 2 into into IN 19261 1462 3 the the DT 19261 1462 4 right right JJ 19261 1462 5 pyriform pyriform NN 19261 1462 6 sinus sinus NN 19261 1462 7 by by IN 19261 1462 8 direct direct JJ 19261 1462 9 vision vision NN 19261 1462 10 . . . 19261 1463 1 Passing pass VBG 19261 1463 2 the the DT 19261 1463 3 cricopharyngeal cricopharyngeal NN 19261 1463 4 and and CC 19261 1463 5 hiatal hiatal JJ 19261 1463 6 spasmodically spasmodically RB 19261 1463 7 contracted contract VBN 19261 1463 8 narrowings narrowing NNS 19261 1463 9 will will MD 19261 1463 10 prove prove VB 19261 1463 11 the the DT 19261 1463 12 most most RBS 19261 1463 13 trying trying JJ 19261 1463 14 part part NN 19261 1463 15 of of IN 19261 1463 16 esophagoscopy esophagoscopy NN 19261 1463 17 ; ; : 19261 1463 18 but but CC 19261 1463 19 with with IN 19261 1463 20 the the DT 19261 1463 21 head head NN 19261 1463 22 properly properly RB 19261 1463 23 held hold VBN 19261 1463 24 , , , 19261 1463 25 and and CC 19261 1463 26 the the DT 19261 1463 27 tube tube NN 19261 1463 28 properly properly RB 19261 1463 29 placed place VBN 19261 1463 30 and and CC 19261 1463 31 directed direct VBN 19261 1463 32 , , , 19261 1463 33 patient patient JJ 19261 1463 34 waiting wait VBG 19261 1463 35 for for IN 19261 1463 36 relaxation relaxation NN 19261 1463 37 of of IN 19261 1463 38 the the DT 19261 1463 39 spasm spasm NN 19261 1463 40 with with IN 19261 1463 41 gentle gentle JJ 19261 1463 42 continuous continuous JJ 19261 1463 43 pressure pressure NN 19261 1463 44 will will MD 19261 1463 45 usually usually RB 19261 1463 46 expose expose VB 19261 1463 47 the the DT 19261 1463 48 lumen luman NNS 19261 1463 49 ahead ahead RB 19261 1463 50 . . . 19261 1464 1 In in IN 19261 1464 2 his -PRON- PRP$ 19261 1464 3 first first JJ 19261 1464 4 few few JJ 19261 1464 5 esophagoscopies esophagoscopie NNS 19261 1464 6 the the DT 19261 1464 7 novice novice NN 19261 1464 8 had have VBD 19261 1464 9 best good JJS 19261 1464 10 use use NN 19261 1464 11 general general JJ 19261 1464 12 anesthesia anesthesia NNP 19261 1464 13 to to TO 19261 1464 14 avoid avoid VB 19261 1464 15 these these DT 19261 1464 16 difficulties difficulty NNS 19261 1464 17 and and CC 19261 1464 18 to to TO 19261 1464 19 accustom accustom VB 19261 1464 20 himself -PRON- PRP 19261 1464 21 to to IN 19261 1464 22 the the DT 19261 1464 23 esophageal esophageal JJ 19261 1464 24 image image NN 19261 1464 25 . . . 19261 1465 1 In in IN 19261 1465 2 the the DT 19261 1465 3 first first JJ 19261 1465 4 favorable favorable JJ 19261 1465 5 subject subject NN 19261 1465 6 -- -- : 19261 1465 7 an an DT 19261 1465 8 emaciated emaciate VBN 19261 1465 9 individual individual NN 19261 1465 10 with with IN 19261 1465 11 no no DT 19261 1465 12 teeth tooth NNS 19261 1465 13 -- -- : 19261 1465 14 esophagoscopy esophagoscopy RB 19261 1465 15 without without IN 19261 1465 16 anesthesia anesthesia NNP 19261 1465 17 should should MD 19261 1465 18 be be VB 19261 1465 19 tried try VBN 19261 1465 20 . . . 19261 1466 1 In in IN 19261 1466 2 cases case NNS 19261 1466 3 of of IN 19261 1466 4 kyphosis kyphosis NN 19261 1466 5 it -PRON- PRP 19261 1466 6 is be VBZ 19261 1466 7 a a DT 19261 1466 8 mistake mistake NN 19261 1466 9 to to TO 19261 1466 10 try try VB 19261 1466 11 to to TO 19261 1466 12 straighten straighten VB 19261 1466 13 the the DT 19261 1466 14 spine spine NN 19261 1466 15 . . . 19261 1467 1 The the DT 19261 1467 2 head head NN 19261 1467 3 should should MD 19261 1467 4 be be VB 19261 1467 5 held hold VBN 19261 1467 6 correspondingly correspondingly RB 19261 1467 7 higher high JJR 19261 1467 8 at at IN 19261 1467 9 the the DT 19261 1467 10 beginning beginning NN 19261 1467 11 , , , 19261 1467 12 and and CC 19261 1467 13 should should MD 19261 1467 14 be be VB 19261 1467 15 very very RB 19261 1467 16 slowly slowly RB 19261 1467 17 and and CC 19261 1467 18 cautiously cautiously RB 19261 1467 19 lowered lower VBN 19261 1467 20 . . . 19261 1468 1 Once once RB 19261 1468 2 inserted insert VBN 19261 1468 3 , , , 19261 1468 4 the the DT 19261 1468 5 esophagoscope esophagoscope NN 19261 1468 6 should should MD 19261 1468 7 not not RB 19261 1468 8 be be VB 19261 1468 9 removed remove VBN 19261 1468 10 until until IN 19261 1468 11 the the DT 19261 1468 12 completion completion NN 19261 1468 13 of of IN 19261 1468 14 the the DT 19261 1468 15 procedure procedure NN 19261 1468 16 , , , 19261 1468 17 unless unless IN 19261 1468 18 respiratory respiratory JJ 19261 1468 19 arrest arrest NN 19261 1468 20 demands demand VBZ 19261 1468 21 it -PRON- PRP 19261 1468 22 . . . 19261 1469 1 Occasionally occasionally RB 19261 1469 2 in in IN 19261 1469 3 stenotic stenotic JJ 19261 1469 4 conditions condition NNS 19261 1469 5 the the DT 19261 1469 6 light light NN 19261 1469 7 may may MD 19261 1469 8 become become VB 19261 1469 9 covered cover VBN 19261 1469 10 by by IN 19261 1469 11 the the DT 19261 1469 12 upwelling upwelling NN 19261 1469 13 of of IN 19261 1469 14 a a DT 19261 1469 15 flood flood NN 19261 1469 16 of of IN 19261 1469 17 fluid fluid NN 19261 1469 18 , , , 19261 1469 19 and and CC 19261 1469 20 it -PRON- PRP 19261 1469 21 will will MD 19261 1469 22 be be VB 19261 1469 23 thought think VBN 19261 1469 24 the the DT 19261 1469 25 light light NN 19261 1469 26 has have VBZ 19261 1469 27 gone go VBN 19261 1469 28 out out RB 19261 1469 29 . . . 19261 1470 1 As as RB 19261 1470 2 soon soon RB 19261 1470 3 as as IN 19261 1470 4 the the DT 19261 1470 5 fluid fluid NN 19261 1470 6 has have VBZ 19261 1470 7 been be VBN 19261 1470 8 aspirated aspirate VBN 19261 1470 9 the the DT 19261 1470 10 light light NN 19261 1470 11 will will MD 19261 1470 12 be be VB 19261 1470 13 found find VBN 19261 1470 14 burning burn VBG 19261 1470 15 as as RB 19261 1470 16 brightly brightly RB 19261 1470 17 as as IN 19261 1470 18 before before RB 19261 1470 19 . . . 19261 1471 1 If if IN 19261 1471 2 a a DT 19261 1471 3 lamp lamp NN 19261 1471 4 should should MD 19261 1471 5 fail fail VB 19261 1471 6 it -PRON- PRP 19261 1471 7 is be VBZ 19261 1471 8 unnecessary unnecessary JJ 19261 1471 9 to to TO 19261 1471 10 remove remove VB 19261 1471 11 the the DT 19261 1471 12 tube tube NN 19261 1471 13 , , , 19261 1471 14 as as IN 19261 1471 15 the the DT 19261 1471 16 light light JJ 19261 1471 17 carrier carrier NN 19261 1471 18 and and CC 19261 1471 19 light light NN 19261 1471 20 can can MD 19261 1471 21 be be VB 19261 1471 22 withdrawn withdraw VBN 19261 1471 23 and and CC 19261 1471 24 quickly quickly RB 19261 1471 25 adjusted adjust VBN 19261 1471 26 . . . 19261 1472 1 A a DT 19261 1472 2 complete complete JJ 19261 1472 3 instrument instrument NN 19261 1472 4 equipment equipment NN 19261 1472 5 with with IN 19261 1472 6 proper proper JJ 19261 1472 7 selection selection NN 19261 1472 8 of of IN 19261 1472 9 instruments instrument NNS 19261 1472 10 for for IN 19261 1472 11 the the DT 19261 1472 12 particular particular JJ 19261 1472 13 case case NN 19261 1472 14 are be VBP 19261 1472 15 necessary necessary JJ 19261 1472 16 for for IN 19261 1472 17 smooth smooth JJ 19261 1472 18 working working NN 19261 1472 19 . . . 19261 1473 1 _ _ NNP 19261 1473 2 Ballooning Ballooning NNP 19261 1473 3 Esophagoscopy_.--By esophagoscopy_.--by IN 19261 1473 4 inserting insert VBG 19261 1473 5 the the DT 19261 1473 6 window window NN 19261 1473 7 plug plug NN 19261 1473 8 shown show VBN 19261 1473 9 in in IN 19261 1473 10 Fig Fig NNP 19261 1473 11 . . . 19261 1474 1 6 6 CD 19261 1474 2 the the DT 19261 1474 3 esophagus esophagus NN 19261 1474 4 may may MD 19261 1474 5 be be VB 19261 1474 6 inflated inflate VBN 19261 1474 7 and and CC 19261 1474 8 studied study VBN 19261 1474 9 in in IN 19261 1474 10 the the DT 19261 1474 11 distended distended JJ 19261 1474 12 state state NN 19261 1474 13 . . . 19261 1475 1 The the DT 19261 1475 2 folds fold NNS 19261 1475 3 are be VBP 19261 1475 4 thus thus RB 19261 1475 5 smoothed smooth VBN 19261 1475 6 out out RP 19261 1475 7 and and CC 19261 1475 8 constrictions constriction NNS 19261 1475 9 rendered render VBD 19261 1475 10 more more RBR 19261 1475 11 marked marked JJ 19261 1475 12 . . . 19261 1476 1 Ether ether JJ 19261 1476 2 anesthesia anesthesia NNP 19261 1476 3 is be VBZ 19261 1476 4 advocated advocate VBN 19261 1476 5 by by IN 19261 1476 6 Mosher Mosher NNP 19261 1476 7 . . . 19261 1477 1 The the DT 19261 1477 2 danger danger NN 19261 1477 3 of of IN 19261 1477 4 respiratory respiratory JJ 19261 1477 5 arrest arrest NN 19261 1477 6 from from IN 19261 1477 7 pressure pressure NN 19261 1477 8 , , , 19261 1477 9 should should MD 19261 1477 10 the the DT 19261 1477 11 patient patient NN 19261 1477 12 be be VB 19261 1477 13 dyspneic dyspneic NN 19261 1477 14 , , , 19261 1477 15 is be VBZ 19261 1477 16 always always RB 19261 1477 17 present present JJ 19261 1477 18 unless unless IN 19261 1477 19 the the DT 19261 1477 20 anesthetic anesthetic JJ 19261 1477 21 be be VB 19261 1477 22 given give VBN 19261 1477 23 by by IN 19261 1477 24 the the DT 19261 1477 25 intratracheal intratracheal NN 19261 1477 26 method method NN 19261 1477 27 . . . 19261 1478 1 If if IN 19261 1478 2 necessary necessary JJ 19261 1478 3 to to TO 19261 1478 4 use use VB 19261 1478 5 forceps forceps NNP 19261 1478 6 the the DT 19261 1478 7 window window NN 19261 1478 8 cap cap NN 19261 1478 9 is be VBZ 19261 1478 10 removed remove VBN 19261 1478 11 . . . 19261 1479 1 If if IN 19261 1479 2 the the DT 19261 1479 3 perforated perforated JJ 19261 1479 4 rubber rubber NN 19261 1479 5 diaphragm diaphragm DT 19261 1479 6 cap cap NN 19261 1479 7 be be VB 19261 1479 8 substituted substitute VBN 19261 1479 9 the the DT 19261 1479 10 esophagus esophagus NN 19261 1479 11 can can MD 19261 1479 12 be be VB 19261 1479 13 reballooned reballoone VBN 19261 1479 14 , , , 19261 1479 15 but but CC 19261 1479 16 work work NN 19261 1479 17 is be VBZ 19261 1479 18 no no DT 19261 1479 19 longer long RBR 19261 1479 20 ocularly ocularly RB 19261 1479 21 guided guide VBN 19261 1479 22 . . . 19261 1480 1 The the DT 19261 1480 2 fluoroscope fluoroscope NN 19261 1480 3 may may MD 19261 1480 4 be be VB 19261 1480 5 used use VBN 19261 1480 6 but but CC 19261 1480 7 is be VBZ 19261 1480 8 so so RB 19261 1480 9 misleading misleading JJ 19261 1480 10 as as IN 19261 1480 11 to to TO 19261 1480 12 render render VB 19261 1480 13 perforation perforation NN 19261 1480 14 and and CC 19261 1480 15 false false JJ 19261 1480 16 passage passage NN 19261 1480 17 likely likely RB 19261 1480 18 . . . 19261 1481 1 _ _ NNP 19261 1481 2 Specular Specular NNP 19261 1481 3 Esophagoscopy_.--Inspection esophagoscopy_.--inspection NN 19261 1481 4 of of IN 19261 1481 5 the the DT 19261 1481 6 hypopharynx hypopharynx JJ 19261 1481 7 and and CC 19261 1481 8 upper upper JJ 19261 1481 9 esophagus esophagus NN 19261 1481 10 is be VBZ 19261 1481 11 readily readily RB 19261 1481 12 made make VBN 19261 1481 13 with with IN 19261 1481 14 the the DT 19261 1481 15 esophageal esophageal JJ 19261 1481 16 speculum speculum NN 19261 1481 17 shown show VBN 19261 1481 18 in in IN 19261 1481 19 Fig Fig NNP 19261 1481 20 . . . 19261 1482 1 4 4 LS 19261 1482 2 . . . 19261 1483 1 High high JJ 19261 1483 2 lesions lesion NNS 19261 1483 3 and and CC 19261 1483 4 foreign foreign JJ 19261 1483 5 bodies body NNS 19261 1483 6 lodged lodge VBD 19261 1483 7 behind behind IN 19261 1483 8 the the DT 19261 1483 9 larynx larynx NN 19261 1483 10 are be VBP 19261 1483 11 thus thus RB 19261 1483 12 discovered discover VBN 19261 1483 13 with with IN 19261 1483 14 ease ease NN 19261 1483 15 , , , 19261 1483 16 and and CC 19261 1483 17 such such PDT 19261 1483 18 a a DT 19261 1483 19 condition condition NN 19261 1483 20 as as IN 19261 1483 21 a a DT 19261 1483 22 retropharyngeal retropharyngeal JJ 19261 1483 23 abscess abscess NN 19261 1483 24 which which WDT 19261 1483 25 has have VBZ 19261 1483 26 burrowed burrow VBN 19261 1483 27 downward downward RB 19261 1483 28 is be VBZ 19261 1483 29 much much RB 19261 1483 30 less less JJR 19261 1483 31 apt apt JJ 19261 1483 32 to to TO 19261 1483 33 be be VB 19261 1483 34 overlooked overlook VBN 19261 1483 35 than than IN 19261 1483 36 with with IN 19261 1483 37 the the DT 19261 1483 38 esophagoscope esophagoscope NN 19261 1483 39 . . . 19261 1484 1 High high JJ 19261 1484 2 strictures stricture NNS 19261 1484 3 of of IN 19261 1484 4 the the DT 19261 1484 5 esophagus esophagus NN 19261 1484 6 may may MD 19261 1484 7 be be VB 19261 1484 8 exposed expose VBN 19261 1484 9 and and CC 19261 1484 10 treated treat VBN 19261 1484 11 by by IN 19261 1484 12 direct direct JJ 19261 1484 13 visual visual JJ 19261 1484 14 bouginage bouginage NN 19261 1484 15 until until IN 19261 1484 16 the the DT 19261 1484 17 lumen luman NNS 19261 1484 18 is be VBZ 19261 1484 19 sufficiently sufficiently RB 19261 1484 20 dilated dilate VBN 19261 1484 21 to to TO 19261 1484 22 allow allow VB 19261 1484 23 the the DT 19261 1484 24 passage passage NN 19261 1484 25 of of IN 19261 1484 26 the the DT 19261 1484 27 esophagoscope esophagoscope NN 19261 1484 28 for for IN 19261 1484 29 bouginage bouginage NN 19261 1484 30 of of IN 19261 1484 31 the the DT 19261 1484 32 deeper deep JJR 19261 1484 33 strictures stricture NNS 19261 1484 34 . . . 19261 1485 1 _ _ NNP 19261 1485 2 Technic Technic NNP 19261 1485 3 of of IN 19261 1485 4 Specular Specular NNP 19261 1485 5 Esophagoscopy_.--Recumbent esophagoscopy_.--recumbent NN 19261 1485 6 patient patient NN 19261 1485 7 . . . 19261 1486 1 Boyce Boyce NNP 19261 1486 2 position position NN 19261 1486 3 . . . 19261 1487 1 The the DT 19261 1487 2 larynx larynx NN 19261 1487 3 is be VBZ 19261 1487 4 to to TO 19261 1487 5 be be VB 19261 1487 6 exposed expose VBN 19261 1487 7 as as IN 19261 1487 8 in in IN 19261 1487 9 direct direct JJ 19261 1487 10 laryngoscopy laryngoscopy NN 19261 1487 11 , , , 19261 1487 12 the the DT 19261 1487 13 right right JJ 19261 1487 14 pyriform pyriform NN 19261 1487 15 sinus sinus NN 19261 1487 16 identified identify VBN 19261 1487 17 , , , 19261 1487 18 the the DT 19261 1487 19 tip tip NN 19261 1487 20 of of IN 19261 1487 21 the the DT 19261 1487 22 speculum speculum NN 19261 1487 23 inserted insert VBN 19261 1487 24 therein therein RB 19261 1487 25 , , , 19261 1487 26 and and CC 19261 1487 27 gently gently RB 19261 1487 28 insinuated insinuate VBD 19261 1487 29 to to IN 19261 1487 30 the the DT 19261 1487 31 cricopharyngeal cricopharyngeal JJ 19261 1487 32 constriction constriction NN 19261 1487 33 . . . 19261 1488 1 Too too RB 19261 1488 2 great great JJ 19261 1488 3 extension extension NN 19261 1488 4 of of IN 19261 1488 5 the the DT 19261 1488 6 head head NN 19261 1488 7 is be VBZ 19261 1488 8 to to TO 19261 1488 9 be be VB 19261 1488 10 avoided avoid VBN 19261 1488 11 -- -- : 19261 1488 12 even even RB 19261 1488 13 slight slight JJ 19261 1488 14 flexion flexion NN 19261 1488 15 at at IN 19261 1488 16 the the DT 19261 1488 17 occipito occipito NNP 19261 1488 18 - - HYPH 19261 1488 19 atloid atloid NNP 19261 1488 20 joint joint NN 19261 1488 21 may may MD 19261 1488 22 be be VB 19261 1488 23 found find VBN 19261 1488 24 useful useful JJ 19261 1488 25 at at IN 19261 1488 26 times time NNS 19261 1488 27 . . . 19261 1489 1 Moderate moderate JJ 19261 1489 2 anterior anterior NN 19261 1489 3 or or CC 19261 1489 4 upward upward JJ 19261 1489 5 traction traction NN 19261 1489 6 pulls pull VBZ 19261 1489 7 the the DT 19261 1489 8 cricoid cricoid NN 19261 1489 9 away away RB 19261 1489 10 from from IN 19261 1489 11 the the DT 19261 1489 12 posterior posterior NN 19261 1489 13 pharyngeal pharyngeal NN 19261 1489 14 wall wall NN 19261 1489 15 and and CC 19261 1489 16 the the DT 19261 1489 17 lumen luman NNS 19261 1489 18 of of IN 19261 1489 19 the the DT 19261 1489 20 esophagus esophagus NN 19261 1489 21 opens open VBZ 19261 1489 22 above above IN 19261 1489 23 a a DT 19261 1489 24 crescentic crescentic JJ 19261 1489 25 fold fold NN 19261 1489 26 ( ( -LRB- 19261 1489 27 the the DT 19261 1489 28 cricopharyngeus cricopharyngeus NN 19261 1489 29 ) ) -RRB- 19261 1489 30 . . . 19261 1490 1 The the DT 19261 1490 2 speculum speculum NN 19261 1490 3 readily readily RB 19261 1490 4 slides slide VBZ 19261 1490 5 over over IN 19261 1490 6 this this DT 19261 1490 7 fold fold NN 19261 1490 8 and and CC 19261 1490 9 enters enter VBZ 19261 1490 10 the the DT 19261 1490 11 cervical cervical JJ 19261 1490 12 esophagus esophagus NN 19261 1490 13 . . . 19261 1491 1 In in IN 19261 1491 2 searching search VBG 19261 1491 3 for for IN 19261 1491 4 foreign foreign JJ 19261 1491 5 bodies body NNS 19261 1491 6 in in IN 19261 1491 7 the the DT 19261 1491 8 esophagus esophagus NN 19261 1491 9 the the DT 19261 1491 10 speculum speculum NN 19261 1491 11 has have VBZ 19261 1491 12 the the DT 19261 1491 13 disadvantage disadvantage NN 19261 1491 14 of of IN 19261 1491 15 limited limited JJ 19261 1491 16 length length NN 19261 1491 17 , , , 19261 1491 18 so so IN 19261 1491 19 that that DT 19261 1491 20 should should MD 19261 1491 21 the the DT 19261 1491 22 foreign foreign JJ 19261 1491 23 body body NN 19261 1491 24 move move VB 19261 1491 25 downward downward RB 19261 1491 26 it -PRON- PRP 19261 1491 27 could could MD 19261 1491 28 not not RB 19261 1491 29 be be VB 19261 1491 30 followed follow VBN 19261 1491 31 . . . 19261 1492 1 _ _ NNP 19261 1492 2 Complications Complications NNP 19261 1492 3 Following follow VBG 19261 1492 4 Esophagoscopy_.--These Esophagoscopy_.--These NNPS 19261 1492 5 are be VBP 19261 1492 6 to to TO 19261 1492 7 be be VB 19261 1492 8 avoided avoid VBN 19261 1492 9 in in IN 19261 1492 10 large large JJ 19261 1492 11 measure measure NN 19261 1492 12 by by IN 19261 1492 13 the the DT 19261 1492 14 exercise exercise NN 19261 1492 15 of of IN 19261 1492 16 gentleness gentleness NN 19261 1492 17 , , , 19261 1492 18 care care NN 19261 1492 19 , , , 19261 1492 20 and and CC 19261 1492 21 skill skill NN 19261 1492 22 that that WDT 19261 1492 23 are be VBP 19261 1492 24 acquired acquire VBN 19261 1492 25 by by IN 19261 1492 26 practice practice NN 19261 1492 27 . . . 19261 1493 1 If if IN 19261 1493 2 the the DT 19261 1493 3 instructions instruction NNS 19261 1493 4 herein herein NNP 19261 1493 5 given give VBN 19261 1493 6 are be VBP 19261 1493 7 followed follow VBN 19261 1493 8 , , , 19261 1493 9 esophagoscopy esophagoscopy JJ 19261 1493 10 is be VBZ 19261 1493 11 absolutely absolutely RB 19261 1493 12 without without IN 19261 1493 13 mortality mortality NN 19261 1493 14 apart apart RB 19261 1493 15 from from IN 19261 1493 16 the the DT 19261 1493 17 conditions condition NNS 19261 1493 18 for for IN 19261 1493 19 which which WDT 19261 1493 20 it -PRON- PRP 19261 1493 21 is be VBZ 19261 1493 22 done do VBN 19261 1493 23 . . . 19261 1494 1 Injury injury NN 19261 1494 2 to to IN 19261 1494 3 the the DT 19261 1494 4 crico crico NN 19261 1494 5 - - HYPH 19261 1494 6 arytenoid arytenoid NN 19261 1494 7 joint joint NN 19261 1494 8 may may MD 19261 1494 9 simulate simulate VB 19261 1494 10 recurrent recurrent JJ 19261 1494 11 paralysis paralysis NN 19261 1494 12 . . . 19261 1495 1 Posticus posticus JJ 19261 1495 2 paralysis paralysis NN 19261 1495 3 may may MD 19261 1495 4 occur occur VB 19261 1495 5 from from IN 19261 1495 6 recurrent recurrent JJ 19261 1495 7 or or CC 19261 1495 8 vagal vagal JJ 19261 1495 9 pressure pressure NN 19261 1495 10 by by IN 19261 1495 11 a a DT 19261 1495 12 misdirected misdirect VBN 19261 1495 13 esophagoscope esophagoscope NN 19261 1495 14 . . . 19261 1496 1 These these DT 19261 1496 2 conditions condition NNS 19261 1496 3 usually usually RB 19261 1496 4 recover recover VBP 19261 1496 5 but but CC 19261 1496 6 may may MD 19261 1496 7 persist persist VB 19261 1496 8 . . . 19261 1497 1 Perforation perforation NN 19261 1497 2 of of IN 19261 1497 3 the the DT 19261 1497 4 esophageal esophageal JJ 19261 1497 5 wall wall NN 19261 1497 6 may may MD 19261 1497 7 cause cause VB 19261 1497 8 death death NN 19261 1497 9 from from IN 19261 1497 10 septic septic NN 19261 1497 11 mediastinitis mediastinitis NN 19261 1497 12 . . . 19261 1498 1 The the DT 19261 1498 2 pleura pleura NN 19261 1498 3 may may MD 19261 1498 4 be be VB 19261 1498 5 entered,--pyopneumothorax entered,--pyopneumothorax , 19261 1498 6 will will MD 19261 1498 7 result result VB 19261 1498 8 and and CC 19261 1498 9 demand demand VB 19261 1498 10 immediate immediate JJ 19261 1498 11 thoracotomy thoracotomy NN 19261 1498 12 and and CC 19261 1498 13 gastrostomy gastrostomy NN 19261 1498 14 . . . 19261 1499 1 Aneurysm Aneurysm NNS 19261 1499 2 of of IN 19261 1499 3 the the DT 19261 1499 4 aorta aorta NN 19261 1499 5 may may MD 19261 1499 6 be be VB 19261 1499 7 ruptured rupture VBN 19261 1499 8 . . . 19261 1500 1 Patients patient NNS 19261 1500 2 with with IN 19261 1500 3 tuberculosis tuberculosis NN 19261 1500 4 , , , 19261 1500 5 decompensating decompensate VBG 19261 1500 6 cardiovascular cardiovascular JJ 19261 1500 7 lesions lesion NNS 19261 1500 8 , , , 19261 1500 9 or or CC 19261 1500 10 other other JJ 19261 1500 11 advanced advanced JJ 19261 1500 12 organic organic JJ 19261 1500 13 disease disease NN 19261 1500 14 , , , 19261 1500 15 may may MD 19261 1500 16 have have VB 19261 1500 17 serious serious JJ 19261 1500 18 complications complication NNS 19261 1500 19 precipitated precipitate VBN 19261 1500 20 by by IN 19261 1500 21 esophagoscopy esophagoscopy NNP 19261 1500 22 . . . 19261 1501 1 _ _ NNP 19261 1501 2 Retrograde Retrograde NNP 19261 1501 3 Esophagoscopy_.--The Esophagoscopy_.--The NNP 19261 1501 4 first first JJ 19261 1501 5 step step NN 19261 1501 6 is be VBZ 19261 1501 7 to to TO 19261 1501 8 get get VB 19261 1501 9 rid rid VBN 19261 1501 10 of of IN 19261 1501 11 the the DT 19261 1501 12 gastric gastric JJ 19261 1501 13 secretions secretion NNS 19261 1501 14 . . . 19261 1502 1 There there EX 19261 1502 2 is be VBZ 19261 1502 3 always always RB 19261 1502 4 fluid fluid JJ 19261 1502 5 in in IN 19261 1502 6 the the DT 19261 1502 7 stomach stomach NN 19261 1502 8 , , , 19261 1502 9 and and CC 19261 1502 10 this this DT 19261 1502 11 keeps keep VBZ 19261 1502 12 pouring pour VBG 19261 1502 13 out out IN 19261 1502 14 of of IN 19261 1502 15 the the DT 19261 1502 16 tube tube NN 19261 1502 17 in in IN 19261 1502 18 a a DT 19261 1502 19 steady steady JJ 19261 1502 20 stream stream NN 19261 1502 21 . . . 19261 1503 1 Fold fold VB 19261 1503 2 after after IN 19261 1503 3 fold fold NN 19261 1503 4 is be VBZ 19261 1503 5 emptied empty VBN 19261 1503 6 of of IN 19261 1503 7 fluid fluid NN 19261 1503 8 . . . 19261 1504 1 Once once IN 19261 1504 2 the the DT 19261 1504 3 stomach stomach NN 19261 1504 4 is be VBZ 19261 1504 5 empty empty JJ 19261 1504 6 , , , 19261 1504 7 the the DT 19261 1504 8 search search NN 19261 1504 9 begins begin VBZ 19261 1504 10 for for IN 19261 1504 11 the the DT 19261 1504 12 cardial cardial JJ 19261 1504 13 opening opening NN 19261 1504 14 . . . 19261 1505 1 The the DT 19261 1505 2 best good JJS 19261 1505 3 landmark landmark NN 19261 1505 4 is be VBZ 19261 1505 5 a a DT 19261 1505 6 mark mark NN 19261 1505 7 with with IN 19261 1505 8 a a DT 19261 1505 9 dermal dermal JJ 19261 1505 10 pencil pencil NN 19261 1505 11 on on IN 19261 1505 12 the the DT 19261 1505 13 skin skin NN 19261 1505 14 at at IN 19261 1505 15 a a DT 19261 1505 16 point point NN 19261 1505 17 corresponding correspond VBG 19261 1505 18 to to IN 19261 1505 19 the the DT 19261 1505 20 level level NN 19261 1505 21 of of IN 19261 1505 22 the the DT 19261 1505 23 hiatus hiatus NNP 19261 1505 24 esophageus esophageus NNP 19261 1505 25 . . . 19261 1506 1 When when WRB 19261 1506 2 it -PRON- PRP 19261 1506 3 is be VBZ 19261 1506 4 desired desire VBN 19261 1506 5 to to TO 19261 1506 6 do do VB 19261 1506 7 a a DT 19261 1506 8 retrograde retrograde NN 19261 1506 9 esophagoscopy esophagoscopy NN 19261 1506 10 and and CC 19261 1506 11 the the DT 19261 1506 12 gastrostomy gastrostomy NN 19261 1506 13 is be VBZ 19261 1506 14 done do VBN 19261 1506 15 for for IN 19261 1506 16 this this DT 19261 1506 17 special special JJ 19261 1506 18 purpose purpose NN 19261 1506 19 , , , 19261 1506 20 it -PRON- PRP 19261 1506 21 is be VBZ 19261 1506 22 wise wise JJ 19261 1506 23 to to TO 19261 1506 24 have have VB 19261 1506 25 it -PRON- PRP 19261 1506 26 very very RB 19261 1506 27 high high JJ 19261 1506 28 . . . 19261 1507 1 Once once IN 19261 1507 2 the the DT 19261 1507 3 cardia cardia NN 19261 1507 4 is be VBZ 19261 1507 5 located locate VBN 19261 1507 6 and and CC 19261 1507 7 the the DT 19261 1507 8 esophagus esophagus NN 19261 1507 9 entered enter VBD 19261 1507 10 , , , 19261 1507 11 the the DT 19261 1507 12 remainder remainder NN 19261 1507 13 of of IN 19261 1507 14 the the DT 19261 1507 15 work work NN 19261 1507 16 is be VBZ 19261 1507 17 very very RB 19261 1507 18 easy easy JJ 19261 1507 19 . . . 19261 1508 1 Bouginage bouginage NN 19261 1508 2 can can MD 19261 1508 3 be be VB 19261 1508 4 carried carry VBN 19261 1508 5 out out RP 19261 1508 6 from from IN 19261 1508 7 below below IN 19261 1508 8 the the DT 19261 1508 9 same same JJ 19261 1508 10 as as IN 19261 1508 11 from from IN 19261 1508 12 above above RB 19261 1508 13 and and CC 19261 1508 14 may may MD 19261 1508 15 be be VB 19261 1508 16 of of IN 19261 1508 17 advantage advantage NN 19261 1508 18 in in IN 19261 1508 19 some some DT 19261 1508 20 cases case NNS 19261 1508 21 . . . 19261 1509 1 Strictural strictural JJ 19261 1509 2 lumina lumina NNP 19261 1509 3 are be VBP 19261 1509 4 much much RB 19261 1509 5 more more JJR 19261 1509 6 apt apt JJ 19261 1509 7 to to TO 19261 1509 8 be be VB 19261 1509 9 concentric concentric JJ 19261 1509 10 as as IN 19261 1509 11 approached approach VBN 19261 1509 12 from from IN 19261 1509 13 below below RB 19261 1509 14 because because IN 19261 1509 15 there there EX 19261 1509 16 has have VBZ 19261 1509 17 been be VBN 19261 1509 18 no no DT 19261 1509 19 distortion distortion NN 19261 1509 20 by by IN 19261 1509 21 pressure pressure NN 19261 1509 22 dilatation dilatation NN 19261 1509 23 due due JJ 19261 1509 24 to to IN 19261 1509 25 stagnation stagnation NN 19261 1509 26 of of IN 19261 1509 27 the the DT 19261 1509 28 food food NN 19261 1509 29 operating operate VBG 19261 1509 30 through through IN 19261 1509 31 a a DT 19261 1509 32 long long JJ 19261 1509 33 period period NN 19261 1509 34 of of IN 19261 1509 35 time time NN 19261 1509 36 . . . 19261 1510 1 At at IN 19261 1510 2 retrograde retrograde NN 19261 1510 3 esophagoscopy esophagoscopy NN 19261 1510 4 there there EX 19261 1510 5 seems seem VBZ 19261 1510 6 to to TO 19261 1510 7 be be VB 19261 1510 8 no no DT 19261 1510 9 abdominal abdominal JJ 19261 1510 10 esophagus esophagus NN 19261 1510 11 and and CC 19261 1510 12 no no DT 19261 1510 13 cardia cardia NN 19261 1510 14 . . . 19261 1511 1 The the DT 19261 1511 2 esophagoscope esophagoscope NN 19261 1511 3 encounters encounter VBZ 19261 1511 4 only only RB 19261 1511 5 the the DT 19261 1511 6 diaphragmatic diaphragmatic JJ 19261 1511 7 pinchcock pinchcock NN 19261 1511 8 which which WDT 19261 1511 9 seems seem VBZ 19261 1511 10 to to TO 19261 1511 11 be be VB 19261 1511 12 at at IN 19261 1511 13 the the DT 19261 1511 14 top top NN 19261 1511 15 of of IN 19261 1511 16 the the DT 19261 1511 17 stomach stomach NN 19261 1511 18 like like IN 19261 1511 19 the the DT 19261 1511 20 puckering pucker VBG 19261 1511 21 string string NN 19261 1511 22 at at IN 19261 1511 23 the the DT 19261 1511 24 top top NN 19261 1511 25 of of IN 19261 1511 26 a a DT 19261 1511 27 bag bag NN 19261 1511 28 . . . 19261 1512 1 Retrograde Retrograde NNP 19261 1512 2 esophagoscopy esophagoscopy NN 19261 1512 3 is be VBZ 19261 1512 4 sometimes sometimes RB 19261 1512 5 useful useful JJ 19261 1512 6 for for IN 19261 1512 7 " " `` 19261 1512 8 stringing string VBG 19261 1512 9 " " '' 19261 1512 10 the the DT 19261 1512 11 esophagus esophagus NN 19261 1512 12 in in IN 19261 1512 13 cases case NNS 19261 1512 14 in in IN 19261 1512 15 which which WDT 19261 1512 16 the the DT 19261 1512 17 patient patient NN 19261 1512 18 is be VBZ 19261 1512 19 unable unable JJ 19261 1512 20 to to TO 19261 1512 21 swallow swallow VB 19261 1512 22 a a DT 19261 1512 23 string string NN 19261 1512 24 because because IN 19261 1512 25 he -PRON- PRP 19261 1512 26 is be VBZ 19261 1512 27 too too RB 19261 1512 28 young young JJ 19261 1512 29 or or CC 19261 1512 30 because because IN 19261 1512 31 of of IN 19261 1512 32 an an DT 19261 1512 33 epithelial epithelial NN 19261 1512 34 scaling scale VBG 19261 1512 35 over over RP 19261 1512 36 of of IN 19261 1512 37 the the DT 19261 1512 38 upper upper JJ 19261 1512 39 entrance entrance NN 19261 1512 40 of of IN 19261 1512 41 the the DT 19261 1512 42 stricture stricture NN 19261 1512 43 . . . 19261 1513 1 In in IN 19261 1513 2 such such JJ 19261 1513 3 cases case NNS 19261 1513 4 the the DT 19261 1513 5 smallest small JJS 19261 1513 6 size size NN 19261 1513 7 of of IN 19261 1513 8 the the DT 19261 1513 9 author author NN 19261 1513 10 's 's POS 19261 1513 11 filiform filiform NN 19261 1513 12 bougies bougie NNS 19261 1513 13 ( ( -LRB- 19261 1513 14 Fig fig NN 19261 1513 15 . . . 19261 1514 1 40 40 CD 19261 1514 2 ) ) -RRB- 19261 1514 3 is be VBZ 19261 1514 4 inserted insert VBN 19261 1514 5 through through IN 19261 1514 6 the the DT 19261 1514 7 retrograde retrograde NN 19261 1514 8 esophagoscope esophagoscope NN 19261 1514 9 ( ( -LRB- 19261 1514 10 Fig fig NN 19261 1514 11 . . . 19261 1515 1 43 43 LS 19261 1515 2 ) ) -RRB- 19261 1515 3 and and CC 19261 1515 4 insinuated insinuate VBD 19261 1515 5 upward upward RB 19261 1515 6 through through IN 19261 1515 7 the the DT 19261 1515 8 stricture stricture NN 19261 1515 9 . . . 19261 1516 1 When when WRB 19261 1516 2 the the DT 19261 1516 3 tip tip NN 19261 1516 4 reaches reach VBZ 19261 1516 5 the the DT 19261 1516 6 pharynx pharynx NN 19261 1516 7 coughing coughing NN 19261 1516 8 , , , 19261 1516 9 choking choking NN 19261 1516 10 and and CC 19261 1516 11 gagging gagging JJ 19261 1516 12 are be VBP 19261 1516 13 noticed notice VBN 19261 1516 14 . . . 19261 1517 1 The the DT 19261 1517 2 filiform filiform NN 19261 1517 3 end end NN 19261 1517 4 is be VBZ 19261 1517 5 brought bring VBN 19261 1517 6 out out RP 19261 1517 7 the the DT 19261 1517 8 mouth mouth NN 19261 1517 9 sufficiently sufficiently RB 19261 1517 10 far far RB 19261 1517 11 to to TO 19261 1517 12 attach attach VB 19261 1517 13 a a DT 19261 1517 14 silk silk NN 19261 1517 15 braided braid VBN 19261 1517 16 cord cord NN 19261 1517 17 which which WDT 19261 1517 18 is be VBZ 19261 1517 19 then then RB 19261 1517 20 pulled pull VBN 19261 1517 21 down down RB 19261 1517 22 and and CC 19261 1517 23 out out IN 19261 1517 24 of of IN 19261 1517 25 the the DT 19261 1517 26 gastrostomic gastrostomic JJ 19261 1517 27 opening opening NN 19261 1517 28 . . . 19261 1518 1 The the DT 19261 1518 2 braided braid VBN 19261 1518 3 silk silk NN 19261 1518 4 " " `` 19261 1518 5 string string NN 19261 1518 6 " " '' 19261 1518 7 must must MD 19261 1518 8 be be VB 19261 1518 9 long long RB 19261 1518 10 enough enough RB 19261 1518 11 so so IN 19261 1518 12 that that IN 19261 1518 13 the the DT 19261 1518 14 oral oral NN 19261 1518 15 and and CC 19261 1518 16 the the DT 19261 1518 17 abdominal abdominal JJ 19261 1518 18 ends end NNS 19261 1518 19 can can MD 19261 1518 20 be be VB 19261 1518 21 tied tie VBN 19261 1518 22 together together RB 19261 1518 23 to to TO 19261 1518 24 make make VB 19261 1518 25 it -PRON- PRP 19261 1518 26 " " `` 19261 1518 27 endless endless JJ 19261 1518 28 ; ; : 19261 1518 29 " " '' 19261 1518 30 but but CC 19261 1518 31 before before IN 19261 1518 32 doing do VBG 19261 1518 33 so so RB 19261 1518 34 the the DT 19261 1518 35 oral oral JJ 19261 1518 36 end end NN 19261 1518 37 should should MD 19261 1518 38 be be VB 19261 1518 39 drawn draw VBN 19261 1518 40 through through IN 19261 1518 41 nose nose NN 19261 1518 42 where where WRB 19261 1518 43 it -PRON- PRP 19261 1518 44 will will MD 19261 1518 45 be be VB 19261 1518 46 less less RBR 19261 1518 47 annoying annoying JJ 19261 1518 48 than than IN 19261 1518 49 in in IN 19261 1518 50 the the DT 19261 1518 51 mouth mouth NN 19261 1518 52 . . . 19261 1519 1 The the DT 19261 1519 2 purpose purpose NN 19261 1519 3 of of IN 19261 1519 4 the the DT 19261 1519 5 " " `` 19261 1519 6 string string NN 19261 1519 7 " " '' 19261 1519 8 is be VBZ 19261 1519 9 to to TO 19261 1519 10 pull pull VB 19261 1519 11 up up RP 19261 1519 12 the the DT 19261 1519 13 retrograde retrograde NN 19261 1519 14 bougies bougie NNS 19261 1519 15 ( ( -LRB- 19261 1519 16 Fig fig NN 19261 1519 17 . . . 19261 1520 1 35 35 CD 19261 1520 2 ) ) -RRB- 19261 1520 3 [ [ -LRB- 19261 1520 4 117 117 CD 19261 1520 5 ] ] -RRB- 19261 1520 6 CHAPTER chapter NN 19261 1520 7 XI XI NNP 19261 1520 8 -- -- : 19261 1520 9 ACQUIRING ACQUIRING NNP 19261 1520 10 SKILL skill NN 19261 1520 11 Endoscopic endoscopic JJ 19261 1520 12 ability ability NN 19261 1520 13 can can MD 19261 1520 14 not not RB 19261 1520 15 be be VB 19261 1520 16 bought buy VBN 19261 1520 17 with with IN 19261 1520 18 the the DT 19261 1520 19 instruments instrument NNS 19261 1520 20 . . . 19261 1521 1 As as IN 19261 1521 2 with with IN 19261 1521 3 all all DT 19261 1521 4 mechanical mechanical JJ 19261 1521 5 procedures procedure NNS 19261 1521 6 , , , 19261 1521 7 facility facility NN 19261 1521 8 can can MD 19261 1521 9 be be VB 19261 1521 10 obtained obtain VBN 19261 1521 11 only only RB 19261 1521 12 by by IN 19261 1521 13 educating educate VBG 19261 1521 14 the the DT 19261 1521 15 eye eye NN 19261 1521 16 and and CC 19261 1521 17 the the DT 19261 1521 18 fingers finger NNS 19261 1521 19 in in IN 19261 1521 20 repeated repeat VBN 19261 1521 21 exercise exercise NN 19261 1521 22 of of IN 19261 1521 23 a a DT 19261 1521 24 particular particular JJ 19261 1521 25 series series NN 19261 1521 26 of of IN 19261 1521 27 maneuvers maneuver NNS 19261 1521 28 . . . 19261 1522 1 As as IN 19261 1522 2 with with IN 19261 1522 3 learning learn VBG 19261 1522 4 to to TO 19261 1522 5 play play VB 19261 1522 6 a a DT 19261 1522 7 musical musical JJ 19261 1522 8 instrument instrument NN 19261 1522 9 , , , 19261 1522 10 a a DT 19261 1522 11 fundamental fundamental JJ 19261 1522 12 knowledge knowledge NN 19261 1522 13 of of IN 19261 1522 14 technic technic NN 19261 1522 15 , , , 19261 1522 16 positions position NNS 19261 1522 17 , , , 19261 1522 18 and and CC 19261 1522 19 landmarks landmark NNS 19261 1522 20 is be VBZ 19261 1522 21 necessary necessary JJ 19261 1522 22 , , , 19261 1522 23 after after IN 19261 1522 24 which which WDT 19261 1522 25 only only RB 19261 1522 26 continued continue VBD 19261 1522 27 manual manual JJ 19261 1522 28 practice practice NN 19261 1522 29 makes make VBZ 19261 1522 30 for for IN 19261 1522 31 proficiency proficiency NN 19261 1522 32 . . . 19261 1523 1 For for IN 19261 1523 2 instance instance NN 19261 1523 3 , , , 19261 1523 4 efficient efficient JJ 19261 1523 5 use use NN 19261 1523 6 of of IN 19261 1523 7 forceps forceps NNP 19261 1523 8 requires require VBZ 19261 1523 9 that that IN 19261 1523 10 they -PRON- PRP 19261 1523 11 be be VBP 19261 1523 12 so so RB 19261 1523 13 familiar familiar JJ 19261 1523 14 to to IN 19261 1523 15 the the DT 19261 1523 16 grasp grasp NN 19261 1523 17 that that IN 19261 1523 18 their -PRON- PRP$ 19261 1523 19 use use NN 19261 1523 20 is be VBZ 19261 1523 21 automatic automatic JJ 19261 1523 22 . . . 19261 1524 1 Endoscopy Endoscopy NNP 19261 1524 2 is be VBZ 19261 1524 3 a a DT 19261 1524 4 purely purely RB 19261 1524 5 manual manual JJ 19261 1524 6 procedure procedure NN 19261 1524 7 , , , 19261 1524 8 hence hence RB 19261 1524 9 to to TO 19261 1524 10 know know VB 19261 1524 11 how how WRB 19261 1524 12 is be VBZ 19261 1524 13 not not RB 19261 1524 14 enough enough JJ 19261 1524 15 : : : 19261 1524 16 manual manual JJ 19261 1524 17 practice practice NN 19261 1524 18 is be VBZ 19261 1524 19 necessary necessary JJ 19261 1524 20 . . . 19261 1525 1 Even even RB 19261 1525 2 in in IN 19261 1525 3 the the DT 19261 1525 4 handling handling NN 19261 1525 5 of of IN 19261 1525 6 the the DT 19261 1525 7 electrical electrical JJ 19261 1525 8 equipment equipment NN 19261 1525 9 , , , 19261 1525 10 practice practice NN 19261 1525 11 in in IN 19261 1525 12 quickly quickly RB 19261 1525 13 locating locate VBG 19261 1525 14 trouble trouble NN 19261 1525 15 is be VBZ 19261 1525 16 as as RB 19261 1525 17 essential essential JJ 19261 1525 18 as as IN 19261 1525 19 theoretic theoretic JJ 19261 1525 20 knowledge knowledge NN 19261 1525 21 . . . 19261 1526 1 There there EX 19261 1526 2 is be VBZ 19261 1526 3 no no DT 19261 1526 4 mystery mystery NN 19261 1526 5 about about IN 19261 1526 6 electric electric JJ 19261 1526 7 lighting lighting NN 19261 1526 8 . . . 19261 1527 1 No no DT 19261 1527 2 source source NN 19261 1527 3 of of IN 19261 1527 4 illumination illumination NN 19261 1527 5 other other JJ 19261 1527 6 than than IN 19261 1527 7 electricity electricity NN 19261 1527 8 is be VBZ 19261 1527 9 possible possible JJ 19261 1527 10 for for IN 19261 1527 11 endoscopy endoscopy NN 19261 1527 12 . . . 19261 1528 1 Therefore therefore RB 19261 1528 2 a a DT 19261 1528 3 small small JJ 19261 1528 4 amount amount NN 19261 1528 5 of of IN 19261 1528 6 electrical electrical JJ 19261 1528 7 knowledge knowledge NN 19261 1528 8 , , , 19261 1528 9 rendered render VBN 19261 1528 10 practical practical JJ 19261 1528 11 by by IN 19261 1528 12 practice practice NN 19261 1528 13 , , , 19261 1528 14 is be VBZ 19261 1528 15 essential essential JJ 19261 1528 16 to to TO 19261 1528 17 maintain maintain VB 19261 1528 18 the the DT 19261 1528 19 simple simple JJ 19261 1528 20 lighting lighting NN 19261 1528 21 system system NN 19261 1528 22 in in IN 19261 1528 23 working working NN 19261 1528 24 order order NN 19261 1528 25 . . . 19261 1529 1 It -PRON- PRP 19261 1529 2 is be VBZ 19261 1529 3 an an DT 19261 1529 4 insult insult NN 19261 1529 5 to to IN 19261 1529 6 the the DT 19261 1529 7 intelligence intelligence NN 19261 1529 8 of of IN 19261 1529 9 the the DT 19261 1529 10 physician physician NN 19261 1529 11 to to TO 19261 1529 12 say say VB 19261 1529 13 that that IN 19261 1529 14 he -PRON- PRP 19261 1529 15 can can MD 19261 1529 16 not not RB 19261 1529 17 master master VB 19261 1529 18 a a DT 19261 1529 19 simple simple JJ 19261 1529 20 problem problem NN 19261 1529 21 of of IN 19261 1529 22 electric electric JJ 19261 1529 23 testing testing NN 19261 1529 24 involving involve VBG 19261 1529 25 the the DT 19261 1529 26 locating locating NN 19261 1529 27 of of IN 19261 1529 28 one one CD 19261 1529 29 or or CC 19261 1529 30 more more JJR 19261 1529 31 of of IN 19261 1529 32 five five CD 19261 1529 33 possibilities possibility NNS 19261 1529 34 . . . 19261 1530 1 It -PRON- PRP 19261 1530 2 is be VBZ 19261 1530 3 simply simply RB 19261 1530 4 a a DT 19261 1530 5 matter matter NN 19261 1530 6 of of IN 19261 1530 7 memorizing memorize VBG 19261 1530 8 five five CD 19261 1530 9 tests test NNS 19261 1530 10 . . . 19261 1531 1 It -PRON- PRP 19261 1531 2 is be VBZ 19261 1531 3 repeated repeat VBN 19261 1531 4 for for IN 19261 1531 5 emphasis emphasis NN 19261 1531 6 that that IN 19261 1531 7 a a DT 19261 1531 8 commercial commercial JJ 19261 1531 9 current current NN 19261 1531 10 reduced reduce VBN 19261 1531 11 by by IN 19261 1531 12 means mean NNS 19261 1531 13 of of IN 19261 1531 14 a a DT 19261 1531 15 rheostat rheostat NN 19261 1531 16 should should MD 19261 1531 17 never never RB 19261 1531 18 be be VB 19261 1531 19 used use VBN 19261 1531 20 as as IN 19261 1531 21 a a DT 19261 1531 22 source source NN 19261 1531 23 of of IN 19261 1531 24 current current NN 19261 1531 25 for for IN 19261 1531 26 endoscopy endoscopy NN 19261 1531 27 with with IN 19261 1531 28 any any DT 19261 1531 29 kind kind NN 19261 1531 30 of of IN 19261 1531 31 instrument instrument NN 19261 1531 32 , , , 19261 1531 33 because because IN 19261 1531 34 of of IN 19261 1531 35 the the DT 19261 1531 36 danger danger NN 19261 1531 37 to to IN 19261 1531 38 the the DT 19261 1531 39 patient patient NN 19261 1531 40 of of IN 19261 1531 41 a a DT 19261 1531 42 possible possible JJ 19261 1531 43 " " `` 19261 1531 44 grounding grounding NN 19261 1531 45 " " '' 19261 1531 46 of of IN 19261 1531 47 the the DT 19261 1531 48 circuit circuit NN 19261 1531 49 during during IN 19261 1531 50 the the DT 19261 1531 51 extensive extensive JJ 19261 1531 52 moist moist JJ 19261 1531 53 contact contact NN 19261 1531 54 of of IN 19261 1531 55 a a DT 19261 1531 56 metallic metallic JJ 19261 1531 57 endoscopic endoscopic JJ 19261 1531 58 tube tube NN 19261 1531 59 in in IN 19261 1531 60 the the DT 19261 1531 61 mediastinum mediastinum NN 19261 1531 62 . . . 19261 1532 1 The the DT 19261 1532 2 battery battery NN 19261 1532 3 shown show VBN 19261 1532 4 in in IN 19261 1532 5 Fig Fig NNP 19261 1532 6 . . . 19261 1533 1 8 8 CD 19261 1533 2 should should MD 19261 1533 3 be be VB 19261 1533 4 used use VBN 19261 1533 5 . . . 19261 1534 1 The the DT 19261 1534 2 most most RBS 19261 1534 3 frequent frequent JJ 19261 1534 4 cause cause NN 19261 1534 5 of of IN 19261 1534 6 trouble trouble NN 19261 1534 7 is be VBZ 19261 1534 8 the the DT 19261 1534 9 mistake mistake NN 19261 1534 10 of of IN 19261 1534 11 over over RB 19261 1534 12 - - HYPH 19261 1534 13 illuminating illuminate VBG 19261 1534 14 the the DT 19261 1534 15 lamps lamp NNS 19261 1534 16 . . . 19261 1535 1 _ _ NNP 19261 1535 2 The the DT 19261 1535 3 lamp lamp NN 19261 1535 4 should should MD 19261 1535 5 not not RB 19261 1535 6 be be VB 19261 1535 7 over over RB 19261 1535 8 - - HYPH 19261 1535 9 illuminated illuminate VBN 19261 1535 10 to to IN 19261 1535 11 the the DT 19261 1535 12 dazzling dazzle VBG 19261 1535 13 whiteness whiteness NN 19261 1535 14 usually usually RB 19261 1535 15 used use VBN 19261 1535 16 in in IN 19261 1535 17 flash flash NN 19261 1535 18 lights light NNS 19261 1535 19 _ _ NNP 19261 1535 20 . . . 19261 1536 1 Excessive excessive JJ 19261 1536 2 illumination illumination NN 19261 1536 3 alters alter VBZ 19261 1536 4 the the DT 19261 1536 5 proper proper JJ 19261 1536 6 perception perception NN 19261 1536 7 of of IN 19261 1536 8 the the DT 19261 1536 9 coloring coloring NN 19261 1536 10 of of IN 19261 1536 11 the the DT 19261 1536 12 mucosa mucosa NNS 19261 1536 13 , , , 19261 1536 14 besides besides IN 19261 1536 15 shortening shorten VBG 19261 1536 16 the the DT 19261 1536 17 life life NN 19261 1536 18 of of IN 19261 1536 19 the the DT 19261 1536 20 lamps lamp NNS 19261 1536 21 . . . 19261 1537 1 The the DT 19261 1537 2 proper proper JJ 19261 1537 3 degree degree NN 19261 1537 4 of of IN 19261 1537 5 brightness brightness NN 19261 1537 6 is be VBZ 19261 1537 7 obtained obtain VBN 19261 1537 8 when when WRB 19261 1537 9 , , , 19261 1537 10 as as IN 19261 1537 11 the the DT 19261 1537 12 current current NN 19261 1537 13 is be VBZ 19261 1537 14 increased increase VBN 19261 1537 15 , , , 19261 1537 16 the the DT 19261 1537 17 first first JJ 19261 1537 18 change change NN 19261 1537 19 from from IN 19261 1537 20 yellow yellow NN 19261 1537 21 to to IN 19261 1537 22 white white JJ 19261 1537 23 light light NN 19261 1537 24 is be VBZ 19261 1537 25 obtained obtain VBN 19261 1537 26 . . . 19261 1538 1 Never never RB 19261 1538 2 turn turn VB 19261 1538 3 up up RP 19261 1538 4 the the DT 19261 1538 5 rheostat rheostat NN 19261 1538 6 without without IN 19261 1538 7 watching watch VBG 19261 1538 8 the the DT 19261 1538 9 lamp lamp NN 19261 1538 10 . . . 19261 1539 1 _ _ NNP 19261 1539 2 Testing Testing NNP 19261 1539 3 for for IN 19261 1539 4 Electric electric JJ 19261 1539 5 Defects_.--These defects_.--these NN 19261 1539 6 tests test NNS 19261 1539 7 should should MD 19261 1539 8 be be VB 19261 1539 9 made make VBN 19261 1539 10 beforehand beforehand RB 19261 1539 11 ; ; : 19261 1539 12 not not RB 19261 1539 13 when when WRB 19261 1539 14 about about IN 19261 1539 15 to to TO 19261 1539 16 commence commence VB 19261 1539 17 introduction introduction NN 19261 1539 18 . . . 19261 1540 1 If if IN 19261 1540 2 the the DT 19261 1540 3 first first JJ 19261 1540 4 lamp lamp NN 19261 1540 5 lights light VBZ 19261 1540 6 up up RP 19261 1540 7 properly properly RB 19261 1540 8 , , , 19261 1540 9 use use VB 19261 1540 10 it -PRON- PRP 19261 1540 11 with with IN 19261 1540 12 its -PRON- PRP$ 19261 1540 13 light light JJ 19261 1540 14 - - HYPH 19261 1540 15 carrier carrier NN 19261 1540 16 to to TO 19261 1540 17 test test VB 19261 1540 18 out out RP 19261 1540 19 the the DT 19261 1540 20 other other JJ 19261 1540 21 cords cord NNS 19261 1540 22 . . . 19261 1541 1 If if IN 19261 1541 2 the the DT 19261 1541 3 lamp lamp NN 19261 1541 4 lights light VBZ 19261 1541 5 up up RP 19261 1541 6 , , , 19261 1541 7 but but CC 19261 1541 8 flickers flicker NNS 19261 1541 9 , , , 19261 1541 10 locate locate VB 19261 1541 11 the the DT 19261 1541 12 trouble trouble NN 19261 1541 13 before before IN 19261 1541 14 attempting attempt VBG 19261 1541 15 to to TO 19261 1541 16 do do VB 19261 1541 17 an an DT 19261 1541 18 endoscopy endoscopy NN 19261 1541 19 . . . 19261 1542 1 If if IN 19261 1542 2 shaking shake VBG 19261 1542 3 the the DT 19261 1542 4 carrier carrier NN 19261 1542 5 cord cord NN 19261 1542 6 - - HYPH 19261 1542 7 terminal terminal JJ 19261 1542 8 produces produce VBZ 19261 1542 9 flickering flicker VBG 19261 1542 10 there there EX 19261 1542 11 may may MD 19261 1542 12 be be VB 19261 1542 13 a a DT 19261 1542 14 film film NN 19261 1542 15 of of IN 19261 1542 16 corrosion corrosion NN 19261 1542 17 on on IN 19261 1542 18 the the DT 19261 1542 19 central central JJ 19261 1542 20 contact contact NN 19261 1542 21 of of IN 19261 1542 22 the the DT 19261 1542 23 light light JJ 19261 1542 24 carrier carrier NN 19261 1542 25 that that WDT 19261 1542 26 goes go VBZ 19261 1542 27 into into IN 19261 1542 28 the the DT 19261 1542 29 carrier carrier NN 19261 1542 30 cord cord NN 19261 1542 31 - - HYPH 19261 1542 32 terminal terminal JJ 19261 1542 33 . . . 19261 1543 1 If if IN 19261 1543 2 the the DT 19261 1543 3 lamp lamp NN 19261 1543 4 fails fail VBZ 19261 1543 5 to to TO 19261 1543 6 show show VB 19261 1543 7 a a DT 19261 1543 8 light light NN 19261 1543 9 , , , 19261 1543 10 the the DT 19261 1543 11 trouble trouble NN 19261 1543 12 may may MD 19261 1543 13 be be VB 19261 1543 14 in in IN 19261 1543 15 one one CD 19261 1543 16 of of IN 19261 1543 17 five five CD 19261 1543 18 places place NNS 19261 1543 19 which which WDT 19261 1543 20 should should MD 19261 1543 21 be be VB 19261 1543 22 tested test VBN 19261 1543 23 for for IN 19261 1543 24 in in IN 19261 1543 25 the the DT 19261 1543 26 following follow VBG 19261 1543 27 order order NN 19261 1543 28 and and CC 19261 1543 29 manner manner NN 19261 1543 30 . . . 19261 1544 1 1 1 LS 19261 1544 2 . . . 19261 1545 1 The the DT 19261 1545 2 lamp lamp NN 19261 1545 3 may may MD 19261 1545 4 not not RB 19261 1545 5 be be VB 19261 1545 6 firmly firmly RB 19261 1545 7 screwed screw VBN 19261 1545 8 into into IN 19261 1545 9 the the DT 19261 1545 10 light light JJ 19261 1545 11 - - HYPH 19261 1545 12 carrier carrier NN 19261 1545 13 . . . 19261 1546 1 Withdraw withdraw VB 19261 1546 2 the the DT 19261 1546 3 light light JJ 19261 1546 4 - - HYPH 19261 1546 5 carrier carrier NN 19261 1546 6 and and CC 19261 1546 7 try try VB 19261 1546 8 screwing screw VBG 19261 1546 9 it -PRON- PRP 19261 1546 10 in in RP 19261 1546 11 , , , 19261 1546 12 though though IN 19261 1546 13 not not RB 19261 1546 14 too too RB 19261 1546 15 strongly strongly RB 19261 1546 16 , , , 19261 1546 17 lest lest IN 19261 1546 18 the the DT 19261 1546 19 central central JJ 19261 1546 20 wire wire NN 19261 1546 21 terminal terminal NN 19261 1546 22 in in IN 19261 1546 23 the the DT 19261 1546 24 lamp lamp NN 19261 1546 25 be be VB 19261 1546 26 bent bent JJ 19261 1546 27 over over RP 19261 1546 28 . . . 19261 1547 1 2 2 LS 19261 1547 2 . . . 19261 1548 1 The the DT 19261 1548 2 light light JJ 19261 1548 3 - - HYPH 19261 1548 4 carrier carrier NN 19261 1548 5 may may MD 19261 1548 6 be be VB 19261 1548 7 defective defective JJ 19261 1548 8 . . . 19261 1549 1 3 3 LS 19261 1549 2 . . . 19261 1550 1 The the DT 19261 1550 2 cord cord NN 19261 1550 3 may may MD 19261 1550 4 be be VB 19261 1550 5 defective defective JJ 19261 1550 6 or or CC 19261 1550 7 its -PRON- PRP$ 19261 1550 8 terminals terminal NNS 19261 1550 9 not not RB 19261 1550 10 tight tight JJ 19261 1550 11 in in IN 19261 1550 12 the the DT 19261 1550 13 binding bind VBG 19261 1550 14 posts post NNS 19261 1550 15 . . . 19261 1551 1 If if IN 19261 1551 2 screwing screw VBG 19261 1551 3 down down RP 19261 1551 4 the the DT 19261 1551 5 thumb thumb NN 19261 1551 6 nuts nut NNS 19261 1551 7 does do VBZ 19261 1551 8 not not RB 19261 1551 9 produce produce VB 19261 1551 10 a a DT 19261 1551 11 light light NN 19261 1551 12 , , , 19261 1551 13 test test VB 19261 1551 14 the the DT 19261 1551 15 light light JJ 19261 1551 16 - - HYPH 19261 1551 17 carrier carrier NN 19261 1551 18 with with IN 19261 1551 19 lamp lamp NN 19261 1551 20 on on IN 19261 1551 21 the the DT 19261 1551 22 other other JJ 19261 1551 23 cords cord NNS 19261 1551 24 . . . 19261 1552 1 Reserve reserve NN 19261 1552 2 cords cord NNS 19261 1552 3 in in IN 19261 1552 4 each each DT 19261 1552 5 pair pair NN 19261 1552 6 of of IN 19261 1552 7 binding bind VBG 19261 1552 8 posts post NNS 19261 1552 9 are be VBP 19261 1552 10 for for IN 19261 1552 11 use use NN 19261 1552 12 instead instead RB 19261 1552 13 of of IN 19261 1552 14 the the DT 19261 1552 15 defective defective JJ 19261 1552 16 cords cord NNS 19261 1552 17 . . . 19261 1553 1 The the DT 19261 1553 2 two two CD 19261 1553 3 sets set NNS 19261 1553 4 of of IN 19261 1553 5 cords cord NNS 19261 1553 6 from from IN 19261 1553 7 one one CD 19261 1553 8 pair pair NN 19261 1553 9 of of IN 19261 1553 10 binding bind VBG 19261 1553 11 posts post NNS 19261 1553 12 should should MD 19261 1553 13 not not RB 19261 1553 14 be be VB 19261 1553 15 used use VBN 19261 1553 16 simultaneously simultaneously RB 19261 1553 17 . . . 19261 1554 1 4 4 LS 19261 1554 2 . . . 19261 1555 1 The the DT 19261 1555 2 lamp lamp NN 19261 1555 3 may may MD 19261 1555 4 be be VB 19261 1555 5 defective defective JJ 19261 1555 6 . . . 19261 1556 1 Try try VB 19261 1556 2 another another DT 19261 1556 3 lamp lamp NN 19261 1556 4 . . . 19261 1557 1 5 5 CD 19261 1557 2 . . . 19261 1558 1 The the DT 19261 1558 2 battery battery NN 19261 1558 3 may may MD 19261 1558 4 be be VB 19261 1558 5 defective defective JJ 19261 1558 6 . . . 19261 1559 1 Take take VB 19261 1559 2 a a DT 19261 1559 3 cord cord NN 19261 1559 4 and and CC 19261 1559 5 light light JJ 19261 1559 6 - - HYPH 19261 1559 7 carrier carrier NN 19261 1559 8 with with IN 19261 1559 9 lamp lamp NN 19261 1559 10 that that WDT 19261 1559 11 lights light VBZ 19261 1559 12 up up RP 19261 1559 13 , , , 19261 1559 14 detaching detach VBG 19261 1559 15 the the DT 19261 1559 16 cord cord NN 19261 1559 17 - - HYPH 19261 1559 18 terminals terminal NNS 19261 1559 19 at at IN 19261 1559 20 the the DT 19261 1559 21 binding bind VBG 19261 1559 22 posts post NNS 19261 1559 23 , , , 19261 1559 24 and and CC 19261 1559 25 attach attach VB 19261 1559 26 the the DT 19261 1559 27 terminals terminal NNS 19261 1559 28 to to IN 19261 1559 29 the the DT 19261 1559 30 binding bind VBG 19261 1559 31 posts post NNS 19261 1559 32 of of IN 19261 1559 33 the the DT 19261 1559 34 battery battery NN 19261 1559 35 to to TO 19261 1559 36 be be VB 19261 1559 37 tested test VBN 19261 1559 38 . . . 19261 1560 1 _ _ NNP 19261 1560 2 Efficient Efficient NNP 19261 1560 3 use use NN 19261 1560 4 of of IN 19261 1560 5 forceps forceps NNP 19261 1560 6 _ _ NNP 19261 1560 7 requires require VBZ 19261 1560 8 previous previous JJ 19261 1560 9 practice practice NN 19261 1560 10 in in IN 19261 1560 11 handling handling NN 19261 1560 12 of of IN 19261 1560 13 the the DT 19261 1560 14 forceps forceps NNS 19261 1560 15 until until IN 19261 1560 16 it -PRON- PRP 19261 1560 17 has have VBZ 19261 1560 18 become become VBN 19261 1560 19 as as IN 19261 1560 20 natural natural JJ 19261 1560 21 and and CC 19261 1560 22 free free JJ 19261 1560 23 from from IN 19261 1560 24 thought think VBN 19261 1560 25 as as IN 19261 1560 26 the the DT 19261 1560 27 use use NN 19261 1560 28 of of IN 19261 1560 29 knife knife NN 19261 1560 30 and and CC 19261 1560 31 fork fork NN 19261 1560 32 . . . 19261 1561 1 Indeed indeed RB 19261 1561 2 the the DT 19261 1561 3 coordinate coordinate JJ 19261 1561 4 use use NN 19261 1561 5 of of IN 19261 1561 6 the the DT 19261 1561 7 bronchoscopic bronchoscopic NNP 19261 1561 8 tube tube NN 19261 1561 9 - - HYPH 19261 1561 10 mouth mouth NN 19261 1561 11 and and CC 19261 1561 12 the the DT 19261 1561 13 forceps forceps NNS 19261 1561 14 very very RB 19261 1561 15 much much RB 19261 1561 16 resembles resemble VBZ 19261 1561 17 the the DT 19261 1561 18 use use NN 19261 1561 19 of of IN 19261 1561 20 knife knife NN 19261 1561 21 and and CC 19261 1561 22 fork fork NN 19261 1561 23 . . . 19261 1562 1 Yet yet CC 19261 1562 2 only only RB 19261 1562 3 too too RB 19261 1562 4 often often RB 19261 1562 5 a a DT 19261 1562 6 practitioner practitioner NN 19261 1562 7 will will MD 19261 1562 8 telegraph telegraph VB 19261 1562 9 for for IN 19261 1562 10 a a DT 19261 1562 11 bronchoscope bronchoscope NN 19261 1562 12 and and CC 19261 1562 13 forceps forceps NNS 19261 1562 14 , , , 19261 1562 15 and and CC 19261 1562 16 without without IN 19261 1562 17 any any DT 19261 1562 18 practice practice NN 19261 1562 19 start start NN 19261 1562 20 in in RP 19261 1562 21 to to TO 19261 1562 22 remove remove VB 19261 1562 23 an an DT 19261 1562 24 entangled entangled JJ 19261 1562 25 or or CC 19261 1562 26 impacted impact VBN 19261 1562 27 foreign foreign JJ 19261 1562 28 body body NN 19261 1562 29 from from IN 19261 1562 30 the the DT 19261 1562 31 tiny tiny JJ 19261 1562 32 bronchi bronchi NN 19261 1562 33 of of IN 19261 1562 34 a a DT 19261 1562 35 child child NN 19261 1562 36 . . . 19261 1563 1 Failure failure NN 19261 1563 2 and and CC 19261 1563 3 mortality mortality NN 19261 1563 4 are be VBP 19261 1563 5 almost almost RB 19261 1563 6 inevitable inevitable JJ 19261 1563 7 . . . 19261 1564 1 A a DT 19261 1564 2 few few JJ 19261 1564 3 hundred hundred CD 19261 1564 4 hours hour NNS 19261 1564 5 spent spend VBN 19261 1564 6 in in IN 19261 1564 7 working work VBG 19261 1564 8 out out RP 19261 1564 9 , , , 19261 1564 10 on on IN 19261 1564 11 a a DT 19261 1564 12 bit bit NN 19261 1564 13 of of IN 19261 1564 14 rubber rubber NN 19261 1564 15 tubing tubing NN 19261 1564 16 , , , 19261 1564 17 the the DT 19261 1564 18 various various JJ 19261 1564 19 mechanical mechanical JJ 19261 1564 20 problems problem NNS 19261 1564 21 given give VBN 19261 1564 22 in in IN 19261 1564 23 the the DT 19261 1564 24 section section NN 19261 1564 25 on on IN 19261 1564 26 that that DT 19261 1564 27 subject subject NN 19261 1564 28 will will MD 19261 1564 29 save save VB 19261 1564 30 lives life NNS 19261 1564 31 and and CC 19261 1564 32 render render VB 19261 1564 33 easily easily RB 19261 1564 34 successful successful JJ 19261 1564 35 many many JJ 19261 1564 36 removals removal NNS 19261 1564 37 that that WDT 19261 1564 38 would would MD 19261 1564 39 otherwise otherwise RB 19261 1564 40 be be VB 19261 1564 41 impossible impossible JJ 19261 1564 42 . . . 19261 1565 1 It -PRON- PRP 19261 1565 2 is be VBZ 19261 1565 3 often often RB 19261 1565 4 difficult difficult JJ 19261 1565 5 for for IN 19261 1565 6 the the DT 19261 1565 7 beginner beginner NN 19261 1565 8 to to TO 19261 1565 9 judge judge VB 19261 1565 10 the the DT 19261 1565 11 distance distance NN 19261 1565 12 the the DT 19261 1565 13 forceps forceps NNPS 19261 1565 14 have have VBP 19261 1565 15 been be VBN 19261 1565 16 inserted insert VBN 19261 1565 17 into into IN 19261 1565 18 the the DT 19261 1565 19 tube tube NN 19261 1565 20 . . . 19261 1566 1 This this DT 19261 1566 2 difficulty difficulty NN 19261 1566 3 is be VBZ 19261 1566 4 readily readily RB 19261 1566 5 solved solve VBN 19261 1566 6 if if IN 19261 1566 7 upon upon IN 19261 1566 8 inserting insert VBG 19261 1566 9 the the DT 19261 1566 10 forceps forceps NNS 19261 1566 11 slowly slowly RB 19261 1566 12 into into IN 19261 1566 13 the the DT 19261 1566 14 tube tube NN 19261 1566 15 , , , 19261 1566 16 he -PRON- PRP 19261 1566 17 observes observe VBZ 19261 1566 18 that that IN 19261 1566 19 as as IN 19261 1566 20 the the DT 19261 1566 21 blades blade NNS 19261 1566 22 pass pass VBP 19261 1566 23 the the DT 19261 1566 24 light light NN 19261 1566 25 they -PRON- PRP 19261 1566 26 become become VBP 19261 1566 27 brightly brightly RB 19261 1566 28 illuminated illuminate VBN 19261 1566 29 . . . 19261 1567 1 By by IN 19261 1567 2 this this DT 19261 1567 3 _ _ NNP 19261 1567 4 light light JJ 19261 1567 5 reflex reflex NN 19261 1567 6 _ _ IN 19261 1567 7 it -PRON- PRP 19261 1567 8 is be VBZ 19261 1567 9 known know VBN 19261 1567 10 , , , 19261 1567 11 therefore therefore RB 19261 1567 12 , , , 19261 1567 13 that that IN 19261 1567 14 the the DT 19261 1567 15 forceps forceps NNP 19261 1567 16 blades blade NNS 19261 1567 17 are be VBP 19261 1567 18 at at IN 19261 1567 19 the the DT 19261 1567 20 tube tube NN 19261 1567 21 - - HYPH 19261 1567 22 mouth mouth NN 19261 1567 23 , , , 19261 1567 24 and and CC 19261 1567 25 distance distance NN 19261 1567 26 from from IN 19261 1567 27 this this DT 19261 1567 28 point point NN 19261 1567 29 can can MD 19261 1567 30 be be VB 19261 1567 31 readily readily RB 19261 1567 32 gauged gauge VBN 19261 1567 33 . . . 19261 1568 1 Excellent excellent JJ 19261 1568 2 practice practice NN 19261 1568 3 may may MD 19261 1568 4 be be VB 19261 1568 5 had have VBN 19261 1568 6 by by IN 19261 1568 7 picking pick VBG 19261 1568 8 up up RP 19261 1568 9 through through IN 19261 1568 10 the the DT 19261 1568 11 bronchoscope bronchoscope NN 19261 1568 12 or or CC 19261 1568 13 esophagoscope esophagoscope VB 19261 1568 14 black black JJ 19261 1568 15 threads thread NNS 19261 1568 16 from from IN 19261 1568 17 a a DT 19261 1568 18 white white JJ 19261 1568 19 background background NN 19261 1568 20 , , , 19261 1568 21 then then RB 19261 1568 22 white white JJ 19261 1568 23 threads thread NNS 19261 1568 24 from from IN 19261 1568 25 a a DT 19261 1568 26 black black JJ 19261 1568 27 background background NN 19261 1568 28 , , , 19261 1568 29 and and CC 19261 1568 30 finally finally RB 19261 1568 31 white white JJ 19261 1568 32 threads thread NNS 19261 1568 33 on on IN 19261 1568 34 a a DT 19261 1568 35 white white JJ 19261 1568 36 background background NN 19261 1568 37 and and CC 19261 1568 38 black black JJ 19261 1568 39 threads thread NNS 19261 1568 40 on on IN 19261 1568 41 a a DT 19261 1568 42 black black JJ 19261 1568 43 background background NN 19261 1568 44 . . . 19261 1569 1 This this DT 19261 1569 2 should should MD 19261 1569 3 be be VB 19261 1569 4 done do VBN 19261 1569 5 first first RB 19261 1569 6 with with IN 19261 1569 7 the the DT 19261 1569 8 9 9 CD 19261 1569 9 mm mm CD 19261 1569 10 . . . 19261 1570 1 bronchoscope bronchoscope NN 19261 1570 2 . . . 19261 1571 1 It -PRON- PRP 19261 1571 2 is be VBZ 19261 1571 3 to to TO 19261 1571 4 be be VB 19261 1571 5 remembered remember VBN 19261 1571 6 that that IN 19261 1571 7 the the DT 19261 1571 8 majority majority NN 19261 1571 9 of of IN 19261 1571 10 foreign foreign JJ 19261 1571 11 body body NN 19261 1571 12 accidents accident NNS 19261 1571 13 occur occur VBP 19261 1571 14 in in IN 19261 1571 15 children child NNS 19261 1571 16 , , , 19261 1571 17 with with IN 19261 1571 18 whom whom WP 19261 1571 19 small small JJ 19261 1571 20 tubes tube NNS 19261 1571 21 must must MD 19261 1571 22 be be VB 19261 1571 23 used use VBN 19261 1571 24 ; ; : 19261 1571 25 therefore therefore RB 19261 1571 26 , , , 19261 1571 27 practice practice NN 19261 1571 28 work work NN 19261 1571 29 , , , 19261 1571 30 after after IN 19261 1571 31 say say VB 19261 1571 32 the the DT 19261 1571 33 first first JJ 19261 1571 34 100 100 CD 19261 1571 35 hours hour NNS 19261 1571 36 , , , 19261 1571 37 should should MD 19261 1571 38 be be VB 19261 1571 39 done do VBN 19261 1571 40 with with IN 19261 1571 41 the the DT 19261 1571 42 5 5 CD 19261 1571 43 mm mm CD 19261 1571 44 . . . 19261 1572 1 bronchoscope bronchoscope NN 19261 1572 2 and and CC 19261 1572 3 corresponding correspond VBG 19261 1572 4 forceps forceps NNS 19261 1572 5 rather rather RB 19261 1572 6 than than IN 19261 1572 7 adult adult NN 19261 1572 8 size size NN 19261 1572 9 tubes tube NNS 19261 1572 10 , , , 19261 1572 11 so so IN 19261 1572 12 that that IN 19261 1572 13 the the DT 19261 1572 14 operator operator NN 19261 1572 15 will will MD 19261 1572 16 be be VB 19261 1572 17 accustomed accustom VBN 19261 1572 18 to to TO 19261 1572 19 work work VB 19261 1572 20 through through IN 19261 1572 21 a a DT 19261 1572 22 small small JJ 19261 1572 23 calibre calibre NN 19261 1572 24 tube tube NN 19261 1572 25 when when WRB 19261 1572 26 the the DT 19261 1572 27 actual actual JJ 19261 1572 28 case case NN 19261 1572 29 presents present VBZ 19261 1572 30 itself -PRON- PRP 19261 1572 31 . . . 19261 1573 1 [ [ -LRB- 19261 1573 2 120 120 CD 19261 1573 3 ] ] -RRB- 19261 1573 4 _ _ NNP 19261 1573 5 Cadaver Cadaver NNP 19261 1573 6 Practice_.--The Practice_.--The NNP 19261 1573 7 fundamental fundamental JJ 19261 1573 8 principles principle NNS 19261 1573 9 of of IN 19261 1573 10 peroral peroral JJ 19261 1573 11 endoscopy endoscopy NN 19261 1573 12 are be VBP 19261 1573 13 best best RB 19261 1573 14 taught teach VBN 19261 1573 15 on on IN 19261 1573 16 the the DT 19261 1573 17 cadaver cadaver NN 19261 1573 18 . . . 19261 1574 1 It -PRON- PRP 19261 1574 2 is be VBZ 19261 1574 3 necessary necessary JJ 19261 1574 4 that that IN 19261 1574 5 a a DT 19261 1574 6 specially specially RB 19261 1574 7 prepared prepared JJ 19261 1574 8 subject subject NN 19261 1574 9 be be VB 19261 1574 10 had have VBN 19261 1574 11 , , , 19261 1574 12 in in IN 19261 1574 13 order order NN 19261 1574 14 to to TO 19261 1574 15 obtain obtain VB 19261 1574 16 the the DT 19261 1574 17 required require VBN 19261 1574 18 degree degree NN 19261 1574 19 of of IN 19261 1574 20 flexibility flexibility NN 19261 1574 21 . . . 19261 1575 1 Injecting inject VBG 19261 1575 2 fluid fluid NN 19261 1575 3 of of IN 19261 1575 4 the the DT 19261 1575 5 following follow VBG 19261 1575 6 formula formula NN 19261 1575 7 worked work VBD 19261 1575 8 out out RP 19261 1575 9 by by IN 19261 1575 10 Prof. Prof. NNP 19261 1575 11 J. J. NNP 19261 1575 12 Parsons Parsons NNP 19261 1575 13 Schaeffer Schaeffer NNP 19261 1575 14 for for IN 19261 1575 15 the the DT 19261 1575 16 Bronchoscopic Bronchoscopic NNP 19261 1575 17 Clinic Clinic NNP 19261 1575 18 courses course NNS 19261 1575 19 , , , 19261 1575 20 has have VBZ 19261 1575 21 proved prove VBN 19261 1575 22 very very RB 19261 1575 23 satisfactory satisfactory JJ 19261 1575 24 : : : 19261 1575 25 Sodium sodium NN 19261 1575 26 carbonate--1 carbonate--1 ADD 19261 1575 27 1/2 1/2 CD 19261 1575 28 lbs lbs NN 19261 1575 29 . . . 19261 1576 1 White White NNP 19261 1576 2 arsenic--2 arsenic--2 -LRB- 19261 1576 3 1/2 1/2 CD 19261 1576 4 lbs lbs NN 19261 1576 5 . . . 19261 1577 1 Potassium potassium NN 19261 1577 2 nitrate--3 nitrate--3 `` 19261 1577 3 lbs lbs NNP 19261 1577 4 . . . 19261 1578 1 Water--5 Water--5 NNP 19261 1578 2 gal gal NNP 19261 1578 3 . . . 19261 1579 1 Boil Boil NNP 19261 1579 2 until until IN 19261 1579 3 arsenic arsenic JJ 19261 1579 4 is be VBZ 19261 1579 5 dissolved dissolve VBN 19261 1579 6 . . . 19261 1580 1 When when WRB 19261 1580 2 cold cold JJ 19261 1580 3 add add NN 19261 1580 4 : : : 19261 1580 5 Carbolic carbolic JJ 19261 1580 6 acid acid NN 19261 1580 7 1500 1500 CD 19261 1580 8 c.c c.c NNP 19261 1580 9 . . . 19261 1581 1 Glycerin Glycerin NNP 19261 1581 2 1250 1250 CD 19261 1581 3 c.c c.c NNP 19261 1581 4 . . . 19261 1582 1 Alcohol Alcohol NNP 19261 1582 2 ( ( -LRB- 19261 1582 3 95 95 CD 19261 1582 4 % % NN 19261 1582 5 ) ) -RRB- 19261 1582 6 1250 1250 CD 19261 1582 7 c.c c.c NNP 19261 1582 8 . . . 19261 1583 1 For for IN 19261 1583 2 each each DT 19261 1583 3 body body NN 19261 1583 4 use use NN 19261 1583 5 about about RB 19261 1583 6 3 3 CD 19261 1583 7 gal gal NN 19261 1583 8 . . . 19261 1584 1 of of IN 19261 1584 2 fluid fluid NNP 19261 1584 3 . . . 19261 1585 1 The the DT 19261 1585 2 method method NN 19261 1585 3 of of IN 19261 1585 4 introduction introduction NN 19261 1585 5 of of IN 19261 1585 6 the the DT 19261 1585 7 endoscopic endoscopic JJ 19261 1585 8 tube tube NN 19261 1585 9 , , , 19261 1585 10 and and CC 19261 1585 11 its -PRON- PRP$ 19261 1585 12 various various JJ 19261 1585 13 positions position NNS 19261 1585 14 can can MD 19261 1585 15 be be VB 19261 1585 16 demonstrated demonstrate VBN 19261 1585 17 and and CC 19261 1585 18 repeatedly repeatedly RB 19261 1585 19 practiced practice VBD 19261 1585 20 on on IN 19261 1585 21 the the DT 19261 1585 22 cadaver cadaver NN 19261 1585 23 until until IN 19261 1585 24 a a DT 19261 1585 25 perfected perfect VBN 19261 1585 26 technic technic NN 19261 1585 27 is be VBZ 19261 1585 28 developed develop VBN 19261 1585 29 in in IN 19261 1585 30 both both CC 19261 1585 31 the the DT 19261 1585 32 operator operator NN 19261 1585 33 and and CC 19261 1585 34 assistant assistant NN 19261 1585 35 who who WP 19261 1585 36 holds hold VBZ 19261 1585 37 the the DT 19261 1585 38 head head NN 19261 1585 39 , , , 19261 1585 40 and and CC 19261 1585 41 the the DT 19261 1585 42 one one NN 19261 1585 43 who who WP 19261 1585 44 passes pass VBZ 19261 1585 45 the the DT 19261 1585 46 instruments instrument NNS 19261 1585 47 to to IN 19261 1585 48 the the DT 19261 1585 49 operator operator NN 19261 1585 50 . . . 19261 1586 1 In in IN 19261 1586 2 no no DT 19261 1586 3 other other JJ 19261 1586 4 manner manner NN 19261 1586 5 can can MD 19261 1586 6 the the DT 19261 1586 7 landmarks landmark NNS 19261 1586 8 and and CC 19261 1586 9 endoscopic endoscopic NNS 19261 1586 10 anatomy anatomy NN 19261 1586 11 be be VB 19261 1586 12 studied study VBN 19261 1586 13 so so RB 19261 1586 14 thoroughly thoroughly RB 19261 1586 15 and and CC 19261 1586 16 practically practically RB 19261 1586 17 , , , 19261 1586 18 and and CC 19261 1586 19 in in IN 19261 1586 20 no no DT 19261 1586 21 other other JJ 19261 1586 22 way way NN 19261 1586 23 can can MD 19261 1586 24 the the DT 19261 1586 25 pupil pupil NN 19261 1586 26 be be VB 19261 1586 27 taught teach VBN 19261 1586 28 to to TO 19261 1586 29 avoid avoid VB 19261 1586 30 killing kill VBG 19261 1586 31 his -PRON- PRP$ 19261 1586 32 patient patient NN 19261 1586 33 . . . 19261 1587 1 The the DT 19261 1587 2 danger danger NN 19261 1587 3 - - HYPH 19261 1587 4 points point NNS 19261 1587 5 in in IN 19261 1587 6 esophagoscopy esophagoscopy JJ 19261 1587 7 are be VBP 19261 1587 8 not not RB 19261 1587 9 demonstrable demonstrable JJ 19261 1587 10 on on IN 19261 1587 11 the the DT 19261 1587 12 living living NN 19261 1587 13 without without IN 19261 1587 14 actually actually RB 19261 1587 15 incurring incur VBG 19261 1587 16 mortality mortality NN 19261 1587 17 . . . 19261 1588 1 Laryngeal laryngeal NN 19261 1588 2 growths growth NNS 19261 1588 3 may may MD 19261 1588 4 be be VB 19261 1588 5 simulated simulate VBN 19261 1588 6 , , , 19261 1588 7 foreign foreign JJ 19261 1588 8 body body NN 19261 1588 9 problems problem NNS 19261 1588 10 created create VBN 19261 1588 11 and and CC 19261 1588 12 their -PRON- PRP$ 19261 1588 13 mechanical mechanical JJ 19261 1588 14 difficulties difficulty NNS 19261 1588 15 solved solve VBD 19261 1588 16 and and CC 19261 1588 17 practice practice NN 19261 1588 18 work work NN 19261 1588 19 with with IN 19261 1588 20 the the DT 19261 1588 21 forceps forceps NNP 19261 1588 22 and and CC 19261 1588 23 tube tube NNP 19261 1588 24 perfected perfect VBD 19261 1588 25 . . . 19261 1589 1 _ _ NNP 19261 1589 2 Practice Practice NNP 19261 1589 3 on on IN 19261 1589 4 the the DT 19261 1589 5 Rubber rubber NN 19261 1589 6 - - HYPH 19261 1589 7 tube tube NN 19261 1589 8 Manikin_.--This Manikin_.--This NNP 19261 1589 9 must must MD 19261 1589 10 be be VB 19261 1589 11 carried carry VBN 19261 1589 12 out out RP 19261 1589 13 in in IN 19261 1589 14 two two CD 19261 1589 15 ways way NNS 19261 1589 16 . . . 19261 1590 1 1 1 LS 19261 1590 2 . . . 19261 1591 1 General general JJ 19261 1591 2 practice practice NN 19261 1591 3 with with IN 19261 1591 4 all all DT 19261 1591 5 sorts sort NNS 19261 1591 6 of of IN 19261 1591 7 objects object NNS 19261 1591 8 for for IN 19261 1591 9 the the DT 19261 1591 10 education education NN 19261 1591 11 of of IN 19261 1591 12 the the DT 19261 1591 13 eye eye NN 19261 1591 14 and and CC 19261 1591 15 the the DT 19261 1591 16 fingers finger NNS 19261 1591 17 . . . 19261 1592 1 2 2 LS 19261 1592 2 . . . 19261 1593 1 Before before IN 19261 1593 2 undertaking undertake VBG 19261 1593 3 a a DT 19261 1593 4 foreign foreign JJ 19261 1593 5 body body NN 19261 1593 6 case case NN 19261 1593 7 , , , 19261 1593 8 practice practice NN 19261 1593 9 should should MD 19261 1593 10 be be VB 19261 1593 11 had have VBN 19261 1593 12 with with IN 19261 1593 13 a a DT 19261 1593 14 duplicate duplicate NN 19261 1593 15 of of IN 19261 1593 16 the the DT 19261 1593 17 foreign foreign JJ 19261 1593 18 body body NN 19261 1593 19 . . . 19261 1594 1 It -PRON- PRP 19261 1594 2 is be VBZ 19261 1594 3 not not RB 19261 1594 4 possible possible JJ 19261 1594 5 to to TO 19261 1594 6 have have VB 19261 1594 7 a a DT 19261 1594 8 cadaver cadaver NN 19261 1594 9 for for IN 19261 1594 10 daily daily JJ 19261 1594 11 practice practice NN 19261 1594 12 , , , 19261 1594 13 but but CC 19261 1594 14 fortunately fortunately RB 19261 1594 15 the the DT 19261 1594 16 eye eye NN 19261 1594 17 and and CC 19261 1594 18 fingers finger NNS 19261 1594 19 may may MD 19261 1594 20 be be VB 19261 1594 21 trained train VBN 19261 1594 22 quite quite RB 19261 1594 23 as as RB 19261 1594 24 effectually effectually RB 19261 1594 25 by by IN 19261 1594 26 simulating simulate VBG 19261 1594 27 foreign foreign JJ 19261 1594 28 body body NN 19261 1594 29 conditions condition NNS 19261 1594 30 in in IN 19261 1594 31 a a DT 19261 1594 32 small small JJ 19261 1594 33 red red JJ 19261 1594 34 rubber rubber NN 19261 1594 35 tube tube NN 19261 1594 36 and and CC 19261 1594 37 solving solve VBG 19261 1594 38 these these DT 19261 1594 39 mechanical mechanical JJ 19261 1594 40 problems problem NNS 19261 1594 41 with with IN 19261 1594 42 the the DT 19261 1594 43 bronchoscope bronchoscope NN 19261 1594 44 and and CC 19261 1594 45 forceps forceps NNS 19261 1594 46 . . . 19261 1595 1 The the DT 19261 1595 2 tubing tubing NN 19261 1595 3 may may MD 19261 1595 4 be be VB 19261 1595 5 placed place VBN 19261 1595 6 on on IN 19261 1595 7 the the DT 19261 1595 8 desk desk NN 19261 1595 9 and and CC 19261 1595 10 held hold VBN 19261 1595 11 by by IN 19261 1595 12 a a DT 19261 1595 13 small small JJ 19261 1595 14 vise vise NN 19261 1595 15 ( ( -LRB- 19261 1595 16 Fig fig NN 19261 1595 17 . . . 19261 1596 1 72 72 CD 19261 1596 2 ) ) -RRB- 19261 1596 3 so so IN 19261 1596 4 that that IN 19261 1596 5 at at IN 19261 1596 6 odd odd JJ 19261 1596 7 moments moment NNS 19261 1596 8 during during IN 19261 1596 9 the the DT 19261 1596 10 day day NN 19261 1596 11 or or CC 19261 1596 12 evening evening NN 19261 1596 13 the the DT 19261 1596 14 fascinating fascinating JJ 19261 1596 15 work work NN 19261 1596 16 may may MD 19261 1596 17 be be VB 19261 1596 18 picked pick VBN 19261 1596 19 up up RP 19261 1596 20 and and CC 19261 1596 21 put put VB 19261 1596 22 aside aside RB 19261 1596 23 without without IN 19261 1596 24 loss loss NN 19261 1596 25 of of IN 19261 1596 26 time time NN 19261 1596 27 . . . 19261 1597 1 Complicated complicated JJ 19261 1597 2 rubber rubber NN 19261 1597 3 manikins manikin NNS 19261 1597 4 are be VBP 19261 1597 5 of of IN 19261 1597 6 no no DT 19261 1597 7 value value NN 19261 1597 8 in in IN 19261 1597 9 the the DT 19261 1597 10 practice practice NN 19261 1597 11 of of IN 19261 1597 12 introduction introduction NN 19261 1597 13 , , , 19261 1597 14 and and CC 19261 1597 15 foreign foreign JJ 19261 1597 16 body body NN 19261 1597 17 problems problem NNS 19261 1597 18 can can MD 19261 1597 19 be be VB 19261 1597 20 equally equally RB 19261 1597 21 well well RB 19261 1597 22 studied study VBN 19261 1597 23 in in IN 19261 1597 24 a a DT 19261 1597 25 piece piece NN 19261 1597 26 of of IN 19261 1597 27 rubber rubber NN 19261 1597 28 tubing tube VBG 19261 1597 29 about about RB 19261 1597 30 10 10 CD 19261 1597 31 inches inch NNS 19261 1597 32 long long JJ 19261 1597 33 . . . 19261 1598 1 No no DT 19261 1598 2 endoscopist endoscopist NN 19261 1598 3 has have VBZ 19261 1598 4 enough enough JJ 19261 1598 5 practice practice NN 19261 1598 6 on on IN 19261 1598 7 the the DT 19261 1598 8 living living NN 19261 1598 9 subject subject NN 19261 1598 10 , , , 19261 1598 11 because because IN 19261 1598 12 the the DT 19261 1598 13 cases case NNS 19261 1598 14 are be VBP 19261 1598 15 too too RB 19261 1598 16 infrequent infrequent JJ 19261 1598 17 and and CC 19261 1598 18 furthermore furthermore RB 19261 1598 19 the the DT 19261 1598 20 tube tube NN 19261 1598 21 is be VBZ 19261 1598 22 inserted insert VBN 19261 1598 23 for for IN 19261 1598 24 too too RB 19261 1598 25 short short JJ 19261 1598 26 a a DT 19261 1598 27 space space NN 19261 1598 28 of of IN 19261 1598 29 time time NN 19261 1598 30 . . . 19261 1599 1 Practice practice VB 19261 1599 2 on on IN 19261 1599 3 the the DT 19261 1599 4 rubber rubber NN 19261 1599 5 tube tube NN 19261 1599 6 trains train VBZ 19261 1599 7 the the DT 19261 1599 8 eye eye NN 19261 1599 9 to to TO 19261 1599 10 recognize recognize VB 19261 1599 11 objects object NNS 19261 1599 12 and and CC 19261 1599 13 to to TO 19261 1599 14 gauge gauge VB 19261 1599 15 distance distance NN 19261 1599 16 ; ; : 19261 1599 17 it -PRON- PRP 19261 1599 18 develops develop VBZ 19261 1599 19 the the DT 19261 1599 20 tactile tactile NN 19261 1599 21 sense sense NN 19261 1599 22 so so IN 19261 1599 23 that that IN 19261 1599 24 a a DT 19261 1599 25 knowledge knowledge NN 19261 1599 26 of of IN 19261 1599 27 the the DT 19261 1599 28 character character NN 19261 1599 29 of of IN 19261 1599 30 the the DT 19261 1599 31 object object NN 19261 1599 32 grasped grasp VBN 19261 1599 33 or or CC 19261 1599 34 the the DT 19261 1599 35 nature nature NN 19261 1599 36 of of IN 19261 1599 37 the the DT 19261 1599 38 tissues tissue NNS 19261 1599 39 palpated palpate VBN 19261 1599 40 may may MD 19261 1599 41 be be VB 19261 1599 42 acquired acquire VBN 19261 1599 43 . . . 19261 1600 1 Before before IN 19261 1600 2 attempting attempt VBG 19261 1600 3 the the DT 19261 1600 4 removal removal NN 19261 1600 5 of of IN 19261 1600 6 a a DT 19261 1600 7 particular particular JJ 19261 1600 8 foreign foreign JJ 19261 1600 9 body body NN 19261 1600 10 from from IN 19261 1600 11 a a DT 19261 1600 12 living live VBG 19261 1600 13 patient patient NN 19261 1600 14 , , , 19261 1600 15 the the DT 19261 1600 16 anticipated anticipate VBN 19261 1600 17 problem problem NN 19261 1600 18 should should MD 19261 1600 19 be be VB 19261 1600 20 simulated simulate VBN 19261 1600 21 with with IN 19261 1600 22 a a DT 19261 1600 23 duplicate duplicate NN 19261 1600 24 of of IN 19261 1600 25 the the DT 19261 1600 26 foreign foreign JJ 19261 1600 27 body body NN 19261 1600 28 in in IN 19261 1600 29 a a DT 19261 1600 30 rubber rubber NN 19261 1600 31 tube tube NN 19261 1600 32 . . . 19261 1601 1 In in IN 19261 1601 2 this this DT 19261 1601 3 way way NN 19261 1601 4 the the DT 19261 1601 5 endoscopist endoscopist NN 19261 1601 6 may may MD 19261 1601 7 precede precede VB 19261 1601 8 each each DT 19261 1601 9 case case NN 19261 1601 10 with with IN 19261 1601 11 a a DT 19261 1601 12 practical practical JJ 19261 1601 13 experience experience NN 19261 1601 14 equivalent equivalent JJ 19261 1601 15 to to IN 19261 1601 16 any any DT 19261 1601 17 number number NN 19261 1601 18 of of IN 19261 1601 19 cases case NNS 19261 1601 20 of of IN 19261 1601 21 precisely precisely RB 19261 1601 22 the the DT 19261 1601 23 same same JJ 19261 1601 24 kind kind NN 19261 1601 25 of of IN 19261 1601 26 foreign foreign JJ 19261 1601 27 body body NN 19261 1601 28 . . . 19261 1602 1 If if IN 19261 1602 2 the the DT 19261 1602 3 object object NN 19261 1602 4 can can MD 19261 1602 5 not not RB 19261 1602 6 be be VB 19261 1602 7 removed remove VBN 19261 1602 8 from from IN 19261 1602 9 the the DT 19261 1602 10 rubber rubber NN 19261 1602 11 tube tube NN 19261 1602 12 without without IN 19261 1602 13 violence violence NN 19261 1602 14 , , , 19261 1602 15 it -PRON- PRP 19261 1602 16 is be VBZ 19261 1602 17 obvious obvious JJ 19261 1602 18 that that IN 19261 1602 19 no no DT 19261 1602 20 attempt attempt NN 19261 1602 21 should should MD 19261 1602 22 be be VB 19261 1602 23 made make VBN 19261 1602 24 on on IN 19261 1602 25 the the DT 19261 1602 26 patient patient NN 19261 1602 27 until until IN 19261 1602 28 further further JJ 19261 1602 29 practice practice NN 19261 1602 30 has have VBZ 19261 1602 31 shown show VBN 19261 1602 32 a a DT 19261 1602 33 definite definite JJ 19261 1602 34 method method NN 19261 1602 35 of of IN 19261 1602 36 harmless harmless JJ 19261 1602 37 removal removal NN 19261 1602 38 . . . 19261 1603 1 During during IN 19261 1603 2 practice practice NN 19261 1603 3 work work NN 19261 1603 4 the the DT 19261 1603 5 value value NN 19261 1603 6 of of IN 19261 1603 7 the the DT 19261 1603 8 beveled beveled JJ 19261 1603 9 lip lip NNP 19261 1603 10 of of IN 19261 1603 11 the the DT 19261 1603 12 bronchoscope bronchoscope NN 19261 1603 13 and and CC 19261 1603 14 esophagoscope esophagoscope VB 19261 1603 15 in in IN 19261 1603 16 solving solve VBG 19261 1603 17 mechanical mechanical JJ 19261 1603 18 problems problem NNS 19261 1603 19 will will MD 19261 1603 20 be be VB 19261 1603 21 evidenced evidence VBN 19261 1603 22 . . . 19261 1604 1 With with IN 19261 1604 2 it -PRON- PRP 19261 1604 3 alone alone JJ 19261 1604 4 , , , 19261 1604 5 a a DT 19261 1604 6 foreign foreign JJ 19261 1604 7 body body NN 19261 1604 8 may may MD 19261 1604 9 be be VB 19261 1604 10 turned turn VBN 19261 1604 11 into into IN 19261 1604 12 favorable favorable JJ 19261 1604 13 positions position NNS 19261 1604 14 for for IN 19261 1604 15 extraction extraction NN 19261 1604 16 , , , 19261 1604 17 and and CC 19261 1604 18 folds fold NNS 19261 1604 19 can can MD 19261 1604 20 always always RB 19261 1604 21 be be VB 19261 1604 22 held hold VBN 19261 1604 23 out out IN 19261 1604 24 of of IN 19261 1604 25 the the DT 19261 1604 26 way way NN 19261 1604 27 . . . 19261 1605 1 Sufficient sufficient JJ 19261 1605 2 combined combine VBN 19261 1605 3 practice practice NN 19261 1605 4 with with IN 19261 1605 5 the the DT 19261 1605 6 bronchoscope bronchoscope NN 19261 1605 7 and and CC 19261 1605 8 the the DT 19261 1605 9 forceps forceps NNPS 19261 1605 10 enable enable VBP 19261 1605 11 the the DT 19261 1605 12 endoscopist endoscopist NN 19261 1605 13 easily easily RB 19261 1605 14 to to TO 19261 1605 15 do do VB 19261 1605 16 things thing NNS 19261 1605 17 that that WDT 19261 1605 18 at at IN 19261 1605 19 first first RB 19261 1605 20 seem seem VB 19261 1605 21 impossible impossible JJ 19261 1605 22 . . . 19261 1606 1 It -PRON- PRP 19261 1606 2 is be VBZ 19261 1606 3 to to TO 19261 1606 4 be be VB 19261 1606 5 remembered remember VBN 19261 1606 6 that that IN 19261 1606 7 lateral lateral JJ 19261 1606 8 motion motion NN 19261 1606 9 of of IN 19261 1606 10 the the DT 19261 1606 11 long long JJ 19261 1606 12 slender slender NN 19261 1606 13 tube tube NN 19261 1606 14 - - HYPH 19261 1606 15 forceps forceps NNP 19261 1606 16 can can MD 19261 1606 17 not not RB 19261 1606 18 be be VB 19261 1606 19 controlled control VBN 19261 1606 20 accurately accurately RB 19261 1606 21 by by IN 19261 1606 22 the the DT 19261 1606 23 handle handle NN 19261 1606 24 , , , 19261 1606 25 this this DT 19261 1606 26 is be VBZ 19261 1606 27 obtained obtain VBN 19261 1606 28 by by IN 19261 1606 29 a a DT 19261 1606 30 change change NN 19261 1606 31 in in IN 19261 1606 32 position position NN 19261 1606 33 of of IN 19261 1606 34 the the DT 19261 1606 35 endoscopic endoscopic JJ 19261 1606 36 tube tube NN 19261 1606 37 , , , 19261 1606 38 the the DT 19261 1606 39 object object NN 19261 1606 40 being be VBG 19261 1606 41 so so RB 19261 1606 42 centered centered JJ 19261 1606 43 that that IN 19261 1606 44 it -PRON- PRP 19261 1606 45 is be VBZ 19261 1606 46 grasped grasp VBN 19261 1606 47 without without IN 19261 1606 48 side side NN 19261 1606 49 motion motion NN 19261 1606 50 of of IN 19261 1606 51 the the DT 19261 1606 52 forceps forceps NNS 19261 1606 53 . . . 19261 1607 1 When when WRB 19261 1607 2 necessary necessary JJ 19261 1607 3 , , , 19261 1607 4 the the DT 19261 1607 5 distal distal JJ 19261 1607 6 end end NN 19261 1607 7 of of IN 19261 1607 8 the the DT 19261 1607 9 forceps forceps NNS 19261 1607 10 may may MD 19261 1607 11 be be VB 19261 1607 12 pushed push VBN 19261 1607 13 laterally laterally RB 19261 1607 14 by by IN 19261 1607 15 the the DT 19261 1607 16 manipulation manipulation NN 19261 1607 17 of of IN 19261 1607 18 the the DT 19261 1607 19 bronchoscope bronchoscope NN 19261 1607 20 . . . 19261 1608 1 [ [ -LRB- 19261 1608 2 FIG FIG NNP 19261 1608 3 . . . 19261 1609 1 72.--A 72.--A NNP 19261 1609 2 simple simple JJ 19261 1609 3 manikin manikin NN 19261 1609 4 . . . 19261 1610 1 The the DT 19261 1610 2 weight weight NN 19261 1610 3 of of IN 19261 1610 4 the the DT 19261 1610 5 small small JJ 19261 1610 6 vise vise NN 19261 1610 7 serves serve VBZ 19261 1610 8 to to IN 19261 1610 9 steady steady JJ 19261 1610 10 the the DT 19261 1610 11 rubber rubber NN 19261 1610 12 tubing tubing NN 19261 1610 13 . . . 19261 1611 1 By by IN 19261 1611 2 the the DT 19261 1611 3 use use NN 19261 1611 4 of of IN 19261 1611 5 tubing tubing NN 19261 1611 6 of of IN 19261 1611 7 the the DT 19261 1611 8 size size NN 19261 1611 9 of of IN 19261 1611 10 the the DT 19261 1611 11 invaded invaded JJ 19261 1611 12 bronchus bronchu NNS 19261 1611 13 and and CC 19261 1611 14 a a DT 19261 1611 15 duplicate duplicate NN 19261 1611 16 of of IN 19261 1611 17 the the DT 19261 1611 18 foreign foreign JJ 19261 1611 19 body body NN 19261 1611 20 , , , 19261 1611 21 any any DT 19261 1611 22 mechanical mechanical JJ 19261 1611 23 problem problem NN 19261 1611 24 can can MD 19261 1611 25 he -PRON- PRP 19261 1611 26 simulated simulate VBD 19261 1611 27 for for IN 19261 1611 28 solution solution NN 19261 1611 29 or or CC 19261 1611 30 for for IN 19261 1611 31 practice practice NN 19261 1611 32 , , , 19261 1611 33 study study NN 19261 1611 34 of of IN 19261 1611 35 all all DT 19261 1611 36 possible possible JJ 19261 1611 37 presentations presentation NNS 19261 1611 38 , , , 19261 1611 39 etc etc FW 19261 1611 40 . . . 19261 1611 41 ] ] -RRB- 19261 1612 1 _ _ NNP 19261 1612 2 Practice Practice NNP 19261 1612 3 on on IN 19261 1612 4 the the DT 19261 1612 5 Dog_.--Having Dog_.--Having NNP 19261 1612 6 mastered master VBD 19261 1612 7 the the DT 19261 1612 8 technic technic NN 19261 1612 9 of of IN 19261 1612 10 introduction introduction NN 19261 1612 11 on on IN 19261 1612 12 the the DT 19261 1612 13 cadaver cadaver NN 19261 1612 14 and and CC 19261 1612 15 trained train VBD 19261 1612 16 the the DT 19261 1612 17 eye eye NN 19261 1612 18 and and CC 19261 1612 19 fingers finger NNS 19261 1612 20 by by IN 19261 1612 21 practice practice NN 19261 1612 22 work work NN 19261 1612 23 on on IN 19261 1612 24 the the DT 19261 1612 25 rubber rubber NN 19261 1612 26 tube tube NN 19261 1612 27 , , , 19261 1612 28 experience experience NN 19261 1612 29 should should MD 19261 1612 30 be be VB 19261 1612 31 had have VBN 19261 1612 32 in in IN 19261 1612 33 the the DT 19261 1612 34 living live VBG 19261 1612 35 lower low JJR 19261 1612 36 air air NN 19261 1612 37 and and CC 19261 1612 38 food food NN 19261 1612 39 passages passage NNS 19261 1612 40 with with IN 19261 1612 41 their -PRON- PRP$ 19261 1612 42 pulsatory pulsatory NN 19261 1612 43 , , , 19261 1612 44 respiratory respiratory JJ 19261 1612 45 , , , 19261 1612 46 bechic bechic JJ 19261 1612 47 and and CC 19261 1612 48 deglutitory deglutitory JJ 19261 1612 49 movements movement NNS 19261 1612 50 , , , 19261 1612 51 and and CC 19261 1612 52 ever ever RB 19261 1612 53 - - HYPH 19261 1612 54 present present JJ 19261 1612 55 secretions secretion NNS 19261 1612 56 . . . 19261 1613 1 It -PRON- PRP 19261 1613 2 is be VBZ 19261 1613 3 not not RB 19261 1613 4 only only RB 19261 1613 5 inhuman inhuman JJ 19261 1613 6 but but CC 19261 1613 7 impossible impossible JJ 19261 1613 8 to to TO 19261 1613 9 obtain obtain VB 19261 1613 10 this this DT 19261 1613 11 experience experience NN 19261 1613 12 on on IN 19261 1613 13 children child NNS 19261 1613 14 . . . 19261 1614 1 Fortunately fortunately RB 19261 1614 2 the the DT 19261 1614 3 dog dog NN 19261 1614 4 offers offer VBZ 19261 1614 5 a a DT 19261 1614 6 most most RBS 19261 1614 7 ready ready JJ 19261 1614 8 subject subject NN 19261 1614 9 and and CC 19261 1614 10 need need NN 19261 1614 11 in in IN 19261 1614 12 no no DT 19261 1614 13 way way NN 19261 1614 14 be be VB 19261 1614 15 harmed harm VBN 19261 1614 16 nor nor CC 19261 1614 17 pained pain VBN 19261 1614 18 by by IN 19261 1614 19 this this DT 19261 1614 20 invaluable invaluable JJ 19261 1614 21 and and CC 19261 1614 22 life life NN 19261 1614 23 - - HYPH 19261 1614 24 saving save VBG 19261 1614 25 practice practice NN 19261 1614 26 . . . 19261 1615 1 A a DT 19261 1615 2 small small JJ 19261 1615 3 dog dog NN 19261 1615 4 the the DT 19261 1615 5 size size NN 19261 1615 6 of of IN 19261 1615 7 a a DT 19261 1615 8 terrier terrier NN 19261 1615 9 ( ( -LRB- 19261 1615 10 say say UH 19261 1615 11 6 6 CD 19261 1615 12 to to TO 19261 1615 13 10 10 CD 19261 1615 14 pounds pound NNS 19261 1615 15 in in IN 19261 1615 16 weight weight NN 19261 1615 17 ) ) -RRB- 19261 1615 18 should should MD 19261 1615 19 be be VB 19261 1615 20 chosen choose VBN 19261 1615 21 and and CC 19261 1615 22 anesthetized anesthetize VBN 19261 1615 23 by by IN 19261 1615 24 the the DT 19261 1615 25 hypodermic hypodermic JJ 19261 1615 26 injection injection NN 19261 1615 27 of of IN 19261 1615 28 morphin morphin NNP 19261 1615 29 sulphate sulphate NN 19261 1615 30 in in IN 19261 1615 31 dosage dosage NN 19261 1615 32 of of IN 19261 1615 33 approximately approximately RB 19261 1615 34 one one CD 19261 1615 35 - - HYPH 19261 1615 36 sixth sixth NN 19261 1615 37 of of IN 19261 1615 38 a a DT 19261 1615 39 grain grain NN 19261 1615 40 per per IN 19261 1615 41 pound pound NN 19261 1615 42 of of IN 19261 1615 43 body body NN 19261 1615 44 weight weight NN 19261 1615 45 , , , 19261 1615 46 given give VBN 19261 1615 47 about about RB 19261 1615 48 45 45 CD 19261 1615 49 minutes minute NNS 19261 1615 50 before before IN 19261 1615 51 the the DT 19261 1615 52 time time NN 19261 1615 53 of of IN 19261 1615 54 practice practice NN 19261 1615 55 . . . 19261 1616 1 Dogs dog NNS 19261 1616 2 stand stand VBP 19261 1616 3 large large JJ 19261 1616 4 doses dose NNS 19261 1616 5 of of IN 19261 1616 6 morphin morphin NNP 19261 1616 7 without without IN 19261 1616 8 apparent apparent JJ 19261 1616 9 ill ill JJ 19261 1616 10 effect effect NN 19261 1616 11 , , , 19261 1616 12 so so RB 19261 1616 13 that that IN 19261 1616 14 repeated repeat VBN 19261 1616 15 injection injection NN 19261 1616 16 may may MD 19261 1616 17 be be VB 19261 1616 18 given give VBN 19261 1616 19 in in IN 19261 1616 20 smaller small JJR 19261 1616 21 dosage dosage NN 19261 1616 22 until until IN 19261 1616 23 the the DT 19261 1616 24 desired desire VBN 19261 1616 25 degree degree NN 19261 1616 26 of of IN 19261 1616 27 relaxation relaxation NN 19261 1616 28 results result NNS 19261 1616 29 . . . 19261 1617 1 The the DT 19261 1617 2 first first JJ 19261 1617 3 effect effect NN 19261 1617 4 is be VBZ 19261 1617 5 vomiting vomiting NN 19261 1617 6 which which WDT 19261 1617 7 gives give VBZ 19261 1617 8 an an DT 19261 1617 9 empty empty JJ 19261 1617 10 stomach stomach NN 19261 1617 11 for for IN 19261 1617 12 esophagoscopy esophagoscopy NN 19261 1617 13 and and CC 19261 1617 14 gastroscopy gastroscopy JJ 19261 1617 15 . . . 19261 1618 1 Vomiting vomiting NN 19261 1618 2 is be VBZ 19261 1618 3 soon soon RB 19261 1618 4 followed follow VBN 19261 1618 5 by by IN 19261 1618 6 relaxation relaxation NN 19261 1618 7 and and CC 19261 1618 8 stupor stupor NN 19261 1618 9 . . . 19261 1619 1 The the DT 19261 1619 2 dog dog NN 19261 1619 3 is be VBZ 19261 1619 4 normal normal JJ 19261 1619 5 and and CC 19261 1619 6 hungry hungry JJ 19261 1619 7 in in IN 19261 1619 8 a a DT 19261 1619 9 few few JJ 19261 1619 10 hours hour NNS 19261 1619 11 . . . 19261 1620 1 Dosage dosage NN 19261 1620 2 must must MD 19261 1620 3 be be VB 19261 1620 4 governed govern VBN 19261 1620 5 in in IN 19261 1620 6 the the DT 19261 1620 7 clog clog NN 19261 1620 8 as as IN 19261 1620 9 in in IN 19261 1620 10 the the DT 19261 1620 11 human human NN 19261 1620 12 being being NN 19261 1620 13 by by IN 19261 1620 14 the the DT 19261 1620 15 susceptibility susceptibility NN 19261 1620 16 to to IN 19261 1620 17 the the DT 19261 1620 18 drug drug NN 19261 1620 19 and and CC 19261 1620 20 by by IN 19261 1620 21 the the DT 19261 1620 22 temperament temperament NN 19261 1620 23 of of IN 19261 1620 24 the the DT 19261 1620 25 animal animal NN 19261 1620 26 . . . 19261 1621 1 Other other JJ 19261 1621 2 forms form NNS 19261 1621 3 of of IN 19261 1621 4 anesthesia anesthesia NNP 19261 1621 5 have have VBP 19261 1621 6 been be VBN 19261 1621 7 tried try VBN 19261 1621 8 in in IN 19261 1621 9 my -PRON- PRP$ 19261 1621 10 teaching teaching NN 19261 1621 11 , , , 19261 1621 12 and and CC 19261 1621 13 none none NN 19261 1621 14 has have VBZ 19261 1621 15 proven prove VBN 19261 1621 16 so so RB 19261 1621 17 safe safe JJ 19261 1621 18 and and CC 19261 1621 19 satisfactory satisfactory JJ 19261 1621 20 . . . 19261 1622 1 Phonation phonation NN 19261 1622 2 may may MD 19261 1622 3 be be VB 19261 1622 4 prevented prevent VBN 19261 1622 5 during during IN 19261 1622 6 esophagoscopy esophagoscopy NN 19261 1622 7 by by IN 19261 1622 8 preventing prevent VBG 19261 1622 9 approximation approximation NN 19261 1622 10 of of IN 19261 1622 11 the the DT 19261 1622 12 cords cord NNS 19261 1622 13 , , , 19261 1622 14 through through IN 19261 1622 15 inserting insert VBG 19261 1622 16 a a DT 19261 1622 17 silk silk NN 19261 1622 18 - - HYPH 19261 1622 19 woven weave VBN 19261 1622 20 cathether cathether NN 19261 1622 21 in in IN 19261 1622 22 the the DT 19261 1622 23 trachea trachea NN 19261 1622 24 . . . 19261 1623 1 The the DT 19261 1623 2 larynx larynx NN 19261 1623 3 and and CC 19261 1623 4 trachea trachea NN 19261 1623 5 may may MD 19261 1623 6 be be VB 19261 1623 7 painted paint VBN 19261 1623 8 with with IN 19261 1623 9 cocain cocain NN 19261 1623 10 solution solution NN 19261 1623 11 if if IN 19261 1623 12 it -PRON- PRP 19261 1623 13 is be VBZ 19261 1623 14 found find VBN 19261 1623 15 necessary necessary JJ 19261 1623 16 for for IN 19261 1623 17 bronchoscopy bronchoscopy NN 19261 1623 18 . . . 19261 1624 1 A a DT 19261 1624 2 very very RB 19261 1624 3 comfortable comfortable JJ 19261 1624 4 and and CC 19261 1624 5 safe safe JJ 19261 1624 6 mouth mouth NN 19261 1624 7 gag gag NN 19261 1624 8 is be VBZ 19261 1624 9 shown show VBN 19261 1624 10 in in IN 19261 1624 11 Fig Fig NNP 19261 1624 12 . . . 19261 1625 1 73 73 CD 19261 1625 2 . . . 19261 1626 1 Great great JJ 19261 1626 2 gentleness gentleness NN 19261 1626 3 should should MD 19261 1626 4 be be VB 19261 1626 5 exercised exercise VBN 19261 1626 6 , , , 19261 1626 7 and and CC 19261 1626 8 no no DT 19261 1626 9 force force NN 19261 1626 10 should should MD 19261 1626 11 be be VB 19261 1626 12 used use VBN 19261 1626 13 , , , 19261 1626 14 for for IN 19261 1626 15 none none NN 19261 1626 16 is be VBZ 19261 1626 17 required require VBN 19261 1626 18 in in IN 19261 1626 19 endoscopic endoscopic JJ 19261 1626 20 work work NN 19261 1626 21 ; ; : 19261 1626 22 and and CC 19261 1626 23 the the DT 19261 1626 24 endoscopist endoscopist NN 19261 1626 25 will will MD 19261 1626 26 lose lose VB 19261 1626 27 much much JJ 19261 1626 28 of of IN 19261 1626 29 the the DT 19261 1626 30 value value NN 19261 1626 31 of of IN 19261 1626 32 his -PRON- PRP$ 19261 1626 33 dog dog NN 19261 1626 34 practice practice NN 19261 1626 35 if if IN 19261 1626 36 he -PRON- PRP 19261 1626 37 fails fail VBZ 19261 1626 38 to to TO 19261 1626 39 regard regard VB 19261 1626 40 the the DT 19261 1626 41 dog dog NN 19261 1626 42 as as IN 19261 1626 43 a a DT 19261 1626 44 child child NN 19261 1626 45 . . . 19261 1627 1 He -PRON- PRP 19261 1627 2 should should MD 19261 1627 3 remember remember VB 19261 1627 4 he -PRON- PRP 19261 1627 5 is be VBZ 19261 1627 6 not not RB 19261 1627 7 learning learn VBG 19261 1627 8 how how WRB 19261 1627 9 to to TO 19261 1627 10 do do VB 19261 1627 11 endoscopy endoscopy VB 19261 1627 12 on on IN 19261 1627 13 the the DT 19261 1627 14 dog dog NN 19261 1627 15 ; ; : 19261 1627 16 but but CC 19261 1627 17 learning learn VBG 19261 1627 18 on on IN 19261 1627 19 the the DT 19261 1627 20 dog dog NN 19261 1627 21 how how WRB 19261 1627 22 safely safely RB 19261 1627 23 to to TO 19261 1627 24 do do VB 19261 1627 25 bronchoscopy bronchoscopy VB 19261 1627 26 on on IN 19261 1627 27 a a DT 19261 1627 28 human human JJ 19261 1627 29 being being NN 19261 1627 30 . . . 19261 1628 1 The the DT 19261 1628 2 degree degree NN 19261 1628 3 of of IN 19261 1628 4 resistance resistance NN 19261 1628 5 during during IN 19261 1628 6 introduction introduction NN 19261 1628 7 can can MD 19261 1628 8 be be VB 19261 1628 9 gauged gauge VBN 19261 1628 10 and and CC 19261 1628 11 the the DT 19261 1628 12 color color NN 19261 1628 13 of of IN 19261 1628 14 the the DT 19261 1628 15 mucosa mucosa NNS 19261 1628 16 studied study VBD 19261 1628 17 , , , 19261 1628 18 while while IN 19261 1628 19 that that DT 19261 1628 20 interesting interesting JJ 19261 1628 21 phenomenon phenomenon NN 19261 1628 22 , , , 19261 1628 23 the the DT 19261 1628 24 dilatation dilatation NN 19261 1628 25 and and CC 19261 1628 26 lengthening lengthening NN 19261 1628 27 of of IN 19261 1628 28 the the DT 19261 1628 29 bronchi bronchi NN 19261 1628 30 during during IN 19261 1628 31 inspiration inspiration NN 19261 1628 32 and and CC 19261 1628 33 their -PRON- PRP$ 19261 1628 34 contraction contraction NN 19261 1628 35 and and CC 19261 1628 36 shortening shorten VBG 19261 1628 37 during during IN 19261 1628 38 expiration expiration NN 19261 1628 39 , , , 19261 1628 40 is be VBZ 19261 1628 41 readily readily RB 19261 1628 42 observed observe VBN 19261 1628 43 and and CC 19261 1628 44 always always RB 19261 1628 45 forms form NNS 19261 1628 46 subject subject JJ 19261 1628 47 for for IN 19261 1628 48 thought thought NN 19261 1628 49 in in IN 19261 1628 50 its -PRON- PRP$ 19261 1628 51 possible possible JJ 19261 1628 52 connection connection NN 19261 1628 53 with with IN 19261 1628 54 pathological pathological JJ 19261 1628 55 conditions condition NNS 19261 1628 56 . . . 19261 1629 1 Foreign foreign JJ 19261 1629 2 body body NN 19261 1629 3 problems problem NNS 19261 1629 4 are be VBP 19261 1629 5 now now RB 19261 1629 6 to to TO 19261 1629 7 be be VB 19261 1629 8 solved solve VBN 19261 1629 9 under under IN 19261 1629 10 these these DT 19261 1629 11 living living NN 19261 1629 12 conditions condition NNS 19261 1629 13 , , , 19261 1629 14 and and CC 19261 1629 15 it -PRON- PRP 19261 1629 16 is be VBZ 19261 1629 17 my -PRON- PRP$ 19261 1629 18 feeling feeling NN 19261 1629 19 that that IN 19261 1629 20 no no DT 19261 1629 21 one one PRP 19261 1629 22 should should MD 19261 1629 23 attempt attempt VB 19261 1629 24 the the DT 19261 1629 25 removal removal NN 19261 1629 26 of of IN 19261 1629 27 a a DT 19261 1629 28 foreign foreign JJ 19261 1629 29 body body NN 19261 1629 30 from from IN 19261 1629 31 the the DT 19261 1629 32 bronchus bronchu NNS 19261 1629 33 of of IN 19261 1629 34 a a DT 19261 1629 35 child child NN 19261 1629 36 until until IN 19261 1629 37 he -PRON- PRP 19261 1629 38 has have VBZ 19261 1629 39 removed remove VBN 19261 1629 40 at at RB 19261 1629 41 least least RBS 19261 1629 42 100 100 CD 19261 1629 43 foreign foreign JJ 19261 1629 44 bodies body NNS 19261 1629 45 from from IN 19261 1629 46 the the DT 19261 1629 47 dog dog NN 19261 1629 48 without without IN 19261 1629 49 harming harm VBG 19261 1629 50 the the DT 19261 1629 51 animal animal NN 19261 1629 52 . . . 19261 1630 1 Dogs dog NNS 19261 1630 2 have have VBP 19261 1630 3 the the DT 19261 1630 4 faculty faculty NN 19261 1630 5 of of IN 19261 1630 6 easily easily RB 19261 1630 7 ridding rid VBG 19261 1630 8 their -PRON- PRP$ 19261 1630 9 air air NN 19261 1630 10 - - HYPH 19261 1630 11 passages passage NNS 19261 1630 12 of of IN 19261 1630 13 foreign foreign JJ 19261 1630 14 objects object NNS 19261 1630 15 , , , 19261 1630 16 so so IN 19261 1630 17 that that IN 19261 1630 18 one one PRP 19261 1630 19 need nee MD 19261 1630 20 not not RB 19261 1630 21 be be VB 19261 1630 22 alarmed alarm VBN 19261 1630 23 if if IN 19261 1630 24 a a DT 19261 1630 25 foreign foreign JJ 19261 1630 26 body body NN 19261 1630 27 is be VBZ 19261 1630 28 lost lose VBN 19261 1630 29 during during IN 19261 1630 30 practice practice NN 19261 1630 31 removal removal NN 19261 1630 32 . . . 19261 1631 1 It -PRON- PRP 19261 1631 2 is be VBZ 19261 1631 3 to to TO 19261 1631 4 be be VB 19261 1631 5 remembered remember VBN 19261 1631 6 that that IN 19261 1631 7 dogs dog NNS 19261 1631 8 swallow swallow VBP 19261 1631 9 very very RB 19261 1631 10 large large JJ 19261 1631 11 objects object NNS 19261 1631 12 with with IN 19261 1631 13 apparent apparent JJ 19261 1631 14 ease ease NN 19261 1631 15 . . . 19261 1632 1 The the DT 19261 1632 2 dog dog NN 19261 1632 3 's 's POS 19261 1632 4 esophagus esophagus NN 19261 1632 5 is be VBZ 19261 1632 6 relatively relatively RB 19261 1632 7 much much RB 19261 1632 8 larger large JJR 19261 1632 9 than than IN 19261 1632 10 that that DT 19261 1632 11 of of IN 19261 1632 12 human human JJ 19261 1632 13 beings being NNS 19261 1632 14 . . . 19261 1633 1 Therefore therefore RB 19261 1633 2 a a DT 19261 1633 3 small small JJ 19261 1633 4 dog dog NN 19261 1633 5 ( ( -LRB- 19261 1633 6 of of IN 19261 1633 7 six six CD 19261 1633 8 to to TO 19261 1633 9 eight eight CD 19261 1633 10 pounds pound NNS 19261 1633 11 ' ' POS 19261 1633 12 weight weight NN 19261 1633 13 ) ) -RRB- 19261 1633 14 must must MD 19261 1633 15 be be VB 19261 1633 16 used use VBN 19261 1633 17 for for IN 19261 1633 18 esophagoscopic esophagoscopic NN 19261 1633 19 practice practice NN 19261 1633 20 , , , 19261 1633 21 if if IN 19261 1633 22 practice practice NN 19261 1633 23 is be VBZ 19261 1633 24 to to TO 19261 1633 25 be be VB 19261 1633 26 had have VBN 19261 1633 27 with with IN 19261 1633 28 objects object NNS 19261 1633 29 of of IN 19261 1633 30 the the DT 19261 1633 31 size size NN 19261 1633 32 usually usually RB 19261 1633 33 encountered encounter VBN 19261 1633 34 in in IN 19261 1633 35 human human JJ 19261 1633 36 beings being NNS 19261 1633 37 . . . 19261 1634 1 The the DT 19261 1634 2 bronchi bronchi NN 19261 1634 3 of of IN 19261 1634 4 a a DT 19261 1634 5 dog dog NN 19261 1634 6 of of IN 19261 1634 7 this this DT 19261 1634 8 weight weight NN 19261 1634 9 will will MD 19261 1634 10 be be VB 19261 1634 11 about about IN 19261 1634 12 the the DT 19261 1634 13 size size NN 19261 1634 14 of of IN 19261 1634 15 those those DT 19261 1634 16 of of IN 19261 1634 17 a a DT 19261 1634 18 child child NN 19261 1634 19 . . . 19261 1635 1 [ [ -LRB- 19261 1635 2 FIG FIG NNP 19261 1635 3 . . . 19261 1636 1 73.--Author 73.--author CD 19261 1636 2 's 's POS 19261 1636 3 mouth mouth NN 19261 1636 4 gag gag NN 19261 1636 5 for for IN 19261 1636 6 use use NN 19261 1636 7 on on IN 19261 1636 8 the the DT 19261 1636 9 dog dog NN 19261 1636 10 . . . 19261 1637 1 The the DT 19261 1637 2 thumb thumb NN 19261 1637 3 - - HYPH 19261 1637 4 nut nut NN 19261 1637 5 serves serve VBZ 19261 1637 6 to to TO 19261 1637 7 prevent prevent VB 19261 1637 8 an an DT 19261 1637 9 uncomfortable uncomfortable JJ 19261 1637 10 degree degree NN 19261 1637 11 of of IN 19261 1637 12 expansion expansion NN 19261 1637 13 of of IN 19261 1637 14 the the DT 19261 1637 15 gag gag NN 19261 1637 16 . . . 19261 1638 1 A a DT 19261 1638 2 bandage bandage NN 19261 1638 3 may may MD 19261 1638 4 be be VB 19261 1638 5 wound wind VBN 19261 1638 6 around around IN 19261 1638 7 the the DT 19261 1638 8 dog dog NN 19261 1638 9 's 's POS 19261 1638 10 jaws jaw NNS 19261 1638 11 to to TO 19261 1638 12 prevent prevent VB 19261 1638 13 undue undue JJ 19261 1638 14 spread spread NN 19261 1638 15 of of IN 19261 1638 16 the the DT 19261 1638 17 jaws jaw NNS 19261 1638 18 . . . 19261 1638 19 ] ] -RRB- 19261 1639 1 _ _ NNP 19261 1639 2 Endoscopy Endoscopy NNP 19261 1639 3 on on IN 19261 1639 4 the the DT 19261 1639 5 Human Human NNP 19261 1639 6 Being_.--Dog Being_.--Dog NNP 19261 1639 7 work work NN 19261 1639 8 offers offer VBZ 19261 1639 9 but but CC 19261 1639 10 little little JJ 19261 1639 11 practice practice NN 19261 1639 12 in in IN 19261 1639 13 laryngoscopy laryngoscopy NN 19261 1639 14 . . . 19261 1640 1 Because because IN 19261 1640 2 of of IN 19261 1640 3 the the DT 19261 1640 4 slight slight JJ 19261 1640 5 angle angle NN 19261 1640 6 at at IN 19261 1640 7 which which WDT 19261 1640 8 the the DT 19261 1640 9 dog dog NN 19261 1640 10 's 's POS 19261 1640 11 head head NN 19261 1640 12 joins join VBZ 19261 1640 13 his -PRON- PRP$ 19261 1640 14 spine spine NN 19261 1640 15 , , , 19261 1640 16 the the DT 19261 1640 17 larynx larynx NN 19261 1640 18 is be VBZ 19261 1640 19 in in IN 19261 1640 20 a a DT 19261 1640 21 direct direct JJ 19261 1640 22 line line NN 19261 1640 23 with with IN 19261 1640 24 the the DT 19261 1640 25 open open JJ 19261 1640 26 mouth mouth NN 19261 1640 27 ; ; : 19261 1640 28 hence hence RB 19261 1640 29 little little JJ 19261 1640 30 displacement displacement NN 19261 1640 31 of of IN 19261 1640 32 the the DT 19261 1640 33 anterior anterior NNP 19261 1640 34 cervical cervical JJ 19261 1640 35 tissues tissue NNS 19261 1640 36 is be VBZ 19261 1640 37 necessary necessary JJ 19261 1640 38 . . . 19261 1641 1 Moreover moreover RB 19261 1641 2 the the DT 19261 1641 3 interior interior NN 19261 1641 4 of of IN 19261 1641 5 the the DT 19261 1641 6 larynx larynx NN 19261 1641 7 of of IN 19261 1641 8 the the DT 19261 1641 9 dog dog NN 19261 1641 10 is be VBZ 19261 1641 11 quite quite RB 19261 1641 12 different different JJ 19261 1641 13 from from IN 19261 1641 14 that that DT 19261 1641 15 of of IN 19261 1641 16 the the DT 19261 1641 17 human human JJ 19261 1641 18 larynx larynx NN 19261 1641 19 . . . 19261 1642 1 The the DT 19261 1642 2 technic technic NN 19261 1642 3 of of IN 19261 1642 4 laryngoscopy laryngoscopy NN 19261 1642 5 in in IN 19261 1642 6 the the DT 19261 1642 7 human human JJ 19261 1642 8 subject subject NN 19261 1642 9 is be VBZ 19261 1642 10 best well RBS 19261 1642 11 perfected perfect VBN 19261 1642 12 by by IN 19261 1642 13 a a DT 19261 1642 14 routine routine JJ 19261 1642 15 direct direct JJ 19261 1642 16 examination examination NN 19261 1642 17 of of IN 19261 1642 18 the the DT 19261 1642 19 larynx larynx NN 19261 1642 20 of of IN 19261 1642 21 anesthetized anesthetized JJ 19261 1642 22 patients patient NNS 19261 1642 23 after after IN 19261 1642 24 such such PDT 19261 1642 25 an an DT 19261 1642 26 operation operation NN 19261 1642 27 as as IN 19261 1642 28 , , , 19261 1642 29 for for IN 19261 1642 30 instance instance NN 19261 1642 31 , , , 19261 1642 32 tonsillectomy tonsillectomy NN 19261 1642 33 , , , 19261 1642 34 to to TO 19261 1642 35 see see VB 19261 1642 36 that that IN 19261 1642 37 the the DT 19261 1642 38 larynx larynx NNP 19261 1642 39 and and CC 19261 1642 40 laryngopharynx laryngopharynx NNP 19261 1642 41 are be VBP 19261 1642 42 free free JJ 19261 1642 43 of of IN 19261 1642 44 clots clot NNS 19261 1642 45 . . . 19261 1643 1 To to TO 19261 1643 2 perform perform VB 19261 1643 3 a a DT 19261 1643 4 bronchoscopy bronchoscopy NN 19261 1643 5 or or CC 19261 1643 6 esophagoscopy esophagoscopy NN 19261 1643 7 under under IN 19261 1643 8 these these DT 19261 1643 9 conditions condition NNS 19261 1643 10 would would MD 19261 1643 11 be be VB 19261 1643 12 reprehensible reprehensible JJ 19261 1643 13 ; ; : 19261 1643 14 but but CC 19261 1643 15 direct direct JJ 19261 1643 16 laryngoscopy laryngoscopy NN 19261 1643 17 for for IN 19261 1643 18 the the DT 19261 1643 19 seeking seeking NN 19261 1643 20 and and CC 19261 1643 21 removal removal NN 19261 1643 22 of of IN 19261 1643 23 clots clot NNS 19261 1643 24 serves serve VBZ 19261 1643 25 a a DT 19261 1643 26 useful useful JJ 19261 1643 27 purpose purpose NN 19261 1643 28 as as IN 19261 1643 29 a a DT 19261 1643 30 preventative preventative NN 19261 1643 31 of of IN 19261 1643 32 pulmonary pulmonary JJ 19261 1643 33 abscess abscess NN 19261 1643 34 and and CC 19261 1643 35 similar similar JJ 19261 1643 36 complications complication NNS 19261 1643 37 . . . 19261 1644 1 * * NFP 19261 1644 2 Diagnosis diagnosis NN 19261 1644 3 of of IN 19261 1644 4 laryngeal laryngeal JJ 19261 1644 5 conditions condition NNS 19261 1644 6 in in IN 19261 1644 7 young young JJ 19261 1644 8 children child NNS 19261 1644 9 is be VBZ 19261 1644 10 possible possible JJ 19261 1644 11 only only RB 19261 1644 12 by by IN 19261 1644 13 direct direct JJ 19261 1644 14 laryngoscopy laryngoscopy NN 19261 1644 15 and and CC 19261 1644 16 is be VBZ 19261 1644 17 neglected neglect VBN 19261 1644 18 in in IN 19261 1644 19 almost almost RB 19261 1644 20 all all DT 19261 1644 21 of of IN 19261 1644 22 the the DT 19261 1644 23 cases case NNS 19261 1644 24 . . . 19261 1645 1 No no DT 19261 1645 2 anesthesia anesthesia NNP 19261 1645 3 , , , 19261 1645 4 general general JJ 19261 1645 5 or or CC 19261 1645 6 local local JJ 19261 1645 7 , , , 19261 1645 8 is be VBZ 19261 1645 9 required require VBN 19261 1645 10 . . . 19261 1646 1 Much much JJ 19261 1646 2 clinical clinical JJ 19261 1646 3 material material NN 19261 1646 4 is be VBZ 19261 1646 5 neglected neglect VBN 19261 1646 6 . . . 19261 1647 1 All all DT 19261 1647 2 cases case NNS 19261 1647 3 of of IN 19261 1647 4 dyspnea dyspnea NN 19261 1647 5 or or CC 19261 1647 6 dysphagia dysphagia NN 19261 1647 7 should should MD 19261 1647 8 be be VB 19261 1647 9 studied study VBN 19261 1647 10 endoscopically endoscopically RB 19261 1647 11 if if IN 19261 1647 12 the the DT 19261 1647 13 cause cause NN 19261 1647 14 of of IN 19261 1647 15 the the DT 19261 1647 16 condition condition NN 19261 1647 17 can can MD 19261 1647 18 not not RB 19261 1647 19 be be VB 19261 1647 20 definitely definitely RB 19261 1647 21 found find VBN 19261 1647 22 and and CC 19261 1647 23 treated treat VBN 19261 1647 24 by by IN 19261 1647 25 other other JJ 19261 1647 26 means mean NNS 19261 1647 27 . . . 19261 1648 1 Invaluable invaluable JJ 19261 1648 2 practice practice NN 19261 1648 3 in in IN 19261 1648 4 esophagoscopy esophagoscopy NN 19261 1648 5 is be VBZ 19261 1648 6 found find VBN 19261 1648 7 in in IN 19261 1648 8 the the DT 19261 1648 9 treatment treatment NN 19261 1648 10 of of IN 19261 1648 11 strictures stricture NNS 19261 1648 12 of of IN 19261 1648 13 the the DT 19261 1648 14 esophagus esophagus NN 19261 1648 15 by by IN 19261 1648 16 weekly weekly JJ 19261 1648 17 or or CC 19261 1648 18 biweekly biweekly JJ 19261 1648 19 esophagoscopic esophagoscopic NN 19261 1648 20 bouginage bouginage NN 19261 1648 21 . . . 19261 1649 1 * * NFP 19261 1649 2 Dr. Dr. NNP 19261 1649 3 William William NNP 19261 1649 4 Frederick Frederick NNP 19261 1649 5 Moore Moore NNP 19261 1649 6 , , , 19261 1649 7 of of IN 19261 1649 8 the the DT 19261 1649 9 Bronchoscopic Bronchoscopic NNP 19261 1649 10 Clinic Clinic NNP 19261 1649 11 , , , 19261 1649 12 has have VBZ 19261 1649 13 recently recently RB 19261 1649 14 collected collect VBN 19261 1649 15 statistics statistic NNS 19261 1649 16 of of IN 19261 1649 17 202 202 CD 19261 1649 18 cases case NNS 19261 1649 19 of of IN 19261 1649 20 post post JJ 19261 1649 21 - - JJ 19261 1649 22 tonsillectomic tonsillectomic JJ 19261 1649 23 pulmonary pulmonary NN 19261 1649 24 abscess abscess NN 19261 1649 25 that that DT 19261 1649 26 point point NN 19261 1649 27 strongly strongly RB 19261 1649 28 to to IN 19261 1649 29 aspiration aspiration NN 19261 1649 30 of of IN 19261 1649 31 infected infected JJ 19261 1649 32 clots clot NNS 19261 1649 33 and and CC 19261 1649 34 other other JJ 19261 1649 35 infective infective JJ 19261 1649 36 materials material NNS 19261 1649 37 as as IN 19261 1649 38 the the DT 19261 1649 39 most most RBS 19261 1649 40 frequent frequent JJ 19261 1649 41 etiologic etiologic JJ 19261 1649 42 mechanism mechanism NN 19261 1649 43 ( ( -LRB- 19261 1649 44 Moore Moore NNP 19261 1649 45 , , , 19261 1649 46 W. W. NNP 19261 1649 47 F. F. NNP 19261 1649 48 , , , 19261 1649 49 Pulmonary Pulmonary NNP 19261 1649 50 Abscess Abscess NNP 19261 1649 51 . . . 19261 1650 1 Journ Journ NNP 19261 1650 2 . . . 19261 1651 1 Am Am NNP 19261 1651 2 . . . 19261 1652 1 Med Med NNP 19261 1652 2 . . . 19261 1653 1 Assn assn UH 19261 1653 2 . . . 19261 1653 3 , , , 19261 1653 4 April April NNP 19261 1653 5 29 29 CD 19261 1653 6 , , , 19261 1653 7 1922 1922 CD 19261 1653 8 , , , 19261 1653 9 Vol Vol NNP 19261 1653 10 . . . 19261 1654 1 78 78 CD 19261 1654 2 , , , 19261 1654 3 pp pp NNP 19261 1654 4 . . . 19261 1655 1 1279 1279 CD 19261 1655 2 - - SYM 19261 1655 3 1281 1281 CD 19261 1655 4 ) ) -RRB- 19261 1655 5 . . . 19261 1656 1 In in IN 19261 1656 2 acquiring acquire VBG 19261 1656 3 skill skill NN 19261 1656 4 as as IN 19261 1656 5 an an DT 19261 1656 6 endoscopist endoscopist NN 19261 1656 7 the the DT 19261 1656 8 following follow VBG 19261 1656 9 paraphrased paraphrase VBN 19261 1656 10 aphorisms aphorism NNS 19261 1656 11 afford afford VBP 19261 1656 12 food food NN 19261 1656 13 for for IN 19261 1656 14 thought thought NN 19261 1656 15 . . . 19261 1657 1 APHORISMS APHORISMS NNP 19261 1657 2 Educate Educate NNP 19261 1657 3 your -PRON- PRP$ 19261 1657 4 eye eye NN 19261 1657 5 and and CC 19261 1657 6 your -PRON- PRP$ 19261 1657 7 fingers finger NNS 19261 1657 8 . . . 19261 1658 1 Be be VB 19261 1658 2 sure sure JJ 19261 1658 3 you -PRON- PRP 19261 1658 4 are be VBP 19261 1658 5 right right JJ 19261 1658 6 , , , 19261 1658 7 but but CC 19261 1658 8 not not RB 19261 1658 9 too too RB 19261 1658 10 sure sure JJ 19261 1658 11 . . . 19261 1659 1 Follow follow VB 19261 1659 2 your -PRON- PRP$ 19261 1659 3 judgment judgment NN 19261 1659 4 , , , 19261 1659 5 never never RB 19261 1659 6 your -PRON- PRP$ 19261 1659 7 impulse impulse NN 19261 1659 8 . . . 19261 1660 1 Cry cry VB 19261 1660 2 over over IN 19261 1660 3 spilled spill VBN 19261 1660 4 milk milk NN 19261 1660 5 enough enough JJ 19261 1660 6 to to TO 19261 1660 7 memorize memorize VB 19261 1660 8 how how WRB 19261 1660 9 you -PRON- PRP 19261 1660 10 spilled spill VBD 19261 1660 11 it -PRON- PRP 19261 1660 12 . . . 19261 1661 1 Let let VB 19261 1661 2 your -PRON- PRP$ 19261 1661 3 mistakes mistake NNS 19261 1661 4 worry worry VB 19261 1661 5 you -PRON- PRP 19261 1661 6 enough enough RB 19261 1661 7 to to TO 19261 1661 8 prevent prevent VB 19261 1661 9 repetition repetition NN 19261 1661 10 . . . 19261 1662 1 Let let VB 19261 1662 2 your -PRON- PRP$ 19261 1662 3 left left JJ 19261 1662 4 hand hand NN 19261 1662 5 know know VB 19261 1662 6 what what WP 19261 1662 7 your -PRON- PRP$ 19261 1662 8 right right JJ 19261 1662 9 hand hand NN 19261 1662 10 does do VBZ 19261 1662 11 and and CC 19261 1662 12 how how WRB 19261 1662 13 to to TO 19261 1662 14 do do VB 19261 1662 15 it -PRON- PRP 19261 1662 16 . . . 19261 1663 1 Nature nature NN 19261 1663 2 helps help VBZ 19261 1663 3 , , , 19261 1663 4 but but CC 19261 1663 5 she -PRON- PRP 19261 1663 6 is be VBZ 19261 1663 7 no no DT 19261 1663 8 more more RBR 19261 1663 9 interested interested JJ 19261 1663 10 in in IN 19261 1663 11 the the DT 19261 1663 12 survival survival NN 19261 1663 13 of of IN 19261 1663 14 your -PRON- PRP$ 19261 1663 15 patient patient NN 19261 1663 16 than than IN 19261 1663 17 in in IN 19261 1663 18 the the DT 19261 1663 19 survival survival NN 19261 1663 20 of of IN 19261 1663 21 the the DT 19261 1663 22 attacking attack VBG 19261 1663 23 pathogenic pathogenic JJ 19261 1663 24 bacteria bacteria NNS 19261 1663 25 . . . 19261 1664 1 [ [ -LRB- 19261 1664 2 126 126 CD 19261 1664 3 ] ] -RRB- 19261 1664 4 CHAPTER chapter NN 19261 1664 5 XII xii NN 19261 1664 6 -- -- : 19261 1664 7 FOREIGN foreign JJ 19261 1664 8 BODIES body NNS 19261 1664 9 IN in IN 19261 1664 10 THE the DT 19261 1664 11 AIR AIR NNP 19261 1664 12 AND and CC 19261 1664 13 FOOD FOOD NNP 19261 1664 14 PASSAGES passages NN 19261 1664 15 The the DT 19261 1664 16 air air NN 19261 1664 17 and and CC 19261 1664 18 food food NN 19261 1664 19 passages passage NNS 19261 1664 20 may may MD 19261 1664 21 be be VB 19261 1664 22 invaded invade VBN 19261 1664 23 by by IN 19261 1664 24 any any DT 19261 1664 25 foreign foreign JJ 19261 1664 26 substance substance NN 19261 1664 27 of of IN 19261 1664 28 solid solid JJ 19261 1664 29 , , , 19261 1664 30 liquid liquid JJ 19261 1664 31 or or CC 19261 1664 32 gaseous gaseous JJ 19261 1664 33 nature nature NN 19261 1664 34 , , , 19261 1664 35 from from IN 19261 1664 36 the the DT 19261 1664 37 animal animal NN 19261 1664 38 , , , 19261 1664 39 vegetable vegetable NN 19261 1664 40 , , , 19261 1664 41 or or CC 19261 1664 42 mineral mineral NN 19261 1664 43 kingdoms kingdom NNS 19261 1664 44 . . . 19261 1665 1 Its -PRON- PRP$ 19261 1665 2 origin origin NN 19261 1665 3 may may MD 19261 1665 4 be be VB 19261 1665 5 from from IN 19261 1665 6 within within IN 19261 1665 7 the the DT 19261 1665 8 body body NN 19261 1665 9 ( ( -LRB- 19261 1665 10 blood blood NN 19261 1665 11 , , , 19261 1665 12 pus pus NNP 19261 1665 13 , , , 19261 1665 14 secretion secretion NN 19261 1665 15 , , , 19261 1665 16 broncholiths broncholith NNS 19261 1665 17 , , , 19261 1665 18 sequestra sequestra NNP 19261 1665 19 , , , 19261 1665 20 worms worm NNS 19261 1665 21 ) ) -RRB- 19261 1665 22 ; ; : 19261 1665 23 introduced introduce VBN 19261 1665 24 from from IN 19261 1665 25 without without IN 19261 1665 26 by by IN 19261 1665 27 way way NN 19261 1665 28 of of IN 19261 1665 29 the the DT 19261 1665 30 natural natural JJ 19261 1665 31 passages passage NNS 19261 1665 32 ( ( -LRB- 19261 1665 33 aspirated aspirate VBN 19261 1665 34 or or CC 19261 1665 35 swallowed swallow VBN 19261 1665 36 objects object NNS 19261 1665 37 ) ) -RRB- 19261 1665 38 ; ; : 19261 1665 39 or or CC 19261 1665 40 it -PRON- PRP 19261 1665 41 may may MD 19261 1665 42 enter enter VB 19261 1665 43 by by IN 19261 1665 44 penetration penetration NN 19261 1665 45 ( ( -LRB- 19261 1665 46 bullet bullet NN 19261 1665 47 , , , 19261 1665 48 dart dart NN 19261 1665 49 , , , 19261 1665 50 drainage drainage NN 19261 1665 51 tube tube NN 19261 1665 52 from from IN 19261 1665 53 the the DT 19261 1665 54 neck neck NN 19261 1665 55 ) ) -RRB- 19261 1665 56 . . . 19261 1666 1 _ _ NNP 19261 1666 2 Prophylaxis_.--If Prophylaxis_.--If NNP 19261 1666 3 one one CD 19261 1666 4 put put VBD 19261 1666 5 into into IN 19261 1666 6 his -PRON- PRP$ 19261 1666 7 mouth mouth NN 19261 1666 8 nothing nothing NN 19261 1666 9 but but IN 19261 1666 10 food food NN 19261 1666 11 , , , 19261 1666 12 foreign foreign JJ 19261 1666 13 body body NN 19261 1666 14 accidents accident NNS 19261 1666 15 would would MD 19261 1666 16 be be VB 19261 1666 17 rare rare JJ 19261 1666 18 . . . 19261 1667 1 The the DT 19261 1667 2 habit habit NN 19261 1667 3 of of IN 19261 1667 4 holding hold VBG 19261 1667 5 tacks tack NNS 19261 1667 6 , , , 19261 1667 7 pins pin NNS 19261 1667 8 and and CC 19261 1667 9 whatnot whatnot RB 19261 1667 10 in in IN 19261 1667 11 the the DT 19261 1667 12 mouth mouth NN 19261 1667 13 is be VBZ 19261 1667 14 quite quite RB 19261 1667 15 universal universal JJ 19261 1667 16 and and CC 19261 1667 17 deplorable deplorable JJ 19261 1667 18 . . . 19261 1668 1 Children child NNS 19261 1668 2 are be VBP 19261 1668 3 prone prone JJ 19261 1668 4 to to TO 19261 1668 5 follow follow VB 19261 1668 6 the the DT 19261 1668 7 bad bad JJ 19261 1668 8 example example NN 19261 1668 9 of of IN 19261 1668 10 their -PRON- PRP$ 19261 1668 11 elders elder NNS 19261 1668 12 . . . 19261 1669 1 No no DT 19261 1669 2 small small JJ 19261 1669 3 objects object NNS 19261 1669 4 such such JJ 19261 1669 5 as as IN 19261 1669 6 safety safety NN 19261 1669 7 pins pin NNS 19261 1669 8 , , , 19261 1669 9 buttons button NNS 19261 1669 10 , , , 19261 1669 11 and and CC 19261 1669 12 coins coin NNS 19261 1669 13 should should MD 19261 1669 14 be be VB 19261 1669 15 left leave VBN 19261 1669 16 within within IN 19261 1669 17 a a DT 19261 1669 18 baby baby NN 19261 1669 19 's 's POS 19261 1669 20 reach reach NN 19261 1669 21 ; ; : 19261 1669 22 children child NNS 19261 1669 23 should should MD 19261 1669 24 be be VB 19261 1669 25 watched watch VBN 19261 1669 26 and and CC 19261 1669 27 taught teach VBN 19261 1669 28 not not RB 19261 1669 29 to to TO 19261 1669 30 place place VB 19261 1669 31 things thing NNS 19261 1669 32 in in IN 19261 1669 33 their -PRON- PRP$ 19261 1669 34 mouths mouth NNS 19261 1669 35 . . . 19261 1670 1 Mothers mother NNS 19261 1670 2 should should MD 19261 1670 3 be be VB 19261 1670 4 specially specially RB 19261 1670 5 cautioned caution VBN 19261 1670 6 not not RB 19261 1670 7 to to TO 19261 1670 8 give give VB 19261 1670 9 nuts nut NNS 19261 1670 10 or or CC 19261 1670 11 nut nut NN 19261 1670 12 candy candy NN 19261 1670 13 of of IN 19261 1670 14 any any DT 19261 1670 15 kind kind NN 19261 1670 16 to to IN 19261 1670 17 a a DT 19261 1670 18 child child NN 19261 1670 19 whose whose WP$ 19261 1670 20 powers power NNS 19261 1670 21 of of IN 19261 1670 22 mastication mastication NN 19261 1670 23 are be VBP 19261 1670 24 imperfect imperfect JJ 19261 1670 25 , , , 19261 1670 26 because because IN 19261 1670 27 the the DT 19261 1670 28 molar molar JJ 19261 1670 29 teeth tooth NNS 19261 1670 30 are be VBP 19261 1670 31 not not RB 19261 1670 32 erupted erupt VBN 19261 1670 33 . . . 19261 1671 1 It -PRON- PRP 19261 1671 2 might may MD 19261 1671 3 be be VB 19261 1671 4 made make VBN 19261 1671 5 a a DT 19261 1671 6 dictum dictum NN 19261 1671 7 that that DT 19261 1671 8 : : : 19261 1671 9 " " `` 19261 1671 10 No no DT 19261 1671 11 child child NN 19261 1671 12 under under IN 19261 1671 13 3 3 CD 19261 1671 14 years year NNS 19261 1671 15 of of IN 19261 1671 16 age age NN 19261 1671 17 should should MD 19261 1671 18 be be VB 19261 1671 19 allowed allow VBN 19261 1671 20 to to TO 19261 1671 21 eat eat VB 19261 1671 22 nuts nut NNS 19261 1671 23 , , , 19261 1671 24 unless unless IN 19261 1671 25 ground ground NN 19261 1671 26 finely finely RB 19261 1671 27 as as IN 19261 1671 28 in in IN 19261 1671 29 peanut peanut NN 19261 1671 30 butter butter NN 19261 1671 31 . . . 19261 1671 32 " " '' 19261 1672 1 Digital digital JJ 19261 1672 2 efforts effort NNS 19261 1672 3 at at IN 19261 1672 4 removal removal NN 19261 1672 5 of of IN 19261 1672 6 foreign foreign JJ 19261 1672 7 bodies body NNS 19261 1672 8 frequently frequently RB 19261 1672 9 force force VBP 19261 1672 10 the the DT 19261 1672 11 object object NN 19261 1672 12 downward downward RB 19261 1672 13 , , , 19261 1672 14 or or CC 19261 1672 15 may may MD 19261 1672 16 hook hook VB 19261 1672 17 it -PRON- PRP 19261 1672 18 forward forward RB 19261 1672 19 into into IN 19261 1672 20 the the DT 19261 1672 21 larynx larynx NN 19261 1672 22 , , , 19261 1672 23 whereas whereas IN 19261 1672 24 if if IN 19261 1672 25 not not RB 19261 1672 26 meddled meddle VBN 19261 1672 27 with with IN 19261 1672 28 digitally digitally RB 19261 1672 29 the the DT 19261 1672 30 intruder intruder NN 19261 1672 31 might may MD 19261 1672 32 be be VB 19261 1672 33 spat spit VBN 19261 1672 34 out out RP 19261 1672 35 . . . 19261 1673 1 Before before IN 19261 1673 2 general general JJ 19261 1673 3 anesthesia anesthesia NNP 19261 1673 4 the the DT 19261 1673 5 mouth mouth NN 19261 1673 6 should should MD 19261 1673 7 be be VB 19261 1673 8 searched search VBN 19261 1673 9 for for IN 19261 1673 10 loose loose JJ 19261 1673 11 teeth tooth NNS 19261 1673 12 , , , 19261 1673 13 removable removable JJ 19261 1673 14 dentures denture NNS 19261 1673 15 , , , 19261 1673 16 etc etc FW 19261 1673 17 . . FW 19261 1673 18 , , , 19261 1673 19 and and CC 19261 1673 20 all all DT 19261 1673 21 unconscious unconscious JJ 19261 1673 22 individuals individual NNS 19261 1673 23 should should MD 19261 1673 24 be be VB 19261 1673 25 likewise likewise RB 19261 1673 26 examined examine VBN 19261 1673 27 . . . 19261 1674 1 When when WRB 19261 1674 2 working work VBG 19261 1674 3 in in IN 19261 1674 4 the the DT 19261 1674 5 mouth mouth NN 19261 1674 6 precautions precaution NNS 19261 1674 7 should should MD 19261 1674 8 be be VB 19261 1674 9 taken take VBN 19261 1674 10 against against IN 19261 1674 11 the the DT 19261 1674 12 possible possible JJ 19261 1674 13 inhalation inhalation NN 19261 1674 14 or or CC 19261 1674 15 swallowing swallowing NN 19261 1674 16 of of IN 19261 1674 17 loose loose JJ 19261 1674 18 objects object NNS 19261 1674 19 or or CC 19261 1674 20 instruments instrument NNS 19261 1674 21 . . . 19261 1675 1 [ [ -LRB- 19261 1675 2 126 126 CD 19261 1675 3 ] ] -RRB- 19261 1675 4 Objects object NNS 19261 1675 5 that that WDT 19261 1675 6 have have VBP 19261 1675 7 lodged lodge VBN 19261 1675 8 in in IN 19261 1675 9 the the DT 19261 1675 10 esophagus esophagus NN 19261 1675 11 , , , 19261 1675 12 larynx larynx NNP 19261 1675 13 , , , 19261 1675 14 trachea trachea NNP 19261 1675 15 , , , 19261 1675 16 or or CC 19261 1675 17 bronchi bronchi NNP 19261 1675 18 should should MD 19261 1675 19 be be VB 19261 1675 20 endoscopically endoscopically RB 19261 1675 21 removed remove VBN 19261 1675 22 . . . 19261 1676 1 _ _ NNP 19261 1676 2 Foreign Foreign NNP 19261 1676 3 Bodies Bodies NNPS 19261 1676 4 in in IN 19261 1676 5 the the DT 19261 1676 6 Insane_.--Foreign insane_.--foreign NN 19261 1676 7 bodies body NNS 19261 1676 8 may may MD 19261 1676 9 be be VB 19261 1676 10 introduced introduce VBN 19261 1676 11 voluntarily voluntarily RB 19261 1676 12 and and CC 19261 1676 13 in in IN 19261 1676 14 great great JJ 19261 1676 15 numbers number NNS 19261 1676 16 by by IN 19261 1676 17 the the DT 19261 1676 18 insane insane NN 19261 1676 19 . . . 19261 1677 1 Hysterical hysterical JJ 19261 1677 2 individuals individual NNS 19261 1677 3 may may MD 19261 1677 4 assert assert VB 19261 1677 5 the the DT 19261 1677 6 presence presence NN 19261 1677 7 of of IN 19261 1677 8 a a DT 19261 1677 9 foreign foreign JJ 19261 1677 10 body body NN 19261 1677 11 , , , 19261 1677 12 or or CC 19261 1677 13 may may MD 19261 1677 14 even even RB 19261 1677 15 volitionally volitionally RB 19261 1677 16 swallow swallow VB 19261 1677 17 or or CC 19261 1677 18 aspirate aspirate VBP 19261 1677 19 objects object NNS 19261 1677 20 . . . 19261 1678 1 It -PRON- PRP 19261 1678 2 is be VBZ 19261 1678 3 a a DT 19261 1678 4 mistake mistake NN 19261 1678 5 to to TO 19261 1678 6 do do VB 19261 1678 7 a a DT 19261 1678 8 bronchoscopy bronchoscopy NN 19261 1678 9 in in IN 19261 1678 10 order order NN 19261 1678 11 to to TO 19261 1678 12 cure cure VB 19261 1678 13 by by IN 19261 1678 14 suggestion suggestion NN 19261 1678 15 the the DT 19261 1678 16 delusion delusion NN 19261 1678 17 of of IN 19261 1678 18 foreign foreign JJ 19261 1678 19 body body NN 19261 1678 20 presence presence NN 19261 1678 21 . . . 19261 1679 1 Such such JJ 19261 1679 2 " " `` 19261 1679 3 cures cure NNS 19261 1679 4 " " '' 19261 1679 5 are be VBP 19261 1679 6 ephemeral ephemeral JJ 19261 1679 7 . . . 19261 1680 1 _ _ NNP 19261 1680 2 Foreign Foreign NNP 19261 1680 3 Bodies Bodies NNPS 19261 1680 4 in in IN 19261 1680 5 the the DT 19261 1680 6 Stomach_.--Gastroscopy stomach_.--gastroscopy NN 19261 1680 7 is be VBZ 19261 1680 8 indicated indicate VBN 19261 1680 9 in in IN 19261 1680 10 cases case NNS 19261 1680 11 of of IN 19261 1680 12 a a DT 19261 1680 13 foreign foreign JJ 19261 1680 14 body body NN 19261 1680 15 that that WDT 19261 1680 16 refuses refuse VBZ 19261 1680 17 to to TO 19261 1680 18 pass pass VB 19261 1680 19 after after IN 19261 1680 20 a a DT 19261 1680 21 month month NN 19261 1680 22 or or CC 19261 1680 23 two two CD 19261 1680 24 . . . 19261 1681 1 Foreign foreign JJ 19261 1681 2 bodies body NNS 19261 1681 3 in in IN 19261 1681 4 very very RB 19261 1681 5 large large JJ 19261 1681 6 numbers number NNS 19261 1681 7 in in IN 19261 1681 8 the the DT 19261 1681 9 stomach stomach NN 19261 1681 10 , , , 19261 1681 11 as as IN 19261 1681 12 in in IN 19261 1681 13 the the DT 19261 1681 14 insane insane NN 19261 1681 15 , , , 19261 1681 16 may may MD 19261 1681 17 be be VB 19261 1681 18 removed remove VBN 19261 1681 19 by by IN 19261 1681 20 gastrostomy gastrostomy NNP 19261 1681 21 . . . 19261 1682 1 _ _ NNP 19261 1682 2 The the DT 19261 1682 3 symptomatology symptomatology NN 19261 1682 4 of of IN 19261 1682 5 foreign foreign JJ 19261 1682 6 bodies body NNS 19261 1682 7 _ _ NNP 19261 1682 8 may may MD 19261 1682 9 be be VB 19261 1682 10 epitomized epitomize VBN 19261 1682 11 as as IN 19261 1682 12 given give VBN 19261 1682 13 below below RB 19261 1682 14 ; ; : 19261 1682 15 but but CC 19261 1682 16 it -PRON- PRP 19261 1682 17 must must MD 19261 1682 18 be be VB 19261 1682 19 kept keep VBN 19261 1682 20 in in IN 19261 1682 21 mind mind NN 19261 1682 22 , , , 19261 1682 23 that that IN 19261 1682 24 certain certain JJ 19261 1682 25 symptoms symptom NNS 19261 1682 26 may may MD 19261 1682 27 not not RB 19261 1682 28 be be VB 19261 1682 29 manifest manifest NN 19261 1682 30 immediately immediately RB 19261 1682 31 after after IN 19261 1682 32 intrusion intrusion NN 19261 1682 33 , , , 19261 1682 34 and and CC 19261 1682 35 others other NNS 19261 1682 36 may may MD 19261 1682 37 persist persist VB 19261 1682 38 for for IN 19261 1682 39 a a DT 19261 1682 40 time time NN 19261 1682 41 after after IN 19261 1682 42 the the DT 19261 1682 43 passage passage NN 19261 1682 44 , , , 19261 1682 45 removal removal NN 19261 1682 46 , , , 19261 1682 47 or or CC 19261 1682 48 expulsion expulsion NN 19261 1682 49 of of IN 19261 1682 50 a a DT 19261 1682 51 foreign foreign JJ 19261 1682 52 body body NN 19261 1682 53 . . . 19261 1683 1 ESOPHAGEAL ESOPHAGEAL NNP 19261 1683 2 FOREIGN foreign JJ 19261 1683 3 BODY body NN 19261 1683 4 SYMPTOMS symptoms NN 19261 1683 5 1 1 CD 19261 1683 6 . . . 19261 1684 1 There there EX 19261 1684 2 are be VBP 19261 1684 3 no no DT 19261 1684 4 absolutely absolutely RB 19261 1684 5 diagnostic diagnostic JJ 19261 1684 6 symptoms symptom NNS 19261 1684 7 . . . 19261 1685 1 2 2 LS 19261 1685 2 . . . 19261 1686 1 Dysphagia Dysphagia NNP 19261 1686 2 , , , 19261 1686 3 however however RB 19261 1686 4 , , , 19261 1686 5 is be VBZ 19261 1686 6 the the DT 19261 1686 7 most most RBS 19261 1686 8 constant constant JJ 19261 1686 9 complaint complaint NN 19261 1686 10 , , , 19261 1686 11 varying vary VBG 19261 1686 12 with with IN 19261 1686 13 the the DT 19261 1686 14 size size NN 19261 1686 15 of of IN 19261 1686 16 the the DT 19261 1686 17 foreign foreign JJ 19261 1686 18 body body NN 19261 1686 19 , , , 19261 1686 20 and and CC 19261 1686 21 the the DT 19261 1686 22 degree degree NN 19261 1686 23 of of IN 19261 1686 24 inflammatory inflammatory JJ 19261 1686 25 or or CC 19261 1686 26 spasmodic spasmodic JJ 19261 1686 27 reaction reaction NN 19261 1686 28 produced produce VBN 19261 1686 29 . . . 19261 1687 1 3 3 LS 19261 1687 2 . . . 19261 1688 1 Pain pain NN 19261 1688 2 may may MD 19261 1688 3 be be VB 19261 1688 4 caused cause VBN 19261 1688 5 by by IN 19261 1688 6 penetration penetration NN 19261 1688 7 of of IN 19261 1688 8 a a DT 19261 1688 9 sharp sharp JJ 19261 1688 10 foreign foreign JJ 19261 1688 11 body body NN 19261 1688 12 , , , 19261 1688 13 by by IN 19261 1688 14 inflammation inflammation NN 19261 1688 15 secondary secondary JJ 19261 1688 16 thereto thereto NN 19261 1688 17 , , , 19261 1688 18 by by IN 19261 1688 19 impaction impaction NN 19261 1688 20 of of IN 19261 1688 21 a a DT 19261 1688 22 large large JJ 19261 1688 23 object object NN 19261 1688 24 , , , 19261 1688 25 or or CC 19261 1688 26 by by IN 19261 1688 27 spasmodic spasmodic JJ 19261 1688 28 closure closure NN 19261 1688 29 of of IN 19261 1688 30 the the DT 19261 1688 31 hiatus hiatus NNP 19261 1688 32 esophageus esophageus NN 19261 1688 33 . . . 19261 1689 1 4 4 LS 19261 1689 2 . . . 19261 1690 1 The the DT 19261 1690 2 subjective subjective JJ 19261 1690 3 sensation sensation NN 19261 1690 4 of of IN 19261 1690 5 foreign foreign JJ 19261 1690 6 body body NN 19261 1690 7 is be VBZ 19261 1690 8 usually usually RB 19261 1690 9 present present JJ 19261 1690 10 , , , 19261 1690 11 but but CC 19261 1690 12 can can MD 19261 1690 13 not not RB 19261 1690 14 be be VB 19261 1690 15 relied rely VBN 19261 1690 16 upon upon IN 19261 1690 17 as as IN 19261 1690 18 assuring assure VBG 19261 1690 19 the the DT 19261 1690 20 presence presence NN 19261 1690 21 of of IN 19261 1690 22 a a DT 19261 1690 23 foreign foreign JJ 19261 1690 24 body body NN 19261 1690 25 for for IN 19261 1690 26 this this DT 19261 1690 27 sensation sensation NN 19261 1690 28 often often RB 19261 1690 29 remains remain VBZ 19261 1690 30 for for IN 19261 1690 31 a a DT 19261 1690 32 time time NN 19261 1690 33 after after IN 19261 1690 34 the the DT 19261 1690 35 passage passage NN 19261 1690 36 onward onward RB 19261 1690 37 of of IN 19261 1690 38 the the DT 19261 1690 39 intruder intruder NN 19261 1690 40 . . . 19261 1691 1 5 5 CD 19261 1691 2 . . . 19261 1692 1 All all DT 19261 1692 2 of of IN 19261 1692 3 these these DT 19261 1692 4 symptoms symptom NNS 19261 1692 5 may may MD 19261 1692 6 exist exist VB 19261 1692 7 , , , 19261 1692 8 often often RB 19261 1692 9 in in IN 19261 1692 10 the the DT 19261 1692 11 most most RBS 19261 1692 12 intense intense JJ 19261 1692 13 degree degree NN 19261 1692 14 , , , 19261 1692 15 as as IN 19261 1692 16 the the DT 19261 1692 17 result result NN 19261 1692 18 of of IN 19261 1692 19 previous previous JJ 19261 1692 20 violent violent JJ 19261 1692 21 attempts attempt NNS 19261 1692 22 at at IN 19261 1692 23 removal removal NN 19261 1692 24 ; ; : 19261 1692 25 and and CC 19261 1692 26 the the DT 19261 1692 27 foreign foreign JJ 19261 1692 28 body body NN 19261 1692 29 may may MD 19261 1692 30 or or CC 19261 1692 31 may may MD 19261 1692 32 not not RB 19261 1692 33 be be VB 19261 1692 34 present present JJ 19261 1692 35 . . . 19261 1693 1 SYMPTOMS symptom NNS 19261 1693 2 OF of IN 19261 1693 3 LARYNGEAL laryngeal JJ 19261 1693 4 FOREIGN foreign JJ 19261 1693 5 BODY BODY NNP 19261 1693 6 1 1 CD 19261 1693 7 . . . 19261 1694 1 Initial initial JJ 19261 1694 2 laryngeal laryngeal NN 19261 1694 3 spasm spasm NN 19261 1694 4 followed follow VBN 19261 1694 5 by by IN 19261 1694 6 wheezing wheeze VBG 19261 1694 7 respiration respiration NN 19261 1694 8 , , , 19261 1694 9 croupy croupy NN 19261 1694 10 cough cough NN 19261 1694 11 , , , 19261 1694 12 and and CC 19261 1694 13 varying vary VBG 19261 1694 14 degrees degree NNS 19261 1694 15 of of IN 19261 1694 16 impairment impairment NN 19261 1694 17 of of IN 19261 1694 18 phonation phonation NN 19261 1694 19 . . . 19261 1695 1 2 2 LS 19261 1695 2 . . . 19261 1696 1 Pain pain NN 19261 1696 2 may may MD 19261 1696 3 be be VB 19261 1696 4 a a DT 19261 1696 5 symptom symptom NN 19261 1696 6 . . . 19261 1697 1 If if IN 19261 1697 2 so so RB 19261 1697 3 , , , 19261 1697 4 it -PRON- PRP 19261 1697 5 is be VBZ 19261 1697 6 usually usually RB 19261 1697 7 located locate VBN 19261 1697 8 in in IN 19261 1697 9 the the DT 19261 1697 10 laryngeal laryngeal NN 19261 1697 11 region region NN 19261 1697 12 , , , 19261 1697 13 though though IN 19261 1697 14 in in IN 19261 1697 15 some some DT 19261 1697 16 cases case NNS 19261 1697 17 it -PRON- PRP 19261 1697 18 is be VBZ 19261 1697 19 referred refer VBN 19261 1697 20 to to IN 19261 1697 21 the the DT 19261 1697 22 ears ear NNS 19261 1697 23 . . . 19261 1698 1 3 3 LS 19261 1698 2 . . . 19261 1699 1 The the DT 19261 1699 2 larynx larynx NN 19261 1699 3 may may MD 19261 1699 4 tolerate tolerate VB 19261 1699 5 a a DT 19261 1699 6 thin thin JJ 19261 1699 7 , , , 19261 1699 8 flat flat JJ 19261 1699 9 , , , 19261 1699 10 foreign foreign JJ 19261 1699 11 body body NN 19261 1699 12 for for IN 19261 1699 13 a a DT 19261 1699 14 relatively relatively RB 19261 1699 15 long long JJ 19261 1699 16 period period NN 19261 1699 17 of of IN 19261 1699 18 time time NN 19261 1699 19 , , , 19261 1699 20 a a DT 19261 1699 21 month month NN 19261 1699 22 or or CC 19261 1699 23 more more JJR 19261 1699 24 ; ; : 19261 1699 25 but but CC 19261 1699 26 the the DT 19261 1699 27 development development NN 19261 1699 28 of of IN 19261 1699 29 increasing increase VBG 19261 1699 30 dyspnea dyspnea JJ 19261 1699 31 renders render NNS 19261 1699 32 early early JJ 19261 1699 33 removal removal NN 19261 1699 34 imperative imperative NN 19261 1699 35 in in IN 19261 1699 36 the the DT 19261 1699 37 majority majority NN 19261 1699 38 of of IN 19261 1699 39 cases case NNS 19261 1699 40 . . . 19261 1700 1 SYMPTOMS symptom NNS 19261 1700 2 OF of IN 19261 1700 3 TRACHEAL tracheal NN 19261 1700 4 AND and CC 19261 1700 5 BRONCHIAL bronchial NN 19261 1700 6 FOREIGN foreign JJ 19261 1700 7 BODY body NN 19261 1700 8 1 1 CD 19261 1700 9 . . . 19261 1701 1 Tracheal tracheal JJ 19261 1701 2 foreign foreign JJ 19261 1701 3 bodies body NNS 19261 1701 4 are be VBP 19261 1701 5 usually usually RB 19261 1701 6 movable movable JJ 19261 1701 7 and and CC 19261 1701 8 their -PRON- PRP$ 19261 1701 9 movements movement NNS 19261 1701 10 can can MD 19261 1701 11 usually usually RB 19261 1701 12 be be VB 19261 1701 13 felt feel VBN 19261 1701 14 by by IN 19261 1701 15 the the DT 19261 1701 16 patient patient NN 19261 1701 17 . . . 19261 1702 1 2 2 LS 19261 1702 2 . . . 19261 1703 1 Cough cough NN 19261 1703 2 is be VBZ 19261 1703 3 usually usually RB 19261 1703 4 present present JJ 19261 1703 5 at at IN 19261 1703 6 once once RB 19261 1703 7 , , , 19261 1703 8 may may MD 19261 1703 9 disappear disappear VB 19261 1703 10 for for IN 19261 1703 11 a a DT 19261 1703 12 time time NN 19261 1703 13 and and CC 19261 1703 14 recur recur NN 19261 1703 15 , , , 19261 1703 16 or or CC 19261 1703 17 may may MD 19261 1703 18 be be VB 19261 1703 19 continuous continuous JJ 19261 1703 20 , , , 19261 1703 21 and and CC 19261 1703 22 may may MD 19261 1703 23 be be VB 19261 1703 24 so so RB 19261 1703 25 violent violent JJ 19261 1703 26 as as IN 19261 1703 27 to to TO 19261 1703 28 induce induce VB 19261 1703 29 vomiting vomit VBG 19261 1703 30 . . . 19261 1704 1 In in IN 19261 1704 2 recent recent JJ 19261 1704 3 cases case NNS 19261 1704 4 fixed fix VBN 19261 1704 5 foreign foreign JJ 19261 1704 6 bodies body NNS 19261 1704 7 cause cause VB 19261 1704 8 little little JJ 19261 1704 9 cough cough NN 19261 1704 10 ; ; : 19261 1704 11 shifting shift VBG 19261 1704 12 foreign foreign JJ 19261 1704 13 bodies body NNS 19261 1704 14 cause cause VB 19261 1704 15 violent violent JJ 19261 1704 16 coughing coughing NN 19261 1704 17 . . . 19261 1705 1 3 3 LS 19261 1705 2 . . . 19261 1706 1 Sudden sudden RB 19261 1706 2 shutting shut VBG 19261 1706 3 off off RP 19261 1706 4 of of IN 19261 1706 5 the the DT 19261 1706 6 expiratory expiratory NN 19261 1706 7 blast blast NN 19261 1706 8 and and CC 19261 1706 9 the the DT 19261 1706 10 phonation phonation NN 19261 1706 11 during during IN 19261 1706 12 paroxysmal paroxysmal JJ 19261 1706 13 cough cough NN 19261 1706 14 is be VBZ 19261 1706 15 almost almost RB 19261 1706 16 pathognomonic pathognomonic JJ 19261 1706 17 of of IN 19261 1706 18 a a DT 19261 1706 19 movable movable JJ 19261 1706 20 tracheal tracheal JJ 19261 1706 21 foreign foreign JJ 19261 1706 22 body body NN 19261 1706 23 . . . 19261 1707 1 4 4 LS 19261 1707 2 . . . 19261 1708 1 Dyspnea Dyspnea NNP 19261 1708 2 is be VBZ 19261 1708 3 usually usually RB 19261 1708 4 present present JJ 19261 1708 5 in in IN 19261 1708 6 tracheal tracheal JJ 19261 1708 7 foreign foreign JJ 19261 1708 8 bodies body NNS 19261 1708 9 , , , 19261 1708 10 and and CC 19261 1708 11 is be VBZ 19261 1708 12 due due JJ 19261 1708 13 to to IN 19261 1708 14 the the DT 19261 1708 15 bulk bulk NN 19261 1708 16 of of IN 19261 1708 17 the the DT 19261 1708 18 foreign foreign JJ 19261 1708 19 body body NN 19261 1708 20 plus plus CC 19261 1708 21 the the DT 19261 1708 22 subglottic subglottic JJ 19261 1708 23 swelling swelling NN 19261 1708 24 caused cause VBN 19261 1708 25 by by IN 19261 1708 26 the the DT 19261 1708 27 traumatism traumatism NN 19261 1708 28 of of IN 19261 1708 29 the the DT 19261 1708 30 shiftings shifting NNS 19261 1708 31 of of IN 19261 1708 32 the the DT 19261 1708 33 intruder intruder NN 19261 1708 34 . . . 19261 1709 1 5 5 CD 19261 1709 2 . . . 19261 1710 1 Dyspnea Dyspnea NNP 19261 1710 2 is be VBZ 19261 1710 3 usually usually RB 19261 1710 4 absent absent JJ 19261 1710 5 in in IN 19261 1710 6 bronchial bronchial JJ 19261 1710 7 foreign foreign JJ 19261 1710 8 bodies body NNS 19261 1710 9 . . . 19261 1711 1 6 6 CD 19261 1711 2 . . . 19261 1712 1 The the DT 19261 1712 2 respiratory respiratory JJ 19261 1712 3 rate rate NN 19261 1712 4 is be VBZ 19261 1712 5 increased increase VBN 19261 1712 6 only only RB 19261 1712 7 if if IN 19261 1712 8 a a DT 19261 1712 9 considerable considerable JJ 19261 1712 10 portion portion NN 19261 1712 11 of of IN 19261 1712 12 lung lung NN 19261 1712 13 is be VBZ 19261 1712 14 out out IN 19261 1712 15 of of IN 19261 1712 16 function function NN 19261 1712 17 , , , 19261 1712 18 by by IN 19261 1712 19 the the DT 19261 1712 20 obstruction obstruction NN 19261 1712 21 of of IN 19261 1712 22 a a DT 19261 1712 23 main main JJ 19261 1712 24 bronchus bronchus NN 19261 1712 25 , , , 19261 1712 26 or or CC 19261 1712 27 if if IN 19261 1712 28 inflammatory inflammatory JJ 19261 1712 29 sequelae sequela NNS 19261 1712 30 are be VBP 19261 1712 31 extensive extensive JJ 19261 1712 32 . . . 19261 1713 1 7 7 LS 19261 1713 2 . . . 19261 1714 1 The the DT 19261 1714 2 asthmatoid asthmatoid NN 19261 1714 3 wheeze wheeze NN 19261 1714 4 is be VBZ 19261 1714 5 usually usually RB 19261 1714 6 present present JJ 19261 1714 7 in in IN 19261 1714 8 tracheal tracheal JJ 19261 1714 9 foreign foreign JJ 19261 1714 10 bodies body NNS 19261 1714 11 , , , 19261 1714 12 and and CC 19261 1714 13 is be VBZ 19261 1714 14 often often RB 19261 1714 15 louder loud JJR 19261 1714 16 and and CC 19261 1714 17 of of IN 19261 1714 18 lower low JJR 19261 1714 19 pitch pitch NN 19261 1714 20 than than IN 19261 1714 21 the the DT 19261 1714 22 asthmatoid asthmatoid NN 19261 1714 23 wheeze wheeze NN 19261 1714 24 of of IN 19261 1714 25 bronchial bronchial JJ 19261 1714 26 foreign foreign JJ 19261 1714 27 bodies body NNS 19261 1714 28 . . . 19261 1715 1 It -PRON- PRP 19261 1715 2 is be VBZ 19261 1715 3 heard hear VBN 19261 1715 4 at at IN 19261 1715 5 the the DT 19261 1715 6 open open JJ 19261 1715 7 mouth mouth NN 19261 1715 8 , , , 19261 1715 9 not not RB 19261 1715 10 at at IN 19261 1715 11 the the DT 19261 1715 12 chest chest NN 19261 1715 13 wall wall NN 19261 1715 14 ; ; , 19261 1715 15 and and CC 19261 1715 16 prolonged prolong VBD 19261 1715 17 expiration expiration NN 19261 1715 18 as as IN 19261 1715 19 though though RB 19261 1715 20 to to TO 19261 1715 21 rid rid VB 19261 1715 22 the the DT 19261 1715 23 lungs lung NNS 19261 1715 24 of of IN 19261 1715 25 all all DT 19261 1715 26 residual residual JJ 19261 1715 27 air air NN 19261 1715 28 , , , 19261 1715 29 may may MD 19261 1715 30 be be VB 19261 1715 31 necessary necessary JJ 19261 1715 32 to to TO 19261 1715 33 elicit elicit VB 19261 1715 34 it -PRON- PRP 19261 1715 35 . . . 19261 1716 1 8 8 LS 19261 1716 2 . . . 19261 1717 1 Pain pain NN 19261 1717 2 is be VBZ 19261 1717 3 not not RB 19261 1717 4 a a DT 19261 1717 5 common common JJ 19261 1717 6 symptom symptom NN 19261 1717 7 , , , 19261 1717 8 but but CC 19261 1717 9 may may MD 19261 1717 10 occur occur VB 19261 1717 11 and and CC 19261 1717 12 be be VB 19261 1717 13 accurately accurately RB 19261 1717 14 localized localize VBN 19261 1717 15 by by IN 19261 1717 16 the the DT 19261 1717 17 patient patient NN 19261 1717 18 , , , 19261 1717 19 in in IN 19261 1717 20 case case NN 19261 1717 21 of of IN 19261 1717 22 either either DT 19261 1717 23 tracheal tracheal NN 19261 1717 24 or or CC 19261 1717 25 bronchial bronchial JJ 19261 1717 26 foreign foreign JJ 19261 1717 27 body body NN 19261 1717 28 . . . 19261 1718 1 EARLY early JJ 19261 1718 2 SYMPTOMS symptom NNS 19261 1718 3 OF of IN 19261 1718 4 IRRITATING irritating JJ 19261 1718 5 FOREIGN foreign JJ 19261 1718 6 BODY body NN 19261 1718 7 SUCH such JJ 19261 1718 8 AS as IN 19261 1718 9 A a DT 19261 1718 10 PEANUT peanut NN 19261 1718 11 KERNEL KERNEL NNS 19261 1718 12 IN in IN 19261 1718 13 THE the DT 19261 1718 14 BRONCHUS BRONCHUS NNP 19261 1718 15 1 1 CD 19261 1718 16 . . . 19261 1719 1 Initial initial JJ 19261 1719 2 laryngeal laryngeal NN 19261 1719 3 spasm spasm NN 19261 1719 4 is be VBZ 19261 1719 5 almost almost RB 19261 1719 6 invariably invariably RB 19261 1719 7 present present JJ 19261 1719 8 with with IN 19261 1719 9 foreign foreign JJ 19261 1719 10 bodies body NNS 19261 1719 11 of of IN 19261 1719 12 organic organic JJ 19261 1719 13 nature nature NN 19261 1719 14 , , , 19261 1719 15 such such JJ 19261 1719 16 as as IN 19261 1719 17 nut nut NNP 19261 1719 18 kernels kernels NNP 19261 1719 19 , , , 19261 1719 20 peas pea NNS 19261 1719 21 , , , 19261 1719 22 beans bean NNS 19261 1719 23 , , , 19261 1719 24 maize maize NN 19261 1719 25 , , , 19261 1719 26 etc etc FW 19261 1719 27 . . . 19261 1720 1 2 2 LS 19261 1720 2 . . . 19261 1721 1 A a DT 19261 1721 2 diffuse diffuse NN 19261 1721 3 purulent purulent NN 19261 1721 4 laryngo laryngo NN 19261 1721 5 - - HYPH 19261 1721 6 tracheo tracheo IN 19261 1721 7 - - HYPH 19261 1721 8 bronchitis bronchitis NN 19261 1721 9 develops develop VBZ 19261 1721 10 within within IN 19261 1721 11 24 24 CD 19261 1721 12 hours hour NNS 19261 1721 13 in in IN 19261 1721 14 children child NNS 19261 1721 15 under under IN 19261 1721 16 2 2 CD 19261 1721 17 years year NNS 19261 1721 18 . . . 19261 1722 1 3 3 LS 19261 1722 2 . . . 19261 1723 1 Fever fever NN 19261 1723 2 , , , 19261 1723 3 toxemia toxemia NN 19261 1723 4 , , , 19261 1723 5 cyanosis cyanosis NN 19261 1723 6 , , , 19261 1723 7 dyspnea dyspnea JJ 19261 1723 8 and and CC 19261 1723 9 paroxysmal paroxysmal JJ 19261 1723 10 cough cough NN 19261 1723 11 are be VBP 19261 1723 12 promptly promptly RB 19261 1723 13 shown show VBN 19261 1723 14 . . . 19261 1724 1 4 4 LS 19261 1724 2 . . . 19261 1725 1 The the DT 19261 1725 2 child child NN 19261 1725 3 is be VBZ 19261 1725 4 unable unable JJ 19261 1725 5 to to TO 19261 1725 6 cough cough VB 19261 1725 7 up up RP 19261 1725 8 the the DT 19261 1725 9 thick thick JJ 19261 1725 10 mucilaginous mucilaginous JJ 19261 1725 11 pus pus NN 19261 1725 12 through through IN 19261 1725 13 the the DT 19261 1725 14 swollen swollen JJ 19261 1725 15 larynx larynx NN 19261 1725 16 and and CC 19261 1725 17 may may MD 19261 1725 18 " " `` 19261 1725 19 drown drown VB 19261 1725 20 in in IN 19261 1725 21 its -PRON- PRP$ 19261 1725 22 own own JJ 19261 1725 23 secretions secretion NNS 19261 1725 24 " " '' 19261 1725 25 unless unless IN 19261 1725 26 the the DT 19261 1725 27 offender offender NN 19261 1725 28 be be VB 19261 1725 29 removed remove VBN 19261 1725 30 . . . 19261 1726 1 5 5 CD 19261 1726 2 . . . 19261 1727 1 " " `` 19261 1727 2 Drowned drown VBN 19261 1727 3 lung lung NN 19261 1727 4 , , , 19261 1727 5 " " '' 19261 1727 6 that that DT 19261 1727 7 is be VBZ 19261 1727 8 to to TO 19261 1727 9 say say VB 19261 1727 10 natural natural JJ 19261 1727 11 passages passage NNS 19261 1727 12 idled idle VBN 19261 1727 13 with with IN 19261 1727 14 pus pus NN 19261 1727 15 and and CC 19261 1727 16 secretions secretion NNS 19261 1727 17 , , , 19261 1727 18 rapidly rapidly RB 19261 1727 19 forms form NNS 19261 1727 20 . . . 19261 1728 1 6 6 CD 19261 1728 2 . . . 19261 1729 1 Pulmonary pulmonary JJ 19261 1729 2 abscess abscess NN 19261 1729 3 develops develop VBZ 19261 1729 4 sooner soon RBR 19261 1729 5 than than IN 19261 1729 6 in in IN 19261 1729 7 case case NN 19261 1729 8 of of IN 19261 1729 9 mineral mineral JJ 19261 1729 10 foreign foreign JJ 19261 1729 11 bodies body NNS 19261 1729 12 . . . 19261 1730 1 7 7 LS 19261 1730 2 . . . 19261 1731 1 The the DT 19261 1731 2 older old JJR 19261 1731 3 the the DT 19261 1731 4 child child NN 19261 1731 5 the the DT 19261 1731 6 less less RBR 19261 1731 7 severe severe JJ 19261 1731 8 the the DT 19261 1731 9 reaction reaction NN 19261 1731 10 . . . 19261 1732 1 SYMPTOMS symptom NNS 19261 1732 2 OF of IN 19261 1732 3 PROLONGED prolonged JJ 19261 1732 4 FOREIGN foreign JJ 19261 1732 5 BODY body NN 19261 1732 6 SOJOURN sojourn NN 19261 1732 7 IN in IN 19261 1732 8 THE the DT 19261 1732 9 BRONCHUS BRONCHUS NNP 19261 1732 10 1 1 CD 19261 1732 11 . . . 19261 1733 1 The the DT 19261 1733 2 time time NN 19261 1733 3 of of IN 19261 1733 4 inhalation inhalation NN 19261 1733 5 of of IN 19261 1733 6 a a DT 19261 1733 7 foreign foreign JJ 19261 1733 8 body body NN 19261 1733 9 may may MD 19261 1733 10 be be VB 19261 1733 11 unknown unknown JJ 19261 1733 12 or or CC 19261 1733 13 forgotten forget VBN 19261 1733 14 . . . 19261 1734 1 2 2 LS 19261 1734 2 . . . 19261 1735 1 Cough cough NN 19261 1735 2 and and CC 19261 1735 3 purulent purulent NN 19261 1735 4 expectoration expectoration NN 19261 1735 5 ultimately ultimately RB 19261 1735 6 result result VBP 19261 1735 7 , , , 19261 1735 8 although although IN 19261 1735 9 there there EX 19261 1735 10 may may MD 19261 1735 11 be be VB 19261 1735 12 a a DT 19261 1735 13 delusive delusive JJ 19261 1735 14 protracted protract VBN 19261 1735 15 symptomless symptomless JJ 19261 1735 16 interval interval NN 19261 1735 17 . . . 19261 1736 1 [ [ -LRB- 19261 1736 2 130 130 CD 19261 1736 3 ] ] -RRB- 19261 1736 4 3 3 CD 19261 1736 5 . . . 19261 1737 1 Periodic periodic JJ 19261 1737 2 attacks attack NNS 19261 1737 3 of of IN 19261 1737 4 fever fever NN 19261 1737 5 , , , 19261 1737 6 with with IN 19261 1737 7 chills chill NNS 19261 1737 8 and and CC 19261 1737 9 sweats sweat NNS 19261 1737 10 , , , 19261 1737 11 and and CC 19261 1737 12 followed follow VBN 19261 1737 13 by by IN 19261 1737 14 increased increase VBN 19261 1737 15 coughing cough VBG 19261 1737 16 and and CC 19261 1737 17 the the DT 19261 1737 18 expulsion expulsion NN 19261 1737 19 of of IN 19261 1737 20 a a DT 19261 1737 21 large large JJ 19261 1737 22 amount amount NN 19261 1737 23 of of IN 19261 1737 24 purulent purulent NN 19261 1737 25 , , , 19261 1737 26 usually usually RB 19261 1737 27 more more RBR 19261 1737 28 or or CC 19261 1737 29 less less RBR 19261 1737 30 foul foul JJ 19261 1737 31 material material NN 19261 1737 32 , , , 19261 1737 33 are be VBP 19261 1737 34 so so RB 19261 1737 35 nearly nearly RB 19261 1737 36 diagnostic diagnostic JJ 19261 1737 37 of of IN 19261 1737 38 foreign foreign JJ 19261 1737 39 body body NN 19261 1737 40 as as IN 19261 1737 41 to to TO 19261 1737 42 call call VB 19261 1737 43 for for IN 19261 1737 44 exclusion exclusion NN 19261 1737 45 of of IN 19261 1737 46 this this DT 19261 1737 47 probability probability NN 19261 1737 48 with with IN 19261 1737 49 the the DT 19261 1737 50 utmost utmost JJ 19261 1737 51 care care NN 19261 1737 52 . . . 19261 1738 1 4 4 LS 19261 1738 2 . . . 19261 1739 1 Emaciation emaciation NN 19261 1739 2 , , , 19261 1739 3 clubbing club VBG 19261 1739 4 of of IN 19261 1739 5 the the DT 19261 1739 6 fingers finger NNS 19261 1739 7 and and CC 19261 1739 8 toes toe NNS 19261 1739 9 , , , 19261 1739 10 night night NN 19261 1739 11 sweats sweat NNS 19261 1739 12 , , , 19261 1739 13 hemoptysis hemoptysis NN 19261 1739 14 , , , 19261 1739 15 in in IN 19261 1739 16 fact fact NN 19261 1739 17 all all DT 19261 1739 18 of of IN 19261 1739 19 the the DT 19261 1739 20 symptoms symptom NNS 19261 1739 21 of of IN 19261 1739 22 tuberculosis tuberculosis NN 19261 1739 23 are be VBP 19261 1739 24 in in IN 19261 1739 25 most most JJS 19261 1739 26 cases case NNS 19261 1739 27 simulated simulate VBN 19261 1739 28 with with IN 19261 1739 29 exactitude exactitude NN 19261 1739 30 , , , 19261 1739 31 even even RB 19261 1739 32 to to IN 19261 1739 33 the the DT 19261 1739 34 gain gain NN 19261 1739 35 in in IN 19261 1739 36 weight weight NN 19261 1739 37 by by IN 19261 1739 38 an an DT 19261 1739 39 out out JJ 19261 1739 40 - - HYPH 19261 1739 41 door door NN 19261 1739 42 regime regime NN 19261 1739 43 . . . 19261 1740 1 5 5 CD 19261 1740 2 . . . 19261 1741 1 Tubercle Tubercle NNP 19261 1741 2 bacilli bacilli NNP 19261 1741 3 have have VBP 19261 1741 4 never never RB 19261 1741 5 been be VBN 19261 1741 6 found find VBN 19261 1741 7 , , , 19261 1741 8 in in IN 19261 1741 9 the the DT 19261 1741 10 cases case NNS 19261 1741 11 at at IN 19261 1741 12 the the DT 19261 1741 13 Bronchoscopic Bronchoscopic NNP 19261 1741 14 Clinic Clinic NNP 19261 1741 15 , , , 19261 1741 16 associated associate VBN 19261 1741 17 with with IN 19261 1741 18 foreign foreign JJ 19261 1741 19 body body NN 19261 1741 20 in in IN 19261 1741 21 the the DT 19261 1741 22 bronchus bronchu NNS 19261 1741 23 . . . 19261 1742 1 * * NFP 19261 1742 2 In in IN 19261 1742 3 cases case NNS 19261 1742 4 of of IN 19261 1742 5 prolonged prolonged JJ 19261 1742 6 sojourn sojourn NN 19261 1742 7 this this DT 19261 1742 8 has have VBZ 19261 1742 9 been be VBN 19261 1742 10 the the DT 19261 1742 11 only only JJ 19261 1742 12 element element NN 19261 1742 13 lacking lack VBG 19261 1742 14 in in IN 19261 1742 15 a a DT 19261 1742 16 complete complete JJ 19261 1742 17 clinical clinical JJ 19261 1742 18 picture picture NN 19261 1742 19 of of IN 19261 1742 20 advanced advanced JJ 19261 1742 21 tuberculosis tuberculosis NN 19261 1742 22 . . . 19261 1743 1 One one CD 19261 1743 2 point point NN 19261 1743 3 of of IN 19261 1743 4 difference difference NN 19261 1743 5 was be VBD 19261 1743 6 the the DT 19261 1743 7 almost almost RB 19261 1743 8 invariably invariably RB 19261 1743 9 rapid rapid JJ 19261 1743 10 recovery recovery NN 19261 1743 11 after after IN 19261 1743 12 removal removal NN 19261 1743 13 of of IN 19261 1743 14 the the DT 19261 1743 15 foreign foreign JJ 19261 1743 16 body body NN 19261 1743 17 . . . 19261 1744 1 The the DT 19261 1744 2 statement statement NN 19261 1744 3 in in IN 19261 1744 4 all all DT 19261 1744 5 of of IN 19261 1744 6 the the DT 19261 1744 7 text text NN 19261 1744 8 - - HYPH 19261 1744 9 books book NNS 19261 1744 10 , , , 19261 1744 11 that that IN 19261 1744 12 foreign foreign JJ 19261 1744 13 body body NN 19261 1744 14 is be VBZ 19261 1744 15 followed follow VBN 19261 1744 16 by by IN 19261 1744 17 phthisis phthisis NN 19261 1744 18 pulmonalis pulmonalis NNP 19261 1744 19 is be VBZ 19261 1744 20 a a DT 19261 1744 21 relic relic NN 19261 1744 22 of of IN 19261 1744 23 the the DT 19261 1744 24 days day NNS 19261 1744 25 when when WRB 19261 1744 26 the the DT 19261 1744 27 bacillary bacillary JJ 19261 1744 28 origin origin NN 19261 1744 29 of of IN 19261 1744 30 true true JJ 19261 1744 31 tuberculosis tuberculosis NN 19261 1744 32 was be VBD 19261 1744 33 unknown unknown JJ 19261 1744 34 , , , 19261 1744 35 hence hence RB 19261 1744 36 the the DT 19261 1744 37 foreign foreign JJ 19261 1744 38 - - HYPH 19261 1744 39 body body NN 19261 1744 40 phthisis phthisis NN 19261 1744 41 pulmonalis pulmonali VBZ 19261 1744 42 , , , 19261 1744 43 or or CC 19261 1744 44 pseudo pseudo NNP 19261 1744 45 tuberculosis tuberculosis NN 19261 1744 46 , , , 19261 1744 47 was be VBD 19261 1744 48 confused confused JJ 19261 1744 49 with with IN 19261 1744 50 the the DT 19261 1744 51 true true JJ 19261 1744 52 pulmonary pulmonary JJ 19261 1744 53 tuberculosis tuberculosis NN 19261 1744 54 of of IN 19261 1744 55 bacillary bacillary JJ 19261 1744 56 origin origin NN 19261 1744 57 . . . 19261 1745 1 6 6 CD 19261 1745 2 . . . 19261 1746 1 The the DT 19261 1746 2 subjective subjective JJ 19261 1746 3 sensation sensation NN 19261 1746 4 of of IN 19261 1746 5 pain pain NN 19261 1746 6 may may MD 19261 1746 7 allow allow VB 19261 1746 8 the the DT 19261 1746 9 patient patient NN 19261 1746 10 accurately accurately RB 19261 1746 11 to to TO 19261 1746 12 localize localize VB 19261 1746 13 a a DT 19261 1746 14 foreign foreign JJ 19261 1746 15 body body NN 19261 1746 16 . . . 19261 1747 1 7 7 LS 19261 1747 2 . . . 19261 1748 1 Foreign foreign JJ 19261 1748 2 bodies body NNS 19261 1748 3 of of IN 19261 1748 4 metallic metallic JJ 19261 1748 5 or or CC 19261 1748 6 organic organic JJ 19261 1748 7 nature nature NN 19261 1748 8 may may MD 19261 1748 9 cause cause VB 19261 1748 10 their -PRON- PRP$ 19261 1748 11 peculiar peculiar JJ 19261 1748 12 taste taste NN 19261 1748 13 in in IN 19261 1748 14 the the DT 19261 1748 15 sputum sputum NN 19261 1748 16 . . . 19261 1749 1 8 8 LS 19261 1749 2 . . . 19261 1750 1 Offensive Offensive NNP 19261 1750 2 odored odore VBD 19261 1750 3 sputum sputum NN 19261 1750 4 should should MD 19261 1750 5 always always RB 19261 1750 6 suggest suggest VB 19261 1750 7 bronchial bronchial JJ 19261 1750 8 foreign foreign JJ 19261 1750 9 body body NN 19261 1750 10 ; ; : 19261 1750 11 but but CC 19261 1750 12 absence absence NN 19261 1750 13 of of IN 19261 1750 14 sputum sputum NN 19261 1750 15 , , , 19261 1750 16 odorous odorous JJ 19261 1750 17 or or CC 19261 1750 18 not not RB 19261 1750 19 , , , 19261 1750 20 should should MD 19261 1750 21 not not RB 19261 1750 22 exclude exclude VB 19261 1750 23 foreign foreign JJ 19261 1750 24 body body NN 19261 1750 25 . . . 19261 1751 1 9 9 CD 19261 1751 2 . . . 19261 1752 1 Sudden sudden JJ 19261 1752 2 complete complete JJ 19261 1752 3 obstruction obstruction NN 19261 1752 4 of of IN 19261 1752 5 one one CD 19261 1752 6 main main JJ 19261 1752 7 bronchus bronchus NN 19261 1752 8 does do VBZ 19261 1752 9 not not RB 19261 1752 10 cause cause VB 19261 1752 11 noticeable noticeable JJ 19261 1752 12 dyspnea dyspnea NNP 19261 1752 13 provided provide VBD 19261 1752 14 its -PRON- PRP$ 19261 1752 15 fellow fellow NN 19261 1752 16 is be VBZ 19261 1752 17 functionating functionate VBG 19261 1752 18 . . . 19261 1753 1 [ [ -LRB- 19261 1753 2 131 131 CD 19261 1753 3 ] ] -RRB- 19261 1753 4 10 10 CD 19261 1753 5 . . . 19261 1754 1 Complete complete JJ 19261 1754 2 obstruction obstruction NN 19261 1754 3 of of IN 19261 1754 4 a a DT 19261 1754 5 bronchus bronchus NN 19261 1754 6 is be VBZ 19261 1754 7 followed follow VBN 19261 1754 8 by by IN 19261 1754 9 rapid rapid JJ 19261 1754 10 onset onset NN 19261 1754 11 of of IN 19261 1754 12 symptoms symptom NNS 19261 1754 13 . . . 19261 1755 1 11 11 CD 19261 1755 2 . . . 19261 1756 1 The the DT 19261 1756 2 physical physical JJ 19261 1756 3 signs sign NNS 19261 1756 4 usually usually RB 19261 1756 5 show show VBP 19261 1756 6 limitation limitation NN 19261 1756 7 of of IN 19261 1756 8 expansion expansion NN 19261 1756 9 on on IN 19261 1756 10 the the DT 19261 1756 11 affected affected JJ 19261 1756 12 side side NN 19261 1756 13 , , , 19261 1756 14 impairment impairment NN 19261 1756 15 of of IN 19261 1756 16 percussion percussion NN 19261 1756 17 , , , 19261 1756 18 and and CC 19261 1756 19 lessened lessen VBD 19261 1756 20 trans trans JJ 19261 1756 21 - - NN 19261 1756 22 mission mission NN 19261 1756 23 or or CC 19261 1756 24 absence absence NN 19261 1756 25 of of IN 19261 1756 26 breath breath NN 19261 1756 27 - - HYPH 19261 1756 28 sounds sound NNS 19261 1756 29 distal distal JJ 19261 1756 30 to to IN 19261 1756 31 the the DT 19261 1756 32 foreign foreign JJ 19261 1756 33 body body NN 19261 1756 34 . . . 19261 1757 1 * * NFP 19261 1757 2 The the DT 19261 1757 3 exceptional exceptional JJ 19261 1757 4 case case NN 19261 1757 5 has have VBZ 19261 1757 6 at at IN 19261 1757 7 last last RB 19261 1757 8 been be VBN 19261 1757 9 encountered encounter VBN 19261 1757 10 . . . 19261 1758 1 A a DT 19261 1758 2 boy boy NN 19261 1758 3 with with IN 19261 1758 4 a a DT 19261 1758 5 tack tack NN 19261 1758 6 in in IN 19261 1758 7 the the DT 19261 1758 8 bronchus bronchus NN 19261 1758 9 was be VBD 19261 1758 10 found find VBN 19261 1758 11 to to TO 19261 1758 12 have have VB 19261 1758 13 pulmonary pulmonary JJ 19261 1758 14 tuberculosis tuberculosis NN 19261 1758 15 . . . 19261 1759 1 SYMPTOMS symptom NNS 19261 1759 2 OF of IN 19261 1759 3 GASTRIC GASTRIC NNP 19261 1759 4 FOREIGN foreign JJ 19261 1759 5 BODY body JJ 19261 1759 6 Foreign foreign JJ 19261 1759 7 body body NN 19261 1759 8 in in IN 19261 1759 9 the the DT 19261 1759 10 stomach stomach NN 19261 1759 11 ordinarily ordinarily RB 19261 1759 12 produces produce VBZ 19261 1759 13 no no DT 19261 1759 14 symptoms symptom NNS 19261 1759 15 . . . 19261 1760 1 The the DT 19261 1760 2 roentgenogram roentgenogram NN 19261 1760 3 and and CC 19261 1760 4 the the DT 19261 1760 5 fluoroscopic fluoroscopic JJ 19261 1760 6 study study NN 19261 1760 7 with with IN 19261 1760 8 an an DT 19261 1760 9 opaque opaque JJ 19261 1760 10 mixture mixture NN 19261 1760 11 are be VBP 19261 1760 12 the the DT 19261 1760 13 chief chief JJ 19261 1760 14 means mean NNS 19261 1760 15 of of IN 19261 1760 16 diagnosis diagnosis NN 19261 1760 17 . . . 19261 1761 1 DIAGNOSIS diagnosi NNS 19261 1761 2 OF of IN 19261 1761 3 FOREIGN foreign JJ 19261 1761 4 BODY body NN 19261 1761 5 IN in IN 19261 1761 6 THE the DT 19261 1761 7 AIR AIR NNP 19261 1761 8 OR or CC 19261 1761 9 FOOD FOOD NNP 19261 1761 10 PASSAGES passages NN 19261 1761 11 The the DT 19261 1761 12 questions question NNS 19261 1761 13 arising arise VBG 19261 1761 14 are be VBP 19261 1761 15 : : : 19261 1761 16 I. I. NNP 19261 1762 1 Is be VBZ 19261 1762 2 a a DT 19261 1762 3 foreign foreign JJ 19261 1762 4 body body NN 19261 1762 5 present present JJ 19261 1762 6 ? ? . 19261 1763 1 2 2 LS 19261 1763 2 . . . 19261 1764 1 Where where WRB 19261 1764 2 is be VBZ 19261 1764 3 it -PRON- PRP 19261 1764 4 located locate VBN 19261 1764 5 ? ? . 19261 1765 1 3 3 LS 19261 1765 2 . . . 19261 1766 1 Is be VBZ 19261 1766 2 a a DT 19261 1766 3 peroral peroral JJ 19261 1766 4 endoscopic endoscopic JJ 19261 1766 5 procedure procedure NN 19261 1766 6 indicated indicate VBD 19261 1766 7 ? ? . 19261 1767 1 4 4 LS 19261 1767 2 . . . 19261 1768 1 Are be VBP 19261 1768 2 there there EX 19261 1768 3 any any DT 19261 1768 4 contraindications contraindication NNS 19261 1768 5 to to TO 19261 1768 6 endoscopy endoscopy VB 19261 1768 7 ? ? . 19261 1769 1 In in IN 19261 1769 2 order order NN 19261 1769 3 to to TO 19261 1769 4 answer answer VB 19261 1769 5 these these DT 19261 1769 6 questions question NNS 19261 1769 7 the the DT 19261 1769 8 definite definite JJ 19261 1769 9 routine routine NN 19261 1769 10 given give VBN 19261 1769 11 below below RB 19261 1769 12 is be VBZ 19261 1769 13 followed follow VBN 19261 1769 14 unvaryingly unvaryingly RB 19261 1769 15 in in IN 19261 1769 16 the the DT 19261 1769 17 Bronchoscopic Bronchoscopic NNP 19261 1769 18 Clinic Clinic NNP 19261 1769 19 . . . 19261 1770 1 1 1 LS 19261 1770 2 . . . 19261 1771 1 History history NN 19261 1771 2 . . . 19261 1772 1 2 2 LS 19261 1772 2 . . . 19261 1773 1 Complete complete JJ 19261 1773 2 physical physical JJ 19261 1773 3 examination examination NN 19261 1773 4 , , , 19261 1773 5 including include VBG 19261 1773 6 mirror mirror NN 19261 1773 7 laryngoscopy laryngoscopy NNP 19261 1773 8 . . . 19261 1774 1 3 3 LS 19261 1774 2 . . . 19261 1775 1 Roentgenologic roentgenologic JJ 19261 1775 2 study study NN 19261 1775 3 . . . 19261 1776 1 4 4 LS 19261 1776 2 . . . 19261 1777 1 Endoscopy endoscopy VB 19261 1777 2 . . . 19261 1778 1 The the DT 19261 1778 2 history history NN 19261 1778 3 should should MD 19261 1778 4 note note VB 19261 1778 5 the the DT 19261 1778 6 date date NN 19261 1778 7 of of IN 19261 1778 8 , , , 19261 1778 9 and and CC 19261 1778 10 should should MD 19261 1778 11 delve delve VB 19261 1778 12 into into IN 19261 1778 13 the the DT 19261 1778 14 details detail NNS 19261 1778 15 of of IN 19261 1778 16 the the DT 19261 1778 17 accident accident NN 19261 1778 18 ; ; : 19261 1778 19 special special JJ 19261 1778 20 note note NN 19261 1778 21 being be VBG 19261 1778 22 made make VBN 19261 1778 23 of of IN 19261 1778 24 the the DT 19261 1778 25 occurrence occurrence NN 19261 1778 26 of of IN 19261 1778 27 laryngeal laryngeal JJ 19261 1778 28 spasm spasm NN 19261 1778 29 , , , 19261 1778 30 wheezing wheeze VBG 19261 1778 31 respiration respiration NN 19261 1778 32 heard hear VBN 19261 1778 33 by by IN 19261 1778 34 the the DT 19261 1778 35 patient patient NN 19261 1778 36 or or CC 19261 1778 37 others other NNS 19261 1778 38 ( ( -LRB- 19261 1778 39 asthmatoid asthmatoid NNP 19261 1778 40 wheeze wheeze NNP 19261 1778 41 ) ) -RRB- 19261 1778 42 , , , 19261 1778 43 fever fever NN 19261 1778 44 , , , 19261 1778 45 cough cough NN 19261 1778 46 , , , 19261 1778 47 pain pain NN 19261 1778 48 , , , 19261 1778 49 dyspnea dyspnea NN 19261 1778 50 , , , 19261 1778 51 dysphagia dysphagia NNP 19261 1778 52 , , , 19261 1778 53 odynphagia odynphagia NNP 19261 1778 54 , , , 19261 1778 55 regurgitation regurgitation NN 19261 1778 56 , , , 19261 1778 57 etc etc FW 19261 1778 58 . . . 19261 1779 1 The the DT 19261 1779 2 amount amount NN 19261 1779 3 , , , 19261 1779 4 character character NN 19261 1779 5 and and CC 19261 1779 6 odor odor NN 19261 1779 7 of of IN 19261 1779 8 sputum sputum NN 19261 1779 9 are be VBP 19261 1779 10 important important JJ 19261 1779 11 . . . 19261 1780 1 Increasing increase VBG 19261 1780 2 amounts amount NNS 19261 1780 3 of of IN 19261 1780 4 purulent purulent NN 19261 1780 5 , , , 19261 1780 6 foul foul RB 19261 1780 7 - - HYPH 19261 1780 8 odored odored JJ 19261 1780 9 , , , 19261 1780 10 sometimes sometimes RB 19261 1780 11 blood blood NN 19261 1780 12 - - HYPH 19261 1780 13 tinged tinge VBN 19261 1780 14 sputum sputum NN 19261 1780 15 strongly strongly RB 19261 1780 16 suggest suggest VBP 19261 1780 17 prolonged prolong VBN 19261 1780 18 bronchial bronchial JJ 19261 1780 19 foreign foreign JJ 19261 1780 20 body body NN 19261 1780 21 sojourn sojourn NN 19261 1780 22 . . . 19261 1781 1 The the DT 19261 1781 2 mode mode NN 19261 1781 3 of of IN 19261 1781 4 onset onset NN 19261 1781 5 of of IN 19261 1781 6 the the DT 19261 1781 7 persisting persisting NN 19261 1781 8 symptoms symptom NNS 19261 1781 9 , , , 19261 1781 10 whether whether IN 19261 1781 11 immediately immediately RB 19261 1781 12 following follow VBG 19261 1781 13 the the DT 19261 1781 14 supposed suppose VBN 19261 1781 15 accident accident NN 19261 1781 16 or or CC 19261 1781 17 delayed delay VBN 19261 1781 18 in in IN 19261 1781 19 their -PRON- PRP$ 19261 1781 20 occurrence occurrence NN 19261 1781 21 , , , 19261 1781 22 is be VBZ 19261 1781 23 to to TO 19261 1781 24 be be VB 19261 1781 25 noted note VBN 19261 1781 26 . . . 19261 1782 1 Do do VBP 19261 1782 2 attacks attack NNS 19261 1782 3 of of IN 19261 1782 4 sudden sudden JJ 19261 1782 5 dyspnea dyspnea NN 19261 1782 6 and and CC 19261 1782 7 cyanosis cyanosis NN 19261 1782 8 occur occur VBP 19261 1782 9 ? ? . 19261 1783 1 What what WP 19261 1783 2 has have VBZ 19261 1783 3 been be VBN 19261 1783 4 the the DT 19261 1783 5 previous previous JJ 19261 1783 6 treatment treatment NN 19261 1783 7 and and CC 19261 1783 8 what what WP 19261 1783 9 attempts attempt NNS 19261 1783 10 at at IN 19261 1783 11 removal removal NN 19261 1783 12 have have VBP 19261 1783 13 been be VBN 19261 1783 14 made make VBN 19261 1783 15 ? ? . 19261 1784 1 The the DT 19261 1784 2 nature nature NN 19261 1784 3 of of IN 19261 1784 4 the the DT 19261 1784 5 foreign foreign JJ 19261 1784 6 body body NN 19261 1784 7 is be VBZ 19261 1784 8 to to TO 19261 1784 9 be be VB 19261 1784 10 determined determine VBN 19261 1784 11 , , , 19261 1784 12 and and CC 19261 1784 13 if if IN 19261 1784 14 possible possible JJ 19261 1784 15 a a DT 19261 1784 16 duplicate duplicate NN 19261 1784 17 thereof thereof IN 19261 1784 18 obtained obtain VBN 19261 1784 19 . . . 19261 1785 1 _ _ NNP 19261 1785 2 General General NNP 19261 1785 3 physical physical JJ 19261 1785 4 examination examination NN 19261 1785 5 _ _ NNP 19261 1785 6 should should MD 19261 1785 7 be be VB 19261 1785 8 complete complete JJ 19261 1785 9 including include VBG 19261 1785 10 inspection inspection NN 19261 1785 11 of of IN 19261 1785 12 the the DT 19261 1785 13 eyes eye NNS 19261 1785 14 , , , 19261 1785 15 ears ear NNS 19261 1785 16 , , , 19261 1785 17 nose nose NN 19261 1785 18 , , , 19261 1785 19 pharynx pharynx NN 19261 1785 20 , , , 19261 1785 21 and and CC 19261 1785 22 mirror mirror NN 19261 1785 23 inspection inspection NN 19261 1785 24 of of IN 19261 1785 25 the the DT 19261 1785 26 naso naso NNP 19261 1785 27 - - HYPH 19261 1785 28 pharynx pharynx NNP 19261 1785 29 and and CC 19261 1785 30 larynx larynx NNP 19261 1785 31 . . . 19261 1786 1 Special special JJ 19261 1786 2 attention attention NN 19261 1786 3 is be VBZ 19261 1786 4 paid pay VBN 19261 1786 5 to to IN 19261 1786 6 the the DT 19261 1786 7 chest chest NN 19261 1786 8 for for IN 19261 1786 9 the the DT 19261 1786 10 localization localization NN 19261 1786 11 of of IN 19261 1786 12 the the DT 19261 1786 13 object object NN 19261 1786 14 . . . 19261 1787 1 In in IN 19261 1787 2 order order NN 19261 1787 3 to to TO 19261 1787 4 discover discover VB 19261 1787 5 conditions condition NNS 19261 1787 6 rendering render VBG 19261 1787 7 endoscopy endoscopy VBP 19261 1787 8 unusually unusually RB 19261 1787 9 hazardous hazardous JJ 19261 1787 10 , , , 19261 1787 11 all all DT 19261 1787 12 parts part NNS 19261 1787 13 of of IN 19261 1787 14 the the DT 19261 1787 15 body body NN 19261 1787 16 are be VBP 19261 1787 17 to to TO 19261 1787 18 be be VB 19261 1787 19 examined examine VBN 19261 1787 20 . . . 19261 1788 1 Aneurysm Aneurysm NNS 19261 1788 2 of of IN 19261 1788 3 the the DT 19261 1788 4 aorta aorta NNP 19261 1788 5 , , , 19261 1788 6 excessive excessive JJ 19261 1788 7 blood blood NN 19261 1788 8 pressure pressure NN 19261 1788 9 , , , 19261 1788 10 serious serious JJ 19261 1788 11 cardiac cardiac JJ 19261 1788 12 and and CC 19261 1788 13 renal renal JJ 19261 1788 14 conditions condition NNS 19261 1788 15 , , , 19261 1788 16 the the DT 19261 1788 17 presence presence NN 19261 1788 18 of of IN 19261 1788 19 a a DT 19261 1788 20 hernia hernia NN 19261 1788 21 and and CC 19261 1788 22 the the DT 19261 1788 23 existence existence NN 19261 1788 24 of of IN 19261 1788 25 central central JJ 19261 1788 26 nervous nervous JJ 19261 1788 27 disease disease NN 19261 1788 28 , , , 19261 1788 29 as as IN 19261 1788 30 tabes tabes NNP 19261 1788 31 dorsalis dorsalis NNP 19261 1788 32 , , , 19261 1788 33 should should MD 19261 1788 34 be be VB 19261 1788 35 at at IN 19261 1788 36 least least RBS 19261 1788 37 known know VBN 19261 1788 38 before before IN 19261 1788 39 attempting attempt VBG 19261 1788 40 any any DT 19261 1788 41 endoscopic endoscopic JJ 19261 1788 42 procedure procedure NN 19261 1788 43 . . . 19261 1789 1 Dysphagia Dysphagia NNP 19261 1789 2 might may MD 19261 1789 3 result result VB 19261 1789 4 from from IN 19261 1789 5 the the DT 19261 1789 6 pressure pressure NN 19261 1789 7 of of IN 19261 1789 8 an an DT 19261 1789 9 unknown unknown JJ 19261 1789 10 aneurysm aneurysm NNS 19261 1789 11 , , , 19261 1789 12 the the DT 19261 1789 13 symptoms symptom NNS 19261 1789 14 being be VBG 19261 1789 15 attributed attribute VBN 19261 1789 16 to to IN 19261 1789 17 a a DT 19261 1789 18 foreign foreign JJ 19261 1789 19 body body NN 19261 1789 20 , , , 19261 1789 21 and and CC 19261 1789 22 aortic aortic JJ 19261 1789 23 aneurysm aneurysm NNS 19261 1789 24 is be VBZ 19261 1789 25 a a DT 19261 1789 26 definite definite JJ 19261 1789 27 contraindication contraindication NN 19261 1789 28 to to TO 19261 1789 29 esophagoscopy esophagoscopy VB 19261 1789 30 unless unless IN 19261 1789 31 there there EX 19261 1789 32 be be VB 19261 1789 33 foreign foreign JJ 19261 1789 34 body body NN 19261 1789 35 present present JJ 19261 1789 36 also also RB 19261 1789 37 . . . 19261 1790 1 There there EX 19261 1790 2 is be VBZ 19261 1790 3 no no DT 19261 1790 4 absolute absolute JJ 19261 1790 5 contraindication contraindication NN 19261 1790 6 to to IN 19261 1790 7 the the DT 19261 1790 8 endoscopic endoscopic JJ 19261 1790 9 removal removal NN 19261 1790 10 of of IN 19261 1790 11 a a DT 19261 1790 12 foreign foreign JJ 19261 1790 13 body body NN 19261 1790 14 , , , 19261 1790 15 though though IN 19261 1790 16 many many JJ 19261 1790 17 conditions condition NNS 19261 1790 18 may may MD 19261 1790 19 render render VB 19261 1790 20 it -PRON- PRP 19261 1790 21 wise wise JJ 19261 1790 22 to to IN 19261 1790 23 post post JJ 19261 1790 24 - - JJ 19261 1790 25 pone pone NNP 19261 1790 26 endoscopy endoscopy NN 19261 1790 27 . . . 19261 1791 1 Laryngeal laryngeal NN 19261 1791 2 crises crisis NNS 19261 1791 3 of of IN 19261 1791 4 tabes tabe NNS 19261 1791 5 might may MD 19261 1791 6 , , , 19261 1791 7 because because IN 19261 1791 8 of of IN 19261 1791 9 their -PRON- PRP$ 19261 1791 10 sudden sudden JJ 19261 1791 11 onset onset NN 19261 1791 12 , , , 19261 1791 13 be be VB 19261 1791 14 thought think VBN 19261 1791 15 due due IN 19261 1791 16 to to IN 19261 1791 17 foreign foreign JJ 19261 1791 18 body body NN 19261 1791 19 . . . 19261 1792 1 PHYSICAL PHYSICAL NNP 19261 1792 2 SIGNS SIGNS NNP 19261 1792 3 IN in IN 19261 1792 4 ESOPHAGEAL ESOPHAGEAL NNP 19261 1792 5 FOREIGN foreign JJ 19261 1792 6 BODY BODY NNP 19261 1792 7 There there EX 19261 1792 8 are be VBP 19261 1792 9 no no DT 19261 1792 10 constant constant JJ 19261 1792 11 physical physical JJ 19261 1792 12 signs sign NNS 19261 1792 13 associated associate VBN 19261 1792 14 with with IN 19261 1792 15 uncomplicated uncomplicated JJ 19261 1792 16 impaction impaction NN 19261 1792 17 of of IN 19261 1792 18 a a DT 19261 1792 19 foreign foreign JJ 19261 1792 20 body body NN 19261 1792 21 in in IN 19261 1792 22 the the DT 19261 1792 23 esophagus esophagus NN 19261 1792 24 . . . 19261 1793 1 Should Should MD 19261 1793 2 perforation perforation NN 19261 1793 3 of of IN 19261 1793 4 the the DT 19261 1793 5 cervical cervical JJ 19261 1793 6 esophagus esophagus NN 19261 1793 7 occur occur VBP 19261 1793 8 , , , 19261 1793 9 subcutaneous subcutaneous JJ 19261 1793 10 emphysema emphysema NN 19261 1793 11 , , , 19261 1793 12 and and CC 19261 1793 13 perhaps perhaps RB 19261 1793 14 cellulitis cellulitis VB 19261 1793 15 , , , 19261 1793 16 may may MD 19261 1793 17 be be VB 19261 1793 18 found find VBN 19261 1793 19 ; ; : 19261 1793 20 while while IN 19261 1793 21 a a DT 19261 1793 22 perforation perforation NN 19261 1793 23 of of IN 19261 1793 24 the the DT 19261 1793 25 thoracic thoracic NNP 19261 1793 26 region region NN 19261 1793 27 causing cause VBG 19261 1793 28 mediastinitis mediastinitis NN 19261 1793 29 is be VBZ 19261 1793 30 manifested manifest VBN 19261 1793 31 by by IN 19261 1793 32 toxemia toxemia NN 19261 1793 33 , , , 19261 1793 34 fever fever NN 19261 1793 35 , , , 19261 1793 36 and and CC 19261 1793 37 rapid rapid JJ 19261 1793 38 sinking sinking NN 19261 1793 39 . . . 19261 1794 1 Perforation perforation NN 19261 1794 2 of of IN 19261 1794 3 the the DT 19261 1794 4 pleura pleura NN 19261 1794 5 , , , 19261 1794 6 with with IN 19261 1794 7 the the DT 19261 1794 8 development development NN 19261 1794 9 of of IN 19261 1794 10 pyopneumothorax pyopneumothorax NN 19261 1794 11 , , , 19261 1794 12 is be VBZ 19261 1794 13 manifested manifest VBN 19261 1794 14 by by IN 19261 1794 15 the the DT 19261 1794 16 usual usual JJ 19261 1794 17 signs sign NNS 19261 1794 18 . . . 19261 1795 1 It -PRON- PRP 19261 1795 2 is be VBZ 19261 1795 3 to to TO 19261 1795 4 be be VB 19261 1795 5 emphasized emphasize VBN 19261 1795 6 that that IN 19261 1795 7 blind blind JJ 19261 1795 8 bouginage bouginage NN 19261 1795 9 has have VBZ 19261 1795 10 no no DT 19261 1795 11 place place NN 19261 1795 12 in in IN 19261 1795 13 the the DT 19261 1795 14 diagnosis diagnosis NN 19261 1795 15 of of IN 19261 1795 16 any any DT 19261 1795 17 esophageal esophageal JJ 19261 1795 18 condition condition NN 19261 1795 19 . . . 19261 1796 1 The the DT 19261 1796 2 roentgenologist roentgenologist NN 19261 1796 3 will will MD 19261 1796 4 give give VB 19261 1796 5 the the DT 19261 1796 6 information information NN 19261 1796 7 we -PRON- PRP 19261 1796 8 desire desire VBP 19261 1796 9 without without IN 19261 1796 10 danger danger NN 19261 1796 11 to to IN 19261 1796 12 the the DT 19261 1796 13 patient patient NN 19261 1796 14 , , , 19261 1796 15 and and CC 19261 1796 16 with with IN 19261 1796 17 far far RB 19261 1796 18 greater great JJR 19261 1796 19 accuracy accuracy NN 19261 1796 20 . . . 19261 1797 1 FOREIGN foreign JJ 19261 1797 2 BODIES body NNS 19261 1797 3 IN in IN 19261 1797 4 THE the DT 19261 1797 5 LARYNX LARYNX NNP 19261 1797 6 Laryngeally Laryngeally NNP 19261 1797 7 lodged lodge VBD 19261 1797 8 foreign foreign JJ 19261 1797 9 bodies body NNS 19261 1797 10 produce produce VBP 19261 1797 11 a a DT 19261 1797 12 wheezing wheezing NN 19261 1797 13 respiration respiration NN 19261 1797 14 , , , 19261 1797 15 the the DT 19261 1797 16 quality quality NN 19261 1797 17 of of IN 19261 1797 18 which which WDT 19261 1797 19 is be VBZ 19261 1797 20 peculiar peculiar JJ 19261 1797 21 to to IN 19261 1797 22 the the DT 19261 1797 23 larynx larynx NN 19261 1797 24 and and CC 19261 1797 25 is be VBZ 19261 1797 26 readily readily RB 19261 1797 27 localized localize VBN 19261 1797 28 to to IN 19261 1797 29 this this DT 19261 1797 30 organ organ NN 19261 1797 31 . . . 19261 1798 1 If if IN 19261 1798 2 swelling swelling NN 19261 1798 3 or or CC 19261 1798 4 the the DT 19261 1798 5 size size NN 19261 1798 6 of of IN 19261 1798 7 the the DT 19261 1798 8 foreign foreign JJ 19261 1798 9 body body NN 19261 1798 10 be be VB 19261 1798 11 sufficient sufficient JJ 19261 1798 12 to to TO 19261 1798 13 produce produce VB 19261 1798 14 dyspnea dyspnea JJ 19261 1798 15 , , , 19261 1798 16 inspiratory inspiratory NN 19261 1798 17 indrawing indrawing NN 19261 1798 18 of of IN 19261 1798 19 the the DT 19261 1798 20 suprasternal suprasternal NNP 19261 1798 21 notch notch NN 19261 1798 22 , , , 19261 1798 23 supraclavicular supraclavicular NNP 19261 1798 24 fossae fossae NNP 19261 1798 25 , , , 19261 1798 26 costal costal NN 19261 1798 27 interspaces interspace NNS 19261 1798 28 and and CC 19261 1798 29 lower low JJR 19261 1798 30 sternum sternum NN 19261 1798 31 will will MD 19261 1798 32 be be VB 19261 1798 33 present present JJ 19261 1798 34 . . . 19261 1799 1 Cyanosis cyanosis NN 19261 1799 2 is be VBZ 19261 1799 3 only only RB 19261 1799 4 an an DT 19261 1799 5 accompaniment accompaniment NN 19261 1799 6 of of IN 19261 1799 7 suddenly suddenly RB 19261 1799 8 produced produce VBN 19261 1799 9 dyspnea dyspnea RB 19261 1799 10 ; ; : 19261 1799 11 the the DT 19261 1799 12 facies facie NNS 19261 1799 13 will will MD 19261 1799 14 therefore therefore RB 19261 1799 15 usually usually RB 19261 1799 16 be be VB 19261 1799 17 anxious anxious JJ 19261 1799 18 and and CC 19261 1799 19 pale pale JJ 19261 1799 20 , , , 19261 1799 21 unless unless IN 19261 1799 22 the the DT 19261 1799 23 patient patient NN 19261 1799 24 is be VBZ 19261 1799 25 seen see VBN 19261 1799 26 immediately immediately RB 19261 1799 27 after after IN 19261 1799 28 the the DT 19261 1799 29 aspiration aspiration NN 19261 1799 30 of of IN 19261 1799 31 the the DT 19261 1799 32 foreign foreign JJ 19261 1799 33 body body NN 19261 1799 34 . . . 19261 1800 1 If if IN 19261 1800 2 labored labor VBN 19261 1800 3 breathing breathing NN 19261 1800 4 has have VBZ 19261 1800 5 been be VBN 19261 1800 6 prolonged prolong VBN 19261 1800 7 , , , 19261 1800 8 and and CC 19261 1800 9 exhaustion exhaustion NN 19261 1800 10 threatened threaten VBD 19261 1800 11 , , , 19261 1800 12 the the DT 19261 1800 13 heart heart NN 19261 1800 14 's 's POS 19261 1800 15 action action NN 19261 1800 16 will will MD 19261 1800 17 be be VB 19261 1800 18 irregular irregular JJ 19261 1800 19 and and CC 19261 1800 20 weak weak JJ 19261 1800 21 . . . 19261 1801 1 The the DT 19261 1801 2 foreign foreign JJ 19261 1801 3 body body NN 19261 1801 4 can can MD 19261 1801 5 be be VB 19261 1801 6 seen see VBN 19261 1801 7 with with IN 19261 1801 8 the the DT 19261 1801 9 mirror mirror NN 19261 1801 10 , , , 19261 1801 11 but but CC 19261 1801 12 a a DT 19261 1801 13 roentgenograph roentgenograph NN 19261 1801 14 must must MD 19261 1801 15 nevertheless nevertheless RB 19261 1801 16 be be VB 19261 1801 17 made make VBN 19261 1801 18 , , , 19261 1801 19 for for IN 19261 1801 20 the the DT 19261 1801 21 object object NN 19261 1801 22 may may MD 19261 1801 23 be be VB 19261 1801 24 of of IN 19261 1801 25 another another DT 19261 1801 26 nature nature NN 19261 1801 27 than than IN 19261 1801 28 was be VBD 19261 1801 29 first first RB 19261 1801 30 thought think VBN 19261 1801 31 . . . 19261 1802 1 The the DT 19261 1802 2 roentgenograph roentgenograph NN 19261 1802 3 will will MD 19261 1802 4 show show VB 19261 1802 5 its -PRON- PRP$ 19261 1802 6 position position NN 19261 1802 7 , , , 19261 1802 8 and and CC 19261 1802 9 from from IN 19261 1802 10 this this DT 19261 1802 11 knowledge knowledge NN 19261 1802 12 the the DT 19261 1802 13 plan plan NN 19261 1802 14 of of IN 19261 1802 15 removal removal NN 19261 1802 16 can can MD 19261 1802 17 be be VB 19261 1802 18 formulated formulate VBN 19261 1802 19 . . . 19261 1803 1 For for IN 19261 1803 2 example example NN 19261 1803 3 , , , 19261 1803 4 a a DT 19261 1803 5 straight straight JJ 19261 1803 6 pin pin NN 19261 1803 7 may may MD 19261 1803 8 be be VB 19261 1803 9 so so RB 19261 1803 10 placed place VBN 19261 1803 11 in in IN 19261 1803 12 the the DT 19261 1803 13 larynx larynx NN 19261 1803 14 that that IN 19261 1803 15 only only RB 19261 1803 16 a a DT 19261 1803 17 portion portion NN 19261 1803 18 of of IN 19261 1803 19 its -PRON- PRP$ 19261 1803 20 shaft shaft NN 19261 1803 21 will will MD 19261 1803 22 be be VB 19261 1803 23 visible visible JJ 19261 1803 24 , , , 19261 1803 25 the the DT 19261 1803 26 roentgenogram roentgenogram NN 19261 1803 27 will will MD 19261 1803 28 tell tell VB 19261 1803 29 where where WRB 19261 1803 30 the the DT 19261 1803 31 head head NN 19261 1803 32 and and CC 19261 1803 33 point point NN 19261 1803 34 are be VBP 19261 1803 35 located locate VBN 19261 1803 36 , , , 19261 1803 37 and and CC 19261 1803 38 which which WDT 19261 1803 39 of of IN 19261 1803 40 these these DT 19261 1803 41 will will MD 19261 1803 42 be be VB 19261 1803 43 the the DT 19261 1803 44 more more RBR 19261 1803 45 readily readily RB 19261 1803 46 disengaged disengaged JJ 19261 1803 47 . . . 19261 1804 1 ( ( -LRB- 19261 1804 2 See see VB 19261 1804 3 Chapter chapter NN 19261 1804 4 on on IN 19261 1804 5 Mechanical Mechanical NNP 19261 1804 6 Problems Problems NNPS 19261 1804 7 . . . 19261 1804 8 ) ) -RRB- 19261 1805 1 PHYSICAL PHYSICAL NNP 19261 1805 2 SIGNS SIGNS NNP 19261 1805 3 OF of IN 19261 1805 4 TRACHEAL tracheal JJ 19261 1805 5 FOREIGN foreign JJ 19261 1805 6 BODY body NN 19261 1805 7 If if IN 19261 1805 8 fixed fix VBN 19261 1805 9 in in IN 19261 1805 10 the the DT 19261 1805 11 trachea trachea NN 19261 1805 12 the the DT 19261 1805 13 only only JJ 19261 1805 14 objective objective JJ 19261 1805 15 sign sign NN 19261 1805 16 of of IN 19261 1805 17 foreign foreign JJ 19261 1805 18 body body NN 19261 1805 19 may may MD 19261 1805 20 be be VB 19261 1805 21 a a DT 19261 1805 22 wheezing wheezing NN 19261 1805 23 respiration respiration NN 19261 1805 24 , , , 19261 1805 25 the the DT 19261 1805 26 site site NN 19261 1805 27 of of IN 19261 1805 28 which which WDT 19261 1805 29 may may MD 19261 1805 30 be be VB 19261 1805 31 localized localize VBN 19261 1805 32 with with IN 19261 1805 33 the the DT 19261 1805 34 stethoscope stethoscope NN 19261 1805 35 , , , 19261 1805 36 by by IN 19261 1805 37 the the DT 19261 1805 38 intensity intensity NN 19261 1805 39 of of IN 19261 1805 40 the the DT 19261 1805 41 sound sound NN 19261 1805 42 . . . 19261 1806 1 Movable movable JJ 19261 1806 2 foreign foreign JJ 19261 1806 3 bodies body NNS 19261 1806 4 may may MD 19261 1806 5 produce produce VB 19261 1806 6 a a DT 19261 1806 7 palpatory palpatory JJ 19261 1806 8 thrill thrill NN 19261 1806 9 , , , 19261 1806 10 and and CC 19261 1806 11 the the DT 19261 1806 12 rumble rumble JJ 19261 1806 13 and and CC 19261 1806 14 sudden sudden JJ 19261 1806 15 stop stop NN 19261 1806 16 can can MD 19261 1806 17 be be VB 19261 1806 18 heard hear VBN 19261 1806 19 with with IN 19261 1806 20 the the DT 19261 1806 21 stethoscope stethoscope NN 19261 1806 22 and and CC 19261 1806 23 often often RB 19261 1806 24 with with IN 19261 1806 25 the the DT 19261 1806 26 naked naked JJ 19261 1806 27 ear ear NN 19261 1806 28 . . . 19261 1807 1 The the DT 19261 1807 2 lungs lung NNS 19261 1807 3 will will MD 19261 1807 4 show show VB 19261 1807 5 equal equal JJ 19261 1807 6 aeration aeration NN 19261 1807 7 , , , 19261 1807 8 but but CC 19261 1807 9 there there EX 19261 1807 10 may may MD 19261 1807 11 be be VB 19261 1807 12 marked mark VBN 19261 1807 13 dyspnea dyspnea RB 19261 1807 14 without without IN 19261 1807 15 the the DT 19261 1807 16 indrawing indrawing NN 19261 1807 17 of of IN 19261 1807 18 the the DT 19261 1807 19 fossae fossae NN 19261 1807 20 , , , 19261 1807 21 if if IN 19261 1807 22 the the DT 19261 1807 23 object object NN 19261 1807 24 be be VBP 19261 1807 25 of of IN 19261 1807 26 large large JJ 19261 1807 27 size size NN 19261 1807 28 and and CC 19261 1807 29 located locate VBN 19261 1807 30 below below IN 19261 1807 31 the the DT 19261 1807 32 manubrium manubrium NN 19261 1807 33 . . . 19261 1808 1 To to IN 19261 1808 2 the the DT 19261 1808 3 peculiar peculiar JJ 19261 1808 4 sound sound NN 19261 1808 5 of of IN 19261 1808 6 the the DT 19261 1808 7 sudden sudden JJ 19261 1808 8 subglottic subglottic JJ 19261 1808 9 , , , 19261 1808 10 expiratory expiratory NN 19261 1808 11 or or CC 19261 1808 12 bechic bechic JJ 19261 1808 13 arrest arrest NN 19261 1808 14 of of IN 19261 1808 15 the the DT 19261 1808 16 foreign foreign JJ 19261 1808 17 body body NN 19261 1808 18 the the DT 19261 1808 19 author author NN 19261 1808 20 has have VBZ 19261 1808 21 given give VBN 19261 1808 22 the the DT 19261 1808 23 name name NN 19261 1808 24 " " `` 19261 1808 25 audible audible JJ 19261 1808 26 slap slap NN 19261 1808 27 ; ; : 19261 1808 28 " " `` 19261 1808 29 when when WRB 19261 1808 30 felt feel VBN 19261 1808 31 by by IN 19261 1808 32 the the DT 19261 1808 33 thumb thumb NN 19261 1808 34 on on IN 19261 1808 35 the the DT 19261 1808 36 trachea trachea NN 19261 1808 37 he -PRON- PRP 19261 1808 38 calls call VBZ 19261 1808 39 it -PRON- PRP 19261 1808 40 the the DT 19261 1808 41 " " `` 19261 1808 42 palpatory palpatory JJ 19261 1808 43 thud thud NNP 19261 1808 44 . . . 19261 1808 45 " " '' 19261 1809 1 These these DT 19261 1809 2 signs sign NNS 19261 1809 3 can can MD 19261 1809 4 be be VB 19261 1809 5 produced produce VBN 19261 1809 6 by by IN 19261 1809 7 no no DT 19261 1809 8 condition condition NN 19261 1809 9 other other JJ 19261 1809 10 than than IN 19261 1809 11 the the DT 19261 1809 12 arrest arrest NN 19261 1809 13 of of IN 19261 1809 14 some some DT 19261 1809 15 substance substance NN 19261 1809 16 by by IN 19261 1809 17 the the DT 19261 1809 18 subglottic subglottic JJ 19261 1809 19 taper taper NN 19261 1809 20 . . . 19261 1810 1 Once once RB 19261 1810 2 heard hear VBD 19261 1810 3 and and CC 19261 1810 4 felt feel VBD 19261 1810 5 they -PRON- PRP 19261 1810 6 are be VBP 19261 1810 7 unmistakable unmistakable JJ 19261 1810 8 . . . 19261 1811 1 PHYSICAL PHYSICAL NNP 19261 1811 2 SIGNS SIGNS NNP 19261 1811 3 OF of IN 19261 1811 4 BRONCHIAL bronchial JJ 19261 1811 5 FOREIGN foreign JJ 19261 1811 6 BODY body NN 19261 1811 7 In in IN 19261 1811 8 most most JJS 19261 1811 9 cases case NNS 19261 1811 10 there there EX 19261 1811 11 will will MD 19261 1811 12 be be VB 19261 1811 13 limitation limitation NN 19261 1811 14 of of IN 19261 1811 15 expansion expansion NN 19261 1811 16 on on IN 19261 1811 17 the the DT 19261 1811 18 invaded invaded JJ 19261 1811 19 side side NN 19261 1811 20 , , , 19261 1811 21 even even RB 19261 1811 22 though though IN 19261 1811 23 the the DT 19261 1811 24 foreign foreign JJ 19261 1811 25 body body NN 19261 1811 26 is be VBZ 19261 1811 27 of of IN 19261 1811 28 such such PDT 19261 1811 29 a a DT 19261 1811 30 shape shape NN 19261 1811 31 as as IN 19261 1811 32 to to TO 19261 1811 33 cause cause VB 19261 1811 34 no no DT 19261 1811 35 bronchial bronchial JJ 19261 1811 36 obstruction obstruction NN 19261 1811 37 . . . 19261 1812 1 It -PRON- PRP 19261 1812 2 has have VBZ 19261 1812 3 been be VBN 19261 1812 4 noted note VBN 19261 1812 5 frequently frequently RB 19261 1812 6 in in IN 19261 1812 7 conjunction conjunction NN 19261 1812 8 with with IN 19261 1812 9 the the DT 19261 1812 10 presence presence NN 19261 1812 11 of of IN 19261 1812 12 such such JJ 19261 1812 13 objects object NNS 19261 1812 14 as as IN 19261 1812 15 a a DT 19261 1812 16 common common JJ 19261 1812 17 straight straight JJ 19261 1812 18 pin pin NN 19261 1812 19 in in IN 19261 1812 20 a a DT 19261 1812 21 small small JJ 19261 1812 22 branch branch NN 19261 1812 23 bronchus bronchu NNS 19261 1812 24 . . . 19261 1813 1 This this DT 19261 1813 2 peculiar peculiar JJ 19261 1813 3 phenomenon phenomenon NN 19261 1813 4 was be VBD 19261 1813 5 first first RB 19261 1813 6 noted note VBN 19261 1813 7 by by IN 19261 1813 8 Thomas Thomas NNP 19261 1813 9 McCrae McCrae NNP 19261 1813 10 in in IN 19261 1813 11 one one CD 19261 1813 12 of of IN 19261 1813 13 the the DT 19261 1813 14 author author NN 19261 1813 15 's 's POS 19261 1813 16 cases case NNS 19261 1813 17 and and CC 19261 1813 18 has have VBZ 19261 1813 19 since since IN 19261 1813 20 been be VBN 19261 1813 21 abundantly abundantly RB 19261 1813 22 corroborated corroborate VBN 19261 1813 23 by by IN 19261 1813 24 McCrae McCrae NNP 19261 1813 25 and and CC 19261 1813 26 others other NNS 19261 1813 27 as as IN 19261 1813 28 one one CD 19261 1813 29 of of IN 19261 1813 30 the the DT 19261 1813 31 most most RBS 19261 1813 32 constant constant JJ 19261 1813 33 physical physical JJ 19261 1813 34 signs sign NNS 19261 1813 35 . . . 19261 1814 1 To to TO 19261 1814 2 understand understand VB 19261 1814 3 the the DT 19261 1814 4 peculiar peculiar JJ 19261 1814 5 physical physical JJ 19261 1814 6 findings finding NNS 19261 1814 7 in in IN 19261 1814 8 these these DT 19261 1814 9 cases case NNS 19261 1814 10 it -PRON- PRP 19261 1814 11 is be VBZ 19261 1814 12 necessary necessary JJ 19261 1814 13 to to TO 19261 1814 14 remember remember VB 19261 1814 15 that that IN 19261 1814 16 the the DT 19261 1814 17 bronchi bronchus NNS 19261 1814 18 are be VBP 19261 1814 19 not not RB 19261 1814 20 tubes tube NNS 19261 1814 21 of of IN 19261 1814 22 constant constant JJ 19261 1814 23 caliber caliber NN 19261 1814 24 ; ; : 19261 1814 25 there there EX 19261 1814 26 occurs occur VBZ 19261 1814 27 a a DT 19261 1814 28 dilatation dilatation NN 19261 1814 29 during during IN 19261 1814 30 inspiration inspiration NN 19261 1814 31 , , , 19261 1814 32 and and CC 19261 1814 33 a a DT 19261 1814 34 contraction contraction NN 19261 1814 35 of of IN 19261 1814 36 the the DT 19261 1814 37 lumen luman NNS 19261 1814 38 during during IN 19261 1814 39 expiration expiration NN 19261 1814 40 ; ; : 19261 1814 41 furthermore furthermore RB 19261 1814 42 , , , 19261 1814 43 the the DT 19261 1814 44 lumen luman NNS 19261 1814 45 may may MD 19261 1814 46 be be VB 19261 1814 47 narrowed narrow VBN 19261 1814 48 by by IN 19261 1814 49 swollen swollen JJ 19261 1814 50 mucosa mucosa NNS 19261 1814 51 if if IN 19261 1814 52 the the DT 19261 1814 53 foreign foreign JJ 19261 1814 54 body body NN 19261 1814 55 be be VB 19261 1814 56 of of IN 19261 1814 57 an an DT 19261 1814 58 irritant irritant JJ 19261 1814 59 nature nature NN 19261 1814 60 . . . 19261 1815 1 The the DT 19261 1815 2 signs sign NNS 19261 1815 3 vary vary VBP 19261 1815 4 with with IN 19261 1815 5 the the DT 19261 1815 6 degree degree NN 19261 1815 7 of of IN 19261 1815 8 obstruction obstruction NN 19261 1815 9 of of IN 19261 1815 10 the the DT 19261 1815 11 bronchus bronchus NN 19261 1815 12 , , , 19261 1815 13 and and CC 19261 1815 14 with with IN 19261 1815 15 the the DT 19261 1815 16 consequent consequent JJ 19261 1815 17 degree degree NN 19261 1815 18 of of IN 19261 1815 19 interference interference NN 19261 1815 20 with with IN 19261 1815 21 aeration aeration NN 19261 1815 22 and and CC 19261 1815 23 drainage drainage NN 19261 1815 24 of of IN 19261 1815 25 the the DT 19261 1815 26 subjacent subjacent JJ 19261 1815 27 portion portion NN 19261 1815 28 of of IN 19261 1815 29 the the DT 19261 1815 30 lung lung NN 19261 1815 31 . . . 19261 1816 1 We -PRON- PRP 19261 1816 2 have have VBP 19261 1816 3 three three CD 19261 1816 4 definite definite JJ 19261 1816 5 types type NNS 19261 1816 6 which which WDT 19261 1816 7 show show VBP 19261 1816 8 practically practically RB 19261 1816 9 constant constant JJ 19261 1816 10 signs sign NNS 19261 1816 11 in in IN 19261 1816 12 the the DT 19261 1816 13 earlier early JJR 19261 1816 14 stages stage NNS 19261 1816 15 of of IN 19261 1816 16 foreign foreign JJ 19261 1816 17 body body NN 19261 1816 18 invasion invasion NN 19261 1816 19 . . . 19261 1817 1 1 1 LS 19261 1817 2 . . . 19261 1818 1 Complete complete JJ 19261 1818 2 bronchial bronchial JJ 19261 1818 3 occlusion occlusion NN 19261 1818 4 . . . 19261 1819 1 2 2 LS 19261 1819 2 . . . 19261 1820 1 Obstruction obstruction NN 19261 1820 2 complete complete JJ 19261 1820 3 during during IN 19261 1820 4 expiration expiration NN 19261 1820 5 , , , 19261 1820 6 but but CC 19261 1820 7 allowing allow VBG 19261 1820 8 the the DT 19261 1820 9 passage passage NN 19261 1820 10 of of IN 19261 1820 11 air air NN 19261 1820 12 during during IN 19261 1820 13 the the DT 19261 1820 14 bronchial bronchial JJ 19261 1820 15 dilatation dilatation NN 19261 1820 16 incident incident NN 19261 1820 17 to to IN 19261 1820 18 inspiration inspiration NN 19261 1820 19 , , , 19261 1820 20 constituting constitute VBG 19261 1820 21 an an DT 19261 1820 22 expiratory expiratory NN 19261 1820 23 valve valve NN 19261 1820 24 - - HYPH 19261 1820 25 like like JJ 19261 1820 26 obstruction obstruction NN 19261 1820 27 . . . 19261 1821 1 3 3 LS 19261 1821 2 . . . 19261 1822 1 Partial partial JJ 19261 1822 2 bronchial bronchial JJ 19261 1822 3 obstruction obstruction NN 19261 1822 4 , , , 19261 1822 5 allowing allow VBG 19261 1822 6 to to IN 19261 1822 7 - - HYPH 19261 1822 8 and and CC 19261 1822 9 - - HYPH 19261 1822 10 fro fro JJ 19261 1822 11 passage passage NN 19261 1822 12 of of IN 19261 1822 13 air air NN 19261 1822 14 . . . 19261 1823 1 1 1 LS 19261 1823 2 . . . 19261 1824 1 _ _ NNP 19261 1824 2 Complete complete JJ 19261 1824 3 bronchial bronchial JJ 19261 1824 4 obstruction obstruction NN 19261 1824 5 _ _ NNP 19261 1824 6 is be VBZ 19261 1824 7 manifested manifest VBN 19261 1824 8 by by IN 19261 1824 9 limitation limitation NN 19261 1824 10 of of IN 19261 1824 11 expansion expansion NN 19261 1824 12 , , , 19261 1824 13 markedly markedly RB 19261 1824 14 impaired impaired JJ 19261 1824 15 percussion percussion NN 19261 1824 16 note note NN 19261 1824 17 , , , 19261 1824 18 particularly particularly RB 19261 1824 19 at at IN 19261 1824 20 the the DT 19261 1824 21 base base NN 19261 1824 22 , , , 19261 1824 23 absence absence NN 19261 1824 24 of of IN 19261 1824 25 breath breath NN 19261 1824 26 - - HYPH 19261 1824 27 sounds sound NNS 19261 1824 28 , , , 19261 1824 29 and and CC 19261 1824 30 rales rale NNS 19261 1824 31 on on IN 19261 1824 32 the the DT 19261 1824 33 invaded invaded JJ 19261 1824 34 side side NN 19261 1824 35 . . . 19261 1825 1 An an DT 19261 1825 2 atelectasis atelectasis NN 19261 1825 3 here here RB 19261 1825 4 exists exist VBZ 19261 1825 5 ; ; : 19261 1825 6 the the DT 19261 1825 7 air air NN 19261 1825 8 imprisoned imprison VBN 19261 1825 9 in in IN 19261 1825 10 the the DT 19261 1825 11 lung lung NN 19261 1825 12 is be VBZ 19261 1825 13 soon soon RB 19261 1825 14 absorbed absorb VBN 19261 1825 15 , , , 19261 1825 16 and and CC 19261 1825 17 secretions secretion NNS 19261 1825 18 rapidly rapidly RB 19261 1825 19 accumulate accumulate VBP 19261 1825 20 . . . 19261 1826 1 On on IN 19261 1826 2 the the DT 19261 1826 3 free free JJ 19261 1826 4 side side NN 19261 1826 5 a a DT 19261 1826 6 compensatory compensatory JJ 19261 1826 7 emphysema emphysema NN 19261 1826 8 is be VBZ 19261 1826 9 present present JJ 19261 1826 10 . . . 19261 1827 1 2 2 LS 19261 1827 2 . . . 19261 1828 1 _ _ NNP 19261 1828 2 Expiratory Expiratory NNP 19261 1828 3 Valve Valve NNP 19261 1828 4 - - HYPH 19261 1828 5 like like JJ 19261 1828 6 Obstruction_.--The obstruction_.--the CD 19261 1828 7 obstructed obstructed JJ 19261 1828 8 side side NN 19261 1828 9 shows show VBZ 19261 1828 10 marked marked JJ 19261 1828 11 limitation limitation NN 19261 1828 12 of of IN 19261 1828 13 expansion expansion NN 19261 1828 14 . . . 19261 1829 1 Percussion percussion NN 19261 1829 2 is be VBZ 19261 1829 3 of of IN 19261 1829 4 a a DT 19261 1829 5 tympanitic tympanitic JJ 19261 1829 6 character character NN 19261 1829 7 . . . 19261 1830 1 The the DT 19261 1830 2 duration duration NN 19261 1830 3 of of IN 19261 1830 4 the the DT 19261 1830 5 vibrations vibration NNS 19261 1830 6 may may MD 19261 1830 7 be be VB 19261 1830 8 shortened shorten VBN 19261 1830 9 giving give VBG 19261 1830 10 a a DT 19261 1830 11 muffled muffle VBN 19261 1830 12 tympany tympany NN 19261 1830 13 . . . 19261 1831 1 Various various JJ 19261 1831 2 grades grade NNS 19261 1831 3 and and CC 19261 1831 4 degrees degree NNS 19261 1831 5 of of IN 19261 1831 6 tympany tympany NN 19261 1831 7 may may MD 19261 1831 8 be be VB 19261 1831 9 noted note VBN 19261 1831 10 . . . 19261 1832 1 Breath Breath NNP 19261 1832 2 sounds sound NNS 19261 1832 3 are be VBP 19261 1832 4 markedly markedly RB 19261 1832 5 diminished diminish VBN 19261 1832 6 or or CC 19261 1832 7 absent absent JJ 19261 1832 8 . . . 19261 1833 1 No no DT 19261 1833 2 rales rale NNS 19261 1833 3 are be VBP 19261 1833 4 heard hear VBN 19261 1833 5 on on IN 19261 1833 6 the the DT 19261 1833 7 invaded invaded JJ 19261 1833 8 side side NN 19261 1833 9 , , , 19261 1833 10 although although IN 19261 1833 11 rales rale NNS 19261 1833 12 of of IN 19261 1833 13 all all DT 19261 1833 14 types type NNS 19261 1833 15 may may MD 19261 1833 16 be be VB 19261 1833 17 present present JJ 19261 1833 18 on on IN 19261 1833 19 the the DT 19261 1833 20 free free JJ 19261 1833 21 side side NN 19261 1833 22 . . . 19261 1834 1 In in IN 19261 1834 2 some some DT 19261 1834 3 cases case NNS 19261 1834 4 it -PRON- PRP 19261 1834 5 is be VBZ 19261 1834 6 possible possible JJ 19261 1834 7 to to TO 19261 1834 8 hear hear VB 19261 1834 9 a a DT 19261 1834 10 short short JJ 19261 1834 11 inspiratory inspiratory NN 19261 1834 12 sound sound NN 19261 1834 13 . . . 19261 1835 1 Vocal vocal JJ 19261 1835 2 resonance resonance NN 19261 1835 3 and and CC 19261 1835 4 fremitus fremitus NN 19261 1835 5 are be VBP 19261 1835 6 but but CC 19261 1835 7 little little JJ 19261 1835 8 altered altered JJ 19261 1835 9 . . . 19261 1836 1 The the DT 19261 1836 2 heart heart NN 19261 1836 3 will will MD 19261 1836 4 be be VB 19261 1836 5 found find VBN 19261 1836 6 displaced displace VBN 19261 1836 7 somewhat somewhat RB 19261 1836 8 to to IN 19261 1836 9 the the DT 19261 1836 10 opposite opposite JJ 19261 1836 11 side side NN 19261 1836 12 . . . 19261 1837 1 These these DT 19261 1837 2 signs sign NNS 19261 1837 3 are be VBP 19261 1837 4 explained explain VBN 19261 1837 5 by by IN 19261 1837 6 the the DT 19261 1837 7 passage passage NN 19261 1837 8 of of IN 19261 1837 9 some some DT 19261 1837 10 air air NN 19261 1837 11 past past IN 19261 1837 12 the the DT 19261 1837 13 foreign foreign JJ 19261 1837 14 body body NN 19261 1837 15 during during IN 19261 1837 16 inspiration inspiration NN 19261 1837 17 with with IN 19261 1837 18 its -PRON- PRP$ 19261 1837 19 trapping trapping NN 19261 1837 20 during during IN 19261 1837 21 expiration expiration NN 19261 1837 22 , , , 19261 1837 23 so so IN 19261 1837 24 that that IN 19261 1837 25 there there EX 19261 1837 26 is be VBZ 19261 1837 27 air air NN 19261 1837 28 under under IN 19261 1837 29 pressure pressure NN 19261 1837 30 constantly constantly RB 19261 1837 31 maintained maintain VBN 19261 1837 32 in in IN 19261 1837 33 the the DT 19261 1837 34 obstructed obstructed JJ 19261 1837 35 area area NN 19261 1837 36 . . . 19261 1838 1 This this DT 19261 1838 2 type type NN 19261 1838 3 of of IN 19261 1838 4 obstruction obstruction NN 19261 1838 5 is be VBZ 19261 1838 6 most most RBS 19261 1838 7 frequently frequently RB 19261 1838 8 observed observe VBN 19261 1838 9 when when WRB 19261 1838 10 the the DT 19261 1838 11 foreign foreign JJ 19261 1838 12 body body NN 19261 1838 13 is be VBZ 19261 1838 14 of of IN 19261 1838 15 an an DT 19261 1838 16 organic organic JJ 19261 1838 17 nature nature NN 19261 1838 18 such such JJ 19261 1838 19 as as IN 19261 1838 20 nut nut NNP 19261 1838 21 kernels kernels NNP 19261 1838 22 , , , 19261 1838 23 beans bean NNS 19261 1838 24 , , , 19261 1838 25 corn corn NN 19261 1838 26 , , , 19261 1838 27 seed seed NN 19261 1838 28 , , , 19261 1838 29 etc etc FW 19261 1838 30 . . . 19261 1839 1 The the DT 19261 1839 2 localized localized JJ 19261 1839 3 swelling swell VBG 19261 1839 4 about about IN 19261 1839 5 the the DT 19261 1839 6 irritating irritate VBG 19261 1839 7 foreign foreign JJ 19261 1839 8 body body NN 19261 1839 9 completes complete VBZ 19261 1839 10 the the DT 19261 1839 11 expiratory expiratory NN 19261 1839 12 obstruction obstruction NN 19261 1839 13 . . . 19261 1840 1 It -PRON- PRP 19261 1840 2 may may MD 19261 1840 3 also also RB 19261 1840 4 be be VB 19261 1840 5 present present JJ 19261 1840 6 with with IN 19261 1840 7 any any DT 19261 1840 8 foreign foreign JJ 19261 1840 9 body body NN 19261 1840 10 whose whose WP$ 19261 1840 11 size size NN 19261 1840 12 and and CC 19261 1840 13 shape shape NN 19261 1840 14 are be VBP 19261 1840 15 such such JJ 19261 1840 16 as as IN 19261 1840 17 to to TO 19261 1840 18 occlude occlude VB 19261 1840 19 the the DT 19261 1840 20 lumen luman NNS 19261 1840 21 of of IN 19261 1840 22 the the DT 19261 1840 23 bronchus bronchu NNS 19261 1840 24 during during IN 19261 1840 25 its -PRON- PRP$ 19261 1840 26 contracted contract VBN 19261 1840 27 expiratory expiratory NN 19261 1840 28 phase phase NN 19261 1840 29 . . . 19261 1841 1 It -PRON- PRP 19261 1841 2 was be VBD 19261 1841 3 present present JJ 19261 1841 4 in in IN 19261 1841 5 cases case NNS 19261 1841 6 of of IN 19261 1841 7 pebbles pebble NNS 19261 1841 8 , , , 19261 1841 9 cylindrical cylindrical JJ 19261 1841 10 metallic metallic JJ 19261 1841 11 objects object NNS 19261 1841 12 , , , 19261 1841 13 thick thick JJ 19261 1841 14 tough tough JJ 19261 1841 15 balls ball NNS 19261 1841 16 of of IN 19261 1841 17 secretion secretion NN 19261 1841 18 etcetera etcetera NN 19261 1841 19 . . . 19261 1842 1 The the DT 19261 1842 2 valvular valvular JJ 19261 1842 3 action action NN 19261 1842 4 is be VBZ 19261 1842 5 here here RB 19261 1842 6 produced produce VBN 19261 1842 7 most most RBS 19261 1842 8 often often RB 19261 1842 9 by by IN 19261 1842 10 a a DT 19261 1842 11 change change NN 19261 1842 12 in in IN 19261 1842 13 the the DT 19261 1842 14 size size NN 19261 1842 15 of of IN 19261 1842 16 the the DT 19261 1842 17 valve valve NN 19261 1842 18 seat seat NN 19261 1842 19 and and CC 19261 1842 20 not not RB 19261 1842 21 by by IN 19261 1842 22 a a DT 19261 1842 23 movement movement NN 19261 1842 24 of of IN 19261 1842 25 the the DT 19261 1842 26 foreign foreign JJ 19261 1842 27 body body NN 19261 1842 28 plug plug NN 19261 1842 29 . . . 19261 1843 1 In in IN 19261 1843 2 other other JJ 19261 1843 3 cases case NNS 19261 1843 4 I -PRON- PRP 19261 1843 5 have have VBP 19261 1843 6 found find VBN 19261 1843 7 at at IN 19261 1843 8 bronchoscopy bronchoscopy NN 19261 1843 9 , , , 19261 1843 10 a a DT 19261 1843 11 regular regular JJ 19261 1843 12 ball ball NN 19261 1843 13 - - HYPH 19261 1843 14 valve valve NN 19261 1843 15 mechanism mechanism NN 19261 1843 16 . . . 19261 1844 1 Pneumothorax Pneumothorax NNP 19261 1844 2 is be VBZ 19261 1844 3 the the DT 19261 1844 4 only only JJ 19261 1844 5 pathologic pathologic JJ 19261 1844 6 condition condition NN 19261 1844 7 associated associate VBN 19261 1844 8 with with IN 19261 1844 9 signs sign NNS 19261 1844 10 similar similar JJ 19261 1844 11 to to IN 19261 1844 12 those those DT 19261 1844 13 of of IN 19261 1844 14 expiratory expiratory NN 19261 1844 15 , , , 19261 1844 16 valve valve NN 19261 1844 17 - - HYPH 19261 1844 18 like like JJ 19261 1844 19 bronchial bronchial JJ 19261 1844 20 obstruction obstruction NN 19261 1844 21 by by IN 19261 1844 22 a a DT 19261 1844 23 foreign foreign JJ 19261 1844 24 body body NN 19261 1844 25 . . . 19261 1845 1 3 3 LS 19261 1845 2 . . . 19261 1846 1 _ _ NNP 19261 1846 2 Partial partial JJ 19261 1846 3 bronchial bronchial JJ 19261 1846 4 obstruction obstruction NN 19261 1846 5 _ _ NNP 19261 1846 6 by by IN 19261 1846 7 an an DT 19261 1846 8 object object NN 19261 1846 9 such such JJ 19261 1846 10 as as IN 19261 1846 11 a a DT 19261 1846 12 nail nail NN 19261 1846 13 allows allow VBZ 19261 1846 14 air air NN 19261 1846 15 to to TO 19261 1846 16 pass pass VB 19261 1846 17 to to IN 19261 1846 18 and and CC 19261 1846 19 fro fro NNP 19261 1846 20 with with IN 19261 1846 21 some some DT 19261 1846 22 degree degree NN 19261 1846 23 of of IN 19261 1846 24 retardation retardation NN 19261 1846 25 , , , 19261 1846 26 and and CC 19261 1846 27 impairs impair MD 19261 1846 28 the the DT 19261 1846 29 drainage drainage NN 19261 1846 30 of of IN 19261 1846 31 the the DT 19261 1846 32 subjacent subjacent JJ 19261 1846 33 lung lung NN 19261 1846 34 . . . 19261 1847 1 Limitation limitation NN 19261 1847 2 of of IN 19261 1847 3 expansion expansion NN 19261 1847 4 will will MD 19261 1847 5 be be VB 19261 1847 6 found find VBN 19261 1847 7 on on IN 19261 1847 8 the the DT 19261 1847 9 invaded invaded JJ 19261 1847 10 side side NN 19261 1847 11 . . . 19261 1848 1 The the DT 19261 1848 2 area area NN 19261 1848 3 below below IN 19261 1848 4 the the DT 19261 1848 5 foreign foreign JJ 19261 1848 6 body body NN 19261 1848 7 will will MD 19261 1848 8 give give VB 19261 1848 9 an an DT 19261 1848 10 impaired impaired JJ 19261 1848 11 percussion percussion NN 19261 1848 12 note note NN 19261 1848 13 . . . 19261 1849 1 Breath breath NN 19261 1849 2 - - HYPH 19261 1849 3 sounds sound NNS 19261 1849 4 are be VBP 19261 1849 5 diminished diminish VBN 19261 1849 6 in in IN 19261 1849 7 the the DT 19261 1849 8 area area NN 19261 1849 9 of of IN 19261 1849 10 dullness dullness NN 19261 1849 11 , , , 19261 1849 12 and and CC 19261 1849 13 vocal vocal JJ 19261 1849 14 resonance resonance NN 19261 1849 15 and and CC 19261 1849 16 fremitus fremitus NN 19261 1849 17 are be VBP 19261 1849 18 impaired impair VBN 19261 1849 19 . . . 19261 1850 1 Rales rale NNS 19261 1850 2 are be VBP 19261 1850 3 of of IN 19261 1850 4 great great JJ 19261 1850 5 diagnostic diagnostic JJ 19261 1850 6 import import NN 19261 1850 7 ; ; : 19261 1850 8 the the DT 19261 1850 9 passage passage NN 19261 1850 10 of of IN 19261 1850 11 air air NN 19261 1850 12 past past IN 19261 1850 13 the the DT 19261 1850 14 foreign foreign JJ 19261 1850 15 body body NN 19261 1850 16 is be VBZ 19261 1850 17 accompanied accompany VBN 19261 1850 18 by by IN 19261 1850 19 blowing blow VBG 19261 1850 20 , , , 19261 1850 21 harsh harsh JJ 19261 1850 22 breathing breathing NN 19261 1850 23 , , , 19261 1850 24 and and CC 19261 1850 25 snoring snore VBG 19261 1850 26 ; ; : 19261 1850 27 snapping snapping NN 19261 1850 28 rales rale NNS 19261 1850 29 are be VBP 19261 1850 30 heard hear VBN 19261 1850 31 usually usually RB 19261 1850 32 with with IN 19261 1850 33 greatest great JJS 19261 1850 34 intensity intensity NN 19261 1850 35 posteriorly posteriorly RB 19261 1850 36 over over IN 19261 1850 37 the the DT 19261 1850 38 site site NN 19261 1850 39 of of IN 19261 1850 40 the the DT 19261 1850 41 foreign foreign JJ 19261 1850 42 body body NN 19261 1850 43 ( ( -LRB- 19261 1850 44 usually usually RB 19261 1850 45 about about IN 19261 1850 46 the the DT 19261 1850 47 scapular scapular JJ 19261 1850 48 angle angle NN 19261 1850 49 ) ) -RRB- 19261 1850 50 . . . 19261 1851 1 A a DT 19261 1851 2 knowledge knowledge NN 19261 1851 3 of of IN 19261 1851 4 the the DT 19261 1851 5 topographical topographical JJ 19261 1851 6 lung lung NN 19261 1851 7 anatomy anatomy NN 19261 1851 8 , , , 19261 1851 9 the the DT 19261 1851 10 bronchial bronchial JJ 19261 1851 11 tree tree NN 19261 1851 12 , , , 19261 1851 13 and and CC 19261 1851 14 of of IN 19261 1851 15 endoscopic endoscopic NNP 19261 1851 16 pathology pathology NN 19261 1851 17 * * NFP 19261 1851 18 should should MD 19261 1851 19 enable enable VB 19261 1851 20 the the DT 19261 1851 21 examiner examiner NN 19261 1851 22 of of IN 19261 1851 23 the the DT 19261 1851 24 chest chest NN 19261 1851 25 to to TO 19261 1851 26 locate locate VB 19261 1851 27 very very RB 19261 1851 28 accurately accurately RB 19261 1851 29 a a DT 19261 1851 30 bronchial bronchial JJ 19261 1851 31 foreign foreign JJ 19261 1851 32 body body NN 19261 1851 33 by by IN 19261 1851 34 physical physical JJ 19261 1851 35 signs sign NNS 19261 1851 36 alone alone RB 19261 1851 37 , , , 19261 1851 38 for for IN 19261 1851 39 all all PDT 19261 1851 40 the the DT 19261 1851 41 significant significant JJ 19261 1851 42 signs sign NNS 19261 1851 43 occur occur VBP 19261 1851 44 distal distal JJ 19261 1851 45 to to IN 19261 1851 46 the the DT 19261 1851 47 foreign foreign JJ 19261 1851 48 body body NN 19261 1851 49 lodgment lodgment NN 19261 1851 50 . . . 19261 1852 1 * * NFP 19261 1852 2 Jackson Jackson NNP 19261 1852 3 , , , 19261 1852 4 Chevalier Chevalier NNP 19261 1852 5 . . . 19261 1853 1 Pathology pathology NN 19261 1853 2 of of IN 19261 1853 3 Foreign Foreign NNP 19261 1853 4 Bodies Bodies NNPS 19261 1853 5 in in IN 19261 1853 6 the the DT 19261 1853 7 Air Air NNP 19261 1853 8 and and CC 19261 1853 9 Food Food NNP 19261 1853 10 Passages Passages NNPS 19261 1853 11 . . . 19261 1854 1 Mutter Mutter NNP 19261 1854 2 Lecture Lecture NNP 19261 1854 3 , , , 19261 1854 4 1918 1918 CD 19261 1854 5 . . . 19261 1855 1 Surgery surgery NN 19261 1855 2 , , , 19261 1855 3 Gynecology Gynecology NNP 19261 1855 4 and and CC 19261 1855 5 Obstetrics Obstetrics NNP 19261 1855 6 , , , 19261 1855 7 March March NNP 19261 1855 8 , , , 19261 1855 9 1919 1919 CD 19261 1855 10 . . . 19261 1856 1 Also also RB 19261 1856 2 , , , 19261 1856 3 by by IN 19261 1856 4 the the DT 19261 1856 5 same same JJ 19261 1856 6 author author NN 19261 1856 7 , , , 19261 1856 8 Mechanism Mechanism NNP 19261 1856 9 of of IN 19261 1856 10 the the DT 19261 1856 11 Physical Physical NNP 19261 1856 12 Signs Signs NNPS 19261 1856 13 of of IN 19261 1856 14 Foreign Foreign NNP 19261 1856 15 Bodies Bodies NNPS 19261 1856 16 in in IN 19261 1856 17 the the DT 19261 1856 18 Lungs lung NNS 19261 1856 19 . . . 19261 1857 1 Proceedings proceeding NNS 19261 1857 2 of of IN 19261 1857 3 the the DT 19261 1857 4 College College NNP 19261 1857 5 of of IN 19261 1857 6 Physicians Physicians NNPS 19261 1857 7 , , , 19261 1857 8 Philadelphia Philadelphia NNP 19261 1857 9 , , , 19261 1857 10 1922 1922 CD 19261 1857 11 . . . 19261 1858 1 _ _ NNP 19261 1858 2 The the DT 19261 1858 3 asthmatoid asthmatoid NN 19261 1858 4 wheeze wheeze NNP 19261 1858 5 _ _ NNP 19261 1858 6 has have VBZ 19261 1858 7 been be VBN 19261 1858 8 found find VBN 19261 1858 9 by by IN 19261 1858 10 the the DT 19261 1858 11 author author NN 19261 1858 12 a a DT 19261 1858 13 valuable valuable JJ 19261 1858 14 confirmatory confirmatory JJ 19261 1858 15 sign sign NN 19261 1858 16 of of IN 19261 1858 17 bronchial bronchial JJ 19261 1858 18 foreign foreign JJ 19261 1858 19 body body NN 19261 1858 20 . . . 19261 1859 1 It -PRON- PRP 19261 1859 2 is be VBZ 19261 1859 3 a a DT 19261 1859 4 wheezing wheezing NN 19261 1859 5 heard hear VBN 19261 1859 6 by by IN 19261 1859 7 placing place VBG 19261 1859 8 the the DT 19261 1859 9 observer observer NN 19261 1859 10 's 's POS 19261 1859 11 ear ear NN 19261 1859 12 at at IN 19261 1859 13 the the DT 19261 1859 14 open open JJ 19261 1859 15 mouth mouth NN 19261 1859 16 of of IN 19261 1859 17 the the DT 19261 1859 18 patient patient NN 19261 1859 19 ( ( -LRB- 19261 1859 20 not not RB 19261 1859 21 at at IN 19261 1859 22 the the DT 19261 1859 23 chest chest NN 19261 1859 24 wall wall NN 19261 1859 25 ) ) -RRB- 19261 1859 26 during during IN 19261 1859 27 a a DT 19261 1859 28 prolonged prolong VBN 19261 1859 29 forced force VBN 19261 1859 30 expiration expiration NN 19261 1859 31 . . . 19261 1860 1 Thomas Thomas NNP 19261 1860 2 McCrae McCrae NNP 19261 1860 3 elicits elicit VBZ 19261 1860 4 this this DT 19261 1860 5 sign sign NN 19261 1860 6 by by IN 19261 1860 7 placing place VBG 19261 1860 8 the the DT 19261 1860 9 stethoscope stethoscope NNP 19261 1860 10 bell bell NNP 19261 1860 11 at at IN 19261 1860 12 the the DT 19261 1860 13 patient patient NN 19261 1860 14 's 's POS 19261 1860 15 open open JJ 19261 1860 16 mouth mouth NN 19261 1860 17 . . . 19261 1861 1 The the DT 19261 1861 2 quality quality NN 19261 1861 3 of of IN 19261 1861 4 the the DT 19261 1861 5 sound sound NN 19261 1861 6 is be VBZ 19261 1861 7 dryer dryer NN 19261 1861 8 than than IN 19261 1861 9 that that DT 19261 1861 10 heard hear VBD 19261 1861 11 in in IN 19261 1861 12 asthma asthma NN 19261 1861 13 and and CC 19261 1861 14 the the DT 19261 1861 15 wheeze wheeze NN 19261 1861 16 is be VBZ 19261 1861 17 clearest clear JJS 19261 1861 18 after after IN 19261 1861 19 all all DT 19261 1861 20 secretion secretion NN 19261 1861 21 has have VBZ 19261 1861 22 been be VBN 19261 1861 23 removed remove VBN 19261 1861 24 by by IN 19261 1861 25 coughing cough VBG 19261 1861 26 . . . 19261 1862 1 The the DT 19261 1862 2 mechanism mechanism NN 19261 1862 3 of of IN 19261 1862 4 production production NN 19261 1862 5 is be VBZ 19261 1862 6 , , , 19261 1862 7 probably probably RB 19261 1862 8 , , , 19261 1862 9 the the DT 19261 1862 10 passage passage NN 19261 1862 11 of of IN 19261 1862 12 air air NN 19261 1862 13 by by IN 19261 1862 14 a a DT 19261 1862 15 foreign foreign JJ 19261 1862 16 body body NN 19261 1862 17 which which WDT 19261 1862 18 narrows narrow VBZ 19261 1862 19 the the DT 19261 1862 20 lumen luman NNS 19261 1862 21 of of IN 19261 1862 22 a a DT 19261 1862 23 large large JJ 19261 1862 24 bronchus bronchus NN 19261 1862 25 . . . 19261 1863 1 As as IN 19261 1863 2 the the DT 19261 1863 3 foreign foreign JJ 19261 1863 4 body body NN 19261 1863 5 works work VBZ 19261 1863 6 downward downward RB 19261 1863 7 the the DT 19261 1863 8 wheeze wheeze NN 19261 1863 9 lessens lessen VBZ 19261 1863 10 . . . 19261 1864 1 The the DT 19261 1864 2 wheeze wheeze NN 19261 1864 3 is be VBZ 19261 1864 4 often often RB 19261 1864 5 so so RB 19261 1864 6 loud loud JJ 19261 1864 7 as as IN 19261 1864 8 to to TO 19261 1864 9 be be VB 19261 1864 10 heard hear VBN 19261 1864 11 at at IN 19261 1864 12 some some DT 19261 1864 13 distance distance NN 19261 1864 14 from from IN 19261 1864 15 the the DT 19261 1864 16 patient patient NN 19261 1864 17 . . . 19261 1865 1 It -PRON- PRP 19261 1865 2 is be VBZ 19261 1865 3 of of IN 19261 1865 4 greatest great JJS 19261 1865 5 value value NN 19261 1865 6 in in IN 19261 1865 7 the the DT 19261 1865 8 diagnosis diagnosis NN 19261 1865 9 of of IN 19261 1865 10 non non JJ 19261 1865 11 - - JJ 19261 1865 12 roentgenopaque roentgenopaque JJ 19261 1865 13 foreign foreign JJ 19261 1865 14 body body NN 19261 1865 15 but but CC 19261 1865 16 its -PRON- PRP$ 19261 1865 17 absence absence NN 19261 1865 18 in in IN 19261 1865 19 no no DT 19261 1865 20 way way NN 19261 1865 21 negates negate VBZ 19261 1865 22 foreign foreign JJ 19261 1865 23 body body NN 19261 1865 24 . . . 19261 1866 1 Its -PRON- PRP$ 19261 1866 2 presence presence NN 19261 1866 3 or or CC 19261 1866 4 absence absence NN 19261 1866 5 should should MD 19261 1866 6 be be VB 19261 1866 7 recorded record VBN 19261 1866 8 in in IN 19261 1866 9 every every DT 19261 1866 10 case case NN 19261 1866 11 . . . 19261 1867 1 _ _ NNP 19261 1867 2 Prolonged prolonged JJ 19261 1867 3 bronchial bronchial JJ 19261 1867 4 obstruction obstruction NN 19261 1867 5 _ _ NNP 19261 1867 6 by by IN 19261 1867 7 foreign foreign JJ 19261 1867 8 body body NN 19261 1867 9 is be VBZ 19261 1867 10 followed follow VBN 19261 1867 11 by by IN 19261 1867 12 bronchiectasis bronchiectasis NN 19261 1867 13 and and CC 19261 1867 14 lung lung NN 19261 1867 15 abscess abscess NN 19261 1867 16 usually usually RB 19261 1867 17 in in IN 19261 1867 18 a a DT 19261 1867 19 lower low JJR 19261 1867 20 lobe lobe NN 19261 1867 21 . . . 19261 1868 1 The the DT 19261 1868 2 symptoms symptom NNS 19261 1868 3 may may MD 19261 1868 4 with with IN 19261 1868 5 exactitude exactitude NN 19261 1868 6 simulate simulate NN 19261 1868 7 tuberculosis tuberculosis NN 19261 1868 8 , , , 19261 1868 9 but but CC 19261 1868 10 this this DT 19261 1868 11 disease disease NN 19261 1868 12 should should MD 19261 1868 13 be be VB 19261 1868 14 readily readily RB 19261 1868 15 excluded exclude VBN 19261 1868 16 by by IN 19261 1868 17 the the DT 19261 1868 18 basal basal NN 19261 1868 19 , , , 19261 1868 20 unilateral unilateral JJ 19261 1868 21 site site NN 19261 1868 22 of of IN 19261 1868 23 the the DT 19261 1868 24 lesion lesion NN 19261 1868 25 , , , 19261 1868 26 absence absence NN 19261 1868 27 of of IN 19261 1868 28 tubercle tubercle NN 19261 1868 29 bacilli bacilli NNP 19261 1868 30 in in IN 19261 1868 31 the the DT 19261 1868 32 sputum sputum NN 19261 1868 33 , , , 19261 1868 34 and and CC 19261 1868 35 roentgenographic roentgenographic JJ 19261 1868 36 study study NN 19261 1868 37 . . . 19261 1869 1 Chest chest NN 19261 1869 2 examination examination NN 19261 1869 3 in in IN 19261 1869 4 the the DT 19261 1869 5 foreign foreign JJ 19261 1869 6 body body NN 19261 1869 7 cases case NNS 19261 1869 8 reveals reveal VBZ 19261 1869 9 limitation limitation NN 19261 1869 10 of of IN 19261 1869 11 expansion expansion NN 19261 1869 12 , , , 19261 1869 13 often often RB 19261 1869 14 some some DT 19261 1869 15 retraction retraction NN 19261 1869 16 , , , 19261 1869 17 flat flat JJ 19261 1869 18 percussion percussion NN 19261 1869 19 note note NN 19261 1869 20 , , , 19261 1869 21 and and CC 19261 1869 22 greatly greatly RB 19261 1869 23 diminished diminished JJ 19261 1869 24 or or CC 19261 1869 25 absent absent JJ 19261 1869 26 breath breath NN 19261 1869 27 - - HYPH 19261 1869 28 sounds sound VBZ 19261 1869 29 over over IN 19261 1869 30 the the DT 19261 1869 31 site site NN 19261 1869 32 of of IN 19261 1869 33 the the DT 19261 1869 34 pulmonary pulmonary JJ 19261 1869 35 lesion lesion NN 19261 1869 36 . . . 19261 1870 1 Rales rale NNS 19261 1870 2 vary vary VBP 19261 1870 3 with with IN 19261 1870 4 the the DT 19261 1870 5 amount amount NN 19261 1870 6 of of IN 19261 1870 7 secretion secretion NN 19261 1870 8 present present NN 19261 1870 9 . . . 19261 1871 1 These these DT 19261 1871 2 physical physical JJ 19261 1871 3 signs sign NNS 19261 1871 4 suggest suggest VBP 19261 1871 5 empyema empyema NN 19261 1871 6 ; ; , 19261 1871 7 and and CC 19261 1871 8 rib rib NNP 19261 1871 9 resection resection NN 19261 1871 10 had have VBD 19261 1871 11 been be VBN 19261 1871 12 done do VBN 19261 1871 13 before before IN 19261 1871 14 admission admission NN 19261 1871 15 in in IN 19261 1871 16 a a DT 19261 1871 17 number number NN 19261 1871 18 of of IN 19261 1871 19 cases case NNS 19261 1871 20 only only RB 19261 1871 21 to to TO 19261 1871 22 find find VB 19261 1871 23 the the DT 19261 1871 24 pleura pleura NN 19261 1871 25 normal normal JJ 19261 1871 26 . . . 19261 1872 1 ROENTGENRAY ROENTGENRAY NNP 19261 1872 2 STUDY STUDY NNP 19261 1872 3 IN in IN 19261 1872 4 FOREIGN foreign JJ 19261 1872 5 BODY BODY NNP 19261 1872 6 CASES case NNS 19261 1872 7 _ _ IN 19261 1872 8 Roentgenography_.--All Roentgenography_.--All NNP 19261 1872 9 cases case NNS 19261 1872 10 of of IN 19261 1872 11 chest chest NN 19261 1872 12 disease disease NN 19261 1872 13 should should MD 19261 1872 14 have have VB 19261 1872 15 the the DT 19261 1872 16 benefit benefit NN 19261 1872 17 of of IN 19261 1872 18 a a DT 19261 1872 19 roentgenologic roentgenologic JJ 19261 1872 20 study study NN 19261 1872 21 to to TO 19261 1872 22 exclude exclude VB 19261 1872 23 bronchial bronchial JJ 19261 1872 24 foreign foreign JJ 19261 1872 25 body body NN 19261 1872 26 as as IN 19261 1872 27 an an DT 19261 1872 28 etiological etiological JJ 19261 1872 29 factor factor NN 19261 1872 30 . . . 19261 1873 1 Negative negative JJ 19261 1873 2 opinions opinion NNS 19261 1873 3 should should MD 19261 1873 4 never never RB 19261 1873 5 be be VB 19261 1873 6 based base VBN 19261 1873 7 upon upon IN 19261 1873 8 any any DT 19261 1873 9 plates plate NNS 19261 1873 10 except except IN 19261 1873 11 the the DT 19261 1873 12 best good JJS 19261 1873 13 that that IN 19261 1873 14 the the DT 19261 1873 15 wonderful wonderful JJ 19261 1873 16 modern modern JJ 19261 1873 17 development development NN 19261 1873 18 of of IN 19261 1873 19 the the DT 19261 1873 20 art art NN 19261 1873 21 and and CC 19261 1873 22 science science NN 19261 1873 23 of of IN 19261 1873 24 roentgenology roentgenology NN 19261 1873 25 can can MD 19261 1873 26 produce produce VB 19261 1873 27 . . . 19261 1874 1 In in IN 19261 1874 2 doubtful doubtful JJ 19261 1874 3 cases case NNS 19261 1874 4 , , , 19261 1874 5 the the DT 19261 1874 6 negative negative JJ 19261 1874 7 opinion opinion NN 19261 1874 8 should should MD 19261 1874 9 not not RB 19261 1874 10 be be VB 19261 1874 11 conclusive conclusive JJ 19261 1874 12 until until IN 19261 1874 13 a a DT 19261 1874 14 roentgenologist roentgenologist NN 19261 1874 15 of of IN 19261 1874 16 long long JJ 19261 1874 17 experience experience NN 19261 1874 18 in in IN 19261 1874 19 chest chest NN 19261 1874 20 work work NN 19261 1874 21 , , , 19261 1874 22 and and CC 19261 1874 23 especially especially RB 19261 1874 24 in in IN 19261 1874 25 foreign foreign JJ 19261 1874 26 body body NN 19261 1874 27 cases case NNS 19261 1874 28 , , , 19261 1874 29 has have VBZ 19261 1874 30 been be VBN 19261 1874 31 called call VBN 19261 1874 32 in in IN 19261 1874 33 consultation consultation NN 19261 1874 34 . . . 19261 1875 1 Even even RB 19261 1875 2 then then RB 19261 1875 3 there there EX 19261 1875 4 will will MD 19261 1875 5 be be VB 19261 1875 6 an an DT 19261 1875 7 occasional occasional JJ 19261 1875 8 case case NN 19261 1875 9 calling call VBG 19261 1875 10 for for IN 19261 1875 11 diagnostic diagnostic JJ 19261 1875 12 bronchoscopy bronchoscopy NN 19261 1875 13 . . . 19261 1876 1 Antero Antero NNP 19261 1876 2 - - HYPH 19261 1876 3 posterior posterior NN 19261 1876 4 and and CC 19261 1876 5 lateral lateral JJ 19261 1876 6 roentgenograms roentgenogram NNS 19261 1876 7 should should MD 19261 1876 8 always always RB 19261 1876 9 be be VB 19261 1876 10 made make VBN 19261 1876 11 . . . 19261 1877 1 In in IN 19261 1877 2 an an DT 19261 1877 3 antero antero NNP 19261 1877 4 - - HYPH 19261 1877 5 posterior posterior NN 19261 1877 6 film film NN 19261 1877 7 a a DT 19261 1877 8 flat flat JJ 19261 1877 9 foreign foreign JJ 19261 1877 10 body body NN 19261 1877 11 lying lie VBG 19261 1877 12 in in IN 19261 1877 13 the the DT 19261 1877 14 lateral lateral JJ 19261 1877 15 body body NN 19261 1877 16 plane plane NN 19261 1877 17 might may MD 19261 1877 18 be be VB 19261 1877 19 invisible invisible JJ 19261 1877 20 in in IN 19261 1877 21 the the DT 19261 1877 22 shadow shadow NN 19261 1877 23 of of IN 19261 1877 24 the the DT 19261 1877 25 spine spine NN 19261 1877 26 , , , 19261 1877 27 heart heart NN 19261 1877 28 , , , 19261 1877 29 and and CC 19261 1877 30 great great JJ 19261 1877 31 vessels vessel NNS 19261 1877 32 ; ; : 19261 1877 33 but but CC 19261 1877 34 would would MD 19261 1877 35 be be VB 19261 1877 36 revealed reveal VBN 19261 1877 37 in in IN 19261 1877 38 the the DT 19261 1877 39 lateral lateral JJ 19261 1877 40 view view NN 19261 1877 41 because because IN 19261 1877 42 of of IN 19261 1877 43 the the DT 19261 1877 44 greater great JJR 19261 1877 45 edgewise edgewise NN 19261 1877 46 density density NN 19261 1877 47 of of IN 19261 1877 48 the the DT 19261 1877 49 intruder intruder NN 19261 1877 50 and and CC 19261 1877 51 the the DT 19261 1877 52 absence absence NN 19261 1877 53 of of IN 19261 1877 54 other other JJ 19261 1877 55 confusing confusing JJ 19261 1877 56 shadows shadow NNS 19261 1877 57 . . . 19261 1878 1 Fluoroscopic fluoroscopic JJ 19261 1878 2 examination examination NN 19261 1878 3 will will MD 19261 1878 4 often often RB 19261 1878 5 discover discover VB 19261 1878 6 the the DT 19261 1878 7 best good JJS 19261 1878 8 angle angle NN 19261 1878 9 from from IN 19261 1878 10 which which WDT 19261 1878 11 to to TO 19261 1878 12 make make VB 19261 1878 13 a a DT 19261 1878 14 plate plate NN 19261 1878 15 ; ; : 19261 1878 16 but but CC 19261 1878 17 foreign foreign JJ 19261 1878 18 bodies body NNS 19261 1878 19 casting cast VBG 19261 1878 20 a a DT 19261 1878 21 very very RB 19261 1878 22 faint faint JJ 19261 1878 23 shadow shadow NN 19261 1878 24 on on IN 19261 1878 25 a a DT 19261 1878 26 plate plate NN 19261 1878 27 may may MD 19261 1878 28 be be VB 19261 1878 29 totally totally RB 19261 1878 30 invisible invisible JJ 19261 1878 31 on on IN 19261 1878 32 the the DT 19261 1878 33 fluoroscopic fluoroscopic JJ 19261 1878 34 screen screen NN 19261 1878 35 . . . 19261 1879 1 The the DT 19261 1879 2 value value NN 19261 1879 3 of of IN 19261 1879 4 a a DT 19261 1879 5 roentgenogram roentgenogram NN 19261 1879 6 after after IN 19261 1879 7 the the DT 19261 1879 8 removal removal NN 19261 1879 9 of of IN 19261 1879 10 a a DT 19261 1879 11 foreign foreign JJ 19261 1879 12 body body NN 19261 1879 13 can can MD 19261 1879 14 not not RB 19261 1879 15 be be VB 19261 1879 16 too too RB 19261 1879 17 strongly strongly RB 19261 1879 18 emphasized emphasize VBN 19261 1879 19 . . . 19261 1880 1 It -PRON- PRP 19261 1880 2 is be VBZ 19261 1880 3 evidence evidence NN 19261 1880 4 of of IN 19261 1880 5 removal removal NN 19261 1880 6 and and CC 19261 1880 7 will will MD 19261 1880 8 exclude exclude VB 19261 1880 9 the the DT 19261 1880 10 presence presence NN 19261 1880 11 of of IN 19261 1880 12 a a DT 19261 1880 13 second second JJ 19261 1880 14 intruder intruder NN 19261 1880 15 which which WDT 19261 1880 16 might may MD 19261 1880 17 have have VB 19261 1880 18 been be VBN 19261 1880 19 overlooked overlook VBN 19261 1880 20 in in IN 19261 1880 21 the the DT 19261 1880 22 first first JJ 19261 1880 23 study study NN 19261 1880 24 . . . 19261 1881 1 Fluoroscopic fluoroscopic JJ 19261 1881 2 study study NN 19261 1881 3 of of IN 19261 1881 4 the the DT 19261 1881 5 swallowing swallow VBG 19261 1881 6 function function NN 19261 1881 7 with with IN 19261 1881 8 barium barium NN 19261 1881 9 mixture mixture NN 19261 1881 10 , , , 19261 1881 11 or or CC 19261 1881 12 a a DT 19261 1881 13 barium barium NN 19261 1881 14 - - HYPH 19261 1881 15 filled fill VBN 19261 1881 16 capsule capsule NN 19261 1881 17 , , , 19261 1881 18 will will MD 19261 1881 19 give give VB 19261 1881 20 the the DT 19261 1881 21 location location NN 19261 1881 22 of of IN 19261 1881 23 a a DT 19261 1881 24 nonroentgenopaque nonroentgenopaque JJ 19261 1881 25 object object NN 19261 1881 26 ( ( -LRB- 19261 1881 27 such such JJ 19261 1881 28 as as IN 19261 1881 29 bone bone NN 19261 1881 30 , , , 19261 1881 31 meat meat NN 19261 1881 32 , , , 19261 1881 33 etc etc FW 19261 1881 34 . . . 19261 1881 35 ) ) -RRB- 19261 1882 1 in in IN 19261 1882 2 the the DT 19261 1882 3 esophagus esophagus NN 19261 1882 4 . . . 19261 1883 1 If if IN 19261 1883 2 a a DT 19261 1883 3 flat flat JJ 19261 1883 4 or or CC 19261 1883 5 disc disc NN 19261 1883 6 - - HYPH 19261 1883 7 shaped shaped JJ 19261 1883 8 object object NN 19261 1883 9 located locate VBN 19261 1883 10 in in IN 19261 1883 11 the the DT 19261 1883 12 cervical cervical JJ 19261 1883 13 region region NN 19261 1883 14 is be VBZ 19261 1883 15 seen see VBN 19261 1883 16 to to TO 19261 1883 17 be be VB 19261 1883 18 lying lie VBG 19261 1883 19 in in IN 19261 1883 20 the the DT 19261 1883 21 lateral lateral JJ 19261 1883 22 body body NN 19261 1883 23 plane plane NN 19261 1883 24 , , , 19261 1883 25 it -PRON- PRP 19261 1883 26 will will MD 19261 1883 27 be be VB 19261 1883 28 found find VBN 19261 1883 29 to to TO 19261 1883 30 be be VB 19261 1883 31 in in IN 19261 1883 32 the the DT 19261 1883 33 esophagus esophagus NN 19261 1883 34 , , , 19261 1883 35 for for IN 19261 1883 36 it -PRON- PRP 19261 1883 37 assumed assume VBD 19261 1883 38 that that DT 19261 1883 39 position position NN 19261 1883 40 by by IN 19261 1883 41 passing pass VBG 19261 1883 42 down down RP 19261 1883 43 flatwise flatwise NN 19261 1883 44 behind behind IN 19261 1883 45 the the DT 19261 1883 46 larynx larynx NN 19261 1883 47 . . . 19261 1884 1 If if IN 19261 1884 2 , , , 19261 1884 3 however however RB 19261 1884 4 , , , 19261 1884 5 the the DT 19261 1884 6 object object NN 19261 1884 7 is be VBZ 19261 1884 8 seen see VBN 19261 1884 9 to to TO 19261 1884 10 be be VB 19261 1884 11 in in IN 19261 1884 12 the the DT 19261 1884 13 sagittal sagittal JJ 19261 1884 14 plane plane NN 19261 1884 15 it -PRON- PRP 19261 1884 16 must must MD 19261 1884 17 lie lie VB 19261 1884 18 in in IN 19261 1884 19 the the DT 19261 1884 20 trachea trachea NN 19261 1884 21 . . . 19261 1885 1 This this DT 19261 1885 2 position position NN 19261 1885 3 was be VBD 19261 1885 4 necessary necessary JJ 19261 1885 5 for for IN 19261 1885 6 it -PRON- PRP 19261 1885 7 to to TO 19261 1885 8 pass pass VB 19261 1885 9 through through RP 19261 1885 10 the the DT 19261 1885 11 glottic glottic JJ 19261 1885 12 chink chink NN 19261 1885 13 , , , 19261 1885 14 and and CC 19261 1885 15 can can MD 19261 1885 16 be be VB 19261 1885 17 maintained maintain VBN 19261 1885 18 because because IN 19261 1885 19 of of IN 19261 1885 20 the the DT 19261 1885 21 yielding yield VBG 19261 1885 22 of of IN 19261 1885 23 the the DT 19261 1885 24 posterior posterior NN 19261 1885 25 membranous membranous JJ 19261 1885 26 wall wall NN 19261 1885 27 of of IN 19261 1885 28 the the DT 19261 1885 29 trachea trachea NN 19261 1885 30 . . . 19261 1886 1 THE the DT 19261 1886 2 ROENTGENOGRAPHIC ROENTGENOGRAPHIC NNS 19261 1886 3 SIGNS signs NN 19261 1886 4 OF of IN 19261 1886 5 EXPIRATORY EXPIRATORY NNP 19261 1886 6 - - HYPH 19261 1886 7 VALVE valve NN 19261 1886 8 - - HYPH 19261 1886 9 LIKE like NN 19261 1886 10 BRONCHIAL bronchial NN 19261 1886 11 OBSTRUCTION obstruction VB 19261 1886 12 The the DT 19261 1886 13 roentgenray roentgenray JJ 19261 1886 14 signs sign NNS 19261 1886 15 in in IN 19261 1886 16 expiratory expiratory NN 19261 1886 17 valve valve NN 19261 1886 18 - - HYPH 19261 1886 19 like like JJ 19261 1886 20 obstruction obstruction NN 19261 1886 21 of of IN 19261 1886 22 a a DT 19261 1886 23 bronchus bronchus NN 19261 1886 24 are be VBP 19261 1886 25 those those DT 19261 1886 26 of of IN 19261 1886 27 _ _ NNP 19261 1886 28 an an DT 19261 1886 29 acute acute JJ 19261 1886 30 obstructive obstructive JJ 19261 1886 31 emphysema emphysema NNP 19261 1886 32 _ _ NNP 19261 1886 33 ( ( -LRB- 19261 1886 34 Fig Fig NNP 19261 1886 35 . . . 19261 1887 1 74 74 CD 19261 1887 2 ) ) -RRB- 19261 1887 3 , , , 19261 1887 4 namely namely RB 19261 1887 5 , , , 19261 1887 6 1 1 CD 19261 1887 7 . . . 19261 1888 1 Greater great JJR 19261 1888 2 transparency transparency NN 19261 1888 3 on on IN 19261 1888 4 the the DT 19261 1888 5 obstructed obstructed JJ 19261 1888 6 side side NN 19261 1888 7 ( ( -LRB- 19261 1888 8 Iglauer Iglauer NNP 19261 1888 9 ) ) -RRB- 19261 1888 10 . . . 19261 1889 1 2 2 LS 19261 1889 2 . . . 19261 1890 1 Displacement displacement NN 19261 1890 2 of of IN 19261 1890 3 the the DT 19261 1890 4 heart heart NN 19261 1890 5 to to IN 19261 1890 6 the the DT 19261 1890 7 free free JJ 19261 1890 8 side side NN 19261 1890 9 ( ( -LRB- 19261 1890 10 Iglauer Iglauer NNP 19261 1890 11 ) ) -RRB- 19261 1890 12 . . . 19261 1891 1 3 3 LS 19261 1891 2 . . . 19261 1892 1 Depression depression NN 19261 1892 2 and and CC 19261 1892 3 flattening flattening NN 19261 1892 4 of of IN 19261 1892 5 the the DT 19261 1892 6 dome dome NN 19261 1892 7 of of IN 19261 1892 8 the the DT 19261 1892 9 diaphragm diaphragm NN 19261 1892 10 on on IN 19261 1892 11 the the DT 19261 1892 12 invaded invaded JJ 19261 1892 13 side side NN 19261 1892 14 ( ( -LRB- 19261 1892 15 Iglauer Iglauer NNP 19261 1892 16 ) ) -RRB- 19261 1892 17 . . . 19261 1893 1 4 4 LS 19261 1893 2 . . . 19261 1894 1 Limitation limitation NN 19261 1894 2 of of IN 19261 1894 3 the the DT 19261 1894 4 diaphragmatic diaphragmatic JJ 19261 1894 5 excursion excursion NN 19261 1894 6 on on IN 19261 1894 7 the the DT 19261 1894 8 obstructed obstructed JJ 19261 1894 9 side side NN 19261 1894 10 ( ( -LRB- 19261 1894 11 Manges Manges NNP 19261 1894 12 ) ) -RRB- 19261 1894 13 . . . 19261 1895 1 It -PRON- PRP 19261 1895 2 is be VBZ 19261 1895 3 very very RB 19261 1895 4 important important JJ 19261 1895 5 to to TO 19261 1895 6 note note VB 19261 1895 7 that that IN 19261 1895 8 , , , 19261 1895 9 as as IN 19261 1895 10 discovered discover VBN 19261 1895 11 by by IN 19261 1895 12 Manges Manges NNP 19261 1895 13 , , , 19261 1895 14 the the DT 19261 1895 15 differential differential NN 19261 1895 16 emphysema emphysema NN 19261 1895 17 occurs occur VBZ 19261 1895 18 at at IN 19261 1895 19 the the DT 19261 1895 20 end end NN 19261 1895 21 of of IN 19261 1895 22 expiration expiration NN 19261 1895 23 and and CC 19261 1895 24 the the DT 19261 1895 25 plate plate NN 19261 1895 26 must must MD 19261 1895 27 be be VB 19261 1895 28 exposed expose VBN 19261 1895 29 at at IN 19261 1895 30 that that DT 19261 1895 31 time time NN 19261 1895 32 , , , 19261 1895 33 before before IN 19261 1895 34 inspiration inspiration NN 19261 1895 35 starts start VBZ 19261 1895 36 . . . 19261 1896 1 He -PRON- PRP 19261 1896 2 also also RB 19261 1896 3 noted note VBD 19261 1896 4 that that IN 19261 1896 5 at at IN 19261 1896 6 fluoroscopy fluoroscopy VB 19261 1896 7 the the DT 19261 1896 8 heart heart NN 19261 1896 9 moved move VBD 19261 1896 10 laterally laterally RB 19261 1896 11 toward toward IN 19261 1896 12 the the DT 19261 1896 13 uninvaded uninvaded JJ 19261 1896 14 side side NN 19261 1896 15 during during IN 19261 1896 16 expiration expiration NN 19261 1896 17 . . . 19261 1897 1 * * NFP 19261 1897 2 * * NFP 19261 1897 3 Dr. Dr. NNP 19261 1897 4 Manges Manges NNP 19261 1897 5 has have VBZ 19261 1897 6 developed develop VBN 19261 1897 7 such such PDT 19261 1897 8 a a DT 19261 1897 9 high high JJ 19261 1897 10 degree degree NN 19261 1897 11 of of IN 19261 1897 12 skill skill NN 19261 1897 13 in in IN 19261 1897 14 the the DT 19261 1897 15 fluoroscopic fluoroscopic JJ 19261 1897 16 diagnosis diagnosis NN 19261 1897 17 of of IN 19261 1897 18 non non JJ 19261 1897 19 - - JJ 19261 1897 20 opaque opaque JJ 19261 1897 21 foreign foreign JJ 19261 1897 22 bodies body NNS 19261 1897 23 by by IN 19261 1897 24 the the DT 19261 1897 25 obstructive obstructive JJ 19261 1897 26 emphysema emphysema NN 19261 1897 27 they -PRON- PRP 19261 1897 28 produce produce VBP 19261 1897 29 that that IN 19261 1897 30 he -PRON- PRP 19261 1897 31 has have VBZ 19261 1897 32 located locate VBN 19261 1897 33 peanut peanut NN 19261 1897 34 kernels kernel NNS 19261 1897 35 and and CC 19261 1897 36 other other JJ 19261 1897 37 vegetable vegetable NN 19261 1897 38 substances substance NNS 19261 1897 39 with with IN 19261 1897 40 absolute absolute JJ 19261 1897 41 accuracy accuracy NN 19261 1897 42 and and CC 19261 1897 43 unfailing unfailing JJ 19261 1897 44 certainty certainty NN 19261 1897 45 in in IN 19261 1897 46 dozens dozen NNS 19261 1897 47 of of IN 19261 1897 48 cases case NNS 19261 1897 49 at at IN 19261 1897 50 the the DT 19261 1897 51 Bronchoscopic Bronchoscopic NNP 19261 1897 52 Clinic Clinic NNP 19261 1897 53 . . . 19261 1898 1 [ [ -LRB- 19261 1898 2 FIG FIG NNP 19261 1898 3 . . . 19261 1899 1 74 74 CD 19261 1899 2 - - HYPH 19261 1899 3 -Expiratory -expiratory NN 19261 1899 4 valve valve NN 19261 1899 5 - - HYPH 19261 1899 6 like like JJ 19261 1899 7 bronchial bronchial JJ 19261 1899 8 obstruction obstruction NN 19261 1899 9 by by IN 19261 1899 10 non non JJ 19261 1899 11 - - JJ 19261 1899 12 radiopaque radiopaque JJ 19261 1899 13 foreign foreign JJ 19261 1899 14 body body NN 19261 1899 15 , , , 19261 1899 16 producing produce VBG 19261 1899 17 an an DT 19261 1899 18 acute acute JJ 19261 1899 19 obstructive obstructive JJ 19261 1899 20 emphysema emphysema NN 19261 1899 21 . . . 19261 1900 1 Peanut peanut JJ 19261 1900 2 kernel kernel NN 19261 1900 3 in in IN 19261 1900 4 right right JJ 19261 1900 5 main main JJ 19261 1900 6 bronchus bronchus NN 19261 1900 7 . . . 19261 1901 1 Note note VB 19261 1901 2 ( ( -LRB- 19261 1901 3 a a DT 19261 1901 4 ) ) -RRB- 19261 1901 5 depression depression NN 19261 1901 6 of of IN 19261 1901 7 right right JJ 19261 1901 8 diaphragm diaphragm NN 19261 1901 9 ; ; : 19261 1901 10 ( ( -LRB- 19261 1901 11 b b NN 19261 1901 12 ) ) -RRB- 19261 1901 13 displacement displacement NN 19261 1901 14 of of IN 19261 1901 15 heart heart NN 19261 1901 16 and and CC 19261 1901 17 mediastinum mediastinum NN 19261 1901 18 to to IN 19261 1901 19 left leave VBN 19261 1901 20 ; ; : 19261 1901 21 ( ( -LRB- 19261 1901 22 c c NN 19261 1901 23 ) ) -RRB- 19261 1901 24 greater great JJR 19261 1901 25 transparency transparency NN 19261 1901 26 of of IN 19261 1901 27 the the DT 19261 1901 28 invaded invaded JJ 19261 1901 29 side side NN 19261 1901 30 . . . 19261 1902 1 Ray Ray NNP 19261 1902 2 - - HYPH 19261 1902 3 plate plate NN 19261 1902 4 made make VBN 19261 1902 5 by by IN 19261 1902 6 Willis Willis NNP 19261 1902 7 F. F. NNP 19261 1903 1 Manges mange NNS 19261 1903 2 . . . 19261 1903 3 ] ] -RRB- 19261 1904 1 _ _ NNP 19261 1904 2 Complete complete JJ 19261 1904 3 bronchial bronchial JJ 19261 1904 4 obstruction obstruction NN 19261 1904 5 _ _ NNP 19261 1904 6 shows show VBZ 19261 1904 7 a a DT 19261 1904 8 density density NN 19261 1904 9 over over IN 19261 1904 10 the the DT 19261 1904 11 whole whole JJ 19261 1904 12 area area NN 19261 1904 13 the the DT 19261 1904 14 aeration aeration NN 19261 1904 15 and and CC 19261 1904 16 drainage drainage NN 19261 1904 17 of of IN 19261 1904 18 which which WDT 19261 1904 19 has have VBZ 19261 1904 20 been be VBN 19261 1904 21 cut cut VBN 19261 1904 22 off off RP 19261 1904 23 ( ( -LRB- 19261 1904 24 Fig fig NN 19261 1904 25 . . . 19261 1905 1 75 75 CD 19261 1905 2 ) ) -RRB- 19261 1905 3 . . . 19261 1906 1 Pulmonary pulmonary JJ 19261 1906 2 abscess abscess JJ 19261 1906 3 formation formation NN 19261 1906 4 and and CC 19261 1906 5 " " `` 19261 1906 6 drowned drown VBN 19261 1906 7 lung lung NN 19261 1906 8 " " '' 19261 1906 9 ( ( -LRB- 19261 1906 10 accumulated accumulate VBN 19261 1906 11 secretion secretion NN 19261 1906 12 in in IN 19261 1906 13 the the DT 19261 1906 14 bronchi bronchi NNP 19261 1906 15 and and CC 19261 1906 16 bronchioli bronchioli NNP 19261 1906 17 ) ) -RRB- 19261 1906 18 are be VBP 19261 1906 19 shown show VBN 19261 1906 20 by by IN 19261 1906 21 the the DT 19261 1906 22 definite definite JJ 19261 1906 23 shadows shadow NNS 19261 1906 24 produced produce VBN 19261 1906 25 ( ( -LRB- 19261 1906 26 Fig fig NN 19261 1906 27 . . . 19261 1907 1 76 76 CD 19261 1907 2 ) ) -RRB- 19261 1907 3 . . . 19261 1908 1 [ [ -LRB- 19261 1908 2 140 140 CD 19261 1908 3 ] ] -RRB- 19261 1908 4 Dense Dense NNP 19261 1908 5 and and CC 19261 1908 6 metallic metallic JJ 19261 1908 7 objects object NNS 19261 1908 8 will will MD 19261 1908 9 usually usually RB 19261 1908 10 be be VB 19261 1908 11 readily readily RB 19261 1908 12 seen see VBN 19261 1908 13 in in IN 19261 1908 14 the the DT 19261 1908 15 roentgenograms roentgenogram NNS 19261 1908 16 and and CC 19261 1908 17 fluoroscope fluoroscope VB 19261 1908 18 , , , 19261 1908 19 but but CC 19261 1908 20 many many JJ 19261 1908 21 foreign foreign JJ 19261 1908 22 bodies body NNS 19261 1908 23 are be VBP 19261 1908 24 of of IN 19261 1908 25 a a DT 19261 1908 26 nature nature NN 19261 1908 27 which which WDT 19261 1908 28 will will MD 19261 1908 29 produce produce VB 19261 1908 30 no no DT 19261 1908 31 shadow shadow NN 19261 1908 32 ; ; : 19261 1908 33 the the DT 19261 1908 34 roentgenologist roentgenologist NN 19261 1908 35 should should MD 19261 1908 36 , , , 19261 1908 37 therefore therefore RB 19261 1908 38 , , , 19261 1908 39 be be VB 19261 1908 40 prepared prepared JJ 19261 1908 41 to to TO 19261 1908 42 interpret interpret VB 19261 1908 43 the the DT 19261 1908 44 pulmonary pulmonary JJ 19261 1908 45 pathology pathology NN 19261 1908 46 , , , 19261 1908 47 and and CC 19261 1908 48 should should MD 19261 1908 49 not not RB 19261 1908 50 dismiss dismiss VB 19261 1908 51 the the DT 19261 1908 52 case case NN 19261 1908 53 as as IN 19261 1908 54 negative negative JJ 19261 1908 55 for for IN 19261 1908 56 foreign foreign JJ 19261 1908 57 body body NN 19261 1908 58 because because IN 19261 1908 59 one one CD 19261 1908 60 is be VBZ 19261 1908 61 not not RB 19261 1908 62 seen see VBN 19261 1908 63 . . . 19261 1909 1 Even even RB 19261 1909 2 metallic metallic JJ 19261 1909 3 objects object NNS 19261 1909 4 are be VBP 19261 1909 5 in in IN 19261 1909 6 rare rare JJ 19261 1909 7 cases case NNS 19261 1909 8 exceedingly exceedingly RB 19261 1909 9 difficult difficult JJ 19261 1909 10 to to TO 19261 1909 11 demonstrate demonstrate VB 19261 1909 12 . . . 19261 1910 1 [ [ -LRB- 19261 1910 2 FIG FIG NNP 19261 1910 3 . . . 19261 1911 1 75.--Radiograph 75.--radiograph CD 19261 1911 2 showing show VBG 19261 1911 3 pathology pathology NN 19261 1911 4 resulting result VBG 19261 1911 5 from from IN 19261 1911 6 complete complete JJ 19261 1911 7 obstruction obstruction NN 19261 1911 8 of of IN 19261 1911 9 a a DT 19261 1911 10 bronchus bronchus NN 19261 1911 11 with with IN 19261 1911 12 atelectasis atelectasis NN 19261 1911 13 and and CC 19261 1911 14 drowned drown VBD 19261 1911 15 lung lung NN 19261 1911 16 resulting result VBG 19261 1911 17 . . . 19261 1912 1 Foot foot NN 19261 1912 2 of of IN 19261 1912 3 an an DT 19261 1912 4 alarm alarm NN 19261 1912 5 clock clock NN 19261 1912 6 in in IN 19261 1912 7 left left JJ 19261 1912 8 bronchus bronchu NNS 19261 1912 9 of of IN 19261 1912 10 4 4 CD 19261 1912 11 year year NN 19261 1912 12 old old JJ 19261 1912 13 child child NN 19261 1912 14 . . . 19261 1913 1 Present present JJ 19261 1913 2 25 25 CD 19261 1913 3 days day NNS 19261 1913 4 . . . 19261 1914 1 Plate plate NN 19261 1914 2 made make VBN 19261 1914 3 by by IN 19261 1914 4 Johnston Johnston NNP 19261 1914 5 and and CC 19261 1914 6 Grier Grier NNP 19261 1914 7 . . . 19261 1914 8 ] ] -RRB- 19261 1915 1 _ _ NNP 19261 1915 2 Positive Positive NNP 19261 1915 3 Films Films NNPS 19261 1915 4 of of IN 19261 1915 5 the the DT 19261 1915 6 Tracheo Tracheo NNP 19261 1915 7 - - HYPH 19261 1915 8 bronchial bronchial JJ 19261 1915 9 Tree Tree NNP 19261 1915 10 as as IN 19261 1915 11 an an DT 19261 1915 12 Aid aid NN 19261 1915 13 to to IN 19261 1915 14 Localization_.--In Localization_.--In NNP 19261 1915 15 order order NN 19261 1915 16 to to TO 19261 1915 17 localize localize VB 19261 1915 18 the the DT 19261 1915 19 bronchus bronchus NN 19261 1915 20 invaded invade VBN 19261 1915 21 by by IN 19261 1915 22 a a DT 19261 1915 23 small small JJ 19261 1915 24 foreign foreign JJ 19261 1915 25 body body NN 19261 1915 26 the the DT 19261 1915 27 positive positive JJ 19261 1915 28 film film NN 19261 1915 29 is be VBZ 19261 1915 30 laid lay VBN 19261 1915 31 over over IN 19261 1915 32 the the DT 19261 1915 33 negative negative NN 19261 1915 34 of of IN 19261 1915 35 the the DT 19261 1915 36 patient patient NN 19261 1915 37 showing show VBG 19261 1915 38 the the DT 19261 1915 39 foreign foreign JJ 19261 1915 40 body body NN 19261 1915 41 . . . 19261 1916 1 The the DT 19261 1916 2 shadow shadow NN 19261 1916 3 of of IN 19261 1916 4 the the DT 19261 1916 5 foreign foreign JJ 19261 1916 6 body body NN 19261 1916 7 will will MD 19261 1916 8 then then RB 19261 1916 9 show show VB 19261 1916 10 through through IN 19261 1916 11 the the DT 19261 1916 12 overlying overlie VBG 19261 1916 13 positive positive JJ 19261 1916 14 film film NN 19261 1916 15 . . . 19261 1917 1 These these DT 19261 1917 2 positive positive JJ 19261 1917 3 films film NNS 19261 1917 4 are be VBP 19261 1917 5 made make VBN 19261 1917 6 in in IN 19261 1917 7 twelve twelve CD 19261 1917 8 sizes size NNS 19261 1917 9 , , , 19261 1917 10 and and CC 19261 1917 11 the the DT 19261 1917 12 size size NN 19261 1917 13 selected select VBN 19261 1917 14 should should MD 19261 1917 15 be be VB 19261 1917 16 that that IN 19261 1917 17 corresponding correspond VBG 19261 1917 18 to to IN 19261 1917 19 the the DT 19261 1917 20 size size NN 19261 1917 21 of of IN 19261 1917 22 the the DT 19261 1917 23 patient patient NN 19261 1917 24 as as IN 19261 1917 25 shown show VBN 19261 1917 26 by by IN 19261 1917 27 the the DT 19261 1917 28 roentgenograph roentgenograph NN 19261 1917 29 . . . 19261 1918 1 The the DT 19261 1918 2 dome dome NN 19261 1918 3 of of IN 19261 1918 4 the the DT 19261 1918 5 diaphragm diaphragm NN 19261 1918 6 and and CC 19261 1918 7 the the DT 19261 1918 8 dome dome NN 19261 1918 9 of of IN 19261 1918 10 the the DT 19261 1918 11 pleura pleura NN 19261 1918 12 are be VBP 19261 1918 13 taken take VBN 19261 1918 14 as as IN 19261 1918 15 visceral visceral JJ 19261 1918 16 landmarks landmark NNS 19261 1918 17 for for IN 19261 1918 18 placing place VBG 19261 1918 19 the the DT 19261 1918 20 positive positive JJ 19261 1918 21 films film NNS 19261 1918 22 which which WDT 19261 1918 23 have have VBP 19261 1918 24 lines line NNS 19261 1918 25 indicating indicate VBG 19261 1918 26 these these DT 19261 1918 27 levels level NNS 19261 1918 28 . . . 19261 1919 1 If if IN 19261 1919 2 the the DT 19261 1919 3 shadow shadow NN 19261 1919 4 of of IN 19261 1919 5 the the DT 19261 1919 6 foreign foreign JJ 19261 1919 7 body body NN 19261 1919 8 be be VB 19261 1919 9 faint faint JJ 19261 1919 10 it -PRON- PRP 19261 1919 11 may may MD 19261 1919 12 be be VB 19261 1919 13 strengthened strengthen VBN 19261 1919 14 by by IN 19261 1919 15 an an DT 19261 1919 16 ink ink NN 19261 1919 17 mark mark NN 19261 1919 18 on on IN 19261 1919 19 the the DT 19261 1919 20 uncoated uncoated JJ 19261 1919 21 side side NN 19261 1919 22 of of IN 19261 1919 23 the the DT 19261 1919 24 plate plate NN 19261 1919 25 . . . 19261 1920 1 [ [ -LRB- 19261 1920 2 FIG FIG NNP 19261 1920 3 . . . 19261 1921 1 76.--Partial 76.--partial CD 19261 1921 2 bronchial bronchial JJ 19261 1921 3 obstruction obstruction NN 19261 1921 4 for for IN 19261 1921 5 long long JJ 19261 1921 6 period period NN 19261 1921 7 of of IN 19261 1921 8 time time NN 19261 1921 9 Pathology Pathology NNP 19261 1921 10 , , , 19261 1921 11 bronchiectasis bronchiectasis NN 19261 1921 12 and and CC 19261 1921 13 pulmonary pulmonary JJ 19261 1921 14 abscess abscess NN 19261 1921 15 , , , 19261 1921 16 produced produce VBN 19261 1921 17 by by IN 19261 1921 18 the the DT 19261 1921 19 presence presence NN 19261 1921 20 for for IN 19261 1921 21 4 4 CD 19261 1921 22 years year NNS 19261 1921 23 of of IN 19261 1921 24 a a DT 19261 1921 25 nail nail NN 19261 1921 26 in in IN 19261 1921 27 the the DT 19261 1921 28 left left JJ 19261 1921 29 lung lung NN 19261 1921 30 of of IN 19261 1921 31 a a DT 19261 1921 32 boy boy NN 19261 1921 33 of of IN 19261 1921 34 10 10 CD 19261 1921 35 years year NNS 19261 1921 36 ] ] -RRB- 19261 1921 37 _ _ NNP 19261 1921 38 Bronchial bronchial JJ 19261 1921 39 mapping mapping NN 19261 1921 40 _ _ NNP 19261 1921 41 is be VBZ 19261 1921 42 readily readily RB 19261 1921 43 accomplished accomplish VBN 19261 1921 44 by by IN 19261 1921 45 the the DT 19261 1921 46 author author NN 19261 1921 47 's 's POS 19261 1921 48 method method NN 19261 1921 49 of of IN 19261 1921 50 endobronchial endobronchial JJ 19261 1921 51 insufflation insufflation NN 19261 1921 52 of of IN 19261 1921 53 a a DT 19261 1921 54 roentgenopaque roentgenopaque JJ 19261 1921 55 inert inert JJ 19261 1921 56 powder powder NN 19261 1921 57 such such JJ 19261 1921 58 as as IN 19261 1921 59 bismuth bismuth NNP 19261 1921 60 subnitrate subnitrate NN 19261 1921 61 or or CC 19261 1921 62 subcarbonate subcarbonate VBP 19261 1921 63 ( ( -LRB- 19261 1921 64 Fig fig NN 19261 1921 65 . . . 19261 1922 1 77 77 CD 19261 1922 2 ) ) -RRB- 19261 1922 3 . . . 19261 1923 1 The the DT 19261 1923 2 roentgenopaque roentgenopaque JJ 19261 1923 3 substance substance NN 19261 1923 4 may may MD 19261 1923 5 be be VB 19261 1923 6 injected inject VBN 19261 1923 7 in in IN 19261 1923 8 a a DT 19261 1923 9 fluid fluid JJ 19261 1923 10 mixture mixture NN 19261 1923 11 if if IN 19261 1923 12 preferred prefer VBN 19261 1923 13 , , , 19261 1923 14 but but CC 19261 1923 15 the the DT 19261 1923 16 walls wall NNS 19261 1923 17 are be VBP 19261 1923 18 better well RBR 19261 1923 19 outlined outline VBN 19261 1923 20 with with IN 19261 1923 21 the the DT 19261 1923 22 powder powder NN 19261 1923 23 ( ( -LRB- 19261 1923 24 Fig fig NN 19261 1923 25 . . . 19261 1924 1 77 77 CD 19261 1924 2 ) ) -RRB- 19261 1924 3 . . . 19261 1925 1 [ [ -LRB- 19261 1925 2 FIG FIG NNP 19261 1925 3 . . . 19261 1926 1 77.--Roentgenogram 77.--roentgenogram LS 19261 1926 2 showing show VBG 19261 1926 3 the the DT 19261 1926 4 author author NN 19261 1926 5 's 's POS 19261 1926 6 method method NN 19261 1926 7 of of IN 19261 1926 8 bronchial bronchial JJ 19261 1926 9 mapping mapping NN 19261 1926 10 or or CC 19261 1926 11 lung lung NN 19261 1926 12 - - HYPH 19261 1926 13 mapping mapping NN 19261 1926 14 by by IN 19261 1926 15 the the DT 19261 1926 16 bronchoscopic bronchoscopic NNP 19261 1926 17 introduction introduction NN 19261 1926 18 of of IN 19261 1926 19 opaque opaque JJ 19261 1926 20 substances substance NNS 19261 1926 21 ( ( -LRB- 19261 1926 22 in in IN 19261 1926 23 this this DT 19261 1926 24 instance instance NN 19261 1926 25 powdered powder VBN 19261 1926 26 bismuth bismuth NNP 19261 1926 27 subnitrate subnitrate NN 19261 1926 28 ) ) -RRB- 19261 1926 29 into into IN 19261 1926 30 the the DT 19261 1926 31 lung lung NN 19261 1926 32 of of IN 19261 1926 33 the the DT 19261 1926 34 patient patient NN 19261 1926 35 . . . 19261 1927 1 Plate plate NN 19261 1927 2 made make VBN 19261 1927 3 by by IN 19261 1927 4 David David NNP 19261 1927 5 R. R. NNP 19261 1927 6 Bowen Bowen NNP 19261 1927 7 . . . 19261 1928 1 ( ( -LRB- 19261 1928 2 Illustration illustration NN 19261 1928 3 , , , 19261 1928 4 strengthened strengthen VBN 19261 1928 5 for for IN 19261 1928 6 reproduction reproduction NN 19261 1928 7 , , , 19261 1928 8 is be VBZ 19261 1928 9 from from IN 19261 1928 10 author author NN 19261 1928 11 's 's POS 19261 1928 12 article article NN 19261 1928 13 in in IN 19261 1928 14 American American NNP 19261 1928 15 Journal Journal NNP 19261 1928 16 of of IN 19261 1928 17 Roentgenology Roentgenology NNP 19261 1928 18 , , , 19261 1928 19 Oct. October NNP 19261 1928 20 , , , 19261 1928 21 1918 1918 CD 19261 1928 22 . . . 19261 1928 23 ) ) -RRB- 19261 1928 24 ] ] -RRB- 19261 1929 1 ERRORS error NNS 19261 1929 2 TO to IN 19261 1929 3 AVOID avoid NN 19261 1929 4 IN in IN 19261 1929 5 SUSPECTED suspect VBN 19261 1929 6 FOREIGN foreign JJ 19261 1929 7 BODY body NN 19261 1929 8 CASES cases NN 19261 1929 9 1 1 CD 19261 1929 10 . . . 19261 1930 1 Do do VB 19261 1930 2 not not RB 19261 1930 3 reach reach VB 19261 1930 4 for for IN 19261 1930 5 the the DT 19261 1930 6 foreign foreign JJ 19261 1930 7 body body NN 19261 1930 8 with with IN 19261 1930 9 the the DT 19261 1930 10 fingers finger NNS 19261 1930 11 , , , 19261 1930 12 lest lest IN 19261 1930 13 the the DT 19261 1930 14 foreign foreign JJ 19261 1930 15 body body NN 19261 1930 16 be be VB 19261 1930 17 thereby thereby RB 19261 1930 18 pushed push VBN 19261 1930 19 into into IN 19261 1930 20 the the DT 19261 1930 21 larynx larynx NN 19261 1930 22 , , , 19261 1930 23 or or CC 19261 1930 24 the the DT 19261 1930 25 larynx larynx NN 19261 1930 26 be be VB 19261 1930 27 thus thus RB 19261 1930 28 traumatized traumatize VBN 19261 1930 29 . . . 19261 1931 1 2 2 LS 19261 1931 2 . . . 19261 1932 1 Do do VB 19261 1932 2 not not RB 19261 1932 3 hold hold VB 19261 1932 4 up up RP 19261 1932 5 the the DT 19261 1932 6 patient patient NN 19261 1932 7 by by IN 19261 1932 8 the the DT 19261 1932 9 heels heel NNS 19261 1932 10 , , , 19261 1932 11 lest lest IN 19261 1932 12 a a DT 19261 1932 13 tracheally tracheally RB 19261 1932 14 lodged lodge VBN 19261 1932 15 foreign foreign JJ 19261 1932 16 body body NN 19261 1932 17 be be VB 19261 1932 18 dislodged dislodged JJ 19261 1932 19 and and CC 19261 1932 20 asphyxiate asphyxiate VB 19261 1932 21 the the DT 19261 1932 22 patient patient NN 19261 1932 23 by by IN 19261 1932 24 becoming become VBG 19261 1932 25 jammed jammed JJ 19261 1932 26 in in IN 19261 1932 27 the the DT 19261 1932 28 glottis glottis NN 19261 1932 29 . . . 19261 1933 1 [ [ -LRB- 19261 1933 2 143 143 CD 19261 1933 3 ] ] -RRB- 19261 1933 4 3 3 CD 19261 1933 5 . . . 19261 1934 1 Do do VBP 19261 1934 2 not not RB 19261 1934 3 fail fail VB 19261 1934 4 to to TO 19261 1934 5 have have VB 19261 1934 6 a a DT 19261 1934 7 roentgenogram roentgenogram NN 19261 1934 8 made make VBN 19261 1934 9 , , , 19261 1934 10 if if IN 19261 1934 11 possible possible JJ 19261 1934 12 , , , 19261 1934 13 whether whether IN 19261 1934 14 the the DT 19261 1934 15 foreign foreign JJ 19261 1934 16 body body NN 19261 1934 17 in in IN 19261 1934 18 question question NN 19261 1934 19 is be VBZ 19261 1934 20 of of IN 19261 1934 21 a a DT 19261 1934 22 kind kind NN 19261 1934 23 dense dense NN 19261 1934 24 to to IN 19261 1934 25 the the DT 19261 1934 26 ray ray NN 19261 1934 27 or or CC 19261 1934 28 not not RB 19261 1934 29 . . . 19261 1935 1 4 4 LS 19261 1935 2 . . . 19261 1936 1 Do do VBP 19261 1936 2 not not RB 19261 1936 3 fail fail VB 19261 1936 4 to to TO 19261 1936 5 search search VB 19261 1936 6 endoscopically endoscopically RB 19261 1936 7 for for IN 19261 1936 8 a a DT 19261 1936 9 foreign foreign JJ 19261 1936 10 body body NN 19261 1936 11 in in IN 19261 1936 12 all all DT 19261 1936 13 cases case NNS 19261 1936 14 of of IN 19261 1936 15 doubt doubt NN 19261 1936 16 . . . 19261 1937 1 5 5 CD 19261 1937 2 . . . 19261 1938 1 Do do VBP 19261 1938 2 not not RB 19261 1938 3 pass pass VB 19261 1938 4 blindly blindly RB 19261 1938 5 an an DT 19261 1938 6 esophageal esophageal JJ 19261 1938 7 bougie bougie NN 19261 1938 8 , , , 19261 1938 9 probang probang NNP 19261 1938 10 , , , 19261 1938 11 or or CC 19261 1938 12 other other JJ 19261 1938 13 instrument instrument NN 19261 1938 14 . . . 19261 1939 1 6 6 CD 19261 1939 2 . . . 19261 1940 1 Do do VB 19261 1940 2 not not RB 19261 1940 3 tell tell VB 19261 1940 4 the the DT 19261 1940 5 patient patient NN 19261 1940 6 he -PRON- PRP 19261 1940 7 has have VBZ 19261 1940 8 no no DT 19261 1940 9 foreign foreign JJ 19261 1940 10 body body NN 19261 1940 11 until until IN 19261 1940 12 after after IN 19261 1940 13 roentgenray roentgenray JJ 19261 1940 14 examination examination NN 19261 1940 15 , , , 19261 1940 16 physical physical JJ 19261 1940 17 examination examination NN 19261 1940 18 , , , 19261 1940 19 indirect indirect JJ 19261 1940 20 examination examination NN 19261 1940 21 , , , 19261 1940 22 and and CC 19261 1940 23 endoscopy endoscopy VB 19261 1940 24 have have VBP 19261 1940 25 all all DT 19261 1940 26 proven prove VBN 19261 1940 27 negative negative JJ 19261 1940 28 . . . 19261 1941 1 SUMMARY summary NN 19261 1941 2 SYMPTOMATOLOGY SYMPTOMATOLOGY NNS 19261 1941 3 AND and CC 19261 1941 4 DIAGNOSIS diagnosi NNS 19261 1941 5 OF of IN 19261 1941 6 FOREIGN foreign JJ 19261 1941 7 BODIES body NNS 19261 1941 8 IN in IN 19261 1941 9 THE the DT 19261 1941 10 AIR AIR NNP 19261 1941 11 AND and CC 19261 1941 12 FOOD FOOD NNP 19261 1941 13 PASSAGES PASSAGES NNP 19261 1941 14 _ _ NNP 19261 1941 15 Initial initial JJ 19261 1941 16 symptoms symptom NNS 19261 1941 17 _ _ NNP 19261 1941 18 are be VBP 19261 1941 19 choking choke VBG 19261 1941 20 , , , 19261 1941 21 gagging gag VBG 19261 1941 22 , , , 19261 1941 23 coughing cough VBG 19261 1941 24 , , , 19261 1941 25 and and CC 19261 1941 26 wheezing wheezing NN 19261 1941 27 , , , 19261 1941 28 often often RB 19261 1941 29 followed follow VBN 19261 1941 30 by by IN 19261 1941 31 a a DT 19261 1941 32 symptomless symptomless JJ 19261 1941 33 interval interval NN 19261 1941 34 . . . 19261 1942 1 The the DT 19261 1942 2 foreign foreign JJ 19261 1942 3 body body NN 19261 1942 4 may may MD 19261 1942 5 be be VB 19261 1942 6 in in IN 19261 1942 7 the the DT 19261 1942 8 larynx larynx NNP 19261 1942 9 , , , 19261 1942 10 trachea trachea NNP 19261 1942 11 , , , 19261 1942 12 bronchi bronchi NNP 19261 1942 13 , , , 19261 1942 14 nasal nasal NN 19261 1942 15 chambers chambers NNPS 19261 1942 16 , , , 19261 1942 17 nasopharynx nasopharynx NN 19261 1942 18 , , , 19261 1942 19 fauces fauce NNS 19261 1942 20 , , , 19261 1942 21 tonsil tonsil NN 19261 1942 22 , , , 19261 1942 23 pharynx pharynx NNP 19261 1942 24 , , , 19261 1942 25 hypopharynx hypopharynx NNP 19261 1942 26 , , , 19261 1942 27 esophagus esophagus NNP 19261 1942 28 , , , 19261 1942 29 stomach stomach NN 19261 1942 30 , , , 19261 1942 31 intestinal intestinal JJ 19261 1942 32 canal canal NN 19261 1942 33 , , , 19261 1942 34 or or CC 19261 1942 35 may may MD 19261 1942 36 have have VB 19261 1942 37 been be VBN 19261 1942 38 passed pass VBN 19261 1942 39 by by IN 19261 1942 40 bowel bowel NN 19261 1942 41 , , , 19261 1942 42 coughed cough VBN 19261 1942 43 out out RP 19261 1942 44 or or CC 19261 1942 45 spat spit VBN 19261 1942 46 out out RP 19261 1942 47 , , , 19261 1942 48 with with IN 19261 1942 49 or or CC 19261 1942 50 without without IN 19261 1942 51 the the DT 19261 1942 52 knowledge knowledge NN 19261 1942 53 of of IN 19261 1942 54 the the DT 19261 1942 55 patient patient NN 19261 1942 56 . . . 19261 1943 1 Initial initial JJ 19261 1943 2 choking choking NN 19261 1943 3 , , , 19261 1943 4 etcetera etcetera NN 19261 1943 5 may may MD 19261 1943 6 have have VB 19261 1943 7 escaped escape VBN 19261 1943 8 notice notice NN 19261 1943 9 , , , 19261 1943 10 or or CC 19261 1943 11 may may MD 19261 1943 12 have have VB 19261 1943 13 been be VBN 19261 1943 14 forgotten forget VBN 19261 1943 15 . . . 19261 1944 1 _ _ NNP 19261 1944 2 Laryngeal laryngeal JJ 19261 1944 3 Foreign foreign JJ 19261 1944 4 Body_.--One body_.--one NN 19261 1944 5 or or CC 19261 1944 6 more more JJR 19261 1944 7 of of IN 19261 1944 8 the the DT 19261 1944 9 following follow VBG 19261 1944 10 laryngeal laryngeal NN 19261 1944 11 symptoms symptom NNS 19261 1944 12 may may MD 19261 1944 13 be be VB 19261 1944 14 present present JJ 19261 1944 15 : : : 19261 1944 16 Hoarseness hoarseness JJ 19261 1944 17 , , , 19261 1944 18 croupy croupy NN 19261 1944 19 cough cough NN 19261 1944 20 , , , 19261 1944 21 aphonia aphonia NNP 19261 1944 22 , , , 19261 1944 23 odynphagia odynphagia NN 19261 1944 24 , , , 19261 1944 25 hemoptysis hemoptysis NN 19261 1944 26 , , , 19261 1944 27 wheezing wheezing NN 19261 1944 28 , , , 19261 1944 29 dyspnea dyspnea NN 19261 1944 30 , , , 19261 1944 31 cyanosis cyanosis NN 19261 1944 32 , , , 19261 1944 33 apnea apnea NNP 19261 1944 34 , , , 19261 1944 35 subjective subjective JJ 19261 1944 36 sensation sensation NN 19261 1944 37 of of IN 19261 1944 38 foreign foreign JJ 19261 1944 39 body body NN 19261 1944 40 . . . 19261 1945 1 Croupiness croupiness JJ 19261 1945 2 in in IN 19261 1945 3 foreign foreign JJ 19261 1945 4 body body NN 19261 1945 5 cases case NNS 19261 1945 6 , , , 19261 1945 7 as as IN 19261 1945 8 in in IN 19261 1945 9 diphtheria diphtheria NN 19261 1945 10 , , , 19261 1945 11 usually usually RB 19261 1945 12 means mean VBZ 19261 1945 13 subglottic subglottic JJ 19261 1945 14 swelling swelling NN 19261 1945 15 . . . 19261 1946 1 Obstructive obstructive JJ 19261 1946 2 foreign foreign JJ 19261 1946 3 body body NN 19261 1946 4 may may MD 19261 1946 5 be be VB 19261 1946 6 quickly quickly RB 19261 1946 7 fatal fatal JJ 19261 1946 8 by by IN 19261 1946 9 laryngeal laryngeal JJ 19261 1946 10 impaction impaction NN 19261 1946 11 on on IN 19261 1946 12 aspiration aspiration NN 19261 1946 13 , , , 19261 1946 14 or or CC 19261 1946 15 on on IN 19261 1946 16 abortive abortive JJ 19261 1946 17 bechic bechic JJ 19261 1946 18 expulsion expulsion NN 19261 1946 19 . . . 19261 1947 1 Lodgement lodgement NN 19261 1947 2 of of IN 19261 1947 3 a a DT 19261 1947 4 non non JJ 19261 1947 5 - - JJ 19261 1947 6 obstructive obstructive JJ 19261 1947 7 foreign foreign JJ 19261 1947 8 body body NN 19261 1947 9 may may MD 19261 1947 10 be be VB 19261 1947 11 followed follow VBN 19261 1947 12 by by IN 19261 1947 13 a a DT 19261 1947 14 symptomless symptomless JJ 19261 1947 15 interval interval NN 19261 1947 16 . . . 19261 1948 1 Direct direct JJ 19261 1948 2 laryngoscopy laryngoscopy NN 19261 1948 3 for for IN 19261 1948 4 diagnosis diagnosis NN 19261 1948 5 is be VBZ 19261 1948 6 indicated indicate VBN 19261 1948 7 in in IN 19261 1948 8 every every DT 19261 1948 9 child child NN 19261 1948 10 having have VBG 19261 1948 11 laryngeal laryngeal JJ 19261 1948 12 diphtheria diphtheria NN 19261 1948 13 without without IN 19261 1948 14 faucial faucial JJ 19261 1948 15 membrane membrane NN 19261 1948 16 . . . 19261 1949 1 ( ( -LRB- 19261 1949 2 No no DT 19261 1949 3 anesthetic anesthetic JJ 19261 1949 4 , , , 19261 1949 5 general general JJ 19261 1949 6 or or CC 19261 1949 7 local local JJ 19261 1949 8 is be VBZ 19261 1949 9 needed need VBN 19261 1949 10 . . . 19261 1949 11 ) ) -RRB- 19261 1950 1 In in IN 19261 1950 2 the the DT 19261 1950 3 presence presence NN 19261 1950 4 of of IN 19261 1950 5 laryngeal laryngeal NN 19261 1950 6 symptoms symptom NNS 19261 1950 7 , , , 19261 1950 8 think think VBP 19261 1950 9 of of IN 19261 1950 10 the the DT 19261 1950 11 following follow VBG 19261 1950 12 : : : 19261 1950 13 1 1 CD 19261 1950 14 . . . 19261 1951 1 A a DT 19261 1951 2 foreign foreign JJ 19261 1951 3 body body NN 19261 1951 4 in in IN 19261 1951 5 the the DT 19261 1951 6 larynx larynx NN 19261 1951 7 . . . 19261 1952 1 2 2 LS 19261 1952 2 . . . 19261 1953 1 A a DT 19261 1953 2 foreign foreign JJ 19261 1953 3 body body NN 19261 1953 4 loose loose JJ 19261 1953 5 or or CC 19261 1953 6 fixed fix VBN 19261 1953 7 in in IN 19261 1953 8 the the DT 19261 1953 9 trachea trachea NN 19261 1953 10 . . . 19261 1954 1 3 3 LS 19261 1954 2 . . . 19261 1955 1 Digital digital JJ 19261 1955 2 efforts effort NNS 19261 1955 3 at at IN 19261 1955 4 removal removal NN 19261 1955 5 . . . 19261 1956 1 4 4 LS 19261 1956 2 . . . 19261 1957 1 Instrumentation instrumentation NN 19261 1957 2 . . . 19261 1958 1 5 5 CD 19261 1958 2 . . . 19261 1959 1 Overflow overflow IN 19261 1959 2 of of IN 19261 1959 3 food food NN 19261 1959 4 into into IN 19261 1959 5 the the DT 19261 1959 6 larynx larynx NN 19261 1959 7 from from IN 19261 1959 8 esophageal esophageal JJ 19261 1959 9 obstruction obstruction NN 19261 1959 10 due due IN 19261 1959 11 to to IN 19261 1959 12 the the DT 19261 1959 13 foreign foreign JJ 19261 1959 14 body body NN 19261 1959 15 . . . 19261 1960 1 6 6 CD 19261 1960 2 . . . 19261 1961 1 Esophagotracheal esophagotracheal VB 19261 1961 2 fistula fistula NNP 19261 1961 3 from from IN 19261 1961 4 ulceration ulceration NN 19261 1961 5 set set VBN 19261 1961 6 up up RP 19261 1961 7 by by IN 19261 1961 8 a a DT 19261 1961 9 foreign foreign JJ 19261 1961 10 body body NN 19261 1961 11 in in IN 19261 1961 12 the the DT 19261 1961 13 esophagus esophagus NN 19261 1961 14 , , , 19261 1961 15 followed follow VBN 19261 1961 16 by by IN 19261 1961 17 the the DT 19261 1961 18 leakage leakage NN 19261 1961 19 of of IN 19261 1961 20 food food NN 19261 1961 21 into into IN 19261 1961 22 the the DT 19261 1961 23 air air NN 19261 1961 24 - - HYPH 19261 1961 25 passages passage NNS 19261 1961 26 . . . 19261 1962 1 7 7 LS 19261 1962 2 . . . 19261 1963 1 Laryngeal laryngeal NN 19261 1963 2 symptoms symptom NNS 19261 1963 3 may may MD 19261 1963 4 persist persist VB 19261 1963 5 from from IN 19261 1963 6 the the DT 19261 1963 7 trauma trauma NN 19261 1963 8 of of IN 19261 1963 9 a a DT 19261 1963 10 foreign foreign JJ 19261 1963 11 body body NN 19261 1963 12 that that WDT 19261 1963 13 has have VBZ 19261 1963 14 passed pass VBN 19261 1963 15 on on RP 19261 1963 16 into into IN 19261 1963 17 the the DT 19261 1963 18 deeper deep JJR 19261 1963 19 air air NN 19261 1963 20 or or CC 19261 1963 21 food food NN 19261 1963 22 passages passage NNS 19261 1963 23 or or CC 19261 1963 24 that that DT 19261 1963 25 has have VBZ 19261 1963 26 been be VBN 19261 1963 27 coughed cough VBN 19261 1963 28 or or CC 19261 1963 29 spat spit VBN 19261 1963 30 out out RP 19261 1963 31 . . . 19261 1964 1 8 8 LS 19261 1964 2 . . . 19261 1965 1 Laryngeal laryngeal NN 19261 1965 2 symptoms symptom NNS 19261 1965 3 ( ( -LRB- 19261 1965 4 hoarseness hoarseness JJ 19261 1965 5 , , , 19261 1965 6 croupiness croupiness JJ 19261 1965 7 , , , 19261 1965 8 etcetera etcetera NN 19261 1965 9 ) ) -RRB- 19261 1965 10 may may MD 19261 1965 11 be be VB 19261 1965 12 due due JJ 19261 1965 13 to to IN 19261 1965 14 digital digital JJ 19261 1965 15 or or CC 19261 1965 16 instrumental instrumental JJ 19261 1965 17 efforts effort NNS 19261 1965 18 at at IN 19261 1965 19 the the DT 19261 1965 20 removal removal NN 19261 1965 21 of of IN 19261 1965 22 a a DT 19261 1965 23 foreign foreign JJ 19261 1965 24 body body NN 19261 1965 25 that that WDT 19261 1965 26 never never RB 19261 1965 27 was be VBD 19261 1965 28 present present JJ 19261 1965 29 . . . 19261 1966 1 9 9 CD 19261 1966 2 . . . 19261 1967 1 Laryngeal laryngeal NN 19261 1967 2 symptoms symptom NNS 19261 1967 3 may may MD 19261 1967 4 be be VB 19261 1967 5 due due JJ 19261 1967 6 to to IN 19261 1967 7 acute acute JJ 19261 1967 8 or or CC 19261 1967 9 chronic chronic JJ 19261 1967 10 laryngitis laryngitis NN 19261 1967 11 , , , 19261 1967 12 diphtheria diphtheria NN 19261 1967 13 , , , 19261 1967 14 pertussis pertussis NN 19261 1967 15 , , , 19261 1967 16 infective infective JJ 19261 1967 17 laryngotracheitis laryngotracheitis NN 19261 1967 18 , , , 19261 1967 19 and and CC 19261 1967 20 many many JJ 19261 1967 21 other other JJ 19261 1967 22 diseases disease NNS 19261 1967 23 . . . 19261 1968 1 10 10 CD 19261 1968 2 . . . 19261 1969 1 Deductive deductive JJ 19261 1969 2 decisions decision NNS 19261 1969 3 are be VBP 19261 1969 4 dangerous dangerous JJ 19261 1969 5 . . . 19261 1970 1 11 11 CD 19261 1970 2 . . . 19261 1971 1 If if IN 19261 1971 2 the the DT 19261 1971 3 roentgenray roentgenray NN 19261 1971 4 is be VBZ 19261 1971 5 negative negative JJ 19261 1971 6 , , , 19261 1971 7 laryngoscopy laryngoscopy JJ 19261 1971 8 ( ( -LRB- 19261 1971 9 direct direct JJ 19261 1971 10 in in IN 19261 1971 11 children child NNS 19261 1971 12 , , , 19261 1971 13 indirect indirect JJ 19261 1971 14 in in IN 19261 1971 15 adults adult NNS 19261 1971 16 ) ) -RRB- 19261 1971 17 without without IN 19261 1971 18 anesthesia anesthesia NNP 19261 1971 19 , , , 19261 1971 20 general general JJ 19261 1971 21 or or CC 19261 1971 22 local local JJ 19261 1971 23 , , , 19261 1971 24 is be VBZ 19261 1971 25 the the DT 19261 1971 26 only only JJ 19261 1971 27 way way NN 19261 1971 28 to to TO 19261 1971 29 make make VB 19261 1971 30 a a DT 19261 1971 31 laryngeal laryngeal JJ 19261 1971 32 diagnosis diagnosis NN 19261 1971 33 . . . 19261 1972 1 12 12 CD 19261 1972 2 . . . 19261 1973 1 Before before IN 19261 1973 2 doing do VBG 19261 1973 3 a a DT 19261 1973 4 diagnostic diagnostic JJ 19261 1973 5 laryngoscopy laryngoscopy NN 19261 1973 6 , , , 19261 1973 7 preparation preparation NN 19261 1973 8 should should MD 19261 1973 9 be be VB 19261 1973 10 made make VBN 19261 1973 11 for for IN 19261 1973 12 taking take VBG 19261 1973 13 a a DT 19261 1973 14 swab swab NN 19261 1973 15 - - HYPH 19261 1973 16 specimen speciman NNS 19261 1973 17 and and CC 19261 1973 18 for for IN 19261 1973 19 bronchoscopy bronchoscopy NN 19261 1973 20 and and CC 19261 1973 21 esophagoscopy esophagoscopy NN 19261 1973 22 . . . 19261 1974 1 _ _ NNP 19261 1974 2 Tracheal Tracheal NNP 19261 1974 3 Foreign Foreign NNP 19261 1974 4 Body_.--(1 body_.--(1 NN 19261 1974 5 ) ) -RRB- 19261 1974 6 " " '' 19261 1974 7 Audible audible JJ 19261 1974 8 slap slap NN 19261 1974 9 , , , 19261 1974 10 " " '' 19261 1974 11 ( ( -LRB- 19261 1974 12 2 2 LS 19261 1974 13 ) ) -RRB- 19261 1974 14 " " `` 19261 1974 15 palpatory palpatory NN 19261 1974 16 thud thud NNP 19261 1974 17 , , , 19261 1974 18 " " '' 19261 1974 19 and and CC 19261 1974 20 ( ( -LRB- 19261 1974 21 3 3 LS 19261 1974 22 ) ) -RRB- 19261 1974 23 " " '' 19261 1974 24 asthmatoid asthmatoid NN 19261 1974 25 wheeze wheeze NN 19261 1974 26 " " '' 19261 1974 27 are be VBP 19261 1974 28 pathognomonic pathognomonic JJ 19261 1974 29 . . . 19261 1975 1 The the DT 19261 1975 2 " " `` 19261 1975 3 tracheal tracheal NN 19261 1975 4 flutter flutter NN 19261 1975 5 " " '' 19261 1975 6 has have VBZ 19261 1975 7 been be VBN 19261 1975 8 observed observe VBN 19261 1975 9 by by IN 19261 1975 10 McCrae McCrae NNP 19261 1975 11 in in IN 19261 1975 12 a a DT 19261 1975 13 case case NN 19261 1975 14 of of IN 19261 1975 15 watermelon watermelon NN 19261 1975 16 seed seed NN 19261 1975 17 . . . 19261 1976 1 Cough cough NN 19261 1976 2 , , , 19261 1976 3 hoarseness hoarseness JJ 19261 1976 4 , , , 19261 1976 5 dyspnea dyspnea JJ 19261 1976 6 , , , 19261 1976 7 and and CC 19261 1976 8 cyanosis cyanosis NN 19261 1976 9 are be VBP 19261 1976 10 often often RB 19261 1976 11 present present JJ 19261 1976 12 . . . 19261 1977 1 Diagnosis diagnosis NN 19261 1977 2 is be VBZ 19261 1977 3 by by IN 19261 1977 4 roentgenray roentgenray JJ 19261 1977 5 , , , 19261 1977 6 auscultation auscultation NN 19261 1977 7 , , , 19261 1977 8 palpation palpation NN 19261 1977 9 , , , 19261 1977 10 and and CC 19261 1977 11 bronchoscopy bronchoscopy NN 19261 1977 12 . . . 19261 1978 1 Listen listen VB 19261 1978 2 long long RB 19261 1978 3 for for IN 19261 1978 4 " " `` 19261 1978 5 audible audible JJ 19261 1978 6 slap slap NN 19261 1978 7 , , , 19261 1978 8 " " '' 19261 1978 9 best best RB 19261 1978 10 heard hear VBD 19261 1978 11 at at IN 19261 1978 12 open open JJ 19261 1978 13 mouth mouth NN 19261 1978 14 during during IN 19261 1978 15 cough cough NN 19261 1978 16 . . . 19261 1979 1 The the DT 19261 1979 2 " " `` 19261 1979 3 asthmatoid asthmatoid NN 19261 1979 4 wheeze wheeze NN 19261 1979 5 " " '' 19261 1979 6 is be VBZ 19261 1979 7 heard hear VBN 19261 1979 8 with with IN 19261 1979 9 the the DT 19261 1979 10 ear ear NN 19261 1979 11 or or CC 19261 1979 12 stethoscope stethoscope NNP 19261 1979 13 bell bell NNP 19261 1979 14 ( ( -LRB- 19261 1979 15 McCrae McCrae NNP 19261 1979 16 ) ) -RRB- 19261 1979 17 at at IN 19261 1979 18 the the DT 19261 1979 19 patient patient NN 19261 1979 20 's 's POS 19261 1979 21 open open JJ 19261 1979 22 mouth mouth NN 19261 1979 23 . . . 19261 1980 1 History history NN 19261 1980 2 of of IN 19261 1980 3 initial initial JJ 19261 1980 4 choking choking NN 19261 1980 5 , , , 19261 1980 6 gagging gagging NN 19261 1980 7 , , , 19261 1980 8 and and CC 19261 1980 9 wheezing wheezing NN 19261 1980 10 is be VBZ 19261 1980 11 important important JJ 19261 1980 12 if if IN 19261 1980 13 elicited elicit VBN 19261 1980 14 , , , 19261 1980 15 but but CC 19261 1980 16 is be VBZ 19261 1980 17 valueless valueless JJ 19261 1980 18 negatively negatively RB 19261 1980 19 . . . 19261 1981 1 _ _ NNP 19261 1981 2 Bronchial Bronchial NNP 19261 1981 3 Foreign Foreign NNP 19261 1981 4 Body_.--Initial Body_.--Initial NNP 19261 1981 5 symptoms symptom NNS 19261 1981 6 are be VBP 19261 1981 7 coughing cough VBG 19261 1981 8 , , , 19261 1981 9 choking choking NN 19261 1981 10 , , , 19261 1981 11 asthmatoid asthmatoid NN 19261 1981 12 wheeze wheeze NN 19261 1981 13 , , , 19261 1981 14 etc etc FW 19261 1981 15 . . . 19261 1982 1 noted note VBN 19261 1982 2 above above RB 19261 1982 3 . . . 19261 1983 1 There there EX 19261 1983 2 may may MD 19261 1983 3 be be VB 19261 1983 4 a a DT 19261 1983 5 history history NN 19261 1983 6 of of IN 19261 1983 7 these these DT 19261 1983 8 or or CC 19261 1983 9 of of IN 19261 1983 10 tooth tooth NNP 19261 1983 11 extraction extraction NN 19261 1983 12 . . . 19261 1984 1 At at IN 19261 1984 2 once once RB 19261 1984 3 , , , 19261 1984 4 or or CC 19261 1984 5 after after IN 19261 1984 6 a a DT 19261 1984 7 symptomless symptomless JJ 19261 1984 8 interval interval NN 19261 1984 9 , , , 19261 1984 10 cough cough NN 19261 1984 11 , , , 19261 1984 12 blood blood NN 19261 1984 13 - - HYPH 19261 1984 14 streaked streak VBN 19261 1984 15 sputum sputum NN 19261 1984 16 , , , 19261 1984 17 metallic metallic JJ 19261 1984 18 taste taste NN 19261 1984 19 , , , 19261 1984 20 or or CC 19261 1984 21 special special JJ 19261 1984 22 odor odor NN 19261 1984 23 of of IN 19261 1984 24 foreign foreign JJ 19261 1984 25 body body NN 19261 1984 26 may may MD 19261 1984 27 be be VB 19261 1984 28 noted note VBN 19261 1984 29 . . . 19261 1985 1 Non non JJ 19261 1985 2 - - JJ 19261 1985 3 obstructive obstructive JJ 19261 1985 4 metallic metallic JJ 19261 1985 5 foreign foreign JJ 19261 1985 6 bodies body NNS 19261 1985 7 afford afford VBP 19261 1985 8 few few JJ 19261 1985 9 symptoms symptom NNS 19261 1985 10 and and CC 19261 1985 11 few few JJ 19261 1985 12 signs sign NNS 19261 1985 13 for for IN 19261 1985 14 weeks week NNS 19261 1985 15 or or CC 19261 1985 16 months month NNS 19261 1985 17 . . . 19261 1986 1 Obstructive obstructive JJ 19261 1986 2 foreign foreign JJ 19261 1986 3 bodies body NNS 19261 1986 4 cause cause VBP 19261 1986 5 atelectasis atelectasis NN 19261 1986 6 , , , 19261 1986 7 drowned drown VBD 19261 1986 8 lung lung NN 19261 1986 9 , , , 19261 1986 10 and and CC 19261 1986 11 eventually eventually RB 19261 1986 12 pulmonary pulmonary JJ 19261 1986 13 abscess abscess NN 19261 1986 14 . . . 19261 1987 1 Lobar Lobar NNP 19261 1987 2 pneumonia pneumonia NN 19261 1987 3 is be VBZ 19261 1987 4 an an DT 19261 1987 5 exceedingly exceedingly RB 19261 1987 6 rare rare JJ 19261 1987 7 sequel sequel NN 19261 1987 8 . . . 19261 1988 1 Vegetable vegetable JJ 19261 1988 2 organic organic JJ 19261 1988 3 foreign foreign JJ 19261 1988 4 bodies body NNS 19261 1988 5 as as IN 19261 1988 6 peanut peanut NN 19261 1988 7 - - HYPH 19261 1988 8 kernels kernel NNS 19261 1988 9 , , , 19261 1988 10 beans bean NNS 19261 1988 11 , , , 19261 1988 12 watermelon watermelon NNP 19261 1988 13 seeds seeds NNP 19261 1988 14 , , , 19261 1988 15 etcetera etcetera NN 19261 1988 16 , , , 19261 1988 17 cause cause VB 19261 1988 18 at at IN 19261 1988 19 once once RB 19261 1988 20 violent violent JJ 19261 1988 21 laryngotracheobronchitis laryngotracheobronchitis NN 19261 1988 22 , , , 19261 1988 23 with with IN 19261 1988 24 toxemia toxemia NN 19261 1988 25 , , , 19261 1988 26 cough cough NN 19261 1988 27 and and CC 19261 1988 28 irregular irregular JJ 19261 1988 29 fever fever NN 19261 1988 30 , , , 19261 1988 31 the the DT 19261 1988 32 gravity gravity NN 19261 1988 33 and and CC 19261 1988 34 severity severity NN 19261 1988 35 being be VBG 19261 1988 36 inversely inversely RB 19261 1988 37 to to IN 19261 1988 38 the the DT 19261 1988 39 age age NN 19261 1988 40 of of IN 19261 1988 41 the the DT 19261 1988 42 child child NN 19261 1988 43 . . . 19261 1989 1 Bones bone NNS 19261 1989 2 , , , 19261 1989 3 animal animal NN 19261 1989 4 shells shell NNS 19261 1989 5 and and CC 19261 1989 6 inorganic inorganic JJ 19261 1989 7 bodies body NNS 19261 1989 8 after after IN 19261 1989 9 months month NNS 19261 1989 10 or or CC 19261 1989 11 years year NNS 19261 1989 12 produce produce VBP 19261 1989 13 changes change NNS 19261 1989 14 which which WDT 19261 1989 15 cause cause VBP 19261 1989 16 chills chill NNS 19261 1989 17 , , , 19261 1989 18 fever fever NN 19261 1989 19 , , , 19261 1989 20 sweats sweat NNS 19261 1989 21 , , , 19261 1989 22 emaciation emaciation NN 19261 1989 23 , , , 19261 1989 24 clubbed club VBD 19261 1989 25 fingers finger NNS 19261 1989 26 , , , 19261 1989 27 incurved incurve VBN 19261 1989 28 nails nail NNS 19261 1989 29 , , , 19261 1989 30 cough cough NN 19261 1989 31 , , , 19261 1989 32 foul foul JJ 19261 1989 33 expectoration expectoration NN 19261 1989 34 , , , 19261 1989 35 hemoptysis hemoptysis NN 19261 1989 36 , , , 19261 1989 37 in in IN 19261 1989 38 fact fact NN 19261 1989 39 , , , 19261 1989 40 all all PDT 19261 1989 41 the the DT 19261 1989 42 symptoms symptom NNS 19261 1989 43 of of IN 19261 1989 44 chronic chronic JJ 19261 1989 45 pulmonary pulmonary NN 19261 1989 46 sepsis sepsis NN 19261 1989 47 , , , 19261 1989 48 abscess abscess NN 19261 1989 49 , , , 19261 1989 50 and and CC 19261 1989 51 bronchiectasis bronchiectasis NN 19261 1989 52 . . . 19261 1990 1 These these DT 19261 1990 2 symptoms symptom NNS 19261 1990 3 and and CC 19261 1990 4 some some DT 19261 1990 5 of of IN 19261 1990 6 the the DT 19261 1990 7 physical physical JJ 19261 1990 8 signs sign NNS 19261 1990 9 may may MD 19261 1990 10 suggest suggest VB 19261 1990 11 pulmonary pulmonary JJ 19261 1990 12 tuberculosis tuberculosis NN 19261 1990 13 , , , 19261 1990 14 but but CC 19261 1990 15 the the DT 19261 1990 16 apices apex NNS 19261 1990 17 are be VBP 19261 1990 18 normal normal JJ 19261 1990 19 and and CC 19261 1990 20 bacilli bacilli NNP 19261 1990 21 are be VBP 19261 1990 22 absent absent JJ 19261 1990 23 from from IN 19261 1990 24 the the DT 19261 1990 25 sputum sputum NN 19261 1990 26 . . . 19261 1991 1 Every every DT 19261 1991 2 acute acute JJ 19261 1991 3 or or CC 19261 1991 4 chronic chronic JJ 19261 1991 5 chest chest NN 19261 1991 6 case case NN 19261 1991 7 calls call VBZ 19261 1991 8 for for IN 19261 1991 9 the the DT 19261 1991 10 exclusion exclusion NN 19261 1991 11 of of IN 19261 1991 12 foreign foreign JJ 19261 1991 13 body body NN 19261 1991 14 . . . 19261 1992 1 _ _ NNP 19261 1992 2 The the DT 19261 1992 3 physical physical JJ 19261 1992 4 signs sign NNS 19261 1992 5 _ _ NNP 19261 1992 6 vary vary VBP 19261 1992 7 with with IN 19261 1992 8 conditions condition NNS 19261 1992 9 present present JJ 19261 1992 10 in in IN 19261 1992 11 different different JJ 19261 1992 12 cases case NNS 19261 1992 13 and and CC 19261 1992 14 at at IN 19261 1992 15 different different JJ 19261 1992 16 times time NNS 19261 1992 17 in in IN 19261 1992 18 the the DT 19261 1992 19 same same JJ 19261 1992 20 case case NN 19261 1992 21 . . . 19261 1993 1 Secretions secretion NNS 19261 1993 2 , , , 19261 1993 3 normal normal JJ 19261 1993 4 and and CC 19261 1993 5 pathologic pathologic JJ 19261 1993 6 , , , 19261 1993 7 may may MD 19261 1993 8 shift shift VB 19261 1993 9 from from IN 19261 1993 10 one one CD 19261 1993 11 location location NN 19261 1993 12 to to IN 19261 1993 13 another another DT 19261 1993 14 ; ; : 19261 1993 15 the the DT 19261 1993 16 foreign foreign JJ 19261 1993 17 body body NN 19261 1993 18 may may MD 19261 1993 19 change change VB 19261 1993 20 its -PRON- PRP$ 19261 1993 21 position position NN 19261 1993 22 admitting admit VBG 19261 1993 23 more more JJR 19261 1993 24 , , , 19261 1993 25 less less JJR 19261 1993 26 , , , 19261 1993 27 or or CC 19261 1993 28 no no DT 19261 1993 29 air air NN 19261 1993 30 , , , 19261 1993 31 or or CC 19261 1993 32 it -PRON- PRP 19261 1993 33 may may MD 19261 1993 34 shift shift VB 19261 1993 35 to to IN 19261 1993 36 a a DT 19261 1993 37 new new JJ 19261 1993 38 location location NN 19261 1993 39 in in IN 19261 1993 40 the the DT 19261 1993 41 same same JJ 19261 1993 42 lung lung NN 19261 1993 43 or or CC 19261 1993 44 even even RB 19261 1993 45 in in IN 19261 1993 46 the the DT 19261 1993 47 other other JJ 19261 1993 48 lung lung NN 19261 1993 49 . . . 19261 1994 1 A a DT 19261 1994 2 recently recently RB 19261 1994 3 aspirated aspirate VBN 19261 1994 4 pin pin NN 19261 1994 5 may may MD 19261 1994 6 produce produce VB 19261 1994 7 no no DT 19261 1994 8 signs sign NNS 19261 1994 9 at at RB 19261 1994 10 all all RB 19261 1994 11 . . . 19261 1995 1 The the DT 19261 1995 2 signs sign NNS 19261 1995 3 of of IN 19261 1995 4 diagnostic diagnostic JJ 19261 1995 5 importance importance NN 19261 1995 6 are be VBP 19261 1995 7 chiefly chiefly RB 19261 1995 8 those those DT 19261 1995 9 of of IN 19261 1995 10 partial partial JJ 19261 1995 11 or or CC 19261 1995 12 complete complete JJ 19261 1995 13 bronchial bronchial JJ 19261 1995 14 obstruction obstruction NN 19261 1995 15 , , , 19261 1995 16 though though IN 19261 1995 17 a a DT 19261 1995 18 non non JJ 19261 1995 19 - - JJ 19261 1995 20 obstructive obstructive JJ 19261 1995 21 foreign foreign JJ 19261 1995 22 body body NN 19261 1995 23 , , , 19261 1995 24 a a DT 19261 1995 25 pin pin NN 19261 1995 26 for for IN 19261 1995 27 instance instance NN 19261 1995 28 , , , 19261 1995 29 may may MD 19261 1995 30 cause cause VB 19261 1995 31 limited limited JJ 19261 1995 32 expansion expansion NN 19261 1995 33 ( ( -LRB- 19261 1995 34 McCrae McCrae NNP 19261 1995 35 ) ) -RRB- 19261 1995 36 or or CC 19261 1995 37 , , , 19261 1995 38 rarely rarely RB 19261 1995 39 , , , 19261 1995 40 a a DT 19261 1995 41 peculiar peculiar JJ 19261 1995 42 rale rale NN 19261 1995 43 or or CC 19261 1995 44 a a DT 19261 1995 45 peculiar peculiar JJ 19261 1995 46 auscultatory auscultatory JJ 19261 1995 47 sound sound NN 19261 1995 48 . . . 19261 1996 1 The the DT 19261 1996 2 most most RBS 19261 1996 3 nearly nearly RB 19261 1996 4 characteristic characteristic JJ 19261 1996 5 physical physical JJ 19261 1996 6 signs sign NNS 19261 1996 7 are be VBP 19261 1996 8 : : : 19261 1996 9 ( ( -LRB- 19261 1996 10 1 1 LS 19261 1996 11 ) ) -RRB- 19261 1996 12 Limited limited JJ 19261 1996 13 expansion expansion NN 19261 1996 14 ; ; : 19261 1996 15 ( ( -LRB- 19261 1996 16 2 2 LS 19261 1996 17 ) ) -RRB- 19261 1996 18 decreased decrease VBD 19261 1996 19 vocal vocal JJ 19261 1996 20 fremitus fremitus NN 19261 1996 21 ; ; : 19261 1996 22 ( ( -LRB- 19261 1996 23 3 3 LS 19261 1996 24 ) ) -RRB- 19261 1996 25 impaired impaired JJ 19261 1996 26 percussion percussion NN 19261 1996 27 note note NN 19261 1996 28 ; ; : 19261 1996 29 ( ( -LRB- 19261 1996 30 4 4 LS 19261 1996 31 ) ) -RRB- 19261 1996 32 diminished diminish VBN 19261 1996 33 intensity intensity NN 19261 1996 34 of of IN 19261 1996 35 the the DT 19261 1996 36 breath breath NN 19261 1996 37 - - HYPH 19261 1996 38 sounds sound NNS 19261 1996 39 distal distal JJ 19261 1996 40 to to IN 19261 1996 41 the the DT 19261 1996 42 foreign foreign JJ 19261 1996 43 body body NN 19261 1996 44 . . . 19261 1997 1 Complete complete JJ 19261 1997 2 obstruction obstruction NN 19261 1997 3 of of IN 19261 1997 4 a a DT 19261 1997 5 bronchus bronchus NN 19261 1997 6 followed follow VBN 19261 1997 7 by by IN 19261 1997 8 drowned drown VBN 19261 1997 9 lung lung NN 19261 1997 10 adds add VBZ 19261 1997 11 absence absence NN 19261 1997 12 of of IN 19261 1997 13 vocal vocal JJ 19261 1997 14 resonance resonance NN 19261 1997 15 and and CC 19261 1997 16 vocal vocal NN 19261 1997 17 fremitus fremitus NN 19261 1997 18 , , , 19261 1997 19 thus thus RB 19261 1997 20 often often RB 19261 1997 21 leading lead VBG 19261 1997 22 to to IN 19261 1997 23 an an DT 19261 1997 24 erroneous erroneous JJ 19261 1997 25 diagnosis diagnosis NN 19261 1997 26 of of IN 19261 1997 27 empyema empyema NNP 19261 1997 28 . . . 19261 1998 1 Varying vary VBG 19261 1998 2 grades grade NNS 19261 1998 3 of of IN 19261 1998 4 tympany tympany NN 19261 1998 5 are be VBP 19261 1998 6 obtained obtain VBN 19261 1998 7 over over IN 19261 1998 8 areas area NNS 19261 1998 9 of of IN 19261 1998 10 obstructive obstructive JJ 19261 1998 11 or or CC 19261 1998 12 compensatory compensatory JJ 19261 1998 13 emphysema emphysema NN 19261 1998 14 . . . 19261 1999 1 With with IN 19261 1999 2 complete complete JJ 19261 1999 3 obstruction obstruction NN 19261 1999 4 there there EX 19261 1999 5 may may MD 19261 1999 6 be be VB 19261 1999 7 tympany tympany NN 19261 1999 8 from from IN 19261 1999 9 the the DT 19261 1999 10 collapsed collapse VBN 19261 1999 11 lung lung NN 19261 1999 12 for for IN 19261 1999 13 a a DT 19261 1999 14 time time NN 19261 1999 15 . . . 19261 2000 1 Rales rale NNS 19261 2000 2 in in IN 19261 2000 3 case case NN 19261 2000 4 of of IN 19261 2000 5 complete complete JJ 19261 2000 6 obstruction obstruction NN 19261 2000 7 are be VBP 19261 2000 8 usually usually RB 19261 2000 9 most most RBS 19261 2000 10 intense intense JJ 19261 2000 11 on on IN 19261 2000 12 the the DT 19261 2000 13 uninvaded uninvaded JJ 19261 2000 14 side side NN 19261 2000 15 . . . 19261 2001 1 In in IN 19261 2001 2 partial partial JJ 19261 2001 3 obstruction obstruction NN 19261 2001 4 they -PRON- PRP 19261 2001 5 are be VBP 19261 2001 6 most most RBS 19261 2001 7 often often RB 19261 2001 8 found find VBN 19261 2001 9 on on IN 19261 2001 10 the the DT 19261 2001 11 invaded invaded JJ 19261 2001 12 side side NN 19261 2001 13 distal distal JJ 19261 2001 14 to to IN 19261 2001 15 the the DT 19261 2001 16 foreign foreign JJ 19261 2001 17 body body NN 19261 2001 18 , , , 19261 2001 19 especially especially RB 19261 2001 20 posteriorly posteriorly RB 19261 2001 21 , , , 19261 2001 22 and and CC 19261 2001 23 are be VBP 19261 2001 24 most most RBS 19261 2001 25 intense intense JJ 19261 2001 26 at at IN 19261 2001 27 the the DT 19261 2001 28 site site NN 19261 2001 29 corresponding correspond VBG 19261 2001 30 to to IN 19261 2001 31 that that DT 19261 2001 32 of of IN 19261 2001 33 the the DT 19261 2001 34 foreign foreign JJ 19261 2001 35 body body NN 19261 2001 36 . . . 19261 2002 1 A a DT 19261 2002 2 foreign foreign JJ 19261 2002 3 body body NN 19261 2002 4 at at IN 19261 2002 5 the the DT 19261 2002 6 bifurcation bifurcation NN 19261 2002 7 of of IN 19261 2002 8 the the DT 19261 2002 9 trachea trachea NN 19261 2002 10 may may MD 19261 2002 11 give give VB 19261 2002 12 signs sign NNS 19261 2002 13 in in IN 19261 2002 14 both both DT 19261 2002 15 lungs lung NNS 19261 2002 16 . . . 19261 2003 1 Early early RB 19261 2003 2 in in IN 19261 2003 3 a a DT 19261 2003 4 foreign foreign JJ 19261 2003 5 body body NN 19261 2003 6 case case NN 19261 2003 7 , , , 19261 2003 8 diminished diminish VBD 19261 2003 9 expansion expansion NN 19261 2003 10 of of IN 19261 2003 11 one one CD 19261 2003 12 side side NN 19261 2003 13 , , , 19261 2003 14 with with IN 19261 2003 15 dulness dulness NN 19261 2003 16 , , , 19261 2003 17 may may MD 19261 2003 18 suggest suggest VB 19261 2003 19 pneumonia pneumonia NN 19261 2003 20 in in IN 19261 2003 21 the the DT 19261 2003 22 affected affected JJ 19261 2003 23 side side NN 19261 2003 24 ; ; : 19261 2003 25 but but CC 19261 2003 26 absence absence NN 19261 2003 27 of of IN 19261 2003 28 , , , 19261 2003 29 or or CC 19261 2003 30 decreased decrease VBN 19261 2003 31 , , , 19261 2003 32 vocal vocal JJ 19261 2003 33 resonance resonance NN 19261 2003 34 , , , 19261 2003 35 and and CC 19261 2003 36 absence absence NN 19261 2003 37 of of IN 19261 2003 38 typical typical JJ 19261 2003 39 tubular tubular JJ 19261 2003 40 breathing breathing NN 19261 2003 41 should should MD 19261 2003 42 soon soon RB 19261 2003 43 exclude exclude VB 19261 2003 44 this this DT 19261 2003 45 diagnosis diagnosis NN 19261 2003 46 . . . 19261 2004 1 Bronchial bronchial JJ 19261 2004 2 obstruction obstruction NN 19261 2004 3 in in IN 19261 2004 4 pneumonia pneumonia NN 19261 2004 5 is be VBZ 19261 2004 6 exceedingly exceedingly RB 19261 2004 7 rare rare JJ 19261 2004 8 . . . 19261 2005 1 Memorize memorize VB 19261 2005 2 these these DT 19261 2005 3 signs sign NNS 19261 2005 4 suggestive suggestive VBP 19261 2005 5 of of IN 19261 2005 6 foreign foreign JJ 19261 2005 7 body body NN 19261 2005 8 : : : 19261 2005 9 1 1 LS 19261 2005 10 . . . 19261 2006 1 Expansion expansion NN 19261 2006 2 -- -- : 19261 2006 3 diminished diminish VBN 19261 2006 4 . . . 19261 2007 1 2 2 LS 19261 2007 2 . . . 19261 2008 1 Percussion percussion NN 19261 2008 2 note note NN 19261 2008 3 -- -- : 19261 2008 4 impaired impaired JJ 19261 2008 5 ( ( -LRB- 19261 2008 6 except except IN 19261 2008 7 in in IN 19261 2008 8 obstructive obstructive JJ 19261 2008 9 emphysema emphysema NN 19261 2008 10 ) ) -RRB- 19261 2008 11 . . . 19261 2009 1 3 3 LS 19261 2009 2 . . . 19261 2010 1 Vocal vocal JJ 19261 2010 2 fremitus fremitus NN 19261 2010 3 -- -- : 19261 2010 4 diminished diminish VBN 19261 2010 5 . . . 19261 2011 1 4 4 LS 19261 2011 2 . . . 19261 2012 1 Breath Breath NNP 19261 2012 2 sounds sound VBZ 19261 2012 3 -- -- : 19261 2012 4 diminished diminish VBN 19261 2012 5 . . . 19261 2013 1 The the DT 19261 2013 2 foregoing foregoing NN 19261 2013 3 is be VBZ 19261 2013 4 only only RB 19261 2013 5 for for IN 19261 2013 6 memorizing memorizing NN 19261 2013 7 , , , 19261 2013 8 and and CC 19261 2013 9 must must MD 19261 2013 10 be be VB 19261 2013 11 considered consider VBN 19261 2013 12 in in IN 19261 2013 13 the the DT 19261 2013 14 light light NN 19261 2013 15 of of IN 19261 2013 16 the the DT 19261 2013 17 following follow VBG 19261 2013 18 fundamental fundamental JJ 19261 2013 19 note note NN 19261 2013 20 by by IN 19261 2013 21 Prof. Prof. NNP 19261 2013 22 McCrae McCrae NNP 19261 2013 23 " " `` 19261 2013 24 There there EX 19261 2013 25 is be VBZ 19261 2013 26 no no DT 19261 2013 27 one one CD 19261 2013 28 description description NN 19261 2013 29 of of IN 19261 2013 30 physical physical JJ 19261 2013 31 signs sign NNS 19261 2013 32 which which WDT 19261 2013 33 covers cover VBZ 19261 2013 34 all all DT 19261 2013 35 cases case NNS 19261 2013 36 . . . 19261 2014 1 If if IN 19261 2014 2 the the DT 19261 2014 3 student student NN 19261 2014 4 will will MD 19261 2014 5 remember remember VB 19261 2014 6 that that IN 19261 2014 7 complete complete JJ 19261 2014 8 obstruction obstruction NN 19261 2014 9 of of IN 19261 2014 10 a a DT 19261 2014 11 bronchus bronchus NN 19261 2014 12 leads lead VBZ 19261 2014 13 to to IN 19261 2014 14 a a DT 19261 2014 15 shutting shutting NN 19261 2014 16 off off RP 19261 2014 17 of of IN 19261 2014 18 this this DT 19261 2014 19 area area NN 19261 2014 20 , , , 19261 2014 21 there there EX 19261 2014 22 should should MD 19261 2014 23 be be VB 19261 2014 24 little little JJ 19261 2014 25 difficulty difficulty NN 19261 2014 26 in in IN 19261 2014 27 understanding understand VBG 19261 2014 28 the the DT 19261 2014 29 signs sign NNS 19261 2014 30 present present JJ 19261 2014 31 . . . 19261 2015 1 The the DT 19261 2015 2 diagnosis diagnosis NN 19261 2015 3 of of IN 19261 2015 4 empyema empyema NNP 19261 2015 5 may may MD 19261 2015 6 be be VB 19261 2015 7 made make VBN 19261 2015 8 , , , 19261 2015 9 but but CC 19261 2015 10 the the DT 19261 2015 11 outline outline NN 19261 2015 12 of of IN 19261 2015 13 the the DT 19261 2015 14 area area NN 19261 2015 15 of of IN 19261 2015 16 dulness dulness NN 19261 2015 17 , , , 19261 2015 18 the the DT 19261 2015 19 fact fact NN 19261 2015 20 that that IN 19261 2015 21 there there EX 19261 2015 22 is be VBZ 19261 2015 23 no no DT 19261 2015 24 shifting shift VBG 19261 2015 25 dulness dulness NN 19261 2015 26 , , , 19261 2015 27 and and CC 19261 2015 28 the the DT 19261 2015 29 greater great JJR 19261 2015 30 resistance resistance NN 19261 2015 31 which which WDT 19261 2015 32 is be VBZ 19261 2015 33 present present JJ 19261 2015 34 in in IN 19261 2015 35 empyema empyema NN 19261 2015 36 nearly nearly RB 19261 2015 37 always always RB 19261 2015 38 clear clear JJ 19261 2015 39 up up RP 19261 2015 40 any any DT 19261 2015 41 difficulty difficulty NN 19261 2015 42 promptly promptly RB 19261 2015 43 . . . 19261 2016 1 The the DT 19261 2016 2 absence absence NN 19261 2016 3 of of IN 19261 2016 4 the the DT 19261 2016 5 frequent frequent JJ 19261 2016 6 change change NN 19261 2016 7 in in IN 19261 2016 8 the the DT 19261 2016 9 voice voice NN 19261 2016 10 sounds sound VBZ 19261 2016 11 , , , 19261 2016 12 so so RB 19261 2016 13 significant significant JJ 19261 2016 14 in in IN 19261 2016 15 an an DT 19261 2016 16 early early JJ 19261 2016 17 small small JJ 19261 2016 18 empyema empyema NN 19261 2016 19 , , , 19261 2016 20 is be VBZ 19261 2016 21 of of IN 19261 2016 22 value value NN 19261 2016 23 . . . 19261 2017 1 A a DT 19261 2017 2 large large JJ 19261 2017 3 empyema empyema NN 19261 2017 4 should should MD 19261 2017 5 give give VB 19261 2017 6 no no DT 19261 2017 7 difficulty difficulty NN 19261 2017 8 . . . 19261 2018 1 If if IN 19261 2018 2 difficulty difficulty NN 19261 2018 3 remains remain VBZ 19261 2018 4 the the DT 19261 2018 5 use use NN 19261 2018 6 of of IN 19261 2018 7 the the DT 19261 2018 8 needle needle NN 19261 2018 9 should should MD 19261 2018 10 be be VB 19261 2018 11 sufficient sufficient JJ 19261 2018 12 . . . 19261 2019 1 In in IN 19261 2019 2 thickened thickened JJ 19261 2019 3 pleura pleura NN 19261 2019 4 vocal vocal NN 19261 2019 5 fremitus fremitus NNP 19261 2019 6 is be VBZ 19261 2019 7 not not RB 19261 2019 8 entirely entirely RB 19261 2019 9 absent absent JJ 19261 2019 10 , , , 19261 2019 11 and and CC 19261 2019 12 the the DT 19261 2019 13 breath breath NN 19261 2019 14 - - HYPH 19261 2019 15 sounds sound NNS 19261 2019 16 can can MD 19261 2019 17 usually usually RB 19261 2019 18 be be VB 19261 2019 19 heard hear VBN 19261 2019 20 , , , 19261 2019 21 even even RB 19261 2019 22 if if IN 19261 2019 23 diminished diminish VBN 19261 2019 24 . . . 19261 2020 1 In in IN 19261 2020 2 case case NN 19261 2020 3 of of IN 19261 2020 4 partial partial JJ 19261 2020 5 obstruction obstruction NN 19261 2020 6 of of IN 19261 2020 7 a a DT 19261 2020 8 bronchus bronchus NN 19261 2020 9 , , , 19261 2020 10 it -PRON- PRP 19261 2020 11 is be VBZ 19261 2020 12 evident evident JJ 19261 2020 13 that that IN 19261 2020 14 air air NN 19261 2020 15 will will MD 19261 2020 16 still still RB 19261 2020 17 be be VB 19261 2020 18 present present JJ 19261 2020 19 , , , 19261 2020 20 hence hence RB 19261 2020 21 the the DT 19261 2020 22 dulness dulness NN 19261 2020 23 may may MD 19261 2020 24 be be VB 19261 2020 25 only only RB 19261 2020 26 slight slight JJ 19261 2020 27 . . . 19261 2021 1 The the DT 19261 2021 2 presence presence NN 19261 2021 3 of of IN 19261 2021 4 air air NN 19261 2021 5 and and CC 19261 2021 6 secretion secretion NN 19261 2021 7 will will MD 19261 2021 8 probably probably RB 19261 2021 9 result result VB 19261 2021 10 in in IN 19261 2021 11 the the DT 19261 2021 12 breath breath NN 19261 2021 13 - - HYPH 19261 2021 14 sounds sound NNS 19261 2021 15 being be VBG 19261 2021 16 somewhat somewhat RB 19261 2021 17 harsh harsh JJ 19261 2021 18 , , , 19261 2021 19 and and CC 19261 2021 20 will will MD 19261 2021 21 cause cause VB 19261 2021 22 a a DT 19261 2021 23 great great JJ 19261 2021 24 variety variety NN 19261 2021 25 of of IN 19261 2021 26 rales rale NNS 19261 2021 27 , , , 19261 2021 28 principally principally RB 19261 2021 29 coarse coarse JJ 19261 2021 30 , , , 19261 2021 31 and and CC 19261 2021 32 many many JJ 19261 2021 33 of of IN 19261 2021 34 them -PRON- PRP 19261 2021 35 bubbling bubble VBG 19261 2021 36 . . . 19261 2022 1 Difficulty difficulty NN 19261 2022 2 may may MD 19261 2022 3 be be VB 19261 2022 4 caused cause VBN 19261 2022 5 by by IN 19261 2022 6 signs sign NNS 19261 2022 7 in in IN 19261 2022 8 the the DT 19261 2022 9 other other JJ 19261 2022 10 lung lung NN 19261 2022 11 or or CC 19261 2022 12 in in IN 19261 2022 13 a a DT 19261 2022 14 lobe lobe NN 19261 2022 15 other other JJ 19261 2022 16 than than IN 19261 2022 17 the the DT 19261 2022 18 one one NN 19261 2022 19 affected affect VBN 19261 2022 20 by by IN 19261 2022 21 the the DT 19261 2022 22 foreign foreign JJ 19261 2022 23 body body NN 19261 2022 24 . . . 19261 2023 1 If if IN 19261 2023 2 it -PRON- PRP 19261 2023 3 is be VBZ 19261 2023 4 remembered remember VBN 19261 2023 5 that that IN 19261 2023 6 these these DT 19261 2023 7 signs sign NNS 19261 2023 8 are be VBP 19261 2023 9 likely likely JJ 19261 2023 10 to to TO 19261 2023 11 be be VB 19261 2023 12 only only RB 19261 2023 13 on on IN 19261 2023 14 auscultation auscultation NN 19261 2023 15 , , , 19261 2023 16 and and CC 19261 2023 17 to to TO 19261 2023 18 consist consist VB 19261 2023 19 largely largely RB 19261 2023 20 in in IN 19261 2023 21 the the DT 19261 2023 22 presence presence NN 19261 2023 23 of of IN 19261 2023 24 rales rale NNS 19261 2023 25 , , , 19261 2023 26 while while IN 19261 2023 27 the the DT 19261 2023 28 signs sign NNS 19261 2023 29 in in IN 19261 2023 30 the the DT 19261 2023 31 area area NN 19261 2023 32 supplied supply VBN 19261 2023 33 by by IN 19261 2023 34 the the DT 19261 2023 35 affected affected JJ 19261 2023 36 bronchus bronchu NNS 19261 2023 37 will will MD 19261 2023 38 include include VB 19261 2023 39 those those DT 19261 2023 40 on on IN 19261 2023 41 inspection inspection NN 19261 2023 42 , , , 19261 2023 43 palpation palpation NN 19261 2023 44 , , , 19261 2023 45 and and CC 19261 2023 46 percussion percussion NN 19261 2023 47 , , , 19261 2023 48 there there EX 19261 2023 49 should should MD 19261 2023 50 be be VB 19261 2023 51 little little JJ 19261 2023 52 difficulty difficulty NN 19261 2023 53 . . . 19261 2023 54 " " '' 19261 2024 1 _ _ NNP 19261 2024 2 The the DT 19261 2024 3 roentgenray roentgenray JJ 19261 2024 4 _ _ NNP 19261 2024 5 is be VBZ 19261 2024 6 the the DT 19261 2024 7 most most RBS 19261 2024 8 valuable valuable JJ 19261 2024 9 diagnostic diagnostic JJ 19261 2024 10 means mean NNS 19261 2024 11 ; ; : 19261 2024 12 but but CC 19261 2024 13 careful careful JJ 19261 2024 14 notation notation NN 19261 2024 15 of of IN 19261 2024 16 physical physical JJ 19261 2024 17 signs sign NNS 19261 2024 18 by by IN 19261 2024 19 an an DT 19261 2024 20 expert expert NN 19261 2024 21 should should MD 19261 2024 22 be be VB 19261 2024 23 made make VBN 19261 2024 24 in in IN 19261 2024 25 all all DT 19261 2024 26 cases case NNS 19261 2024 27 preferably preferably RB 19261 2024 28 without without IN 19261 2024 29 knowledge knowledge NN 19261 2024 30 of of IN 19261 2024 31 ray ray NN 19261 2024 32 findings finding NNS 19261 2024 33 . . . 19261 2025 1 Expert expert NN 19261 2025 2 ray ray NN 19261 2025 3 work work NN 19261 2025 4 will will MD 19261 2025 5 show show VB 19261 2025 6 all all DT 19261 2025 7 metallic metallic JJ 19261 2025 8 foreign foreign JJ 19261 2025 9 bodies body NNS 19261 2025 10 and and CC 19261 2025 11 many many JJ 19261 2025 12 of of IN 19261 2025 13 less less JJR 19261 2025 14 density density NN 19261 2025 15 , , , 19261 2025 16 such such JJ 19261 2025 17 as as IN 19261 2025 18 teeth tooth NNS 19261 2025 19 , , , 19261 2025 20 bones bone NNS 19261 2025 21 , , , 19261 2025 22 shells shell NNS 19261 2025 23 , , , 19261 2025 24 buttons button NNS 19261 2025 25 , , , 19261 2025 26 etcetera etcetera NN 19261 2025 27 . . . 19261 2026 1 If if IN 19261 2026 2 the the DT 19261 2026 3 ray ray NN 19261 2026 4 is be VBZ 19261 2026 5 negative negative JJ 19261 2026 6 , , , 19261 2026 7 a a DT 19261 2026 8 diagnostic diagnostic JJ 19261 2026 9 bronchoscopy bronchoscopy NN 19261 2026 10 should should MD 19261 2026 11 be be VB 19261 2026 12 done do VBN 19261 2026 13 in in IN 19261 2026 14 all all DT 19261 2026 15 cases case NNS 19261 2026 16 of of IN 19261 2026 17 unexplained unexplained JJ 19261 2026 18 bronchial bronchial JJ 19261 2026 19 obstruction obstruction NN 19261 2026 20 . . . 19261 2027 1 Peanut peanut NN 19261 2027 2 kernels kernel NNS 19261 2027 3 and and CC 19261 2027 4 watermelon watermelon NNP 19261 2027 5 seeds seed NNS 19261 2027 6 and and CC 19261 2027 7 , , , 19261 2027 8 rarely rarely RB 19261 2027 9 , , , 19261 2027 10 other other JJ 19261 2027 11 foreign foreign JJ 19261 2027 12 bodies body NNS 19261 2027 13 in in IN 19261 2027 14 the the DT 19261 2027 15 bronchi bronchi NNP 19261 2027 16 produce produce NNP 19261 2027 17 obstructive obstructive JJ 19261 2027 18 emphysema emphysema NNP 19261 2027 19 of of IN 19261 2027 20 the the DT 19261 2027 21 invaded invaded JJ 19261 2027 22 side side NN 19261 2027 23 . . . 19261 2028 1 Fluoroscopy Fluoroscopy NNP 19261 2028 2 shows show VBZ 19261 2028 3 the the DT 19261 2028 4 diaphragm diaphragm NN 19261 2028 5 flattened flatten VBD 19261 2028 6 , , , 19261 2028 7 depressed depressed JJ 19261 2028 8 and and CC 19261 2028 9 of of IN 19261 2028 10 less less JJR 19261 2028 11 excursion excursion NN 19261 2028 12 on on IN 19261 2028 13 the the DT 19261 2028 14 invaded invaded JJ 19261 2028 15 side side NN 19261 2028 16 ; ; : 19261 2028 17 at at IN 19261 2028 18 the the DT 19261 2028 19 end end NN 19261 2028 20 of of IN 19261 2028 21 expiration expiration NN 19261 2028 22 , , , 19261 2028 23 the the DT 19261 2028 24 heart heart NN 19261 2028 25 and and CC 19261 2028 26 the the DT 19261 2028 27 mediastinal mediastinal JJ 19261 2028 28 wall wall NN 19261 2028 29 move move VB 19261 2028 30 over over RB 19261 2028 31 toward toward IN 19261 2028 32 the the DT 19261 2028 33 uninvaded uninvaded JJ 19261 2028 34 side side NN 19261 2028 35 and and CC 19261 2028 36 the the DT 19261 2028 37 invaded invade VBN 19261 2028 38 lung lung NN 19261 2028 39 becomes become VBZ 19261 2028 40 less less RBR 19261 2028 41 dense dense JJ 19261 2028 42 than than IN 19261 2028 43 the the DT 19261 2028 44 uninvaded uninvaded JJ 19261 2028 45 lung lung NN 19261 2028 46 , , , 19261 2028 47 from from IN 19261 2028 48 the the DT 19261 2028 49 trapping trapping NN 19261 2028 50 of of IN 19261 2028 51 the the DT 19261 2028 52 air air NN 19261 2028 53 by by IN 19261 2028 54 the the DT 19261 2028 55 expiratory expiratory NN 19261 2028 56 , , , 19261 2028 57 valve valve NN 19261 2028 58 - - HYPH 19261 2028 59 like like JJ 19261 2028 60 effect effect NN 19261 2028 61 of of IN 19261 2028 62 obliteration obliteration NN 19261 2028 63 of of IN 19261 2028 64 the the DT 19261 2028 65 " " `` 19261 2028 66 forceps forceps NNP 19261 2028 67 spaces space VBZ 19261 2028 68 " " '' 19261 2028 69 that that IN 19261 2028 70 during during IN 19261 2028 71 inspiration inspiration NN 19261 2028 72 afford afford VB 19261 2028 73 air air NN 19261 2028 74 ingress ingress NN 19261 2028 75 between between IN 19261 2028 76 the the DT 19261 2028 77 foreign foreign JJ 19261 2028 78 body body NN 19261 2028 79 and and CC 19261 2028 80 the the DT 19261 2028 81 swollen swollen JJ 19261 2028 82 bronchial bronchial JJ 19261 2028 83 wall wall NN 19261 2028 84 . . . 19261 2029 1 This this DT 19261 2029 2 partial partial JJ 19261 2029 3 obstruction obstruction NN 19261 2029 4 causes cause VBZ 19261 2029 5 obstructive obstructive JJ 19261 2029 6 emphysema emphysema NNP 19261 2029 7 , , , 19261 2029 8 which which WDT 19261 2029 9 must must MD 19261 2029 10 be be VB 19261 2029 11 distinguished distinguish VBN 19261 2029 12 from from IN 19261 2029 13 compensatory compensatory JJ 19261 2029 14 emphysema emphysema NNP 19261 2029 15 , , , 19261 2029 16 in in IN 19261 2029 17 which which WDT 19261 2029 18 the the DT 19261 2029 19 ballooning ballooning NN 19261 2029 20 is be VBZ 19261 2029 21 in in IN 19261 2029 22 the the DT 19261 2029 23 unobstructed unobstructed JJ 19261 2029 24 lung lung NN 19261 2029 25 , , , 19261 2029 26 because because IN 19261 2029 27 its -PRON- PRP$ 19261 2029 28 fellow fellow NN 19261 2029 29 is be VBZ 19261 2029 30 wholly wholly RB 19261 2029 31 out out IN 19261 2029 32 of of IN 19261 2029 33 function function NN 19261 2029 34 through through IN 19261 2029 35 complete complete JJ 19261 2029 36 " " `` 19261 2029 37 corking corking NN 19261 2029 38 " " '' 19261 2029 39 of of IN 19261 2029 40 the the DT 19261 2029 41 main main JJ 19261 2029 42 bronchus bronchus NN 19261 2029 43 of of IN 19261 2029 44 the the DT 19261 2029 45 invaded invaded JJ 19261 2029 46 side side NN 19261 2029 47 . . . 19261 2030 1 _ _ NNP 19261 2030 2 Esophageal esophageal JJ 19261 2030 3 Foreign Foreign NNP 19261 2030 4 Body_.--After Body_.--After NNP 19261 2030 5 initial initial JJ 19261 2030 6 choking choking NN 19261 2030 7 and and CC 19261 2030 8 gagging gagging NN 19261 2030 9 , , , 19261 2030 10 or or CC 19261 2030 11 without without IN 19261 2030 12 these these DT 19261 2030 13 , , , 19261 2030 14 there there EX 19261 2030 15 may may MD 19261 2030 16 be be VB 19261 2030 17 a a DT 19261 2030 18 subjective subjective JJ 19261 2030 19 sense sense NN 19261 2030 20 of of IN 19261 2030 21 a a DT 19261 2030 22 foreign foreign JJ 19261 2030 23 body body NN 19261 2030 24 , , , 19261 2030 25 constant constant JJ 19261 2030 26 or or CC 19261 2030 27 , , , 19261 2030 28 more more RBR 19261 2030 29 often often RB 19261 2030 30 , , , 19261 2030 31 on on IN 19261 2030 32 swallowing swallow VBG 19261 2030 33 . . . 19261 2031 1 Odynphagia odynphagia NN 19261 2031 2 and and CC 19261 2031 3 dysphagia dysphagia NN 19261 2031 4 or or CC 19261 2031 5 aphagia aphagia NN 19261 2031 6 may may MD 19261 2031 7 or or CC 19261 2031 8 may may MD 19261 2031 9 not not RB 19261 2031 10 be be VB 19261 2031 11 present present JJ 19261 2031 12 . . . 19261 2032 1 Pain pain NN 19261 2032 2 , , , 19261 2032 3 sub sub JJ 19261 2032 4 - - JJ 19261 2032 5 sternal sternal JJ 19261 2032 6 or or CC 19261 2032 7 extending extending JJ 19261 2032 8 to to IN 19261 2032 9 the the DT 19261 2032 10 back back NN 19261 2032 11 is be VBZ 19261 2032 12 sometimes sometimes RB 19261 2032 13 present present JJ 19261 2032 14 . . . 19261 2033 1 Hematemesis hematemesis NN 19261 2033 2 and and CC 19261 2033 3 fever fever NN 19261 2033 4 may may MD 19261 2033 5 occur occur VB 19261 2033 6 from from IN 19261 2033 7 the the DT 19261 2033 8 foreign foreign JJ 19261 2033 9 body body NN 19261 2033 10 or or CC 19261 2033 11 from from IN 19261 2033 12 rough rough JJ 19261 2033 13 instrumentation instrumentation NN 19261 2033 14 . . . 19261 2034 1 Symptoms symptom NNS 19261 2034 2 referable referable JJ 19261 2034 3 to to IN 19261 2034 4 the the DT 19261 2034 5 air air NN 19261 2034 6 - - HYPH 19261 2034 7 passages passage NNS 19261 2034 8 may may MD 19261 2034 9 be be VB 19261 2034 10 present present JJ 19261 2034 11 due due IN 19261 2034 12 to to IN 19261 2034 13 : : : 19261 2034 14 ( ( -LRB- 19261 2034 15 1 1 LS 19261 2034 16 ) ) -RRB- 19261 2034 17 Overflow overflow IN 19261 2034 18 of of IN 19261 2034 19 the the DT 19261 2034 20 secretions secretion NNS 19261 2034 21 on on IN 19261 2034 22 attempts attempt NNS 19261 2034 23 to to TO 19261 2034 24 swallow swallow VB 19261 2034 25 through through IN 19261 2034 26 the the DT 19261 2034 27 obstructed obstructed JJ 19261 2034 28 esophagus esophagus NN 19261 2034 29 ; ; : 19261 2034 30 ( ( -LRB- 19261 2034 31 2 2 LS 19261 2034 32 ) ) -RRB- 19261 2034 33 erosion erosion NN 19261 2034 34 of of IN 19261 2034 35 the the DT 19261 2034 36 foreign foreign JJ 19261 2034 37 body body NN 19261 2034 38 through through IN 19261 2034 39 from from IN 19261 2034 40 the the DT 19261 2034 41 esophagus esophagus NN 19261 2034 42 into into IN 19261 2034 43 the the DT 19261 2034 44 trachea trachea NN 19261 2034 45 ; ; , 19261 2034 46 or or CC 19261 2034 47 ( ( -LRB- 19261 2034 48 3 3 LS 19261 2034 49 ) ) -RRB- 19261 2034 50 trauma trauma NN 19261 2034 51 inflicted inflict VBN 19261 2034 52 on on IN 19261 2034 53 the the DT 19261 2034 54 larynx larynx NN 19261 2034 55 during during IN 19261 2034 56 attempts attempt NNS 19261 2034 57 at at IN 19261 2034 58 removal removal NN 19261 2034 59 , , , 19261 2034 60 digital digital JJ 19261 2034 61 or or CC 19261 2034 62 instrumental instrumental JJ 19261 2034 63 , , , 19261 2034 64 the the DT 19261 2034 65 foreign foreign JJ 19261 2034 66 body body NN 19261 2034 67 still still RB 19261 2034 68 being be VBG 19261 2034 69 present present JJ 19261 2034 70 or or CC 19261 2034 71 not not RB 19261 2034 72 . . . 19261 2035 1 Diagnosis diagnosis NN 19261 2035 2 is be VBZ 19261 2035 3 by by IN 19261 2035 4 the the DT 19261 2035 5 roentgenray roentgenray JJ 19261 2035 6 , , , 19261 2035 7 first first RB 19261 2035 8 without without RB 19261 2035 9 , , , 19261 2035 10 then then RB 19261 2035 11 , , , 19261 2035 12 if if IN 19261 2035 13 necessary necessary JJ 19261 2035 14 , , , 19261 2035 15 with with IN 19261 2035 16 a a DT 19261 2035 17 capsule capsule NN 19261 2035 18 filled fill VBN 19261 2035 19 with with IN 19261 2035 20 an an DT 19261 2035 21 opaque opaque JJ 19261 2035 22 mixture mixture NN 19261 2035 23 . . . 19261 2036 1 Flat flat JJ 19261 2036 2 objects object NNS 19261 2036 3 , , , 19261 2036 4 like like IN 19261 2036 5 coins coin NNS 19261 2036 6 , , , 19261 2036 7 always always RB 19261 2036 8 lie lie VB 19261 2036 9 with with IN 19261 2036 10 their -PRON- PRP$ 19261 2036 11 greatest great JJS 19261 2036 12 diameter diameter NN 19261 2036 13 in in IN 19261 2036 14 the the DT 19261 2036 15 coronal coronal JJ 19261 2036 16 plane plane NN 19261 2036 17 of of IN 19261 2036 18 the the DT 19261 2036 19 body body NN 19261 2036 20 , , , 19261 2036 21 when when WRB 19261 2036 22 in in IN 19261 2036 23 the the DT 19261 2036 24 esophagus esophagus NN 19261 2036 25 ; ; : 19261 2036 26 in in IN 19261 2036 27 the the DT 19261 2036 28 sagittal sagittal JJ 19261 2036 29 plane plane NN 19261 2036 30 , , , 19261 2036 31 when when WRB 19261 2036 32 in in IN 19261 2036 33 the the DT 19261 2036 34 trachea trachea NN 19261 2036 35 or or CC 19261 2036 36 larynx larynx NN 19261 2036 37 . . . 19261 2037 1 Lateral lateral JJ 19261 2037 2 , , , 19261 2037 3 anteroposterior anteroposterior NN 19261 2037 4 , , , 19261 2037 5 and and CC 19261 2037 6 sometimes sometimes RB 19261 2037 7 also also RB 19261 2037 8 quartering quarter VBG 19261 2037 9 roentgenograms roentgenogram NNS 19261 2037 10 are be VBP 19261 2037 11 necessary necessary JJ 19261 2037 12 . . . 19261 2038 1 One one CD 19261 2038 2 taken take VBN 19261 2038 3 laterally laterally RB 19261 2038 4 , , , 19261 2038 5 low low JJ 19261 2038 6 down down RB 19261 2038 7 on on IN 19261 2038 8 the the DT 19261 2038 9 neck neck NN 19261 2038 10 but but CC 19261 2038 11 clear clear JJ 19261 2038 12 of of IN 19261 2038 13 the the DT 19261 2038 14 shoulder shoulder NN 19261 2038 15 , , , 19261 2038 16 will will MD 19261 2038 17 often often RB 19261 2038 18 show show VB 19261 2038 19 a a DT 19261 2038 20 bone bone NN 19261 2038 21 or or CC 19261 2038 22 other other JJ 19261 2038 23 semiopaque semiopaque NN 19261 2038 24 object object NN 19261 2038 25 invisible invisible JJ 19261 2038 26 in in IN 19261 2038 27 the the DT 19261 2038 28 anteroposterior anteroposterior JJ 19261 2038 29 exposure exposure NN 19261 2038 30 . . . 19261 2039 1 [ [ -LRB- 19261 2039 2 149 149 CD 19261 2039 3 ] ] -RRB- 19261 2039 4 CHAPTER chapter NN 19261 2039 5 XIII xiii NN 19261 2039 6 -- -- : 19261 2039 7 FOREIGN foreign JJ 19261 2039 8 BODIES body NNS 19261 2039 9 IN in IN 19261 2039 10 THE the DT 19261 2039 11 LARYNX LARYNX NNP 19261 2039 12 AND and CC 19261 2039 13 TRACHEOBRONCHIAL TRACHEOBRONCHIAL NNP 19261 2039 14 TREE tree NN 19261 2039 15 The the DT 19261 2039 16 protective protective JJ 19261 2039 17 reflexes reflex NNS 19261 2039 18 preventing prevent VBG 19261 2039 19 the the DT 19261 2039 20 entrance entrance NN 19261 2039 21 of of IN 19261 2039 22 foreign foreign JJ 19261 2039 23 bodies body NNS 19261 2039 24 into into IN 19261 2039 25 the the DT 19261 2039 26 lower low JJR 19261 2039 27 air air NN 19261 2039 28 passages passage NNS 19261 2039 29 are be VBP 19261 2039 30 : : : 19261 2039 31 ( ( -LRB- 19261 2039 32 1 1 LS 19261 2039 33 ) ) -RRB- 19261 2039 34 The the DT 19261 2039 35 laryngeal laryngeal NN 19261 2039 36 closing close VBG 19261 2039 37 reflex reflex NN 19261 2039 38 and and CC 19261 2039 39 ( ( -LRB- 19261 2039 40 2 2 LS 19261 2039 41 ) ) -RRB- 19261 2039 42 the the DT 19261 2039 43 bechic bechic JJ 19261 2039 44 reflex reflex NN 19261 2039 45 . . . 19261 2040 1 Laryngeal laryngeal NN 19261 2040 2 closing close VBG 19261 2040 3 for for IN 19261 2040 4 normal normal JJ 19261 2040 5 swallowing swallowing NN 19261 2040 6 consists consist VBZ 19261 2040 7 chiefly chiefly RB 19261 2040 8 in in IN 19261 2040 9 the the DT 19261 2040 10 tilting tilting NN 19261 2040 11 and and CC 19261 2040 12 the the DT 19261 2040 13 closure closure NN 19261 2040 14 of of IN 19261 2040 15 the the DT 19261 2040 16 upper upper JJ 19261 2040 17 laryngeal laryngeal NN 19261 2040 18 orifice orifice NN 19261 2040 19 . . . 19261 2041 1 The the DT 19261 2041 2 ventricular ventricular JJ 19261 2041 3 bands band NNS 19261 2041 4 help help NN 19261 2041 5 but but CC 19261 2041 6 slightly slightly RB 19261 2041 7 ; ; : 19261 2041 8 and and CC 19261 2041 9 the the DT 19261 2041 10 epiglottis epiglottis NN 19261 2041 11 and and CC 19261 2041 12 the the DT 19261 2041 13 vocal vocal JJ 19261 2041 14 cords cord NNS 19261 2041 15 little little JJ 19261 2041 16 , , , 19261 2041 17 if if IN 19261 2041 18 at at RB 19261 2041 19 all all RB 19261 2041 20 . . . 19261 2042 1 The the DT 19261 2042 2 gauntlet gauntlet NN 19261 2042 3 to to TO 19261 2042 4 be be VB 19261 2042 5 run run VBN 19261 2042 6 by by IN 19261 2042 7 foreign foreign JJ 19261 2042 8 bodies body NNS 19261 2042 9 entering enter VBG 19261 2042 10 the the DT 19261 2042 11 tracheobronchial tracheobronchial JJ 19261 2042 12 tree tree NN 19261 2042 13 is be VBZ 19261 2042 14 composed compose VBN 19261 2042 15 of of IN 19261 2042 16 : : : 19261 2042 17 1 1 CD 19261 2042 18 . . . 19261 2043 1 Epiglottis epiglottis UH 19261 2043 2 . . . 19261 2044 1 2 2 LS 19261 2044 2 . . . 19261 2045 1 Upper upper JJ 19261 2045 2 laryngeal laryngeal NN 19261 2045 3 orifice orifice NN 19261 2045 4 . . . 19261 2046 1 3 3 LS 19261 2046 2 . . . 19261 2047 1 Ventricular Ventricular NNP 19261 2047 2 bands band NNS 19261 2047 3 . . . 19261 2048 1 4 4 LS 19261 2048 2 . . . 19261 2049 1 Vocal vocal JJ 19261 2049 2 cords cord NNS 19261 2049 3 . . . 19261 2050 1 5 5 CD 19261 2050 2 . . . 19261 2051 1 Bechic bechic JJ 19261 2051 2 blast blast NN 19261 2051 3 . . . 19261 2052 1 The the DT 19261 2052 2 epiglottis epiglottis NN 19261 2052 3 acts act VBZ 19261 2052 4 somewhat somewhat RB 19261 2052 5 as as IN 19261 2052 6 a a DT 19261 2052 7 fender fender NN 19261 2052 8 . . . 19261 2053 1 The the DT 19261 2053 2 superior superior JJ 19261 2053 3 laryngeal laryngeal NN 19261 2053 4 aperture aperture NN 19261 2053 5 , , , 19261 2053 6 composed compose VBN 19261 2053 7 of of IN 19261 2053 8 a a DT 19261 2053 9 pair pair NN 19261 2053 10 of of IN 19261 2053 11 movable movable JJ 19261 2053 12 ridges ridge NNS 19261 2053 13 of of IN 19261 2053 14 tissue tissue NN 19261 2053 15 , , , 19261 2053 16 has have VBZ 19261 2053 17 almost almost RB 19261 2053 18 a a DT 19261 2053 19 sphincteric sphincteric JJ 19261 2053 20 action action NN 19261 2053 21 , , , 19261 2053 22 in in IN 19261 2053 23 addition addition NN 19261 2053 24 to to IN 19261 2053 25 a a DT 19261 2053 26 tilting tilting NN 19261 2053 27 movement movement NN 19261 2053 28 . . . 19261 2054 1 The the DT 19261 2054 2 ventricular ventricular NN 19261 2054 3 bands band NNS 19261 2054 4 can can MD 19261 2054 5 approximate approximate VB 19261 2054 6 under under IN 19261 2054 7 powerful powerful JJ 19261 2054 8 stimuli stimulus NNS 19261 2054 9 . . . 19261 2055 1 The the DT 19261 2055 2 vocal vocal JJ 19261 2055 3 cords cord NNS 19261 2055 4 act act VBP 19261 2055 5 similarly similarly RB 19261 2055 6 . . . 19261 2056 1 The the DT 19261 2056 2 one one CD 19261 2056 3 defect defect NN 19261 2056 4 in in IN 19261 2056 5 the the DT 19261 2056 6 efficiency efficiency NN 19261 2056 7 of of IN 19261 2056 8 this this DT 19261 2056 9 barrier barrier NN 19261 2056 10 , , , 19261 2056 11 is be VBZ 19261 2056 12 the the DT 19261 2056 13 tendency tendency NN 19261 2056 14 to to TO 19261 2056 15 take take VB 19261 2056 16 a a DT 19261 2056 17 deep deep JJ 19261 2056 18 inspiration inspiration NN 19261 2056 19 preparatory preparatory JJ 19261 2056 20 to to IN 19261 2056 21 the the DT 19261 2056 22 cough cough NN 19261 2056 23 excited excite VBN 19261 2056 24 by by IN 19261 2056 25 the the DT 19261 2056 26 contact contact NN 19261 2056 27 of of IN 19261 2056 28 a a DT 19261 2056 29 foreign foreign JJ 19261 2056 30 body body NN 19261 2056 31 . . . 19261 2057 1 _ _ NNP 19261 2057 2 Site site NN 19261 2057 3 of of IN 19261 2057 4 Lodgment_.--The Lodgment_.--The JJR 19261 2057 5 majority majority NN 19261 2057 6 of of IN 19261 2057 7 foreign foreign JJ 19261 2057 8 bodies body NNS 19261 2057 9 in in IN 19261 2057 10 the the DT 19261 2057 11 air air NN 19261 2057 12 passages passage NNS 19261 2057 13 occur occur VBP 19261 2057 14 in in IN 19261 2057 15 children child NNS 19261 2057 16 . . . 19261 2058 1 The the DT 19261 2058 2 right right JJ 19261 2058 3 bronchus bronchus NN 19261 2058 4 is be VBZ 19261 2058 5 more more RBR 19261 2058 6 frequently frequently RB 19261 2058 7 invaded invade VBN 19261 2058 8 than than IN 19261 2058 9 the the DT 19261 2058 10 left left NN 19261 2058 11 because because IN 19261 2058 12 of of IN 19261 2058 13 the the DT 19261 2058 14 following follow VBG 19261 2058 15 factors factor NNS 19261 2058 16 : : : 19261 2058 17 I. I. NNP 19261 2059 1 Its -PRON- PRP$ 19261 2059 2 greater great JJR 19261 2059 3 diameter diameter NN 19261 2059 4 . . . 19261 2060 1 2 2 LS 19261 2060 2 . . . 19261 2061 1 Its -PRON- PRP$ 19261 2061 2 lesser less JJR 19261 2061 3 angle angle NN 19261 2061 4 of of IN 19261 2061 5 deviation deviation NN 19261 2061 6 from from IN 19261 2061 7 the the DT 19261 2061 8 tracheal tracheal NN 19261 2061 9 axis axis NN 19261 2061 10 . . . 19261 2062 1 3 3 LS 19261 2062 2 . . . 19261 2063 1 The the DT 19261 2063 2 situation situation NN 19261 2063 3 of of IN 19261 2063 4 the the DT 19261 2063 5 carina carina NN 19261 2063 6 to to IN 19261 2063 7 the the DT 19261 2063 8 left left NN 19261 2063 9 of of IN 19261 2063 10 the the DT 19261 2063 11 mid mid JJ 19261 2063 12 - - NN 19261 2063 13 line line NN 19261 2063 14 of of IN 19261 2063 15 the the DT 19261 2063 16 trachea trachea NN 19261 2063 17 . . . 19261 2064 1 4 4 LS 19261 2064 2 . . . 19261 2065 1 The the DT 19261 2065 2 action action NN 19261 2065 3 of of IN 19261 2065 4 the the DT 19261 2065 5 trachealis trachealis JJS 19261 2065 6 muscle muscle NN 19261 2065 7 . . . 19261 2066 1 5 5 CD 19261 2066 2 . . . 19261 2067 1 The the DT 19261 2067 2 greater great JJR 19261 2067 3 volume volume NN 19261 2067 4 of of IN 19261 2067 5 air air NN 19261 2067 6 going go VBG 19261 2067 7 into into IN 19261 2067 8 the the DT 19261 2067 9 right right JJ 19261 2067 10 bronchus bronchus NN 19261 2067 11 on on IN 19261 2067 12 inspiration inspiration NN 19261 2067 13 . . . 19261 2068 1 The the DT 19261 2068 2 middle middle JJ 19261 2068 3 lobe lobe NNP 19261 2068 4 bronchus bronchus NNP 19261 2068 5 is be VBZ 19261 2068 6 rarely rarely RB 19261 2068 7 invaded invade VBN 19261 2068 8 by by IN 19261 2068 9 foreign foreign JJ 19261 2068 10 body body NN 19261 2068 11 , , , 19261 2068 12 and and CC 19261 2068 13 , , , 19261 2068 14 fortunately fortunately RB 19261 2068 15 , , , 19261 2068 16 in in IN 19261 2068 17 less less JJR 19261 2068 18 than than IN 19261 2068 19 one one CD 19261 2068 20 per per IN 19261 2068 21 cent cent NN 19261 2068 22 of of IN 19261 2068 23 the the DT 19261 2068 24 cases case NNS 19261 2068 25 is be VBZ 19261 2068 26 the the DT 19261 2068 27 object object NN 19261 2068 28 in in IN 19261 2068 29 an an DT 19261 2068 30 upper upper JJ 19261 2068 31 lobe lobe NN 19261 2068 32 bronchus bronchus NN 19261 2068 33 . . . 19261 2069 1 _ _ NNP 19261 2069 2 Spontaneous spontaneous JJ 19261 2069 3 Expulsion Expulsion NNP 19261 2069 4 of of IN 19261 2069 5 Foreign Foreign NNP 19261 2069 6 Bodies Bodies NNPS 19261 2069 7 from from IN 19261 2069 8 the the DT 19261 2069 9 Air Air NNP 19261 2069 10 Passages Passages NNPS 19261 2069 11 _ _ NNP 19261 2069 12 . . . 19261 2070 1 A a DT 19261 2070 2 large large JJ 19261 2070 3 , , , 19261 2070 4 light light JJ 19261 2070 5 , , , 19261 2070 6 foreign foreign JJ 19261 2070 7 body body NN 19261 2070 8 in in IN 19261 2070 9 the the DT 19261 2070 10 larynx larynx NN 19261 2070 11 or or CC 19261 2070 12 trachea trachea NN 19261 2070 13 may may MD 19261 2070 14 occasionally occasionally RB 19261 2070 15 be be VB 19261 2070 16 coughed cough VBN 19261 2070 17 out out RP 19261 2070 18 , , , 19261 2070 19 but but CC 19261 2070 20 the the DT 19261 2070 21 frequent frequent JJ 19261 2070 22 newspaper newspaper NN 19261 2070 23 accounts account NNS 19261 2070 24 of of IN 19261 2070 25 the the DT 19261 2070 26 sudden sudden JJ 19261 2070 27 death death NN 19261 2070 28 of of IN 19261 2070 29 children child NNS 19261 2070 30 known know VBN 19261 2070 31 to to TO 19261 2070 32 have have VB 19261 2070 33 aspirated aspirate VBN 19261 2070 34 objects object NNS 19261 2070 35 should should MD 19261 2070 36 teach teach VB 19261 2070 37 us -PRON- PRP 19261 2070 38 never never RB 19261 2070 39 to to TO 19261 2070 40 wait wait VB 19261 2070 41 for for IN 19261 2070 42 this this DT 19261 2070 43 occurrence occurrence NN 19261 2070 44 . . . 19261 2071 1 The the DT 19261 2071 2 cause cause NN 19261 2071 3 of of IN 19261 2071 4 death death NN 19261 2071 5 in in IN 19261 2071 6 these these DT 19261 2071 7 cases case NNS 19261 2071 8 is be VBZ 19261 2071 9 usually usually RB 19261 2071 10 the the DT 19261 2071 11 impaction impaction NN 19261 2071 12 of of IN 19261 2071 13 a a DT 19261 2071 14 large large JJ 19261 2071 15 foreign foreign JJ 19261 2071 16 body body NN 19261 2071 17 in in IN 19261 2071 18 the the DT 19261 2071 19 glottis glottis NN 19261 2071 20 producing produce VBG 19261 2071 21 sudden sudden JJ 19261 2071 22 asphyxiation asphyxiation NN 19261 2071 23 , , , 19261 2071 24 and and CC 19261 2071 25 in in IN 19261 2071 26 a a DT 19261 2071 27 certain certain JJ 19261 2071 28 proportion proportion NN 19261 2071 29 of of IN 19261 2071 30 these these DT 19261 2071 31 cases case NNS 19261 2071 32 the the DT 19261 2071 33 impaction impaction NN 19261 2071 34 has have VBZ 19261 2071 35 occurred occur VBN 19261 2071 36 on on IN 19261 2071 37 the the DT 19261 2071 38 reverse reverse JJ 19261 2071 39 journey journey NN 19261 2071 40 , , , 19261 2071 41 when when WRB 19261 2071 42 cough cough NN 19261 2071 43 forced force VBD 19261 2071 44 the the DT 19261 2071 45 intruder intruder NN 19261 2071 46 upward upward RB 19261 2071 47 from from IN 19261 2071 48 below below RB 19261 2071 49 . . . 19261 2072 1 The the DT 19261 2072 2 danger danger NN 19261 2072 3 of of IN 19261 2072 4 subglottic subglottic JJ 19261 2072 5 impaction impaction NN 19261 2072 6 renders render VBZ 19261 2072 7 it -PRON- PRP 19261 2072 8 imperative imperative JJ 19261 2072 9 that that IN 19261 2072 10 attempts attempt VBZ 19261 2072 11 to to TO 19261 2072 12 aid aid VB 19261 2072 13 spontaneous spontaneous JJ 19261 2072 14 expulsion expulsion NN 19261 2072 15 by by IN 19261 2072 16 inverting invert VBG 19261 2072 17 the the DT 19261 2072 18 patient patient NN 19261 2072 19 should should MD 19261 2072 20 be be VB 19261 2072 21 discouraged discourage VBN 19261 2072 22 . . . 19261 2073 1 Sharp sharp JJ 19261 2073 2 objects object NNS 19261 2073 3 , , , 19261 2073 4 such such JJ 19261 2073 5 as as IN 19261 2073 6 pins pin NNS 19261 2073 7 , , , 19261 2073 8 are be VBP 19261 2073 9 rarely rarely RB 19261 2073 10 coughed cough VBN 19261 2073 11 out out RP 19261 2073 12 . . . 19261 2074 1 The the DT 19261 2074 2 tendency tendency NN 19261 2074 3 of of IN 19261 2074 4 all all DT 19261 2074 5 foreign foreign JJ 19261 2074 6 bodies body NNS 19261 2074 7 is be VBZ 19261 2074 8 to to TO 19261 2074 9 migrate migrate VB 19261 2074 10 down down RP 19261 2074 11 and and CC 19261 2074 12 out out RB 19261 2074 13 to to IN 19261 2074 14 the the DT 19261 2074 15 periphery periphery NN 19261 2074 16 as as IN 19261 2074 17 their -PRON- PRP$ 19261 2074 18 size size NN 19261 2074 19 and and CC 19261 2074 20 shape shape NN 19261 2074 21 will will MD 19261 2074 22 allow allow VB 19261 2074 23 . . . 19261 2075 1 Most Most JJS 19261 2075 2 of of IN 19261 2075 3 the the DT 19261 2075 4 reported report VBN 19261 2075 5 cases case NNS 19261 2075 6 of of IN 19261 2075 7 bechic bechic JJ 19261 2075 8 expulsion expulsion NN 19261 2075 9 of of IN 19261 2075 10 bronchially bronchially RB 19261 2075 11 lodged lodge VBN 19261 2075 12 foreign foreign JJ 19261 2075 13 bodies body NNS 19261 2075 14 have have VBP 19261 2075 15 occurred occur VBN 19261 2075 16 after after IN 19261 2075 17 a a DT 19261 2075 18 prolonged prolonged JJ 19261 2075 19 sojourn sojourn NN 19261 2075 20 of of IN 19261 2075 21 the the DT 19261 2075 22 object object NN 19261 2075 23 , , , 19261 2075 24 associated associate VBD 19261 2075 25 which which WDT 19261 2075 26 much much JJ 19261 2075 27 lung lung NN 19261 2075 28 pathology pathology NN 19261 2075 29 ; ; : 19261 2075 30 and and CC 19261 2075 31 in in IN 19261 2075 32 some some DT 19261 2075 33 cases case NNS 19261 2075 34 the the DT 19261 2075 35 object object NN 19261 2075 36 has have VBZ 19261 2075 37 been be VBN 19261 2075 38 carried carry VBN 19261 2075 39 out out RP 19261 2075 40 along along IN 19261 2075 41 with with IN 19261 2075 42 an an DT 19261 2075 43 accumulation accumulation NN 19261 2075 44 of of IN 19261 2075 45 pus pus NNP 19261 2075 46 suddenly suddenly RB 19261 2075 47 liberated liberate VBN 19261 2075 48 from from IN 19261 2075 49 an an DT 19261 2075 50 abscess abscess JJ 19261 2075 51 cavity cavity NN 19261 2075 52 , , , 19261 2075 53 and and CC 19261 2075 54 expelled expel VBN 19261 2075 55 by by IN 19261 2075 56 cough cough NN 19261 2075 57 . . . 19261 2076 1 This this DT 19261 2076 2 is be VBZ 19261 2076 3 a a DT 19261 2076 4 rare rare JJ 19261 2076 5 sequence sequence NN 19261 2076 6 compared compare VBN 19261 2076 7 to to IN 19261 2076 8 the the DT 19261 2076 9 usual usual JJ 19261 2076 10 formation formation NN 19261 2076 11 of of IN 19261 2076 12 fibrous fibrous JJ 19261 2076 13 stricture stricture NN 19261 2076 14 above above IN 19261 2076 15 the the DT 19261 2076 16 foreign foreign JJ 19261 2076 17 body body NN 19261 2076 18 that that WDT 19261 2076 19 prevents prevent VBZ 19261 2076 20 the the DT 19261 2076 21 possibility possibility NN 19261 2076 22 of of IN 19261 2076 23 bechic bechic JJ 19261 2076 24 expulsion expulsion NN 19261 2076 25 . . . 19261 2077 1 To to TO 19261 2077 2 delay delay VB 19261 2077 3 bronchoscopy bronchoscopy RB 19261 2077 4 with with IN 19261 2077 5 the the DT 19261 2077 6 hope hope NN 19261 2077 7 of of IN 19261 2077 8 such such PDT 19261 2077 9 a a DT 19261 2077 10 solution solution NN 19261 2077 11 of of IN 19261 2077 12 the the DT 19261 2077 13 problem problem NN 19261 2077 14 is be VBZ 19261 2077 15 comparable comparable JJ 19261 2077 16 to to IN 19261 2077 17 the the DT 19261 2077 18 former former JJ 19261 2077 19 dependence dependence NN 19261 2077 20 on on IN 19261 2077 21 nature nature NN 19261 2077 22 for for IN 19261 2077 23 the the DT 19261 2077 24 cure cure NN 19261 2077 25 of of IN 19261 2077 26 appendiceal appendiceal NN 19261 2077 27 abscess abscess NN 19261 2077 28 . . . 19261 2078 1 We -PRON- PRP 19261 2078 2 do do VBP 19261 2078 3 our -PRON- PRP$ 19261 2078 4 full full JJ 19261 2078 5 duty duty NN 19261 2078 6 when when WRB 19261 2078 7 we -PRON- PRP 19261 2078 8 tell tell VBP 19261 2078 9 the the DT 19261 2078 10 patient patient NN 19261 2078 11 or or CC 19261 2078 12 parents parent NNS 19261 2078 13 that that IN 19261 2078 14 while while IN 19261 2078 15 the the DT 19261 2078 16 foreign foreign JJ 19261 2078 17 body body NN 19261 2078 18 may may MD 19261 2078 19 be be VB 19261 2078 20 coughed cough VBN 19261 2078 21 up up RP 19261 2078 22 , , , 19261 2078 23 it -PRON- PRP 19261 2078 24 is be VBZ 19261 2078 25 very very RB 19261 2078 26 dangerous dangerous JJ 19261 2078 27 to to TO 19261 2078 28 wait wait VB 19261 2078 29 ; ; : 19261 2078 30 and and CC 19261 2078 31 , , , 19261 2078 32 further far RBR 19261 2078 33 , , , 19261 2078 34 that that IN 19261 2078 35 the the DT 19261 2078 36 difficulty difficulty NN 19261 2078 37 of of IN 19261 2078 38 removal removal NN 19261 2078 39 usually usually RB 19261 2078 40 increases increase VBZ 19261 2078 41 with with IN 19261 2078 42 the the DT 19261 2078 43 time time NN 19261 2078 44 the the DT 19261 2078 45 foreign foreign JJ 19261 2078 46 body body NN 19261 2078 47 is be VBZ 19261 2078 48 allowed allow VBN 19261 2078 49 to to TO 19261 2078 50 remain remain VB 19261 2078 51 in in IN 19261 2078 52 the the DT 19261 2078 53 air air NN 19261 2078 54 passages passage NNS 19261 2078 55 . . . 19261 2079 1 _ _ NNP 19261 2079 2 Mortality Mortality NNP 19261 2079 3 and and CC 19261 2079 4 morbidity morbidity NN 19261 2079 5 of of IN 19261 2079 6 bronchoscopy bronchoscopy NNP 19261 2079 7 _ _ NNP 19261 2079 8 vary vary VBP 19261 2079 9 directly directly RB 19261 2079 10 with with IN 19261 2079 11 the the DT 19261 2079 12 degree degree NN 19261 2079 13 of of IN 19261 2079 14 skill skill NN 19261 2079 15 and and CC 19261 2079 16 experience experience NN 19261 2079 17 of of IN 19261 2079 18 the the DT 19261 2079 19 operator operator NN 19261 2079 20 , , , 19261 2079 21 and and CC 19261 2079 22 the the DT 19261 2079 23 conditions condition NNS 19261 2079 24 for for IN 19261 2079 25 which which WDT 19261 2079 26 the the DT 19261 2079 27 endoscopies endoscopy NNS 19261 2079 28 are be VBP 19261 2079 29 performed perform VBN 19261 2079 30 . . . 19261 2080 1 The the DT 19261 2080 2 simple simple JJ 19261 2080 3 insertion insertion NN 19261 2080 4 of of IN 19261 2080 5 the the DT 19261 2080 6 bronchoscope bronchoscope NN 19261 2080 7 is be VBZ 19261 2080 8 devoid devoid JJ 19261 2080 9 of of IN 19261 2080 10 harm harm NN 19261 2080 11 if if IN 19261 2080 12 carefully carefully RB 19261 2080 13 done do VBN 19261 2080 14 . . . 19261 2081 1 The the DT 19261 2081 2 danger danger NN 19261 2081 3 lies lie VBZ 19261 2081 4 in in IN 19261 2081 5 misdirected misdirected JJ 19261 2081 6 efforts effort NNS 19261 2081 7 at at IN 19261 2081 8 removal removal NN 19261 2081 9 of of IN 19261 2081 10 the the DT 19261 2081 11 intruder intruder NN 19261 2081 12 and and CC 19261 2081 13 in in IN 19261 2081 14 repeating repeat VBG 19261 2081 15 bronchoscopies bronchoscopie NNS 19261 2081 16 in in IN 19261 2081 17 children child NNS 19261 2081 18 at at IN 19261 2081 19 too too RB 19261 2081 20 frequent frequent JJ 19261 2081 21 intervals interval NNS 19261 2081 22 , , , 19261 2081 23 or or CC 19261 2081 24 in in IN 19261 2081 25 prolonging prolong VBG 19261 2081 26 the the DT 19261 2081 27 procedure procedure NN 19261 2081 28 unduly unduly RB 19261 2081 29 . . . 19261 2082 1 In in IN 19261 2082 2 children child NNS 19261 2082 3 under under IN 19261 2082 4 one one CD 19261 2082 5 year year NN 19261 2082 6 endoscopy endoscopy NN 19261 2082 7 should should MD 19261 2082 8 be be VB 19261 2082 9 limited limit VBN 19261 2082 10 to to IN 19261 2082 11 twenty twenty CD 19261 2082 12 minutes minute NNS 19261 2082 13 , , , 19261 2082 14 and and CC 19261 2082 15 should should MD 19261 2082 16 not not RB 19261 2082 17 be be VB 19261 2082 18 repeated repeat VBN 19261 2082 19 sooner soon RBR 19261 2082 20 than than IN 19261 2082 21 one one CD 19261 2082 22 week week NN 19261 2082 23 after after IN 19261 2082 24 , , , 19261 2082 25 unless unless IN 19261 2082 26 urgently urgently RB 19261 2082 27 indicated indicate VBD 19261 2082 28 . . . 19261 2083 1 A a DT 19261 2083 2 child child NN 19261 2083 3 of of IN 19261 2083 4 5 5 CD 19261 2083 5 years year NNS 19261 2083 6 will will MD 19261 2083 7 bear bear VB 19261 2083 8 40 40 CD 19261 2083 9 to to TO 19261 2083 10 60 60 CD 19261 2083 11 minutes minute NNS 19261 2083 12 work work VB 19261 2083 13 , , , 19261 2083 14 while while IN 19261 2083 15 the the DT 19261 2083 16 adult adult NN 19261 2083 17 offers offer VBZ 19261 2083 18 no no DT 19261 2083 19 unvarying unvarye VBG 19261 2083 20 time time NN 19261 2083 21 limit limit NN 19261 2083 22 . . . 19261 2084 1 More More JJR 19261 2084 2 can can MD 19261 2084 3 be be VB 19261 2084 4 ultimately ultimately RB 19261 2084 5 accomplished accomplish VBN 19261 2084 6 , , , 19261 2084 7 and and CC 19261 2084 8 less less JJR 19261 2084 9 reaction reaction NN 19261 2084 10 will will MD 19261 2084 11 follow follow VB 19261 2084 12 short short JJ 19261 2084 13 endoscopies endoscopy NNS 19261 2084 14 repeated repeat VBN 19261 2084 15 at at IN 19261 2084 16 proper proper JJ 19261 2084 17 intervals interval NNS 19261 2084 18 than than IN 19261 2084 19 in in IN 19261 2084 20 one one CD 19261 2084 21 long long JJ 19261 2084 22 procedure procedure NN 19261 2084 23 . . . 19261 2085 1 _ _ NNP 19261 2085 2 Indications Indications NNPS 19261 2085 3 for for IN 19261 2085 4 bronchoscopy bronchoscopy NN 19261 2085 5 for for IN 19261 2085 6 suspected suspect VBN 19261 2085 7 foreign foreign JJ 19261 2085 8 body body NN 19261 2085 9 _ _ NNP 19261 2085 10 may may MD 19261 2085 11 be be VB 19261 2085 12 thus thus RB 19261 2085 13 summarized summarize VBN 19261 2085 14 : : : 19261 2085 15 1 1 CD 19261 2085 16 . . . 19261 2086 1 The the DT 19261 2086 2 appearance appearance NN 19261 2086 3 of of IN 19261 2086 4 a a DT 19261 2086 5 suspicious suspicious JJ 19261 2086 6 shadow shadow NN 19261 2086 7 in in IN 19261 2086 8 the the DT 19261 2086 9 radiograph radiograph NN 19261 2086 10 , , , 19261 2086 11 in in IN 19261 2086 12 the the DT 19261 2086 13 line line NN 19261 2086 14 of of IN 19261 2086 15 a a DT 19261 2086 16 bronchus bronchus NN 19261 2086 17 . . . 19261 2087 1 2 2 LS 19261 2087 2 . . . 19261 2088 1 In in IN 19261 2088 2 any any DT 19261 2088 3 case case NN 19261 2088 4 in in IN 19261 2088 5 which which WDT 19261 2088 6 lung lung NN 19261 2088 7 symptoms symptom NNS 19261 2088 8 followed follow VBD 19261 2088 9 a a DT 19261 2088 10 clear clear JJ 19261 2088 11 history history NN 19261 2088 12 of of IN 19261 2088 13 the the DT 19261 2088 14 patient patient NN 19261 2088 15 having have VBG 19261 2088 16 choked choke VBN 19261 2088 17 on on IN 19261 2088 18 a a DT 19261 2088 19 foreign foreign JJ 19261 2088 20 body body NN 19261 2088 21 . . . 19261 2089 1 3 3 LS 19261 2089 2 . . . 19261 2090 1 In in IN 19261 2090 2 any any DT 19261 2090 3 case case NN 19261 2090 4 showing show VBG 19261 2090 5 signs sign NNS 19261 2090 6 of of IN 19261 2090 7 obstruction obstruction NN 19261 2090 8 in in IN 19261 2090 9 the the DT 19261 2090 10 trachea trachea NN 19261 2090 11 or or CC 19261 2090 12 of of IN 19261 2090 13 a a DT 19261 2090 14 bronchus bronchus NN 19261 2090 15 . . . 19261 2091 1 4 4 LS 19261 2091 2 . . . 19261 2092 1 In in IN 19261 2092 2 suspected suspect VBN 19261 2092 3 bronchiectasis bronchiectasis NN 19261 2092 4 . . . 19261 2093 1 5 5 CD 19261 2093 2 . . . 19261 2094 1 Symptoms symptom NNS 19261 2094 2 of of IN 19261 2094 3 pulmonary pulmonary JJ 19261 2094 4 tuberculosis tuberculosis NN 19261 2094 5 with with IN 19261 2094 6 sputum sputum NN 19261 2094 7 constantly constantly RB 19261 2094 8 negative negative JJ 19261 2094 9 for for IN 19261 2094 10 tubercle tubercle NN 19261 2094 11 bacilli bacilli NNP 19261 2094 12 . . . 19261 2095 1 If if IN 19261 2095 2 the the DT 19261 2095 3 physical physical JJ 19261 2095 4 signs sign NNS 19261 2095 5 are be VBP 19261 2095 6 at at IN 19261 2095 7 the the DT 19261 2095 8 base base NN 19261 2095 9 , , , 19261 2095 10 particularly particularly RB 19261 2095 11 the the DT 19261 2095 12 right right JJ 19261 2095 13 base base NN 19261 2095 14 , , , 19261 2095 15 the the DT 19261 2095 16 indication indication NN 19261 2095 17 becomes become VBZ 19261 2095 18 very very RB 19261 2095 19 strong strong JJ 19261 2095 20 even even RB 19261 2095 21 in in IN 19261 2095 22 the the DT 19261 2095 23 absence absence NN 19261 2095 24 of of IN 19261 2095 25 any any DT 19261 2095 26 foreign foreign JJ 19261 2095 27 body body NN 19261 2095 28 circumstance circumstance NN 19261 2095 29 in in IN 19261 2095 30 the the DT 19261 2095 31 history history NN 19261 2095 32 . . . 19261 2096 1 6 6 CD 19261 2096 2 . . . 19261 2097 1 In in IN 19261 2097 2 all all DT 19261 2097 3 cases case NNS 19261 2097 4 of of IN 19261 2097 5 doubt doubt NN 19261 2097 6 , , , 19261 2097 7 bronchoscopy bronchoscopy NN 19261 2097 8 should should MD 19261 2097 9 be be VB 19261 2097 10 done do VBN 19261 2097 11 anyway anyway RB 19261 2097 12 . . . 19261 2098 1 There there EX 19261 2098 2 is be VBZ 19261 2098 3 no no DT 19261 2098 4 absolute absolute JJ 19261 2098 5 _ _ NNP 19261 2098 6 contraindication contraindication NN 19261 2098 7 to to TO 19261 2098 8 bronchoscopy bronchoscopy VB 19261 2098 9 for for IN 19261 2098 10 foreign foreign JJ 19261 2098 11 bodies body NNS 19261 2098 12 _ _ NNP 19261 2098 13 . . . 19261 2099 1 Extreme extreme JJ 19261 2099 2 exhaustion exhaustion NN 19261 2099 3 or or CC 19261 2099 4 reaction reaction NN 19261 2099 5 from from IN 19261 2099 6 previous previous JJ 19261 2099 7 efforts effort NNS 19261 2099 8 at at IN 19261 2099 9 removal removal NN 19261 2099 10 may may MD 19261 2099 11 call call VB 19261 2099 12 for for IN 19261 2099 13 delay delay NN 19261 2099 14 for for IN 19261 2099 15 recuperation recuperation NN 19261 2099 16 , , , 19261 2099 17 but but CC 19261 2099 18 pulmonary pulmonary JJ 19261 2099 19 abscess abscess NN 19261 2099 20 and and CC 19261 2099 21 even even RB 19261 2099 22 the the DT 19261 2099 23 rarer rare JJR 19261 2099 24 complications complication NNS 19261 2099 25 , , , 19261 2099 26 bronchopneumonia bronchopneumonia NNP 19261 2099 27 and and CC 19261 2099 28 gangrene gangrene NN 19261 2099 29 of of IN 19261 2099 30 the the DT 19261 2099 31 lung lung NN 19261 2099 32 , , , 19261 2099 33 are be VBP 19261 2099 34 improved improve VBN 19261 2099 35 by by IN 19261 2099 36 the the DT 19261 2099 37 early early JJ 19261 2099 38 removal removal NN 19261 2099 39 of of IN 19261 2099 40 the the DT 19261 2099 41 foreign foreign JJ 19261 2099 42 body body NN 19261 2099 43 . . . 19261 2100 1 _ _ NNP 19261 2100 2 Choice Choice NNP 19261 2100 3 of of IN 19261 2100 4 Time Time NNP 19261 2100 5 to to TO 19261 2100 6 do do VB 19261 2100 7 Bronchoscopy Bronchoscopy NNP 19261 2100 8 for for IN 19261 2100 9 Foreign foreign JJ 19261 2100 10 Body_.--The body_.--the JJ 19261 2100 11 difficulties difficulty NNS 19261 2100 12 of of IN 19261 2100 13 removal removal NN 19261 2100 14 usually usually RB 19261 2100 15 increase increase VBP 19261 2100 16 from from IN 19261 2100 17 the the DT 19261 2100 18 time time NN 19261 2100 19 of of IN 19261 2100 20 aspiration aspiration NN 19261 2100 21 of of IN 19261 2100 22 the the DT 19261 2100 23 object object NN 19261 2100 24 . . . 19261 2101 1 It -PRON- PRP 19261 2101 2 tends tend VBZ 19261 2101 3 to to TO 19261 2101 4 work work VB 19261 2101 5 downward downward RB 19261 2101 6 and and CC 19261 2101 7 outward outward RB 19261 2101 8 , , , 19261 2101 9 while while IN 19261 2101 10 the the DT 19261 2101 11 mucosa mucosa NNS 19261 2101 12 becomes become VBZ 19261 2101 13 edematous edematous JJ 19261 2101 14 , , , 19261 2101 15 partly partly RB 19261 2101 16 closing close VBG 19261 2101 17 over over IN 19261 2101 18 the the DT 19261 2101 19 foreign foreign JJ 19261 2101 20 body body NN 19261 2101 21 , , , 19261 2101 22 and and CC 19261 2101 23 even even RB 19261 2101 24 completely completely RB 19261 2101 25 obliterating obliterate VBG 19261 2101 26 the the DT 19261 2101 27 lumen luman NNS 19261 2101 28 of of IN 19261 2101 29 smaller small JJR 19261 2101 30 bronchi bronchi NNP 19261 2101 31 . . . 19261 2102 1 Later later RB 19261 2102 2 , , , 19261 2102 3 granulation granulation NN 19261 2102 4 tissue tissue NN 19261 2102 5 and and CC 19261 2102 6 the the DT 19261 2102 7 formation formation NN 19261 2102 8 of of IN 19261 2102 9 stricture stricture NN 19261 2102 10 further far RBR 19261 2102 11 hide hide VB 19261 2102 12 the the DT 19261 2102 13 object object NN 19261 2102 14 . . . 19261 2103 1 The the DT 19261 2103 2 patient patient NN 19261 2103 3 's 's POS 19261 2103 4 health health NN 19261 2103 5 deteriorates deteriorate NNS 19261 2103 6 with with IN 19261 2103 7 the the DT 19261 2103 8 onset onset NN 19261 2103 9 of of IN 19261 2103 10 pulmonary pulmonary JJ 19261 2103 11 pathology pathology NN 19261 2103 12 , , , 19261 2103 13 and and CC 19261 2103 14 renders render VBZ 19261 2103 15 him -PRON- PRP 19261 2103 16 a a DT 19261 2103 17 less less RBR 19261 2103 18 favorable favorable JJ 19261 2103 19 subject subject NN 19261 2103 20 for for IN 19261 2103 21 bronchoscopy bronchoscopy NN 19261 2103 22 . . . 19261 2104 1 Organic organic JJ 19261 2104 2 foreign foreign JJ 19261 2104 3 bodies body NNS 19261 2104 4 , , , 19261 2104 5 which which WDT 19261 2104 6 produce produce VBP 19261 2104 7 early early JJ 19261 2104 8 and and CC 19261 2104 9 intense intense JJ 19261 2104 10 inflammatory inflammatory JJ 19261 2104 11 reaction reaction NN 19261 2104 12 and and CC 19261 2104 13 are be VBP 19261 2104 14 liable liable JJ 19261 2104 15 to to TO 19261 2104 16 swell swell VB 19261 2104 17 , , , 19261 2104 18 call call VB 19261 2104 19 for for IN 19261 2104 20 prompt prompt JJ 19261 2104 21 bronchoscopy bronchoscopy NN 19261 2104 22 . . . 19261 2105 1 When when WRB 19261 2105 2 a a DT 19261 2105 3 bronchus bronchus NN 19261 2105 4 is be VBZ 19261 2105 5 completely completely RB 19261 2105 6 obstructed obstruct VBN 19261 2105 7 by by IN 19261 2105 8 the the DT 19261 2105 9 bulk bulk NN 19261 2105 10 of of IN 19261 2105 11 the the DT 19261 2105 12 foreign foreign JJ 19261 2105 13 body body NN 19261 2105 14 itself -PRON- PRP 19261 2105 15 immediate immediate JJ 19261 2105 16 removal removal NN 19261 2105 17 is be VBZ 19261 2105 18 urgently urgently RB 19261 2105 19 demanded demand VBN 19261 2105 20 to to TO 19261 2105 21 prevent prevent VB 19261 2105 22 serious serious JJ 19261 2105 23 lung lung NN 19261 2105 24 changes change NNS 19261 2105 25 , , , 19261 2105 26 resulting result VBG 19261 2105 27 from from IN 19261 2105 28 atelectasis atelectasis NN 19261 2105 29 and and CC 19261 2105 30 want want NN 19261 2105 31 of of IN 19261 2105 32 drainage drainage NN 19261 2105 33 . . . 19261 2106 1 In in IN 19261 2106 2 short short JJ 19261 2106 3 , , , 19261 2106 4 removal removal NN 19261 2106 5 of of IN 19261 2106 6 the the DT 19261 2106 7 foreign foreign JJ 19261 2106 8 body body NN 19261 2106 9 should should MD 19261 2106 10 be be VB 19261 2106 11 accomplished accomplish VBN 19261 2106 12 as as RB 19261 2106 13 soon soon RB 19261 2106 14 as as IN 19261 2106 15 possible possible JJ 19261 2106 16 after after IN 19261 2106 17 its -PRON- PRP$ 19261 2106 18 entrance entrance NN 19261 2106 19 . . . 19261 2107 1 This this DT 19261 2107 2 , , , 19261 2107 3 however however RB 19261 2107 4 , , , 19261 2107 5 does do VBZ 19261 2107 6 not not RB 19261 2107 7 justify justify VB 19261 2107 8 hasty hasty JJ 19261 2107 9 , , , 19261 2107 10 ill ill RB 19261 2107 11 - - HYPH 19261 2107 12 planned planned JJ 19261 2107 13 , , , 19261 2107 14 and and CC 19261 2107 15 poorly poorly RB 19261 2107 16 equipped equip VBN 19261 2107 17 bronchoscopy bronchoscopy NN 19261 2107 18 , , , 19261 2107 19 which which WDT 19261 2107 20 in in IN 19261 2107 21 most most JJS 19261 2107 22 cases case NNS 19261 2107 23 is be VBZ 19261 2107 24 doomed doom VBN 19261 2107 25 to to IN 19261 2107 26 failure failure NN 19261 2107 27 in in IN 19261 2107 28 removal removal NN 19261 2107 29 of of IN 19261 2107 30 the the DT 19261 2107 31 object object NN 19261 2107 32 . . . 19261 2108 1 The the DT 19261 2108 2 bronchoscopist bronchoscopist NN 19261 2108 3 should should MD 19261 2108 4 not not RB 19261 2108 5 permit permit VB 19261 2108 6 himself -PRON- PRP 19261 2108 7 to to TO 19261 2108 8 be be VB 19261 2108 9 stampeded stampede VBN 19261 2108 10 into into IN 19261 2108 11 a a DT 19261 2108 12 bronchoscopy bronchoscopy NN 19261 2108 13 late late RB 19261 2108 14 at at IN 19261 2108 15 night night NN 19261 2108 16 , , , 19261 2108 17 when when WRB 19261 2108 18 he -PRON- PRP 19261 2108 19 is be VBZ 19261 2108 20 fatigued fatigue VBN 19261 2108 21 after after IN 19261 2108 22 a a DT 19261 2108 23 hard hard JJ 19261 2108 24 day day NN 19261 2108 25 's 's POS 19261 2108 26 work work NN 19261 2108 27 . . . 19261 2109 1 _ _ NNP 19261 2109 2 Bronchoscopic Bronchoscopic NNP 19261 2109 3 finding finding NN 19261 2109 4 of of IN 19261 2109 5 a a DT 19261 2109 6 foreign foreign JJ 19261 2109 7 body body NN 19261 2109 8 _ _ NNP 19261 2109 9 is be VBZ 19261 2109 10 not not RB 19261 2109 11 especially especially RB 19261 2109 12 difficult difficult JJ 19261 2109 13 if if IN 19261 2109 14 the the DT 19261 2109 15 aspiration aspiration NN 19261 2109 16 has have VBZ 19261 2109 17 been be VBN 19261 2109 18 recent recent JJ 19261 2109 19 . . . 19261 2110 1 If if IN 19261 2110 2 secondary secondary JJ 19261 2110 3 processes process NNS 19261 2110 4 have have VBP 19261 2110 5 developed develop VBN 19261 2110 6 , , , 19261 2110 7 or or CC 19261 2110 8 the the DT 19261 2110 9 object object NN 19261 2110 10 be be VB 19261 2110 11 small small JJ 19261 2110 12 and and CC 19261 2110 13 in in IN 19261 2110 14 a a DT 19261 2110 15 bronchus bronchus NN 19261 2110 16 too too RB 19261 2110 17 small small JJ 19261 2110 18 to to TO 19261 2110 19 admit admit VB 19261 2110 20 the the DT 19261 2110 21 tube tube NN 19261 2110 22 - - HYPH 19261 2110 23 mouth mouth NN 19261 2110 24 , , , 19261 2110 25 considerable considerable JJ 19261 2110 26 experience experience NN 19261 2110 27 may may MD 19261 2110 28 be be VB 19261 2110 29 necessary necessary JJ 19261 2110 30 to to TO 19261 2110 31 discover discover VB 19261 2110 32 it -PRON- PRP 19261 2110 33 . . . 19261 2111 1 There there EX 19261 2111 2 is be VBZ 19261 2111 3 usually usually RB 19261 2111 4 inflammatory inflammatory JJ 19261 2111 5 reaction reaction NN 19261 2111 6 around around IN 19261 2111 7 the the DT 19261 2111 8 orifice orifice NN 19261 2111 9 of of IN 19261 2111 10 the the DT 19261 2111 11 invaded invaded JJ 19261 2111 12 bronchus bronchus NN 19261 2111 13 , , , 19261 2111 14 which which WDT 19261 2111 15 in in IN 19261 2111 16 a a DT 19261 2111 17 measure measure NN 19261 2111 18 serves serve VBZ 19261 2111 19 to to TO 19261 2111 20 localize localize VB 19261 2111 21 the the DT 19261 2111 22 intruder intruder NN 19261 2111 23 . . . 19261 2112 1 We -PRON- PRP 19261 2112 2 must must MD 19261 2112 3 not not RB 19261 2112 4 forget forget VB 19261 2112 5 , , , 19261 2112 6 however however RB 19261 2112 7 , , , 19261 2112 8 that that IN 19261 2112 9 objects object NNS 19261 2112 10 may may MD 19261 2112 11 have have VB 19261 2112 12 moved move VBN 19261 2112 13 to to IN 19261 2112 14 another another DT 19261 2112 15 location location NN 19261 2112 16 , , , 19261 2112 17 and and CC 19261 2112 18 also also RB 19261 2112 19 that that IN 19261 2112 20 the the DT 19261 2112 21 irritation irritation NN 19261 2112 22 may may MD 19261 2112 23 have have VB 19261 2112 24 been be VBN 19261 2112 25 the the DT 19261 2112 26 result result NN 19261 2112 27 of of IN 19261 2112 28 previous previous JJ 19261 2112 29 efforts effort NNS 19261 2112 30 at at IN 19261 2112 31 removal removal NN 19261 2112 32 . . . 19261 2113 1 Care care NN 19261 2113 2 must must MD 19261 2113 3 be be VB 19261 2113 4 exercised exercise VBN 19261 2113 5 not not RB 19261 2113 6 to to TO 19261 2113 7 mistake mistake VB 19261 2113 8 the the DT 19261 2113 9 sharp sharp JJ 19261 2113 10 , , , 19261 2113 11 shining shining JJ 19261 2113 12 , , , 19261 2113 13 interbronchial interbronchial JJ 19261 2113 14 spurs spur NNS 19261 2113 15 for for IN 19261 2113 16 bright bright JJ 19261 2113 17 thin thin JJ 19261 2113 18 objects object NNS 19261 2113 19 like like IN 19261 2113 20 new new JJ 19261 2113 21 pins pin NNS 19261 2113 22 just just RB 19261 2113 23 aspirated aspirate VBD 19261 2113 24 ; ; : 19261 2113 25 after after IN 19261 2113 26 a a DT 19261 2113 27 few few JJ 19261 2113 28 days day NNS 19261 2113 29 pins pin NNS 19261 2113 30 become become VBP 19261 2113 31 blackened blacken VBN 19261 2113 32 . . . 19261 2114 1 If if IN 19261 2114 2 these these DT 19261 2114 3 spurs spur NNS 19261 2114 4 be be VB 19261 2114 5 torn tear VBN 19261 2114 6 pneumothorax pneumothorax NNS 19261 2114 7 may may MD 19261 2114 8 ensue ensue VB 19261 2114 9 . . . 19261 2115 1 If if IN 19261 2115 2 a a DT 19261 2115 3 number number NN 19261 2115 4 of of IN 19261 2115 5 small small JJ 19261 2115 6 bronchi bronchus NNS 19261 2115 7 are be VBP 19261 2115 8 to to TO 19261 2115 9 be be VB 19261 2115 10 searched search VBN 19261 2115 11 , , , 19261 2115 12 the the DT 19261 2115 13 bronchoscope bronchoscope NN 19261 2115 14 must must MD 19261 2115 15 be be VB 19261 2115 16 brought bring VBN 19261 2115 17 into into IN 19261 2115 18 the the DT 19261 2115 19 line line NN 19261 2115 20 of of IN 19261 2115 21 the the DT 19261 2115 22 axis axi NNS 19261 2115 23 of of IN 19261 2115 24 the the DT 19261 2115 25 bronchus bronchu NNS 19261 2115 26 to to TO 19261 2115 27 be be VB 19261 2115 28 examined examine VBN 19261 2115 29 , , , 19261 2115 30 and and CC 19261 2115 31 any any DT 19261 2115 32 intervening intervene VBG 19261 2115 33 tissue tissue NN 19261 2115 34 gently gently RB 19261 2115 35 pushed push VBD 19261 2115 36 aside aside RB 19261 2115 37 with with IN 19261 2115 38 the the DT 19261 2115 39 lip lip NN 19261 2115 40 of of IN 19261 2115 41 the the DT 19261 2115 42 bronchoscope bronchoscope NN 19261 2115 43 . . . 19261 2116 1 Blind blind JJ 19261 2116 2 probing probe VBG 19261 2116 3 for for IN 19261 2116 4 exploration exploration NN 19261 2116 5 is be VBZ 19261 2116 6 very very RB 19261 2116 7 dangerous dangerous JJ 19261 2116 8 unless unless IN 19261 2116 9 carefully carefully RB 19261 2116 10 done do VBN 19261 2116 11 . . . 19261 2117 1 The the DT 19261 2117 2 straight straight JJ 19261 2117 3 forceps forceps NNS 19261 2117 4 , , , 19261 2117 5 introduced introduce VBN 19261 2117 6 closed closed JJ 19261 2117 7 , , , 19261 2117 8 form form VB 19261 2117 9 the the DT 19261 2117 10 best good JJS 19261 2117 11 probe probe NN 19261 2117 12 and and CC 19261 2117 13 are be VBP 19261 2117 14 ready ready JJ 19261 2117 15 for for IN 19261 2117 16 grasping grasp VBG 19261 2117 17 if if IN 19261 2117 18 the the DT 19261 2117 19 object object NN 19261 2117 20 is be VBZ 19261 2117 21 felt feel VBN 19261 2117 22 . . . 19261 2118 1 Once once IN 19261 2118 2 the the DT 19261 2118 3 bronchoscope bronchoscope NN 19261 2118 4 has have VBZ 19261 2118 5 been be VBN 19261 2118 6 introduced introduce VBN 19261 2118 7 , , , 19261 2118 8 it -PRON- PRP 19261 2118 9 should should MD 19261 2118 10 not not RB 19261 2118 11 be be VB 19261 2118 12 withdrawn withdraw VBN 19261 2118 13 until until IN 19261 2118 14 the the DT 19261 2118 15 procedure procedure NN 19261 2118 16 is be VBZ 19261 2118 17 completed complete VBN 19261 2118 18 . . . 19261 2119 1 The the DT 19261 2119 2 light light JJ 19261 2119 3 carrier carrier NN 19261 2119 4 alone alone RB 19261 2119 5 may may MD 19261 2119 6 be be VB 19261 2119 7 removed remove VBN 19261 2119 8 from from IN 19261 2119 9 its -PRON- PRP$ 19261 2119 10 canal canal NN 19261 2119 11 if if IN 19261 2119 12 the the DT 19261 2119 13 illumination illumination NN 19261 2119 14 be be VB 19261 2119 15 faulty faulty JJ 19261 2119 16 . . . 19261 2120 1 COMPLICATIONS complication NNS 19261 2120 2 AND and CC 19261 2120 3 AFTER after NN 19261 2120 4 - - HYPH 19261 2120 5 EFFECTS EFFECTS NNP 19261 2120 6 OF of IN 19261 2120 7 BRONCHOSCOPY BRONCHOSCOPY NNP 19261 2120 8 All all DT 19261 2120 9 foreign foreign JJ 19261 2120 10 body body NN 19261 2120 11 cases case NNS 19261 2120 12 should should MD 19261 2120 13 be be VB 19261 2120 14 watched watch VBN 19261 2120 15 day day NN 19261 2120 16 and and CC 19261 2120 17 night night NN 19261 2120 18 by by IN 19261 2120 19 special special JJ 19261 2120 20 nurses nurse NNS 19261 2120 21 until until IN 19261 2120 22 all all DT 19261 2120 23 danger danger NN 19261 2120 24 of of IN 19261 2120 25 complications complication NNS 19261 2120 26 is be VBZ 19261 2120 27 passed pass VBN 19261 2120 28 . . . 19261 2121 1 Complications complication NNS 19261 2121 2 are be VBP 19261 2121 3 rare rare JJ 19261 2121 4 after after IN 19261 2121 5 careful careful JJ 19261 2121 6 work work NN 19261 2121 7 , , , 19261 2121 8 but but CC 19261 2121 9 if if IN 19261 2121 10 they -PRON- PRP 19261 2121 11 do do VBP 19261 2121 12 occur occur VB 19261 2121 13 , , , 19261 2121 14 they -PRON- PRP 19261 2121 15 may may MD 19261 2121 16 require require VB 19261 2121 17 immediate immediate JJ 19261 2121 18 attention attention NN 19261 2121 19 . . . 19261 2122 1 This this DT 19261 2122 2 applies apply VBZ 19261 2122 3 especially especially RB 19261 2122 4 to to IN 19261 2122 5 the the DT 19261 2122 6 subglottic subglottic JJ 19261 2122 7 edema edema NN 19261 2122 8 associated associate VBN 19261 2122 9 with with IN 19261 2122 10 arachidic arachidic JJ 19261 2122 11 bronchitis bronchitis NN 19261 2122 12 in in IN 19261 2122 13 children child NNS 19261 2122 14 under under IN 19261 2122 15 2 2 CD 19261 2122 16 years year NNS 19261 2122 17 of of IN 19261 2122 18 age age NN 19261 2122 19 . . . 19261 2123 1 _ _ NNP 19261 2123 2 General General NNP 19261 2123 3 Reaction_.--There Reaction_.--There NNP 19261 2123 4 is be VBZ 19261 2123 5 usually usually RB 19261 2123 6 no no DT 19261 2123 7 elevation elevation NN 19261 2123 8 in in IN 19261 2123 9 temperature temperature NN 19261 2123 10 following follow VBG 19261 2123 11 a a DT 19261 2123 12 short short JJ 19261 2123 13 bronchoscopy bronchoscopy NN 19261 2123 14 for for IN 19261 2123 15 the the DT 19261 2123 16 removal removal NN 19261 2123 17 of of IN 19261 2123 18 a a DT 19261 2123 19 recently recently RB 19261 2123 20 lodged lodge VBN 19261 2123 21 metallic metallic JJ 19261 2123 22 foreign foreign JJ 19261 2123 23 body body NN 19261 2123 24 . . . 19261 2124 1 If if IN 19261 2124 2 , , , 19261 2124 3 however however RB 19261 2124 4 , , , 19261 2124 5 an an DT 19261 2124 6 inflammatory inflammatory JJ 19261 2124 7 condition condition NN 19261 2124 8 of of IN 19261 2124 9 the the DT 19261 2124 10 bronchi bronchi NN 19261 2124 11 existed exist VBD 19261 2124 12 previous previous JJ 19261 2124 13 to to IN 19261 2124 14 the the DT 19261 2124 15 bronchoscopy bronchoscopy NN 19261 2124 16 , , , 19261 2124 17 as as IN 19261 2124 18 for for IN 19261 2124 19 instance instance NN 19261 2124 20 the the DT 19261 2124 21 intense intense JJ 19261 2124 22 diffuse diffuse NN 19261 2124 23 , , , 19261 2124 24 purulent purulent NN 19261 2124 25 laryngotracheobronchitis laryngotracheobronchitis NN 19261 2124 26 associated associate VBN 19261 2124 27 with with IN 19261 2124 28 the the DT 19261 2124 29 aspiration aspiration NN 19261 2124 30 of of IN 19261 2124 31 nut nut NNP 19261 2124 32 kernels kernels NNP 19261 2124 33 , , , 19261 2124 34 or or CC 19261 2124 35 in in IN 19261 2124 36 the the DT 19261 2124 37 presence presence NN 19261 2124 38 of of IN 19261 2124 39 pulmonary pulmonary JJ 19261 2124 40 abscess abscess NN 19261 2124 41 from from IN 19261 2124 42 long long RB 19261 2124 43 retained retain VBN 19261 2124 44 foreign foreign JJ 19261 2124 45 bodies body NNS 19261 2124 46 , , , 19261 2124 47 a a DT 19261 2124 48 moderate moderate JJ 19261 2124 49 temporary temporary JJ 19261 2124 50 rise rise NN 19261 2124 51 of of IN 19261 2124 52 temperature temperature NN 19261 2124 53 may may MD 19261 2124 54 be be VB 19261 2124 55 expected expect VBN 19261 2124 56 . . . 19261 2125 1 These these DT 19261 2125 2 cases case NNS 19261 2125 3 almost almost RB 19261 2125 4 always always RB 19261 2125 5 have have VBP 19261 2125 6 had have VBN 19261 2125 7 irregular irregular JJ 19261 2125 8 fever fever NN 19261 2125 9 before before IN 19261 2125 10 bronchoscopy bronchoscopy NN 19261 2125 11 . . . 19261 2126 1 Disturbance disturbance NN 19261 2126 2 of of IN 19261 2126 3 the the DT 19261 2126 4 epithelium epithelium NN 19261 2126 5 in in IN 19261 2126 6 the the DT 19261 2126 7 presence presence NN 19261 2126 8 of of IN 19261 2126 9 pus pus NNP 19261 2126 10 without without IN 19261 2126 11 abscess abscess NN 19261 2126 12 usually usually RB 19261 2126 13 permits permit VBZ 19261 2126 14 enough enough JJ 19261 2126 15 absorption absorption NN 19261 2126 16 to to TO 19261 2126 17 elevate elevate VB 19261 2126 18 the the DT 19261 2126 19 temperature temperature NN 19261 2126 20 slightly slightly RB 19261 2126 21 for for IN 19261 2126 22 a a DT 19261 2126 23 few few JJ 19261 2126 24 days day NNS 19261 2126 25 . . . 19261 2127 1 _ _ NNP 19261 2127 2 Surgical surgical JJ 19261 2127 3 shock shock NN 19261 2127 4 _ _ NNP 19261 2127 5 in in IN 19261 2127 6 its -PRON- PRP$ 19261 2127 7 true true JJ 19261 2127 8 form form NN 19261 2127 9 has have VBZ 19261 2127 10 never never RB 19261 2127 11 followed follow VBN 19261 2127 12 a a DT 19261 2127 13 carefully carefully RB 19261 2127 14 performed perform VBN 19261 2127 15 and and CC 19261 2127 16 time time NN 19261 2127 17 - - HYPH 19261 2127 18 limited limit VBN 19261 2127 19 bronchoscopy bronchoscopy NN 19261 2127 20 . . . 19261 2128 1 Severe severe JJ 19261 2128 2 fatigue fatigue NN 19261 2128 3 resulting result VBG 19261 2128 4 in in IN 19261 2128 5 deep deep JJ 19261 2128 6 sleep sleep NN 19261 2128 7 may may MD 19261 2128 8 be be VB 19261 2128 9 seen see VBN 19261 2128 10 in in IN 19261 2128 11 children child NNS 19261 2128 12 after after IN 19261 2128 13 prolonged prolonged JJ 19261 2128 14 work work NN 19261 2128 15 . . . 19261 2129 1 _ _ NNP 19261 2129 2 Local local JJ 19261 2129 3 reaction reaction NN 19261 2129 4 _ _ NNP 19261 2129 5 is be VBZ 19261 2129 6 ordinarily ordinarily RB 19261 2129 7 noted note VBN 19261 2129 8 by by IN 19261 2129 9 slight slight JJ 19261 2129 10 laryngeal laryngeal NN 19261 2129 11 congestion congestion NN 19261 2129 12 causing cause VBG 19261 2129 13 some some DT 19261 2129 14 hoarseness hoarseness NN 19261 2129 15 and and CC 19261 2129 16 disappearing disappear VBG 19261 2129 17 in in IN 19261 2129 18 a a DT 19261 2129 19 few few JJ 19261 2129 20 days day NNS 19261 2129 21 . . . 19261 2130 1 If if IN 19261 2130 2 dyspnea dyspnea RB 19261 2130 3 occur occur VBP 19261 2130 4 it -PRON- PRP 19261 2130 5 is be VBZ 19261 2130 6 usually usually RB 19261 2130 7 due due JJ 19261 2130 8 to to IN 19261 2130 9 ( ( -LRB- 19261 2130 10 1 1 CD 19261 2130 11 ) ) -RRB- 19261 2130 12 Drowning drown VBG 19261 2130 13 of of IN 19261 2130 14 the the DT 19261 2130 15 patient patient NN 19261 2130 16 in in IN 19261 2130 17 his -PRON- PRP$ 19261 2130 18 own own JJ 19261 2130 19 secretions secretion NNS 19261 2130 20 . . . 19261 2131 1 ( ( -LRB- 19261 2131 2 2 2 LS 19261 2131 3 ) ) -RRB- 19261 2131 4 Subglottic subglottic JJ 19261 2131 5 edema edema NN 19261 2131 6 . . . 19261 2132 1 ( ( -LRB- 19261 2132 2 3 3 LS 19261 2132 3 ) ) -RRB- 19261 2132 4 Laryngeal Laryngeal NNP 19261 2132 5 edema edema NN 19261 2132 6 . . . 19261 2133 1 _ _ NNP 19261 2133 2 Drowning Drowning NNP 19261 2133 3 of of IN 19261 2133 4 the the DT 19261 2133 5 Patient patient NN 19261 2133 6 in in IN 19261 2133 7 His -PRON- PRP$ 19261 2133 8 Own own JJ 19261 2133 9 Secretions_.--The secretions_.--the NN 19261 2133 10 accumulation accumulation NN 19261 2133 11 of of IN 19261 2133 12 secretions secretion NNS 19261 2133 13 in in IN 19261 2133 14 the the DT 19261 2133 15 bronchi bronchi NN 19261 2133 16 due due IN 19261 2133 17 to to IN 19261 2133 18 faulty faulty JJ 19261 2133 19 bechic bechic JJ 19261 2133 20 powers power NNS 19261 2133 21 and and CC 19261 2133 22 seen see VBN 19261 2133 23 most most RBS 19261 2133 24 frequently frequently RB 19261 2133 25 in in IN 19261 2133 26 children child NNS 19261 2133 27 , , , 19261 2133 28 is be VBZ 19261 2133 29 quickly quickly RB 19261 2133 30 relievable relievable JJ 19261 2133 31 by by IN 19261 2133 32 bronchoscopic bronchoscopic NNP 19261 2133 33 sponge sponge NN 19261 2133 34 - - HYPH 19261 2133 35 pumping pump VBG 19261 2133 36 or or CC 19261 2133 37 aspiration aspiration NN 19261 2133 38 through through IN 19261 2133 39 the the DT 19261 2133 40 tracheotomic tracheotomic JJ 19261 2133 41 wound wound NN 19261 2133 42 , , , 19261 2133 43 in in IN 19261 2133 44 cases case NNS 19261 2133 45 in in IN 19261 2133 46 which which WDT 19261 2133 47 the the DT 19261 2133 48 tracheotomy tracheotomy NN 19261 2133 49 may may MD 19261 2133 50 be be VB 19261 2133 51 deemed deem VBN 19261 2133 52 necessary necessary JJ 19261 2133 53 . . . 19261 2134 1 In in IN 19261 2134 2 other other JJ 19261 2134 3 cases case NNS 19261 2134 4 , , , 19261 2134 5 the the DT 19261 2134 6 aspirating aspirate VBG 19261 2134 7 bronchoscope bronchoscope NN 19261 2134 8 with with IN 19261 2134 9 side side JJ 19261 2134 10 drainage drainage NN 19261 2134 11 canal canal NN 19261 2134 12 ( ( -LRB- 19261 2134 13 Fig fig NN 19261 2134 14 . . . 19261 2135 1 1 1 LS 19261 2135 2 , , , 19261 2135 3 E e NN 19261 2135 4 ) ) -RRB- 19261 2135 5 may may MD 19261 2135 6 be be VB 19261 2135 7 used use VBN 19261 2135 8 through through IN 19261 2135 9 the the DT 19261 2135 10 larynx larynx NN 19261 2135 11 . . . 19261 2136 1 Frequent frequent JJ 19261 2136 2 peroral peroral JJ 19261 2136 3 passage passage NN 19261 2136 4 of of IN 19261 2136 5 the the DT 19261 2136 6 bronchoscope bronchoscope NN 19261 2136 7 for for IN 19261 2136 8 this this DT 19261 2136 9 purpose purpose NN 19261 2136 10 is be VBZ 19261 2136 11 contraindicated contraindicate VBN 19261 2136 12 only only RB 19261 2136 13 in in IN 19261 2136 14 case case NN 19261 2136 15 of of IN 19261 2136 16 children child NNS 19261 2136 17 under under IN 19261 2136 18 3 3 CD 19261 2136 19 years year NNS 19261 2136 20 of of IN 19261 2136 21 age age NN 19261 2136 22 , , , 19261 2136 23 because because IN 19261 2136 24 of of IN 19261 2136 25 the the DT 19261 2136 26 likelihood likelihood NN 19261 2136 27 of of IN 19261 2136 28 provoking provoke VBG 19261 2136 29 subglottic subglottic JJ 19261 2136 30 edema edema NN 19261 2136 31 . . . 19261 2137 1 In in IN 19261 2137 2 such such JJ 19261 2137 3 cases case NNS 19261 2137 4 instead instead RB 19261 2137 5 of of IN 19261 2137 6 inserting insert VBG 19261 2137 7 a a DT 19261 2137 8 bronchoscope bronchoscope NN 19261 2137 9 the the DT 19261 2137 10 aspirating aspirating NN 19261 2137 11 tube tube NN 19261 2137 12 ( ( -LRB- 19261 2137 13 Fig fig NN 19261 2137 14 . . . 19261 2138 1 9 9 LS 19261 2138 2 ) ) -RRB- 19261 2138 3 should should MD 19261 2138 4 be be VB 19261 2138 5 inserted insert VBN 19261 2138 6 through through IN 19261 2138 7 the the DT 19261 2138 8 direct direct JJ 19261 2138 9 laryngoscope laryngoscope NN 19261 2138 10 , , , 19261 2138 11 or or CC 19261 2138 12 a a DT 19261 2138 13 low low JJ 19261 2138 14 tracheotomy tracheotomy NN 19261 2138 15 should should MD 19261 2138 16 be be VB 19261 2138 17 done do VBN 19261 2138 18 . . . 19261 2139 1 _ _ NNP 19261 2139 2 Supraglottic supraglottic JJ 19261 2139 3 edema edema NN 19261 2139 4 _ _ NNP 19261 2139 5 is be VBZ 19261 2139 6 rarely rarely RB 19261 2139 7 responsible responsible JJ 19261 2139 8 for for IN 19261 2139 9 dyspnea dyspnea RB 19261 2139 10 except except IN 19261 2139 11 when when WRB 19261 2139 12 associated associate VBN 19261 2139 13 with with IN 19261 2139 14 advanced advanced JJ 19261 2139 15 nephritis nephritis NN 19261 2139 16 . . . 19261 2140 1 _ _ NNP 19261 2140 2 Subglottic subglottic JJ 19261 2140 3 edema edema NN 19261 2140 4 _ _ NNP 19261 2140 5 is be VBZ 19261 2140 6 a a DT 19261 2140 7 complication complication NN 19261 2140 8 rarely rarely RB 19261 2140 9 seen see VBN 19261 2140 10 except except IN 19261 2140 11 in in IN 19261 2140 12 children child NNS 19261 2140 13 under under IN 19261 2140 14 3 3 CD 19261 2140 15 years year NNS 19261 2140 16 of of IN 19261 2140 17 age age NN 19261 2140 18 . . . 19261 2141 1 They -PRON- PRP 19261 2141 2 have have VBP 19261 2141 3 a a DT 19261 2141 4 peculiar peculiar JJ 19261 2141 5 histologic histologic JJ 19261 2141 6 structure structure NN 19261 2141 7 in in IN 19261 2141 8 this this DT 19261 2141 9 region region NN 19261 2141 10 , , , 19261 2141 11 as as IN 19261 2141 12 is be VBZ 19261 2141 13 shown show VBN 19261 2141 14 by by IN 19261 2141 15 Logan Logan NNP 19261 2141 16 Turner Turner NNP 19261 2141 17 . . . 19261 2142 1 Even even RB 19261 2142 2 at at IN 19261 2142 3 the the DT 19261 2142 4 predisposing predisposing NN 19261 2142 5 age age NN 19261 2142 6 subglottic subglottic JJ 19261 2142 7 edema edema NN 19261 2142 8 is be VBZ 19261 2142 9 a a DT 19261 2142 10 very very RB 19261 2142 11 unusual unusual JJ 19261 2142 12 sequence sequence NN 19261 2142 13 to to TO 19261 2142 14 bronchoscopy bronchoscopy VB 19261 2142 15 if if IN 19261 2142 16 this this DT 19261 2142 17 region region NN 19261 2142 18 was be VBD 19261 2142 19 previously previously RB 19261 2142 20 normal normal JJ 19261 2142 21 . . . 19261 2143 1 The the DT 19261 2143 2 passage passage NN 19261 2143 3 of of IN 19261 2143 4 a a DT 19261 2143 5 bronchoscope bronchoscope NN 19261 2143 6 through through IN 19261 2143 7 an an DT 19261 2143 8 already already RB 19261 2143 9 inflamed inflame VBN 19261 2143 10 subglottic subglottic JJ 19261 2143 11 area area NN 19261 2143 12 is be VBZ 19261 2143 13 liable liable JJ 19261 2143 14 to to TO 19261 2143 15 be be VB 19261 2143 16 followed follow VBN 19261 2143 17 by by IN 19261 2143 18 a a DT 19261 2143 19 temporary temporary JJ 19261 2143 20 increase increase NN 19261 2143 21 in in IN 19261 2143 22 the the DT 19261 2143 23 swelling swelling NN 19261 2143 24 . . . 19261 2144 1 If if IN 19261 2144 2 the the DT 19261 2144 3 foreign foreign JJ 19261 2144 4 body body NN 19261 2144 5 be be VB 19261 2144 6 associated associate VBN 19261 2144 7 with with IN 19261 2144 8 but but CC 19261 2144 9 slight slight JJ 19261 2144 10 amount amount NN 19261 2144 11 of of IN 19261 2144 12 secretion secretion NN 19261 2144 13 , , , 19261 2144 14 the the DT 19261 2144 15 child child NN 19261 2144 16 can can MD 19261 2144 17 usually usually RB 19261 2144 18 obtain obtain VB 19261 2144 19 sufficient sufficient JJ 19261 2144 20 air air NN 19261 2144 21 through through IN 19261 2144 22 the the DT 19261 2144 23 temporarily temporarily RB 19261 2144 24 narrowed narrow VBN 19261 2144 25 lumen luman NNS 19261 2144 26 . . . 19261 2145 1 If if IN 19261 2145 2 , , , 19261 2145 3 however however RB 19261 2145 4 , , , 19261 2145 5 as as IN 19261 2145 6 in in IN 19261 2145 7 cases case NNS 19261 2145 8 of of IN 19261 2145 9 arachidic arachidic JJ 19261 2145 10 bronchitis bronchitis NN 19261 2145 11 , , , 19261 2145 12 large large JJ 19261 2145 13 amounts amount NNS 19261 2145 14 of of IN 19261 2145 15 purulent purulent NN 19261 2145 16 secretion secretion NN 19261 2145 17 must must MD 19261 2145 18 be be VB 19261 2145 19 expelled expel VBN 19261 2145 20 , , , 19261 2145 21 it -PRON- PRP 19261 2145 22 will will MD 19261 2145 23 be be VB 19261 2145 24 found find VBN 19261 2145 25 in in IN 19261 2145 26 certain certain JJ 19261 2145 27 cases case NNS 19261 2145 28 that that WDT 19261 2145 29 the the DT 19261 2145 30 decreased decrease VBN 19261 2145 31 glottic glottic JJ 19261 2145 32 lumen luman NNS 19261 2145 33 and and CC 19261 2145 34 impaired impair VBN 19261 2145 35 laryngeal laryngeal NN 19261 2145 36 motility motility NN 19261 2145 37 will will MD 19261 2145 38 render render VB 19261 2145 39 tracheotomy tracheotomy NN 19261 2145 40 necessary necessary JJ 19261 2145 41 to to TO 19261 2145 42 drain drain VB 19261 2145 43 the the DT 19261 2145 44 lungs lung NNS 19261 2145 45 and and CC 19261 2145 46 prevent prevent NN 19261 2145 47 drowning drowning NN 19261 2145 48 in in IN 19261 2145 49 the the DT 19261 2145 50 retained retain VBN 19261 2145 51 secretions secretion NNS 19261 2145 52 . . . 19261 2146 1 Subglottic subglottic JJ 19261 2146 2 edema edema NN 19261 2146 3 occurring occur VBG 19261 2146 4 in in IN 19261 2146 5 a a DT 19261 2146 6 previously previously RB 19261 2146 7 normal normal JJ 19261 2146 8 larynx larynx NN 19261 2146 9 may may MD 19261 2146 10 result result VB 19261 2146 11 from from IN 19261 2146 12 : : : 19261 2146 13 1 1 CD 19261 2146 14 . . . 19261 2147 1 The the DT 19261 2147 2 use use NN 19261 2147 3 of of IN 19261 2147 4 over over RB 19261 2147 5 - - HYPH 19261 2147 6 sized sized JJ 19261 2147 7 tubes tube NNS 19261 2147 8 . . . 19261 2148 1 2 2 LS 19261 2148 2 . . . 19261 2149 1 Prolonged prolonged JJ 19261 2149 2 bronchoscopy bronchoscopy NN 19261 2149 3 . . . 19261 2150 1 3 3 LS 19261 2150 2 . . . 19261 2151 1 Faulty faulty JJ 19261 2151 2 position position NN 19261 2151 3 of of IN 19261 2151 4 the the DT 19261 2151 5 patient patient NN 19261 2151 6 , , , 19261 2151 7 the the DT 19261 2151 8 axis axi NNS 19261 2151 9 of of IN 19261 2151 10 the the DT 19261 2151 11 tube tube NN 19261 2151 12 not not RB 19261 2151 13 being be VBG 19261 2151 14 in in IN 19261 2151 15 that that DT 19261 2151 16 of of IN 19261 2151 17 the the DT 19261 2151 18 trachea trachea NN 19261 2151 19 . . . 19261 2152 1 4 4 LS 19261 2152 2 . . . 19261 2153 1 Trauma trauma NN 19261 2153 2 from from IN 19261 2153 3 undue undue JJ 19261 2153 4 force force NN 19261 2153 5 or or CC 19261 2153 6 improper improper JJ 19261 2153 7 direction direction NN 19261 2153 8 in in IN 19261 2153 9 the the DT 19261 2153 10 insertion insertion NN 19261 2153 11 of of IN 19261 2153 12 the the DT 19261 2153 13 bronchoscope bronchoscope NN 19261 2153 14 . . . 19261 2154 1 5 5 CD 19261 2154 2 . . . 19261 2155 1 The the DT 19261 2155 2 manipulation manipulation NN 19261 2155 3 of of IN 19261 2155 4 instruments instrument NNS 19261 2155 5 . . . 19261 2156 1 6 6 CD 19261 2156 2 . . . 19261 2157 1 Trauma trauma NN 19261 2157 2 inflicted inflict VBN 19261 2157 3 in in IN 19261 2157 4 the the DT 19261 2157 5 extraction extraction NN 19261 2157 6 of of IN 19261 2157 7 the the DT 19261 2157 8 foreign foreign JJ 19261 2157 9 body body NN 19261 2157 10 . . . 19261 2158 1 _ _ NNP 19261 2158 2 Diagnosis Diagnosis NNP 19261 2158 3 _ _ NNP 19261 2158 4 must must MD 19261 2158 5 be be VB 19261 2158 6 made make VBN 19261 2158 7 without without IN 19261 2158 8 waiting wait VBG 19261 2158 9 for for IN 19261 2158 10 cyanosis cyanosis NN 19261 2158 11 which which WDT 19261 2158 12 may may MD 19261 2158 13 never never RB 19261 2158 14 appear appear VB 19261 2158 15 . . . 19261 2159 1 Pallor Pallor NNP 19261 2159 2 , , , 19261 2159 3 restlessness restlessness NN 19261 2159 4 , , , 19261 2159 5 startled startled JJ 19261 2159 6 awakening awakening NN 19261 2159 7 after after IN 19261 2159 8 a a DT 19261 2159 9 few few JJ 19261 2159 10 minutes minute NNS 19261 2159 11 sleep sleep NN 19261 2159 12 , , , 19261 2159 13 occurring occur VBG 19261 2159 14 in in IN 19261 2159 15 a a DT 19261 2159 16 child child NN 19261 2159 17 with with IN 19261 2159 18 croupy croupy NN 19261 2159 19 cough cough NN 19261 2159 20 , , , 19261 2159 21 indrawing indrawe VBG 19261 2159 22 around around IN 19261 2159 23 the the DT 19261 2159 24 clavicles clavicle NNS 19261 2159 25 , , , 19261 2159 26 in in IN 19261 2159 27 the the DT 19261 2159 28 intercostal intercostal JJ 19261 2159 29 spaces space NNS 19261 2159 30 , , , 19261 2159 31 at at IN 19261 2159 32 the the DT 19261 2159 33 suprasternal suprasternal JJ 19261 2159 34 notch notch NN 19261 2159 35 and and CC 19261 2159 36 at at IN 19261 2159 37 the the DT 19261 2159 38 epigastrium epigastrium NN 19261 2159 39 , , , 19261 2159 40 call call VB 19261 2159 41 for for IN 19261 2159 42 tracheotomy tracheotomy NN 19261 2159 43 which which WDT 19261 2159 44 should should MD 19261 2159 45 always always RB 19261 2159 46 be be VB 19261 2159 47 low low JJ 19261 2159 48 . . . 19261 2160 1 Such such PDT 19261 2160 2 a a DT 19261 2160 3 case case NN 19261 2160 4 should should MD 19261 2160 5 not not RB 19261 2160 6 be be VB 19261 2160 7 left leave VBN 19261 2160 8 unwatched unwatched JJ 19261 2160 9 . . . 19261 2161 1 The the DT 19261 2161 2 child child NN 19261 2161 3 will will MD 19261 2161 4 become become VB 19261 2161 5 exhausted exhausted JJ 19261 2161 6 in in IN 19261 2161 7 its -PRON- PRP$ 19261 2161 8 fight fight NN 19261 2161 9 for for IN 19261 2161 10 air air NN 19261 2161 11 and and CC 19261 2161 12 will will MD 19261 2161 13 give give VB 19261 2161 14 up up RP 19261 2161 15 and and CC 19261 2161 16 die die VB 19261 2161 17 . . . 19261 2162 1 The the DT 19261 2162 2 respiratory respiratory JJ 19261 2162 3 rate rate NN 19261 2162 4 naturally naturally RB 19261 2162 5 increases increase VBZ 19261 2162 6 because because IN 19261 2162 7 of of IN 19261 2162 8 air air NN 19261 2162 9 hunger hunger NN 19261 2162 10 , , , 19261 2162 11 accumulating accumulate VBG 19261 2162 12 secretions secretion NNS 19261 2162 13 that that WDT 19261 2162 14 can can MD 19261 2162 15 not not RB 19261 2162 16 be be VB 19261 2162 17 expelled expel VBN 19261 2162 18 because because IN 19261 2162 19 of of IN 19261 2162 20 impaired impaired JJ 19261 2162 21 glottic glottic JJ 19261 2162 22 motility motility NN 19261 2162 23 give give VB 19261 2162 24 signs sign NNS 19261 2162 25 wrongly wrongly RB 19261 2162 26 interpreted interpret VBN 19261 2162 27 as as IN 19261 2162 28 pneumonia pneumonia NN 19261 2162 29 . . . 19261 2163 1 Many many JJ 19261 2163 2 children child NNS 19261 2163 3 whose whose WP$ 19261 2163 4 lives life NNS 19261 2163 5 could could MD 19261 2163 6 have have VB 19261 2163 7 been be VBN 19261 2163 8 saved save VBN 19261 2163 9 by by IN 19261 2163 10 tracheotomy tracheotomy NN 19261 2163 11 have have VBP 19261 2163 12 died die VBN 19261 2163 13 under under IN 19261 2163 14 this this DT 19261 2163 15 erroneous erroneous JJ 19261 2163 16 diagnosis diagnosis NN 19261 2163 17 . . . 19261 2164 1 _ _ NNP 19261 2164 2 Treatment_.--Intubation treatment_.--intubation NN 19261 2164 3 is be VBZ 19261 2164 4 not not RB 19261 2164 5 so so RB 19261 2164 6 safe safe JJ 19261 2164 7 because because IN 19261 2164 8 the the DT 19261 2164 9 secretions secretion NNS 19261 2164 10 can can MD 19261 2164 11 not not RB 19261 2164 12 easily easily RB 19261 2164 13 be be VB 19261 2164 14 expelled expel VBN 19261 2164 15 through through IN 19261 2164 16 the the DT 19261 2164 17 tube tube NN 19261 2164 18 and and CC 19261 2164 19 postintubational postintubational JJ 19261 2164 20 stenosis stenosis NN 19261 2164 21 may may MD 19261 2164 22 be be VB 19261 2164 23 produced produce VBN 19261 2164 24 . . . 19261 2165 1 Low low JJ 19261 2165 2 tracheotomy tracheotomy NN 19261 2165 3 , , , 19261 2165 4 the the DT 19261 2165 5 tracheal tracheal NN 19261 2165 6 incision incision NN 19261 2165 7 always always RB 19261 2165 8 below below IN 19261 2165 9 the the DT 19261 2165 10 second second JJ 19261 2165 11 ring ring NN 19261 2165 12 , , , 19261 2165 13 is be VBZ 19261 2165 14 the the DT 19261 2165 15 safest safe JJS 19261 2165 16 and and CC 19261 2165 17 best good JJS 19261 2165 18 method method NN 19261 2165 19 of of IN 19261 2165 20 treatment treatment NN 19261 2165 21 . . . 19261 2166 1 [ [ -LRB- 19261 2166 2 156 156 CD 19261 2166 3 ] ] -RRB- 19261 2166 4 CHAPTER CHAPTER NNP 19261 2166 5 XIV xiv NN 19261 2166 6 -- -- : 19261 2166 7 REMOVAL REMOVAL NNP 19261 2166 8 OF of IN 19261 2166 9 FOREIGN foreign JJ 19261 2166 10 BODIES body NNS 19261 2166 11 FROM from IN 19261 2166 12 THE the DT 19261 2166 13 LARYNX LARYNX NNP 19261 2166 14 _ _ NNP 19261 2166 15 Symptoms Symptoms NNPS 19261 2166 16 and and CC 19261 2166 17 Diagnosis_.--The diagnosis_.--the CD 19261 2166 18 history history NN 19261 2166 19 of of IN 19261 2166 20 a a DT 19261 2166 21 sudden sudden JJ 19261 2166 22 choking choking JJ 19261 2166 23 attack attack NN 19261 2166 24 followed follow VBN 19261 2166 25 by by IN 19261 2166 26 impairment impairment NN 19261 2166 27 of of IN 19261 2166 28 voice voice NN 19261 2166 29 , , , 19261 2166 30 wheezing wheezing NN 19261 2166 31 , , , 19261 2166 32 and and CC 19261 2166 33 more more RBR 19261 2166 34 or or CC 19261 2166 35 less less RBR 19261 2166 36 dyspnea dyspnea JJ 19261 2166 37 can can MD 19261 2166 38 be be VB 19261 2166 39 usually usually RB 19261 2166 40 elicited elicit VBN 19261 2166 41 . . . 19261 2167 1 Laryngeal Laryngeal NNP 19261 2167 2 diphtheria diphtheria NN 19261 2167 3 is be VBZ 19261 2167 4 the the DT 19261 2167 5 condition condition NN 19261 2167 6 most most RBS 19261 2167 7 frequently frequently RB 19261 2167 8 thought think VBN 19261 2167 9 of of IN 19261 2167 10 when when WRB 19261 2167 11 these these DT 19261 2167 12 symptoms symptom NNS 19261 2167 13 are be VBP 19261 2167 14 present present JJ 19261 2167 15 , , , 19261 2167 16 and and CC 19261 2167 17 antitoxin antitoxin NN 19261 2167 18 is be VBZ 19261 2167 19 rightly rightly RB 19261 2167 20 given give VBN 19261 2167 21 while while IN 19261 2167 22 waiting wait VBG 19261 2167 23 for for IN 19261 2167 24 a a DT 19261 2167 25 positive positive JJ 19261 2167 26 diagnosis diagnosis NN 19261 2167 27 . . . 19261 2168 1 Extreme extreme JJ 19261 2168 2 dyspnea dyspnea NN 19261 2168 3 may may MD 19261 2168 4 render render VB 19261 2168 5 tracheotomy tracheotomy NN 19261 2168 6 urgently urgently RB 19261 2168 7 demanded demand VBD 19261 2168 8 before before IN 19261 2168 9 any any DT 19261 2168 10 attempts attempt NNS 19261 2168 11 at at IN 19261 2168 12 diagnosis diagnosis NN 19261 2168 13 are be VBP 19261 2168 14 made make VBN 19261 2168 15 . . . 19261 2169 1 Further further JJ 19261 2169 2 consideration consideration NN 19261 2169 3 of of IN 19261 2169 4 the the DT 19261 2169 5 symptomatology symptomatology NN 19261 2169 6 and and CC 19261 2169 7 diagnosis diagnosis NN 19261 2169 8 of of IN 19261 2169 9 laryngeal laryngeal JJ 19261 2169 10 foreign foreign JJ 19261 2169 11 body body NN 19261 2169 12 will will MD 19261 2169 13 be be VB 19261 2169 14 found find VBN 19261 2169 15 on on IN 19261 2169 16 pages page NNS 19261 2169 17 128 128 CD 19261 2169 18 , , , 19261 2169 19 133 133 CD 19261 2169 20 and and CC 19261 2169 21 143 143 CD 19261 2169 22 . . . 19261 2170 1 _ _ NNP 19261 2170 2 Preliminary Preliminary NNP 19261 2170 3 Examination_.--In Examination_.--In NNP 19261 2170 4 the the DT 19261 2170 5 adult adult NN 19261 2170 6 , , , 19261 2170 7 mirror mirror NN 19261 2170 8 examination examination NN 19261 2170 9 of of IN 19261 2170 10 the the DT 19261 2170 11 larynx larynx NN 19261 2170 12 should should MD 19261 2170 13 be be VB 19261 2170 14 done do VBN 19261 2170 15 , , , 19261 2170 16 the the DT 19261 2170 17 patient patient NN 19261 2170 18 being be VBG 19261 2170 19 placed place VBN 19261 2170 20 in in IN 19261 2170 21 the the DT 19261 2170 22 recumbent recumbent JJ 19261 2170 23 position position NN 19261 2170 24 . . . 19261 2171 1 Whenever whenever WRB 19261 2171 2 time time NN 19261 2171 3 permits permit VBZ 19261 2171 4 roentgenograms roentgenogram NNS 19261 2171 5 , , , 19261 2171 6 lateral lateral JJ 19261 2171 7 and and CC 19261 2171 8 anteroposterior anteroposterior JJ 19261 2171 9 , , , 19261 2171 10 should should MD 19261 2171 11 be be VB 19261 2171 12 made make VBN 19261 2171 13 , , , 19261 2171 14 the the DT 19261 2171 15 lateral lateral JJ 19261 2171 16 one one NN 19261 2171 17 as as RB 19261 2171 18 low low JJ 19261 2171 19 in in IN 19261 2171 20 the the DT 19261 2171 21 neck neck NN 19261 2171 22 as as IN 19261 2171 23 possible possible JJ 19261 2171 24 . . . 19261 2172 1 One one PRP 19261 2172 2 might may MD 19261 2172 3 think think VB 19261 2172 4 this this DT 19261 2172 5 an an DT 19261 2172 6 unnecessary unnecessary JJ 19261 2172 7 procedure procedure NN 19261 2172 8 because because IN 19261 2172 9 of of IN 19261 2172 10 the the DT 19261 2172 11 visibility visibility NN 19261 2172 12 of of IN 19261 2172 13 the the DT 19261 2172 14 larynx larynx NN 19261 2172 15 in in IN 19261 2172 16 the the DT 19261 2172 17 mirror mirror NN 19261 2172 18 ; ; : 19261 2172 19 but but CC 19261 2172 20 a a DT 19261 2172 21 child child NN 19261 2172 22 's 's POS 19261 2172 23 larynx larynx NN 19261 2172 24 can can MD 19261 2172 25 not not RB 19261 2172 26 usually usually RB 19261 2172 27 be be VB 19261 2172 28 indirectly indirectly RB 19261 2172 29 examined examine VBN 19261 2172 30 , , , 19261 2172 31 and and CC 19261 2172 32 even even RB 19261 2172 33 in in IN 19261 2172 34 the the DT 19261 2172 35 adult adult NN 19261 2172 36 a a DT 19261 2172 37 pin pin NN 19261 2172 38 may may MD 19261 2172 39 be be VB 19261 2172 40 so so RB 19261 2172 41 situated situated JJ 19261 2172 42 that that IN 19261 2172 43 neither neither DT 19261 2172 44 head head NN 19261 2172 45 nor nor CC 19261 2172 46 point point NN 19261 2172 47 is be VBZ 19261 2172 48 visible visible JJ 19261 2172 49 , , , 19261 2172 50 only only RB 19261 2172 51 a a DT 19261 2172 52 portion portion NN 19261 2172 53 of of IN 19261 2172 54 the the DT 19261 2172 55 shaft shaft NN 19261 2172 56 being being NN 19261 2172 57 seen see VBN 19261 2172 58 . . . 19261 2173 1 The the DT 19261 2173 2 roentgenogram roentgenogram NN 19261 2173 3 will will MD 19261 2173 4 give give VB 19261 2173 5 accurate accurate JJ 19261 2173 6 information information NN 19261 2173 7 as as IN 19261 2173 8 to to IN 19261 2173 9 the the DT 19261 2173 10 position position NN 19261 2173 11 , , , 19261 2173 12 and and CC 19261 2173 13 will will MD 19261 2173 14 thus thus RB 19261 2173 15 allow allow VB 19261 2173 16 a a DT 19261 2173 17 planning planning NN 19261 2173 18 of of IN 19261 2173 19 the the DT 19261 2173 20 best good JJS 19261 2173 21 method method NN 19261 2173 22 for for IN 19261 2173 23 removal removal NN 19261 2173 24 of of IN 19261 2173 25 the the DT 19261 2173 26 foreign foreign JJ 19261 2173 27 body body NN 19261 2173 28 . . . 19261 2174 1 A a DT 19261 2174 2 bone bone NN 19261 2174 3 in in IN 19261 2174 4 the the DT 19261 2174 5 larynx larynx NN 19261 2174 6 usually usually RB 19261 2174 7 is be VBZ 19261 2174 8 visible visible JJ 19261 2174 9 in in IN 19261 2174 10 a a DT 19261 2174 11 good good JJ 19261 2174 12 roentgenogram roentgenogram NN 19261 2174 13 . . . 19261 2175 1 Accurate accurate JJ 19261 2175 2 diagnosis diagnosis NN 19261 2175 3 in in IN 19261 2175 4 children child NNS 19261 2175 5 is be VBZ 19261 2175 6 made make VBN 19261 2175 7 by by IN 19261 2175 8 direct direct JJ 19261 2175 9 laryngoscopy laryngoscopy NN 19261 2175 10 without without IN 19261 2175 11 anesthesia anesthesia NNP 19261 2175 12 , , , 19261 2175 13 but but CC 19261 2175 14 direct direct JJ 19261 2175 15 laryngoscopy laryngoscopy NN 19261 2175 16 should should MD 19261 2175 17 not not RB 19261 2175 18 be be VB 19261 2175 19 done do VBN 19261 2175 20 until until IN 19261 2175 21 one one CD 19261 2175 22 is be VBZ 19261 2175 23 prepared prepared JJ 19261 2175 24 to to TO 19261 2175 25 remove remove VB 19261 2175 26 a a DT 19261 2175 27 foreign foreign JJ 19261 2175 28 body body NN 19261 2175 29 if if IN 19261 2175 30 found find VBN 19261 2175 31 , , , 19261 2175 32 to to TO 19261 2175 33 follow follow VB 19261 2175 34 it -PRON- PRP 19261 2175 35 into into IN 19261 2175 36 the the DT 19261 2175 37 bronchus bronchu NNS 19261 2175 38 and and CC 19261 2175 39 remove remove VB 19261 2175 40 it -PRON- PRP 19261 2175 41 if if IN 19261 2175 42 it -PRON- PRP 19261 2175 43 should should MD 19261 2175 44 be be VB 19261 2175 45 dislodged dislodge VBN 19261 2175 46 and and CC 19261 2175 47 aspirated aspirate VBN 19261 2175 48 , , , 19261 2175 49 and and CC 19261 2175 50 to to TO 19261 2175 51 do do VB 19261 2175 52 tracheotomy tracheotomy NN 19261 2175 53 if if IN 19261 2175 54 sudden sudden JJ 19261 2175 55 respiratory respiratory JJ 19261 2175 56 arrest arrest NN 19261 2175 57 occur occur VBP 19261 2175 58 . . . 19261 2176 1 [ [ -LRB- 19261 2176 2 157 157 CD 19261 2176 3 ] ] -RRB- 19261 2176 4 _ _ NNP 19261 2176 5 Technic Technic NNP 19261 2176 6 of of IN 19261 2176 7 Removal Removal NNP 19261 2176 8 of of IN 19261 2176 9 Foreign Foreign NNP 19261 2176 10 Bodies Bodies NNPS 19261 2176 11 from from IN 19261 2176 12 the the DT 19261 2176 13 Larynx_.--The Larynx_.--The NNP 19261 2176 14 patient patient NN 19261 2176 15 is be VBZ 19261 2176 16 to to TO 19261 2176 17 be be VB 19261 2176 18 placed place VBN 19261 2176 19 in in IN 19261 2176 20 the the DT 19261 2176 21 author author NN 19261 2176 22 's 's POS 19261 2176 23 position position NN 19261 2176 24 , , , 19261 2176 25 shown show VBN 19261 2176 26 in in IN 19261 2176 27 Fig Fig NNP 19261 2176 28 . . . 19261 2177 1 53 53 CD 19261 2177 2 . . . 19261 2178 1 No no DT 19261 2178 2 general general JJ 19261 2178 3 anesthesia anesthesia NNP 19261 2178 4 should should MD 19261 2178 5 be be VB 19261 2178 6 given give VBN 19261 2178 7 , , , 19261 2178 8 and and CC 19261 2178 9 the the DT 19261 2178 10 application application NN 19261 2178 11 of of IN 19261 2178 12 local local JJ 19261 2178 13 anesthesia anesthesia NNS 19261 2178 14 is be VBZ 19261 2178 15 usually usually RB 19261 2178 16 unnecessary unnecessary JJ 19261 2178 17 and and CC 19261 2178 18 further further JJ 19261 2178 19 , , , 19261 2178 20 is be VBZ 19261 2178 21 liable liable JJ 19261 2178 22 to to TO 19261 2178 23 dislodge dislodge VB 19261 2178 24 and and CC 19261 2178 25 push push VB 19261 2178 26 down down RP 19261 2178 27 the the DT 19261 2178 28 foreign foreign JJ 19261 2178 29 body body NN 19261 2178 30 . . . 19261 2179 1 * * NFP 19261 2179 2 Because because IN 19261 2179 3 of of IN 19261 2179 4 the the DT 19261 2179 5 risk risk NN 19261 2179 6 of of IN 19261 2179 7 loss loss NN 19261 2179 8 downward downward RB 19261 2179 9 it -PRON- PRP 19261 2179 10 is be VBZ 19261 2179 11 best good JJS 19261 2179 12 to to TO 19261 2179 13 seize seize VB 19261 2179 14 the the DT 19261 2179 15 foreign foreign JJ 19261 2179 16 body body NN 19261 2179 17 as as RB 19261 2179 18 soon soon RB 19261 2179 19 as as IN 19261 2179 20 seen see VBN 19261 2179 21 ; ; : 19261 2179 22 then then RB 19261 2179 23 to to TO 19261 2179 24 determine determine VB 19261 2179 25 how how WRB 19261 2179 26 best well RBS 19261 2179 27 to to TO 19261 2179 28 disimpact disimpact VB 19261 2179 29 it -PRON- PRP 19261 2179 30 . . . 19261 2180 1 The the DT 19261 2180 2 fundamental fundamental JJ 19261 2180 3 principles principle NNS 19261 2180 4 are be VBP 19261 2180 5 that that IN 19261 2180 6 a a DT 19261 2180 7 pointed pointed JJ 19261 2180 8 object object NN 19261 2180 9 must must MD 19261 2180 10 either either CC 19261 2180 11 have have VB 19261 2180 12 its -PRON- PRP$ 19261 2180 13 point point NN 19261 2180 14 protected protect VBN 19261 2180 15 by by IN 19261 2180 16 the the DT 19261 2180 17 forceps forceps NNP 19261 2180 18 grasp grasp NNP 19261 2180 19 or or CC 19261 2180 20 be be VB 19261 2180 21 brought bring VBN 19261 2180 22 out out RP 19261 2180 23 point point NN 19261 2180 24 trailing trailing NN 19261 2180 25 , , , 19261 2180 26 and and CC 19261 2180 27 that that IN 19261 2180 28 a a DT 19261 2180 29 flat flat JJ 19261 2180 30 object object NN 19261 2180 31 must must MD 19261 2180 32 be be VB 19261 2180 33 so so RB 19261 2180 34 rotated rotate VBN 19261 2180 35 that that IN 19261 2180 36 its -PRON- PRP$ 19261 2180 37 plane plane NN 19261 2180 38 corresponds correspond VBZ 19261 2180 39 to to IN 19261 2180 40 the the DT 19261 2180 41 sagittal sagittal JJ 19261 2180 42 plane plane NN 19261 2180 43 of of IN 19261 2180 44 the the DT 19261 2180 45 glottic glottic JJ 19261 2180 46 chink chink NN 19261 2180 47 . . . 19261 2181 1 The the DT 19261 2181 2 laryngeal laryngeal NN 19261 2181 3 grasping grasp VBG 19261 2181 4 forceps forceps NNP 19261 2181 5 ( ( -LRB- 19261 2181 6 Fig fig NN 19261 2181 7 . . . 19261 2182 1 53 53 LS 19261 2182 2 ) ) -RRB- 19261 2182 3 will will MD 19261 2182 4 be be VB 19261 2182 5 found find VBN 19261 2182 6 the the DT 19261 2182 7 most most RBS 19261 2182 8 useful useful JJ 19261 2182 9 , , , 19261 2182 10 although although IN 19261 2182 11 the the DT 19261 2182 12 alligator alligator NN 19261 2182 13 rotation rotation NN 19261 2182 14 forceps forceps NNP 19261 2182 15 ( ( -LRB- 19261 2182 16 Fig fig NN 19261 2182 17 . . . 19261 2183 1 31 31 LS 19261 2183 2 ) ) -RRB- 19261 2183 3 may may MD 19261 2183 4 occasionally occasionally RB 19261 2183 5 be be VB 19261 2183 6 required require VBN 19261 2183 7 . . . 19261 2184 1 * * NFP 19261 2184 2 In in IN 19261 2184 3 adolescents adolescent NNS 19261 2184 4 or or CC 19261 2184 5 adults adult NNS 19261 2184 6 a a DT 19261 2184 7 few few JJ 19261 2184 8 drops drop NNS 19261 2184 9 of of IN 19261 2184 10 a a DT 19261 2184 11 4 4 CD 19261 2184 12 per per NN 19261 2184 13 cent cent NN 19261 2184 14 solution solution NN 19261 2184 15 of of IN 19261 2184 16 cocain cocain NN 19261 2184 17 applied apply VBN 19261 2184 18 to to IN 19261 2184 19 the the DT 19261 2184 20 laryngopharynx laryngopharynx NN 19261 2184 21 with with IN 19261 2184 22 an an DT 19261 2184 23 atomizer atomizer NN 19261 2184 24 or or CC 19261 2184 25 a a DT 19261 2184 26 dropper dropper NN 19261 2184 27 will will MD 19261 2184 28 afford afford VB 19261 2184 29 the the DT 19261 2184 30 minimum minimum JJ 19261 2184 31 risk risk NN 19261 2184 32 of of IN 19261 2184 33 dislodgement dislodgement NN 19261 2184 34 ; ; : 19261 2184 35 but but CC 19261 2184 36 the the DT 19261 2184 37 author author NN 19261 2184 38 's 's POS 19261 2184 39 personal personal JJ 19261 2184 40 preference preference NN 19261 2184 41 is be VBZ 19261 2184 42 for for IN 19261 2184 43 no no DT 19261 2184 44 anesthesia anesthesia NNP 19261 2184 45 , , , 19261 2184 46 general general JJ 19261 2184 47 or or CC 19261 2184 48 local local JJ 19261 2184 49 . . . 19261 2185 1 [ [ -LRB- 19261 2185 2 158 158 CD 19261 2185 3 ] ] -RRB- 19261 2185 4 CHAPTER CHAPTER NNP 19261 2185 5 XV XV NNP 19261 2185 6 -- -- : 19261 2185 7 MECHANICAL MECHANICAL NNP 19261 2185 8 PROBLEMS PROBLEMS NNP 19261 2185 9 OF of IN 19261 2185 10 BRONCHOSCOPIC BRONCHOSCOPIC NNP 19261 2185 11 FOREIGN FOREIGN NNP 19261 2185 12 BODY BODY NNP 19261 2185 13 EXTRACTION extraction NN 19261 2185 14 * * NFP 19261 2185 15 * * NFP 19261 2185 16 For for IN 19261 2185 17 more more JJR 19261 2185 18 extensive extensive JJ 19261 2185 19 consideration consideration NN 19261 2185 20 of of IN 19261 2185 21 mechanical mechanical JJ 19261 2185 22 problems problem NNS 19261 2185 23 than than IN 19261 2185 24 is be VBZ 19261 2185 25 here here RB 19261 2185 26 possible possible JJ 19261 2185 27 the the DT 19261 2185 28 reader reader NN 19261 2185 29 is be VBZ 19261 2185 30 referred refer VBN 19261 2185 31 to to IN 19261 2185 32 the the DT 19261 2185 33 Bibliography Bibliography NNP 19261 2185 34 , , , 19261 2185 35 page page NN 19261 2185 36 311 311 CD 19261 2185 37 , , , 19261 2185 38 especially especially RB 19261 2185 39 reference reference NN 19261 2185 40 numbers number NNS 19261 2185 41 1 1 CD 19261 2185 42 , , , 19261 2185 43 11 11 CD 19261 2185 44 , , , 19261 2185 45 37 37 CD 19261 2185 46 and and CC 19261 2185 47 56 56 CD 19261 2185 48 . . . 19261 2186 1 The the DT 19261 2186 2 endoscopic endoscopic JJ 19261 2186 3 extraction extraction NN 19261 2186 4 of of IN 19261 2186 5 a a DT 19261 2186 6 foreign foreign JJ 19261 2186 7 body body NN 19261 2186 8 is be VBZ 19261 2186 9 a a DT 19261 2186 10 mechanical mechanical JJ 19261 2186 11 problem problem NN 19261 2186 12 pure pure JJ 19261 2186 13 and and CC 19261 2186 14 simple simple JJ 19261 2186 15 , , , 19261 2186 16 and and CC 19261 2186 17 must must MD 19261 2186 18 be be VB 19261 2186 19 studied study VBN 19261 2186 20 from from IN 19261 2186 21 this this DT 19261 2186 22 viewpoint viewpoint NN 19261 2186 23 . . . 19261 2187 1 Hasty hasty JJ 19261 2187 2 , , , 19261 2187 3 ill ill RB 19261 2187 4 - - HYPH 19261 2187 5 equipped equipped JJ 19261 2187 6 , , , 19261 2187 7 ill ill RB 19261 2187 8 - - HYPH 19261 2187 9 planned planned JJ 19261 2187 10 , , , 19261 2187 11 or or CC 19261 2187 12 violent violent JJ 19261 2187 13 endoscopy endoscopy NN 19261 2187 14 on on IN 19261 2187 15 the the DT 19261 2187 16 erroneous erroneous JJ 19261 2187 17 principle principle NN 19261 2187 18 that that IN 19261 2187 19 if if IN 19261 2187 20 not not RB 19261 2187 21 immediately immediately RB 19261 2187 22 removed remove VBD 19261 2187 23 the the DT 19261 2187 24 foreign foreign JJ 19261 2187 25 body body NN 19261 2187 26 will will MD 19261 2187 27 be be VB 19261 2187 28 fatal fatal JJ 19261 2187 29 , , , 19261 2187 30 is be VBZ 19261 2187 31 never never RB 19261 2187 32 justifiable justifiable JJ 19261 2187 33 . . . 19261 2188 1 While while IN 19261 2188 2 the the DT 19261 2188 3 lodgement lodgement NN 19261 2188 4 of of IN 19261 2188 5 an an DT 19261 2188 6 organic organic JJ 19261 2188 7 foreign foreign JJ 19261 2188 8 body body NN 19261 2188 9 ( ( -LRB- 19261 2188 10 such such JJ 19261 2188 11 as as IN 19261 2188 12 a a DT 19261 2188 13 nut nut NN 19261 2188 14 kernel kernel NN 19261 2188 15 ) ) -RRB- 19261 2188 16 in in IN 19261 2188 17 the the DT 19261 2188 18 bronchus bronchus NN 19261 2188 19 calls call VBZ 19261 2188 20 for for IN 19261 2188 21 prompt prompt JJ 19261 2188 22 removal removal NN 19261 2188 23 and and CC 19261 2188 24 might may MD 19261 2188 25 be be VB 19261 2188 26 included include VBN 19261 2188 27 under under IN 19261 2188 28 the the DT 19261 2188 29 list list NN 19261 2188 30 of of IN 19261 2188 31 emergency emergency NN 19261 2188 32 operations operation NNS 19261 2188 33 , , , 19261 2188 34 time time NN 19261 2188 35 is be VBZ 19261 2188 36 always always RB 19261 2188 37 available available JJ 19261 2188 38 for for IN 19261 2188 39 complete complete JJ 19261 2188 40 preparation preparation NN 19261 2188 41 , , , 19261 2188 42 for for IN 19261 2188 43 thorough thorough JJ 19261 2188 44 study study NN 19261 2188 45 of of IN 19261 2188 46 the the DT 19261 2188 47 patient patient NN 19261 2188 48 , , , 19261 2188 49 and and CC 19261 2188 50 localization localization NN 19261 2188 51 of of IN 19261 2188 52 the the DT 19261 2188 53 intruder intruder NN 19261 2188 54 . . . 19261 2189 1 The the DT 19261 2189 2 patient patient NN 19261 2189 3 is be VBZ 19261 2189 4 better well JJR 19261 2189 5 off off RP 19261 2189 6 with with IN 19261 2189 7 the the DT 19261 2189 8 foreign foreign JJ 19261 2189 9 body body NN 19261 2189 10 in in IN 19261 2189 11 the the DT 19261 2189 12 lung lung NN 19261 2189 13 than than IN 19261 2189 14 if if IN 19261 2189 15 in in IN 19261 2189 16 its -PRON- PRP$ 19261 2189 17 removal removal NN 19261 2189 18 a a DT 19261 2189 19 mediastinitis mediastinitis NN 19261 2189 20 , , , 19261 2189 21 rupture rupture NN 19261 2189 22 into into IN 19261 2189 23 the the DT 19261 2189 24 pleura pleura NN 19261 2189 25 , , , 19261 2189 26 or or CC 19261 2189 27 tearing tearing NN 19261 2189 28 of of IN 19261 2189 29 a a DT 19261 2189 30 thoracic thoracic NNP 19261 2189 31 blood blood NN 19261 2189 32 vessel vessel NN 19261 2189 33 has have VBZ 19261 2189 34 resulted result VBN 19261 2189 35 . . . 19261 2190 1 The the DT 19261 2190 2 motto motto NN 19261 2190 3 of of IN 19261 2190 4 the the DT 19261 2190 5 endoscopist endoscopist NN 19261 2190 6 should should MD 19261 2190 7 be be VB 19261 2190 8 " " `` 19261 2190 9 I -PRON- PRP 19261 2190 10 will will MD 19261 2190 11 do do VB 19261 2190 12 no no DT 19261 2190 13 harm harm NN 19261 2190 14 . . . 19261 2190 15 " " '' 19261 2191 1 If if IN 19261 2191 2 no no DT 19261 2191 3 harm harm NN 19261 2191 4 be be VB 19261 2191 5 inflicted inflict VBN 19261 2191 6 , , , 19261 2191 7 any any DT 19261 2191 8 number number NN 19261 2191 9 of of IN 19261 2191 10 bronchoscopies bronchoscopie NNS 19261 2191 11 can can MD 19261 2191 12 be be VB 19261 2191 13 done do VBN 19261 2191 14 at at IN 19261 2191 15 suitable suitable JJ 19261 2191 16 intervals interval NNS 19261 2191 17 , , , 19261 2191 18 and and CC 19261 2191 19 eventually eventually RB 19261 2191 20 success success NN 19261 2191 21 will will MD 19261 2191 22 be be VB 19261 2191 23 achieved achieve VBN 19261 2191 24 , , , 19261 2191 25 whereas whereas IN 19261 2191 26 if if IN 19261 2191 27 mortality mortality NN 19261 2191 28 results result NNS 19261 2191 29 , , , 19261 2191 30 all all DT 19261 2191 31 opportunity opportunity NN 19261 2191 32 ceases cease VBZ 19261 2191 33 . . . 19261 2192 1 The the DT 19261 2192 2 first first JJ 19261 2192 3 step step NN 19261 2192 4 in in IN 19261 2192 5 the the DT 19261 2192 6 solution solution NN 19261 2192 7 of of IN 19261 2192 8 the the DT 19261 2192 9 mechanical mechanical JJ 19261 2192 10 problem problem NN 19261 2192 11 is be VBZ 19261 2192 12 the the DT 19261 2192 13 study study NN 19261 2192 14 of of IN 19261 2192 15 the the DT 19261 2192 16 roentgenograms roentgenogram NNS 19261 2192 17 made make VBN 19261 2192 18 in in RP 19261 2192 19 at at RB 19261 2192 20 least least RBS 19261 2192 21 three three CD 19261 2192 22 planes plane NNS 19261 2192 23 ; ; , 19261 2192 24 ( ( -LRB- 19261 2192 25 1 1 LS 19261 2192 26 ) ) -RRB- 19261 2192 27 anteroposterior anteroposterior NN 19261 2192 28 , , , 19261 2192 29 ( ( -LRB- 19261 2192 30 2 2 LS 19261 2192 31 ) ) -RRB- 19261 2192 32 lateral lateral JJ 19261 2192 33 , , , 19261 2192 34 and and CC 19261 2192 35 ( ( -LRB- 19261 2192 36 3 3 LS 19261 2192 37 ) ) -RRB- 19261 2192 38 the the DT 19261 2192 39 plane plane NN 19261 2192 40 corresponding correspond VBG 19261 2192 41 to to IN 19261 2192 42 the the DT 19261 2192 43 greatest great JJS 19261 2192 44 plane plane NN 19261 2192 45 of of IN 19261 2192 46 the the DT 19261 2192 47 foreign foreign JJ 19261 2192 48 body body NN 19261 2192 49 . . . 19261 2193 1 The the DT 19261 2193 2 next next JJ 19261 2193 3 step step NN 19261 2193 4 is be VBZ 19261 2193 5 to to TO 19261 2193 6 put put VB 19261 2193 7 a a DT 19261 2193 8 duplicate duplicate NN 19261 2193 9 of of IN 19261 2193 10 the the DT 19261 2193 11 foreign foreign JJ 19261 2193 12 body body NN 19261 2193 13 into into IN 19261 2193 14 the the DT 19261 2193 15 rubber rubber NN 19261 2193 16 - - HYPH 19261 2193 17 tube tube NN 19261 2193 18 manikin manikin NNP 19261 2193 19 previously previously RB 19261 2193 20 referred refer VBD 19261 2193 21 to to IN 19261 2193 22 , , , 19261 2193 23 and and CC 19261 2193 24 try try VB 19261 2193 25 to to TO 19261 2193 26 simulate simulate VB 19261 2193 27 the the DT 19261 2193 28 probable probable JJ 19261 2193 29 position position NN 19261 2193 30 shown show VBN 19261 2193 31 by by IN 19261 2193 32 the the DT 19261 2193 33 ray ray NN 19261 2193 34 , , , 19261 2193 35 so so IN 19261 2193 36 as as IN 19261 2193 37 to to TO 19261 2193 38 get get VB 19261 2193 39 an an DT 19261 2193 40 idea idea NN 19261 2193 41 of of IN 19261 2193 42 the the DT 19261 2193 43 bronchoscopic bronchoscopic JJ 19261 2193 44 appearance appearance NN 19261 2193 45 of of IN 19261 2193 46 the the DT 19261 2193 47 probable probable JJ 19261 2193 48 presentation presentation NN 19261 2193 49 . . . 19261 2194 1 Then then RB 19261 2194 2 the the DT 19261 2194 3 duplicate duplicate JJ 19261 2194 4 foreign foreign JJ 19261 2194 5 body body NN 19261 2194 6 is be VBZ 19261 2194 7 turned turn VBN 19261 2194 8 into into IN 19261 2194 9 as as RB 19261 2194 10 many many JJ 19261 2194 11 different different JJ 19261 2194 12 positions position NNS 19261 2194 13 as as IN 19261 2194 14 possible possible JJ 19261 2194 15 , , , 19261 2194 16 so so IN 19261 2194 17 as as IN 19261 2194 18 to to TO 19261 2194 19 educate educate VB 19261 2194 20 the the DT 19261 2194 21 eye eye NN 19261 2194 22 to to TO 19261 2194 23 assist assist VB 19261 2194 24 in in IN 19261 2194 25 the the DT 19261 2194 26 comprehension comprehension NN 19261 2194 27 of of IN 19261 2194 28 the the DT 19261 2194 29 largest large JJS 19261 2194 30 possible possible JJ 19261 2194 31 number number NN 19261 2194 32 of of IN 19261 2194 33 presentations presentation NNS 19261 2194 34 that that WDT 19261 2194 35 may may MD 19261 2194 36 be be VB 19261 2194 37 encountered encounter VBN 19261 2194 38 at at IN 19261 2194 39 the the DT 19261 2194 40 bronchoscopy bronchoscopy NN 19261 2194 41 on on IN 19261 2194 42 the the DT 19261 2194 43 patient patient NN 19261 2194 44 . . . 19261 2195 1 For for IN 19261 2195 2 each each DT 19261 2195 3 of of IN 19261 2195 4 these these DT 19261 2195 5 presentations presentation NNS 19261 2195 6 a a DT 19261 2195 7 method method NN 19261 2195 8 of of IN 19261 2195 9 disimpaction disimpaction NN 19261 2195 10 , , , 19261 2195 11 disengagement disengagement NN 19261 2195 12 , , , 19261 2195 13 disentanglement disentanglement NN 19261 2195 14 or or CC 19261 2195 15 version version NN 19261 2195 16 and and CC 19261 2195 17 seizure seizure NN 19261 2195 18 is be VBZ 19261 2195 19 worked work VBN 19261 2195 20 out out RP 19261 2195 21 , , , 19261 2195 22 according accord VBG 19261 2195 23 to to IN 19261 2195 24 the the DT 19261 2195 25 kind kind NN 19261 2195 26 of of IN 19261 2195 27 foreign foreign JJ 19261 2195 28 body body NN 19261 2195 29 . . . 19261 2196 1 Prepared prepare VBN 19261 2196 2 by by IN 19261 2196 3 this this DT 19261 2196 4 practice practice NN 19261 2196 5 and and CC 19261 2196 6 the the DT 19261 2196 7 radiographic radiographic JJ 19261 2196 8 study study NN 19261 2196 9 , , , 19261 2196 10 the the DT 19261 2196 11 bronchoscope bronchoscope NN 19261 2196 12 is be VBZ 19261 2196 13 introduced introduce VBN 19261 2196 14 into into IN 19261 2196 15 the the DT 19261 2196 16 patient patient NN 19261 2196 17 . . . 19261 2197 1 The the DT 19261 2197 2 location location NN 19261 2197 3 of of IN 19261 2197 4 the the DT 19261 2197 5 foreign foreign JJ 19261 2197 6 body body NN 19261 2197 7 is be VBZ 19261 2197 8 approached approach VBN 19261 2197 9 slowly slowly RB 19261 2197 10 and and CC 19261 2197 11 carefully carefully RB 19261 2197 12 to to TO 19261 2197 13 avoid avoid VB 19261 2197 14 overriding overriding NN 19261 2197 15 or or CC 19261 2197 16 displacement displacement NN 19261 2197 17 . . . 19261 2198 1 A a DT 19261 2198 2 _ _ NNP 19261 2198 3 study study NN 19261 2198 4 of of IN 19261 2198 5 the the DT 19261 2198 6 presentation presentation NN 19261 2198 7 _ _ NNP 19261 2198 8 is be VBZ 19261 2198 9 as as RB 19261 2198 10 necessary necessary JJ 19261 2198 11 for for IN 19261 2198 12 the the DT 19261 2198 13 bronchoscopist bronchoscopist NN 19261 2198 14 as as IN 19261 2198 15 for for IN 19261 2198 16 the the DT 19261 2198 17 obstetrician obstetrician NN 19261 2198 18 . . . 19261 2199 1 It -PRON- PRP 19261 2199 2 should should MD 19261 2199 3 be be VB 19261 2199 4 made make VBN 19261 2199 5 with with IN 19261 2199 6 a a DT 19261 2199 7 view view NN 19261 2199 8 to to IN 19261 2199 9 determining determine VBG 19261 2199 10 the the DT 19261 2199 11 following follow VBG 19261 2199 12 points point NNS 19261 2199 13 : : : 19261 2199 14 1 1 CD 19261 2199 15 . . . 19261 2200 1 The the DT 19261 2200 2 relation relation NN 19261 2200 3 of of IN 19261 2200 4 the the DT 19261 2200 5 presenting present VBG 19261 2200 6 part part NN 19261 2200 7 to to IN 19261 2200 8 the the DT 19261 2200 9 surrounding surround VBG 19261 2200 10 tissues tissue NNS 19261 2200 11 . . . 19261 2201 1 2 2 LS 19261 2201 2 . . . 19261 2202 1 The the DT 19261 2202 2 probable probable JJ 19261 2202 3 position position NN 19261 2202 4 of of IN 19261 2202 5 the the DT 19261 2202 6 unseen unseen JJ 19261 2202 7 portion portion NN 19261 2202 8 , , , 19261 2202 9 as as IN 19261 2202 10 determined determine VBN 19261 2202 11 by by IN 19261 2202 12 the the DT 19261 2202 13 appearance appearance NN 19261 2202 14 of of IN 19261 2202 15 the the DT 19261 2202 16 presenting present VBG 19261 2202 17 part part NN 19261 2202 18 taken take VBN 19261 2202 19 in in IN 19261 2202 20 connection connection NN 19261 2202 21 with with IN 19261 2202 22 the the DT 19261 2202 23 knowledge knowledge NN 19261 2202 24 obtained obtain VBN 19261 2202 25 by by IN 19261 2202 26 the the DT 19261 2202 27 previous previous JJ 19261 2202 28 ray ray NN 19261 2202 29 study study NN 19261 2202 30 , , , 19261 2202 31 and and CC 19261 2202 32 by by IN 19261 2202 33 inspection inspection NN 19261 2202 34 of of IN 19261 2202 35 the the DT 19261 2202 36 ray ray NN 19261 2202 37 plate plate NN 19261 2202 38 upside upside RB 19261 2202 39 down down RB 19261 2202 40 on on IN 19261 2202 41 view view NN 19261 2202 42 in in IN 19261 2202 43 front front NN 19261 2202 44 of of IN 19261 2202 45 the the DT 19261 2202 46 bronchoscopist bronchoscopist NN 19261 2202 47 . . . 19261 2203 1 3 3 LS 19261 2203 2 . . . 19261 2204 1 The the DT 19261 2204 2 version version NN 19261 2204 3 or or CC 19261 2204 4 other other JJ 19261 2204 5 manipulation manipulation NN 19261 2204 6 necessary necessary JJ 19261 2204 7 to to TO 19261 2204 8 convert convert VB 19261 2204 9 an an DT 19261 2204 10 unfavorable unfavorable NN 19261 2204 11 into into IN 19261 2204 12 a a DT 19261 2204 13 favorable favorable JJ 19261 2204 14 presentation presentation NN 19261 2204 15 for for IN 19261 2204 16 grasping grasping NN 19261 2204 17 and and CC 19261 2204 18 disengagement disengagement NN 19261 2204 19 . . . 19261 2205 1 4 4 LS 19261 2205 2 . . . 19261 2206 1 The the DT 19261 2206 2 best good JJS 19261 2206 3 instruments instrument NNS 19261 2206 4 to to TO 19261 2206 5 use use VB 19261 2206 6 , , , 19261 2206 7 and and CC 19261 2206 8 which which WDT 19261 2206 9 to to TO 19261 2206 10 use use VB 19261 2206 11 first first RB 19261 2206 12 , , , 19261 2206 13 as as IN 19261 2206 14 , , , 19261 2206 15 hook hook NN 19261 2206 16 , , , 19261 2206 17 pincloser pincloser NN 19261 2206 18 , , , 19261 2206 19 forceps forceps NNP 19261 2206 20 , , , 19261 2206 21 etc etc FW 19261 2206 22 . . . 19261 2207 1 5 5 CD 19261 2207 2 . . . 19261 2208 1 The the DT 19261 2208 2 presence presence NN 19261 2208 3 and and CC 19261 2208 4 position position NN 19261 2208 5 of of IN 19261 2208 6 the the DT 19261 2208 7 " " `` 19261 2208 8 forceps forceps NNP 19261 2208 9 spaces space NNS 19261 2208 10 " " '' 19261 2208 11 of of IN 19261 2208 12 which which WDT 19261 2208 13 there there EX 19261 2208 14 must must MD 19261 2208 15 be be VB 19261 2208 16 two two CD 19261 2208 17 for for IN 19261 2208 18 all all DT 19261 2208 19 ordinary ordinary JJ 19261 2208 20 forceps forceps NNS 19261 2208 21 , , , 19261 2208 22 one one CD 19261 2208 23 for for IN 19261 2208 24 each each DT 19261 2208 25 jaw jaw NN 19261 2208 26 , , , 19261 2208 27 or or CC 19261 2208 28 the the DT 19261 2208 29 " " `` 19261 2208 30 insertion insertion NN 19261 2208 31 space space NN 19261 2208 32 " " '' 19261 2208 33 for for IN 19261 2208 34 any any DT 19261 2208 35 other other JJ 19261 2208 36 instrument instrument NN 19261 2208 37 . . . 19261 2209 1 Until until IN 19261 2209 2 all all DT 19261 2209 3 of of IN 19261 2209 4 these these DT 19261 2209 5 points point NNS 19261 2209 6 are be VBP 19261 2209 7 determined determine VBN 19261 2209 8 it -PRON- PRP 19261 2209 9 is be VBZ 19261 2209 10 a a DT 19261 2209 11 grave grave JJ 19261 2209 12 error error NN 19261 2209 13 to to TO 19261 2209 14 insert insert VB 19261 2209 15 any any DT 19261 2209 16 kind kind NN 19261 2209 17 of of IN 19261 2209 18 instrument instrument NN 19261 2209 19 . . . 19261 2210 1 If if IN 19261 2210 2 possible possible JJ 19261 2210 3 even even RB 19261 2210 4 swabbing swab VBG 19261 2210 5 of of IN 19261 2210 6 the the DT 19261 2210 7 foreign foreign JJ 19261 2210 8 body body NN 19261 2210 9 should should MD 19261 2210 10 be be VB 19261 2210 11 avoided avoid VBN 19261 2210 12 by by IN 19261 2210 13 swabbing swab VBG 19261 2210 14 out out RP 19261 2210 15 the the DT 19261 2210 16 bronchus bronchu NNS 19261 2210 17 , , , 19261 2210 18 when when WRB 19261 2210 19 necessary necessary JJ 19261 2210 20 , , , 19261 2210 21 before before IN 19261 2210 22 the the DT 19261 2210 23 region region NN 19261 2210 24 of of IN 19261 2210 25 the the DT 19261 2210 26 intruder intruder NN 19261 2210 27 is be VBZ 19261 2210 28 reached reach VBN 19261 2210 29 . . . 19261 2211 1 When when WRB 19261 2211 2 the the DT 19261 2211 3 operator operator NN 19261 2211 4 has have VBZ 19261 2211 5 determined determine VBN 19261 2211 6 the the DT 19261 2211 7 instrument instrument NN 19261 2211 8 to to TO 19261 2211 9 be be VB 19261 2211 10 used use VBN 19261 2211 11 , , , 19261 2211 12 and and CC 19261 2211 13 the the DT 19261 2211 14 method method NN 19261 2211 15 of of IN 19261 2211 16 using use VBG 19261 2211 17 it -PRON- PRP 19261 2211 18 , , , 19261 2211 19 the the DT 19261 2211 20 instrument instrument NN 19261 2211 21 is be VBZ 19261 2211 22 cautiously cautiously RB 19261 2211 23 inserted insert VBN 19261 2211 24 , , , 19261 2211 25 under under IN 19261 2211 26 guidance guidance NN 19261 2211 27 of of IN 19261 2211 28 the the DT 19261 2211 29 eye eye NN 19261 2211 30 . . . 19261 2212 1 [ [ -LRB- 19261 2212 2 160 160 CD 19261 2212 3 ] ] -RRB- 19261 2212 4 _ _ NNP 19261 2212 5 The the DT 19261 2212 6 lip lip NN 19261 2212 7 of of IN 19261 2212 8 the the DT 19261 2212 9 bronchoscope bronchoscope NN 19261 2212 10 _ _ NNP 19261 2212 11 is be VBZ 19261 2212 12 one one CD 19261 2212 13 of of IN 19261 2212 14 the the DT 19261 2212 15 most most RBS 19261 2212 16 valuable valuable JJ 19261 2212 17 aids aid NNS 19261 2212 18 in in IN 19261 2212 19 the the DT 19261 2212 20 solution solution NN 19261 2212 21 of of IN 19261 2212 22 foreign foreign JJ 19261 2212 23 - - HYPH 19261 2212 24 body body NN 19261 2212 25 problems problem NNS 19261 2212 26 . . . 19261 2213 1 With with IN 19261 2213 2 it -PRON- PRP 19261 2213 3 partial partial JJ 19261 2213 4 or or CC 19261 2213 5 complete complete JJ 19261 2213 6 version version NN 19261 2213 7 of of IN 19261 2213 8 an an DT 19261 2213 9 object object NN 19261 2213 10 can can MD 19261 2213 11 be be VB 19261 2213 12 accomplished accomplish VBN 19261 2213 13 so so IN 19261 2213 14 as as IN 19261 2213 15 to to TO 19261 2213 16 convert convert VB 19261 2213 17 an an DT 19261 2213 18 unfavorable unfavorable JJ 19261 2213 19 presentation presentation NN 19261 2213 20 into into IN 19261 2213 21 one one CD 19261 2213 22 favorable favorable JJ 19261 2213 23 for for IN 19261 2213 24 grasping grasp VBG 19261 2213 25 with with IN 19261 2213 26 the the DT 19261 2213 27 forceps forceps NNPS 19261 2213 28 ; ; : 19261 2213 29 edematous edematous JJ 19261 2213 30 mucosa mucosa NNS 19261 2213 31 may may MD 19261 2213 32 be be VB 19261 2213 33 displaced displace VBN 19261 2213 34 , , , 19261 2213 35 angles angle NNS 19261 2213 36 straightened straightened JJ 19261 2213 37 and and CC 19261 2213 38 space space NN 19261 2213 39 made make VBN 19261 2213 40 at at IN 19261 2213 41 the the DT 19261 2213 42 side side NN 19261 2213 43 of of IN 19261 2213 44 the the DT 19261 2213 45 foreign foreign JJ 19261 2213 46 body body NN 19261 2213 47 for for IN 19261 2213 48 the the DT 19261 2213 49 forceps forceps NNPS 19261 2213 50 ' ' POS 19261 2213 51 jaw jaw NN 19261 2213 52 . . . 19261 2214 1 It -PRON- PRP 19261 2214 2 forms form VBZ 19261 2214 3 a a DT 19261 2214 4 shield shield NN 19261 2214 5 or or CC 19261 2214 6 protector protector NN 19261 2214 7 that that WDT 19261 2214 8 can can MD 19261 2214 9 be be VB 19261 2214 10 slipped slip VBN 19261 2214 11 under under IN 19261 2214 12 the the DT 19261 2214 13 point point NN 19261 2214 14 of of IN 19261 2214 15 a a DT 19261 2214 16 sharp sharp JJ 19261 2214 17 foreign foreign JJ 19261 2214 18 body body NN 19261 2214 19 and and CC 19261 2214 20 can can MD 19261 2214 21 make make VB 19261 2214 22 counterpressure counterpressure NN 19261 2214 23 on on IN 19261 2214 24 the the DT 19261 2214 25 tissues tissue NNS 19261 2214 26 while while IN 19261 2214 27 the the DT 19261 2214 28 forceps forceps NNPS 19261 2214 29 are be VBP 19261 2214 30 disembedding disembedde VBG 19261 2214 31 the the DT 19261 2214 32 point point NN 19261 2214 33 of of IN 19261 2214 34 the the DT 19261 2214 35 foreign foreign JJ 19261 2214 36 body body NN 19261 2214 37 . . . 19261 2215 1 With with IN 19261 2215 2 the the DT 19261 2215 3 bronchoscopic bronchoscopic NNP 19261 2215 4 lip lip NNP 19261 2215 5 and and CC 19261 2215 6 the the DT 19261 2215 7 forceps forceps NNPS 19261 2215 8 or or CC 19261 2215 9 other other JJ 19261 2215 10 instrument instrument NN 19261 2215 11 inserted insert VBN 19261 2215 12 through through IN 19261 2215 13 the the DT 19261 2215 14 tube tube NN 19261 2215 15 , , , 19261 2215 16 the the DT 19261 2215 17 bronchoscopist bronchoscopist NN 19261 2215 18 has have VBZ 19261 2215 19 bimanual bimanual JJ 19261 2215 20 , , , 19261 2215 21 eye eye NN 19261 2215 22 - - HYPH 19261 2215 23 guided guide VBN 19261 2215 24 control control NN 19261 2215 25 , , , 19261 2215 26 which which WDT 19261 2215 27 if if IN 19261 2215 28 it -PRON- PRP 19261 2215 29 has have VBZ 19261 2215 30 been be VBN 19261 2215 31 sufficiently sufficiently RB 19261 2215 32 practiced practice VBN 19261 2215 33 to to TO 19261 2215 34 afford afford VB 19261 2215 35 the the DT 19261 2215 36 facility facility NN 19261 2215 37 in in IN 19261 2215 38 coordinate coordinate JJ 19261 2215 39 use use NN 19261 2215 40 common common JJ 19261 2215 41 to to IN 19261 2215 42 everyone everyone NN 19261 2215 43 with with IN 19261 2215 44 knife knife NN 19261 2215 45 and and CC 19261 2215 46 fork fork NN 19261 2215 47 , , , 19261 2215 48 will will MD 19261 2215 49 accomplish accomplish VB 19261 2215 50 maneuvers maneuver NNS 19261 2215 51 that that WDT 19261 2215 52 seem seem VBP 19261 2215 53 marvelous marvelous JJ 19261 2215 54 to to IN 19261 2215 55 anyone anyone NN 19261 2215 56 who who WP 19261 2215 57 has have VBZ 19261 2215 58 not not RB 19261 2215 59 developed develop VBN 19261 2215 60 facility facility NN 19261 2215 61 in in IN 19261 2215 62 this this DT 19261 2215 63 coordinate coordinate JJ 19261 2215 64 use use NN 19261 2215 65 of of IN 19261 2215 66 the the DT 19261 2215 67 bronchoscopic bronchoscopic JJ 19261 2215 68 instruments instrument NNS 19261 2215 69 . . . 19261 2216 1 _ _ NNP 19261 2216 2 The the DT 19261 2216 3 relation relation NN 19261 2216 4 of of IN 19261 2216 5 the the DT 19261 2216 6 tube tube NN 19261 2216 7 mouth mouth NN 19261 2216 8 and and CC 19261 2216 9 foreign foreign JJ 19261 2216 10 body body NN 19261 2216 11 _ _ NNP 19261 2216 12 is be VBZ 19261 2216 13 of of IN 19261 2216 14 vital vital JJ 19261 2216 15 importance importance NN 19261 2216 16 . . . 19261 2217 1 Generally generally RB 19261 2217 2 considered consider VBN 19261 2217 3 , , , 19261 2217 4 the the DT 19261 2217 5 tube tube NN 19261 2217 6 mouth mouth NN 19261 2217 7 should should MD 19261 2217 8 be be VB 19261 2217 9 as as RB 19261 2217 10 near near IN 19261 2217 11 the the DT 19261 2217 12 foreign foreign JJ 19261 2217 13 body body NN 19261 2217 14 as as IN 19261 2217 15 possible possible JJ 19261 2217 16 , , , 19261 2217 17 and and CC 19261 2217 18 the the DT 19261 2217 19 object object NN 19261 2217 20 must must MD 19261 2217 21 be be VB 19261 2217 22 placed place VBN 19261 2217 23 in in IN 19261 2217 24 the the DT 19261 2217 25 center center NN 19261 2217 26 of of IN 19261 2217 27 the the DT 19261 2217 28 bronchoscopic bronchoscopic NNP 19261 2217 29 field field NN 19261 2217 30 , , , 19261 2217 31 so so IN 19261 2217 32 that that IN 19261 2217 33 the the DT 19261 2217 34 ends end NNS 19261 2217 35 of of IN 19261 2217 36 the the DT 19261 2217 37 open open JJ 19261 2217 38 jaws jaw NNS 19261 2217 39 of of IN 19261 2217 40 the the DT 19261 2217 41 forceps forceps NNP 19261 2217 42 will will MD 19261 2217 43 pass pass VB 19261 2217 44 sufficiently sufficiently RB 19261 2217 45 far far RB 19261 2217 46 over over IN 19261 2217 47 the the DT 19261 2217 48 object object NN 19261 2217 49 . . . 19261 2218 1 But but CC 19261 2218 2 little little JJ 19261 2218 3 lateral lateral JJ 19261 2218 4 control control NN 19261 2218 5 is be VBZ 19261 2218 6 had have VBN 19261 2218 7 of of IN 19261 2218 8 the the DT 19261 2218 9 long long JJ 19261 2218 10 instruments instrument NNS 19261 2218 11 inserted insert VBN 19261 2218 12 through through IN 19261 2218 13 the the DT 19261 2218 14 tube tube NN 19261 2218 15 ; ; : 19261 2218 16 sidewise sidewise NN 19261 2218 17 motion motion NN 19261 2218 18 is be VBZ 19261 2218 19 obtained obtain VBN 19261 2218 20 by by IN 19261 2218 21 a a DT 19261 2218 22 shifting shifting NN 19261 2218 23 of of IN 19261 2218 24 the the DT 19261 2218 25 end end NN 19261 2218 26 of of IN 19261 2218 27 the the DT 19261 2218 28 bronchoscope bronchoscope NN 19261 2218 29 . . . 19261 2219 1 When when WRB 19261 2219 2 the the DT 19261 2219 3 foreign foreign JJ 19261 2219 4 body body NN 19261 2219 5 has have VBZ 19261 2219 6 been be VBN 19261 2219 7 centered center VBN 19261 2219 8 in in IN 19261 2219 9 the the DT 19261 2219 10 bronchoscopic bronchoscopic NNP 19261 2219 11 field field NN 19261 2219 12 and and CC 19261 2219 13 placed place VBD 19261 2219 14 in in IN 19261 2219 15 a a DT 19261 2219 16 position position NN 19261 2219 17 favorable favorable JJ 19261 2219 18 for for IN 19261 2219 19 grasping grasping NN 19261 2219 20 , , , 19261 2219 21 it -PRON- PRP 19261 2219 22 is be VBZ 19261 2219 23 important important JJ 19261 2219 24 that that IN 19261 2219 25 this this DT 19261 2219 26 position position NN 19261 2219 27 be be VB 19261 2219 28 maintained maintain VBN 19261 2219 29 by by IN 19261 2219 30 anchoring anchor VBG 19261 2219 31 the the DT 19261 2219 32 tube tube NN 19261 2219 33 to to IN 19261 2219 34 the the DT 19261 2219 35 upper upper JJ 19261 2219 36 teeth tooth NNS 19261 2219 37 with with IN 19261 2219 38 the the DT 19261 2219 39 left left JJ 19261 2219 40 , , , 19261 2219 41 third third JJ 19261 2219 42 , , , 19261 2219 43 and and CC 19261 2219 44 fourth fourth JJ 19261 2219 45 fingers finger NNS 19261 2219 46 hooked hook VBN 19261 2219 47 over over IN 19261 2219 48 the the DT 19261 2219 49 patient patient NN 19261 2219 50 's 's POS 19261 2219 51 upper upper JJ 19261 2219 52 alveolus alveolus NN 19261 2219 53 ( ( -LRB- 19261 2219 54 Fig fig NN 19261 2219 55 . . . 19261 2220 1 63 63 CD 19261 2220 2 ) ) -RRB- 19261 2220 3 _ _ NNP 19261 2220 4 The the DT 19261 2220 5 Light Light NNP 19261 2220 6 Reflex Reflex NNP 19261 2220 7 on on IN 19261 2220 8 the the DT 19261 2220 9 Forceps_.--It Forceps_.--It NNP 19261 2220 10 is be VBZ 19261 2220 11 often often RB 19261 2220 12 difficult difficult JJ 19261 2220 13 for for IN 19261 2220 14 the the DT 19261 2220 15 beginner beginner NN 19261 2220 16 to to TO 19261 2220 17 judge judge VB 19261 2220 18 to to IN 19261 2220 19 what what WP 19261 2220 20 depth depth NN 19261 2220 21 an an DT 19261 2220 22 instrument instrument NN 19261 2220 23 has have VBZ 19261 2220 24 been be VBN 19261 2220 25 inserted insert VBN 19261 2220 26 through through IN 19261 2220 27 the the DT 19261 2220 28 tube tube NN 19261 2220 29 . . . 19261 2221 1 On on IN 19261 2221 2 slowly slowly RB 19261 2221 3 inserting insert VBG 19261 2221 4 a a DT 19261 2221 5 forceps forceps NNS 19261 2221 6 through through IN 19261 2221 7 the the DT 19261 2221 8 tube tube NN 19261 2221 9 , , , 19261 2221 10 as as IN 19261 2221 11 the the DT 19261 2221 12 blades blade NNS 19261 2221 13 come come VBP 19261 2221 14 opposite opposite IN 19261 2221 15 the the DT 19261 2221 16 distal distal JJ 19261 2221 17 light light NN 19261 2221 18 they -PRON- PRP 19261 2221 19 will will MD 19261 2221 20 appear appear VB 19261 2221 21 brightly brightly RB 19261 2221 22 illuminated illuminate VBN 19261 2221 23 ; ; : 19261 2221 24 or or CC 19261 2221 25 should should MD 19261 2221 26 the the DT 19261 2221 27 blades blade NNS 19261 2221 28 lie lie VB 19261 2221 29 close close RB 19261 2221 30 to to IN 19261 2221 31 the the DT 19261 2221 32 light light JJ 19261 2221 33 bulb bulb NN 19261 2221 34 , , , 19261 2221 35 a a DT 19261 2221 36 shadow shadow NN 19261 2221 37 will will MD 19261 2221 38 be be VB 19261 2221 39 seen see VBN 19261 2221 40 in in IN 19261 2221 41 the the DT 19261 2221 42 previously previously RB 19261 2221 43 brilliantly brilliantly RB 19261 2221 44 lighted light VBN 19261 2221 45 opposite opposite JJ 19261 2221 46 wall wall NN 19261 2221 47 . . . 19261 2222 1 It -PRON- PRP 19261 2222 2 is be VBZ 19261 2222 3 then then RB 19261 2222 4 known know VBN 19261 2222 5 that that IN 19261 2222 6 the the DT 19261 2222 7 forceps forceps NNS 19261 2222 8 are be VBP 19261 2222 9 at at IN 19261 2222 10 the the DT 19261 2222 11 tube tube NN 19261 2222 12 mouth mouth NN 19261 2222 13 , , , 19261 2222 14 and and CC 19261 2222 15 the the DT 19261 2222 16 endoscopist endoscopist NN 19261 2222 17 has have VBZ 19261 2222 18 but but CC 19261 2222 19 to to TO 19261 2222 20 gauge gauge VB 19261 2222 21 the the DT 19261 2222 22 distance distance NN 19261 2222 23 from from IN 19261 2222 24 this this DT 19261 2222 25 to to IN 19261 2222 26 the the DT 19261 2222 27 foreign foreign JJ 19261 2222 28 body body NN 19261 2222 29 . . . 19261 2223 1 This this DT 19261 2223 2 assistance assistance NN 19261 2223 3 in in IN 19261 2223 4 gauging gauge VBG 19261 2223 5 depth depth NN 19261 2223 6 is be VBZ 19261 2223 7 one one CD 19261 2223 8 of of IN 19261 2223 9 the the DT 19261 2223 10 great great JJ 19261 2223 11 advances advance NNS 19261 2223 12 in in IN 19261 2223 13 foreign foreign JJ 19261 2223 14 body body NN 19261 2223 15 bronchoscopy bronchoscopy NN 19261 2223 16 obtained obtain VBN 19261 2223 17 by by IN 19261 2223 18 the the DT 19261 2223 19 development development NN 19261 2223 20 of of IN 19261 2223 21 distal distal JJ 19261 2223 22 illumination illumination NN 19261 2223 23 . . . 19261 2224 1 _ _ NNP 19261 2224 2 Hooks Hooks NNP 19261 2224 3 _ _ NNP 19261 2224 4 are be VBP 19261 2224 5 useful useful JJ 19261 2224 6 in in IN 19261 2224 7 the the DT 19261 2224 8 solution solution NN 19261 2224 9 of of IN 19261 2224 10 various various JJ 19261 2224 11 mechanical mechanical JJ 19261 2224 12 problems problem NNS 19261 2224 13 , , , 19261 2224 14 and and CC 19261 2224 15 may may MD 19261 2224 16 be be VB 19261 2224 17 turned turn VBN 19261 2224 18 by by IN 19261 2224 19 the the DT 19261 2224 20 operator operator NN 19261 2224 21 himself -PRON- PRP 19261 2224 22 into into IN 19261 2224 23 various various JJ 19261 2224 24 shapes shape NNS 19261 2224 25 by by IN 19261 2224 26 heating heat VBG 19261 2224 27 small small JJ 19261 2224 28 probe probe NN 19261 2224 29 - - HYPH 19261 2224 30 pointed point VBN 19261 2224 31 steel steel NN 19261 2224 32 rods rod NNS 19261 2224 33 in in IN 19261 2224 34 a a DT 19261 2224 35 spirit spirit NNP 19261 2224 36 lamp lamp NN 19261 2224 37 , , , 19261 2224 38 the the DT 19261 2224 39 proximal proximal JJ 19261 2224 40 end end NN 19261 2224 41 being be VBG 19261 2224 42 turned turn VBN 19261 2224 43 over over RP 19261 2224 44 at at IN 19261 2224 45 a a DT 19261 2224 46 right right JJ 19261 2224 47 angle angle NN 19261 2224 48 for for IN 19261 2224 49 a a DT 19261 2224 50 controlling control VBG 19261 2224 51 handle handle NN 19261 2224 52 . . . 19261 2225 1 Hooks hook NNS 19261 2225 2 with with IN 19261 2225 3 a a DT 19261 2225 4 greater great JJR 19261 2225 5 curve curve NN 19261 2225 6 than than IN 19261 2225 7 a a DT 19261 2225 8 right right JJ 19261 2225 9 angle angle NN 19261 2225 10 are be VBP 19261 2225 11 prone prone JJ 19261 2225 12 to to TO 19261 2225 13 engage engage VB 19261 2225 14 in in IN 19261 2225 15 small small JJ 19261 2225 16 orifices orifice NNS 19261 2225 17 from from IN 19261 2225 18 which which WDT 19261 2225 19 they -PRON- PRP 19261 2225 20 are be VBP 19261 2225 21 with with IN 19261 2225 22 difficulty difficulty NN 19261 2225 23 removed remove VBN 19261 2225 24 . . . 19261 2226 1 A a DT 19261 2226 2 right right JJ 19261 2226 3 angle angle NN 19261 2226 4 curve curve NN 19261 2226 5 of of IN 19261 2226 6 the the DT 19261 2226 7 distal distal JJ 19261 2226 8 end end NN 19261 2226 9 is be VBZ 19261 2226 10 usually usually RB 19261 2226 11 sufficient sufficient JJ 19261 2226 12 , , , 19261 2226 13 and and CC 19261 2226 14 a a DT 19261 2226 15 corkscrew corkscrew VBN 19261 2226 16 spiral spiral NN 19261 2226 17 is be VBZ 19261 2226 18 often often RB 19261 2226 19 advantageous advantageous JJ 19261 2226 20 , , , 19261 2226 21 rendering render VBG 19261 2226 22 removal removal NN 19261 2226 23 easy easy JJ 19261 2226 24 by by IN 19261 2226 25 a a DT 19261 2226 26 reversal reversal NN 19261 2226 27 of of IN 19261 2226 28 the the DT 19261 2226 29 twisting twisting NN 19261 2226 30 motion motion NN 19261 2226 31 ( ( -LRB- 19261 2226 32 Bib Bib NNP 19261 2226 33 . . . 19261 2227 1 11 11 CD 19261 2227 2 , , , 19261 2227 3 p. p. NN 19261 2227 4 311 311 CD 19261 2227 5 ) ) -RRB- 19261 2227 6 . . . 19261 2228 1 _ _ NNP 19261 2228 2 The the DT 19261 2228 3 Use Use NNP 19261 2228 4 of of IN 19261 2228 5 Forceps Forceps NNP 19261 2228 6 in in IN 19261 2228 7 Endoscopic Endoscopic NNP 19261 2228 8 Foreign Foreign NNP 19261 2228 9 Body Body NNP 19261 2228 10 Extraction_.--Two extraction_.--two CD 19261 2228 11 different different JJ 19261 2228 12 strengths strength NNS 19261 2228 13 of of IN 19261 2228 14 forceps forceps NNS 19261 2228 15 are be VBP 19261 2228 16 supplied supply VBN 19261 2228 17 , , , 19261 2228 18 as as IN 19261 2228 19 will will MD 19261 2228 20 be be VB 19261 2228 21 seen see VBN 19261 2228 22 in in IN 19261 2228 23 the the DT 19261 2228 24 list list NN 19261 2228 25 in in IN 19261 2228 26 Chapter Chapter NNP 19261 2228 27 1 1 CD 19261 2228 28 . . . 19261 2229 1 The the DT 19261 2229 2 regular regular JJ 19261 2229 3 forceps forceps NNS 19261 2229 4 have have VBP 19261 2229 5 a a DT 19261 2229 6 powerful powerful JJ 19261 2229 7 grasp grasp NN 19261 2229 8 and and CC 19261 2229 9 are be VBP 19261 2229 10 used use VBN 19261 2229 11 on on IN 19261 2229 12 dense dense JJ 19261 2229 13 foreign foreign JJ 19261 2229 14 bodies body NNS 19261 2229 15 which which WDT 19261 2229 16 require require VBP 19261 2229 17 considerable considerable JJ 19261 2229 18 pressure pressure NN 19261 2229 19 on on IN 19261 2229 20 the the DT 19261 2229 21 object object NN 19261 2229 22 to to TO 19261 2229 23 prevent prevent VB 19261 2229 24 the the DT 19261 2229 25 forceps forceps NNS 19261 2229 26 from from IN 19261 2229 27 slipping slip VBG 19261 2229 28 off off RP 19261 2229 29 . . . 19261 2230 1 For for IN 19261 2230 2 more more RBR 19261 2230 3 delicate delicate JJ 19261 2230 4 manipulation manipulation NN 19261 2230 5 , , , 19261 2230 6 and and CC 19261 2230 7 particularly particularly RB 19261 2230 8 for for IN 19261 2230 9 friable friable JJ 19261 2230 10 foreign foreign JJ 19261 2230 11 bodies body NNS 19261 2230 12 , , , 19261 2230 13 the the DT 19261 2230 14 lighter light JJR 19261 2230 15 forceps forceps NNS 19261 2230 16 are be VBP 19261 2230 17 used use VBN 19261 2230 18 . . . 19261 2231 1 Spring spring NN 19261 2231 2 - - HYPH 19261 2231 3 opposed oppose VBN 19261 2231 4 forceps forceps NNS 19261 2231 5 render render VBP 19261 2231 6 any any DT 19261 2231 7 delicacy delicacy NN 19261 2231 8 of of IN 19261 2231 9 touch touch NN 19261 2231 10 impossible impossible JJ 19261 2231 11 . . . 19261 2232 1 Forceps forceps NNS 19261 2232 2 are be VBP 19261 2232 3 to to TO 19261 2232 4 be be VB 19261 2232 5 held hold VBN 19261 2232 6 in in IN 19261 2232 7 the the DT 19261 2232 8 right right JJ 19261 2232 9 hand hand NN 19261 2232 10 , , , 19261 2232 11 the the DT 19261 2232 12 thumb thumb NN 19261 2232 13 in in IN 19261 2232 14 one one CD 19261 2232 15 ring ring NN 19261 2232 16 , , , 19261 2232 17 and and CC 19261 2232 18 the the DT 19261 2232 19 third third JJ 19261 2232 20 , , , 19261 2232 21 or or CC 19261 2232 22 ring re VBG 19261 2232 23 finger finger NN 19261 2232 24 , , , 19261 2232 25 in in IN 19261 2232 26 the the DT 19261 2232 27 other other JJ 19261 2232 28 ring ring NN 19261 2232 29 . . . 19261 2233 1 These these DT 19261 2233 2 fingers finger NNS 19261 2233 3 are be VBP 19261 2233 4 used use VBN 19261 2233 5 to to TO 19261 2233 6 open open VB 19261 2233 7 and and CC 19261 2233 8 close close VB 19261 2233 9 the the DT 19261 2233 10 forceps forceps NNS 19261 2233 11 , , , 19261 2233 12 while while IN 19261 2233 13 all all DT 19261 2233 14 traction traction NN 19261 2233 15 is be VBZ 19261 2233 16 to to TO 19261 2233 17 be be VB 19261 2233 18 made make VBN 19261 2233 19 by by IN 19261 2233 20 the the DT 19261 2233 21 right right JJ 19261 2233 22 index index NN 19261 2233 23 finger finger NN 19261 2233 24 , , , 19261 2233 25 which which WDT 19261 2233 26 has have VBZ 19261 2233 27 its -PRON- PRP$ 19261 2233 28 position position NN 19261 2233 29 on on IN 19261 2233 30 the the DT 19261 2233 31 forceps forceps NNS 19261 2233 32 handle handle VBP 19261 2233 33 near near IN 19261 2233 34 the the DT 19261 2233 35 stylet stylet NN 19261 2233 36 , , , 19261 2233 37 as as IN 19261 2233 38 shown show VBN 19261 2233 39 in in IN 19261 2233 40 Fig Fig NNP 19261 2233 41 . . . 19261 2234 1 78 78 CD 19261 2234 2 . . . 19261 2235 1 It -PRON- PRP 19261 2235 2 is be VBZ 19261 2235 3 absolutely absolutely RB 19261 2235 4 essential essential JJ 19261 2235 5 for for IN 19261 2235 6 accurate accurate JJ 19261 2235 7 work work NN 19261 2235 8 , , , 19261 2235 9 that that IN 19261 2235 10 the the DT 19261 2235 11 forceps forceps NNP 19261 2235 12 jaws jaw NNS 19261 2235 13 be be VB 19261 2235 14 seen see VBN 19261 2235 15 to to TO 19261 2235 16 close close VB 19261 2235 17 upon upon IN 19261 2235 18 the the DT 19261 2235 19 foreign foreign JJ 19261 2235 20 body body NN 19261 2235 21 . . . 19261 2236 1 The the DT 19261 2236 2 impulse impulse NN 19261 2236 3 to to TO 19261 2236 4 seize seize VB 19261 2236 5 the the DT 19261 2236 6 object object NN 19261 2236 7 as as RB 19261 2236 8 soon soon RB 19261 2236 9 as as IN 19261 2236 10 it -PRON- PRP 19261 2236 11 is be VBZ 19261 2236 12 discovered discover VBN 19261 2236 13 must must MD 19261 2236 14 be be VB 19261 2236 15 strongly strongly RB 19261 2236 16 resisted resist VBN 19261 2236 17 . . . 19261 2237 1 A a DT 19261 2237 2 careful careful JJ 19261 2237 3 study study NN 19261 2237 4 of of IN 19261 2237 5 its -PRON- PRP$ 19261 2237 6 size size NN 19261 2237 7 , , , 19261 2237 8 shape shape NN 19261 2237 9 , , , 19261 2237 10 and and CC 19261 2237 11 position position NN 19261 2237 12 and and CC 19261 2237 13 relation relation NN 19261 2237 14 to to IN 19261 2237 15 surrounding surround VBG 19261 2237 16 structures structure NNS 19261 2237 17 must must MD 19261 2237 18 be be VB 19261 2237 19 made make VBN 19261 2237 20 before before IN 19261 2237 21 any any DT 19261 2237 22 attempt attempt NN 19261 2237 23 at at IN 19261 2237 24 extraction extraction NN 19261 2237 25 . . . 19261 2238 1 The the DT 19261 2238 2 most most RBS 19261 2238 3 favorable favorable JJ 19261 2238 4 point point NN 19261 2238 5 and and CC 19261 2238 6 position position NN 19261 2238 7 for for IN 19261 2238 8 grasping grasping NN 19261 2238 9 having have VBG 19261 2238 10 been be VBN 19261 2238 11 obtained obtain VBN 19261 2238 12 , , , 19261 2238 13 the the DT 19261 2238 14 closed close VBN 19261 2238 15 forceps forceps NNS 19261 2238 16 are be VBP 19261 2238 17 inserted insert VBN 19261 2238 18 through through IN 19261 2238 19 the the DT 19261 2238 20 bronchoscope bronchoscope NN 19261 2238 21 , , , 19261 2238 22 the the DT 19261 2238 23 light light JJ 19261 2238 24 reflex reflex NN 19261 2238 25 obtained obtain VBN 19261 2238 26 , , , 19261 2238 27 the the DT 19261 2238 28 forceps forceps NNP 19261 2238 29 blades blade NNS 19261 2238 30 now now RB 19261 2238 31 opened open VBN 19261 2238 32 are be VBP 19261 2238 33 turned turn VBN 19261 2238 34 in in RP 19261 2238 35 such such PDT 19261 2238 36 a a DT 19261 2238 37 position position NN 19261 2238 38 that that IN 19261 2238 39 , , , 19261 2238 40 on on IN 19261 2238 41 advancing advance VBG 19261 2238 42 , , , 19261 2238 43 the the DT 19261 2238 44 foreign foreign JJ 19261 2238 45 body body NN 19261 2238 46 will will MD 19261 2238 47 enter enter VB 19261 2238 48 the the DT 19261 2238 49 open open JJ 19261 2238 50 V v NN 19261 2238 51 , , , 19261 2238 52 a a DT 19261 2238 53 sufficient sufficient JJ 19261 2238 54 distance distance NN 19261 2238 55 to to TO 19261 2238 56 afford afford VB 19261 2238 57 a a DT 19261 2238 58 good good JJ 19261 2238 59 grasp grasp NN 19261 2238 60 . . . 19261 2239 1 The the DT 19261 2239 2 blades blade NNS 19261 2239 3 are be VBP 19261 2239 4 then then RB 19261 2239 5 closed closed JJ 19261 2239 6 and and CC 19261 2239 7 the the DT 19261 2239 8 foreign foreign JJ 19261 2239 9 body body NN 19261 2239 10 is be VBZ 19261 2239 11 drawn draw VBN 19261 2239 12 against against IN 19261 2239 13 the the DT 19261 2239 14 tube tube NN 19261 2239 15 mouth mouth NN 19261 2239 16 . . . 19261 2240 1 Few few JJ 19261 2240 2 foreign foreign JJ 19261 2240 3 bodies body NNS 19261 2240 4 are be VBP 19261 2240 5 sufficiently sufficiently RB 19261 2240 6 small small JJ 19261 2240 7 to to TO 19261 2240 8 allow allow VB 19261 2240 9 withdrawal withdrawal NN 19261 2240 10 through through IN 19261 2240 11 the the DT 19261 2240 12 tube tube NN 19261 2240 13 , , , 19261 2240 14 so so IN 19261 2240 15 that that IN 19261 2240 16 tube tube NN 19261 2240 17 , , , 19261 2240 18 forceps forceps NNP 19261 2240 19 and and CC 19261 2240 20 foreign foreign JJ 19261 2240 21 body body NN 19261 2240 22 are be VBP 19261 2240 23 usually usually RB 19261 2240 24 withdrawn withdraw VBN 19261 2240 25 together together RB 19261 2240 26 . . . 19261 2241 1 [ [ -LRB- 19261 2241 2 FIG FIG NNP 19261 2241 3 . . . 19261 2242 1 78.--Proper 78.--proper CD 19261 2242 2 hold hold NN 19261 2242 3 of of IN 19261 2242 4 forceps forceps NNS 19261 2242 5 . . . 19261 2243 1 The the DT 19261 2243 2 right right JJ 19261 2243 3 thumb thumb NN 19261 2243 4 and and CC 19261 2243 5 third third JJ 19261 2243 6 fingers finger NNS 19261 2243 7 are be VBP 19261 2243 8 inserted insert VBN 19261 2243 9 into into IN 19261 2243 10 the the DT 19261 2243 11 rings ring NNS 19261 2243 12 while while IN 19261 2243 13 the the DT 19261 2243 14 right right JJ 19261 2243 15 index index NN 19261 2243 16 finger finger NN 19261 2243 17 has have VBZ 19261 2243 18 its -PRON- PRP$ 19261 2243 19 place place NN 19261 2243 20 high high RB 19261 2243 21 on on IN 19261 2243 22 the the DT 19261 2243 23 handle handle NN 19261 2243 24 . . . 19261 2244 1 All all DT 19261 2244 2 traction traction NN 19261 2244 3 is be VBZ 19261 2244 4 made make VBN 19261 2244 5 with with IN 19261 2244 6 the the DT 19261 2244 7 index index NN 19261 2244 8 finger finger NN 19261 2244 9 , , , 19261 2244 10 the the DT 19261 2244 11 ring ring NN 19261 2244 12 fingers finger NNS 19261 2244 13 being be VBG 19261 2244 14 used use VBN 19261 2244 15 only only RB 19261 2244 16 to to TO 19261 2244 17 open open VB 19261 2244 18 and and CC 19261 2244 19 close close VB 19261 2244 20 the the DT 19261 2244 21 forceps forceps NNS 19261 2244 22 . . . 19261 2245 1 If if IN 19261 2245 2 any any DT 19261 2245 3 pushing pushing NN 19261 2245 4 is be VBZ 19261 2245 5 deemed deem VBN 19261 2245 6 safe safe JJ 19261 2245 7 it -PRON- PRP 19261 2245 8 may may MD 19261 2245 9 be be VB 19261 2245 10 done do VBN 19261 2245 11 by by IN 19261 2245 12 placing place VBG 19261 2245 13 the the DT 19261 2245 14 index index NN 19261 2245 15 finger finger NN 19261 2245 16 back back RB 19261 2245 17 of of IN 19261 2245 18 the the DT 19261 2245 19 thumb thumb NN 19261 2245 20 - - HYPH 19261 2245 21 nut nut NN 19261 2245 22 on on IN 19261 2245 23 the the DT 19261 2245 24 stylet stylet NN 19261 2245 25 . . . 19261 2245 26 ] ] -RRB- 19261 2246 1 _ _ NNP 19261 2246 2 Anchoring Anchoring NNP 19261 2246 3 the the DT 19261 2246 4 Foreign Foreign NNP 19261 2246 5 Body Body NNP 19261 2246 6 Against against IN 19261 2246 7 the the DT 19261 2246 8 Tube Tube NNP 19261 2246 9 Mouth_.--If Mouth_.--If NNP 19261 2246 10 withdrawal withdrawal NN 19261 2246 11 be be VB 19261 2246 12 made make VBN 19261 2246 13 a a DT 19261 2246 14 bimanual bimanual JJ 19261 2246 15 procedure procedure NN 19261 2246 16 it -PRON- PRP 19261 2246 17 is be VBZ 19261 2246 18 almost almost RB 19261 2246 19 certain certain JJ 19261 2246 20 that that IN 19261 2246 21 the the DT 19261 2246 22 foreign foreign JJ 19261 2246 23 body body NN 19261 2246 24 will will MD 19261 2246 25 trail trail VB 19261 2246 26 a a DT 19261 2246 27 centimeter centimeter NN 19261 2246 28 or or CC 19261 2246 29 more more JJR 19261 2246 30 beyond beyond IN 19261 2246 31 the the DT 19261 2246 32 tube tube NN 19261 2246 33 mouth mouth NN 19261 2246 34 , , , 19261 2246 35 and and CC 19261 2246 36 that that IN 19261 2246 37 the the DT 19261 2246 38 closure closure NN 19261 2246 39 of of IN 19261 2246 40 the the DT 19261 2246 41 glottic glottic JJ 19261 2246 42 chink chink NN 19261 2246 43 as as RB 19261 2246 44 soon soon RB 19261 2246 45 as as IN 19261 2246 46 the the DT 19261 2246 47 distal distal JJ 19261 2246 48 end end NN 19261 2246 49 of of IN 19261 2246 50 the the DT 19261 2246 51 bronchoscope bronchoscope NN 19261 2246 52 emerges emerge NNS 19261 2246 53 will will MD 19261 2246 54 strip strip VB 19261 2246 55 the the DT 19261 2246 56 foreign foreign JJ 19261 2246 57 body body NN 19261 2246 58 from from IN 19261 2246 59 the the DT 19261 2246 60 forceps forceps NNP 19261 2246 61 grasp grasp NNP 19261 2246 62 , , , 19261 2246 63 when when WRB 19261 2246 64 the the DT 19261 2246 65 foreign foreign JJ 19261 2246 66 body body NN 19261 2246 67 reaches reach VBZ 19261 2246 68 the the DT 19261 2246 69 cords cord NNS 19261 2246 70 . . . 19261 2247 1 This this DT 19261 2247 2 is be VBZ 19261 2247 3 avoided avoid VBN 19261 2247 4 by by IN 19261 2247 5 anchoring anchor VBG 19261 2247 6 the the DT 19261 2247 7 foreign foreign JJ 19261 2247 8 body body NN 19261 2247 9 against against IN 19261 2247 10 the the DT 19261 2247 11 tube tube NN 19261 2247 12 mouth mouth NN 19261 2247 13 as as RB 19261 2247 14 soon soon RB 19261 2247 15 as as IN 19261 2247 16 the the DT 19261 2247 17 foreign foreign JJ 19261 2247 18 body body NN 19261 2247 19 is be VBZ 19261 2247 20 grasped grasp VBN 19261 2247 21 , , , 19261 2247 22 as as IN 19261 2247 23 shown show VBN 19261 2247 24 in in IN 19261 2247 25 Fig Fig NNP 19261 2247 26 . . . 19261 2248 1 79 79 CD 19261 2248 2 . . . 19261 2249 1 The the DT 19261 2249 2 left left JJ 19261 2249 3 index index NN 19261 2249 4 finger finger NN 19261 2249 5 and and CC 19261 2249 6 thumb thumb NN 19261 2249 7 grasp grasp VBP 19261 2249 8 the the DT 19261 2249 9 shaft shaft NN 19261 2249 10 of of IN 19261 2249 11 the the DT 19261 2249 12 forceps forceps NNS 19261 2249 13 close close RB 19261 2249 14 to to IN 19261 2249 15 the the DT 19261 2249 16 ocular ocular JJ 19261 2249 17 end end NN 19261 2249 18 of of IN 19261 2249 19 the the DT 19261 2249 20 tube tube NN 19261 2249 21 , , , 19261 2249 22 while while IN 19261 2249 23 the the DT 19261 2249 24 other other JJ 19261 2249 25 fingers finger NNS 19261 2249 26 encircle encircle VBP 19261 2249 27 the the DT 19261 2249 28 tube tube NN 19261 2249 29 ; ; : 19261 2249 30 closure closure NN 19261 2249 31 of of IN 19261 2249 32 the the DT 19261 2249 33 forceps forceps NNS 19261 2249 34 is be VBZ 19261 2249 35 maintained maintain VBN 19261 2249 36 by by IN 19261 2249 37 the the DT 19261 2249 38 fingers finger NNS 19261 2249 39 of of IN 19261 2249 40 the the DT 19261 2249 41 right right JJ 19261 2249 42 hand hand NN 19261 2249 43 , , , 19261 2249 44 while while IN 19261 2249 45 all all DT 19261 2249 46 traction traction NN 19261 2249 47 for for IN 19261 2249 48 withdrawal withdrawal NN 19261 2249 49 is be VBZ 19261 2249 50 made make VBN 19261 2249 51 with with IN 19261 2249 52 the the DT 19261 2249 53 left left JJ 19261 2249 54 hand hand NN 19261 2249 55 , , , 19261 2249 56 which which WDT 19261 2249 57 firmly firmly RB 19261 2249 58 clamps clamp VBZ 19261 2249 59 forceps forceps NNS 19261 2249 60 and and CC 19261 2249 61 bronchoscope bronchoscope VB 19261 2249 62 as as IN 19261 2249 63 one one CD 19261 2249 64 piece piece NN 19261 2249 65 . . . 19261 2250 1 Thus thus RB 19261 2250 2 the the DT 19261 2250 3 three three CD 19261 2250 4 units unit NNS 19261 2250 5 are be VBP 19261 2250 6 brought bring VBN 19261 2250 7 out out RP 19261 2250 8 as as IN 19261 2250 9 one one CD 19261 2250 10 ; ; : 19261 2250 11 the the DT 19261 2250 12 bronchoscope bronchoscope NN 19261 2250 13 keeping keep VBG 19261 2250 14 the the DT 19261 2250 15 cords cord NNS 19261 2250 16 apart apart RB 19261 2250 17 until until IN 19261 2250 18 the the DT 19261 2250 19 foreign foreign JJ 19261 2250 20 body body NN 19261 2250 21 has have VBZ 19261 2250 22 entered enter VBN 19261 2250 23 the the DT 19261 2250 24 glottis glottis NN 19261 2250 25 . . . 19261 2251 1 [ [ -LRB- 19261 2251 2 FIG FIG NNP 19261 2251 3 . . . 19261 2252 1 79 79 CD 19261 2252 2 - - HYPH 19261 2252 3 -Method -method NN 19261 2252 4 of of IN 19261 2252 5 anchoring anchor VBG 19261 2252 6 the the DT 19261 2252 7 foreign foreign JJ 19261 2252 8 body body NN 19261 2252 9 against against IN 19261 2252 10 the the DT 19261 2252 11 tube tube NN 19261 2252 12 mouth mouth NN 19261 2252 13 After after IN 19261 2252 14 the the DT 19261 2252 15 object object NN 19261 2252 16 has have VBZ 19261 2252 17 been be VBN 19261 2252 18 drawn draw VBN 19261 2252 19 firmly firmly RB 19261 2252 20 against against IN 19261 2252 21 the the DT 19261 2252 22 lip lip NN 19261 2252 23 of of IN 19261 2252 24 the the DT 19261 2252 25 endoscopic endoscopic JJ 19261 2252 26 tube tube NN 19261 2252 27 the the DT 19261 2252 28 left left JJ 19261 2252 29 finger finger NN 19261 2252 30 and and CC 19261 2252 31 thumb thumb NN 19261 2252 32 grasp grasp NNP 19261 2252 33 the the DT 19261 2252 34 forceps forceps NNP 19261 2252 35 cannula cannula NNP 19261 2252 36 and and CC 19261 2252 37 lock lock VB 19261 2252 38 it -PRON- PRP 19261 2252 39 against against IN 19261 2252 40 the the DT 19261 2252 41 ocular ocular JJ 19261 2252 42 end end NN 19261 2252 43 of of IN 19261 2252 44 the the DT 19261 2252 45 tube tube NN 19261 2252 46 , , , 19261 2252 47 the the DT 19261 2252 48 other other JJ 19261 2252 49 fingers finger NNS 19261 2252 50 of of IN 19261 2252 51 the the DT 19261 2252 52 left left JJ 19261 2252 53 hand hand NN 19261 2252 54 encircle encircle NN 19261 2252 55 the the DT 19261 2252 56 tube tube NN 19261 2252 57 . . . 19261 2253 1 Withdrawal withdrawal NN 19261 2253 2 is be VBZ 19261 2253 3 then then RB 19261 2253 4 done do VBN 19261 2253 5 with with IN 19261 2253 6 the the DT 19261 2253 7 left left JJ 19261 2253 8 hand hand NN 19261 2253 9 ; ; : 19261 2253 10 the the DT 19261 2253 11 fingers finger NNS 19261 2253 12 of of IN 19261 2253 13 the the DT 19261 2253 14 right right JJ 19261 2253 15 hand hand NN 19261 2253 16 maintaining maintain VBG 19261 2253 17 closure closure NN 19261 2253 18 of of IN 19261 2253 19 the the DT 19261 2253 20 forceps forceps NNPS 19261 2253 21 . . . 19261 2253 22 ] ] -RRB- 19261 2254 1 [ [ -LRB- 19261 2254 2 164 164 CD 19261 2254 3 ] ] -RRB- 19261 2254 4 _ _ NNP 19261 2254 5 Bringing Bringing NNP 19261 2254 6 the the DT 19261 2254 7 Foreign Foreign NNP 19261 2254 8 Body Body NNP 19261 2254 9 Through through IN 19261 2254 10 the the DT 19261 2254 11 Glottis_.--Stripping glottis_.--stripping NN 19261 2254 12 of of IN 19261 2254 13 the the DT 19261 2254 14 foreign foreign JJ 19261 2254 15 body body NN 19261 2254 16 from from IN 19261 2254 17 the the DT 19261 2254 18 forceps forceps NNS 19261 2254 19 at at IN 19261 2254 20 the the DT 19261 2254 21 glottis glottis NN 19261 2254 22 may may MD 19261 2254 23 be be VB 19261 2254 24 due due JJ 19261 2254 25 to to IN 19261 2254 26 : : : 19261 2254 27 1 1 CD 19261 2254 28 . . . 19261 2255 1 Not not RB 19261 2255 2 keeping keep VBG 19261 2255 3 the the DT 19261 2255 4 object object NN 19261 2255 5 against against IN 19261 2255 6 the the DT 19261 2255 7 tube tube NN 19261 2255 8 mouth mouth NN 19261 2255 9 as as IN 19261 2255 10 just just RB 19261 2255 11 mentioned mention VBN 19261 2255 12 . . . 19261 2256 1 2 2 LS 19261 2256 2 . . . 19261 2257 1 Not not RB 19261 2257 2 bringing bring VBG 19261 2257 3 the the DT 19261 2257 4 greatest great JJS 19261 2257 5 diameter diameter NN 19261 2257 6 of of IN 19261 2257 7 the the DT 19261 2257 8 foreign foreign JJ 19261 2257 9 body body NN 19261 2257 10 into into IN 19261 2257 11 the the DT 19261 2257 12 sagittal sagittal JJ 19261 2257 13 plane plane NN 19261 2257 14 of of IN 19261 2257 15 the the DT 19261 2257 16 glottic glottic JJ 19261 2257 17 chink chink NN 19261 2257 18 . . . 19261 2258 1 3 3 LS 19261 2258 2 . . . 19261 2259 1 Faulty faulty JJ 19261 2259 2 application application NN 19261 2259 3 of of IN 19261 2259 4 the the DT 19261 2259 5 forceps forceps NNS 19261 2259 6 on on IN 19261 2259 7 the the DT 19261 2259 8 foreign foreign JJ 19261 2259 9 body body NN 19261 2259 10 . . . 19261 2260 1 4 4 LS 19261 2260 2 . . . 19261 2261 1 Mechanically mechanically RB 19261 2261 2 imperfect imperfect JJ 19261 2261 3 forceps forceps NNS 19261 2261 4 . . . 19261 2262 1 Should Should MD 19261 2262 2 the the DT 19261 2262 3 foreign foreign JJ 19261 2262 4 body body NN 19261 2262 5 be be VB 19261 2262 6 lost lose VBN 19261 2262 7 at at IN 19261 2262 8 the the DT 19261 2262 9 glottis glottis NN 19261 2262 10 it -PRON- PRP 19261 2262 11 may may MD 19261 2262 12 , , , 19261 2262 13 if if IN 19261 2262 14 large large JJ 19261 2262 15 become become VBP 19261 2262 16 impacted impact VBN 19261 2262 17 and and CC 19261 2262 18 threaten threaten JJ 19261 2262 19 asphyxia asphyxia NN 19261 2262 20 . . . 19261 2263 1 Prompt prompt JJ 19261 2263 2 insertion insertion NN 19261 2263 3 of of IN 19261 2263 4 the the DT 19261 2263 5 laryngoscope laryngoscope NN 19261 2263 6 will will MD 19261 2263 7 usually usually RB 19261 2263 8 allow allow VB 19261 2263 9 removal removal NN 19261 2263 10 of of IN 19261 2263 11 the the DT 19261 2263 12 object object NN 19261 2263 13 by by IN 19261 2263 14 means mean NNS 19261 2263 15 of of IN 19261 2263 16 the the DT 19261 2263 17 laryngeal laryngeal NN 19261 2263 18 grasping grasp VBG 19261 2263 19 forceps forceps NNP 19261 2263 20 . . . 19261 2264 1 The the DT 19261 2264 2 object object NN 19261 2264 3 may may MD 19261 2264 4 be be VB 19261 2264 5 dropped drop VBN 19261 2264 6 or or CC 19261 2264 7 expelled expel VBN 19261 2264 8 into into IN 19261 2264 9 the the DT 19261 2264 10 pharynx pharynx NN 19261 2264 11 and and CC 19261 2264 12 be be VB 19261 2264 13 swallowed swallow VBN 19261 2264 14 . . . 19261 2265 1 It -PRON- PRP 19261 2265 2 may may MD 19261 2265 3 even even RB 19261 2265 4 be be VB 19261 2265 5 coughed cough VBN 19261 2265 6 into into IN 19261 2265 7 the the DT 19261 2265 8 naso naso NNP 19261 2265 9 - - HYPH 19261 2265 10 pharynx pharynx NNP 19261 2265 11 or or CC 19261 2265 12 it -PRON- PRP 19261 2265 13 may may MD 19261 2265 14 be be VB 19261 2265 15 re re VBN 19261 2265 16 - - VBN 19261 2265 17 aspirated aspirated JJ 19261 2265 18 . . . 19261 2266 1 In in IN 19261 2266 2 the the DT 19261 2266 3 latter latter JJ 19261 2266 4 event event NN 19261 2266 5 the the DT 19261 2266 6 bronchoscope bronchoscope NN 19261 2266 7 is be VBZ 19261 2266 8 to to TO 19261 2266 9 be be VB 19261 2266 10 re re VBN 19261 2266 11 - - VBN 19261 2266 12 inserted insert VBN 19261 2266 13 and and CC 19261 2266 14 the the DT 19261 2266 15 trachea trachea NN 19261 2266 16 carefully carefully RB 19261 2266 17 searched search VBD 19261 2266 18 . . . 19261 2267 1 Care care NN 19261 2267 2 must must MD 19261 2267 3 be be VB 19261 2267 4 used use VBN 19261 2267 5 not not RB 19261 2267 6 to to TO 19261 2267 7 override override VB 19261 2267 8 the the DT 19261 2267 9 object object NN 19261 2267 10 . . . 19261 2268 1 If if IN 19261 2268 2 much much JJ 19261 2268 3 inflammatory inflammatory JJ 19261 2268 4 reaction reaction NN 19261 2268 5 has have VBZ 19261 2268 6 occurred occur VBN 19261 2268 7 in in IN 19261 2268 8 the the DT 19261 2268 9 first first JJ 19261 2268 10 invaded invade VBN 19261 2268 11 bronchus bronchu NNS 19261 2268 12 , , , 19261 2268 13 temporarily temporarily RB 19261 2268 14 suspending suspend VBG 19261 2268 15 the the DT 19261 2268 16 aerating aerate VBG 19261 2268 17 function function NN 19261 2268 18 of of IN 19261 2268 19 the the DT 19261 2268 20 corresponding correspond VBG 19261 2268 21 lung lung NN 19261 2268 22 , , , 19261 2268 23 reaspiration reaspiration NN 19261 2268 24 of of IN 19261 2268 25 a a DT 19261 2268 26 dislodged dislodge VBN 19261 2268 27 foreign foreign JJ 19261 2268 28 body body NN 19261 2268 29 is be VBZ 19261 2268 30 liable liable JJ 19261 2268 31 to to TO 19261 2268 32 carry carry VB 19261 2268 33 it -PRON- PRP 19261 2268 34 into into IN 19261 2268 35 the the DT 19261 2268 36 opposite opposite JJ 19261 2268 37 main main JJ 19261 2268 38 bronchus bronchus NN 19261 2268 39 , , , 19261 2268 40 by by IN 19261 2268 41 reason reason NN 19261 2268 42 of of IN 19261 2268 43 the the DT 19261 2268 44 greater great JJR 19261 2268 45 inspiratory inspiratory NN 19261 2268 46 volume volume NN 19261 2268 47 of of IN 19261 2268 48 air air NN 19261 2268 49 entering enter VBG 19261 2268 50 that that DT 19261 2268 51 side side NN 19261 2268 52 . . . 19261 2269 1 This this DT 19261 2269 2 may may MD 19261 2269 3 produce produce VB 19261 2269 4 sudden sudden JJ 19261 2269 5 death death NN 19261 2269 6 by by IN 19261 2269 7 blocking block VBG 19261 2269 8 the the DT 19261 2269 9 only only JJ 19261 2269 10 aerating aerate VBG 19261 2269 11 organ organ NN 19261 2269 12 . . . 19261 2270 1 _ _ NNP 19261 2270 2 Extraction Extraction NNP 19261 2270 3 of of IN 19261 2270 4 Pins Pins NNPS 19261 2270 5 , , , 19261 2270 6 Needles Needles NNPS 19261 2270 7 and and CC 19261 2270 8 Similar Similar NNP 19261 2270 9 Long Long NNP 19261 2270 10 Pointed Pointed NNP 19261 2270 11 Objects_.--When Objects_.--When NNP 19261 2270 12 searching search VBG 19261 2270 13 for for IN 19261 2270 14 such such JJ 19261 2270 15 objects object NNS 19261 2270 16 especial especial JJ 19261 2270 17 care care NN 19261 2270 18 must must MD 19261 2270 19 be be VB 19261 2270 20 taken take VBN 19261 2270 21 not not RB 19261 2270 22 to to TO 19261 2270 23 override override VB 19261 2270 24 them -PRON- PRP 19261 2270 25 . . . 19261 2271 1 Pins pin NNS 19261 2271 2 are be VBP 19261 2271 3 almost almost RB 19261 2271 4 always always RB 19261 2271 5 found find VBN 19261 2271 6 point point NN 19261 2271 7 upward upward RB 19261 2271 8 , , , 19261 2271 9 and and CC 19261 2271 10 the the DT 19261 2271 11 dictum dictum NN 19261 2271 12 can can MD 19261 2271 13 therefore therefore RB 19261 2271 14 be be VB 19261 2271 15 made make VBN 19261 2271 16 , , , 19261 2271 17 " " `` 19261 2271 18 Search search VB 19261 2271 19 not not RB 19261 2271 20 for for IN 19261 2271 21 the the DT 19261 2271 22 pin pin NN 19261 2271 23 , , , 19261 2271 24 but but CC 19261 2271 25 for for IN 19261 2271 26 the the DT 19261 2271 27 point point NN 19261 2271 28 of of IN 19261 2271 29 the the DT 19261 2271 30 pin pin NN 19261 2271 31 . . . 19261 2271 32 " " '' 19261 2272 1 If if IN 19261 2272 2 the the DT 19261 2272 3 point point NN 19261 2272 4 be be VB 19261 2272 5 found find VBN 19261 2272 6 free free JJ 19261 2272 7 , , , 19261 2272 8 it -PRON- PRP 19261 2272 9 should should MD 19261 2272 10 be be VB 19261 2272 11 worked work VBN 19261 2272 12 into into IN 19261 2272 13 the the DT 19261 2272 14 lumen luman NNS 19261 2272 15 of of IN 19261 2272 16 the the DT 19261 2272 17 bronchoscope bronchoscope NN 19261 2272 18 by by IN 19261 2272 19 manipulation manipulation NN 19261 2272 20 with with IN 19261 2272 21 the the DT 19261 2272 22 lip lip NN 19261 2272 23 of of IN 19261 2272 24 the the DT 19261 2272 25 tube tube NN 19261 2272 26 . . . 19261 2273 1 It -PRON- PRP 19261 2273 2 may may MD 19261 2273 3 then then RB 19261 2273 4 be be VB 19261 2273 5 seized seize VBN 19261 2273 6 with with IN 19261 2273 7 the the DT 19261 2273 8 forceps forceps NNP 19261 2273 9 and and CC 19261 2273 10 withdrawn withdraw VBN 19261 2273 11 . . . 19261 2274 1 Should Should MD 19261 2274 2 the the DT 19261 2274 3 pin pin NN 19261 2274 4 be be VB 19261 2274 5 grasped grasp VBN 19261 2274 6 by by IN 19261 2274 7 the the DT 19261 2274 8 shaft shaft NN 19261 2274 9 , , , 19261 2274 10 it -PRON- PRP 19261 2274 11 is be VBZ 19261 2274 12 almost almost RB 19261 2274 13 certain certain JJ 19261 2274 14 to to TO 19261 2274 15 turn turn VB 19261 2274 16 crosswise crosswise NN 19261 2274 17 of of IN 19261 2274 18 the the DT 19261 2274 19 tube tube NN 19261 2274 20 mouth mouth NN 19261 2274 21 , , , 19261 2274 22 where where WRB 19261 2274 23 one one CD 19261 2274 24 pull pull NN 19261 2274 25 may may MD 19261 2274 26 cause cause VB 19261 2274 27 the the DT 19261 2274 28 point point NN 19261 2274 29 to to TO 19261 2274 30 perforate perforate VB 19261 2274 31 , , , 19261 2274 32 enormously enormously RB 19261 2274 33 increasing increase VBG 19261 2274 34 the the DT 19261 2274 35 difficulties difficulty NNS 19261 2274 36 by by IN 19261 2274 37 transfixation transfixation NN 19261 2274 38 , , , 19261 2274 39 and and CC 19261 2274 40 perhaps perhaps RB 19261 2274 41 resulting result VBG 19261 2274 42 fatally fatally RB 19261 2274 43 ( ( -LRB- 19261 2274 44 Fig fig NN 19261 2274 45 . . . 19261 2275 1 80 80 CD 19261 2275 2 ) ) -RRB- 19261 2275 3 . . . 19261 2276 1 [ [ -LRB- 19261 2276 2 FIG FIG NNP 19261 2276 3 . . . 19261 2277 1 80.--Schematic 80.--schematic CD 19261 2277 2 illustration illustration NN 19261 2277 3 of of IN 19261 2277 4 a a DT 19261 2277 5 serious serious JJ 19261 2277 6 phase phase NN 19261 2277 7 of of IN 19261 2277 8 the the DT 19261 2277 9 error error NN 19261 2277 10 of of IN 19261 2277 11 hastily hastily RB 19261 2277 12 seizing seize VBG 19261 2277 13 a a DT 19261 2277 14 transfixed transfixed JJ 19261 2277 15 pin pin NN 19261 2277 16 near near IN 19261 2277 17 its -PRON- PRP$ 19261 2277 18 middle middle NN 19261 2277 19 , , , 19261 2277 20 when when WRB 19261 2277 21 first first RB 19261 2277 22 seen see VBN 19261 2277 23 as as IN 19261 2277 24 at at IN 19261 2277 25 M. M. NNP 19261 2277 26 Traction Traction NNP 19261 2277 27 with with IN 19261 2277 28 the the DT 19261 2277 29 forceps forceps NNS 19261 2277 30 in in IN 19261 2277 31 the the DT 19261 2277 32 direction direction NN 19261 2277 33 of of IN 19261 2277 34 the the DT 19261 2277 35 dart dart NN 19261 2277 36 in in IN 19261 2277 37 Schema Schema NNP 19261 2277 38 B B NNP 19261 2277 39 will will MD 19261 2277 40 rip rip VB 19261 2277 41 open open VB 19261 2277 42 the the DT 19261 2277 43 esophagus esophagus NN 19261 2277 44 or or CC 19261 2277 45 bronchus bronchus NN 19261 2277 46 inflicting inflict VBG 19261 2277 47 fatal fatal JJ 19261 2277 48 trauma trauma NN 19261 2277 49 , , , 19261 2277 50 and and CC 19261 2277 51 probably probably RB 19261 2277 52 the the DT 19261 2277 53 pin pin NN 19261 2277 54 will will MD 19261 2277 55 be be VB 19261 2277 56 stripped strip VBN 19261 2277 57 off off RP 19261 2277 58 at at IN 19261 2277 59 the the DT 19261 2277 60 glottic glottic JJ 19261 2277 61 or or CC 19261 2277 62 the the DT 19261 2277 63 cricopharyngeal cricopharyngeal JJ 19261 2277 64 level level NN 19261 2277 65 , , , 19261 2277 66 respectively respectively RB 19261 2277 67 . . . 19261 2278 1 The the DT 19261 2278 2 point point NN 19261 2278 3 of of IN 19261 2278 4 the the DT 19261 2278 5 pin pin NN 19261 2278 6 must must MD 19261 2278 7 be be VB 19261 2278 8 disembedded disembedde VBN 19261 2278 9 and and CC 19261 2278 10 gotten get VBN 19261 2278 11 into into IN 19261 2278 12 the the DT 19261 2278 13 tube tube NN 19261 2278 14 mouth mouth NN 19261 2278 15 as as IN 19261 2278 16 at at IN 19261 2278 17 A A NNP 19261 2278 18 , , , 19261 2278 19 to to TO 19261 2278 20 make make VB 19261 2278 21 forceps forceps NNP 19261 2278 22 traction traction NN 19261 2278 23 safe safe JJ 19261 2278 24 . . . 19261 2278 25 ] ] -RRB- 19261 2279 1 [ [ -LRB- 19261 2279 2 FIG FIG NNP 19261 2279 3 . . . 19261 2280 1 81.--Schema 81.--schema CD 19261 2280 2 illustrating illustrate VBG 19261 2280 3 the the DT 19261 2280 4 mechanical mechanical JJ 19261 2280 5 problem problem NN 19261 2280 6 of of IN 19261 2280 7 extracting extract VBG 19261 2280 8 a a DT 19261 2280 9 pin pin NN 19261 2280 10 , , , 19261 2280 11 a a DT 19261 2280 12 large large JJ 19261 2280 13 part part NN 19261 2280 14 of of IN 19261 2280 15 whose whose WP$ 19261 2280 16 shaft shaft NN 19261 2280 17 is be VBZ 19261 2280 18 buried bury VBN 19261 2280 19 in in IN 19261 2280 20 the the DT 19261 2280 21 bronchial bronchial JJ 19261 2280 22 wall wall NN 19261 2280 23 , , , 19261 2280 24 B. B. NNP 19261 2281 1 The the DT 19261 2281 2 pin pin NN 19261 2281 3 must must MD 19261 2281 4 be be VB 19261 2281 5 pushed push VBN 19261 2281 6 downward downward RB 19261 2281 7 and and CC 19261 2281 8 if if IN 19261 2281 9 the the DT 19261 2281 10 orifice orifice NN 19261 2281 11 of of IN 19261 2281 12 the the DT 19261 2281 13 branches branch NNS 19261 2281 14 , , , 19261 2281 15 C C NNP 19261 2281 16 , , , 19261 2281 17 D D NNP 19261 2281 18 , , , 19261 2281 19 are be VBP 19261 2281 20 too too RB 19261 2281 21 small small JJ 19261 2281 22 to to TO 19261 2281 23 admit admit VB 19261 2281 24 the the DT 19261 2281 25 head head NN 19261 2281 26 of of IN 19261 2281 27 the the DT 19261 2281 28 pin pin NN 19261 2281 29 some some DT 19261 2281 30 other other JJ 19261 2281 31 orifice orifice NN 19261 2281 32 ( ( -LRB- 19261 2281 33 as as IN 19261 2281 34 at at IN 19261 2281 35 A a NN 19261 2281 36 ) ) -RRB- 19261 2281 37 must must MD 19261 2281 38 be be VB 19261 2281 39 found find VBN 19261 2281 40 by by IN 19261 2281 41 palpation palpation NN 19261 2281 42 ( ( -LRB- 19261 2281 43 not not RB 19261 2281 44 by by IN 19261 2281 45 violent violent JJ 19261 2281 46 pushing pushing NN 19261 2281 47 ) ) -RRB- 19261 2281 48 to to TO 19261 2281 49 admit admit VB 19261 2281 50 the the DT 19261 2281 51 head head NN 19261 2281 52 , , , 19261 2281 53 so so IN 19261 2281 54 that that IN 19261 2281 55 the the DT 19261 2281 56 pin pin NN 19261 2281 57 can can MD 19261 2281 58 be be VB 19261 2281 59 pushed push VBN 19261 2281 60 downward downward RB 19261 2281 61 permitting permit VBG 19261 2281 62 the the DT 19261 2281 63 point point NN 19261 2281 64 to to TO 19261 2281 65 emerge emerge VB 19261 2281 66 ( ( -LRB- 19261 2281 67 E e NN 19261 2281 68 ) ) -RRB- 19261 2281 69 . . . 19261 2282 1 The the DT 19261 2282 2 point point NN 19261 2282 3 is be VBZ 19261 2282 4 then then RB 19261 2282 5 manipulated manipulate VBN 19261 2282 6 into into IN 19261 2282 7 the the DT 19261 2282 8 bronchoscopic bronchoscopic NNP 19261 2282 9 tube tube NN 19261 2282 10 - - HYPH 19261 2282 11 mouth mouth NN 19261 2282 12 by by IN 19261 2282 13 means mean NNS 19261 2282 14 of of IN 19261 2282 15 co co JJ 19261 2282 16 - - JJ 19261 2282 17 ordinated ordinated JJ 19261 2282 18 movements movement NNS 19261 2282 19 of of IN 19261 2282 20 the the DT 19261 2282 21 bronchoscopic bronchoscopic NNP 19261 2282 22 lip lip NNP 19261 2282 23 and and CC 19261 2282 24 the the DT 19261 2282 25 side side NN 19261 2282 26 - - HYPH 19261 2282 27 curved curve VBN 19261 2282 28 forceps forceps NNS 19261 2282 29 , , , 19261 2282 30 as as IN 19261 2282 31 shown show VBN 19261 2282 32 at at IN 19261 2282 33 F. F. NNP 19261 2282 34 ] ] -RRB- 19261 2282 35 _ _ NNP 19261 2282 36 Inward Inward NNP 19261 2282 37 Rotation Rotation NNP 19261 2282 38 Method_.--When Method_.--When NNP 19261 2282 39 the the DT 19261 2282 40 point point NN 19261 2282 41 is be VBZ 19261 2282 42 found find VBN 19261 2282 43 to to TO 19261 2282 44 be be VB 19261 2282 45 buried bury VBN 19261 2282 46 in in IN 19261 2282 47 the the DT 19261 2282 48 mucosa mucosa NNS 19261 2282 49 , , , 19261 2282 50 the the DT 19261 2282 51 best good JJS 19261 2282 52 and and CC 19261 2282 53 usually usually RB 19261 2282 54 successful successful JJ 19261 2282 55 method method NN 19261 2282 56 is be VBZ 19261 2282 57 to to TO 19261 2282 58 grasp grasp VB 19261 2282 59 the the DT 19261 2282 60 pin pin NN 19261 2282 61 as as IN 19261 2282 62 near near IN 19261 2282 63 the the DT 19261 2282 64 point point NN 19261 2282 65 as as IN 19261 2282 66 possible possible JJ 19261 2282 67 with with IN 19261 2282 68 the the DT 19261 2282 69 side side NN 19261 2282 70 - - HYPH 19261 2282 71 grasping grasp VBG 19261 2282 72 forceps forceps NNS 19261 2282 73 , , , 19261 2282 74 then then RB 19261 2282 75 with with IN 19261 2282 76 a a DT 19261 2282 77 spiral spiral JJ 19261 2282 78 motion motion NN 19261 2282 79 to to TO 19261 2282 80 push push VB 19261 2282 81 the the DT 19261 2282 82 pin pin NN 19261 2282 83 downward downward RB 19261 2282 84 while while IN 19261 2282 85 rotating rotate VBG 19261 2282 86 the the DT 19261 2282 87 forceps forceps NNS 19261 2282 88 about about IN 19261 2282 89 ninety ninety CD 19261 2282 90 degrees degree NNS 19261 2282 91 . . . 19261 2283 1 The the DT 19261 2283 2 point point NN 19261 2283 3 is be VBZ 19261 2283 4 thus thus RB 19261 2283 5 disengaged disengage VBN 19261 2283 6 , , , 19261 2283 7 and and CC 19261 2283 8 the the DT 19261 2283 9 shaft shaft NN 19261 2283 10 of of IN 19261 2283 11 the the DT 19261 2283 12 pin pin NN 19261 2283 13 is be VBZ 19261 2283 14 brought bring VBN 19261 2283 15 parallel parallel JJ 19261 2283 16 with with IN 19261 2283 17 that that DT 19261 2283 18 of of IN 19261 2283 19 the the DT 19261 2283 20 forceps forceps NNPS 19261 2283 21 , , , 19261 2283 22 after after IN 19261 2283 23 which which WDT 19261 2283 24 the the DT 19261 2283 25 point point NN 19261 2283 26 may may MD 19261 2283 27 be be VB 19261 2283 28 drawn draw VBN 19261 2283 29 into into IN 19261 2283 30 the the DT 19261 2283 31 tube tube NN 19261 2283 32 mouth mouth NN 19261 2283 33 . . . 19261 2284 1 The the DT 19261 2284 2 lips lip NNS 19261 2284 3 added add VBN 19261 2284 4 to to IN 19261 2284 5 the the DT 19261 2284 6 side side NN 19261 2284 7 - - HYPH 19261 2284 8 curved curve VBN 19261 2284 9 forceps forceps NNS 19261 2284 10 by by IN 19261 2284 11 my -PRON- PRP$ 19261 2284 12 assistant assistant NN 19261 2284 13 Dr. Dr. NNP 19261 2284 14 Gabriel Gabriel NNP 19261 2284 15 Tucker Tucker NNP 19261 2284 16 I -PRON- PRP 19261 2284 17 now now RB 19261 2284 18 use use VBP 19261 2284 19 exclusively exclusively RB 19261 2284 20 for for IN 19261 2284 21 this this DT 19261 2284 22 inward inward JJ 19261 2284 23 rotation rotation NN 19261 2284 24 method method NN 19261 2284 25 . . . 19261 2285 1 They -PRON- PRP 19261 2285 2 are be VBP 19261 2285 3 invaluable invaluable JJ 19261 2285 4 in in IN 19261 2285 5 preventing prevent VBG 19261 2285 6 the the DT 19261 2285 7 escape escape NN 19261 2285 8 of of IN 19261 2285 9 the the DT 19261 2285 10 pin pin NN 19261 2285 11 during during IN 19261 2285 12 the the DT 19261 2285 13 manipulation manipulation NN 19261 2285 14 . . . 19261 2286 1 A a DT 19261 2286 2 hook hook NN 19261 2286 3 is be VBZ 19261 2286 4 sometimes sometimes RB 19261 2286 5 useful useful JJ 19261 2286 6 in in IN 19261 2286 7 disengaging disengage VBG 19261 2286 8 a a DT 19261 2286 9 buried bury VBN 19261 2286 10 point point NN 19261 2286 11 . . . 19261 2287 1 The the DT 19261 2287 2 method method NN 19261 2287 3 of of IN 19261 2287 4 its -PRON- PRP$ 19261 2287 5 use use NN 19261 2287 6 is be VBZ 19261 2287 7 illustrated illustrate VBN 19261 2287 8 in in IN 19261 2287 9 Fig Fig NNP 19261 2287 10 . . . 19261 2288 1 82 82 CD 19261 2288 2 . . . 19261 2289 1 [ [ -LRB- 19261 2289 2 FIG FIG NNP 19261 2289 3 . . . 19261 2290 1 82.--Mechanical 82.--mechanical CD 19261 2290 2 problem problem NN 19261 2290 3 of of IN 19261 2290 4 pin pin NN 19261 2290 5 , , , 19261 2290 6 needle needle NN 19261 2290 7 , , , 19261 2290 8 tack tack NN 19261 2290 9 or or CC 19261 2290 10 nail nail NN 19261 2290 11 with with IN 19261 2290 12 embedded embed VBN 19261 2290 13 point point NN 19261 2290 14 . . . 19261 2291 1 If if IN 19261 2291 2 the the DT 19261 2291 3 forceps forceps NNS 19261 2291 4 are be VBP 19261 2291 5 pulled pull VBN 19261 2291 6 upon upon IN 19261 2291 7 the the DT 19261 2291 8 pin pin NN 19261 2291 9 point point NN 19261 2291 10 will will MD 19261 2291 11 be be VB 19261 2291 12 buried bury VBN 19261 2291 13 still still RB 19261 2291 14 deeper deep JJR 19261 2291 15 . . . 19261 2292 1 The the DT 19261 2292 2 side side NN 19261 2292 3 curved curve VBN 19261 2292 4 forceps forceps NNP 19261 2292 5 grasp grasp VBP 19261 2292 6 the the DT 19261 2292 7 pin pin NN 19261 2292 8 as as IN 19261 2292 9 near near IN 19261 2292 10 the the DT 19261 2292 11 point point NN 19261 2292 12 as as IN 19261 2292 13 possible possible JJ 19261 2292 14 then then RB 19261 2292 15 with with IN 19261 2292 16 a a DT 19261 2292 17 corkscrew corkscrew JJ 19261 2292 18 motion motion NN 19261 2292 19 the the DT 19261 2292 20 pin pin NN 19261 2292 21 is be VBZ 19261 2292 22 pushed push VBN 19261 2292 23 downward downward RB 19261 2292 24 and and CC 19261 2292 25 rotated rotate VBD 19261 2292 26 to to IN 19261 2292 27 the the DT 19261 2292 28 right right NN 19261 2292 29 when when WRB 19261 2292 30 the the DT 19261 2292 31 pin pin NN 19261 2292 32 will will MD 19261 2292 33 be be VB 19261 2292 34 found find VBN 19261 2292 35 to to TO 19261 2292 36 be be VB 19261 2292 37 parallel parallel JJ 19261 2292 38 with with IN 19261 2292 39 the the DT 19261 2292 40 shaft shaft NN 19261 2292 41 of of IN 19261 2292 42 the the DT 19261 2292 43 forceps forceps NNS 19261 2292 44 and and CC 19261 2292 45 can can MD 19261 2292 46 be be VB 19261 2292 47 drawn draw VBN 19261 2292 48 into into IN 19261 2292 49 the the DT 19261 2292 50 tube tube NN 19261 2292 51 . . . 19261 2293 1 If if IN 19261 2293 2 the the DT 19261 2293 3 pin pin NN 19261 2293 4 is be VBZ 19261 2293 5 prevented prevent VBN 19261 2293 6 by by IN 19261 2293 7 its -PRON- PRP$ 19261 2293 8 head head NN 19261 2293 9 from from IN 19261 2293 10 being be VBG 19261 2293 11 pushed push VBN 19261 2293 12 downward downward RB 19261 2293 13 the the DT 19261 2293 14 point point NN 19261 2293 15 may may MD 19261 2293 16 be be VB 19261 2293 17 extracted extract VBN 19261 2293 18 by by IN 19261 2293 19 the the DT 19261 2293 20 hook hook NN 19261 2293 21 as as IN 19261 2293 22 shown show VBN 19261 2293 23 above above IN 19261 2293 24 The the DT 19261 2293 25 side side NN 19261 2293 26 curved curve VBN 19261 2293 27 forceps forceps NNS 19261 2293 28 may may MD 19261 2293 29 be be VB 19261 2293 30 used use VBN 19261 2293 31 instead instead RB 19261 2293 32 of of IN 19261 2293 33 the the DT 19261 2293 34 hook hook NN 19261 2293 35 for for IN 19261 2293 36 freeing free VBG 19261 2293 37 the the DT 19261 2293 38 point point NN 19261 2293 39 , , , 19261 2293 40 the the DT 19261 2293 41 author author NN 19261 2293 42 's 's POS 19261 2293 43 " " `` 19261 2293 44 inward inward JJ 19261 2293 45 rotation rotation NN 19261 2293 46 " " '' 19261 2293 47 method method NN 19261 2293 48 . . . 19261 2294 1 The the DT 19261 2294 2 very very RB 19261 2294 3 best good JJS 19261 2294 4 instrument instrument NN 19261 2294 5 for for IN 19261 2294 6 the the DT 19261 2294 7 purpose purpose NN 19261 2294 8 is be VBZ 19261 2294 9 the the DT 19261 2294 10 forceps forceps NNPS 19261 2294 11 devised devise VBN 19261 2294 12 by by IN 19261 2294 13 my -PRON- PRP$ 19261 2294 14 assistant assistant NN 19261 2294 15 , , , 19261 2294 16 Dr. Dr. NNP 19261 2294 17 Gabriel Gabriel NNP 19261 2294 18 Tucker Tucker NNP 19261 2294 19 ( ( -LRB- 19261 2294 20 Fig fig NN 19261 2294 21 . . . 19261 2295 1 21 21 CD 19261 2295 2 ) ) -RRB- 19261 2295 3 . . . 19261 2296 1 The the DT 19261 2296 2 lips lip NNS 19261 2296 3 prevent prevent VBP 19261 2296 4 all all DT 19261 2296 5 risk risk NN 19261 2296 6 of of IN 19261 2296 7 losing lose VBG 19261 2296 8 the the DT 19261 2296 9 pin pin NN 19261 2296 10 from from IN 19261 2296 11 the the DT 19261 2296 12 grasp grasp NN 19261 2296 13 , , , 19261 2296 14 and and CC 19261 2296 15 at at IN 19261 2296 16 the the DT 19261 2296 17 same same JJ 19261 2296 18 time time NN 19261 2296 19 bring bring VB 19261 2296 20 the the DT 19261 2296 21 long long JJ 19261 2296 22 axis axis NN 19261 2296 23 of of IN 19261 2296 24 the the DT 19261 2296 25 pin pin NN 19261 2296 26 parallel parallel NN 19261 2296 27 to to IN 19261 2296 28 that that DT 19261 2296 29 of of IN 19261 2296 30 the the DT 19261 2296 31 bronchoscope bronchoscope NN 19261 2296 32 . . . 19261 2296 33 ] ] -RRB- 19261 2297 1 Pins pin NNS 19261 2297 2 are be VBP 19261 2297 3 very very RB 19261 2297 4 prone prone JJ 19261 2297 5 to to TO 19261 2297 6 drop drop VB 19261 2297 7 into into IN 19261 2297 8 the the DT 19261 2297 9 smaller small JJR 19261 2297 10 bronchi bronchi NN 19261 2297 11 and and CC 19261 2297 12 disappear disappear VBP 19261 2297 13 completely completely RB 19261 2297 14 from from IN 19261 2297 15 the the DT 19261 2297 16 ordinary ordinary JJ 19261 2297 17 field field NN 19261 2297 18 of of IN 19261 2297 19 endoscopic endoscopic NNP 19261 2297 20 exploration exploration NNP 19261 2297 21 . . . 19261 2298 1 At at IN 19261 2298 2 other other JJ 19261 2298 3 times time NNS 19261 2298 4 , , , 19261 2298 5 pins pin NNS 19261 2298 6 not not RB 19261 2298 7 dropping drop VBG 19261 2298 8 so so RB 19261 2298 9 deeply deeply RB 19261 2298 10 may may MD 19261 2298 11 show show VB 19261 2298 12 the the DT 19261 2298 13 point point NN 19261 2298 14 only only RB 19261 2298 15 during during IN 19261 2298 16 expiration expiration NN 19261 2298 17 or or CC 19261 2298 18 cough cough NN 19261 2298 19 , , , 19261 2298 20 at at IN 19261 2298 21 which which WDT 19261 2298 22 times time NNS 19261 2298 23 the the DT 19261 2298 24 bronchi bronchus NNS 19261 2298 25 are be VBP 19261 2298 26 shortened shorten VBN 19261 2298 27 . . . 19261 2299 1 In in IN 19261 2299 2 such such JJ 19261 2299 3 instances instance NNS 19261 2299 4 the the DT 19261 2299 5 invaded invade VBN 19261 2299 6 bronchial bronchial JJ 19261 2299 7 orifice orifice NN 19261 2299 8 should should MD 19261 2299 9 be be VB 19261 2299 10 clearly clearly RB 19261 2299 11 exposed expose VBN 19261 2299 12 as as IN 19261 2299 13 near near IN 19261 2299 14 the the DT 19261 2299 15 axis axis NN 19261 2299 16 of of IN 19261 2299 17 its -PRON- PRP$ 19261 2299 18 lumen luman NNS 19261 2299 19 as as IN 19261 2299 20 possible possible JJ 19261 2299 21 ; ; : 19261 2299 22 the the DT 19261 2299 23 forceps forceps NNS 19261 2299 24 are be VBP 19261 2299 25 now now RB 19261 2299 26 inserted insert VBN 19261 2299 27 , , , 19261 2299 28 opened open VBN 19261 2299 29 , , , 19261 2299 30 and and CC 19261 2299 31 the the DT 19261 2299 32 next next JJ 19261 2299 33 emergence emergence NN 19261 2299 34 watched watch VBN 19261 2299 35 for for IN 19261 2299 36 , , , 19261 2299 37 the the DT 19261 2299 38 point point NN 19261 2299 39 being be VBG 19261 2299 40 grasped grasp VBN 19261 2299 41 as as RB 19261 2299 42 soon soon RB 19261 2299 43 as as IN 19261 2299 44 seen see VBN 19261 2299 45 . . . 19261 2300 1 _ _ NNP 19261 2300 2 Extraction Extraction NNP 19261 2300 3 of of IN 19261 2300 4 Tacks Tacks NNPS 19261 2300 5 , , , 19261 2300 6 Nails Nails NNP 19261 2300 7 and and CC 19261 2300 8 Large large JJ 19261 2300 9 Headed head VBN 19261 2300 10 Foreign Foreign NNP 19261 2300 11 Bodies Bodies NNPS 19261 2300 12 from from IN 19261 2300 13 the the DT 19261 2300 14 Tracheobronchial tracheobronchial JJ 19261 2300 15 Tree_.--In tree_.--in NN 19261 2300 16 cases case NNS 19261 2300 17 of of IN 19261 2300 18 this this DT 19261 2300 19 sort sort NN 19261 2300 20 the the DT 19261 2300 21 point point NN 19261 2300 22 presents present VBZ 19261 2300 23 the the DT 19261 2300 24 same same JJ 19261 2300 25 difficulty difficulty NN 19261 2300 26 and and CC 19261 2300 27 requires require VBZ 19261 2300 28 solution solution NN 19261 2300 29 in in IN 19261 2300 30 the the DT 19261 2300 31 same same JJ 19261 2300 32 manner manner NN 19261 2300 33 as as IN 19261 2300 34 mentioned mention VBN 19261 2300 35 in in IN 19261 2300 36 the the DT 19261 2300 37 preceding precede VBG 19261 2300 38 paragraphs paragraph NNS 19261 2300 39 on on IN 19261 2300 40 the the DT 19261 2300 41 extraction extraction NN 19261 2300 42 of of IN 19261 2300 43 pins pin NNS 19261 2300 44 . . . 19261 2301 1 The the DT 19261 2301 2 author author NN 19261 2301 3 's 's POS 19261 2301 4 inward inward JJ 19261 2301 5 - - HYPH 19261 2301 6 rotation rotation NN 19261 2301 7 method method NN 19261 2301 8 when when WRB 19261 2301 9 executed execute VBN 19261 2301 10 with with IN 19261 2301 11 the the DT 19261 2301 12 Tucker Tucker NNP 19261 2301 13 forceps forceps NNPS 19261 2301 14 is be VBZ 19261 2301 15 ideal ideal JJ 19261 2301 16 . . . 19261 2302 1 The the DT 19261 2302 2 large large JJ 19261 2302 3 head head NN 19261 2302 4 , , , 19261 2302 5 however however RB 19261 2302 6 , , , 19261 2302 7 presents present VBZ 19261 2302 8 a a DT 19261 2302 9 special special JJ 19261 2302 10 problem problem NN 19261 2302 11 because because IN 19261 2302 12 of of IN 19261 2302 13 its -PRON- PRP$ 19261 2302 14 tendency tendency NN 19261 2302 15 to to TO 19261 2302 16 act act VB 19261 2302 17 as as IN 19261 2302 18 a a DT 19261 2302 19 mushroom mushroom NN 19261 2302 20 anchor anchor NN 19261 2302 21 when when WRB 19261 2302 22 buried bury VBN 19261 2302 23 in in IN 19261 2302 24 swollen swollen JJ 19261 2302 25 mucosa mucosa NNS 19261 2302 26 or or CC 19261 2302 27 in in IN 19261 2302 28 a a DT 19261 2302 29 fibrous fibrous JJ 19261 2302 30 stenosis stenosis NN 19261 2302 31 ( ( -LRB- 19261 2302 32 Fig fig NN 19261 2302 33 . . . 19261 2303 1 83 83 CD 19261 2303 2 ) ) -RRB- 19261 2303 3 . . . 19261 2304 1 The the DT 19261 2304 2 extraction extraction NN 19261 2304 3 problems problem NNS 19261 2304 4 of of IN 19261 2304 5 tacks tack NNS 19261 2304 6 are be VBP 19261 2304 7 illustrated illustrate VBN 19261 2304 8 in in IN 19261 2304 9 Figs Figs NNP 19261 2304 10 . . . 19261 2305 1 84 84 CD 19261 2305 2 , , , 19261 2305 3 85 85 CD 19261 2305 4 , , , 19261 2305 5 and and CC 19261 2305 6 86 86 CD 19261 2305 7 . . . 19261 2306 1 Nails Nails NNP 19261 2306 2 , , , 19261 2306 3 stick stick NN 19261 2306 4 pins pin NNS 19261 2306 5 , , , 19261 2306 6 and and CC 19261 2306 7 various various JJ 19261 2306 8 tacks tack NNS 19261 2306 9 are be VBP 19261 2306 10 dealt deal VBN 19261 2306 11 with with IN 19261 2306 12 in in IN 19261 2306 13 the the DT 19261 2306 14 same same JJ 19261 2306 15 manner manner NN 19261 2306 16 by by IN 19261 2306 17 the the DT 19261 2306 18 author author NN 19261 2306 19 's 's POS 19261 2306 20 " " `` 19261 2306 21 inward inward JJ 19261 2306 22 rotation rotation NN 19261 2306 23 " " '' 19261 2306 24 method method NN 19261 2306 25 . . . 19261 2307 1 _ _ NNP 19261 2307 2 Hollow hollow JJ 19261 2307 3 metallic metallic JJ 19261 2307 4 bodies body NNS 19261 2307 5 _ _ IN 19261 2307 6 presenting present VBG 19261 2307 7 an an DT 19261 2307 8 opening opening NN 19261 2307 9 toward toward IN 19261 2307 10 the the DT 19261 2307 11 observer observer NN 19261 2307 12 may may MD 19261 2307 13 be be VB 19261 2307 14 removed remove VBN 19261 2307 15 with with IN 19261 2307 16 a a DT 19261 2307 17 grooved grooved JJ 19261 2307 18 expansile expansile JJ 19261 2307 19 forceps forceps NNS 19261 2307 20 as as IN 19261 2307 21 shown show VBN 19261 2307 22 in in IN 19261 2307 23 Figs Figs NNP 19261 2307 24 23 23 CD 19261 2307 25 and and CC 19261 2307 26 25 25 CD 19261 2307 27 , , , 19261 2307 28 or or CC 19261 2307 29 its -PRON- PRP$ 19261 2307 30 edge edge NN 19261 2307 31 may may MD 19261 2307 32 be be VB 19261 2307 33 grasped grasp VBN 19261 2307 34 by by IN 19261 2307 35 the the DT 19261 2307 36 regular regular JJ 19261 2307 37 side side NN 19261 2307 38 - - HYPH 19261 2307 39 grasping grasp VBG 19261 2307 40 forceps forceps NNS 19261 2307 41 . . . 19261 2308 1 The the DT 19261 2308 2 latter latter JJ 19261 2308 3 hold hold NN 19261 2308 4 is be VBZ 19261 2308 5 apt apt JJ 19261 2308 6 to to TO 19261 2308 7 be be VB 19261 2308 8 very very RB 19261 2308 9 dangerous dangerous JJ 19261 2308 10 because because IN 19261 2308 11 of of IN 19261 2308 12 the the DT 19261 2308 13 trauma trauma NN 19261 2308 14 inflicted inflict VBN 19261 2308 15 by by IN 19261 2308 16 the the DT 19261 2308 17 catching catching NN 19261 2308 18 of of IN 19261 2308 19 the the DT 19261 2308 20 free free JJ 19261 2308 21 edge edge NN 19261 2308 22 opposite opposite IN 19261 2308 23 the the DT 19261 2308 24 forceps forceps NNS 19261 2308 25 ; ; : 19261 2308 26 but but CC 19261 2308 27 with with IN 19261 2308 28 care care NN 19261 2308 29 it -PRON- PRP 19261 2308 30 is be VBZ 19261 2308 31 the the DT 19261 2308 32 best good JJS 19261 2308 33 method method NN 19261 2308 34 . . . 19261 2309 1 Should Should MD 19261 2309 2 the the DT 19261 2309 3 closed closed JJ 19261 2309 4 end end NN 19261 2309 5 be be VB 19261 2309 6 uppermost uppermost JJ 19261 2309 7 , , , 19261 2309 8 however however RB 19261 2309 9 , , , 19261 2309 10 it -PRON- PRP 19261 2309 11 may may MD 19261 2309 12 be be VB 19261 2309 13 necessary necessary JJ 19261 2309 14 to to TO 19261 2309 15 insert insert VB 19261 2309 16 a a DT 19261 2309 17 hook hook NN 19261 2309 18 beyond beyond IN 19261 2309 19 the the DT 19261 2309 20 object object NN 19261 2309 21 , , , 19261 2309 22 and and CC 19261 2309 23 to to TO 19261 2309 24 coax coax VB 19261 2309 25 it -PRON- PRP 19261 2309 26 upward upward RB 19261 2309 27 to to IN 19261 2309 28 a a DT 19261 2309 29 point point NN 19261 2309 30 where where WRB 19261 2309 31 it -PRON- PRP 19261 2309 32 may may MD 19261 2309 33 be be VB 19261 2309 34 turned turn VBN 19261 2309 35 for for IN 19261 2309 36 grasping grasping NN 19261 2309 37 and and CC 19261 2309 38 removal removal NN 19261 2309 39 with with IN 19261 2309 40 forceps forceps NNP 19261 2309 41 . . . 19261 2310 1 [ [ -LRB- 19261 2310 2 FIG FIG NNP 19261 2310 3 . . . 19261 2311 1 83.--"Mushroom 83.--"mushroom CD 19261 2311 2 anchor anchor NN 19261 2311 3 " " `` 19261 2311 4 problem problem NN 19261 2311 5 of of IN 19261 2311 6 the the DT 19261 2311 7 upholstery upholstery JJ 19261 2311 8 tack tack NN 19261 2311 9 . . . 19261 2312 1 If if IN 19261 2312 2 the the DT 19261 2312 3 tack tack NN 19261 2312 4 has have VBZ 19261 2312 5 not not RB 19261 2312 6 been be VBN 19261 2312 7 _ _ NNP 19261 2312 8 in in IN 19261 2312 9 situ situ NN 19261 2312 10 _ _ NNP 19261 2312 11 more more JJR 19261 2312 12 than than IN 19261 2312 13 a a DT 19261 2312 14 few few JJ 19261 2312 15 weeks week NNS 19261 2312 16 the the DT 19261 2312 17 stenosis stenosis NN 19261 2312 18 at at IN 19261 2312 19 the the DT 19261 2312 20 level level NN 19261 2312 21 of of IN 19261 2312 22 the the DT 19261 2312 23 darts dart NNS 19261 2312 24 is be VBZ 19261 2312 25 simply simply RB 19261 2312 26 edematous edematous JJ 19261 2312 27 mucosa mucosa NNS 19261 2312 28 and and CC 19261 2312 29 the the DT 19261 2312 30 tack tack NN 19261 2312 31 can can MD 19261 2312 32 be be VB 19261 2312 33 pulled pull VBN 19261 2312 34 through through RP 19261 2312 35 with with IN 19261 2312 36 no no DT 19261 2312 37 more more JJR 19261 2312 38 than than IN 19261 2312 39 slight slight JJ 19261 2312 40 mucosal mucosal NN 19261 2312 41 trauma trauma NN 19261 2312 42 , , , 19261 2312 43 _ _ NNP 19261 2312 44 provided provide VBD 19261 2312 45 _ _ NNP 19261 2312 46 axis axis NNP 19261 2312 47 - - HYPH 19261 2312 48 traction traction NN 19261 2312 49 only only RB 19261 2312 50 be be VB 19261 2312 51 used use VBN 19261 2312 52 . . . 19261 2313 1 If if IN 19261 2313 2 the the DT 19261 2313 3 tack tack NN 19261 2313 4 has have VBZ 19261 2313 5 been be VBN 19261 2313 6 in in IN 19261 2313 7 situ situ VBN 19261 2313 8 a a DT 19261 2313 9 year year NN 19261 2313 10 or or CC 19261 2313 11 more more JJR 19261 2313 12 the the DT 19261 2313 13 fibrous fibrous JJ 19261 2313 14 stricture stricture NN 19261 2313 15 may may MD 19261 2313 16 need need VB 19261 2313 17 dilatation dilatation NN 19261 2313 18 with with IN 19261 2313 19 the the DT 19261 2313 20 divulsor divulsor NN 19261 2313 21 . . . 19261 2314 1 Otherwise otherwise RB 19261 2314 2 traction traction NN 19261 2314 3 may may MD 19261 2314 4 rupture rupture VB 19261 2314 5 the the DT 19261 2314 6 bronchial bronchial JJ 19261 2314 7 wall wall NN 19261 2314 8 . . . 19261 2315 1 The the DT 19261 2315 2 stenotic stenotic JJ 19261 2315 3 tissue tissue NN 19261 2315 4 in in IN 19261 2315 5 cases case NNS 19261 2315 6 of of IN 19261 2315 7 a a DT 19261 2315 8 few few JJ 19261 2315 9 months month NNS 19261 2315 10 ' ' POS 19261 2315 11 sojourn sojourn NN 19261 2315 12 maybe maybe RB 19261 2315 13 composed compose VBN 19261 2315 14 of of IN 19261 2315 15 granulations granulation NNS 19261 2315 16 , , , 19261 2315 17 in in IN 19261 2315 18 which which WDT 19261 2315 19 case case NN 19261 2315 20 axis axis NNP 19261 2315 21 - - HYPH 19261 2315 22 traction traction NN 19261 2315 23 will will MD 19261 2315 24 safely safely RB 19261 2315 25 withdraw withdraw VB 19261 2315 26 it -PRON- PRP 19261 2315 27 . . . 19261 2316 1 The the DT 19261 2316 2 point point NN 19261 2316 3 of of IN 19261 2316 4 a a DT 19261 2316 5 tack tack NN 19261 2316 6 rarely rarely RB 19261 2316 7 projects project VBZ 19261 2316 8 freely freely RB 19261 2316 9 into into IN 19261 2316 10 the the DT 19261 2316 11 lumen luman NNS 19261 2316 12 as as IN 19261 2316 13 here here RB 19261 2316 14 shown show VBN 19261 2316 15 . . . 19261 2317 1 More more RBR 19261 2317 2 often often RB 19261 2317 3 it -PRON- PRP 19261 2317 4 is be VBZ 19261 2317 5 buried bury VBN 19261 2317 6 in in IN 19261 2317 7 the the DT 19261 2317 8 wall wall NN 19261 2317 9 . . . 19261 2317 10 ] ] -RRB- 19261 2318 1 [ [ -LRB- 19261 2318 2 168 168 CD 19261 2318 3 ] ] -RRB- 19261 2318 4 [ [ -LRB- 19261 2318 5 FIG FIG NNP 19261 2318 6 . . . 19261 2319 1 84.-Schema 84.-schema LS 19261 2319 2 illustrating illustrate VBG 19261 2319 3 the the DT 19261 2319 4 " " `` 19261 2319 5 mushroom mushroom NN 19261 2319 6 anchor anchor NN 19261 2319 7 " " '' 19261 2319 8 problem problem NN 19261 2319 9 of of IN 19261 2319 10 the the DT 19261 2319 11 brass brass NN 19261 2319 12 headed head VBD 19261 2319 13 upholstery upholstery NN 19261 2319 14 tack tack NN 19261 2319 15 . . . 19261 2320 1 At at IN 19261 2320 2 A a DT 19261 2320 3 the the DT 19261 2320 4 tack tack NN 19261 2320 5 is be VBZ 19261 2320 6 shown show VBN 19261 2320 7 with with IN 19261 2320 8 the the DT 19261 2320 9 head head NN 19261 2320 10 bedded bed VBN 19261 2320 11 in in IN 19261 2320 12 swollen swollen JJ 19261 2320 13 mucosa mucosa NNS 19261 2320 14 . . . 19261 2321 1 The the DT 19261 2321 2 bronchoscopist bronchoscopist NN 19261 2321 3 , , , 19261 2321 4 looking look VBG 19261 2321 5 through through IN 19261 2321 6 the the DT 19261 2321 7 bronchoscope bronchoscope NN 19261 2321 8 , , , 19261 2321 9 E e NN 19261 2321 10 , , , 19261 2321 11 considering consider VBG 19261 2321 12 himself -PRON- PRP 19261 2321 13 lucky lucky JJ 19261 2321 14 to to TO 19261 2321 15 have have VB 19261 2321 16 found find VBN 19261 2321 17 the the DT 19261 2321 18 point point NN 19261 2321 19 of of IN 19261 2321 20 the the DT 19261 2321 21 tack tack NN 19261 2321 22 , , , 19261 2321 23 seizes seize VBZ 19261 2321 24 it -PRON- PRP 19261 2321 25 and and CC 19261 2321 26 starts start VBZ 19261 2321 27 to to TO 19261 2321 28 withdraw withdraw VB 19261 2321 29 it -PRON- PRP 19261 2321 30 , , , 19261 2321 31 making make VBG 19261 2321 32 traction traction NN 19261 2321 33 as as IN 19261 2321 34 shown show VBN 19261 2321 35 by by IN 19261 2321 36 the the DT 19261 2321 37 dart dart NN 19261 2321 38 in in IN 19261 2321 39 drawing draw VBG 19261 2321 40 B. B. NNP 19261 2322 1 The the DT 19261 2322 2 head head NN 19261 2322 3 of of IN 19261 2322 4 the the DT 19261 2322 5 tack tack JJ 19261 2322 6 catches catch NNS 19261 2322 7 below below IN 19261 2322 8 a a DT 19261 2322 9 chondrial chondrial JJ 19261 2322 10 ring ring NN 19261 2322 11 and and CC 19261 2322 12 rips rip VBZ 19261 2322 13 in in RB 19261 2322 14 , , , 19261 2322 15 tearing tear VBG 19261 2322 16 its -PRON- PRP$ 19261 2322 17 way way NN 19261 2322 18 through through IN 19261 2322 19 the the DT 19261 2322 20 bronchial bronchial JJ 19261 2322 21 wall wall NN 19261 2322 22 ( ( -LRB- 19261 2322 23 D d NN 19261 2322 24 ) ) -RRB- 19261 2322 25 causing cause VBG 19261 2322 26 death death NN 19261 2322 27 by by IN 19261 2322 28 mediastinal mediastinal NNP 19261 2322 29 emphysema emphysema NNP 19261 2322 30 . . . 19261 2323 1 This this DT 19261 2323 2 accident accident NN 19261 2323 3 is be VBZ 19261 2323 4 still still RB 19261 2323 5 more more RBR 19261 2323 6 likely likely JJ 19261 2323 7 to to TO 19261 2323 8 occur occur VB 19261 2323 9 if if IN 19261 2323 10 , , , 19261 2323 11 as as RB 19261 2323 12 often often RB 19261 2323 13 happens happen VBZ 19261 2323 14 , , , 19261 2323 15 the the DT 19261 2323 16 tack tack NN 19261 2323 17 - - HYPH 19261 2323 18 head head NN 19261 2323 19 is be VBZ 19261 2323 20 lodged lodge VBN 19261 2323 21 in in IN 19261 2323 22 the the DT 19261 2323 23 orifice orifice NN 19261 2323 24 of of IN 19261 2323 25 the the DT 19261 2323 26 upper upper JJ 19261 2323 27 lobe lobe NNP 19261 2323 28 bronchus bronchus NNP 19261 2323 29 , , , 19261 2323 30 F. F. NNP 19261 2323 31 But but CC 19261 2323 32 if if IN 19261 2323 33 the the DT 19261 2323 34 bronchoscopist bronchoscopist NN 19261 2323 35 swings swing VBZ 19261 2323 36 the the DT 19261 2323 37 patient patient NN 19261 2323 38 's 's POS 19261 2323 39 head head NN 19261 2323 40 far far RB 19261 2323 41 to to IN 19261 2323 42 the the DT 19261 2323 43 opposite opposite JJ 19261 2323 44 side side NN 19261 2323 45 and and CC 19261 2323 46 makes make VBZ 19261 2323 47 axis axis JJ 19261 2323 48 - - HYPH 19261 2323 49 traction traction NN 19261 2323 50 , , , 19261 2323 51 as as IN 19261 2323 52 shown show VBN 19261 2323 53 at at IN 19261 2323 54 C C NNP 19261 2323 55 , , , 19261 2323 56 the the DT 19261 2323 57 head head NN 19261 2323 58 of of IN 19261 2323 59 the the DT 19261 2323 60 tack tack NN 19261 2323 61 can can MD 19261 2323 62 be be VB 19261 2323 63 drawn draw VBN 19261 2323 64 through through IN 19261 2323 65 the the DT 19261 2323 66 swollen swollen JJ 19261 2323 67 mucosa mucosa NNS 19261 2323 68 without without IN 19261 2323 69 anchoring anchor VBG 19261 2323 70 itself -PRON- PRP 19261 2323 71 in in IN 19261 2323 72 a a DT 19261 2323 73 cartilage cartilage NN 19261 2323 74 . . . 19261 2324 1 If if IN 19261 2324 2 necessary necessary JJ 19261 2324 3 , , , 19261 2324 4 in in IN 19261 2324 5 addition addition NN 19261 2324 6 , , , 19261 2324 7 the the DT 19261 2324 8 lip lip NN 19261 2324 9 of of IN 19261 2324 10 the the DT 19261 2324 11 bronchoscope bronchoscope NN 19261 2324 12 can can MD 19261 2324 13 be be VB 19261 2324 14 used use VBN 19261 2324 15 to to TO 19261 2324 16 repress repress VB 19261 2324 17 the the DT 19261 2324 18 angle angle NN 19261 2324 19 , , , 19261 2324 20 h h NN 19261 2324 21 , , , 19261 2324 22 and and CC 19261 2324 23 the the DT 19261 2324 24 swollen swollen JJ 19261 2324 25 mucosa mucosa NNS 19261 2324 26 , , , 19261 2324 27 H. H. NNP 19261 2324 28 If if IN 19261 2324 29 the the DT 19261 2324 30 swollen swollen NN 19261 2324 31 mucosa mucosa NNS 19261 2324 32 , , , 19261 2324 33 H H NNP 19261 2324 34 , , , 19261 2324 35 has have VBZ 19261 2324 36 been be VBN 19261 2324 37 replaced replace VBN 19261 2324 38 by by IN 19261 2324 39 fibrous fibrous JJ 19261 2324 40 tissue tissue NN 19261 2324 41 from from IN 19261 2324 42 many many JJ 19261 2324 43 months month NNS 19261 2324 44 ' ' POS 19261 2324 45 sojourn sojourn NN 19261 2324 46 of of IN 19261 2324 47 the the DT 19261 2324 48 tack tack NN 19261 2324 49 , , , 19261 2324 50 the the DT 19261 2324 51 stenosis stenosis NN 19261 2324 52 may may MD 19261 2324 53 require require VB 19261 2324 54 dilatation dilatation NN 19261 2324 55 with with IN 19261 2324 56 the the DT 19261 2324 57 divulsor divulsor NN 19261 2324 58 . . . 19261 2324 59 ] ] -RRB- 19261 2325 1 [ [ -LRB- 19261 2325 2 FIG FIG NNP 19261 2325 3 . . . 19261 2326 1 85.--Problem 85.--problem CD 19261 2326 2 of of IN 19261 2326 3 the the DT 19261 2326 4 upholstery upholstery JJ 19261 2326 5 tack tack NN 19261 2326 6 with with IN 19261 2326 7 buried bury VBN 19261 2326 8 point point NN 19261 2326 9 . . . 19261 2327 1 If if IN 19261 2327 2 pulled pull VBN 19261 2327 3 upon upon IN 19261 2327 4 , , , 19261 2327 5 the the DT 19261 2327 6 imminent imminent JJ 19261 2327 7 perforation perforation NN 19261 2327 8 of of IN 19261 2327 9 the the DT 19261 2327 10 mediastinum mediastinum NN 19261 2327 11 , , , 19261 2327 12 as as IN 19261 2327 13 shown show VBN 19261 2327 14 at at IN 19261 2327 15 A A NNP 19261 2327 16 will will MD 19261 2327 17 be be VB 19261 2327 18 completed complete VBN 19261 2327 19 , , , 19261 2327 20 the the DT 19261 2327 21 bronchus bronchus NN 19261 2327 22 will will MD 19261 2327 23 be be VB 19261 2327 24 torn tear VBN 19261 2327 25 and and CC 19261 2327 26 death death NN 19261 2327 27 will will MD 19261 2327 28 follow follow VB 19261 2327 29 even even RB 19261 2327 30 if if IN 19261 2327 31 the the DT 19261 2327 32 tack tack NN 19261 2327 33 be be VB 19261 2327 34 removed remove VBN 19261 2327 35 , , , 19261 2327 36 which which WDT 19261 2327 37 is be VBZ 19261 2327 38 of of IN 19261 2327 39 doubtful doubtful JJ 19261 2327 40 possibility possibility NN 19261 2327 41 . . . 19261 2328 1 The the DT 19261 2328 2 proper proper JJ 19261 2328 3 method method NN 19261 2328 4 is be VBZ 19261 2328 5 gently gently RB 19261 2328 6 to to TO 19261 2328 7 close close VB 19261 2328 8 the the DT 19261 2328 9 side side NN 19261 2328 10 curved curve VBN 19261 2328 11 forceps forceps NNP 19261 2328 12 on on IN 19261 2328 13 the the DT 19261 2328 14 shank shank NN 19261 2328 15 of of IN 19261 2328 16 the the DT 19261 2328 17 tack tack NN 19261 2328 18 near near IN 19261 2328 19 the the DT 19261 2328 20 head head NN 19261 2328 21 , , , 19261 2328 22 push push VB 19261 2328 23 downward downward RB 19261 2328 24 as as IN 19261 2328 25 shown show VBN 19261 2328 26 by by IN 19261 2328 27 the the DT 19261 2328 28 dart dart NN 19261 2328 29 , , , 19261 2328 30 in in IN 19261 2328 31 B B NNP 19261 2328 32 , , , 19261 2328 33 until until IN 19261 2328 34 the the DT 19261 2328 35 point point NN 19261 2328 36 emerges emerge VBZ 19261 2328 37 . . . 19261 2329 1 Then then RB 19261 2329 2 the the DT 19261 2329 3 forceps forceps NNS 19261 2329 4 are be VBP 19261 2329 5 rotated rotate VBN 19261 2329 6 to to TO 19261 2329 7 bring bring VB 19261 2329 8 the the DT 19261 2329 9 point point NN 19261 2329 10 of of IN 19261 2329 11 the the DT 19261 2329 12 tack tack NN 19261 2329 13 away away RB 19261 2329 14 from from IN 19261 2329 15 the the DT 19261 2329 16 bronchial bronchial JJ 19261 2329 17 wall wall NN 19261 2329 18 . . . 19261 2329 19 ] ] -RRB- 19261 2330 1 [ [ -LRB- 19261 2330 2 169 169 CD 19261 2330 3 ] ] -RRB- 19261 2330 4 _ _ NNP 19261 2330 5 Removal Removal NNP 19261 2330 6 of of IN 19261 2330 7 Open Open NNP 19261 2330 8 Safety Safety NNP 19261 2330 9 Pins Pins NNPS 19261 2330 10 from from IN 19261 2330 11 the the DT 19261 2330 12 Trachea Trachea NNP 19261 2330 13 and and CC 19261 2330 14 Bronchi_.-- Bronchi_.-- NNP 19261 2330 15 Removal Removal NNP 19261 2330 16 of of IN 19261 2330 17 a a DT 19261 2330 18 closed closed JJ 19261 2330 19 safety safety NN 19261 2330 20 pin pin NN 19261 2330 21 presents present NNS 19261 2330 22 no no DT 19261 2330 23 difficulty difficulty NN 19261 2330 24 if if IN 19261 2330 25 it -PRON- PRP 19261 2330 26 is be VBZ 19261 2330 27 grasped grasp VBN 19261 2330 28 at at IN 19261 2330 29 one one CD 19261 2330 30 or or CC 19261 2330 31 the the DT 19261 2330 32 other other JJ 19261 2330 33 end end NN 19261 2330 34 . . . 19261 2331 1 A a DT 19261 2331 2 grasp grasp NN 19261 2331 3 in in IN 19261 2331 4 the the DT 19261 2331 5 middle middle NN 19261 2331 6 produces produce VBZ 19261 2331 7 a a DT 19261 2331 8 " " `` 19261 2331 9 toggle toggle JJ 19261 2331 10 and and CC 19261 2331 11 ring ring NN 19261 2331 12 " " '' 19261 2331 13 action action NN 19261 2331 14 which which WDT 19261 2331 15 would would MD 19261 2331 16 prevent prevent VB 19261 2331 17 extraction extraction NN 19261 2331 18 . . . 19261 2332 1 When when WRB 19261 2332 2 the the DT 19261 2332 3 safety safety NN 19261 2332 4 pin pin NN 19261 2332 5 is be VBZ 19261 2332 6 _ _ NNP 19261 2332 7 open open JJ 19261 2332 8 with with IN 19261 2332 9 the the DT 19261 2332 10 point point NN 19261 2332 11 downward downward RB 19261 2332 12 _ _ NNP 19261 2332 13 care care NN 19261 2332 14 must must MD 19261 2332 15 be be VB 19261 2332 16 exercised exercise VBN 19261 2332 17 not not RB 19261 2332 18 to to TO 19261 2332 19 override override VB 19261 2332 20 it -PRON- PRP 19261 2332 21 with with IN 19261 2332 22 the the DT 19261 2332 23 bronchoscope bronchoscope NN 19261 2332 24 or or CC 19261 2332 25 to to TO 19261 2332 26 push push VB 19261 2332 27 the the DT 19261 2332 28 point point NN 19261 2332 29 through through IN 19261 2332 30 the the DT 19261 2332 31 wall wall NN 19261 2332 32 . . . 19261 2333 1 The the DT 19261 2333 2 spring spring NN 19261 2333 3 or or CC 19261 2333 4 near near JJ 19261 2333 5 end end NN 19261 2333 6 is be VBZ 19261 2333 7 to to TO 19261 2333 8 be be VB 19261 2333 9 grasped grasp VBN 19261 2333 10 with with IN 19261 2333 11 the the DT 19261 2333 12 side side NN 19261 2333 13 - - HYPH 19261 2333 14 curved curved JJ 19261 2333 15 or or CC 19261 2333 16 the the DT 19261 2333 17 rotation rotation NN 19261 2333 18 forceps forceps NNS 19261 2333 19 ( ( -LRB- 19261 2333 20 Figs fig NNS 19261 2333 21 . . . 19261 2334 1 19 19 CD 19261 2334 2 , , , 19261 2334 3 20 20 CD 19261 2334 4 and and CC 19261 2334 5 31 31 CD 19261 2334 6 ) ) -RRB- 19261 2334 7 and and CC 19261 2334 8 pulled pull VBD 19261 2334 9 into into IN 19261 2334 10 the the DT 19261 2334 11 bronchoscope bronchoscope NN 19261 2334 12 , , , 19261 2334 13 thus thus RB 19261 2334 14 closing close VBG 19261 2334 15 the the DT 19261 2334 16 pin pin NN 19261 2334 17 . . . 19261 2335 1 An an DT 19261 2335 2 open open JJ 19261 2335 3 safety safety NN 19261 2335 4 pin pin NN 19261 2335 5 lodged lodge VBD 19261 2335 6 point point VBP 19261 2335 7 up up RP 19261 2335 8 presents present VBZ 19261 2335 9 an an DT 19261 2335 10 entirely entirely RB 19261 2335 11 different different JJ 19261 2335 12 and and CC 19261 2335 13 a a DT 19261 2335 14 very very RB 19261 2335 15 difficult difficult JJ 19261 2335 16 problem problem NN 19261 2335 17 . . . 19261 2336 1 If if IN 19261 2336 2 traction traction NN 19261 2336 3 is be VBZ 19261 2336 4 made make VBN 19261 2336 5 without without IN 19261 2336 6 closing close VBG 19261 2336 7 the the DT 19261 2336 8 pin pin NN 19261 2336 9 or or CC 19261 2336 10 protecting protect VBG 19261 2336 11 the the DT 19261 2336 12 point point NN 19261 2336 13 severe severe JJ 19261 2336 14 and and CC 19261 2336 15 probably probably RB 19261 2336 16 fatal fatal JJ 19261 2336 17 trauma trauma NN 19261 2336 18 will will MD 19261 2336 19 be be VB 19261 2336 20 produced produce VBN 19261 2336 21 . . . 19261 2337 1 The the DT 19261 2337 2 pin pin NN 19261 2337 3 may may MD 19261 2337 4 be be VB 19261 2337 5 closed close VBN 19261 2337 6 with with IN 19261 2337 7 the the DT 19261 2337 8 pin pin NN 19261 2337 9 - - HYPH 19261 2337 10 closer close RBR 19261 2337 11 as as IN 19261 2337 12 illustrated illustrate VBN 19261 2337 13 in in IN 19261 2337 14 Fig Fig NNP 19261 2337 15 . . . 19261 2338 1 37 37 CD 19261 2338 2 , , , 19261 2338 3 and and CC 19261 2338 4 then then RB 19261 2338 5 removed remove VBN 19261 2338 6 with with IN 19261 2338 7 forceps forceps NNS 19261 2338 8 . . . 19261 2339 1 Arrowsmith Arrowsmith NNP 19261 2339 2 's 's POS 19261 2339 3 pin pin NN 19261 2339 4 - - HYPH 19261 2339 5 closer close JJR 19261 2339 6 is be VBZ 19261 2339 7 excellent excellent JJ 19261 2339 8 . . . 19261 2340 1 Another another DT 19261 2340 2 method method NN 19261 2340 3 ( ( -LRB- 19261 2340 4 Fig fig NN 19261 2340 5 . . . 19261 2341 1 87 87 CD 19261 2341 2 ) ) -RRB- 19261 2341 3 consists consist VBZ 19261 2341 4 in in IN 19261 2341 5 bringing bring VBG 19261 2341 6 the the DT 19261 2341 7 point point NN 19261 2341 8 of of IN 19261 2341 9 the the DT 19261 2341 10 safety safety NN 19261 2341 11 pin pin NN 19261 2341 12 into into IN 19261 2341 13 the the DT 19261 2341 14 bronchoscope bronchoscope NN 19261 2341 15 , , , 19261 2341 16 after after IN 19261 2341 17 disengaging disengage VBG 19261 2341 18 the the DT 19261 2341 19 point point NN 19261 2341 20 with with IN 19261 2341 21 the the DT 19261 2341 22 side side NN 19261 2341 23 curved curve VBN 19261 2341 24 forceps forceps NNS 19261 2341 25 , , , 19261 2341 26 by by IN 19261 2341 27 the the DT 19261 2341 28 author author NN 19261 2341 29 's 's POS 19261 2341 30 " " `` 19261 2341 31 inward inward JJ 19261 2341 32 rotation rotation NN 19261 2341 33 " " '' 19261 2341 34 method method NN 19261 2341 35 . . . 19261 2342 1 The the DT 19261 2342 2 forceps forceps NNP 19261 2342 3 - - HYPH 19261 2342 4 jaws jaw NNS 19261 2342 5 ( ( -LRB- 19261 2342 6 Fig fig NN 19261 2342 7 . . . 19261 2343 1 21 21 LS 19261 2343 2 ) ) -RRB- 19261 2343 3 devised devise VBN 19261 2343 4 recently recently RB 19261 2343 5 by by IN 19261 2343 6 my -PRON- PRP$ 19261 2343 7 assistant assistant NN 19261 2343 8 , , , 19261 2343 9 Dr. Dr. NNP 19261 2343 10 Gabriel Gabriel NNP 19261 2343 11 Tucker Tucker NNP 19261 2343 12 , , , 19261 2343 13 are be VBP 19261 2343 14 ideal ideal JJ 19261 2343 15 for for IN 19261 2343 16 this this DT 19261 2343 17 maneuver maneuver NN 19261 2343 18 . . . 19261 2344 1 As as IN 19261 2344 2 the the DT 19261 2344 3 point point NN 19261 2344 4 is be VBZ 19261 2344 5 now now RB 19261 2344 6 protected protect VBN 19261 2344 7 , , , 19261 2344 8 the the DT 19261 2344 9 spring spring NN 19261 2344 10 , , , 19261 2344 11 seen see VBN 19261 2344 12 just just RB 19261 2344 13 off off IN 19261 2344 14 the the DT 19261 2344 15 tube tube NN 19261 2344 16 mouth mouth NN 19261 2344 17 , , , 19261 2344 18 is be VBZ 19261 2344 19 best best RB 19261 2344 20 grasped grasp VBN 19261 2344 21 with with IN 19261 2344 22 the the DT 19261 2344 23 rotation rotation NN 19261 2344 24 forceps forceps NNP 19261 2344 25 , , , 19261 2344 26 which which WDT 19261 2344 27 afford afford VBP 19261 2344 28 the the DT 19261 2344 29 securest securest NN 19261 2344 30 hold hold NN 19261 2344 31 . . . 19261 2345 1 The the DT 19261 2345 2 keeper keeper NN 19261 2345 3 and and CC 19261 2345 4 its -PRON- PRP$ 19261 2345 5 shaft shaft NN 19261 2345 6 are be VBP 19261 2345 7 outside outside IN 19261 2345 8 the the DT 19261 2345 9 bronchoscope bronchoscope NN 19261 2345 10 , , , 19261 2345 11 but but CC 19261 2345 12 its -PRON- PRP$ 19261 2345 13 rounded rounded JJ 19261 2345 14 portion portion NN 19261 2345 15 is be VBZ 19261 2345 16 uppermost uppermost JJ 19261 2345 17 and and CC 19261 2345 18 will will MD 19261 2345 19 glide glide VB 19261 2345 20 over over IN 19261 2345 21 the the DT 19261 2345 22 tissues tissue NNS 19261 2345 23 without without IN 19261 2345 24 trauma trauma NN 19261 2345 25 upon upon IN 19261 2345 26 careful careful JJ 19261 2345 27 withdrawal withdrawal NN 19261 2345 28 of of IN 19261 2345 29 the the DT 19261 2345 30 tube tube NN 19261 2345 31 and and CC 19261 2345 32 safety safety NN 19261 2345 33 pin pin NN 19261 2345 34 . . . 19261 2346 1 Care care NN 19261 2346 2 must must MD 19261 2346 3 be be VB 19261 2346 4 taken take VBN 19261 2346 5 to to TO 19261 2346 6 rotate rotate VB 19261 2346 7 the the DT 19261 2346 8 pin pin NN 19261 2346 9 so so IN 19261 2346 10 that that IN 19261 2346 11 it -PRON- PRP 19261 2346 12 lies lie VBZ 19261 2346 13 in in IN 19261 2346 14 the the DT 19261 2346 15 sagittal sagittal JJ 19261 2346 16 plane plane NN 19261 2346 17 of of IN 19261 2346 18 the the DT 19261 2346 19 glottis glottis NN 19261 2346 20 with with IN 19261 2346 21 the the DT 19261 2346 22 keeper keeper NN 19261 2346 23 placed place VBN 19261 2346 24 posteriorly posteriorly RB 19261 2346 25 , , , 19261 2346 26 for for IN 19261 2346 27 the the DT 19261 2346 28 reason reason NN 19261 2346 29 that that IN 19261 2346 30 the the DT 19261 2346 31 base base NN 19261 2346 32 of of IN 19261 2346 33 the the DT 19261 2346 34 glottic glottic JJ 19261 2346 35 triangle triangle NN 19261 2346 36 is be VBZ 19261 2346 37 posterior posterior NN 19261 2346 38 , , , 19261 2346 39 and and CC 19261 2346 40 that that IN 19261 2346 41 the the DT 19261 2346 42 posterior posterior NN 19261 2346 43 wall wall NN 19261 2346 44 of of IN 19261 2346 45 the the DT 19261 2346 46 larynx larynx NN 19261 2346 47 is be VBZ 19261 2346 48 membranous membranous JJ 19261 2346 49 above above IN 19261 2346 50 the the DT 19261 2346 51 cricoid cricoid JJ 19261 2346 52 cartilage cartilage NN 19261 2346 53 , , , 19261 2346 54 and and CC 19261 2346 55 will will MD 19261 2346 56 yield yield VB 19261 2346 57 . . . 19261 2347 1 A a DT 19261 2347 2 small small JJ 19261 2347 3 safety safety NN 19261 2347 4 - - : 19261 2347 5 pin pin NN 19261 2347 6 may may MD 19261 2347 7 be be VB 19261 2347 8 removed remove VBN 19261 2347 9 by by IN 19261 2347 10 version version NN 19261 2347 11 , , , 19261 2347 12 the the DT 19261 2347 13 point point NN 19261 2347 14 being be VBG 19261 2347 15 turned turn VBN 19261 2347 16 into into IN 19261 2347 17 a a DT 19261 2347 18 branch branch NN 19261 2347 19 bronchial bronchial JJ 19261 2347 20 orifice orifice NN 19261 2347 21 . . . 19261 2348 1 No no DT 19261 2348 2 one one PRP 19261 2348 3 should should MD 19261 2348 4 think think VB 19261 2348 5 of of IN 19261 2348 6 attempting attempt VBG 19261 2348 7 the the DT 19261 2348 8 extraction extraction NN 19261 2348 9 of of IN 19261 2348 10 a a DT 19261 2348 11 safety safety NN 19261 2348 12 pin pin NN 19261 2348 13 lodged lodge VBD 19261 2348 14 point point VBP 19261 2348 15 upward upward RB 19261 2348 16 without without IN 19261 2348 17 having have VBG 19261 2348 18 practiced practice VBN 19261 2348 19 for for IN 19261 2348 20 at at IN 19261 2348 21 least least JJS 19261 2348 22 a a DT 19261 2348 23 hundred hundred CD 19261 2348 24 hours hour NNS 19261 2348 25 on on IN 19261 2348 26 the the DT 19261 2348 27 rubber rubber NN 19261 2348 28 tube tube NN 19261 2348 29 manikin manikin NNP 19261 2348 30 . . . 19261 2349 1 This this DT 19261 2349 2 practice practice NN 19261 2349 3 should should MD 19261 2349 4 be be VB 19261 2349 5 carried carry VBN 19261 2349 6 out out RP 19261 2349 7 by by IN 19261 2349 8 anyone anyone NN 19261 2349 9 expecting expect VBG 19261 2349 10 to to TO 19261 2349 11 do do VB 19261 2349 12 endoscopy endoscopy VB 19261 2349 13 , , , 19261 2349 14 because because IN 19261 2349 15 it -PRON- PRP 19261 2349 16 affords afford VBZ 19261 2349 17 excellent excellent JJ 19261 2349 18 education education NN 19261 2349 19 of of IN 19261 2349 20 the the DT 19261 2349 21 eye eye NN 19261 2349 22 and and CC 19261 2349 23 the the DT 19261 2349 24 fingers finger NNS 19261 2349 25 in in IN 19261 2349 26 the the DT 19261 2349 27 endoscopic endoscopic JJ 19261 2349 28 manipulation manipulation NN 19261 2349 29 of of IN 19261 2349 30 any any DT 19261 2349 31 kind kind NN 19261 2349 32 of of IN 19261 2349 33 foreign foreign JJ 19261 2349 34 body body NN 19261 2349 35 . . . 19261 2350 1 Then then RB 19261 2350 2 , , , 19261 2350 3 when when WRB 19261 2350 4 a a DT 19261 2350 5 safety safety NN 19261 2350 6 pin pin NN 19261 2350 7 case case NN 19261 2350 8 is be VBZ 19261 2350 9 encountered encounter VBN 19261 2350 10 , , , 19261 2350 11 the the DT 19261 2350 12 bronchoscopist bronchoscopist NN 19261 2350 13 will will MD 19261 2350 14 be be VB 19261 2350 15 prepared prepared JJ 19261 2350 16 to to TO 19261 2350 17 cope cope VB 19261 2350 18 with with IN 19261 2350 19 its -PRON- PRP$ 19261 2350 20 difficulties difficulty NNS 19261 2350 21 , , , 19261 2350 22 and and CC 19261 2350 23 he -PRON- PRP 19261 2350 24 will will MD 19261 2350 25 be be VB 19261 2350 26 able able JJ 19261 2350 27 to to TO 19261 2350 28 determine determine VB 19261 2350 29 which which WDT 19261 2350 30 of of IN 19261 2350 31 the the DT 19261 2350 32 methods method NNS 19261 2350 33 will will MD 19261 2350 34 be be VB 19261 2350 35 best well RBS 19261 2350 36 suited suited JJ 19261 2350 37 to to IN 19261 2350 38 his -PRON- PRP$ 19261 2350 39 personal personal JJ 19261 2350 40 equation equation NN 19261 2350 41 in in IN 19261 2350 42 the the DT 19261 2350 43 particular particular JJ 19261 2350 44 case case NN 19261 2350 45 . . . 19261 2351 1 [ [ -LRB- 19261 2351 2 FIG FIG NNP 19261 2351 3 . . . 19261 2352 1 86.--Schema 86.--schema LS 19261 2352 2 illustrating illustrate VBG 19261 2352 3 the the DT 19261 2352 4 " " `` 19261 2352 5 upper upper JJ 19261 2352 6 - - HYPH 19261 2352 7 lobe lobe NNP 19261 2352 8 - - HYPH 19261 2352 9 bronchus bronchus NN 19261 2352 10 problem problem NN 19261 2352 11 , , , 19261 2352 12 " " '' 19261 2352 13 combined combine VBN 19261 2352 14 with with IN 19261 2352 15 the the DT 19261 2352 16 " " `` 19261 2352 17 mushroom mushroom NN 19261 2352 18 - - HYPH 19261 2352 19 anchor anchor NN 19261 2352 20 " " '' 19261 2352 21 problem problem NN 19261 2352 22 and and CC 19261 2352 23 the the DT 19261 2352 24 author author NN 19261 2352 25 's 's POS 19261 2352 26 method method NN 19261 2352 27 for for IN 19261 2352 28 their -PRON- PRP$ 19261 2352 29 solution solution NN 19261 2352 30 . . . 19261 2353 1 The the DT 19261 2353 2 patient patient NN 19261 2353 3 being be VBG 19261 2353 4 recumbent recumbent NN 19261 2353 5 , , , 19261 2353 6 the the DT 19261 2353 7 bronchoscopist bronchoscopist NN 19261 2353 8 looking look VBG 19261 2353 9 down down IN 19261 2353 10 the the DT 19261 2353 11 right right JJ 19261 2353 12 main main JJ 19261 2353 13 bronchus bronchus NN 19261 2353 14 , , , 19261 2353 15 M M NNP 19261 2353 16 , , , 19261 2353 17 sees see VBZ 19261 2353 18 the the DT 19261 2353 19 point point NN 19261 2353 20 of of IN 19261 2353 21 the the DT 19261 2353 22 tack tack NN 19261 2353 23 projecting projecting NN 19261 2353 24 from from IN 19261 2353 25 the the DT 19261 2353 26 right right JJ 19261 2353 27 upper upper JJ 19261 2353 28 - - HYPH 19261 2353 29 lobe lobe NN 19261 2353 30 - - HYPH 19261 2353 31 bronchus bronchus NNP 19261 2353 32 , , , 19261 2353 33 A. a. NN 19261 2354 1 He -PRON- PRP 19261 2354 2 seizes seize VBZ 19261 2354 3 the the DT 19261 2354 4 point point NN 19261 2354 5 with with IN 19261 2354 6 the the DT 19261 2354 7 side side NN 19261 2354 8 - - HYPH 19261 2354 9 curved curved JJ 19261 2354 10 forceps forceps NNS 19261 2354 11 ; ; : 19261 2354 12 then then RB 19261 2354 13 slides slide VBZ 19261 2354 14 down down RP 19261 2354 15 the the DT 19261 2354 16 bronchoscope bronchoscope NN 19261 2354 17 to to IN 19261 2354 18 the the DT 19261 2354 19 position position NN 19261 2354 20 shown show VBN 19261 2354 21 dotted dotted JJ 19261 2354 22 at at IN 19261 2354 23 B. B. NNP 19261 2355 1 Next next RB 19261 2355 2 he -PRON- PRP 19261 2355 3 pushes push VBZ 19261 2355 4 the the DT 19261 2355 5 bronchoscopic bronchoscopic NNP 19261 2355 6 tube tube NNP 19261 2355 7 - - HYPH 19261 2355 8 mouth mouth NN 19261 2355 9 downward downward RB 19261 2355 10 and and CC 19261 2355 11 medianward medianward NNP 19261 2355 12 , , , 19261 2355 13 simultaneously simultaneously RB 19261 2355 14 moving move VBG 19261 2355 15 the the DT 19261 2355 16 patient patient NN 19261 2355 17 's 's POS 19261 2355 18 head head NN 19261 2355 19 to to IN 19261 2355 20 the the DT 19261 2355 21 right right NN 19261 2355 22 , , , 19261 2355 23 thus thus RB 19261 2355 24 swinging swinge VBG 19261 2355 25 the the DT 19261 2355 26 bronchoscopic bronchoscopic JJ 19261 2355 27 level level NN 19261 2355 28 on on IN 19261 2355 29 its -PRON- PRP$ 19261 2355 30 fulcrum fulcrum NN 19261 2355 31 , , , 19261 2355 32 and and CC 19261 2355 33 dragging drag VBG 19261 2355 34 the the DT 19261 2355 35 tack tack NN 19261 2355 36 downward downward RB 19261 2355 37 and and CC 19261 2355 38 inward inward RB 19261 2355 39 out out IN 19261 2355 40 of of IN 19261 2355 41 its -PRON- PRP$ 19261 2355 42 bed bed NN 19261 2355 43 , , , 19261 2355 44 to to IN 19261 2355 45 the the DT 19261 2355 46 position position NN 19261 2355 47 , , , 19261 2355 48 1 1 CD 19261 2355 49 ) ) -RRB- 19261 2355 50 . . . 19261 2356 1 Traction traction NN 19261 2356 2 , , , 19261 2356 3 as as IN 19261 2356 4 shown show VBN 19261 2356 5 at at IN 19261 2356 6 C C NNP 19261 2356 7 , , , 19261 2356 8 will will MD 19261 2356 9 then then RB 19261 2356 10 safely safely RB 19261 2356 11 and and CC 19261 2356 12 easily easily RB 19261 2356 13 withdraw withdraw VB 19261 2356 14 the the DT 19261 2356 15 tack tack NN 19261 2356 16 . . . 19261 2357 1 A a DT 19261 2357 2 very very RB 19261 2357 3 small small JJ 19261 2357 4 bronchoscope bronchoscope NN 19261 2357 5 is be VBZ 19261 2357 6 essential essential JJ 19261 2357 7 . . . 19261 2358 1 The the DT 19261 2358 2 lip lip NN 19261 2358 3 of of IN 19261 2358 4 the the DT 19261 2358 5 bronchoscopic bronchoscopic NNP 19261 2358 6 tube tube NN 19261 2358 7 - - HYPH 19261 2358 8 mouth mouth NN 19261 2358 9 must must MD 19261 2358 10 be be VB 19261 2358 11 used use VBN 19261 2358 12 to to TO 19261 2358 13 pry pry VB 19261 2358 14 the the DT 19261 2358 15 forceps forceps NNS 19261 2358 16 down down RP 19261 2358 17 and and CC 19261 2358 18 over over RB 19261 2358 19 , , , 19261 2358 20 and and CC 19261 2358 21 the the DT 19261 2358 22 lip lip NN 19261 2358 23 must must MD 19261 2358 24 be be VB 19261 2358 25 brought bring VBN 19261 2358 26 close close RB 19261 2358 27 to to IN 19261 2358 28 the the DT 19261 2358 29 tack tack NN 19261 2358 30 just just RB 19261 2358 31 before before IN 19261 2358 32 the the DT 19261 2358 33 prying pry VBG 19261 2358 34 - - HYPH 19261 2358 35 pushing push VBG 19261 2358 36 movement movement NN 19261 2358 37 . . . 19261 2359 1 S S NNP 19261 2359 2 , , , 19261 2359 3 right right JJ 19261 2359 4 stem stem NN 19261 2359 5 - - HYPH 19261 2359 6 bronchus bronchu NNS 19261 2359 7 . . . 19261 2359 8 ] ] -RRB- 19261 2360 1 [ [ -LRB- 19261 2360 2 FIG FIG NNP 19261 2360 3 . . . 19261 2361 1 87.--One 87.--one CD 19261 2361 2 method method NN 19261 2361 3 of of IN 19261 2361 4 dealing deal VBG 19261 2361 5 with with IN 19261 2361 6 an an DT 19261 2361 7 open open JJ 19261 2361 8 safety safety NN 19261 2361 9 pin pin NN 19261 2361 10 without without IN 19261 2361 11 closing close VBG 19261 2361 12 it -PRON- PRP 19261 2361 13 . . . 19261 2361 14 ] ] -RRB- 19261 2362 1 _ _ NNP 19261 2362 2 Removal Removal NNP 19261 2362 3 of of IN 19261 2362 4 Double Double NNP 19261 2362 5 Pointed Pointed NNP 19261 2362 6 Tacks_.--If Tacks_.--If NNP 19261 2362 7 the the DT 19261 2362 8 tack tack NN 19261 2362 9 or or CC 19261 2362 10 staple staple NN 19261 2362 11 be be VB 19261 2362 12 small small JJ 19261 2362 13 , , , 19261 2362 14 and and CC 19261 2362 15 lodged lodge VBN 19261 2362 16 in in IN 19261 2362 17 a a DT 19261 2362 18 relatively relatively RB 19261 2362 19 large large JJ 19261 2362 20 trachea trachea NN 19261 2362 21 a a DT 19261 2362 22 version version NN 19261 2362 23 may may MD 19261 2362 24 be be VB 19261 2362 25 done do VBN 19261 2362 26 . . . 19261 2363 1 That that RB 19261 2363 2 is is RB 19261 2363 3 , , , 19261 2363 4 the the DT 19261 2363 5 staple staple NN 19261 2363 6 may may MD 19261 2363 7 be be VB 19261 2363 8 turned turn VBN 19261 2363 9 over over RP 19261 2363 10 with with IN 19261 2363 11 the the DT 19261 2363 12 hook hook NN 19261 2363 13 or or CC 19261 2363 14 rotation rotation NN 19261 2363 15 forceps forceps NNS 19261 2363 16 and and CC 19261 2363 17 brought bring VBD 19261 2363 18 out out RP 19261 2363 19 with with IN 19261 2363 20 the the DT 19261 2363 21 points point NNS 19261 2363 22 trailing trail VBG 19261 2363 23 . . . 19261 2364 1 With with IN 19261 2364 2 a a DT 19261 2364 3 long long JJ 19261 2364 4 staple staple NN 19261 2364 5 in in IN 19261 2364 6 a a DT 19261 2364 7 child child NN 19261 2364 8 's 's POS 19261 2364 9 trachea trachea NN 19261 2364 10 the the DT 19261 2364 11 best good JJS 19261 2364 12 method method NN 19261 2364 13 is be VBZ 19261 2364 14 to to TO 19261 2364 15 " " `` 19261 2364 16 coax coax VB 19261 2364 17 " " '' 19261 2364 18 the the DT 19261 2364 19 intruder intruder NN 19261 2364 20 along along IN 19261 2364 21 gently gently RB 19261 2364 22 under under IN 19261 2364 23 ocular ocular JJ 19261 2364 24 guidance guidance NN 19261 2364 25 , , , 19261 2364 26 never never RB 19261 2364 27 making make VBG 19261 2364 28 traction traction NN 19261 2364 29 enough enough RB 19261 2364 30 to to TO 19261 2364 31 bury bury VB 19261 2364 32 the the DT 19261 2364 33 point point NN 19261 2364 34 deeply deeply RB 19261 2364 35 , , , 19261 2364 36 and and CC 19261 2364 37 lifting lift VBG 19261 2364 38 the the DT 19261 2364 39 point point NN 19261 2364 40 with with IN 19261 2364 41 the the DT 19261 2364 42 hook hook NN 19261 2364 43 whenever whenever WRB 19261 2364 44 it -PRON- PRP 19261 2364 45 shows show VBZ 19261 2364 46 any any DT 19261 2364 47 inclination inclination NN 19261 2364 48 to to TO 19261 2364 49 enter enter VB 19261 2364 50 the the DT 19261 2364 51 wall wall NN 19261 2364 52 . . . 19261 2365 1 Great great JJ 19261 2365 2 care care NN 19261 2365 3 and and CC 19261 2365 4 dexterity dexterity NN 19261 2365 5 are be VBP 19261 2365 6 required require VBN 19261 2365 7 to to TO 19261 2365 8 get get VB 19261 2365 9 the the DT 19261 2365 10 intruder intruder NN 19261 2365 11 through through IN 19261 2365 12 the the DT 19261 2365 13 glottis glottis NN 19261 2365 14 . . . 19261 2366 1 In in IN 19261 2366 2 certain certain JJ 19261 2366 3 locations location NNS 19261 2366 4 , , , 19261 2366 5 one one CD 19261 2366 6 or or CC 19261 2366 7 both both DT 19261 2366 8 points point NNS 19261 2366 9 may may MD 19261 2366 10 be be VB 19261 2366 11 turned turn VBN 19261 2366 12 into into IN 19261 2366 13 branch branch NN 19261 2366 14 bronchi bronchi NNP 19261 2366 15 as as IN 19261 2366 16 illustrated illustrate VBN 19261 2366 17 in in IN 19261 2366 18 Fig Fig NNP 19261 2366 19 . . . 19261 2367 1 88 88 CD 19261 2367 2 , , , 19261 2367 3 or or CC 19261 2367 4 over over IN 19261 2367 5 the the DT 19261 2367 6 carina carina NN 19261 2367 7 into into IN 19261 2367 8 the the DT 19261 2367 9 opposite opposite JJ 19261 2367 10 main main JJ 19261 2367 11 bronchus bronchus NN 19261 2367 12 . . . 19261 2368 1 Another another DT 19261 2368 2 method method NN 19261 2368 3 is be VBZ 19261 2368 4 to to TO 19261 2368 5 get get VB 19261 2368 6 both both DT 19261 2368 7 points point NNS 19261 2368 8 into into IN 19261 2368 9 the the DT 19261 2368 10 tube tube NN 19261 2368 11 - - HYPH 19261 2368 12 mouth mouth NN 19261 2368 13 . . . 19261 2369 1 This this DT 19261 2369 2 may may MD 19261 2369 3 be be VB 19261 2369 4 favored favor VBN 19261 2369 5 , , , 19261 2369 6 as as IN 19261 2369 7 demonstrated demonstrate VBN 19261 2369 8 by by IN 19261 2369 9 my -PRON- PRP$ 19261 2369 10 assistant assistant NN 19261 2369 11 , , , 19261 2369 12 Dr. Dr. NNP 19261 2369 13 Gabriel Gabriel NNP 19261 2369 14 Tucker Tucker NNP 19261 2369 15 , , , 19261 2369 16 by by IN 19261 2369 17 tilting tilt VBG 19261 2369 18 the the DT 19261 2369 19 staple staple NN 19261 2369 20 so so IN 19261 2369 21 as as IN 19261 2369 22 to to TO 19261 2369 23 get get VB 19261 2369 24 both both DT 19261 2369 25 points point NNS 19261 2369 26 into into IN 19261 2369 27 the the DT 19261 2369 28 longest long JJS 19261 2369 29 diameter diameter NN 19261 2369 30 of of IN 19261 2369 31 the the DT 19261 2369 32 tube tube NN 19261 2369 33 - - HYPH 19261 2369 34 mouth mouth NN 19261 2369 35 . . . 19261 2370 1 In in IN 19261 2370 2 some some DT 19261 2370 3 cases case NNS 19261 2370 4 I -PRON- PRP 19261 2370 5 have have VBP 19261 2370 6 squeezed squeeze VBN 19261 2370 7 the the DT 19261 2370 8 bronchoscope bronchoscope NN 19261 2370 9 in in IN 19261 2370 10 a a DT 19261 2370 11 vise vise NN 19261 2370 12 to to TO 19261 2370 13 create create VB 19261 2370 14 an an DT 19261 2370 15 oval oval JJ 19261 2370 16 tube tube NN 19261 2370 17 - - HYPH 19261 2370 18 mouth mouth NN 19261 2370 19 . . . 19261 2371 1 In in IN 19261 2371 2 other other JJ 19261 2371 3 cases case NNS 19261 2371 4 I -PRON- PRP 19261 2371 5 have have VBP 19261 2371 6 used use VBN 19261 2371 7 expanding expand VBG 19261 2371 8 forceps forceps NNS 19261 2371 9 with with IN 19261 2371 10 grooved grooved JJ 19261 2371 11 blades blade NNS 19261 2371 12 . . . 19261 2372 1 [ [ -LRB- 19261 2372 2 FIG FIG NNP 19261 2372 3 . . . 19261 2373 1 88.-Schema 88.-Schema NNP 19261 2373 2 illustrating illustrate VBG 19261 2373 3 podalic podalic NNP 19261 2373 4 version version NN 19261 2373 5 of of IN 19261 2373 6 bronchially bronchially RB 19261 2373 7 - - HYPH 19261 2373 8 lodged lodge VBN 19261 2373 9 staples staple NNS 19261 2373 10 or or CC 19261 2373 11 double double JJ 19261 2373 12 - - HYPH 19261 2373 13 pointed pointed JJ 19261 2373 14 tacks tack NNS 19261 2373 15 . . . 19261 2374 1 H h NN 19261 2374 2 , , , 19261 2374 3 bronchoscope bronchoscope NN 19261 2374 4 . . . 19261 2375 1 A a DT 19261 2375 2 , , , 19261 2375 3 swollen swollen JJ 19261 2375 4 mucosa mucosa NNS 19261 2375 5 covering cover VBG 19261 2375 6 points point NNS 19261 2375 7 of of IN 19261 2375 8 staple staple NN 19261 2375 9 . . . 19261 2376 1 At at IN 19261 2376 2 E e NN 19261 2376 3 the the DT 19261 2376 4 staple staple NN 19261 2376 5 has have VBZ 19261 2376 6 been be VBN 19261 2376 7 manipulated manipulate VBN 19261 2376 8 upward upward RB 19261 2376 9 with with IN 19261 2376 10 bronchoscopic bronchoscopic NNP 19261 2376 11 lip lip NNP 19261 2376 12 and and CC 19261 2376 13 hooks hook VBZ 19261 2376 14 until until IN 19261 2376 15 the the DT 19261 2376 16 points point NNS 19261 2376 17 are be VBP 19261 2376 18 opposite opposite IN 19261 2376 19 the the DT 19261 2376 20 branch branch NN 19261 2376 21 bronchial bronchial JJ 19261 2376 22 orifices orifice NNS 19261 2376 23 , , , 19261 2376 24 B B NNP 19261 2376 25 , , , 19261 2376 26 C. C. NNP 19261 2376 27 Traction Traction NNP 19261 2376 28 being be VBG 19261 2376 29 made make VBN 19261 2376 30 in in IN 19261 2376 31 the the DT 19261 2376 32 direction direction NN 19261 2376 33 of of IN 19261 2376 34 the the DT 19261 2376 35 dart dart NN 19261 2376 36 ( ( -LRB- 19261 2376 37 F f NN 19261 2376 38 ) ) -RRB- 19261 2376 39 , , , 19261 2376 40 by by IN 19261 2376 41 means mean NNS 19261 2376 42 of of IN 19261 2376 43 the the DT 19261 2376 44 rotation rotation NN 19261 2376 45 forceps forceps NNS 19261 2376 46 , , , 19261 2376 47 and and CC 19261 2376 48 counterpressure counterpressure NN 19261 2376 49 being be VBG 19261 2376 50 made make VBN 19261 2376 51 with with IN 19261 2376 52 the the DT 19261 2376 53 bronchoscopic bronchoscopic NNP 19261 2376 54 lip lip NNP 19261 2376 55 on on IN 19261 2376 56 the the DT 19261 2376 57 points point NNS 19261 2376 58 of of IN 19261 2376 59 the the DT 19261 2376 60 staple staple NN 19261 2376 61 , , , 19261 2376 62 the the DT 19261 2376 63 points point NNS 19261 2376 64 enter enter VBP 19261 2376 65 the the DT 19261 2376 66 branch branch NN 19261 2376 67 bronchi bronchi NN 19261 2376 68 and and CC 19261 2376 69 permit permit VB 19261 2376 70 the the DT 19261 2376 71 staple staple NN 19261 2376 72 to to TO 19261 2376 73 be be VB 19261 2376 74 turned turn VBN 19261 2376 75 over over RP 19261 2376 76 and and CC 19261 2376 77 removed remove VBN 19261 2376 78 with with IN 19261 2376 79 points point NNS 19261 2376 80 trailing trail VBG 19261 2376 81 harmlessly harmlessly RB 19261 2376 82 behind behind IN 19261 2376 83 ( ( -LRB- 19261 2376 84 K K NNP 19261 2376 85 ) ) -RRB- 19261 2376 86 . . . 19261 2376 87 ] ] -RRB- 19261 2377 1 _ _ NNP 19261 2377 2 The the DT 19261 2377 3 Extraction Extraction NNP 19261 2377 4 of of IN 19261 2377 5 Tightly tightly RB 19261 2377 6 Fitting fitting JJ 19261 2377 7 Foreign foreign JJ 19261 2377 8 Bodies Bodies NNPS 19261 2377 9 from from IN 19261 2377 10 the the DT 19261 2377 11 Bronchi Bronchi NNP 19261 2377 12 . . . 19261 2378 1 Annular Annular NNP 19261 2378 2 Edema_.--Such Edema_.--Such NNP 19261 2378 3 objects object VBZ 19261 2378 4 as as IN 19261 2378 5 marbles marble NNS 19261 2378 6 , , , 19261 2378 7 pebbles pebble NNS 19261 2378 8 , , , 19261 2378 9 corks cork NNS 19261 2378 10 , , , 19261 2378 11 etc etc FW 19261 2378 12 . . FW 19261 2378 13 , , , 19261 2378 14 are be VBP 19261 2378 15 drawn draw VBN 19261 2378 16 deeply deeply RB 19261 2378 17 and and CC 19261 2378 18 with with IN 19261 2378 19 force force NN 19261 2378 20 by by IN 19261 2378 21 the the DT 19261 2378 22 inspiratory inspiratory NN 19261 2378 23 blast blast NN 19261 2378 24 into into IN 19261 2378 25 the the DT 19261 2378 26 smallest small JJS 19261 2378 27 bronchus bronchus NN 19261 2378 28 they -PRON- PRP 19261 2378 29 can can MD 19261 2378 30 enter enter VB 19261 2378 31 . . . 19261 2379 1 The the DT 19261 2379 2 air air NN 19261 2379 3 distal distal JJ 19261 2379 4 to to IN 19261 2379 5 the the DT 19261 2379 6 impacted impact VBN 19261 2379 7 foreign foreign JJ 19261 2379 8 body body NN 19261 2379 9 is be VBZ 19261 2379 10 soon soon RB 19261 2379 11 absorbed absorb VBN 19261 2379 12 , , , 19261 2379 13 and and CC 19261 2379 14 the the DT 19261 2379 15 negative negative JJ 19261 2379 16 pressure pressure NN 19261 2379 17 thus thus RB 19261 2379 18 produced produce VBD 19261 2379 19 increases increase NNS 19261 2379 20 the the DT 19261 2379 21 impaction impaction NN 19261 2379 22 . . . 19261 2380 1 A a DT 19261 2380 2 ring ring NN 19261 2380 3 of of IN 19261 2380 4 edematous edematous JJ 19261 2380 5 mucosa mucosa NNS 19261 2380 6 quickly quickly RB 19261 2380 7 forms form VBZ 19261 2380 8 and and CC 19261 2380 9 covers cover VBZ 19261 2380 10 the the DT 19261 2380 11 presenting present VBG 19261 2380 12 part part NN 19261 2380 13 of of IN 19261 2380 14 the the DT 19261 2380 15 object object NN 19261 2380 16 , , , 19261 2380 17 leaving leave VBG 19261 2380 18 visible visible JJ 19261 2380 19 only only RB 19261 2380 20 a a DT 19261 2380 21 small small JJ 19261 2380 22 surface surface NN 19261 2380 23 in in IN 19261 2380 24 the the DT 19261 2380 25 center center NN 19261 2380 26 of of IN 19261 2380 27 an an DT 19261 2380 28 acute acute JJ 19261 2380 29 edematous edematous JJ 19261 2380 30 stenosis stenosis NN 19261 2380 31 . . . 19261 2381 1 A a DT 19261 2381 2 forceps forceps NNS 19261 2381 3 with with IN 19261 2381 4 narrow narrow JJ 19261 2381 5 , , , 19261 2381 6 stiff stiff JJ 19261 2381 7 , , , 19261 2381 8 expansive expansive JJ 19261 2381 9 - - HYPH 19261 2381 10 spring spring NN 19261 2381 11 jaws jaw NNS 19261 2381 12 may may MD 19261 2381 13 press press VB 19261 2381 14 back back RP 19261 2381 15 a a DT 19261 2381 16 portion portion NN 19261 2381 17 of of IN 19261 2381 18 the the DT 19261 2381 19 edema edema NN 19261 2381 20 and and CC 19261 2381 21 may may MD 19261 2381 22 allow allow VB 19261 2381 23 a a DT 19261 2381 24 grasp grasp NN 19261 2381 25 on on IN 19261 2381 26 the the DT 19261 2381 27 sides side NNS 19261 2381 28 of of IN 19261 2381 29 the the DT 19261 2381 30 foreign foreign JJ 19261 2381 31 body body NN 19261 2381 32 ; ; : 19261 2381 33 but but CC 19261 2381 34 usually usually RB 19261 2381 35 the the DT 19261 2381 36 attempt attempt NN 19261 2381 37 to to TO 19261 2381 38 apply apply VB 19261 2381 39 forceps forceps NNS 19261 2381 40 when when WRB 19261 2381 41 there there EX 19261 2381 42 are be VBP 19261 2381 43 no no DT 19261 2381 44 spaces space NNS 19261 2381 45 between between IN 19261 2381 46 the the DT 19261 2381 47 presenting present VBG 19261 2381 48 part part NN 19261 2381 49 of of IN 19261 2381 50 the the DT 19261 2381 51 foreign foreign JJ 19261 2381 52 body body NN 19261 2381 53 and and CC 19261 2381 54 the the DT 19261 2381 55 bronchial bronchial JJ 19261 2381 56 wall wall NN 19261 2381 57 , , , 19261 2381 58 will will MD 19261 2381 59 result result VB 19261 2381 60 only only RB 19261 2381 61 in in IN 19261 2381 62 pushing push VBG 19261 2381 63 the the DT 19261 2381 64 foreign foreign JJ 19261 2381 65 body body NN 19261 2381 66 deeper deeply RBR 19261 2381 67 . . . 19261 2382 1 * * NFP 19261 2382 2 A a DT 19261 2382 3 better well JJR 19261 2382 4 method method NN 19261 2382 5 is be VBZ 19261 2382 6 to to TO 19261 2382 7 use use VB 19261 2382 8 the the DT 19261 2382 9 lip lip NN 19261 2382 10 of of IN 19261 2382 11 the the DT 19261 2382 12 bronchoscope bronchoscope NN 19261 2382 13 to to TO 19261 2382 14 press press VB 19261 2382 15 back back RP 19261 2382 16 the the DT 19261 2382 17 swollen swollen JJ 19261 2382 18 mucosa mucosa NNS 19261 2382 19 at at IN 19261 2382 20 one one CD 19261 2382 21 point point NN 19261 2382 22 , , , 19261 2382 23 so so IN 19261 2382 24 that that IN 19261 2382 25 a a DT 19261 2382 26 hook hook NN 19261 2382 27 may may MD 19261 2382 28 be be VB 19261 2382 29 introduced introduce VBN 19261 2382 30 below below IN 19261 2382 31 the the DT 19261 2382 32 foreign foreign JJ 19261 2382 33 body body NN 19261 2382 34 , , , 19261 2382 35 which which WDT 19261 2382 36 then then RB 19261 2382 37 can can MD 19261 2382 38 be be VB 19261 2382 39 worked work VBN 19261 2382 40 up up IN 19261 2382 41 to to IN 19261 2382 42 a a DT 19261 2382 43 wider wide JJR 19261 2382 44 place place NN 19261 2382 45 where where WRB 19261 2382 46 forceps forceps NNS 19261 2382 47 may may MD 19261 2382 48 be be VB 19261 2382 49 applied apply VBN 19261 2382 50 ( ( -LRB- 19261 2382 51 Fig fig NN 19261 2382 52 . . . 19261 2383 1 89 89 CD 19261 2383 2 ) ) -RRB- 19261 2383 3 . . . 19261 2384 1 Sometimes sometimes RB 19261 2384 2 the the DT 19261 2384 3 object object NN 19261 2384 4 may may MD 19261 2384 5 even even RB 19261 2384 6 be be VB 19261 2384 7 held hold VBN 19261 2384 8 firmly firmly RB 19261 2384 9 against against IN 19261 2384 10 the the DT 19261 2384 11 tube tube NN 19261 2384 12 mouth mouth NN 19261 2384 13 with with IN 19261 2384 14 the the DT 19261 2384 15 hook hook NN 19261 2384 16 and and CC 19261 2384 17 thus thus RB 19261 2384 18 extracted extract VBN 19261 2384 19 . . . 19261 2385 1 For for IN 19261 2385 2 this this DT 19261 2385 3 the the DT 19261 2385 4 unslanted unslanted JJ 19261 2385 5 tube tube NN 19261 2385 6 - - HYPH 19261 2385 7 mouth mouth NN 19261 2385 8 is be VBZ 19261 2385 9 used use VBN 19261 2385 10 . . . 19261 2386 1 * * NFP 19261 2386 2 The the DT 19261 2386 3 author author NN 19261 2386 4 's 's POS 19261 2386 5 new new JJ 19261 2386 6 ball ball NN 19261 2386 7 forceps forceps NNS 19261 2386 8 are be VBP 19261 2386 9 very very RB 19261 2386 10 successful successful JJ 19261 2386 11 with with IN 19261 2386 12 ball ball NN 19261 2386 13 - - HYPH 19261 2386 14 bearing bear VBG 19261 2386 15 balls ball NNS 19261 2386 16 and and CC 19261 2386 17 marbles marble NNS 19261 2386 18 . . . 19261 2387 1 [ [ -LRB- 19261 2387 2 FIG FIG NNP 19261 2387 3 . . . 19261 2388 1 89.--Schema 89.--schema LS 19261 2388 2 illustrating illustrate VBG 19261 2388 3 the the DT 19261 2388 4 use use NN 19261 2388 5 of of IN 19261 2388 6 the the DT 19261 2388 7 lip lip NN 19261 2388 8 of of IN 19261 2388 9 the the DT 19261 2388 10 bronchoscope bronchoscope NN 19261 2388 11 in in IN 19261 2388 12 disimpaction disimpaction NN 19261 2388 13 of of IN 19261 2388 14 foreign foreign JJ 19261 2388 15 bodies body NNS 19261 2388 16 . . . 19261 2389 1 A a DT 19261 2389 2 and and CC 19261 2389 3 B b NN 19261 2389 4 show show VBP 19261 2389 5 an an DT 19261 2389 6 annular annular JJ 19261 2389 7 edema edema NN 19261 2389 8 above above IN 19261 2389 9 the the DT 19261 2389 10 foreign foreign JJ 19261 2389 11 body body NN 19261 2389 12 , , , 19261 2389 13 F. F. NNP 19261 2389 14 At at IN 19261 2389 15 C C NNP 19261 2389 16 the the DT 19261 2389 17 edematous edematous JJ 19261 2389 18 mucosa mucosa NNS 19261 2389 19 is be VBZ 19261 2389 20 being be VBG 19261 2389 21 repressed repress VBN 19261 2389 22 by by IN 19261 2389 23 the the DT 19261 2389 24 lip lip NN 19261 2389 25 of of IN 19261 2389 26 the the DT 19261 2389 27 tube tube NN 19261 2389 28 mouth mouth NN 19261 2389 29 , , , 19261 2389 30 permitting permit VBG 19261 2389 31 insinuation insinuation NN 19261 2389 32 of of IN 19261 2389 33 the the DT 19261 2389 34 hook hook NN 19261 2389 35 , , , 19261 2389 36 H h NN 19261 2389 37 , , , 19261 2389 38 past past IN 19261 2389 39 one one CD 19261 2389 40 side side NN 19261 2389 41 of of IN 19261 2389 42 the the DT 19261 2389 43 foreign foreign JJ 19261 2389 44 body body NN 19261 2389 45 , , , 19261 2389 46 which which WDT 19261 2389 47 is be VBZ 19261 2389 48 then then RB 19261 2389 49 withdrawn withdraw VBN 19261 2389 50 to to IN 19261 2389 51 a a DT 19261 2389 52 convenient convenient JJ 19261 2389 53 place place NN 19261 2389 54 for for IN 19261 2389 55 application application NN 19261 2389 56 of of IN 19261 2389 57 the the DT 19261 2389 58 forceps forceps NNS 19261 2389 59 . . . 19261 2390 1 This this DT 19261 2390 2 repression repression NN 19261 2390 3 by by IN 19261 2390 4 the the DT 19261 2390 5 lip lip NN 19261 2390 6 is be VBZ 19261 2390 7 often often RB 19261 2390 8 used use VBN 19261 2390 9 for for IN 19261 2390 10 purposes purpose NNS 19261 2390 11 other other JJ 19261 2390 12 than than IN 19261 2390 13 the the DT 19261 2390 14 insertion insertion NN 19261 2390 15 of of IN 19261 2390 16 hooks hook NNS 19261 2390 17 . . . 19261 2391 1 The the DT 19261 2391 2 lip lip NN 19261 2391 3 of of IN 19261 2391 4 the the DT 19261 2391 5 esophagoscope esophagoscope NN 19261 2391 6 can can MD 19261 2391 7 be be VB 19261 2391 8 used use VBN 19261 2391 9 in in IN 19261 2391 10 the the DT 19261 2391 11 same same JJ 19261 2391 12 way way NN 19261 2391 13 . . . 19261 2391 14 ] ] -RRB- 19261 2392 1 _ _ NNP 19261 2392 2 Extraction Extraction NNP 19261 2392 3 of of IN 19261 2392 4 Soft soft JJ 19261 2392 5 Friable friable JJ 19261 2392 6 Foreign foreign JJ 19261 2392 7 Bodies body NNS 19261 2392 8 from from IN 19261 2392 9 the the DT 19261 2392 10 Tracheobronchial tracheobronchial JJ 19261 2392 11 Tree_.--The tree_.--the JJ 19261 2392 12 difficulties difficulty NNS 19261 2392 13 here here RB 19261 2392 14 consist consist VBP 19261 2392 15 in in IN 19261 2392 16 the the DT 19261 2392 17 liability liability NN 19261 2392 18 of of IN 19261 2392 19 crushing crush VBG 19261 2392 20 or or CC 19261 2392 21 fragmenting fragment VBG 19261 2392 22 the the DT 19261 2392 23 object object NN 19261 2392 24 , , , 19261 2392 25 and and CC 19261 2392 26 scattering scatter VBG 19261 2392 27 portions portion NNS 19261 2392 28 into into IN 19261 2392 29 minute minute NN 19261 2392 30 bronchi bronchi NN 19261 2392 31 , , , 19261 2392 32 as as RB 19261 2392 33 well well RB 19261 2392 34 as as IN 19261 2392 35 the the DT 19261 2392 36 problem problem NN 19261 2392 37 of of IN 19261 2392 38 disimpaction disimpaction NN 19261 2392 39 from from IN 19261 2392 40 a a DT 19261 2392 41 ring ring NN 19261 2392 42 of of IN 19261 2392 43 annular annular NN 19261 2392 44 edema edema NN 19261 2392 45 , , , 19261 2392 46 with with IN 19261 2392 47 little little JJ 19261 2392 48 or or CC 19261 2392 49 no no DT 19261 2392 50 forceps forceps NNP 19261 2392 51 space space NN 19261 2392 52 . . . 19261 2393 1 There there EX 19261 2393 2 is be VBZ 19261 2393 3 usually usually RB 19261 2393 4 in in IN 19261 2393 5 these these DT 19261 2393 6 cases case NNS 19261 2393 7 an an DT 19261 2393 8 abundance abundance NN 19261 2393 9 of of IN 19261 2393 10 purulent purulent NN 19261 2393 11 secretion secretion NN 19261 2393 12 which which WDT 19261 2393 13 further further JJ 19261 2393 14 hinders hinder VBZ 19261 2393 15 the the DT 19261 2393 16 work work NN 19261 2393 17 . . . 19261 2394 1 The the DT 19261 2394 2 great great JJ 19261 2394 3 danger danger NN 19261 2394 4 of of IN 19261 2394 5 pushing push VBG 19261 2394 6 the the DT 19261 2394 7 foreign foreign JJ 19261 2394 8 body body NN 19261 2394 9 downward downward RB 19261 2394 10 so so IN 19261 2394 11 that that IN 19261 2394 12 the the DT 19261 2394 13 swollen swollen NN 19261 2394 14 mucosa mucosa NNP 19261 2394 15 hides hide VBZ 19261 2394 16 it -PRON- PRP 19261 2394 17 completely completely RB 19261 2394 18 from from IN 19261 2394 19 view view NN 19261 2394 20 , , , 19261 2394 21 must must MD 19261 2394 22 always always RB 19261 2394 23 be be VB 19261 2394 24 kept keep VBN 19261 2394 25 in in IN 19261 2394 26 mind mind NN 19261 2394 27 . . . 19261 2395 1 Extremely extremely RB 19261 2395 2 delicate delicate JJ 19261 2395 3 forceps forceps NNS 19261 2395 4 with with IN 19261 2395 5 rather rather RB 19261 2395 6 broad broad JJ 19261 2395 7 blades blade NNS 19261 2395 8 are be VBP 19261 2395 9 required require VBN 19261 2395 10 for for IN 19261 2395 11 this this DT 19261 2395 12 work work NN 19261 2395 13 . . . 19261 2396 1 The the DT 19261 2396 2 fenestrated fenestrated JJ 19261 2396 3 " " `` 19261 2396 4 peanut peanut NN 19261 2396 5 " " '' 19261 2396 6 forceps forceps NNS 19261 2396 7 are be VBP 19261 2396 8 best good JJS 19261 2396 9 for for IN 19261 2396 10 large large JJ 19261 2396 11 pieces piece NNS 19261 2396 12 in in IN 19261 2396 13 the the DT 19261 2396 14 large large JJ 19261 2396 15 bronchi bronchi NN 19261 2396 16 . . . 19261 2397 1 The the DT 19261 2397 2 operator operator NN 19261 2397 3 should should MD 19261 2397 4 develop develop VB 19261 2397 5 his -PRON- PRP$ 19261 2397 6 tactile tactile NN 19261 2397 7 sense sense NN 19261 2397 8 with with IN 19261 2397 9 forceps forceps NNS 19261 2397 10 by by IN 19261 2397 11 repeated repeat VBN 19261 2397 12 practice practice NN 19261 2397 13 in in IN 19261 2397 14 order order NN 19261 2397 15 to to TO 19261 2397 16 acquire acquire VB 19261 2397 17 the the DT 19261 2397 18 skill skill NN 19261 2397 19 to to TO 19261 2397 20 grasp grasp VB 19261 2397 21 peanut peanut NN 19261 2397 22 kernels kernel NNS 19261 2397 23 sufficiently sufficiently RB 19261 2397 24 firmly firmly RB 19261 2397 25 to to TO 19261 2397 26 hold hold VB 19261 2397 27 them -PRON- PRP 19261 2397 28 during during IN 19261 2397 29 withdrawal withdrawal NN 19261 2397 30 , , , 19261 2397 31 yet yet CC 19261 2397 32 not not RB 19261 2397 33 so so RB 19261 2397 34 firmly firmly RB 19261 2397 35 as as IN 19261 2397 36 to to TO 19261 2397 37 crush crush VB 19261 2397 38 them -PRON- PRP 19261 2397 39 . . . 19261 2398 1 Nipping nip VBG 19261 2398 2 off off IN 19261 2398 3 an an DT 19261 2398 4 edge edge NN 19261 2398 5 by by IN 19261 2398 6 not not RB 19261 2398 7 inserting insert VBG 19261 2398 8 the the DT 19261 2398 9 forceps forceps NNS 19261 2398 10 far far RB 19261 2398 11 enough enough RB 19261 2398 12 is be VBZ 19261 2398 13 also also RB 19261 2398 14 to to TO 19261 2398 15 be be VB 19261 2398 16 avoided avoid VBN 19261 2398 17 . . . 19261 2399 1 Small small JJ 19261 2399 2 fragments fragment NNS 19261 2399 3 under under IN 19261 2399 4 2 2 CD 19261 2399 5 mm mm CD 19261 2399 6 . . . 19261 2400 1 in in IN 19261 2400 2 diameter diameter NN 19261 2400 3 may may MD 19261 2400 4 be be VB 19261 2400 5 expelled expel VBN 19261 2400 6 with with IN 19261 2400 7 the the DT 19261 2400 8 secretions secretion NNS 19261 2400 9 and and CC 19261 2400 10 fragments fragment NNS 19261 2400 11 may may MD 19261 2400 12 be be VB 19261 2400 13 found find VBN 19261 2400 14 on on IN 19261 2400 15 the the DT 19261 2400 16 sponges sponge NNS 19261 2400 17 and and CC 19261 2400 18 in in IN 19261 2400 19 the the DT 19261 2400 20 secretions secretion NNS 19261 2400 21 aspirated aspirate VBD 19261 2400 22 or or CC 19261 2400 23 removed remove VBN 19261 2400 24 by by IN 19261 2400 25 sponge sponge JJ 19261 2400 26 pumping pumping NN 19261 2400 27 . . . 19261 2401 1 It -PRON- PRP 19261 2401 2 is be VBZ 19261 2401 3 , , , 19261 2401 4 however however RB 19261 2401 5 , , , 19261 2401 6 never never RB 19261 2401 7 justifiable justifiable VB 19261 2401 8 deliberately deliberately RB 19261 2401 9 to to TO 19261 2401 10 break break VB 19261 2401 11 a a DT 19261 2401 12 friable friable JJ 19261 2401 13 foreign foreign JJ 19261 2401 14 body body NN 19261 2401 15 with with IN 19261 2401 16 the the DT 19261 2401 17 hope hope NN 19261 2401 18 that that IN 19261 2401 19 the the DT 19261 2401 20 fragments fragment NNS 19261 2401 21 will will MD 19261 2401 22 be be VB 19261 2401 23 expelled expel VBN 19261 2401 24 , , , 19261 2401 25 for for IN 19261 2401 26 these these DT 19261 2401 27 may may MD 19261 2401 28 be be VB 19261 2401 29 aspirated aspirate VBN 19261 2401 30 into into IN 19261 2401 31 small small JJ 19261 2401 32 bronchi bronchi NN 19261 2401 33 , , , 19261 2401 34 and and CC 19261 2401 35 cause cause VB 19261 2401 36 multiple multiple JJ 19261 2401 37 abscesses abscess NNS 19261 2401 38 . . . 19261 2402 1 A a DT 19261 2402 2 hook hook NN 19261 2402 3 may may MD 19261 2402 4 be be VB 19261 2402 5 found find VBN 19261 2402 6 useful useful JJ 19261 2402 7 in in IN 19261 2402 8 dealing deal VBG 19261 2402 9 with with IN 19261 2402 10 round round JJ 19261 2402 11 , , , 19261 2402 12 friable friable JJ 19261 2402 13 , , , 19261 2402 14 foreign foreign JJ 19261 2402 15 bodies body NNS 19261 2402 16 ; ; : 19261 2402 17 and and CC 19261 2402 18 in in IN 19261 2402 19 some some DT 19261 2402 20 cases case NNS 19261 2402 21 the the DT 19261 2402 22 mechanical mechanical JJ 19261 2402 23 spoon spoon NN 19261 2402 24 or or CC 19261 2402 25 safety safety NN 19261 2402 26 - - HYPH 19261 2402 27 pin pin NN 19261 2402 28 closer close JJR 19261 2402 29 may may MD 19261 2402 30 be be VB 19261 2402 31 used use VBN 19261 2402 32 to to TO 19261 2402 33 advantage advantage VB 19261 2402 34 . . . 19261 2403 1 The the DT 19261 2403 2 foreign foreign JJ 19261 2403 3 body body NN 19261 2403 4 is be VBZ 19261 2403 5 then then RB 19261 2403 6 brought bring VBN 19261 2403 7 close close RB 19261 2403 8 to to IN 19261 2403 9 , , , 19261 2403 10 but but CC 19261 2403 11 not not RB 19261 2403 12 crushed crush VBN 19261 2403 13 against against IN 19261 2403 14 the the DT 19261 2403 15 tube tube NN 19261 2403 16 mouth mouth NN 19261 2403 17 . . . 19261 2404 1 [ [ -LRB- 19261 2404 2 174 174 CD 19261 2404 3 ] ] -RRB- 19261 2404 4 _ _ NNP 19261 2404 5 Removal Removal NNP 19261 2404 6 of of IN 19261 2404 7 animal animal NN 19261 2404 8 objects object NNS 19261 2404 9 from from IN 19261 2404 10 the the DT 19261 2404 11 tracheobronchial tracheobronchial JJ 19261 2404 12 tree tree NN 19261 2404 13 _ _ NNP 19261 2404 14 is be VBZ 19261 2404 15 readily readily RB 19261 2404 16 accomplished accomplish VBN 19261 2404 17 with with IN 19261 2404 18 the the DT 19261 2404 19 side side NN 19261 2404 20 - - HYPH 19261 2404 21 curved curved JJ 19261 2404 22 forceps forceps NNS 19261 2404 23 . . . 19261 2405 1 Leeches leech NNS 19261 2405 2 are be VBP 19261 2405 3 not not RB 19261 2405 4 uncommon uncommon JJ 19261 2405 5 intruders intruder NNS 19261 2405 6 in in IN 19261 2405 7 European european JJ 19261 2405 8 countries country NNS 19261 2405 9 . . . 19261 2406 1 Small small JJ 19261 2406 2 insects insect NNS 19261 2406 3 are be VBP 19261 2406 4 usually usually RB 19261 2406 5 coughed cough VBN 19261 2406 6 out out RP 19261 2406 7 . . . 19261 2407 1 Worms worm NNS 19261 2407 2 and and CC 19261 2407 3 larvae larvae NNP 19261 2407 4 may may MD 19261 2407 5 be be VB 19261 2407 6 found find VBN 19261 2407 7 . . . 19261 2408 1 Cocaine cocaine NN 19261 2408 2 or or CC 19261 2408 3 salt salt NN 19261 2408 4 solution solution NN 19261 2408 5 will will MD 19261 2408 6 cause cause VB 19261 2408 7 a a DT 19261 2408 8 leech leech NN 19261 2408 9 to to TO 19261 2408 10 loosen loosen VB 19261 2408 11 its -PRON- PRP$ 19261 2408 12 hold hold NN 19261 2408 13 . . . 19261 2409 1 _ _ NNP 19261 2409 2 Foreign foreign JJ 19261 2409 3 bodies body NNS 19261 2409 4 in in IN 19261 2409 5 the the DT 19261 2409 6 upper upper JJ 19261 2409 7 - - HYPH 19261 2409 8 lobe lobe NNP 19261 2409 9 bronchi bronchi NNP 19261 2409 10 _ _ NNP 19261 2409 11 are be VBP 19261 2409 12 fortunately fortunately RB 19261 2409 13 not not RB 19261 2409 14 common common JJ 19261 2409 15 . . . 19261 2410 1 If if IN 19261 2410 2 the the DT 19261 2410 3 object object NN 19261 2410 4 is be VBZ 19261 2410 5 not not RB 19261 2410 6 too too RB 19261 2410 7 far far RB 19261 2410 8 out out IN 19261 2410 9 to to IN 19261 2410 10 the the DT 19261 2410 11 periphery periphery NN 19261 2410 12 it -PRON- PRP 19261 2410 13 may may MD 19261 2410 14 be be VB 19261 2410 15 grasped grasp VBN 19261 2410 16 by by IN 19261 2410 17 the the DT 19261 2410 18 upper upper JJ 19261 2410 19 - - HYPH 19261 2410 20 lobe lobe NNP 19261 2410 21 - - HYPH 19261 2410 22 bronchus bronchus NN 19261 2410 23 forceps forceps NNP 19261 2410 24 ( ( -LRB- 19261 2410 25 Fig fig NN 19261 2410 26 . . . 19261 2411 1 90 90 CD 19261 2411 2 ) ) -RRB- 19261 2411 3 , , , 19261 2411 4 guided guide VBN 19261 2411 5 by by IN 19261 2411 6 the the DT 19261 2411 7 collaboration collaboration NN 19261 2411 8 of of IN 19261 2411 9 the the DT 19261 2411 10 fluoroscopist fluoroscopist NN 19261 2411 11 . . . 19261 2412 1 These these DT 19261 2412 2 forceps forceps NNS 19261 2412 3 are be VBP 19261 2412 4 made make VBN 19261 2412 5 so so IN 19261 2412 6 as as IN 19261 2412 7 to to TO 19261 2412 8 reach reach VB 19261 2412 9 high high JJ 19261 2412 10 into into IN 19261 2412 11 the the DT 19261 2412 12 ascending ascend VBG 19261 2412 13 branches branch NNS 19261 2412 14 of of IN 19261 2412 15 the the DT 19261 2412 16 upper upper JJ 19261 2412 17 - - HYPH 19261 2412 18 lobe lobe NN 19261 2412 19 bronchus bronchus NN 19261 2412 20 . . . 19261 2413 1 Full full JJ 19261 2413 2 - - HYPH 19261 2413 3 curved curved JJ 19261 2413 4 coil coil NN 19261 2413 5 - - HYPH 19261 2413 6 spring spring NN 19261 2413 7 hooks hook NNS 19261 2413 8 will will MD 19261 2413 9 reach reach VB 19261 2413 10 high high JJ 19261 2413 11 , , , 19261 2413 12 but but CC 19261 2413 13 must must MD 19261 2413 14 be be VB 19261 2413 15 used use VBN 19261 2413 16 with with IN 19261 2413 17 the the DT 19261 2413 18 utmost utmost JJ 19261 2413 19 caution caution NN 19261 2413 20 , , , 19261 2413 21 and and CC 19261 2413 22 the the DT 19261 2413 23 method method NN 19261 2413 24 of of IN 19261 2413 25 their -PRON- PRP$ 19261 2413 26 disengagement disengagement NN 19261 2413 27 must must MD 19261 2413 28 be be VB 19261 2413 29 practiced practice VBN 19261 2413 30 beforehand beforehand RB 19261 2413 31 . . . 19261 2414 1 _ _ NNP 19261 2414 2 Penetrating Penetrating NNP 19261 2414 3 Projectiles_.--Foreign projectiles_.--foreign NN 19261 2414 4 bodies body NNS 19261 2414 5 that that WDT 19261 2414 6 have have VBP 19261 2414 7 penetrated penetrate VBN 19261 2414 8 the the DT 19261 2414 9 chest chest NN 19261 2414 10 wall wall NN 19261 2414 11 and and CC 19261 2414 12 lodged lodge VBD 19261 2414 13 in in IN 19261 2414 14 the the DT 19261 2414 15 lung lung NN 19261 2414 16 may may MD 19261 2414 17 be be VB 19261 2414 18 removed remove VBN 19261 2414 19 by by IN 19261 2414 20 oral oral JJ 19261 2414 21 bronchoscopy bronchoscopy NN 19261 2414 22 if if IN 19261 2414 23 the the DT 19261 2414 24 intruder intruder NN 19261 2414 25 is be VBZ 19261 2414 26 not not RB 19261 2414 27 larger large JJR 19261 2414 28 than than IN 19261 2414 29 the the DT 19261 2414 30 lumen luman NNS 19261 2414 31 of of IN 19261 2414 32 the the DT 19261 2414 33 corresponding correspond VBG 19261 2414 34 main main JJ 19261 2414 35 bronchus bronchus NN 19261 2414 36 ( ( -LRB- 19261 2414 37 see see VB 19261 2414 38 Bibliography Bibliography NNP 19261 2414 39 , , , 19261 2414 40 43 43 CD 19261 2414 41 ) ) -RRB- 19261 2414 42 [ [ -LRB- 19261 2414 43 FIG FIG NNP 19261 2414 44 . . . 19261 2415 1 90.--Schematic 90.--schematic CD 19261 2415 2 illustration illustration NN 19261 2415 3 of of IN 19261 2415 4 the the DT 19261 2415 5 author author NN 19261 2415 6 's 's POS 19261 2415 7 upper upper JJ 19261 2415 8 - - HYPH 19261 2415 9 lobe lobe NNP 19261 2415 10 - - HYPH 19261 2415 11 bronchus bronchus NN 19261 2415 12 forceps forceps NNP 19261 2415 13 in in IN 19261 2415 14 position position NN 19261 2415 15 grasping grasp VBG 19261 2415 16 a a DT 19261 2415 17 pin pin NN 19261 2415 18 in in IN 19261 2415 19 an an DT 19261 2415 20 anteriorly anteriorly RB 19261 2415 21 ascending ascend VBG 19261 2415 22 branch branch NN 19261 2415 23 of of IN 19261 2415 24 the the DT 19261 2415 25 upper upper JJ 19261 2415 26 - - HYPH 19261 2415 27 lobe lobe NN 19261 2415 28 bronchus bronchus NN 19261 2415 29 . . . 19261 2416 1 T T NNP 19261 2416 2 , , , 19261 2416 3 Trachea Trachea NNP 19261 2416 4 ; ; : 19261 2416 5 UL UL NNP 19261 2416 6 , , , 19261 2416 7 upper upper JJ 19261 2416 8 - - HYPH 19261 2416 9 lobe lobe NN 19261 2416 10 bronchus bronchu NNS 19261 2416 11 ; ; : 19261 2416 12 LB LB NNP 19261 2416 13 , , , 19261 2416 14 left leave VBD 19261 2416 15 bronchus bronchu NNS 19261 2416 16 ; ; : 19261 2416 17 SB SB NNP 19261 2416 18 , , , 19261 2416 19 stem stem NN 19261 2416 20 bronchus bronchu NNS 19261 2416 21 . . . 19261 2417 1 These these DT 19261 2417 2 forceps forceps NNS 19261 2417 3 are be VBP 19261 2417 4 made make VBN 19261 2417 5 to to TO 19261 2417 6 extend extend VB 19261 2417 7 around around RB 19261 2417 8 180 180 CD 19261 2417 9 degrees degree NNS 19261 2417 10 . . . 19261 2417 11 ] ] -RRB- 19261 2418 1 RULES RULES NNP 19261 2418 2 FOR for IN 19261 2418 3 ENDOSCOPIC ENDOSCOPIC NNP 19261 2418 4 FOREIGN foreign JJ 19261 2418 5 BODY BODY NNP 19261 2418 6 EXTRACTION extraction NN 19261 2418 7 1 1 CD 19261 2418 8 . . . 19261 2419 1 Never never RB 19261 2419 2 endoscope endoscope VB 19261 2419 3 a a DT 19261 2419 4 foreign foreign JJ 19261 2419 5 body body NN 19261 2419 6 case case NN 19261 2419 7 unprepared unprepared JJ 19261 2419 8 , , , 19261 2419 9 with with IN 19261 2419 10 the the DT 19261 2419 11 idea idea NN 19261 2419 12 of of IN 19261 2419 13 taking take VBG 19261 2419 14 a a DT 19261 2419 15 preliminary preliminary JJ 19261 2419 16 look look NN 19261 2419 17 . . . 19261 2420 1 2 2 LS 19261 2420 2 . . . 19261 2421 1 Approach approach NN 19261 2421 2 carefully carefully RB 19261 2421 3 the the DT 19261 2421 4 suspected suspect VBN 19261 2421 5 location location NN 19261 2421 6 of of IN 19261 2421 7 a a DT 19261 2421 8 foreign foreign JJ 19261 2421 9 body body NN 19261 2421 10 , , , 19261 2421 11 so so IN 19261 2421 12 as as IN 19261 2421 13 not not RB 19261 2421 14 to to TO 19261 2421 15 override override VB 19261 2421 16 any any DT 19261 2421 17 portion portion NN 19261 2421 18 of of IN 19261 2421 19 it -PRON- PRP 19261 2421 20 . . . 19261 2422 1 [ [ -LRB- 19261 2422 2 175 175 CD 19261 2422 3 ] ] -RRB- 19261 2422 4 3 3 CD 19261 2422 5 . . . 19261 2423 1 Avoid avoid VB 19261 2423 2 grasping grasp VBG 19261 2423 3 a a DT 19261 2423 4 foreign foreign JJ 19261 2423 5 body body NN 19261 2423 6 hastily hastily RB 19261 2423 7 as as RB 19261 2423 8 soon soon RB 19261 2423 9 as as IN 19261 2423 10 seen see VBN 19261 2423 11 . . . 19261 2424 1 4 4 LS 19261 2424 2 . . . 19261 2425 1 The the DT 19261 2425 2 shape shape NN 19261 2425 3 , , , 19261 2425 4 size size NN 19261 2425 5 and and CC 19261 2425 6 position position NN 19261 2425 7 of of IN 19261 2425 8 a a DT 19261 2425 9 foreign foreign JJ 19261 2425 10 body body NN 19261 2425 11 , , , 19261 2425 12 and and CC 19261 2425 13 its -PRON- PRP$ 19261 2425 14 relations relation NNS 19261 2425 15 to to IN 19261 2425 16 surrounding surround VBG 19261 2425 17 structures structure NNS 19261 2425 18 , , , 19261 2425 19 should should MD 19261 2425 20 be be VB 19261 2425 21 studied study VBN 19261 2425 22 before before IN 19261 2425 23 attempting attempt VBG 19261 2425 24 to to TO 19261 2425 25 apply apply VB 19261 2425 26 the the DT 19261 2425 27 forceps forceps NNS 19261 2425 28 . . . 19261 2426 1 ( ( -LRB- 19261 2426 2 Exception exception NN 19261 2426 3 cited cite VBN 19261 2426 4 in in IN 19261 2426 5 Rule Rule NNP 19261 2426 6 10 10 CD 19261 2426 7 . . . 19261 2426 8 ) ) -RRB- 19261 2427 1 5 5 CD 19261 2427 2 . . . 19261 2428 1 Preliminary preliminary JJ 19261 2428 2 study study NN 19261 2428 3 of of IN 19261 2428 4 a a DT 19261 2428 5 foreign foreign JJ 19261 2428 6 body body NN 19261 2428 7 should should MD 19261 2428 8 be be VB 19261 2428 9 from from IN 19261 2428 10 a a DT 19261 2428 11 distance distance NN 19261 2428 12 . . . 19261 2429 1 6 6 CD 19261 2429 2 . . . 19261 2430 1 As as IN 19261 2430 2 the the DT 19261 2430 3 first first JJ 19261 2430 4 grasp grasp NN 19261 2430 5 of of IN 19261 2430 6 the the DT 19261 2430 7 forceps forceps NNS 19261 2430 8 is be VBZ 19261 2430 9 the the DT 19261 2430 10 best good JJS 19261 2430 11 , , , 19261 2430 12 it -PRON- PRP 19261 2430 13 should should MD 19261 2430 14 be be VB 19261 2430 15 well well RB 19261 2430 16 planned plan VBN 19261 2430 17 beforehand beforehand RB 19261 2430 18 so so IN 19261 2430 19 as as IN 19261 2430 20 to to TO 19261 2430 21 seize seize VB 19261 2430 22 the the DT 19261 2430 23 proper proper JJ 19261 2430 24 part part NN 19261 2430 25 of of IN 19261 2430 26 the the DT 19261 2430 27 intruder intruder NN 19261 2430 28 . . . 19261 2431 1 7 7 LS 19261 2431 2 . . . 19261 2432 1 With with IN 19261 2432 2 all all DT 19261 2432 3 long long JJ 19261 2432 4 foreign foreign JJ 19261 2432 5 bodies body NNS 19261 2432 6 the the DT 19261 2432 7 motto motto NN 19261 2432 8 should should MD 19261 2432 9 be be VB 19261 2432 10 " " `` 19261 2432 11 Search Search NNP 19261 2432 12 , , , 19261 2432 13 not not RB 19261 2432 14 for for IN 19261 2432 15 the the DT 19261 2432 16 foreign foreign JJ 19261 2432 17 body body NN 19261 2432 18 , , , 19261 2432 19 but but CC 19261 2432 20 for for IN 19261 2432 21 its -PRON- PRP$ 19261 2432 22 nearer nearer NN 19261 2432 23 end end NN 19261 2432 24 . . . 19261 2432 25 " " '' 19261 2433 1 With with IN 19261 2433 2 pins pin NNS 19261 2433 3 , , , 19261 2433 4 needles needle NNS 19261 2433 5 , , , 19261 2433 6 and and CC 19261 2433 7 the the DT 19261 2433 8 like like JJ 19261 2433 9 , , , 19261 2433 10 with with IN 19261 2433 11 point point NN 19261 2433 12 upward upward RB 19261 2433 13 , , , 19261 2433 14 _ _ NNP 19261 2433 15 search search NN 19261 2433 16 always always RB 19261 2433 17 for for IN 19261 2433 18 the the DT 19261 2433 19 point point NN 19261 2433 20 _ _ NNP 19261 2433 21 . . . 19261 2434 1 Try try VB 19261 2434 2 to to TO 19261 2434 3 see see VB 19261 2434 4 it -PRON- PRP 19261 2434 5 first first RB 19261 2434 6 . . . 19261 2435 1 8 8 LS 19261 2435 2 . . . 19261 2436 1 Remember remember VB 19261 2436 2 that that IN 19261 2436 3 a a DT 19261 2436 4 long long JJ 19261 2436 5 foreign foreign JJ 19261 2436 6 body body NN 19261 2436 7 grasped grasp VBN 19261 2436 8 near near IN 19261 2436 9 the the DT 19261 2436 10 middle middle JJ 19261 2436 11 becomes become NNS 19261 2436 12 , , , 19261 2436 13 mechanically mechanically RB 19261 2436 14 speaking speak VBG 19261 2436 15 , , , 19261 2436 16 a a DT 19261 2436 17 " " `` 19261 2436 18 toggle toggle JJ 19261 2436 19 and and CC 19261 2436 20 ring ring NN 19261 2436 21 . . . 19261 2436 22 " " '' 19261 2437 1 9 9 CD 19261 2437 2 . . . 19261 2438 1 Remember remember VB 19261 2438 2 that that IN 19261 2438 3 the the DT 19261 2438 4 mortality mortality NN 19261 2438 5 to to TO 19261 2438 6 follow follow VB 19261 2438 7 failure failure NN 19261 2438 8 to to TO 19261 2438 9 remove remove VB 19261 2438 10 a a DT 19261 2438 11 foreign foreign JJ 19261 2438 12 body body NN 19261 2438 13 does do VBZ 19261 2438 14 not not RB 19261 2438 15 justify justify VB 19261 2438 16 probably probably RB 19261 2438 17 fatal fatal JJ 19261 2438 18 violence violence NN 19261 2438 19 during during IN 19261 2438 20 its -PRON- PRP$ 19261 2438 21 removal removal NN 19261 2438 22 . . . 19261 2439 1 10 10 CD 19261 2439 2 . . . 19261 2440 1 _ _ NNP 19261 2440 2 Laryngeally Laryngeally NNP 19261 2440 3 lodged lodge VBD 19261 2440 4 _ _ NNP 19261 2440 5 foreign foreign JJ 19261 2440 6 bodies body NNS 19261 2440 7 , , , 19261 2440 8 because because IN 19261 2440 9 of of IN 19261 2440 10 the the DT 19261 2440 11 likelihood likelihood NN 19261 2440 12 of of IN 19261 2440 13 dislodgment dislodgment NN 19261 2440 14 and and CC 19261 2440 15 loss loss NN 19261 2440 16 , , , 19261 2440 17 may may MD 19261 2440 18 be be VB 19261 2440 19 seized seize VBN 19261 2440 20 by by IN 19261 2440 21 any any DT 19261 2440 22 part part NN 19261 2440 23 first first RB 19261 2440 24 presented present VBN 19261 2440 25 , , , 19261 2440 26 and and CC 19261 2440 27 plan plan NN 19261 2440 28 of of IN 19261 2440 29 withdrawal withdrawal NN 19261 2440 30 can can MD 19261 2440 31 be be VB 19261 2440 32 determined determine VBN 19261 2440 33 afterward afterward RB 19261 2440 34 . . . 19261 2441 1 11 11 CD 19261 2441 2 . . . 19261 2442 1 For for IN 19261 2442 2 similar similar JJ 19261 2442 3 reasons reason NNS 19261 2442 4 , , , 19261 2442 5 laryngeal laryngeal NN 19261 2442 6 cases case NNS 19261 2442 7 should should MD 19261 2442 8 be be VB 19261 2442 9 dealt deal VBN 19261 2442 10 with with IN 19261 2442 11 only only RB 19261 2442 12 in in IN 19261 2442 13 the the DT 19261 2442 14 author author NN 19261 2442 15 's 's POS 19261 2442 16 position position NN 19261 2442 17 ( ( -LRB- 19261 2442 18 Fig fig NN 19261 2442 19 . . . 19261 2443 1 53 53 CD 19261 2443 2 ) ) -RRB- 19261 2443 3 . . . 19261 2444 1 12 12 CD 19261 2444 2 . . . 19261 2445 1 An an DT 19261 2445 2 esophagoscopy esophagoscopy NN 19261 2445 3 may may MD 19261 2445 4 be be VB 19261 2445 5 needed need VBN 19261 2445 6 in in IN 19261 2445 7 a a DT 19261 2445 8 bronchoscopic bronchoscopic JJ 19261 2445 9 case case NN 19261 2445 10 , , , 19261 2445 11 or or CC 19261 2445 12 a a DT 19261 2445 13 bronchoscopy bronchoscopy NN 19261 2445 14 in in IN 19261 2445 15 an an DT 19261 2445 16 esophageal esophageal JJ 19261 2445 17 case case NN 19261 2445 18 . . . 19261 2446 1 In in IN 19261 2446 2 every every DT 19261 2446 3 case case NN 19261 2446 4 both both DT 19261 2446 5 kinds kind NNS 19261 2446 6 of of IN 19261 2446 7 tubes tube NNS 19261 2446 8 should should MD 19261 2446 9 be be VB 19261 2446 10 sterile sterile JJ 19261 2446 11 and and CC 19261 2446 12 ready ready JJ 19261 2446 13 before before IN 19261 2446 14 starting start VBG 19261 2446 15 . . . 19261 2447 1 It -PRON- PRP 19261 2447 2 is be VBZ 19261 2447 3 the the DT 19261 2447 4 unexpected unexpected JJ 19261 2447 5 that that WDT 19261 2447 6 happens happen VBZ 19261 2447 7 in in IN 19261 2447 8 foreign foreign JJ 19261 2447 9 body body NN 19261 2447 10 endoscopy endoscopy VBP 19261 2447 11 . . . 19261 2448 1 13 13 CD 19261 2448 2 . . . 19261 2449 1 Do do VB 19261 2449 2 not not RB 19261 2449 3 pull pull VB 19261 2449 4 on on RP 19261 2449 5 a a DT 19261 2449 6 foreign foreign JJ 19261 2449 7 body body NN 19261 2449 8 unless unless IN 19261 2449 9 it -PRON- PRP 19261 2449 10 is be VBZ 19261 2449 11 properly properly RB 19261 2449 12 grasped grasp VBN 19261 2449 13 to to TO 19261 2449 14 come come VB 19261 2449 15 away away RB 19261 2449 16 readily readily RB 19261 2449 17 without without IN 19261 2449 18 trauma trauma NN 19261 2449 19 . . . 19261 2450 1 Then then RB 19261 2450 2 do do VB 19261 2450 3 not not RB 19261 2450 4 pull pull VB 19261 2450 5 hard hard RB 19261 2450 6 . . . 19261 2451 1 14 14 CD 19261 2451 2 . . . 19261 2452 1 Do do VBP 19261 2452 2 no no DT 19261 2452 3 harm harm NN 19261 2452 4 , , , 19261 2452 5 if if IN 19261 2452 6 you -PRON- PRP 19261 2452 7 can can MD 19261 2452 8 not not RB 19261 2452 9 remove remove VB 19261 2452 10 the the DT 19261 2452 11 foreign foreign JJ 19261 2452 12 body body NN 19261 2452 13 . . . 19261 2453 1 15 15 CD 19261 2453 2 . . . 19261 2454 1 Full full JJ 19261 2454 2 - - HYPH 19261 2454 3 curved curved JJ 19261 2454 4 hooks hook NNS 19261 2454 5 are be VBP 19261 2454 6 to to TO 19261 2454 7 be be VB 19261 2454 8 used use VBN 19261 2454 9 in in IN 19261 2454 10 the the DT 19261 2454 11 bronchi bronchi NN 19261 2454 12 with with IN 19261 2454 13 greatest great JJS 19261 2454 14 caution caution NN 19261 2454 15 , , , 19261 2454 16 if if IN 19261 2454 17 used use VBN 19261 2454 18 at at RB 19261 2454 19 all all RB 19261 2454 20 , , , 19261 2454 21 lest lest IN 19261 2454 22 they -PRON- PRP 19261 2454 23 catch catch VBP 19261 2454 24 inextricably inextricably RB 19261 2454 25 in in IN 19261 2454 26 branch branch NN 19261 2454 27 bronchi bronchi NN 19261 2454 28 . . . 19261 2455 1 [ [ -LRB- 19261 2455 2 176 176 CD 19261 2455 3 ] ] -RRB- 19261 2455 4 16 16 CD 19261 2455 5 . . . 19261 2456 1 Do do VB 19261 2456 2 n't not RB 19261 2456 3 force force VB 19261 2456 4 a a DT 19261 2456 5 foreign foreign JJ 19261 2456 6 body body NN 19261 2456 7 downward downward RB 19261 2456 8 . . . 19261 2457 1 Coax coax VB 19261 2457 2 it -PRON- PRP 19261 2457 3 back back RB 19261 2457 4 . . . 19261 2458 1 The the DT 19261 2458 2 deeper deep JJR 19261 2458 3 it -PRON- PRP 19261 2458 4 gets get VBZ 19261 2458 5 the the DT 19261 2458 6 greater great JJR 19261 2458 7 your -PRON- PRP$ 19261 2458 8 difficulties difficulty NNS 19261 2458 9 . . . 19261 2459 1 17 17 CD 19261 2459 2 . . . 19261 2460 1 The the DT 19261 2460 2 watchword watchword NN 19261 2460 3 of of IN 19261 2460 4 the the DT 19261 2460 5 bronchoscopist bronchoscopist NN 19261 2460 6 should should MD 19261 2460 7 be be VB 19261 2460 8 , , , 19261 2460 9 " " `` 19261 2460 10 If if IN 19261 2460 11 I -PRON- PRP 19261 2460 12 can can MD 19261 2460 13 do do VB 19261 2460 14 no no DT 19261 2460 15 good good NN 19261 2460 16 , , , 19261 2460 17 I -PRON- PRP 19261 2460 18 will will MD 19261 2460 19 at at RB 19261 2460 20 least least JJS 19261 2460 21 do do VB 19261 2460 22 no no DT 19261 2460 23 harm harm NN 19261 2460 24 . . . 19261 2460 25 " " '' 19261 2461 1 _ _ NNP 19261 2461 2 Fluoroscopic Fluoroscopic NNP 19261 2461 3 bronchoscopy bronchoscopy NN 19261 2461 4 _ _ NNP 19261 2461 5 is be VBZ 19261 2461 6 so so RB 19261 2461 7 deceptively deceptively RB 19261 2461 8 easy easy JJ 19261 2461 9 from from IN 19261 2461 10 a a DT 19261 2461 11 superficial superficial JJ 19261 2461 12 , , , 19261 2461 13 theoretical theoretical JJ 19261 2461 14 , , , 19261 2461 15 point point NN 19261 2461 16 of of IN 19261 2461 17 view view NN 19261 2461 18 that that IN 19261 2461 19 it -PRON- PRP 19261 2461 20 has have VBZ 19261 2461 21 been be VBN 19261 2461 22 used use VBN 19261 2461 23 unsuccessfully unsuccessfully RB 19261 2461 24 in in IN 19261 2461 25 cases case NNS 19261 2461 26 easily easily RB 19261 2461 27 handled handle VBN 19261 2461 28 in in IN 19261 2461 29 the the DT 19261 2461 30 regular regular JJ 19261 2461 31 endoscopic endoscopic JJ 19261 2461 32 way way NN 19261 2461 33 with with IN 19261 2461 34 the the DT 19261 2461 35 eye eye NN 19261 2461 36 at at IN 19261 2461 37 the the DT 19261 2461 38 proximal proximal JJ 19261 2461 39 tube tube NN 19261 2461 40 - - HYPH 19261 2461 41 mouth mouth NN 19261 2461 42 . . . 19261 2462 1 In in IN 19261 2462 2 a a DT 19261 2462 3 collected collect VBN 19261 2462 4 series series NN 19261 2462 5 of of IN 19261 2462 6 cases case NNS 19261 2462 7 by by IN 19261 2462 8 various various JJ 19261 2462 9 operators operator NNS 19261 2462 10 the the DT 19261 2462 11 object object NN 19261 2462 12 was be VBD 19261 2462 13 removed remove VBN 19261 2462 14 in in IN 19261 2462 15 66.7 66.7 CD 19261 2462 16 per per IN 19261 2462 17 cent cent NN 19261 2462 18 with with IN 19261 2462 19 a a DT 19261 2462 20 mortality mortality NN 19261 2462 21 of of IN 19261 2462 22 41.6 41.6 CD 19261 2462 23 per per IN 19261 2462 24 cent cent NN 19261 2462 25 . . . 19261 2463 1 In in IN 19261 2463 2 the the DT 19261 2463 3 problem problem NN 19261 2463 4 of of IN 19261 2463 5 a a DT 19261 2463 6 pin pin NN 19261 2463 7 located locate VBN 19261 2463 8 out out IN 19261 2463 9 of of IN 19261 2463 10 the the DT 19261 2463 11 field field NN 19261 2463 12 of of IN 19261 2463 13 bronchoscopic bronchoscopic NNP 19261 2463 14 vision vision NNP 19261 2463 15 , , , 19261 2463 16 the the DT 19261 2463 17 fluoroscopist fluoroscopist NN 19261 2463 18 will will MD 19261 2463 19 yield yield VB 19261 2463 20 invaluable invaluable JJ 19261 2463 21 aid aid NN 19261 2463 22 . . . 19261 2464 1 An an DT 19261 2464 2 extremely extremely RB 19261 2464 3 delicate delicate JJ 19261 2464 4 forceps forceps NNS 19261 2464 5 is be VBZ 19261 2464 6 to to TO 19261 2464 7 be be VB 19261 2464 8 inserted insert VBN 19261 2464 9 closed close VBN 19261 2464 10 into into IN 19261 2464 11 the the DT 19261 2464 12 invaded invaded JJ 19261 2464 13 bronchus bronchus NN 19261 2464 14 , , , 19261 2464 15 the the DT 19261 2464 16 grasp grasp NN 19261 2464 17 on on IN 19261 2464 18 the the DT 19261 2464 19 object object NN 19261 2464 20 being be VBG 19261 2464 21 confirmed confirm VBN 19261 2464 22 by by IN 19261 2464 23 the the DT 19261 2464 24 fluoroscopist fluoroscopist NN 19261 2464 25 . . . 19261 2465 1 It -PRON- PRP 19261 2465 2 is be VBZ 19261 2465 3 to to TO 19261 2465 4 be be VB 19261 2465 5 kept keep VBN 19261 2465 6 in in IN 19261 2465 7 mind mind NN 19261 2465 8 that that IN 19261 2465 9 while while IN 19261 2465 10 the the DT 19261 2465 11 object object NN 19261 2465 12 itself -PRON- PRP 19261 2465 13 may may MD 19261 2465 14 be be VB 19261 2465 15 in in IN 19261 2465 16 the the DT 19261 2465 17 grasp grasp NN 19261 2465 18 of of IN 19261 2465 19 the the DT 19261 2465 20 forceps forceps NNPS 19261 2465 21 , , , 19261 2465 22 the the DT 19261 2465 23 fluoroscope fluoroscope NN 19261 2465 24 will will MD 19261 2465 25 not not RB 19261 2465 26 show show VB 19261 2465 27 whether whether IN 19261 2465 28 there there EX 19261 2465 29 may may MD 19261 2465 30 not not RB 19261 2465 31 be be VB 19261 2465 32 included include VBN 19261 2465 33 in in IN 19261 2465 34 the the DT 19261 2465 35 forceps forceps NNS 19261 2465 36 ' ' POS 19261 2465 37 grasp grasp NN 19261 2465 38 a a DT 19261 2465 39 bronchial bronchial JJ 19261 2465 40 spur spur NN 19261 2465 41 or or CC 19261 2465 42 other other JJ 19261 2465 43 tissue tissue NN 19261 2465 44 , , , 19261 2465 45 the the DT 19261 2465 46 tearing tearing NN 19261 2465 47 of of IN 19261 2465 48 which which WDT 19261 2465 49 may may MD 19261 2465 50 be be VB 19261 2465 51 fatal fatal JJ 19261 2465 52 . . . 19261 2466 1 Therefore therefore RB 19261 2466 2 traction traction NN 19261 2466 3 must must MD 19261 2466 4 not not RB 19261 2466 5 be be VB 19261 2466 6 sufficient sufficient JJ 19261 2466 7 to to TO 19261 2466 8 lacerate lacerate VB 19261 2466 9 tissue tissue NN 19261 2466 10 . . . 19261 2467 1 If if IN 19261 2467 2 the the DT 19261 2467 3 foreign foreign JJ 19261 2467 4 body body NN 19261 2467 5 does do VBZ 19261 2467 6 not not RB 19261 2467 7 come come VB 19261 2467 8 readily readily RB 19261 2467 9 it -PRON- PRP 19261 2467 10 must must MD 19261 2467 11 be be VB 19261 2467 12 released release VBN 19261 2467 13 , , , 19261 2467 14 and and CC 19261 2467 15 a a DT 19261 2467 16 new new JJ 19261 2467 17 grasp grasp NN 19261 2467 18 may may MD 19261 2467 19 then then RB 19261 2467 20 be be VB 19261 2467 21 taken take VBN 19261 2467 22 . . . 19261 2468 1 All all DT 19261 2468 2 of of IN 19261 2468 3 the the DT 19261 2468 4 cautions caution NNS 19261 2468 5 in in IN 19261 2468 6 faulty faulty JJ 19261 2468 7 seizure seizure NN 19261 2468 8 already already RB 19261 2468 9 mentioned mention VBN 19261 2468 10 , , , 19261 2468 11 apply apply VB 19261 2468 12 with with IN 19261 2468 13 particular particular JJ 19261 2468 14 force force NN 19261 2468 15 to to IN 19261 2468 16 fluoroscopic fluoroscopic JJ 19261 2468 17 bronchoscopy bronchoscopy RB 19261 2468 18 . . . 19261 2469 1 The the DT 19261 2469 2 fluoroscope fluoroscope NN 19261 2469 3 is be VBZ 19261 2469 4 of of IN 19261 2469 5 aid aid NN 19261 2469 6 in in IN 19261 2469 7 finding find VBG 19261 2469 8 foreign foreign JJ 19261 2469 9 bodies body NNS 19261 2469 10 held hold VBN 19261 2469 11 in in IN 19261 2469 12 abscess abscess JJ 19261 2469 13 cavities cavity NNS 19261 2469 14 . . . 19261 2470 1 The the DT 19261 2470 2 fluoroscope fluoroscope NN 19261 2470 3 should should MD 19261 2470 4 show show VB 19261 2470 5 both both CC 19261 2470 6 the the DT 19261 2470 7 lateral lateral JJ 19261 2470 8 and and CC 19261 2470 9 anteroposterior anteroposterior JJ 19261 2470 10 planes plane NNS 19261 2470 11 . . . 19261 2471 1 To to TO 19261 2471 2 accomplish accomplish VB 19261 2471 3 this this DT 19261 2471 4 quickly quickly RB 19261 2471 5 , , , 19261 2471 6 two two CD 19261 2471 7 Coolidge Coolidge NNP 19261 2471 8 tubes tube NNS 19261 2471 9 and and CC 19261 2471 10 two two CD 19261 2471 11 screens screen NNS 19261 2471 12 are be VBP 19261 2471 13 necessary necessary JJ 19261 2471 14 . . . 19261 2472 1 Fluoroscopic fluoroscopic JJ 19261 2472 2 bronchoscopy bronchoscopy NN 19261 2472 3 , , , 19261 2472 4 because because IN 19261 2472 5 of of IN 19261 2472 6 its -PRON- PRP$ 19261 2472 7 high high JJ 19261 2472 8 mortality mortality NN 19261 2472 9 and and CC 19261 2472 10 low low JJ 19261 2472 11 percentage percentage NN 19261 2472 12 of of IN 19261 2472 13 successes success NNS 19261 2472 14 , , , 19261 2472 15 should should MD 19261 2472 16 be be VB 19261 2472 17 tried try VBN 19261 2472 18 only only RB 19261 2472 19 after after IN 19261 2472 20 regular regular JJ 19261 2472 21 , , , 19261 2472 22 ocularly ocularly RB 19261 2472 23 guided guide VBN 19261 2472 24 , , , 19261 2472 25 peroral peroral JJ 19261 2472 26 bronchoscopy bronchoscopy NN 19261 2472 27 has have VBZ 19261 2472 28 failed fail VBN 19261 2472 29 , , , 19261 2472 30 and and CC 19261 2472 31 only only RB 19261 2472 32 by by IN 19261 2472 33 those those DT 19261 2472 34 who who WP 19261 2472 35 have have VBP 19261 2472 36 had have VBN 19261 2472 37 experience experience NN 19261 2472 38 in in IN 19261 2472 39 ocularly ocularly RB 19261 2472 40 guided guide VBN 19261 2472 41 bronchoscopy bronchoscopy RB 19261 2472 42 . . . 19261 2473 1 [ [ -LRB- 19261 2473 2 177 177 CD 19261 2473 3 ] ] -RRB- 19261 2473 4 CHAPTER chapter NN 19261 2473 5 XVI xvi NN 19261 2473 6 -- -- : 19261 2473 7 FOREIGN foreign JJ 19261 2473 8 BODIES body NNS 19261 2473 9 IN in IN 19261 2473 10 THE the DT 19261 2473 11 BRONCHI BRONCHI NNP 19261 2473 12 FOR for IN 19261 2473 13 PROLONGED PROLONGED NNP 19261 2473 14 PERIODS PERIODS NNP 19261 2473 15 The the DT 19261 2473 16 sojourn sojourn NN 19261 2473 17 of of IN 19261 2473 18 an an DT 19261 2473 19 inorganic inorganic JJ 19261 2473 20 foreign foreign JJ 19261 2473 21 body body NN 19261 2473 22 in in IN 19261 2473 23 the the DT 19261 2473 24 bronchus bronchus NN 19261 2473 25 for for IN 19261 2473 26 a a DT 19261 2473 27 year year NN 19261 2473 28 or or CC 19261 2473 29 more more JJR 19261 2473 30 is be VBZ 19261 2473 31 followed follow VBN 19261 2473 32 by by IN 19261 2473 33 the the DT 19261 2473 34 development development NN 19261 2473 35 of of IN 19261 2473 36 bronchiectasis bronchiectasis NN 19261 2473 37 , , , 19261 2473 38 pulmonary pulmonary JJ 19261 2473 39 abscess abscess NN 19261 2473 40 , , , 19261 2473 41 and and CC 19261 2473 42 fibrous fibrous JJ 19261 2473 43 changes change NNS 19261 2473 44 . . . 19261 2474 1 The the DT 19261 2474 2 symptoms symptom NNS 19261 2474 3 of of IN 19261 2474 4 tuberculosis tuberculosis NN 19261 2474 5 may may MD 19261 2474 6 all all DT 19261 2474 7 be be VB 19261 2474 8 presented present VBN 19261 2474 9 , , , 19261 2474 10 but but CC 19261 2474 11 tubercle tubercle NN 19261 2474 12 bacilli bacilli NNP 19261 2474 13 have have VBP 19261 2474 14 never never RB 19261 2474 15 been be VBN 19261 2474 16 found find VBN 19261 2474 17 associated associate VBN 19261 2474 18 with with IN 19261 2474 19 any any DT 19261 2474 20 of of IN 19261 2474 21 the the DT 19261 2474 22 many many JJ 19261 2474 23 cases case NNS 19261 2474 24 that that WDT 19261 2474 25 have have VBP 19261 2474 26 come come VBN 19261 2474 27 to to IN 19261 2474 28 the the DT 19261 2474 29 Bronchoscopic Bronchoscopic NNP 19261 2474 30 Clinic Clinic NNP 19261 2474 31 . . . 19261 2475 1 * * NFP 19261 2475 2 The the DT 19261 2475 3 history history NN 19261 2475 4 of of IN 19261 2475 5 repeated repeat VBN 19261 2475 6 attacks attack NNS 19261 2475 7 of of IN 19261 2475 8 malaise malaise NN 19261 2475 9 , , , 19261 2475 10 fever fever NN 19261 2475 11 , , , 19261 2475 12 chills chills NNP 19261 2475 13 , , , 19261 2475 14 and and CC 19261 2475 15 sweats sweat NNS 19261 2475 16 lasting last VBG 19261 2475 17 for for IN 19261 2475 18 a a DT 19261 2475 19 few few JJ 19261 2475 20 days day NNS 19261 2475 21 and and CC 19261 2475 22 terminated terminate VBN 19261 2475 23 by by IN 19261 2475 24 the the DT 19261 2475 25 expulsion expulsion NN 19261 2475 26 of of IN 19261 2475 27 an an DT 19261 2475 28 amount amount NN 19261 2475 29 of of IN 19261 2475 30 foul foul JJ 19261 2475 31 pus pus NN 19261 2475 32 , , , 19261 2475 33 suggests suggest VBZ 19261 2475 34 the the DT 19261 2475 35 intermittent intermittent JJ 19261 2475 36 drainage drainage NN 19261 2475 37 of of IN 19261 2475 38 an an DT 19261 2475 39 abscess abscess JJ 19261 2475 40 cavity cavity NN 19261 2475 41 , , , 19261 2475 42 and and CC 19261 2475 43 special special JJ 19261 2475 44 study study NN 19261 2475 45 should should MD 19261 2475 46 be be VB 19261 2475 47 made make VBN 19261 2475 48 to to TO 19261 2475 49 eliminate eliminate VB 19261 2475 50 foreign foreign JJ 19261 2475 51 body body NN 19261 2475 52 as as IN 19261 2475 53 the the DT 19261 2475 54 cause cause NN 19261 2475 55 of of IN 19261 2475 56 the the DT 19261 2475 57 condition condition NN 19261 2475 58 , , , 19261 2475 59 in in IN 19261 2475 60 all all DT 19261 2475 61 such such JJ 19261 2475 62 cases case NNS 19261 2475 63 , , , 19261 2475 64 whether whether IN 19261 2475 65 there there EX 19261 2475 66 is be VBZ 19261 2475 67 any any DT 19261 2475 68 history history NN 19261 2475 69 of of IN 19261 2475 70 a a DT 19261 2475 71 foreign foreign JJ 19261 2475 72 body body NN 19261 2475 73 accident accident NN 19261 2475 74 or or CC 19261 2475 75 not not RB 19261 2475 76 . . . 19261 2476 1 Bronchoscopy bronchoscopy VB 19261 2476 2 for for IN 19261 2476 3 diagnosis diagnosis NN 19261 2476 4 is be VBZ 19261 2476 5 to to TO 19261 2476 6 be be VB 19261 2476 7 done do VBN 19261 2476 8 unless unless IN 19261 2476 9 the the DT 19261 2476 10 etiology etiology NN 19261 2476 11 can can MD 19261 2476 12 be be VB 19261 2476 13 definitely definitely RB 19261 2476 14 proven prove VBN 19261 2476 15 by by IN 19261 2476 16 other other JJ 19261 2476 17 means mean NNS 19261 2476 18 . . . 19261 2477 1 In in IN 19261 2477 2 all all DT 19261 2477 3 cases case NNS 19261 2477 4 of of IN 19261 2477 5 chronic chronic JJ 19261 2477 6 chest chest NN 19261 2477 7 disease disease NN 19261 2477 8 foreign foreign JJ 19261 2477 9 body body NN 19261 2477 10 should should MD 19261 2477 11 be be VB 19261 2477 12 eliminated eliminate VBN 19261 2477 13 as as IN 19261 2477 14 a a DT 19261 2477 15 matter matter NN 19261 2477 16 of of IN 19261 2477 17 routine routine NN 19261 2477 18 . . . 19261 2478 1 * * NFP 19261 2478 2 One one CD 19261 2478 3 exception exception NN 19261 2478 4 has have VBZ 19261 2478 5 recently recently RB 19261 2478 6 come come VBN 19261 2478 7 to to IN 19261 2478 8 the the DT 19261 2478 9 Clinic Clinic NNP 19261 2478 10 . . . 19261 2479 1 12 12 CD 19261 2479 2 _ _ NNP 19261 2479 3 The the DT 19261 2479 4 time time NN 19261 2479 5 of of IN 19261 2479 6 aspiration aspiration NN 19261 2479 7 of of IN 19261 2479 8 a a DT 19261 2479 9 foreign foreign JJ 19261 2479 10 body body NN 19261 2479 11 _ _ NNP 19261 2479 12 may may MD 19261 2479 13 be be VB 19261 2479 14 unknown unknown JJ 19261 2479 15 , , , 19261 2479 16 having have VBG 19261 2479 17 possibly possibly RB 19261 2479 18 occurred occur VBN 19261 2479 19 in in IN 19261 2479 20 infancy infancy NN 19261 2479 21 , , , 19261 2479 22 during during IN 19261 2479 23 narcosis narcosis NN 19261 2479 24 , , , 19261 2479 25 or or CC 19261 2479 26 the the DT 19261 2479 27 object object NN 19261 2479 28 may may MD 19261 2479 29 even even RB 19261 2479 30 enter enter VB 19261 2479 31 the the DT 19261 2479 32 lower low JJR 19261 2479 33 air air NN 19261 2479 34 passages passage NNS 19261 2479 35 without without IN 19261 2479 36 the the DT 19261 2479 37 patient patient NN 19261 2479 38 being be VBG 19261 2479 39 aware aware JJ 19261 2479 40 of of IN 19261 2479 41 the the DT 19261 2479 42 accident accident NN 19261 2479 43 , , , 19261 2479 44 as as IN 19261 2479 45 happened happen VBD 19261 2479 46 with with IN 19261 2479 47 a a DT 19261 2479 48 particularly particularly RB 19261 2479 49 intelligent intelligent JJ 19261 2479 50 business business NN 19261 2479 51 man man NN 19261 2479 52 who who WP 19261 2479 53 unknowingly unknowingly RB 19261 2479 54 aspirated aspirate VBD 19261 2479 55 the the DT 19261 2479 56 tip tip NN 19261 2479 57 of of IN 19261 2479 58 an an DT 19261 2479 59 atomizer atomizer NN 19261 2479 60 while while IN 19261 2479 61 spraying spray VBG 19261 2479 62 his -PRON- PRP$ 19261 2479 63 throat throat NN 19261 2479 64 . . . 19261 2480 1 In in IN 19261 2480 2 many many JJ 19261 2480 3 other other JJ 19261 2480 4 cases case NNS 19261 2480 5 the the DT 19261 2480 6 accident accident NN 19261 2480 7 had have VBD 19261 2480 8 been be VBN 19261 2480 9 forgotten forget VBN 19261 2480 10 . . . 19261 2481 1 In in IN 19261 2481 2 still still RB 19261 2481 3 others other NNS 19261 2481 4 , , , 19261 2481 5 in in IN 19261 2481 6 spite spite NN 19261 2481 7 of of IN 19261 2481 8 the the DT 19261 2481 9 patient patient NN 19261 2481 10 's 's POS 19261 2481 11 statement statement NN 19261 2481 12 of of IN 19261 2481 13 a a DT 19261 2481 14 conviction conviction NN 19261 2481 15 that that IN 19261 2481 16 the the DT 19261 2481 17 trouble trouble NN 19261 2481 18 was be VBD 19261 2481 19 due due JJ 19261 2481 20 to to IN 19261 2481 21 a a DT 19261 2481 22 foreign foreign JJ 19261 2481 23 body body NN 19261 2481 24 he -PRON- PRP 19261 2481 25 had have VBD 19261 2481 26 aspirated aspirate VBN 19261 2481 27 , , , 19261 2481 28 the the DT 19261 2481 29 physician physician NN 19261 2481 30 did do VBD 19261 2481 31 not not RB 19261 2481 32 consider consider VB 19261 2481 33 it -PRON- PRP 19261 2481 34 worthy worthy JJ 19261 2481 35 of of IN 19261 2481 36 sufficient sufficient JJ 19261 2481 37 consideration consideration NN 19261 2481 38 to to TO 19261 2481 39 warrant warrant VB 19261 2481 40 a a DT 19261 2481 41 roentgenray roentgenray JJ 19261 2481 42 examination examination NN 19261 2481 43 . . . 19261 2482 1 It -PRON- PRP 19261 2482 2 is be VBZ 19261 2482 3 curious curious JJ 19261 2482 4 to to TO 19261 2482 5 note note VB 19261 2482 6 the the DT 19261 2482 7 various various JJ 19261 2482 8 opinions opinion NNS 19261 2482 9 held hold VBN 19261 2482 10 in in IN 19261 2482 11 regard regard NN 19261 2482 12 to to IN 19261 2482 13 the the DT 19261 2482 14 gravity gravity NN 19261 2482 15 of of IN 19261 2482 16 the the DT 19261 2482 17 presence presence NN 19261 2482 18 of of IN 19261 2482 19 a a DT 19261 2482 20 bronchial bronchial JJ 19261 2482 21 foreign foreign JJ 19261 2482 22 body body NN 19261 2482 23 . . . 19261 2483 1 One one CD 19261 2483 2 patient patient NN 19261 2483 3 was be VBD 19261 2483 4 told tell VBN 19261 2483 5 by by IN 19261 2483 6 his -PRON- PRP$ 19261 2483 7 physician physician NN 19261 2483 8 that that IN 19261 2483 9 the the DT 19261 2483 10 presence presence NN 19261 2483 11 of of IN 19261 2483 12 a a DT 19261 2483 13 staple staple NN 19261 2483 14 in in IN 19261 2483 15 his -PRON- PRP$ 19261 2483 16 bronchus bronchus NN 19261 2483 17 was be VBD 19261 2483 18 an an DT 19261 2483 19 impossibility impossibility NN 19261 2483 20 , , , 19261 2483 21 for for IN 19261 2483 22 he -PRON- PRP 19261 2483 23 would would MD 19261 2483 24 not not RB 19261 2483 25 have have VB 19261 2483 26 lived live VBN 19261 2483 27 five five CD 19261 2483 28 minutes minute NNS 19261 2483 29 after after IN 19261 2483 30 the the DT 19261 2483 31 accident accident NN 19261 2483 32 . . . 19261 2484 1 Others other NNS 19261 2484 2 consider consider VBP 19261 2484 3 the the DT 19261 2484 4 presence presence NN 19261 2484 5 of of IN 19261 2484 6 a a DT 19261 2484 7 foreign foreign JJ 19261 2484 8 body body NN 19261 2484 9 in in IN 19261 2484 10 the the DT 19261 2484 11 bronchus bronchus NN 19261 2484 12 as as IN 19261 2484 13 comparatively comparatively RB 19261 2484 14 harmless harmless JJ 19261 2484 15 , , , 19261 2484 16 in in IN 19261 2484 17 spite spite NN 19261 2484 18 of of IN 19261 2484 19 the the DT 19261 2484 20 repeated repeat VBN 19261 2484 21 reports report NNS 19261 2484 22 of of IN 19261 2484 23 invalidism invalidism NN 19261 2484 24 and and CC 19261 2484 25 fatality fatality NN 19261 2484 26 in in IN 19261 2484 27 the the DT 19261 2484 28 medical medical JJ 19261 2484 29 literature literature NN 19261 2484 30 of of IN 19261 2484 31 centuries century NNS 19261 2484 32 . . . 19261 2485 1 The the DT 19261 2485 2 older old JJR 19261 2485 3 authorities authority NNS 19261 2485 4 state state VBP 19261 2485 5 that that IN 19261 2485 6 all all DT 19261 2485 7 cases case NNS 19261 2485 8 of of IN 19261 2485 9 prolonged prolong VBN 19261 2485 10 bronchial bronchial JJ 19261 2485 11 foreign foreign JJ 19261 2485 12 body body NN 19261 2485 13 sojourn sojourn NN 19261 2485 14 died die VBD 19261 2485 15 from from IN 19261 2485 16 phthisis phthisis NN 19261 2485 17 pulmonalis pulmonalis NNP 19261 2485 18 , , , 19261 2485 19 and and CC 19261 2485 20 it -PRON- PRP 19261 2485 21 is be VBZ 19261 2485 22 still still RB 19261 2485 23 the the DT 19261 2485 24 opinion opinion NN 19261 2485 25 of of IN 19261 2485 26 some some DT 19261 2485 27 practitioners practitioner NNS 19261 2485 28 that that IN 19261 2485 29 the the DT 19261 2485 30 presence presence NN 19261 2485 31 of of IN 19261 2485 32 a a DT 19261 2485 33 foreign foreign JJ 19261 2485 34 body body NN 19261 2485 35 in in IN 19261 2485 36 the the DT 19261 2485 37 lung lung NN 19261 2485 38 predisposes predispose VBZ 19261 2485 39 to to IN 19261 2485 40 the the DT 19261 2485 41 development development NN 19261 2485 42 of of IN 19261 2485 43 true true JJ 19261 2485 44 tuberculosis tuberculosis NN 19261 2485 45 . . . 19261 2486 1 With with IN 19261 2486 2 the the DT 19261 2486 3 dissemination dissemination NN 19261 2486 4 of of IN 19261 2486 5 knowledge knowledge NN 19261 2486 6 regarding regard VBG 19261 2486 7 the the DT 19261 2486 8 possibility possibility NN 19261 2486 9 of of IN 19261 2486 10 bronchial bronchial JJ 19261 2486 11 foreign foreign JJ 19261 2486 12 body body NN 19261 2486 13 , , , 19261 2486 14 and and CC 19261 2486 15 the the DT 19261 2486 16 marvellous marvellous JJ 19261 2486 17 success success NN 19261 2486 18 in in IN 19261 2486 19 their -PRON- PRP$ 19261 2486 20 removal removal NN 19261 2486 21 by by IN 19261 2486 22 bronchoscopy bronchoscopy NN 19261 2486 23 , , , 19261 2486 24 the the DT 19261 2486 25 cases case NNS 19261 2486 26 of of IN 19261 2486 27 prolonged prolong VBN 19261 2486 28 foreign foreign JJ 19261 2486 29 body body NN 19261 2486 30 sojourn sojourn NN 19261 2486 31 should should MD 19261 2486 32 decrease decrease VB 19261 2486 33 in in IN 19261 2486 34 number number NN 19261 2486 35 . . . 19261 2487 1 It -PRON- PRP 19261 2487 2 should should MD 19261 2487 3 be be VB 19261 2487 4 the the DT 19261 2487 5 recognized recognize VBN 19261 2487 6 rule rule NN 19261 2487 7 , , , 19261 2487 8 and and CC 19261 2487 9 not not RB 19261 2487 10 the the DT 19261 2487 11 exception exception NN 19261 2487 12 , , , 19261 2487 13 that that IN 19261 2487 14 all all DT 19261 2487 15 chest chest NN 19261 2487 16 conditions condition NNS 19261 2487 17 , , , 19261 2487 18 acute acute JJ 19261 2487 19 or or CC 19261 2487 20 chronic chronic JJ 19261 2487 21 , , , 19261 2487 22 should should MD 19261 2487 23 have have VB 19261 2487 24 the the DT 19261 2487 25 benefit benefit NN 19261 2487 26 of of IN 19261 2487 27 roentgenographic roentgenographic JJ 19261 2487 28 study study NN 19261 2487 29 , , , 19261 2487 30 even even RB 19261 2487 31 apart apart RB 19261 2487 32 from from IN 19261 2487 33 the the DT 19261 2487 34 possibility possibility NN 19261 2487 35 of of IN 19261 2487 36 foreign foreign JJ 19261 2487 37 body body NN 19261 2487 38 . . . 19261 2488 1 Often often RB 19261 2488 2 even even RB 19261 2488 3 with with IN 19261 2488 4 the the DT 19261 2488 5 clear clear JJ 19261 2488 6 history history NN 19261 2488 7 of of IN 19261 2488 8 foreign foreign JJ 19261 2488 9 - - HYPH 19261 2488 10 body body NN 19261 2488 11 aspiration aspiration NN 19261 2488 12 , , , 19261 2488 13 both both CC 19261 2488 14 patient patient NN 19261 2488 15 and and CC 19261 2488 16 physician physician NN 19261 2488 17 are be VBP 19261 2488 18 deluded delude VBN 19261 2488 19 by by IN 19261 2488 20 a a DT 19261 2488 21 relatively relatively RB 19261 2488 22 long long JJ 19261 2488 23 period period NN 19261 2488 24 of of IN 19261 2488 25 quiescence quiescence NN 19261 2488 26 in in IN 19261 2488 27 which which WDT 19261 2488 28 no no DT 19261 2488 29 symptoms symptom NNS 19261 2488 30 are be VBP 19261 2488 31 apparent apparent JJ 19261 2488 32 . . . 19261 2489 1 This this DT 19261 2489 2 symptomless symptomless JJ 19261 2489 3 interval interval NN 19261 2489 4 is be VBZ 19261 2489 5 followed follow VBN 19261 2489 6 sooner soon RBR 19261 2489 7 or or CC 19261 2489 8 later later RB 19261 2489 9 by by IN 19261 2489 10 ever ever RB 19261 2489 11 increasing increase VBG 19261 2489 12 cough cough NN 19261 2489 13 and and CC 19261 2489 14 expectoration expectoration NN 19261 2489 15 of of IN 19261 2489 16 sputum sputum NN 19261 2489 17 , , , 19261 2489 18 finally finally RB 19261 2489 19 by by IN 19261 2489 20 bronchiectasis bronchiectasis NN 19261 2489 21 and and CC 19261 2489 22 pulmonary pulmonary JJ 19261 2489 23 abscess abscess NN 19261 2489 24 , , , 19261 2489 25 chronic chronic JJ 19261 2489 26 sepsis sepsis NN 19261 2489 27 , , , 19261 2489 28 and and CC 19261 2489 29 invalidism invalidism NN 19261 2489 30 . . . 19261 2490 1 _ _ NNP 19261 2490 2 Pathology_.--If Pathology_.--If NNP 19261 2490 3 the the DT 19261 2490 4 foreign foreign JJ 19261 2490 5 body body NN 19261 2490 6 completely completely RB 19261 2490 7 obstructs obstruct VBZ 19261 2490 8 a a DT 19261 2490 9 main main JJ 19261 2490 10 bronchus bronchus NN 19261 2490 11 , , , 19261 2490 12 preventing prevent VBG 19261 2490 13 both both CC 19261 2490 14 aeration aeration NN 19261 2490 15 and and CC 19261 2490 16 drainage drainage NN 19261 2490 17 , , , 19261 2490 18 such such JJ 19261 2490 19 rapid rapid JJ 19261 2490 20 destruction destruction NN 19261 2490 21 of of IN 19261 2490 22 lung lung NN 19261 2490 23 tissue tissue NN 19261 2490 24 follows follow VBZ 19261 2490 25 that that IN 19261 2490 26 extensive extensive JJ 19261 2490 27 pathologic pathologic JJ 19261 2490 28 changes change NNS 19261 2490 29 may may MD 19261 2490 30 result result VB 19261 2490 31 in in IN 19261 2490 32 a a DT 19261 2490 33 few few JJ 19261 2490 34 months month NNS 19261 2490 35 , , , 19261 2490 36 or or CC 19261 2490 37 even even RB 19261 2490 38 in in IN 19261 2490 39 a a DT 19261 2490 40 few few JJ 19261 2490 41 weeks week NNS 19261 2490 42 , , , 19261 2490 43 in in IN 19261 2490 44 the the DT 19261 2490 45 case case NN 19261 2490 46 of of IN 19261 2490 47 irritating irritate VBG 19261 2490 48 foreign foreign JJ 19261 2490 49 bodies body NNS 19261 2490 50 such such JJ 19261 2490 51 as as IN 19261 2490 52 peanut peanut NN 19261 2490 53 kernels kernel NNS 19261 2490 54 and and CC 19261 2490 55 soft soft JJ 19261 2490 56 rubber rubber NN 19261 2490 57 . . . 19261 2491 1 Very very RB 19261 2491 2 minute minute JJ 19261 2491 3 , , , 19261 2491 4 inorganic inorganic JJ 19261 2491 5 foreign foreign JJ 19261 2491 6 bodies body NNS 19261 2491 7 may may MD 19261 2491 8 become become VB 19261 2491 9 encysted encyste VBN 19261 2491 10 as as IN 19261 2491 11 in in IN 19261 2491 12 anthracosis anthracosis NN 19261 2491 13 . . . 19261 2492 1 Large large JJ 19261 2492 2 objects object NNS 19261 2492 3 , , , 19261 2492 4 however however RB 19261 2492 5 , , , 19261 2492 6 do do VBP 19261 2492 7 not not RB 19261 2492 8 become become VB 19261 2492 9 encysted encyste VBN 19261 2492 10 . . . 19261 2493 1 The the DT 19261 2493 2 object object NN 19261 2493 3 is be VBZ 19261 2493 4 drawn draw VBN 19261 2493 5 down down RP 19261 2493 6 by by IN 19261 2493 7 gravity gravity NN 19261 2493 8 and and CC 19261 2493 9 aspirated aspirate VBD 19261 2493 10 into into IN 19261 2493 11 the the DT 19261 2493 12 smallest small JJS 19261 2493 13 bronchus bronchus NN 19261 2493 14 it -PRON- PRP 19261 2493 15 can can MD 19261 2493 16 enter enter VB 19261 2493 17 . . . 19261 2494 1 Later later RB 19261 2494 2 the the DT 19261 2494 3 negative negative JJ 19261 2494 4 pressure pressure NN 19261 2494 5 below below IN 19261 2494 6 from from IN 19261 2494 7 absorption absorption NN 19261 2494 8 of of IN 19261 2494 9 air air NN 19261 2494 10 impacts impact NNS 19261 2494 11 it -PRON- PRP 19261 2494 12 still still RB 19261 2494 13 further further RB 19261 2494 14 . . . 19261 2495 1 Swelling swell VBG 19261 2495 2 of of IN 19261 2495 3 the the DT 19261 2495 4 bronchial bronchial JJ 19261 2495 5 mucosa mucosa NNS 19261 2495 6 from from IN 19261 2495 7 irritation irritation NN 19261 2495 8 plus plus CC 19261 2495 9 infection infection NN 19261 2495 10 completes complete VBZ 19261 2495 11 the the DT 19261 2495 12 occlusion occlusion NN 19261 2495 13 of of IN 19261 2495 14 the the DT 19261 2495 15 bronchus bronchu NNS 19261 2495 16 . . . 19261 2496 1 Retention retention NN 19261 2496 2 of of IN 19261 2496 3 secretions secretion NNS 19261 2496 4 and and CC 19261 2496 5 bacterial bacterial JJ 19261 2496 6 decomposition decomposition NN 19261 2496 7 thereof thereof NNP 19261 2496 8 produces produce VBZ 19261 2496 9 first first RB 19261 2496 10 a a DT 19261 2496 11 " " `` 19261 2496 12 drowned drown VBN 19261 2496 13 lung lung NN 19261 2496 14 " " '' 19261 2496 15 ( ( -LRB- 19261 2496 16 natural natural JJ 19261 2496 17 passages passage NNS 19261 2496 18 full full JJ 19261 2496 19 of of IN 19261 2496 20 pus pus NNP 19261 2496 21 ) ) -RRB- 19261 2496 22 ; ; : 19261 2496 23 then then RB 19261 2496 24 sloughing sloughing NN 19261 2496 25 or or CC 19261 2496 26 ulceration ulceration NN 19261 2496 27 in in IN 19261 2496 28 the the DT 19261 2496 29 tissues tissue NNS 19261 2496 30 plus plus CC 19261 2496 31 the the DT 19261 2496 32 pressure pressure NN 19261 2496 33 of of IN 19261 2496 34 the the DT 19261 2496 35 pus pus NN 19261 2496 36 , , , 19261 2496 37 causes cause VBZ 19261 2496 38 bronchiectasis bronchiectasis NN 19261 2496 39 ; ; , 19261 2496 40 further further JJ 19261 2496 41 destruction destruction NN 19261 2496 42 of of IN 19261 2496 43 the the DT 19261 2496 44 cartilaginous cartilaginous JJ 19261 2496 45 rings ring NNS 19261 2496 46 results result NNS 19261 2496 47 in in IN 19261 2496 48 true true JJ 19261 2496 49 abscess abscess JJ 19261 2496 50 formation formation NN 19261 2496 51 below below IN 19261 2496 52 the the DT 19261 2496 53 foreign foreign JJ 19261 2496 54 body body NN 19261 2496 55 . . . 19261 2497 1 The the DT 19261 2497 2 productive productive JJ 19261 2497 3 inflammation inflammation NN 19261 2497 4 at at IN 19261 2497 5 the the DT 19261 2497 6 site site NN 19261 2497 7 of of IN 19261 2497 8 lodgement lodgement NN 19261 2497 9 of of IN 19261 2497 10 the the DT 19261 2497 11 foreign foreign JJ 19261 2497 12 body body NN 19261 2497 13 results result NNS 19261 2497 14 in in IN 19261 2497 15 cicatricial cicatricial JJ 19261 2497 16 contraction contraction NN 19261 2497 17 and and CC 19261 2497 18 the the DT 19261 2497 19 formation formation NN 19261 2497 20 of of IN 19261 2497 21 a a DT 19261 2497 22 stricture stricture NN 19261 2497 23 at at IN 19261 2497 24 the the DT 19261 2497 25 top top NN 19261 2497 26 of of IN 19261 2497 27 the the DT 19261 2497 28 cavity cavity NN 19261 2497 29 , , , 19261 2497 30 in in IN 19261 2497 31 which which WDT 19261 2497 32 the the DT 19261 2497 33 foreign foreign JJ 19261 2497 34 body body NN 19261 2497 35 is be VBZ 19261 2497 36 usually usually RB 19261 2497 37 held hold VBN 19261 2497 38 . . . 19261 2498 1 The the DT 19261 2498 2 abscess abscess NN 19261 2498 3 may may MD 19261 2498 4 extend extend VB 19261 2498 5 to to IN 19261 2498 6 the the DT 19261 2498 7 periphery periphery NN 19261 2498 8 and and CC 19261 2498 9 rupture rupture VB 19261 2498 10 into into IN 19261 2498 11 the the DT 19261 2498 12 pleural pleural JJ 19261 2498 13 cavity cavity NN 19261 2498 14 . . . 19261 2499 1 It -PRON- PRP 19261 2499 2 may may MD 19261 2499 3 drain drain VB 19261 2499 4 intermittently intermittently RB 19261 2499 5 into into IN 19261 2499 6 a a DT 19261 2499 7 bronchus bronchus NN 19261 2499 8 . . . 19261 2500 1 Certain certain JJ 19261 2500 2 irritating irritate VBG 19261 2500 3 foreign foreign JJ 19261 2500 4 bodies body NNS 19261 2500 5 , , , 19261 2500 6 such such JJ 19261 2500 7 as as IN 19261 2500 8 soft soft JJ 19261 2500 9 rubber rubber NN 19261 2500 10 , , , 19261 2500 11 may may MD 19261 2500 12 produce produce VB 19261 2500 13 gangrenous gangrenous JJ 19261 2500 14 bronchitis bronchitis NN 19261 2500 15 and and CC 19261 2500 16 multiple multiple JJ 19261 2500 17 abscesses abscess NNS 19261 2500 18 . . . 19261 2501 1 For for IN 19261 2501 2 observations observation NNS 19261 2501 3 on on IN 19261 2501 4 pathology pathology NN 19261 2501 5 ( ( -LRB- 19261 2501 6 see see VB 19261 2501 7 Bibliography Bibliography NNP 19261 2501 8 , , , 19261 2501 9 38 38 CD 19261 2501 10 ) ) -RRB- 19261 2501 11 . . . 19261 2502 1 _ _ NNP 19261 2502 2 Prognosis_.--If Prognosis_.--If NNP 19261 2502 3 the the DT 19261 2502 4 foreign foreign JJ 19261 2502 5 body body NN 19261 2502 6 be be VB 19261 2502 7 not not RB 19261 2502 8 removed remove VBN 19261 2502 9 , , , 19261 2502 10 the the DT 19261 2502 11 resulting result VBG 19261 2502 12 chronic chronic JJ 19261 2502 13 sepsis sepsis NN 19261 2502 14 or or CC 19261 2502 15 pulmonary pulmonary JJ 19261 2502 16 hemorrhage hemorrhage NN 19261 2502 17 will will MD 19261 2502 18 prove prove VB 19261 2502 19 fatal fatal JJ 19261 2502 20 . . . 19261 2503 1 Removal removal NN 19261 2503 2 of of IN 19261 2503 3 the the DT 19261 2503 4 foreign foreign JJ 19261 2503 5 body body NN 19261 2503 6 usually usually RB 19261 2503 7 results result VBZ 19261 2503 8 in in IN 19261 2503 9 complete complete JJ 19261 2503 10 recovery recovery NN 19261 2503 11 without without IN 19261 2503 12 further further JJ 19261 2503 13 local local JJ 19261 2503 14 treatment treatment NN 19261 2503 15 . . . 19261 2504 1 Occasionally occasionally RB 19261 2504 2 , , , 19261 2504 3 secondary secondary JJ 19261 2504 4 dilatation dilatation NN 19261 2504 5 of of IN 19261 2504 6 a a DT 19261 2504 7 bronchial bronchial JJ 19261 2504 8 stricture stricture NN 19261 2504 9 may may MD 19261 2504 10 be be VB 19261 2504 11 required require VBN 19261 2504 12 . . . 19261 2505 1 All all DT 19261 2505 2 cases case NNS 19261 2505 3 will will MD 19261 2505 4 need need VB 19261 2505 5 , , , 19261 2505 6 besides besides IN 19261 2505 7 removal removal NN 19261 2505 8 of of IN 19261 2505 9 the the DT 19261 2505 10 foreign foreign JJ 19261 2505 11 body body NN 19261 2505 12 , , , 19261 2505 13 an an DT 19261 2505 14 antituberculous antituberculous JJ 19261 2505 15 regimen regimen NN 19261 2505 16 , , , 19261 2505 17 and and CC 19261 2505 18 offer offer VB 19261 2505 19 a a DT 19261 2505 20 good good JJ 19261 2505 21 prognosis prognosis NN 19261 2505 22 if if IN 19261 2505 23 this this DT 19261 2505 24 be be VB 19261 2505 25 followed follow VBN 19261 2505 26 . . . 19261 2506 1 _ _ NNP 19261 2506 2 Treatment_.--Bronchoscopy Treatment_.--Bronchoscopy NNP 19261 2506 3 should should MD 19261 2506 4 be be VB 19261 2506 5 done do VBN 19261 2506 6 in in IN 19261 2506 7 all all DT 19261 2506 8 cases case NNS 19261 2506 9 of of IN 19261 2506 10 chronic chronic JJ 19261 2506 11 pulmonary pulmonary JJ 19261 2506 12 abscess abscess NN 19261 2506 13 and and CC 19261 2506 14 bronchiectasis bronchiectasis NN 19261 2506 15 even even RB 19261 2506 16 though though IN 19261 2506 17 radiographic radiographic JJ 19261 2506 18 study study NN 19261 2506 19 reveals reveal VBZ 19261 2506 20 no no DT 19261 2506 21 shadow shadow NN 19261 2506 22 of of IN 19261 2506 23 foreign foreign JJ 19261 2506 24 body body NN 19261 2506 25 . . . 19261 2507 1 The the DT 19261 2507 2 patient patient NN 19261 2507 3 by by IN 19261 2507 4 assuming assume VBG 19261 2507 5 a a DT 19261 2507 6 posture posture NN 19261 2507 7 with with IN 19261 2507 8 the the DT 19261 2507 9 head head NN 19261 2507 10 lowered lower VBN 19261 2507 11 is be VBZ 19261 2507 12 urged urge VBN 19261 2507 13 to to TO 19261 2507 14 expel expel VB 19261 2507 15 spontaneously spontaneously RB 19261 2507 16 all all PDT 19261 2507 17 the the DT 19261 2507 18 pus pus NNP 19261 2507 19 possible possible JJ 19261 2507 20 , , , 19261 2507 21 before before IN 19261 2507 22 the the DT 19261 2507 23 bronchoscopy bronchoscopy NN 19261 2507 24 . . . 19261 2508 1 The the DT 19261 2508 2 aspirating aspirate VBG 19261 2508 3 bronchoscope bronchoscope NN 19261 2508 4 ( ( -LRB- 19261 2508 5 Fig fig NN 19261 2508 6 . . . 19261 2509 1 2 2 LS 19261 2509 2 , , , 19261 2509 3 E e NN 19261 2509 4 ) ) -RRB- 19261 2509 5 is be VBZ 19261 2509 6 often often RB 19261 2509 7 useful useful JJ 19261 2509 8 in in IN 19261 2509 9 cases case NNS 19261 2509 10 where where WRB 19261 2509 11 large large JJ 19261 2509 12 amounts amount NNS 19261 2509 13 of of IN 19261 2509 14 secretion secretion NN 19261 2509 15 may may MD 19261 2509 16 be be VB 19261 2509 17 anticipated anticipate VBN 19261 2509 18 . . . 19261 2510 1 Granulations granulation NNS 19261 2510 2 may may MD 19261 2510 3 require require VB 19261 2510 4 removal removal NN 19261 2510 5 with with IN 19261 2510 6 forceps forceps NNP 19261 2510 7 and and CC 19261 2510 8 sponging sponging NN 19261 2510 9 . . . 19261 2511 1 Disturbed disturbed JJ 19261 2511 2 granulations granulation NNS 19261 2511 3 result result VBP 19261 2511 4 in in IN 19261 2511 5 bleeding bleed VBG 19261 2511 6 which which WDT 19261 2511 7 further further JJ 19261 2511 8 hampers hamper NNS 19261 2511 9 the the DT 19261 2511 10 operation operation NN 19261 2511 11 ; ; : 19261 2511 12 therefore therefore RB 19261 2511 13 , , , 19261 2511 14 they -PRON- PRP 19261 2511 15 should should MD 19261 2511 16 not not RB 19261 2511 17 be be VB 19261 2511 18 touched touch VBN 19261 2511 19 until until IN 19261 2511 20 ready ready JJ 19261 2511 21 to to TO 19261 2511 22 apply apply VB 19261 2511 23 the the DT 19261 2511 24 forceps forceps NNS 19261 2511 25 , , , 19261 2511 26 unless unless IN 19261 2511 27 it -PRON- PRP 19261 2511 28 is be VBZ 19261 2511 29 impossible impossible JJ 19261 2511 30 to to TO 19261 2511 31 study study VB 19261 2511 32 the the DT 19261 2511 33 presentation presentation NN 19261 2511 34 without without IN 19261 2511 35 disturbing disturb VBG 19261 2511 36 them -PRON- PRP 19261 2511 37 . . . 19261 2512 1 For for IN 19261 2512 2 this this DT 19261 2512 3 reason reason NN 19261 2512 4 secretions secretion NNS 19261 2512 5 hiding hide VBG 19261 2512 6 a a DT 19261 2512 7 foreign foreign JJ 19261 2512 8 body body NN 19261 2512 9 should should MD 19261 2512 10 be be VB 19261 2512 11 removed remove VBN 19261 2512 12 with with IN 19261 2512 13 the the DT 19261 2512 14 aspirating aspirating NN 19261 2512 15 tube tube NN 19261 2512 16 ( ( -LRB- 19261 2512 17 Fig fig NN 19261 2512 18 . . . 19261 2513 1 9 9 LS 19261 2513 2 ) ) -RRB- 19261 2513 3 rather rather RB 19261 2513 4 than than IN 19261 2513 5 by by IN 19261 2513 6 swabbing swab VBG 19261 2513 7 or or CC 19261 2513 8 sponge sponge NN 19261 2513 9 - - HYPH 19261 2513 10 pumping pumping NN 19261 2513 11 , , , 19261 2513 12 when when WRB 19261 2513 13 the the DT 19261 2513 14 bronchoscopic bronchoscopic NNP 19261 2513 15 tube tube NN 19261 2513 16 - - HYPH 19261 2513 17 mouth mouth NN 19261 2513 18 is be VBZ 19261 2513 19 close close JJ 19261 2513 20 to to IN 19261 2513 21 the the DT 19261 2513 22 foreign foreign JJ 19261 2513 23 body body NN 19261 2513 24 . . . 19261 2514 1 It -PRON- PRP 19261 2514 2 is be VBZ 19261 2514 3 inadvisable inadvisable JJ 19261 2514 4 , , , 19261 2514 5 however however RB 19261 2514 6 , , , 19261 2514 7 to to TO 19261 2514 8 insert insert VB 19261 2514 9 a a DT 19261 2514 10 forceps forceps NNP 19261 2514 11 into into IN 19261 2514 12 a a DT 19261 2514 13 mass mass NN 19261 2514 14 of of IN 19261 2514 15 granulations granulation NNS 19261 2514 16 to to TO 19261 2514 17 grope grope VB 19261 2514 18 blindly blindly RB 19261 2514 19 for for IN 19261 2514 20 a a DT 19261 2514 21 foreign foreign JJ 19261 2514 22 body body NN 19261 2514 23 , , , 19261 2514 24 with with IN 19261 2514 25 no no DT 19261 2514 26 knowledge knowledge NN 19261 2514 27 of of IN 19261 2514 28 the the DT 19261 2514 29 presentation presentation NN 19261 2514 30 , , , 19261 2514 31 the the DT 19261 2514 32 forceps forceps NNP 19261 2514 33 spaces space NNS 19261 2514 34 , , , 19261 2514 35 or or CC 19261 2514 36 the the DT 19261 2514 37 location location NN 19261 2514 38 of of IN 19261 2514 39 branch branch NN 19261 2514 40 - - HYPH 19261 2514 41 bronchial bronchial JJ 19261 2514 42 orifices orifice NNS 19261 2514 43 into into IN 19261 2514 44 which which WDT 19261 2514 45 one one CD 19261 2514 46 blade blade NN 19261 2514 47 of of IN 19261 2514 48 the the DT 19261 2514 49 forceps forceps NNPS 19261 2514 50 may may MD 19261 2514 51 go go VB 19261 2514 52 . . . 19261 2515 1 Dilatation dilatation NN 19261 2515 2 of of IN 19261 2515 3 a a DT 19261 2515 4 stricture stricture NN 19261 2515 5 may may MD 19261 2515 6 be be VB 19261 2515 7 necessary necessary JJ 19261 2515 8 , , , 19261 2515 9 and and CC 19261 2515 10 may may MD 19261 2515 11 be be VB 19261 2515 12 accomplished accomplish VBN 19261 2515 13 by by IN 19261 2515 14 the the DT 19261 2515 15 forms form NNS 19261 2515 16 of of IN 19261 2515 17 bronchial bronchial JJ 19261 2515 18 dilators dilator NNS 19261 2515 19 shown show VBN 19261 2515 20 in in IN 19261 2515 21 Fig Fig NNP 19261 2515 22 . . . 19261 2516 1 25 25 CD 19261 2516 2 . . . 19261 2517 1 The the DT 19261 2517 2 hollow hollow JJ 19261 2517 3 type type NN 19261 2517 4 of of IN 19261 2517 5 dilator dilator NN 19261 2517 6 is be VBZ 19261 2517 7 to to TO 19261 2517 8 be be VB 19261 2517 9 used use VBN 19261 2517 10 in in IN 19261 2517 11 cases case NNS 19261 2517 12 in in IN 19261 2517 13 which which WDT 19261 2517 14 the the DT 19261 2517 15 foreign foreign JJ 19261 2517 16 body body NN 19261 2517 17 is be VBZ 19261 2517 18 held hold VBN 19261 2517 19 in in IN 19261 2517 20 the the DT 19261 2517 21 stricture stricture NN 19261 2517 22 ( ( -LRB- 19261 2517 23 Fig fig NN 19261 2517 24 . . . 19261 2518 1 83 83 CD 19261 2518 2 ) ) -RRB- 19261 2518 3 . . . 19261 2519 1 This this DT 19261 2519 2 dilator dilator NN 19261 2519 3 may may MD 19261 2519 4 be be VB 19261 2519 5 pushed push VBN 19261 2519 6 down down RP 19261 2519 7 over over IN 19261 2519 8 the the DT 19261 2519 9 stem stem NN 19261 2519 10 of of IN 19261 2519 11 such such PDT 19261 2519 12 an an DT 19261 2519 13 object object NN 19261 2519 14 as as IN 19261 2519 15 a a DT 19261 2519 16 tack tack NN 19261 2519 17 , , , 19261 2519 18 and and CC 19261 2519 19 the the DT 19261 2519 20 stricture stricture NN 19261 2519 21 dilated dilate VBN 19261 2519 22 without without IN 19261 2519 23 the the DT 19261 2519 24 risk risk NN 19261 2519 25 of of IN 19261 2519 26 pushing push VBG 19261 2519 27 the the DT 19261 2519 28 object object NN 19261 2519 29 downward downward RB 19261 2519 30 . . . 19261 2520 1 It -PRON- PRP 19261 2520 2 is be VBZ 19261 2520 3 only only RB 19261 2520 4 rarely rarely RB 19261 2520 5 , , , 19261 2520 6 however however RB 19261 2520 7 , , , 19261 2520 8 that that IN 19261 2520 9 the the DT 19261 2520 10 point point NN 19261 2520 11 of of IN 19261 2520 12 a a DT 19261 2520 13 tack tack NN 19261 2520 14 is be VBZ 19261 2520 15 free free JJ 19261 2520 16 . . . 19261 2521 1 Dense dense JJ 19261 2521 2 cicatricial cicatricial JJ 19261 2521 3 tissue tissue NN 19261 2521 4 may may MD 19261 2521 5 require require VB 19261 2521 6 incision incision NN 19261 2521 7 or or CC 19261 2521 8 excision excision NN 19261 2521 9 . . . 19261 2522 1 _ _ NNP 19261 2522 2 Internal Internal NNP 19261 2522 3 bronchotomy bronchotomy NN 19261 2522 4 _ _ NNP 19261 2522 5 is be VBZ 19261 2522 6 doubtless doubtless JJ 19261 2522 7 , , , 19261 2522 8 a a DT 19261 2522 9 very very RB 19261 2522 10 dangerous dangerous JJ 19261 2522 11 procedure procedure NN 19261 2522 12 , , , 19261 2522 13 though though IN 19261 2522 14 no no DT 19261 2522 15 fatalities fatality NNS 19261 2522 16 have have VBP 19261 2522 17 occurred occur VBN 19261 2522 18 in in IN 19261 2522 19 any any DT 19261 2522 20 of of IN 19261 2522 21 the the DT 19261 2522 22 three three CD 19261 2522 23 cases case NNS 19261 2522 24 in in IN 19261 2522 25 the the DT 19261 2522 26 Bronchoscopic Bronchoscopic NNP 19261 2522 27 Clinic Clinic NNP 19261 2522 28 . . . 19261 2523 1 It -PRON- PRP 19261 2523 2 is be VBZ 19261 2523 3 advisable advisable JJ 19261 2523 4 only only RB 19261 2523 5 as as IN 19261 2523 6 a a DT 19261 2523 7 last last JJ 19261 2523 8 resort resort NN 19261 2523 9 . . . 19261 2524 1 [ [ -LRB- 19261 2524 2 181 181 CD 19261 2524 3 ] ] -RRB- 19261 2524 4 CHAPTER chapter NN 19261 2524 5 XVII XVII NNP 19261 2524 6 -- -- : 19261 2524 7 UNSUCCESSFUL unsuccessful JJ 19261 2524 8 BRONCHOSCOPY BRONCHOSCOPY NNP 19261 2524 9 FOR for IN 19261 2524 10 FOREIGN foreign JJ 19261 2524 11 BODIES body NNS 19261 2524 12 The the DT 19261 2524 13 limitations limitation NNS 19261 2524 14 of of IN 19261 2524 15 bronchoscopic bronchoscopic JJ 19261 2524 16 removal removal NN 19261 2524 17 of of IN 19261 2524 18 foreign foreign JJ 19261 2524 19 bodies body NNS 19261 2524 20 are be VBP 19261 2524 21 usually usually RB 19261 2524 22 manifested manifest VBN 19261 2524 23 in in IN 19261 2524 24 the the DT 19261 2524 25 failure failure NN 19261 2524 26 to to TO 19261 2524 27 find find VB 19261 2524 28 a a DT 19261 2524 29 small small JJ 19261 2524 30 foreign foreign JJ 19261 2524 31 body body NN 19261 2524 32 which which WDT 19261 2524 33 has have VBZ 19261 2524 34 entered enter VBN 19261 2524 35 a a DT 19261 2524 36 minute minute NN 19261 2524 37 bronchus bronchus NN 19261 2524 38 far far RB 19261 2524 39 down down RB 19261 2524 40 and and CC 19261 2524 41 out out RB 19261 2524 42 toward toward IN 19261 2524 43 the the DT 19261 2524 44 periphery periphery NN 19261 2524 45 . . . 19261 2525 1 When when WRB 19261 2525 2 localization localization NN 19261 2525 3 by by IN 19261 2525 4 means mean NNS 19261 2525 5 of of IN 19261 2525 6 transparent transparent JJ 19261 2525 7 films film NNS 19261 2525 8 , , , 19261 2525 9 fluoroscopy fluoroscopy VBP 19261 2525 10 , , , 19261 2525 11 and and CC 19261 2525 12 endobronchial endobronchial JJ 19261 2525 13 bismuth bismuth NNP 19261 2525 14 insufflation insufflation NN 19261 2525 15 has have VBZ 19261 2525 16 failed fail VBN 19261 2525 17 , , , 19261 2525 18 the the DT 19261 2525 19 question question NN 19261 2525 20 arises arise VBZ 19261 2525 21 as as IN 19261 2525 22 to to IN 19261 2525 23 the the DT 19261 2525 24 advisability advisability NN 19261 2525 25 of of IN 19261 2525 26 endoscopic endoscopic JJ 19261 2525 27 excision excision NN 19261 2525 28 of of IN 19261 2525 29 the the DT 19261 2525 30 tissue tissue NN 19261 2525 31 intervening intervene VBG 19261 2525 32 between between IN 19261 2525 33 the the DT 19261 2525 34 foreign foreign JJ 19261 2525 35 body body NN 19261 2525 36 and and CC 19261 2525 37 bronchoscope bronchoscope NN 19261 2525 38 with with IN 19261 2525 39 the the DT 19261 2525 40 aid aid NN 19261 2525 41 of of IN 19261 2525 42 two two CD 19261 2525 43 fluoroscopes fluoroscope NNS 19261 2525 44 , , , 19261 2525 45 one one CD 19261 2525 46 for for IN 19261 2525 47 the the DT 19261 2525 48 lateral lateral JJ 19261 2525 49 and and CC 19261 2525 50 the the DT 19261 2525 51 other other JJ 19261 2525 52 the the DT 19261 2525 53 vertical vertical JJ 19261 2525 54 plane plane NN 19261 2525 55 . . . 19261 2526 1 With with IN 19261 2526 2 foreign foreign JJ 19261 2526 3 bodies body NNS 19261 2526 4 in in IN 19261 2526 5 the the DT 19261 2526 6 larger large JJR 19261 2526 7 bronchi bronchi NN 19261 2526 8 near near IN 19261 2526 9 the the DT 19261 2526 10 root root NN 19261 2526 11 of of IN 19261 2526 12 the the DT 19261 2526 13 lung lung NN 19261 2526 14 such such PDT 19261 2526 15 a a DT 19261 2526 16 procedure procedure NN 19261 2526 17 is be VBZ 19261 2526 18 unnecessary unnecessary JJ 19261 2526 19 , , , 19261 2526 20 and and CC 19261 2526 21 injury injury NN 19261 2526 22 to to IN 19261 2526 23 a a DT 19261 2526 24 large large JJ 19261 2526 25 vessel vessel NN 19261 2526 26 would would MD 19261 2526 27 be be VB 19261 2526 28 almost almost RB 19261 2526 29 certain certain JJ 19261 2526 30 . . . 19261 2527 1 At at IN 19261 2527 2 the the DT 19261 2527 3 extreme extreme JJ 19261 2527 4 periphery periphery NN 19261 2527 5 of of IN 19261 2527 6 the the DT 19261 2527 7 lung lung NN 19261 2527 8 the the DT 19261 2527 9 danger danger NN 19261 2527 10 is be VBZ 19261 2527 11 less less JJR 19261 2527 12 , , , 19261 2527 13 for for IN 19261 2527 14 the the DT 19261 2527 15 vessels vessel NNS 19261 2527 16 are be VBP 19261 2527 17 smaller small JJR 19261 2527 18 and and CC 19261 2527 19 serious serious JJ 19261 2527 20 hemorrhage hemorrhage NN 19261 2527 21 less less RBR 19261 2527 22 probable probable JJ 19261 2527 23 , , , 19261 2527 24 through through IN 19261 2527 25 the the DT 19261 2527 26 retention retention NN 19261 2527 27 and and CC 19261 2527 28 decomposition decomposition NN 19261 2527 29 of of IN 19261 2527 30 blood blood NN 19261 2527 31 in in IN 19261 2527 32 small small JJ 19261 2527 33 bronchi bronchi NN 19261 2527 34 with with IN 19261 2527 35 later later RB 19261 2527 36 abscess abscess JJ 19261 2527 37 formation formation NN 19261 2527 38 is be VBZ 19261 2527 39 a a DT 19261 2527 40 contingency contingency NN 19261 2527 41 . . . 19261 2528 1 The the DT 19261 2528 2 nature nature NN 19261 2528 3 of of IN 19261 2528 4 the the DT 19261 2528 5 bridge bridge NN 19261 2528 6 of of IN 19261 2528 7 tissue tissue NN 19261 2528 8 is be VBZ 19261 2528 9 to to TO 19261 2528 10 be be VB 19261 2528 11 considered consider VBN 19261 2528 12 ; ; : 19261 2528 13 should should MD 19261 2528 14 it -PRON- PRP 19261 2528 15 be be VB 19261 2528 16 cicatricial cicatricial JJ 19261 2528 17 , , , 19261 2528 18 the the DT 19261 2528 19 result result NN 19261 2528 20 of of IN 19261 2528 21 prolonged prolong VBN 19261 2528 22 inflammatory inflammatory JJ 19261 2528 23 processes process NNS 19261 2528 24 , , , 19261 2528 25 it -PRON- PRP 19261 2528 26 may may MD 19261 2528 27 be be VB 19261 2528 28 carefully carefully RB 19261 2528 29 excised excise VBN 19261 2528 30 without without IN 19261 2528 31 very very RB 19261 2528 32 great great JJ 19261 2528 33 risk risk NN 19261 2528 34 of of IN 19261 2528 35 serious serious JJ 19261 2528 36 complications complication NNS 19261 2528 37 . . . 19261 2529 1 The the DT 19261 2529 2 blood blood NN 19261 2529 3 vessels vessel NNS 19261 2529 4 are be VBP 19261 2529 5 diminished diminish VBN 19261 2529 6 in in IN 19261 2529 7 size size NN 19261 2529 8 and and CC 19261 2529 9 number number NN 19261 2529 10 by by IN 19261 2529 11 the the DT 19261 2529 12 chronic chronic JJ 19261 2529 13 productive productive JJ 19261 2529 14 inflammation inflammation NN 19261 2529 15 , , , 19261 2529 16 which which WDT 19261 2529 17 more more RBR 19261 2529 18 than than IN 19261 2529 19 offsets offset VBZ 19261 2529 20 their -PRON- PRP$ 19261 2529 21 lessened lessen VBN 19261 2529 22 contractility contractility NN 19261 2529 23 . . . 19261 2530 1 The the DT 19261 2530 2 possibility possibility NN 19261 2530 3 of of IN 19261 2530 4 the the DT 19261 2530 5 foreign foreign JJ 19261 2530 6 body body NN 19261 2530 7 being be VBG 19261 2530 8 coughed cough VBN 19261 2530 9 out out RP 19261 2530 10 after after IN 19261 2530 11 suppurative suppurative NN 19261 2530 12 processes process NNS 19261 2530 13 have have VBP 19261 2530 14 loosened loosen VBN 19261 2530 15 its -PRON- PRP$ 19261 2530 16 impaction impaction NN 19261 2530 17 is be VBZ 19261 2530 18 too too RB 19261 2530 19 remote remote JJ 19261 2530 20 ; ; : 19261 2530 21 and and CC 19261 2530 22 the the DT 19261 2530 23 lesions lesion NNS 19261 2530 24 established establish VBN 19261 2530 25 may may MD 19261 2530 26 result result VB 19261 2530 27 fatally fatally RB 19261 2530 28 even even RB 19261 2530 29 after after IN 19261 2530 30 the the DT 19261 2530 31 expulsion expulsion NN 19261 2530 32 of of IN 19261 2530 33 the the DT 19261 2530 34 object object NN 19261 2530 35 . . . 19261 2531 1 Pulmonary pulmonary JJ 19261 2531 2 abscess abscess JJ 19261 2531 3 formation formation NN 19261 2531 4 and and CC 19261 2531 5 rupture rupture NN 19261 2531 6 into into IN 19261 2531 7 the the DT 19261 2531 8 pleura pleura NN 19261 2531 9 should should MD 19261 2531 10 not not RB 19261 2531 11 be be VB 19261 2531 12 awaited await VBN 19261 2531 13 , , , 19261 2531 14 for for IN 19261 2531 15 the the DT 19261 2531 16 foreign foreign JJ 19261 2531 17 body body NN 19261 2531 18 does do VBZ 19261 2531 19 not not RB 19261 2531 20 often often RB 19261 2531 21 follow follow VB 19261 2531 22 the the DT 19261 2531 23 pus pus NN 19261 2531 24 into into IN 19261 2531 25 the the DT 19261 2531 26 pleural pleural JJ 19261 2531 27 cavity cavity NN 19261 2531 28 . . . 19261 2532 1 It -PRON- PRP 19261 2532 2 remains remain VBZ 19261 2532 3 in in IN 19261 2532 4 the the DT 19261 2532 5 lung lung NN 19261 2532 6 , , , 19261 2532 7 held hold VBN 19261 2532 8 in in IN 19261 2532 9 a a DT 19261 2532 10 bed bed NN 19261 2532 11 of of IN 19261 2532 12 granulation granulation NN 19261 2532 13 tissue tissue NN 19261 2532 14 . . . 19261 2533 1 Furthermore furthermore RB 19261 2533 2 , , , 19261 2533 3 to to TO 19261 2533 4 await await VB 19261 2533 5 the the DT 19261 2533 6 development development NN 19261 2533 7 is be VBZ 19261 2533 8 to to TO 19261 2533 9 subject subject VB 19261 2533 10 the the DT 19261 2533 11 patient patient NN 19261 2533 12 to to IN 19261 2533 13 a a DT 19261 2533 14 prolonged prolonged JJ 19261 2533 15 and and CC 19261 2533 16 perhaps perhaps RB 19261 2533 17 fatal fatal JJ 19261 2533 18 sepsis sepsis NN 19261 2533 19 , , , 19261 2533 20 or or CC 19261 2533 21 a a DT 19261 2533 22 fatal fatal JJ 19261 2533 23 pulmonary pulmonary JJ 19261 2533 24 hemorrhage hemorrhage NN 19261 2533 25 from from IN 19261 2533 26 the the DT 19261 2533 27 erosion erosion NN 19261 2533 28 of of IN 19261 2533 29 a a DT 19261 2533 30 vessel vessel NN 19261 2533 31 by by IN 19261 2533 32 the the DT 19261 2533 33 suppurative suppurative NN 19261 2533 34 process process NN 19261 2533 35 . . . 19261 2534 1 The the DT 19261 2534 2 recent recent JJ 19261 2534 3 developments development NNS 19261 2534 4 in in IN 19261 2534 5 thoracic thoracic NNP 19261 2534 6 surgery surgery NN 19261 2534 7 have have VBP 19261 2534 8 greatly greatly RB 19261 2534 9 decreased decrease VBN 19261 2534 10 the the DT 19261 2534 11 operative operative JJ 19261 2534 12 mortality mortality NN 19261 2534 13 of of IN 19261 2534 14 thoracotomy thoracotomy NN 19261 2534 15 , , , 19261 2534 16 so so IN 19261 2534 17 that that IN 19261 2534 18 this this DT 19261 2534 19 operation operation NN 19261 2534 20 is be VBZ 19261 2534 21 to to TO 19261 2534 22 be be VB 19261 2534 23 considered consider VBN 19261 2534 24 when when WRB 19261 2534 25 bronchoscopy bronchoscopy NNP 19261 2534 26 has have VBZ 19261 2534 27 failed fail VBN 19261 2534 28 . . . 19261 2535 1 Bronchoscopy Bronchoscopy NNP 19261 2535 2 can can MD 19261 2535 3 be be VB 19261 2535 4 considered consider VBN 19261 2535 5 as as IN 19261 2535 6 having have VBG 19261 2535 7 failed fail VBN 19261 2535 8 , , , 19261 2535 9 for for IN 19261 2535 10 the the DT 19261 2535 11 time time NN 19261 2535 12 being being NN 19261 2535 13 , , , 19261 2535 14 when when WRB 19261 2535 15 two two CD 19261 2535 16 or or CC 19261 2535 17 more more JJR 19261 2535 18 expert expert JJ 19261 2535 19 bronchoscopists bronchoscopist NNS 19261 2535 20 on on IN 19261 2535 21 repeated repeat VBN 19261 2535 22 search search NN 19261 2535 23 have have VBP 19261 2535 24 been be VBN 19261 2535 25 unable unable JJ 19261 2535 26 to to TO 19261 2535 27 find find VB 19261 2535 28 the the DT 19261 2535 29 foreign foreign JJ 19261 2535 30 body body NN 19261 2535 31 or or CC 19261 2535 32 to to TO 19261 2535 33 disentangle disentangle VB 19261 2535 34 it -PRON- PRP 19261 2535 35 ; ; : 19261 2535 36 but but CC 19261 2535 37 the the DT 19261 2535 38 art art NN 19261 2535 39 of of IN 19261 2535 40 bronchoscopy bronchoscopy NN 19261 2535 41 is be VBZ 19261 2535 42 developing develop VBG 19261 2535 43 so so RB 19261 2535 44 rapidly rapidly RB 19261 2535 45 that that IN 19261 2535 46 the the DT 19261 2535 47 failures failure NNS 19261 2535 48 of of IN 19261 2535 49 a a DT 19261 2535 50 few few JJ 19261 2535 51 years year NNS 19261 2535 52 ago ago RB 19261 2535 53 would would MD 19261 2535 54 be be VB 19261 2535 55 easy easy JJ 19261 2535 56 successes success NNS 19261 2535 57 today today NN 19261 2535 58 . . . 19261 2536 1 Before before IN 19261 2536 2 considering consider VBG 19261 2536 3 thoracotomy thoracotomy NN 19261 2536 4 months month NNS 19261 2536 5 of of IN 19261 2536 6 study study NN 19261 2536 7 of of IN 19261 2536 8 the the DT 19261 2536 9 mechanical mechanical JJ 19261 2536 10 problem problem NN 19261 2536 11 are be VBP 19261 2536 12 advisable advisable JJ 19261 2536 13 . . . 19261 2537 1 It -PRON- PRP 19261 2537 2 is be VBZ 19261 2537 3 probable probable JJ 19261 2537 4 that that IN 19261 2537 5 any any DT 19261 2537 6 foreign foreign JJ 19261 2537 7 body body NN 19261 2537 8 of of IN 19261 2537 9 appreciable appreciable JJ 19261 2537 10 size size NN 19261 2537 11 that that WDT 19261 2537 12 has have VBZ 19261 2537 13 gone go VBN 19261 2537 14 down down IN 19261 2537 15 the the DT 19261 2537 16 natural natural JJ 19261 2537 17 passages passage NNS 19261 2537 18 can can MD 19261 2537 19 be be VB 19261 2537 20 brought bring VBN 19261 2537 21 back back RB 19261 2537 22 the the DT 19261 2537 23 same same JJ 19261 2537 24 way way NN 19261 2537 25 . . . 19261 2538 1 In in IN 19261 2538 2 the the DT 19261 2538 3 event event NN 19261 2538 4 of of IN 19261 2538 5 a a DT 19261 2538 6 foreign foreign JJ 19261 2538 7 body body NN 19261 2538 8 reaching reach VBG 19261 2538 9 the the DT 19261 2538 10 pleura pleura NN 19261 2538 11 , , , 19261 2538 12 either either CC 19261 2538 13 with with IN 19261 2538 14 or or CC 19261 2538 15 without without IN 19261 2538 16 pus pus NNP 19261 2538 17 , , , 19261 2538 18 it -PRON- PRP 19261 2538 19 should should MD 19261 2538 20 be be VB 19261 2538 21 removed remove VBN 19261 2538 22 immediately immediately RB 19261 2538 23 by by IN 19261 2538 24 pleuroscopy pleuroscopy NN 19261 2538 25 or or CC 19261 2538 26 by by IN 19261 2538 27 thoracotomy thoracotomy NN 19261 2538 28 , , , 19261 2538 29 without without IN 19261 2538 30 waiting wait VBG 19261 2538 31 for for IN 19261 2538 32 adhesive adhesive JJ 19261 2538 33 pleuritis pleuritis NN 19261 2538 34 . . . 19261 2539 1 The the DT 19261 2539 2 problem problem NN 19261 2539 3 may may MD 19261 2539 4 be be VB 19261 2539 5 summarized summarize VBN 19261 2539 6 thus thus RB 19261 2539 7 : : : 19261 2539 8 1 1 CD 19261 2539 9 . . . 19261 2540 1 Large large JJ 19261 2540 2 foreign foreign JJ 19261 2540 3 bodies body NNS 19261 2540 4 in in IN 19261 2540 5 the the DT 19261 2540 6 trachea trachea NN 19261 2540 7 or or CC 19261 2540 8 large large JJ 19261 2540 9 bronchi bronchus NNS 19261 2540 10 can can MD 19261 2540 11 always always RB 19261 2540 12 be be VB 19261 2540 13 removed remove VBN 19261 2540 14 by by IN 19261 2540 15 bronchoscopy bronchoscopy NN 19261 2540 16 . . . 19261 2541 1 2 2 LS 19261 2541 2 . . . 19261 2542 1 The the DT 19261 2542 2 development development NN 19261 2542 3 of of IN 19261 2542 4 bronchoscopy bronchoscopy NN 19261 2542 5 having have VBG 19261 2542 6 subsequently subsequently RB 19261 2542 7 solved solve VBN 19261 2542 8 the the DT 19261 2542 9 problems problem NNS 19261 2542 10 presented present VBN 19261 2542 11 by by IN 19261 2542 12 previous previous JJ 19261 2542 13 failures failure NNS 19261 2542 14 , , , 19261 2542 15 it -PRON- PRP 19261 2542 16 seems seem VBZ 19261 2542 17 probable probable JJ 19261 2542 18 that that IN 19261 2542 19 by by IN 19261 2542 20 patient patient JJ 19261 2542 21 developmental developmental JJ 19261 2542 22 endeavor endeavor NN 19261 2542 23 , , , 19261 2542 24 any any DT 19261 2542 25 foreign foreign JJ 19261 2542 26 body body NN 19261 2542 27 of of IN 19261 2542 28 appreciable appreciable JJ 19261 2542 29 size size NN 19261 2542 30 that that WDT 19261 2542 31 has have VBZ 19261 2542 32 gone go VBN 19261 2542 33 down down RP 19261 2542 34 through through IN 19261 2542 35 the the DT 19261 2542 36 natural natural JJ 19261 2542 37 passages passage NNS 19261 2542 38 , , , 19261 2542 39 can can MD 19261 2542 40 be be VB 19261 2542 41 bronchoscopically bronchoscopically RB 19261 2542 42 removed remove VBN 19261 2542 43 the the DT 19261 2542 44 same same JJ 19261 2542 45 way way NN 19261 2542 46 , , , 19261 2542 47 provided provide VBN 19261 2542 48 fatal fatal JJ 19261 2542 49 trauma trauma NN 19261 2542 50 is be VBZ 19261 2542 51 avoided avoid VBN 19261 2542 52 . . . 19261 2543 1 At at IN 19261 2543 2 the the DT 19261 2543 3 author author NN 19261 2543 4 's 's POS 19261 2543 5 Bronchoscopic Bronchoscopic NNP 19261 2543 6 Clinics Clinics NNP 19261 2543 7 98.7 98.7 CD 19261 2543 8 per per IN 19261 2543 9 cent cent NN 19261 2543 10 of of IN 19261 2543 11 foreign foreign JJ 19261 2543 12 bodies body NNS 19261 2543 13 have have VBP 19261 2543 14 been be VBN 19261 2543 15 removed remove VBN 19261 2543 16 . . . 19261 2544 1 CHAPTER chapter NN 19261 2544 2 XVIII xviii NN 19261 2544 3 -- -- : 19261 2544 4 FOREIGN foreign JJ 19261 2544 5 BODIES body NNS 19261 2544 6 IN in IN 19261 2544 7 THE the DT 19261 2544 8 ESOPHAGUS ESOPHAGUS NNP 19261 2544 9 _ _ IN 19261 2544 10 Etiology_.--The etiology_.--the JJ 19261 2544 11 lodgement lodgement NN 19261 2544 12 of of IN 19261 2544 13 foreign foreign JJ 19261 2544 14 bodies body NNS 19261 2544 15 in in IN 19261 2544 16 the the DT 19261 2544 17 esophagus esophagus NN 19261 2544 18 is be VBZ 19261 2544 19 influenced influence VBN 19261 2544 20 by by IN 19261 2544 21 : : : 19261 2544 22 1 1 CD 19261 2544 23 . . . 19261 2545 1 The the DT 19261 2545 2 shape shape NN 19261 2545 3 of of IN 19261 2545 4 the the DT 19261 2545 5 foreign foreign JJ 19261 2545 6 body body NN 19261 2545 7 ( ( -LRB- 19261 2545 8 disc disc NN 19261 2545 9 - - HYPH 19261 2545 10 shaped shaped JJ 19261 2545 11 , , , 19261 2545 12 pointed pointed JJ 19261 2545 13 , , , 19261 2545 14 irregular irregular JJ 19261 2545 15 ) ) -RRB- 19261 2545 16 . . . 19261 2546 1 2 2 LS 19261 2546 2 . . . 19261 2547 1 Resiliency resiliency NN 19261 2547 2 of of IN 19261 2547 3 the the DT 19261 2547 4 object object NN 19261 2547 5 ( ( -LRB- 19261 2547 6 safety safety NN 19261 2547 7 pins pin NNS 19261 2547 8 ) ) -RRB- 19261 2547 9 . . . 19261 2548 1 3 3 LS 19261 2548 2 . . . 19261 2549 1 The the DT 19261 2549 2 size size NN 19261 2549 3 of of IN 19261 2549 4 the the DT 19261 2549 5 foreign foreign JJ 19261 2549 6 body body NN 19261 2549 7 . . . 19261 2550 1 4 4 LS 19261 2550 2 . . . 19261 2551 1 Narrowing narrow VBG 19261 2551 2 of of IN 19261 2551 3 the the DT 19261 2551 4 esophagus esophagus JJ 19261 2551 5 , , , 19261 2551 6 spasmodic spasmodic JJ 19261 2551 7 or or CC 19261 2551 8 organic organic JJ 19261 2551 9 , , , 19261 2551 10 normal normal JJ 19261 2551 11 , , , 19261 2551 12 or or CC 19261 2551 13 pathologic pathologic JJ 19261 2551 14 . . . 19261 2552 1 5 5 CD 19261 2552 2 . . . 19261 2553 1 Paralysis paralysis NN 19261 2553 2 of of IN 19261 2553 3 the the DT 19261 2553 4 normal normal JJ 19261 2553 5 esophageal esophageal JJ 19261 2553 6 propulsory propulsory NN 19261 2553 7 mechanism mechanism NN 19261 2553 8 . . . 19261 2554 1 The the DT 19261 2554 2 lodgement lodgement NN 19261 2554 3 of of IN 19261 2554 4 a a DT 19261 2554 5 bolus bolus NN 19261 2554 6 of of IN 19261 2554 7 ordinary ordinary JJ 19261 2554 8 food food NN 19261 2554 9 in in IN 19261 2554 10 the the DT 19261 2554 11 esophagus esophagus NN 19261 2554 12 is be VBZ 19261 2554 13 strongly strongly RB 19261 2554 14 suggestive suggestive JJ 19261 2554 15 of of IN 19261 2554 16 a a DT 19261 2554 17 preexisting preexisting NN 19261 2554 18 narrowing narrowing NN 19261 2554 19 of of IN 19261 2554 20 the the DT 19261 2554 21 lumen luman NNS 19261 2554 22 of of IN 19261 2554 23 either either CC 19261 2554 24 a a DT 19261 2554 25 spasmodic spasmodic JJ 19261 2554 26 or or CC 19261 2554 27 organic organic JJ 19261 2554 28 nature nature NN 19261 2554 29 ; ; : 19261 2554 30 a a DT 19261 2554 31 large large JJ 19261 2554 32 bolus bolus NN 19261 2554 33 of of IN 19261 2554 34 food food NN 19261 2554 35 , , , 19261 2554 36 poorly poorly RB 19261 2554 37 masticated masticate VBN 19261 2554 38 and and CC 19261 2554 39 hurriedly hurriedly RB 19261 2554 40 swallowed swallow VBN 19261 2554 41 , , , 19261 2554 42 may may MD 19261 2554 43 , , , 19261 2554 44 however however RB 19261 2554 45 , , , 19261 2554 46 become become VBN 19261 2554 47 impacted impact VBN 19261 2554 48 in in IN 19261 2554 49 a a DT 19261 2554 50 perfectly perfectly RB 19261 2554 51 normal normal JJ 19261 2554 52 esophagus esophagus NN 19261 2554 53 . . . 19261 2555 1 Carelessness carelessness NN 19261 2555 2 is be VBZ 19261 2555 3 the the DT 19261 2555 4 cause cause NN 19261 2555 5 of of IN 19261 2555 6 over over IN 19261 2555 7 80 80 CD 19261 2555 8 per per NN 19261 2555 9 cent cent NN 19261 2555 10 of of IN 19261 2555 11 the the DT 19261 2555 12 foreign foreign JJ 19261 2555 13 bodies body NNS 19261 2555 14 in in IN 19261 2555 15 the the DT 19261 2555 16 esophagus esophagus NN 19261 2555 17 ( ( -LRB- 19261 2555 18 see see VB 19261 2555 19 Bibliography Bibliography NNP 19261 2555 20 , , , 19261 2555 21 29 29 CD 19261 2555 22 ) ) -RRB- 19261 2555 23 . . . 19261 2556 1 _ _ NNP 19261 2556 2 Site Site NNP 19261 2556 3 of of IN 19261 2556 4 Lodgement_.--Almost lodgement_.--almost NN 19261 2556 5 all all DT 19261 2556 6 foreign foreign JJ 19261 2556 7 bodies body NNS 19261 2556 8 are be VBP 19261 2556 9 arrested arrest VBN 19261 2556 10 in in IN 19261 2556 11 the the DT 19261 2556 12 cervical cervical JJ 19261 2556 13 esophagus esophagus NN 19261 2556 14 at at IN 19261 2556 15 the the DT 19261 2556 16 level level NN 19261 2556 17 of of IN 19261 2556 18 the the DT 19261 2556 19 superior superior JJ 19261 2556 20 aperture aperture NN 19261 2556 21 of of IN 19261 2556 22 the the DT 19261 2556 23 thorax thorax NN 19261 2556 24 . . . 19261 2557 1 A a DT 19261 2557 2 physiologic physiologic JJ 19261 2557 3 narrowing narrowing NN 19261 2557 4 is be VBZ 19261 2557 5 present present JJ 19261 2557 6 at at IN 19261 2557 7 this this DT 19261 2557 8 level level NN 19261 2557 9 , , , 19261 2557 10 produced produce VBN 19261 2557 11 in in IN 19261 2557 12 part part NN 19261 2557 13 by by IN 19261 2557 14 muscular muscular JJ 19261 2557 15 contraction contraction NN 19261 2557 16 , , , 19261 2557 17 and and CC 19261 2557 18 mainly mainly RB 19261 2557 19 by by IN 19261 2557 20 the the DT 19261 2557 21 crowding crowding NN 19261 2557 22 of of IN 19261 2557 23 the the DT 19261 2557 24 adjacent adjacent JJ 19261 2557 25 viscera viscera NN 19261 2557 26 into into IN 19261 2557 27 the the DT 19261 2557 28 fixed fix VBN 19261 2557 29 and and CC 19261 2557 30 narrow narrow JJ 19261 2557 31 upper upper JJ 19261 2557 32 thoracic thoracic NN 19261 2557 33 aperture aperture NN 19261 2557 34 . . . 19261 2558 1 If if IN 19261 2558 2 dislodged dislodge VBN 19261 2558 3 from from IN 19261 2558 4 this this DT 19261 2558 5 position position NN 19261 2558 6 the the DT 19261 2558 7 foreign foreign JJ 19261 2558 8 body body NN 19261 2558 9 usually usually RB 19261 2558 10 passes pass VBZ 19261 2558 11 downward downward RB 19261 2558 12 to to TO 19261 2558 13 be be VB 19261 2558 14 arrested arrest VBN 19261 2558 15 at at IN 19261 2558 16 the the DT 19261 2558 17 next next JJ 19261 2558 18 narrowing narrowing NN 19261 2558 19 or or CC 19261 2558 20 to to TO 19261 2558 21 pass pass VB 19261 2558 22 into into IN 19261 2558 23 the the DT 19261 2558 24 stomach stomach NN 19261 2558 25 . . . 19261 2559 1 The the DT 19261 2559 2 esophagoscopist esophagoscopist NN 19261 2559 3 who who WP 19261 2559 4 encounters encounter VBZ 19261 2559 5 the the DT 19261 2559 6 difficulty difficulty NN 19261 2559 7 of of IN 19261 2559 8 introduction introduction NN 19261 2559 9 at at IN 19261 2559 10 the the DT 19261 2559 11 cricopharyngeal cricopharyngeal NN 19261 2559 12 fold fold VB 19261 2559 13 expects expect VBZ 19261 2559 14 to to TO 19261 2559 15 find find VB 19261 2559 16 the the DT 19261 2559 17 foreign foreign JJ 19261 2559 18 body body NN 19261 2559 19 above above IN 19261 2559 20 the the DT 19261 2559 21 fold fold NN 19261 2559 22 . . . 19261 2560 1 Such such JJ 19261 2560 2 , , , 19261 2560 3 however however RB 19261 2560 4 , , , 19261 2560 5 is be VBZ 19261 2560 6 almost almost RB 19261 2560 7 never never RB 19261 2560 8 the the DT 19261 2560 9 case case NN 19261 2560 10 . . . 19261 2561 1 The the DT 19261 2561 2 cricopharyngeus cricopharyngeus NN 19261 2561 3 muscle muscle NN 19261 2561 4 functionates functionate NNS 19261 2561 5 in in IN 19261 2561 6 starting start VBG 19261 2561 7 the the DT 19261 2561 8 foreign foreign JJ 19261 2561 9 body body NN 19261 2561 10 downward downward RB 19261 2561 11 as as IN 19261 2561 12 if if IN 19261 2561 13 it -PRON- PRP 19261 2561 14 were be VBD 19261 2561 15 food food NN 19261 2561 16 ; ; : 19261 2561 17 but but CC 19261 2561 18 the the DT 19261 2561 19 narrowing narrowing NN 19261 2561 20 at at IN 19261 2561 21 the the DT 19261 2561 22 upper upper JJ 19261 2561 23 thoracic thoracic NN 19261 2561 24 aperture aperture NN 19261 2561 25 arrests arrest NNS 19261 2561 26 it -PRON- PRP 19261 2561 27 because because IN 19261 2561 28 the the DT 19261 2561 29 esophageal esophageal JJ 19261 2561 30 peristaltic peristaltic JJ 19261 2561 31 musculature musculature NN 19261 2561 32 is be VBZ 19261 2561 33 feeble feeble JJ 19261 2561 34 as as IN 19261 2561 35 compared compare VBN 19261 2561 36 to to IN 19261 2561 37 the the DT 19261 2561 38 powerful powerful JJ 19261 2561 39 inferior inferior JJ 19261 2561 40 constrictor constrictor NN 19261 2561 41 . . . 19261 2562 1 _ _ NNP 19261 2562 2 Symptoms_.--_Dysphagia Symptoms_.--_Dysphagia NNP 19261 2562 3 _ _ NNP 19261 2562 4 is be VBZ 19261 2562 5 the the DT 19261 2562 6 most most RBS 19261 2562 7 frequent frequent JJ 19261 2562 8 complaint complaint NN 19261 2562 9 in in IN 19261 2562 10 cases case NNS 19261 2562 11 of of IN 19261 2562 12 esophageally esophageally RB 19261 2562 13 lodged lodge VBN 19261 2562 14 foreign foreign JJ 19261 2562 15 bodies body NNS 19261 2562 16 . . . 19261 2563 1 A a DT 19261 2563 2 very very RB 19261 2563 3 small small JJ 19261 2563 4 object object NN 19261 2563 5 may may MD 19261 2563 6 excite excite VB 19261 2563 7 sufficient sufficient JJ 19261 2563 8 spasm spasm NN 19261 2563 9 to to TO 19261 2563 10 cause cause VB 19261 2563 11 aphagia aphagia NN 19261 2563 12 , , , 19261 2563 13 while while IN 19261 2563 14 a a DT 19261 2563 15 relatively relatively RB 19261 2563 16 large large JJ 19261 2563 17 foreign foreign JJ 19261 2563 18 body body NN 19261 2563 19 may may MD 19261 2563 20 be be VB 19261 2563 21 tolerated tolerate VBN 19261 2563 22 , , , 19261 2563 23 after after IN 19261 2563 24 a a DT 19261 2563 25 time time NN 19261 2563 26 , , , 19261 2563 27 so so IN 19261 2563 28 that that IN 19261 2563 29 the the DT 19261 2563 30 swallowing swallow VBG 19261 2563 31 function function NN 19261 2563 32 may may MD 19261 2563 33 seem seem VB 19261 2563 34 normal normal JJ 19261 2563 35 . . . 19261 2564 1 Intermittent intermittent JJ 19261 2564 2 dysphagia dysphagia NN 19261 2564 3 suggests suggest VBZ 19261 2564 4 the the DT 19261 2564 5 tilting tilting NN 19261 2564 6 or or CC 19261 2564 7 shifting shifting NN 19261 2564 8 of of IN 19261 2564 9 a a DT 19261 2564 10 foreign foreign JJ 19261 2564 11 body body NN 19261 2564 12 in in IN 19261 2564 13 a a DT 19261 2564 14 valve valve NN 19261 2564 15 - - HYPH 19261 2564 16 like like JJ 19261 2564 17 fashion fashion NN 19261 2564 18 ; ; : 19261 2564 19 but but CC 19261 2564 20 may may MD 19261 2564 21 be be VB 19261 2564 22 due due IN 19261 2564 23 to to IN 19261 2564 24 occlusion occlusion NN 19261 2564 25 of of IN 19261 2564 26 the the DT 19261 2564 27 by by NN 19261 2564 28 - - HYPH 19261 2564 29 passages passage NNS 19261 2564 30 by by IN 19261 2564 31 food food NN 19261 2564 32 arrested arrest VBN 19261 2564 33 by by IN 19261 2564 34 the the DT 19261 2564 35 foreign foreign JJ 19261 2564 36 body body NN 19261 2564 37 . . . 19261 2565 1 _ _ NNP 19261 2565 2 Dyspnea Dyspnea NNP 19261 2565 3 _ _ NNP 19261 2565 4 may may MD 19261 2565 5 be be VB 19261 2565 6 present present JJ 19261 2565 7 if if IN 19261 2565 8 the the DT 19261 2565 9 foreign foreign JJ 19261 2565 10 body body NN 19261 2565 11 is be VBZ 19261 2565 12 large large JJ 19261 2565 13 enough enough RB 19261 2565 14 to to TO 19261 2565 15 compress compress VB 19261 2565 16 the the DT 19261 2565 17 trachea trachea NN 19261 2565 18 . . . 19261 2566 1 _ _ NNP 19261 2566 2 Cough Cough NNP 19261 2566 3 _ _ NNP 19261 2566 4 may may MD 19261 2566 5 be be VB 19261 2566 6 excited excite VBN 19261 2566 7 by by IN 19261 2566 8 reflex reflex NNP 19261 2566 9 irritation irritation NNP 19261 2566 10 , , , 19261 2566 11 overflow overflow IN 19261 2566 12 of of IN 19261 2566 13 secretions secretion NNS 19261 2566 14 into into IN 19261 2566 15 the the DT 19261 2566 16 larynx larynx NN 19261 2566 17 , , , 19261 2566 18 or or CC 19261 2566 19 by by IN 19261 2566 20 perforation perforation NN 19261 2566 21 of of IN 19261 2566 22 the the DT 19261 2566 23 posterior posterior NNP 19261 2566 24 tracheal tracheal NN 19261 2566 25 wall wall NN 19261 2566 26 , , , 19261 2566 27 traumatic traumatic JJ 19261 2566 28 or or CC 19261 2566 29 ulcerative ulcerative JJ 19261 2566 30 , , , 19261 2566 31 allowing allow VBG 19261 2566 32 leakage leakage NN 19261 2566 33 of of IN 19261 2566 34 food food NN 19261 2566 35 or or CC 19261 2566 36 secretion secretion NN 19261 2566 37 into into IN 19261 2566 38 the the DT 19261 2566 39 trachea trachea NN 19261 2566 40 . . . 19261 2567 1 ( ( -LRB- 19261 2567 2 See see VB 19261 2567 3 Chapter chapter NN 19261 2567 4 XII XII NNP 19261 2567 5 for for IN 19261 2567 6 discussion discussion NN 19261 2567 7 of of IN 19261 2567 8 symptomatology symptomatology NN 19261 2567 9 and and CC 19261 2567 10 diagnosis diagnosis NN 19261 2567 11 . . . 19261 2567 12 ) ) -RRB- 19261 2568 1 _ _ NNP 19261 2568 2 Prognosis_.--A Prognosis_.--A NNP 19261 2568 3 foreign foreign JJ 19261 2568 4 body body NN 19261 2568 5 lodged lodge VBN 19261 2568 6 in in IN 19261 2568 7 the the DT 19261 2568 8 esophagus esophagus NN 19261 2568 9 may may MD 19261 2568 10 prove prove VB 19261 2568 11 quickly quickly RB 19261 2568 12 fatal fatal JJ 19261 2568 13 from from IN 19261 2568 14 _ _ NNP 19261 2568 15 hemorrhage hemorrhage NN 19261 2568 16 _ _ NNP 19261 2568 17 due due IN 19261 2568 18 to to IN 19261 2568 19 perforation perforation NN 19261 2568 20 of of IN 19261 2568 21 a a DT 19261 2568 22 large large JJ 19261 2568 23 vessel vessel NN 19261 2568 24 ; ; : 19261 2568 25 from from IN 19261 2568 26 _ _ NNP 19261 2568 27 asphyxia asphyxia NN 19261 2568 28 _ _ NNP 19261 2568 29 by by IN 19261 2568 30 pressure pressure NN 19261 2568 31 on on IN 19261 2568 32 the the DT 19261 2568 33 trachea trachea NN 19261 2568 34 ; ; , 19261 2568 35 or or CC 19261 2568 36 from from IN 19261 2568 37 _ _ NNP 19261 2568 38 perforation perforation NN 19261 2568 39 _ _ NNP 19261 2568 40 and and CC 19261 2568 41 _ _ NNP 19261 2568 42 septic septic NN 19261 2568 43 mediastinitis mediastinitis NNP 19261 2568 44 _ _ NNP 19261 2568 45 . . . 19261 2569 1 Slower slow JJR 19261 2569 2 fatalities fatality NNS 19261 2569 3 may may MD 19261 2569 4 result result VB 19261 2569 5 from from IN 19261 2569 6 suppuration suppuration NN 19261 2569 7 extending extend VBG 19261 2569 8 to to IN 19261 2569 9 the the DT 19261 2569 10 trachea trachea NN 19261 2569 11 or or CC 19261 2569 12 bronchi bronchi NNP 19261 2569 13 with with IN 19261 2569 14 consequent consequent JJ 19261 2569 15 edema edema NNP 19261 2569 16 and and CC 19261 2569 17 asphyxia asphyxia NN 19261 2569 18 . . . 19261 2570 1 Sooner soon RBR 19261 2570 2 or or CC 19261 2570 3 later later RBR 19261 2570 4 , , , 19261 2570 5 if if IN 19261 2570 6 not not RB 19261 2570 7 removed remove VBN 19261 2570 8 , , , 19261 2570 9 the the DT 19261 2570 10 foreign foreign JJ 19261 2570 11 body body NN 19261 2570 12 causes cause VBZ 19261 2570 13 death death NN 19261 2570 14 . . . 19261 2571 1 It -PRON- PRP 19261 2571 2 may may MD 19261 2571 3 be be VB 19261 2571 4 tolerated tolerate VBN 19261 2571 5 for for IN 19261 2571 6 a a DT 19261 2571 7 long long JJ 19261 2571 8 period period NN 19261 2571 9 of of IN 19261 2571 10 time time NN 19261 2571 11 , , , 19261 2571 12 causing cause VBG 19261 2571 13 abscess abscess NN 19261 2571 14 , , , 19261 2571 15 cervical cervical JJ 19261 2571 16 cellulitis cellulitis NN 19261 2571 17 , , , 19261 2571 18 fistulous fistulous JJ 19261 2571 19 tracts tract NNS 19261 2571 20 , , , 19261 2571 21 and and CC 19261 2571 22 ultimately ultimately RB 19261 2571 23 extreme extreme JJ 19261 2571 24 stenosis stenosis NN 19261 2571 25 from from IN 19261 2571 26 cicatricial cicatricial JJ 19261 2571 27 contraction contraction NN 19261 2571 28 . . . 19261 2572 1 Perichondritis Perichondritis NNP 19261 2572 2 of of IN 19261 2572 3 the the DT 19261 2572 4 laryngeal laryngeal NN 19261 2572 5 or or CC 19261 2572 6 tracheal tracheal NN 19261 2572 7 cartilages cartilage NNS 19261 2572 8 may may MD 19261 2572 9 follow follow VB 19261 2572 10 , , , 19261 2572 11 and and CC 19261 2572 12 result result VB 19261 2572 13 in in IN 19261 2572 14 laryngeal laryngeal JJ 19261 2572 15 stenosis stenosis NN 19261 2572 16 requiring require VBG 19261 2572 17 tracheotomy tracheotomy NN 19261 2572 18 . . . 19261 2573 1 The the DT 19261 2573 2 damage damage NN 19261 2573 3 produced produce VBN 19261 2573 4 by by IN 19261 2573 5 the the DT 19261 2573 6 foreign foreign JJ 19261 2573 7 body body NN 19261 2573 8 is be VBZ 19261 2573 9 often often RB 19261 2573 10 much much RB 19261 2573 11 less less JJR 19261 2573 12 than than IN 19261 2573 13 that that DT 19261 2573 14 caused cause VBN 19261 2573 15 by by IN 19261 2573 16 blind blind JJ 19261 2573 17 and and CC 19261 2573 18 ill ill RB 19261 2573 19 - - HYPH 19261 2573 20 advised advise VBN 19261 2573 21 attempts attempt NNS 19261 2573 22 at at IN 19261 2573 23 removal removal NN 19261 2573 24 . . . 19261 2574 1 If if IN 19261 2574 2 the the DT 19261 2574 3 foreign foreign JJ 19261 2574 4 body body NN 19261 2574 5 becomes become VBZ 19261 2574 6 dislodged dislodged JJ 19261 2574 7 and and CC 19261 2574 8 moves move VBZ 19261 2574 9 downward downward RB 19261 2574 10 , , , 19261 2574 11 the the DT 19261 2574 12 danger danger NN 19261 2574 13 of of IN 19261 2574 14 intestinal intestinal JJ 19261 2574 15 perforation perforation NN 19261 2574 16 is be VBZ 19261 2574 17 encountered encounter VBN 19261 2574 18 . . . 19261 2575 1 The the DT 19261 2575 2 _ _ NNP 19261 2575 3 prognosis prognosis NN 19261 2575 4 _ _ NNP 19261 2575 5 , , , 19261 2575 6 therefore therefore RB 19261 2575 7 , , , 19261 2575 8 must must MD 19261 2575 9 be be VB 19261 2575 10 guarded guard VBN 19261 2575 11 so so RB 19261 2575 12 long long RB 19261 2575 13 as as IN 19261 2575 14 the the DT 19261 2575 15 intruder intruder NN 19261 2575 16 remains remain VBZ 19261 2575 17 in in IN 19261 2575 18 the the DT 19261 2575 19 body body NN 19261 2575 20 . . . 19261 2576 1 _ _ NNP 19261 2576 2 Treatment_.--It Treatment_.--It NNP 19261 2576 3 is be VBZ 19261 2576 4 a a DT 19261 2576 5 mistake mistake NN 19261 2576 6 to to TO 19261 2576 7 try try VB 19261 2576 8 to to TO 19261 2576 9 force force VB 19261 2576 10 a a DT 19261 2576 11 foreign foreign JJ 19261 2576 12 body body NN 19261 2576 13 into into IN 19261 2576 14 the the DT 19261 2576 15 stomach stomach NN 19261 2576 16 with with IN 19261 2576 17 the the DT 19261 2576 18 stomach stomach NN 19261 2576 19 tube tube NN 19261 2576 20 or or CC 19261 2576 21 bougie bougie NN 19261 2576 22 . . . 19261 2577 1 Sounding sound VBG 19261 2577 2 the the DT 19261 2577 3 esophagus esophagus NN 19261 2577 4 with with IN 19261 2577 5 bougies bougie NNS 19261 2577 6 to to TO 19261 2577 7 determine determine VB 19261 2577 8 the the DT 19261 2577 9 level level NN 19261 2577 10 of of IN 19261 2577 11 the the DT 19261 2577 12 obstruction obstruction NN 19261 2577 13 , , , 19261 2577 14 or or CC 19261 2577 15 to to TO 19261 2577 16 palpate palpate VB 19261 2577 17 the the DT 19261 2577 18 nature nature NN 19261 2577 19 of of IN 19261 2577 20 the the DT 19261 2577 21 foreign foreign JJ 19261 2577 22 body body NN 19261 2577 23 , , , 19261 2577 24 is be VBZ 19261 2577 25 unnecessary unnecessary JJ 19261 2577 26 and and CC 19261 2577 27 dangerous dangerous JJ 19261 2577 28 . . . 19261 2578 1 Esophagoscopy esophagoscopy NN 19261 2578 2 should should MD 19261 2578 3 not not RB 19261 2578 4 be be VB 19261 2578 5 done do VBN 19261 2578 6 without without IN 19261 2578 7 a a DT 19261 2578 8 previous previous JJ 19261 2578 9 roentgenographic roentgenographic JJ 19261 2578 10 and and CC 19261 2578 11 fluoroscopic fluoroscopic JJ 19261 2578 12 examination examination NN 19261 2578 13 of of IN 19261 2578 14 the the DT 19261 2578 15 chest chest NN 19261 2578 16 and and CC 19261 2578 17 esophagus esophagus JJ 19261 2578 18 , , , 19261 2578 19 except except IN 19261 2578 20 for for IN 19261 2578 21 urgent urgent JJ 19261 2578 22 reasons reason NNS 19261 2578 23 . . . 19261 2579 1 The the DT 19261 2579 2 level level NN 19261 2579 3 of of IN 19261 2579 4 the the DT 19261 2579 5 stenosis stenosis NN 19261 2579 6 , , , 19261 2579 7 and and CC 19261 2579 8 usually usually RB 19261 2579 9 the the DT 19261 2579 10 nature nature NN 19261 2579 11 of of IN 19261 2579 12 the the DT 19261 2579 13 foreign foreign JJ 19261 2579 14 body body NN 19261 2579 15 , , , 19261 2579 16 can can MD 19261 2579 17 thus thus RB 19261 2579 18 be be VB 19261 2579 19 decided decide VBN 19261 2579 20 . . . 19261 2580 1 Blind blind JJ 19261 2580 2 instrumentation instrumentation NN 19261 2580 3 is be VBZ 19261 2580 4 dangerous dangerous JJ 19261 2580 5 , , , 19261 2580 6 and and CC 19261 2580 7 in in IN 19261 2580 8 view view NN 19261 2580 9 of of IN 19261 2580 10 the the DT 19261 2580 11 safety safety NN 19261 2580 12 and and CC 19261 2580 13 success success NN 19261 2580 14 of of IN 19261 2580 15 esophagoscopy esophagoscopy JJ 19261 2580 16 , , , 19261 2580 17 reprehensible reprehensible JJ 19261 2580 18 . . . 19261 2581 1 If if IN 19261 2581 2 for for IN 19261 2581 3 any any DT 19261 2581 4 reason reason NN 19261 2581 5 removal removal NN 19261 2581 6 should should MD 19261 2581 7 be be VB 19261 2581 8 delayed delay VBN 19261 2581 9 , , , 19261 2581 10 bismuth bismuth NNP 19261 2581 11 sub sub NNP 19261 2581 12 - - JJ 19261 2581 13 nitrate nitrate JJ 19261 2581 14 , , , 19261 2581 15 gramme gramme NNP 19261 2581 16 0.6 0.6 CD 19261 2581 17 , , , 19261 2581 18 should should MD 19261 2581 19 be be VB 19261 2581 20 given give VBN 19261 2581 21 dry dry JJ 19261 2581 22 on on IN 19261 2581 23 the the DT 19261 2581 24 tongue tongue NN 19261 2581 25 every every DT 19261 2581 26 four four CD 19261 2581 27 hours hour NNS 19261 2581 28 . . . 19261 2582 1 It -PRON- PRP 19261 2582 2 will will MD 19261 2582 3 adhere adhere VB 19261 2582 4 to to IN 19261 2582 5 the the DT 19261 2582 6 denuded denuded JJ 19261 2582 7 surfaces surface NNS 19261 2582 8 . . . 19261 2583 1 The the DT 19261 2583 2 addition addition NN 19261 2583 3 of of IN 19261 2583 4 calomel calomel NN 19261 2583 5 , , , 19261 2583 6 gramme gramme NNP 19261 2583 7 0.003 0.003 CD 19261 2583 8 , , , 19261 2583 9 for for IN 19261 2583 10 a a DT 19261 2583 11 few few JJ 19261 2583 12 doses dose NNS 19261 2583 13 will will MD 19261 2583 14 increase increase VB 19261 2583 15 the the DT 19261 2583 16 antiseptic antiseptic JJ 19261 2583 17 action action NN 19261 2583 18 . . . 19261 2584 1 Should Should MD 19261 2584 2 swallowing swallow VBG 19261 2584 3 be be VB 19261 2584 4 painful painful JJ 19261 2584 5 , , , 19261 2584 6 gramme gramme NNP 19261 2584 7 0.2 0.2 CD 19261 2584 8 of of IN 19261 2584 9 orthoform orthoform NN 19261 2584 10 or or CC 19261 2584 11 anesthesin anesthesin NN 19261 2584 12 will will MD 19261 2584 13 be be VB 19261 2584 14 helpful helpful JJ 19261 2584 15 . . . 19261 2585 1 Emetics emetic NNS 19261 2585 2 are be VBP 19261 2585 3 inefficient inefficient JJ 19261 2585 4 and and CC 19261 2585 5 dangerous dangerous JJ 19261 2585 6 . . . 19261 2586 1 Holding hold VBG 19261 2586 2 the the DT 19261 2586 3 patient patient NN 19261 2586 4 up up RP 19261 2586 5 by by IN 19261 2586 6 the the DT 19261 2586 7 heels heel NNS 19261 2586 8 is be VBZ 19261 2586 9 rarely rarely RB 19261 2586 10 , , , 19261 2586 11 if if IN 19261 2586 12 ever ever RB 19261 2586 13 , , , 19261 2586 14 successful successful JJ 19261 2586 15 if if IN 19261 2586 16 the the DT 19261 2586 17 foreign foreign JJ 19261 2586 18 body body NN 19261 2586 19 is be VBZ 19261 2586 20 in in IN 19261 2586 21 the the DT 19261 2586 22 esophagus esophagus NN 19261 2586 23 . . . 19261 2587 1 In in IN 19261 2587 2 the the DT 19261 2587 3 reported report VBN 19261 2587 4 cases case NNS 19261 2587 5 the the DT 19261 2587 6 intruder intruder NN 19261 2587 7 was be VBD 19261 2587 8 probably probably RB 19261 2587 9 in in IN 19261 2587 10 the the DT 19261 2587 11 pharynx pharynx NN 19261 2587 12 . . . 19261 2588 1 _ _ NNP 19261 2588 2 External External NNP 19261 2588 3 esophagotomy esophagotomy NN 19261 2588 4 _ _ NNP 19261 2588 5 for for IN 19261 2588 6 the the DT 19261 2588 7 removal removal NN 19261 2588 8 of of IN 19261 2588 9 foreign foreign JJ 19261 2588 10 bodies body NNS 19261 2588 11 is be VBZ 19261 2588 12 unjustifiable unjustifiable JJ 19261 2588 13 until until IN 19261 2588 14 esophagoscopy esophagoscopy NNP 19261 2588 15 has have VBZ 19261 2588 16 failed fail VBN 19261 2588 17 in in IN 19261 2588 18 the the DT 19261 2588 19 hands hand NNS 19261 2588 20 of of IN 19261 2588 21 at at RB 19261 2588 22 least least RBS 19261 2588 23 two two CD 19261 2588 24 skillful skillful JJ 19261 2588 25 esophagoscopists esophagoscopist NNS 19261 2588 26 . . . 19261 2589 1 It -PRON- PRP 19261 2589 2 has have VBZ 19261 2589 3 been be VBN 19261 2589 4 the the DT 19261 2589 5 observation observation NN 19261 2589 6 in in IN 19261 2589 7 the the DT 19261 2589 8 Bronchoscopic Bronchoscopic NNP 19261 2589 9 Clinic Clinic NNP 19261 2589 10 that that IN 19261 2589 11 every every DT 19261 2589 12 foreign foreign JJ 19261 2589 13 body body NN 19261 2589 14 that that WDT 19261 2589 15 has have VBZ 19261 2589 16 gone go VBN 19261 2589 17 down down RP 19261 2589 18 through through IN 19261 2589 19 the the DT 19261 2589 20 mouth mouth NN 19261 2589 21 into into IN 19261 2589 22 the the DT 19261 2589 23 esophagus esophagus NN 19261 2589 24 can can MD 19261 2589 25 be be VB 19261 2589 26 brought bring VBN 19261 2589 27 back back RB 19261 2589 28 the the DT 19261 2589 29 same same JJ 19261 2589 30 way way NN 19261 2589 31 , , , 19261 2589 32 unless unless IN 19261 2589 33 it -PRON- PRP 19261 2589 34 has have VBZ 19261 2589 35 already already RB 19261 2589 36 perforated perforate VBN 19261 2589 37 the the DT 19261 2589 38 esophageal esophageal JJ 19261 2589 39 wall wall NN 19261 2589 40 , , , 19261 2589 41 in in IN 19261 2589 42 which which WDT 19261 2589 43 event event NN 19261 2589 44 it -PRON- PRP 19261 2589 45 is be VBZ 19261 2589 46 no no RB 19261 2589 47 longer long RBR 19261 2589 48 a a DT 19261 2589 49 case case NN 19261 2589 50 of of IN 19261 2589 51 foreign foreign JJ 19261 2589 52 body body NN 19261 2589 53 in in IN 19261 2589 54 the the DT 19261 2589 55 esophagus esophagus NN 19261 2589 56 . . . 19261 2590 1 The the DT 19261 2590 2 mortality mortality NN 19261 2590 3 of of IN 19261 2590 4 external external JJ 19261 2590 5 esophagotomy esophagotomy NN 19261 2590 6 for for IN 19261 2590 7 foreign foreign JJ 19261 2590 8 bodies body NNS 19261 2590 9 is be VBZ 19261 2590 10 from from IN 19261 2590 11 twenty twenty CD 19261 2590 12 to to IN 19261 2590 13 forty forty CD 19261 2590 14 - - HYPH 19261 2590 15 two two CD 19261 2590 16 per per NN 19261 2590 17 cent cent NN 19261 2590 18 , , , 19261 2590 19 while while IN 19261 2590 20 that that DT 19261 2590 21 of of IN 19261 2590 22 esophagoscopy esophagoscopy NN 19261 2590 23 is be VBZ 19261 2590 24 less less JJR 19261 2590 25 than than IN 19261 2590 26 two two CD 19261 2590 27 per per NN 19261 2590 28 cent cent NN 19261 2590 29 , , , 19261 2590 30 if if IN 19261 2590 31 the the DT 19261 2590 32 foreign foreign JJ 19261 2590 33 body body NN 19261 2590 34 has have VBZ 19261 2590 35 not not RB 19261 2590 36 already already RB 19261 2590 37 set set VBN 19261 2590 38 up up RP 19261 2590 39 a a DT 19261 2590 40 serious serious JJ 19261 2590 41 complication complication NN 19261 2590 42 before before IN 19261 2590 43 the the DT 19261 2590 44 esophagoscopy esophagoscopy NN 19261 2590 45 . . . 19261 2591 1 Furthermore furthermore RB 19261 2591 2 , , , 19261 2591 3 external external JJ 19261 2591 4 esophagotomy esophagotomy NN 19261 2591 5 can can MD 19261 2591 6 be be VB 19261 2591 7 successful successful JJ 19261 2591 8 only only RB 19261 2591 9 with with IN 19261 2591 10 objects object NNS 19261 2591 11 lodged lodge VBN 19261 2591 12 in in IN 19261 2591 13 the the DT 19261 2591 14 cervical cervical JJ 19261 2591 15 esophagus esophagus NN 19261 2591 16 and and CC 19261 2591 17 , , , 19261 2591 18 moreover moreover RB 19261 2591 19 , , , 19261 2591 20 it -PRON- PRP 19261 2591 21 has have VBZ 19261 2591 22 happened happen VBN 19261 2591 23 that that IN 19261 2591 24 after after IN 19261 2591 25 the the DT 19261 2591 26 esophagus esophagus NN 19261 2591 27 has have VBZ 19261 2591 28 been be VBN 19261 2591 29 opened open VBN 19261 2591 30 , , , 19261 2591 31 the the DT 19261 2591 32 foreign foreign JJ 19261 2591 33 body body NN 19261 2591 34 could could MD 19261 2591 35 not not RB 19261 2591 36 be be VB 19261 2591 37 found find VBN 19261 2591 38 because because RB 19261 2591 39 of of IN 19261 2591 40 dislodgement dislodgement NN 19261 2591 41 and and CC 19261 2591 42 passage passage NN 19261 2591 43 downward downward RB 19261 2591 44 during during IN 19261 2591 45 the the DT 19261 2591 46 relaxation relaxation NN 19261 2591 47 of of IN 19261 2591 48 the the DT 19261 2591 49 general general NNP 19261 2591 50 anesthesia anesthesia NNP 19261 2591 51 . . . 19261 2592 1 Should Should MD 19261 2592 2 this this DT 19261 2592 3 occur occur VB 19261 2592 4 during during IN 19261 2592 5 esophagoscopy esophagoscopy NN 19261 2592 6 , , , 19261 2592 7 the the DT 19261 2592 8 foreign foreign JJ 19261 2592 9 body body NN 19261 2592 10 can can MD 19261 2592 11 be be VB 19261 2592 12 followed follow VBN 19261 2592 13 with with IN 19261 2592 14 the the DT 19261 2592 15 esophagoscope esophagoscope NN 19261 2592 16 , , , 19261 2592 17 and and CC 19261 2592 18 even even RB 19261 2592 19 if if IN 19261 2592 20 it -PRON- PRP 19261 2592 21 is be VBZ 19261 2592 22 not not RB 19261 2592 23 overtaken overtake VBN 19261 2592 24 and and CC 19261 2592 25 removed remove VBN 19261 2592 26 , , , 19261 2592 27 no no DT 19261 2592 28 risk risk NN 19261 2592 29 has have VBZ 19261 2592 30 been be VBN 19261 2592 31 incurred incur VBN 19261 2592 32 . . . 19261 2593 1 Esophagoscopy Esophagoscopy NNP 19261 2593 2 is be VBZ 19261 2593 3 the the DT 19261 2593 4 one one CD 19261 2593 5 method method NN 19261 2593 6 of of IN 19261 2593 7 removal removal NN 19261 2593 8 worthy worthy JJ 19261 2593 9 of of IN 19261 2593 10 serious serious JJ 19261 2593 11 consideration consideration NN 19261 2593 12 . . . 19261 2594 1 Should Should MD 19261 2594 2 it -PRON- PRP 19261 2594 3 repeatedly repeatedly RB 19261 2594 4 fail fail VB 19261 2594 5 in in IN 19261 2594 6 the the DT 19261 2594 7 hands hand NNS 19261 2594 8 of of IN 19261 2594 9 two two CD 19261 2594 10 skillful skillful JJ 19261 2594 11 endoscopists endoscopist NNS 19261 2594 12 , , , 19261 2594 13 which which WDT 19261 2594 14 will will MD 19261 2594 15 be be VB 19261 2594 16 very very RB 19261 2594 17 rarely rarely RB 19261 2594 18 , , , 19261 2594 19 if if IN 19261 2594 20 ever ever RB 19261 2594 21 , , , 19261 2594 22 then then RB 19261 2594 23 external external JJ 19261 2594 24 operation operation NN 19261 2594 25 is be VBZ 19261 2594 26 to to TO 19261 2594 27 be be VB 19261 2594 28 considered consider VBN 19261 2594 29 in in IN 19261 2594 30 cervically cervically RB 19261 2594 31 lodged lodge VBN 19261 2594 32 foreign foreign JJ 19261 2594 33 bodies body NNS 19261 2594 34 . . . 19261 2595 1 [ [ -LRB- 19261 2595 2 187 187 CD 19261 2595 3 ] ] -RRB- 19261 2595 4 CHAPTER chapter NN 19261 2595 5 XIX xix NN 19261 2595 6 -- -- : 19261 2595 7 ESOPHAGOSCOPY esophagoscopy NN 19261 2595 8 FOR for IN 19261 2595 9 FOREIGN foreign JJ 19261 2595 10 BODY body NN 19261 2595 11 _ _ NN 19261 2595 12 Indications_.--Esophagoscopy indications_.--esophagoscopy NN 19261 2595 13 is be VBZ 19261 2595 14 demanded demand VBN 19261 2595 15 in in IN 19261 2595 16 every every DT 19261 2595 17 case case NN 19261 2595 18 in in IN 19261 2595 19 which which WDT 19261 2595 20 a a DT 19261 2595 21 foreign foreign JJ 19261 2595 22 body body NN 19261 2595 23 is be VBZ 19261 2595 24 known know VBN 19261 2595 25 to to TO 19261 2595 26 be be VB 19261 2595 27 , , , 19261 2595 28 or or CC 19261 2595 29 suspected suspect VBN 19261 2595 30 of of IN 19261 2595 31 being be VBG 19261 2595 32 , , , 19261 2595 33 in in IN 19261 2595 34 the the DT 19261 2595 35 esophagus esophagus NN 19261 2595 36 . . . 19261 2596 1 _ _ NNP 19261 2596 2 Contraindications_.--There Contraindications_.--There NNP 19261 2596 3 is be VBZ 19261 2596 4 no no DT 19261 2596 5 absolute absolute JJ 19261 2596 6 contraindication contraindication NN 19261 2596 7 to to IN 19261 2596 8 careful careful JJ 19261 2596 9 esophagoscopy esophagoscopy NN 19261 2596 10 for for IN 19261 2596 11 the the DT 19261 2596 12 removal removal NN 19261 2596 13 of of IN 19261 2596 14 foreign foreign JJ 19261 2596 15 bodies body NNS 19261 2596 16 , , , 19261 2596 17 even even RB 19261 2596 18 in in IN 19261 2596 19 the the DT 19261 2596 20 presence presence NN 19261 2596 21 of of IN 19261 2596 22 aneurism aneurism NN 19261 2596 23 , , , 19261 2596 24 serious serious JJ 19261 2596 25 cardiovascular cardiovascular JJ 19261 2596 26 disease disease NN 19261 2596 27 , , , 19261 2596 28 hypertension hypertension NN 19261 2596 29 or or CC 19261 2596 30 the the DT 19261 2596 31 like like JJ 19261 2596 32 , , , 19261 2596 33 although although IN 19261 2596 34 these these DT 19261 2596 35 conditions condition NNS 19261 2596 36 would would MD 19261 2596 37 render render VB 19261 2596 38 the the DT 19261 2596 39 procedure procedure NN 19261 2596 40 inadvisable inadvisable JJ 19261 2596 41 . . . 19261 2597 1 Should Should MD 19261 2597 2 the the DT 19261 2597 3 patient patient NN 19261 2597 4 be be VB 19261 2597 5 in in IN 19261 2597 6 bad bad JJ 19261 2597 7 condition condition NN 19261 2597 8 from from IN 19261 2597 9 previous previous JJ 19261 2597 10 ill ill RB 19261 2597 11 - - HYPH 19261 2597 12 advised advise VBN 19261 2597 13 or or CC 19261 2597 14 blind blind JJ 19261 2597 15 attempts attempt NNS 19261 2597 16 at at IN 19261 2597 17 extraction extraction NN 19261 2597 18 , , , 19261 2597 19 endoscopy endoscopy VB 19261 2597 20 should should MD 19261 2597 21 be be VB 19261 2597 22 delayed delay VBN 19261 2597 23 until until IN 19261 2597 24 the the DT 19261 2597 25 traumatic traumatic JJ 19261 2597 26 esophagitis esophagitis NN 19261 2597 27 has have VBZ 19261 2597 28 subsided subside VBN 19261 2597 29 and and CC 19261 2597 30 the the DT 19261 2597 31 general general JJ 19261 2597 32 state state NN 19261 2597 33 improved improve VBD 19261 2597 34 . . . 19261 2598 1 It -PRON- PRP 19261 2598 2 is be VBZ 19261 2598 3 rarely rarely RB 19261 2598 4 the the DT 19261 2598 5 foreign foreign JJ 19261 2598 6 body body NN 19261 2598 7 itself -PRON- PRP 19261 2598 8 which which WDT 19261 2598 9 is be VBZ 19261 2598 10 producing produce VBG 19261 2598 11 these these DT 19261 2598 12 symptoms symptom NNS 19261 2598 13 , , , 19261 2598 14 and and CC 19261 2598 15 the the DT 19261 2598 16 removal removal NN 19261 2598 17 of of IN 19261 2598 18 the the DT 19261 2598 19 object object NN 19261 2598 20 will will MD 19261 2598 21 not not RB 19261 2598 22 cause cause VB 19261 2598 23 their -PRON- PRP$ 19261 2598 24 immediate immediate JJ 19261 2598 25 subsidence subsidence NN 19261 2598 26 ; ; : 19261 2598 27 while while IN 19261 2598 28 the the DT 19261 2598 29 passage passage NN 19261 2598 30 of of IN 19261 2598 31 the the DT 19261 2598 32 tube tube NN 19261 2598 33 through through IN 19261 2598 34 the the DT 19261 2598 35 lacerated lacerated JJ 19261 2598 36 , , , 19261 2598 37 infected infect VBN 19261 2598 38 , , , 19261 2598 39 and and CC 19261 2598 40 inflamed inflame VBN 19261 2598 41 esophagus esophagus NNP 19261 2598 42 might may MD 19261 2598 43 further far RBR 19261 2598 44 harm harm VB 19261 2598 45 the the DT 19261 2598 46 patient patient NN 19261 2598 47 . . . 19261 2599 1 Moreover moreover RB 19261 2599 2 , , , 19261 2599 3 the the DT 19261 2599 4 foreign foreign JJ 19261 2599 5 body body NN 19261 2599 6 will will MD 19261 2599 7 be be VB 19261 2599 8 difficult difficult JJ 19261 2599 9 to to TO 19261 2599 10 find find VB 19261 2599 11 and and CC 19261 2599 12 to to TO 19261 2599 13 remove remove VB 19261 2599 14 from from IN 19261 2599 15 the the DT 19261 2599 16 edematous edematous JJ 19261 2599 17 and and CC 19261 2599 18 bleeding bleed VBG 19261 2599 19 folds fold NNS 19261 2599 20 , , , 19261 2599 21 and and CC 19261 2599 22 the the DT 19261 2599 23 risk risk NN 19261 2599 24 of of IN 19261 2599 25 following follow VBG 19261 2599 26 a a DT 19261 2599 27 false false JJ 19261 2599 28 passage passage NN 19261 2599 29 into into IN 19261 2599 30 the the DT 19261 2599 31 mediastinum mediastinum NN 19261 2599 32 or or CC 19261 2599 33 overriding override VBG 19261 2599 34 the the DT 19261 2599 35 foreign foreign JJ 19261 2599 36 body body NN 19261 2599 37 is be VBZ 19261 2599 38 great great JJ 19261 2599 39 . . . 19261 2600 1 Water water NN 19261 2600 2 starvation starvation NN 19261 2600 3 should should MD 19261 2600 4 be be VB 19261 2600 5 relieved relieve VBN 19261 2600 6 by by IN 19261 2600 7 means mean NNS 19261 2600 8 of of IN 19261 2600 9 proctoclysis proctoclysis NN 19261 2600 10 and and CC 19261 2600 11 hypodermoclysis hypodermoclysis NN 19261 2600 12 before before IN 19261 2600 13 endoscopy endoscopy NN 19261 2600 14 is be VBZ 19261 2600 15 done do VBN 19261 2600 16 . . . 19261 2601 1 The the DT 19261 2601 2 esophagitis esophagitis NN 19261 2601 3 is be VBZ 19261 2601 4 best well RBS 19261 2601 5 treated treat VBN 19261 2601 6 by by IN 19261 2601 7 placing place VBG 19261 2601 8 dry dry JJ 19261 2601 9 on on IN 19261 2601 10 the the DT 19261 2601 11 tongue tongue NN 19261 2601 12 at at IN 19261 2601 13 four four CD 19261 2601 14 - - HYPH 19261 2601 15 hour hour NN 19261 2601 16 intervals interval NNS 19261 2601 17 the the DT 19261 2601 18 following follow VBG 19261 2601 19 powder powder NN 19261 2601 20 : : : 19261 2601 21 Rx Rx NNP 19261 2601 22 . . . 19261 2602 1 Anesthesin Anesthesin NNP 19261 2602 2 ... ... NFP 19261 2602 3 gramme gramme NNP 19261 2602 4 0.12 0.12 CD 19261 2602 5 Bismuth Bismuth NNP 19261 2602 6 subnitrate subnitrate NN 19261 2602 7 ... ... : 19261 2602 8 gramme gramme NNP 19261 2602 9 0.6 0.6 CD 19261 2602 10 Calomel Calomel NNP 19261 2602 11 , , , 19261 2602 12 gramme gramme VB 19261 2602 13 0.006 0.006 CD 19261 2602 14 to to IN 19261 2602 15 0.003 0.003 CD 19261 2602 16 may may MD 19261 2602 17 be be VB 19261 2602 18 added add VBN 19261 2602 19 to to IN 19261 2602 20 each each DT 19261 2602 21 powder powder NN 19261 2602 22 for for IN 19261 2602 23 a a DT 19261 2602 24 few few JJ 19261 2602 25 doses dose NNS 19261 2602 26 to to TO 19261 2602 27 increase increase VB 19261 2602 28 the the DT 19261 2602 29 antiseptic antiseptic JJ 19261 2602 30 effect effect NN 19261 2602 31 . . . 19261 2603 1 If if IN 19261 2603 2 the the DT 19261 2603 3 patient patient NN 19261 2603 4 can can MD 19261 2603 5 swallow swallow VB 19261 2603 6 liquids liquid NNS 19261 2603 7 it -PRON- PRP 19261 2603 8 is be VBZ 19261 2603 9 best good JJS 19261 2603 10 to to TO 19261 2603 11 wait wait VB 19261 2603 12 one one CD 19261 2603 13 week week NN 19261 2603 14 from from IN 19261 2603 15 the the DT 19261 2603 16 time time NN 19261 2603 17 of of IN 19261 2603 18 the the DT 19261 2603 19 last last JJ 19261 2603 20 attempt attempt NN 19261 2603 21 at at IN 19261 2603 22 removal removal NN 19261 2603 23 before before IN 19261 2603 24 any any DT 19261 2603 25 endoscopy endoscopy NN 19261 2603 26 for for IN 19261 2603 27 extraction extraction NN 19261 2603 28 be be VB 19261 2603 29 done do VBN 19261 2603 30 . . . 19261 2604 1 This this DT 19261 2604 2 will will MD 19261 2604 3 give give VB 19261 2604 4 time time NN 19261 2604 5 for for IN 19261 2604 6 nature nature NN 19261 2604 7 to to TO 19261 2604 8 repair repair VB 19261 2604 9 the the DT 19261 2604 10 damage damage NN 19261 2604 11 and and CC 19261 2604 12 render render VB 19261 2604 13 the the DT 19261 2604 14 removal removal NN 19261 2604 15 of of IN 19261 2604 16 the the DT 19261 2604 17 object object NN 19261 2604 18 more more RBR 19261 2604 19 certain certain JJ 19261 2604 20 and and CC 19261 2604 21 less less RBR 19261 2604 22 hazardous hazardous JJ 19261 2604 23 . . . 19261 2605 1 Perforation perforation NN 19261 2605 2 of of IN 19261 2605 3 the the DT 19261 2605 4 esophagus esophagus NN 19261 2605 5 by by IN 19261 2605 6 the the DT 19261 2605 7 foreign foreign JJ 19261 2605 8 body body NN 19261 2605 9 , , , 19261 2605 10 or or CC 19261 2605 11 by by IN 19261 2605 12 blind blind JJ 19261 2605 13 instrumentation instrumentation NN 19261 2605 14 , , , 19261 2605 15 is be VBZ 19261 2605 16 a a DT 19261 2605 17 contraindication contraindication NN 19261 2605 18 to to TO 19261 2605 19 esophagoscopy esophagoscopy VB 19261 2605 20 . . . 19261 2606 1 It -PRON- PRP 19261 2606 2 is be VBZ 19261 2606 3 manifested manifest VBN 19261 2606 4 by by IN 19261 2606 5 such such JJ 19261 2606 6 signs sign NNS 19261 2606 7 as as IN 19261 2606 8 subcutaneous subcutaneous JJ 19261 2606 9 emphysema emphysema NN 19261 2606 10 , , , 19261 2606 11 swelling swell VBG 19261 2606 12 of of IN 19261 2606 13 the the DT 19261 2606 14 neck neck NN 19261 2606 15 , , , 19261 2606 16 fever fever NN 19261 2606 17 , , , 19261 2606 18 irritability irritability NN 19261 2606 19 , , , 19261 2606 20 increase increase NN 19261 2606 21 in in IN 19261 2606 22 pulsatory pulsatory NN 19261 2606 23 and and CC 19261 2606 24 respiratory respiratory JJ 19261 2606 25 rates rate NNS 19261 2606 26 , , , 19261 2606 27 and and CC 19261 2606 28 pain pain NN 19261 2606 29 in in IN 19261 2606 30 the the DT 19261 2606 31 neck neck NN 19261 2606 32 or or CC 19261 2606 33 chest chest NN 19261 2606 34 . . . 19261 2607 1 Gaseous gaseous JJ 19261 2607 2 emphysema emphysema NN 19261 2607 3 is be VBZ 19261 2607 4 present present JJ 19261 2607 5 in in IN 19261 2607 6 some some DT 19261 2607 7 cases case NNS 19261 2607 8 , , , 19261 2607 9 and and CC 19261 2607 10 denotes denote VBZ 19261 2607 11 a a DT 19261 2607 12 dangerous dangerous JJ 19261 2607 13 infection infection NN 19261 2607 14 . . . 19261 2608 1 Esophagoscopy esophagoscopy NN 19261 2608 2 should should MD 19261 2608 3 be be VB 19261 2608 4 postponed postpone VBN 19261 2608 5 and and CC 19261 2608 6 the the DT 19261 2608 7 treatment treatment NN 19261 2608 8 mentioned mention VBN 19261 2608 9 at at IN 19261 2608 10 the the DT 19261 2608 11 end end NN 19261 2608 12 of of IN 19261 2608 13 this this DT 19261 2608 14 chapter chapter NN 19261 2608 15 instituted institute VBD 19261 2608 16 . . . 19261 2609 1 After after IN 19261 2609 2 the the DT 19261 2609 3 subsidence subsidence NN 19261 2609 4 of of IN 19261 2609 5 all all DT 19261 2609 6 symptoms symptom NNS 19261 2609 7 other other JJ 19261 2609 8 than than IN 19261 2609 9 esophageal esophageal JJ 19261 2609 10 , , , 19261 2609 11 esophagoscopy esophagoscopy JJ 19261 2609 12 may may MD 19261 2609 13 be be VB 19261 2609 14 done do VBN 19261 2609 15 safely safely RB 19261 2609 16 . . . 19261 2610 1 Pleural pleural JJ 19261 2610 2 perforation perforation NN 19261 2610 3 is be VBZ 19261 2610 4 manifested manifest VBN 19261 2610 5 by by IN 19261 2610 6 the the DT 19261 2610 7 usual usual JJ 19261 2610 8 signs sign NNS 19261 2610 9 of of IN 19261 2610 10 pneumothorax pneumothorax NNS 19261 2610 11 , , , 19261 2610 12 and and CC 19261 2610 13 will will MD 19261 2610 14 be be VB 19261 2610 15 demonstrated demonstrate VBN 19261 2610 16 in in IN 19261 2610 17 the the DT 19261 2610 18 roentgenogram roentgenogram NN 19261 2610 19 . . . 19261 2611 1 ESOPHAGOSCOPIC ESOPHAGOSCOPIC NNP 19261 2611 2 EXTRACTION EXTRACTION NNP 19261 2611 3 OF of IN 19261 2611 4 FOREIGN foreign JJ 19261 2611 5 BODIES body NNS 19261 2611 6 It -PRON- PRP 19261 2611 7 is be VBZ 19261 2611 8 unwise unwise JJ 19261 2611 9 to to TO 19261 2611 10 do do VB 19261 2611 11 an an DT 19261 2611 12 endoscopy endoscopy NN 19261 2611 13 in in IN 19261 2611 14 a a DT 19261 2611 15 foreign foreign JJ 19261 2611 16 - - HYPH 19261 2611 17 body body NN 19261 2611 18 case case NN 19261 2611 19 for for IN 19261 2611 20 the the DT 19261 2611 21 sole sole JJ 19261 2611 22 purpose purpose NN 19261 2611 23 of of IN 19261 2611 24 taking take VBG 19261 2611 25 a a DT 19261 2611 26 preliminary preliminary JJ 19261 2611 27 look look NN 19261 2611 28 . . . 19261 2612 1 Everything everything NN 19261 2612 2 likely likely JJ 19261 2612 3 to to TO 19261 2612 4 be be VB 19261 2612 5 needed need VBN 19261 2612 6 for for IN 19261 2612 7 extraction extraction NN 19261 2612 8 of of IN 19261 2612 9 the the DT 19261 2612 10 intruder intruder NN 19261 2612 11 should should MD 19261 2612 12 be be VB 19261 2612 13 sterile sterile JJ 19261 2612 14 and and CC 19261 2612 15 ready ready JJ 19261 2612 16 at at IN 19261 2612 17 hand hand NN 19261 2612 18 . . . 19261 2613 1 Furthermore furthermore RB 19261 2613 2 , , , 19261 2613 3 all all DT 19261 2613 4 required require VBN 19261 2613 5 instruments instrument NNS 19261 2613 6 for for IN 19261 2613 7 laryngoscopy laryngoscopy NN 19261 2613 8 , , , 19261 2613 9 bronchoscopy bronchoscopy NN 19261 2613 10 or or CC 19261 2613 11 tracheotomy tracheotomy NN 19261 2613 12 should should MD 19261 2613 13 be be VB 19261 2613 14 prepared prepare VBN 19261 2613 15 as as IN 19261 2613 16 a a DT 19261 2613 17 matter matter NN 19261 2613 18 of of IN 19261 2613 19 routine routine JJ 19261 2613 20 , , , 19261 2613 21 however however RB 19261 2613 22 rarely rarely RB 19261 2613 23 they -PRON- PRP 19261 2613 24 may may MD 19261 2613 25 be be VB 19261 2613 26 needed need VBN 19261 2613 27 . . . 19261 2614 1 Sponging sponging NN 19261 2614 2 should should MD 19261 2614 3 be be VB 19261 2614 4 done do VBN 19261 2614 5 cautiously cautiously RB 19261 2614 6 lest lest IN 19261 2614 7 the the DT 19261 2614 8 foreign foreign JJ 19261 2614 9 body body NN 19261 2614 10 be be VB 19261 2614 11 hidden hide VBN 19261 2614 12 in in IN 19261 2614 13 secretions secretion NNS 19261 2614 14 or or CC 19261 2614 15 food food NN 19261 2614 16 accumulation accumulation NN 19261 2614 17 , , , 19261 2614 18 and and CC 19261 2614 19 dislodged dislodge VBN 19261 2614 20 . . . 19261 2615 1 Small small JJ 19261 2615 2 food food NN 19261 2615 3 masses masse NNS 19261 2615 4 often often RB 19261 2615 5 lodge lodge VBP 19261 2615 6 above above IN 19261 2615 7 the the DT 19261 2615 8 foreign foreign JJ 19261 2615 9 body body NN 19261 2615 10 and and CC 19261 2615 11 are be VBP 19261 2615 12 best best RB 19261 2615 13 removed remove VBN 19261 2615 14 with with IN 19261 2615 15 forceps forceps NNS 19261 2615 16 . . . 19261 2616 1 The the DT 19261 2616 2 folds fold NNS 19261 2616 3 of of IN 19261 2616 4 the the DT 19261 2616 5 esophagus esophagus NN 19261 2616 6 are be VBP 19261 2616 7 to to TO 19261 2616 8 be be VB 19261 2616 9 carefully carefully RB 19261 2616 10 searched search VBN 19261 2616 11 with with IN 19261 2616 12 the the DT 19261 2616 13 aid aid NN 19261 2616 14 of of IN 19261 2616 15 the the DT 19261 2616 16 lip lip NN 19261 2616 17 of of IN 19261 2616 18 the the DT 19261 2616 19 esophagoscope esophagoscope NN 19261 2616 20 . . . 19261 2617 1 If if IN 19261 2617 2 the the DT 19261 2617 3 mucosa mucosa NNS 19261 2617 4 of of IN 19261 2617 5 the the DT 19261 2617 6 esophagus esophagus NN 19261 2617 7 is be VBZ 19261 2617 8 lacerated lacerate VBN 19261 2617 9 with with IN 19261 2617 10 the the DT 19261 2617 11 forceps forceps NNS 19261 2617 12 all all DT 19261 2617 13 further further JJ 19261 2617 14 work work NN 19261 2617 15 is be VBZ 19261 2617 16 greatly greatly RB 19261 2617 17 hampered hamper VBN 19261 2617 18 by by IN 19261 2617 19 the the DT 19261 2617 20 oozing oozing NN 19261 2617 21 ; ; : 19261 2617 22 if if IN 19261 2617 23 the the DT 19261 2617 24 laceration laceration NN 19261 2617 25 involve involve VBP 19261 2617 26 the the DT 19261 2617 27 esophageal esophageal JJ 19261 2617 28 wall wall NN 19261 2617 29 the the DT 19261 2617 30 accident accident NN 19261 2617 31 may may MD 19261 2617 32 be be VB 19261 2617 33 fatal fatal JJ 19261 2617 34 : : : 19261 2617 35 and and CC 19261 2617 36 at at IN 19261 2617 37 best good JJS 19261 2617 38 the the DT 19261 2617 39 tendency tendency NN 19261 2617 40 of of IN 19261 2617 41 the the DT 19261 2617 42 tube tube NN 19261 2617 43 - - HYPH 19261 2617 44 mouth mouth NN 19261 2617 45 to to TO 19261 2617 46 enter enter VB 19261 2617 47 the the DT 19261 2617 48 laceration laceration NN 19261 2617 49 and and CC 19261 2617 50 create create VB 19261 2617 51 a a DT 19261 2617 52 false false JJ 19261 2617 53 passage passage NN 19261 2617 54 is be VBZ 19261 2617 55 very very RB 19261 2617 56 great great JJ 19261 2617 57 . . . 19261 2618 1 _ _ NNP 19261 2618 2 " " `` 19261 2618 3 Overriding override VBG 19261 2618 4 " " '' 19261 2618 5 or or CC 19261 2618 6 failure failure NN 19261 2618 7 to to TO 19261 2618 8 find find VB 19261 2618 9 a a DT 19261 2618 10 foreign foreign JJ 19261 2618 11 body body NN 19261 2618 12 known know VBN 19261 2618 13 to to TO 19261 2618 14 be be VB 19261 2618 15 present present JJ 19261 2618 16 _ _ NNP 19261 2618 17 is be VBZ 19261 2618 18 explained explain VBN 19261 2618 19 by by IN 19261 2618 20 the the DT 19261 2618 21 collapsed collapse VBN 19261 2618 22 walls wall NNS 19261 2618 23 and and CC 19261 2618 24 folds fold NNS 19261 2618 25 covering cover VBG 19261 2618 26 the the DT 19261 2618 27 object object NN 19261 2618 28 , , , 19261 2618 29 since since IN 19261 2618 30 the the DT 19261 2618 31 esophagoscope esophagoscope NN 19261 2618 32 can can MD 19261 2618 33 not not RB 19261 2618 34 be be VB 19261 2618 35 of of IN 19261 2618 36 sufficient sufficient JJ 19261 2618 37 size size NN 19261 2618 38 to to TO 19261 2618 39 smooth smooth VB 19261 2618 40 out out RP 19261 2618 41 these these DT 19261 2618 42 folds fold NNS 19261 2618 43 , , , 19261 2618 44 and and CC 19261 2618 45 still still RB 19261 2618 46 be be VB 19261 2618 47 of of IN 19261 2618 48 small small JJ 19261 2618 49 enough enough JJ 19261 2618 50 diameter diameter NN 19261 2618 51 to to TO 19261 2618 52 pass pass VB 19261 2618 53 the the DT 19261 2618 54 constricted constrict VBN 19261 2618 55 points point NNS 19261 2618 56 of of IN 19261 2618 57 the the DT 19261 2618 58 esophagus esophagus NN 19261 2618 59 noted note VBN 19261 2618 60 in in IN 19261 2618 61 the the DT 19261 2618 62 chapter chapter NN 19261 2618 63 on on IN 19261 2618 64 anatomy anatomy NN 19261 2618 65 . . . 19261 2619 1 Objects object NNS 19261 2619 2 are be VBP 19261 2619 3 often often RB 19261 2619 4 hidden hide VBN 19261 2619 5 just just RB 19261 2619 6 distal distal JJ 19261 2619 7 to to IN 19261 2619 8 the the DT 19261 2619 9 cricopharyngeal cricopharyngeal NN 19261 2619 10 fold fold NN 19261 2619 11 , , , 19261 2619 12 which which WDT 19261 2619 13 furthermore furthermore RB 19261 2619 14 makes make VBZ 19261 2619 15 a a DT 19261 2619 16 veritable veritable JJ 19261 2619 17 chute chute NN 19261 2619 18 in in IN 19261 2619 19 throwing throw VBG 19261 2619 20 the the DT 19261 2619 21 end end NN 19261 2619 22 of of IN 19261 2619 23 the the DT 19261 2619 24 tube tube NN 19261 2619 25 forward forward RB 19261 2619 26 to to TO 19261 2619 27 override override VB 19261 2619 28 the the DT 19261 2619 29 foreign foreign JJ 19261 2619 30 body body NN 19261 2619 31 and and CC 19261 2619 32 to to TO 19261 2619 33 interpose interpose VB 19261 2619 34 a a DT 19261 2619 35 layer layer NN 19261 2619 36 of of IN 19261 2619 37 tissue tissue NN 19261 2619 38 between between IN 19261 2619 39 the the DT 19261 2619 40 tube tube NN 19261 2619 41 and and CC 19261 2619 42 the the DT 19261 2619 43 object object NN 19261 2619 44 , , , 19261 2619 45 so so IN 19261 2619 46 that that IN 19261 2619 47 the the DT 19261 2619 48 contact contact NN 19261 2619 49 at at IN 19261 2619 50 the the DT 19261 2619 51 side side NN 19261 2619 52 of of IN 19261 2619 53 the the DT 19261 2619 54 tube tube NN 19261 2619 55 is be VBZ 19261 2619 56 not not RB 19261 2619 57 felt feel VBN 19261 2619 58 as as IN 19261 2619 59 the the DT 19261 2619 60 tube tube NN 19261 2619 61 passes pass VBZ 19261 2619 62 over over IN 19261 2619 63 the the DT 19261 2619 64 foreign foreign JJ 19261 2619 65 body body NN 19261 2619 66 ( ( -LRB- 19261 2619 67 Fig fig NN 19261 2619 68 . . . 19261 2620 1 91 91 CD 19261 2620 2 ) ) -RRB- 19261 2620 3 . . . 19261 2621 1 The the DT 19261 2621 2 chief chief JJ 19261 2621 3 factors factor NNS 19261 2621 4 in in IN 19261 2621 5 overriding override VBG 19261 2621 6 an an DT 19261 2621 7 esophageal esophageal JJ 19261 2621 8 foreign foreign JJ 19261 2621 9 body body NN 19261 2621 10 are be VBP 19261 2621 11 : : : 19261 2621 12 1 1 LS 19261 2621 13 . . . 19261 2622 1 The the DT 19261 2622 2 chute chute NN 19261 2622 3 - - HYPH 19261 2622 4 like like JJ 19261 2622 5 effect effect NN 19261 2622 6 of of IN 19261 2622 7 the the DT 19261 2622 8 plica plica NNP 19261 2622 9 cricopharyngeus cricopharyngeus NNP 19261 2622 10 . . . 19261 2623 1 2 2 LS 19261 2623 2 . . . 19261 2624 1 The the DT 19261 2624 2 chute chute NN 19261 2624 3 - - HYPH 19261 2624 4 like like JJ 19261 2624 5 effect effect NN 19261 2624 6 of of IN 19261 2624 7 other other JJ 19261 2624 8 folds fold NNS 19261 2624 9 . . . 19261 2625 1 3 3 LS 19261 2625 2 . . . 19261 2626 1 The the DT 19261 2626 2 lurking lurking NN 19261 2626 3 of of IN 19261 2626 4 the the DT 19261 2626 5 foreign foreign JJ 19261 2626 6 body body NN 19261 2626 7 in in IN 19261 2626 8 the the DT 19261 2626 9 unexplored unexplored JJ 19261 2626 10 pyriform pyriform NN 19261 2626 11 sinus sinus NN 19261 2626 12 . . . 19261 2627 1 4 4 LS 19261 2627 2 . . . 19261 2628 1 The the DT 19261 2628 2 use use NN 19261 2628 3 of of IN 19261 2628 4 an an DT 19261 2628 5 esophagoscope esophagoscope NN 19261 2628 6 of of IN 19261 2628 7 small small JJ 19261 2628 8 diameter diameter NN 19261 2628 9 . . . 19261 2629 1 5 5 CD 19261 2629 2 . . . 19261 2630 1 The the DT 19261 2630 2 obscuration obscuration NN 19261 2630 3 of of IN 19261 2630 4 the the DT 19261 2630 5 intruder intruder NN 19261 2630 6 by by IN 19261 2630 7 secretion secretion NN 19261 2630 8 or or CC 19261 2630 9 food food NN 19261 2630 10 debris debris NN 19261 2630 11 . . . 19261 2631 1 6 6 CD 19261 2631 2 . . . 19261 2632 1 The the DT 19261 2632 2 obscuration obscuration NN 19261 2632 3 of of IN 19261 2632 4 the the DT 19261 2632 5 intruder intruder NN 19261 2632 6 by by IN 19261 2632 7 its -PRON- PRP$ 19261 2632 8 penetration penetration NN 19261 2632 9 of of IN 19261 2632 10 the the DT 19261 2632 11 esophageal esophageal JJ 19261 2632 12 wall wall NN 19261 2632 13 . . . 19261 2633 1 7 7 LS 19261 2633 2 . . . 19261 2634 1 The the DT 19261 2634 2 obscuration obscuration NN 19261 2634 3 of of IN 19261 2634 4 the the DT 19261 2634 5 intruder intruder NN 19261 2634 6 by by IN 19261 2634 7 inflammatory inflammatory JJ 19261 2634 8 sequelae sequela NNS 19261 2634 9 . . . 19261 2635 1 [ [ -LRB- 19261 2635 2 FIG FIG NNP 19261 2635 3 . . . 19261 2636 1 91.--Illustrating 91.--illustrating NN 19261 2636 2 the the DT 19261 2636 3 hiding hiding NN 19261 2636 4 of of IN 19261 2636 5 a a DT 19261 2636 6 coin coin NN 19261 2636 7 by by IN 19261 2636 8 the the DT 19261 2636 9 folding fold VBG 19261 2636 10 downward downward RB 19261 2636 11 of of IN 19261 2636 12 the the DT 19261 2636 13 plica plica NNP 19261 2636 14 cricopharyngeus cricopharyngeus NNP 19261 2636 15 . . . 19261 2637 1 The the DT 19261 2637 2 muscular muscular JJ 19261 2637 3 contraction contraction NN 19261 2637 4 throws throw VBZ 19261 2637 5 the the DT 19261 2637 6 beak beak NN 19261 2637 7 of of IN 19261 2637 8 the the DT 19261 2637 9 esophagoscope esophagoscope NN 19261 2637 10 upward upward RB 19261 2637 11 while while IN 19261 2637 12 the the DT 19261 2637 13 interposed interposed JJ 19261 2637 14 tissue tissue NN 19261 2637 15 prevents prevent VBZ 19261 2637 16 the the DT 19261 2637 17 tactile tactile JJ 19261 2637 18 appreciation appreciation NN 19261 2637 19 of of IN 19261 2637 20 contact contact NN 19261 2637 21 of of IN 19261 2637 22 the the DT 19261 2637 23 foreign foreign JJ 19261 2637 24 body body NN 19261 2637 25 with with IN 19261 2637 26 the the DT 19261 2637 27 side side NN 19261 2637 28 of of IN 19261 2637 29 the the DT 19261 2637 30 tube tube NN 19261 2637 31 after after IN 19261 2637 32 the the DT 19261 2637 33 tip tip NN 19261 2637 34 has have VBZ 19261 2637 35 passed pass VBN 19261 2637 36 over over RP 19261 2637 37 the the DT 19261 2637 38 foreign foreign JJ 19261 2637 39 body body NN 19261 2637 40 . . . 19261 2638 1 Other other JJ 19261 2638 2 folds fold NNS 19261 2638 3 may may MD 19261 2638 4 in in IN 19261 2638 5 rare rare JJ 19261 2638 6 instances instance NNS 19261 2638 7 act act VBP 19261 2638 8 similarly similarly RB 19261 2638 9 in in IN 19261 2638 10 hiding hide VBG 19261 2638 11 a a DT 19261 2638 12 foreign foreign JJ 19261 2638 13 body body NN 19261 2638 14 from from IN 19261 2638 15 view view NN 19261 2638 16 . . . 19261 2639 1 This this DT 19261 2639 2 overriding overriding NN 19261 2639 3 of of IN 19261 2639 4 a a DT 19261 2639 5 foreign foreign JJ 19261 2639 6 body body NN 19261 2639 7 is be VBZ 19261 2639 8 apt apt JJ 19261 2639 9 to to TO 19261 2639 10 cause cause VB 19261 2639 11 dangerous dangerous JJ 19261 2639 12 dyspnea dyspnea NN 19261 2639 13 by by IN 19261 2639 14 compression compression NN 19261 2639 15 of of IN 19261 2639 16 the the DT 19261 2639 17 party party NN 19261 2639 18 wall wall NN 19261 2639 19 . . . 19261 2639 20 ] ] -RRB- 19261 2640 1 _ _ NNP 19261 2640 2 The the DT 19261 2640 3 esophageal esophageal JJ 19261 2640 4 speculum speculum NN 19261 2640 5 for for IN 19261 2640 6 the the DT 19261 2640 7 removal removal NN 19261 2640 8 of of IN 19261 2640 9 foreign foreign JJ 19261 2640 10 bodies body NNS 19261 2640 11 _ _ NNP 19261 2640 12 is be VBZ 19261 2640 13 useful useful JJ 19261 2640 14 when when WRB 19261 2640 15 the the DT 19261 2640 16 object object NN 19261 2640 17 is be VBZ 19261 2640 18 not not RB 19261 2640 19 more more JJR 19261 2640 20 than than IN 19261 2640 21 2 2 CD 19261 2640 22 cm cm NNS 19261 2640 23 . . . 19261 2641 1 below below IN 19261 2641 2 the the DT 19261 2641 3 cricoid cricoid NN 19261 2641 4 in in IN 19261 2641 5 a a DT 19261 2641 6 child child NN 19261 2641 7 , , , 19261 2641 8 and and CC 19261 2641 9 3 3 CD 19261 2641 10 cm cm NNS 19261 2641 11 . . . 19261 2642 1 in in IN 19261 2642 2 the the DT 19261 2642 3 adult adult NN 19261 2642 4 . . . 19261 2643 1 The the DT 19261 2643 2 fold fold NN 19261 2643 3 of of IN 19261 2643 4 the the DT 19261 2643 5 cricopharyngeus cricopharyngeus NN 19261 2643 6 can can MD 19261 2643 7 be be VB 19261 2643 8 repressed repress VBN 19261 2643 9 posteriorward posteriorward RB 19261 2643 10 by by IN 19261 2643 11 the the DT 19261 2643 12 forceps forceps NNP 19261 2643 13 which which WDT 19261 2643 14 are be VBP 19261 2643 15 then then RB 19261 2643 16 in in IN 19261 2643 17 position position NN 19261 2643 18 to to TO 19261 2643 19 grasp grasp VB 19261 2643 20 the the DT 19261 2643 21 object object NN 19261 2643 22 when when WRB 19261 2643 23 it -PRON- PRP 19261 2643 24 is be VBZ 19261 2643 25 found find VBN 19261 2643 26 . . . 19261 2644 1 The the DT 19261 2644 2 author author NN 19261 2644 3 's 's POS 19261 2644 4 down down IN 19261 2644 5 - - HYPH 19261 2644 6 jaw jaw NN 19261 2644 7 forceps forceps NNS 19261 2644 8 ( ( -LRB- 19261 2644 9 Fig fig NN 19261 2644 10 . . . 19261 2645 1 22 22 CD 19261 2645 2 ) ) -RRB- 19261 2645 3 are be VBP 19261 2645 4 very very RB 19261 2645 5 useful useful JJ 19261 2645 6 to to TO 19261 2645 7 reach reach VB 19261 2645 8 down down RP 19261 2645 9 back back RB 19261 2645 10 of of IN 19261 2645 11 the the DT 19261 2645 12 cricopharyngeal cricopharyngeal NN 19261 2645 13 fold fold NN 19261 2645 14 , , , 19261 2645 15 because because IN 19261 2645 16 of of IN 19261 2645 17 the the DT 19261 2645 18 often often RB 19261 2645 19 small small JJ 19261 2645 20 posterior posterior NN 19261 2645 21 forceps forceps NNP 19261 2645 22 space space NN 19261 2645 23 . . . 19261 2646 1 The the DT 19261 2646 2 speculum speculum NN 19261 2646 3 has have VBZ 19261 2646 4 the the DT 19261 2646 5 disadvantage disadvantage NN 19261 2646 6 of of IN 19261 2646 7 not not RB 19261 2646 8 allowing allow VBG 19261 2646 9 deeper deep JJR 19261 2646 10 search search NN 19261 2646 11 should should MD 19261 2646 12 the the DT 19261 2646 13 foreign foreign JJ 19261 2646 14 body body NN 19261 2646 15 move move VB 19261 2646 16 downward downward RB 19261 2646 17 . . . 19261 2647 1 In in IN 19261 2647 2 infants infant NNS 19261 2647 3 , , , 19261 2647 4 the the DT 19261 2647 5 child child NN 19261 2647 6 's 's POS 19261 2647 7 size size NN 19261 2647 8 laryngoscope laryngoscope NN 19261 2647 9 may may MD 19261 2647 10 be be VB 19261 2647 11 used use VBN 19261 2647 12 as as IN 19261 2647 13 an an DT 19261 2647 14 esophageal esophageal JJ 19261 2647 15 speculum speculum NN 19261 2647 16 . . . 19261 2648 1 General General NNP 19261 2648 2 anesthesia anesthesia NNP 19261 2648 3 is be VBZ 19261 2648 4 not not RB 19261 2648 5 only only RB 19261 2648 6 unnecessary unnecessary JJ 19261 2648 7 but but CC 19261 2648 8 dangerous dangerous JJ 19261 2648 9 , , , 19261 2648 10 because because IN 19261 2648 11 of of IN 19261 2648 12 the the DT 19261 2648 13 dyspnea dyspnea RB 19261 2648 14 created create VBN 19261 2648 15 by by IN 19261 2648 16 the the DT 19261 2648 17 endoscopic endoscopic JJ 19261 2648 18 tube tube NN 19261 2648 19 . . . 19261 2649 1 Local local JJ 19261 2649 2 anesthesia anesthesia NNP 19261 2649 3 is be VBZ 19261 2649 4 unnecessary unnecessary JJ 19261 2649 5 as as RB 19261 2649 6 well well RB 19261 2649 7 as as IN 19261 2649 8 dangerous dangerous JJ 19261 2649 9 in in IN 19261 2649 10 children child NNS 19261 2649 11 ; ; : 19261 2649 12 and and CC 19261 2649 13 its -PRON- PRP$ 19261 2649 14 application application NN 19261 2649 15 is be VBZ 19261 2649 16 likely likely JJ 19261 2649 17 to to TO 19261 2649 18 dislodge dislodge VB 19261 2649 19 the the DT 19261 2649 20 foreign foreign JJ 19261 2649 21 body body NN 19261 2649 22 unless unless IN 19261 2649 23 used use VBN 19261 2649 24 as as IN 19261 2649 25 a a DT 19261 2649 26 troche troche NN 19261 2649 27 . . . 19261 2650 1 Forbes forbe VBG 19261 2650 2 esophageal esophageal JJ 19261 2650 3 speculum speculum NN 19261 2650 4 is be VBZ 19261 2650 5 excellent excellent JJ 19261 2650 6 . . . 19261 2651 1 MECHANICAL MECHANICAL NNP 19261 2651 2 PROBLEMS PROBLEMS NNP 19261 2651 3 OF of IN 19261 2651 4 ESOPHAGOSCOPIC esophagoscopic NN 19261 2651 5 REMOVAL REMOVAL NNS 19261 2651 6 OF of IN 19261 2651 7 FOREIGN foreign JJ 19261 2651 8 BODIES body NNS 19261 2651 9 The the DT 19261 2651 10 bronchoscopic bronchoscopic JJ 19261 2651 11 problems problem NNS 19261 2651 12 considered consider VBN 19261 2651 13 in in IN 19261 2651 14 the the DT 19261 2651 15 previous previous JJ 19261 2651 16 chapter chapter NN 19261 2651 17 should should MD 19261 2651 18 be be VB 19261 2651 19 studied study VBN 19261 2651 20 . . . 19261 2652 1 _ _ NNP 19261 2652 2 The the DT 19261 2652 3 extraction extraction NN 19261 2652 4 of of IN 19261 2652 5 transfixed transfix VBN 19261 2652 6 foreign foreign JJ 19261 2652 7 bodies body NNS 19261 2652 8 _ _ NNP 19261 2652 9 presents present VBZ 19261 2652 10 much much RB 19261 2652 11 the the DT 19261 2652 12 same same JJ 19261 2652 13 problem problem NN 19261 2652 14 as as IN 19261 2652 15 those those DT 19261 2652 16 in in IN 19261 2652 17 the the DT 19261 2652 18 bronchi bronchi NN 19261 2652 19 , , , 19261 2652 20 though though IN 19261 2652 21 there there EX 19261 2652 22 is be VBZ 19261 2652 23 no no DT 19261 2652 24 limit limit NN 19261 2652 25 here here RB 19261 2652 26 to to IN 19261 2652 27 the the DT 19261 2652 28 distance distance NN 19261 2652 29 an an DT 19261 2652 30 object object NN 19261 2652 31 may may MD 19261 2652 32 be be VB 19261 2652 33 pushed push VBN 19261 2652 34 down down RP 19261 2652 35 to to TO 19261 2652 36 free free VB 19261 2652 37 the the DT 19261 2652 38 point point NN 19261 2652 39 . . . 19261 2653 1 Thin thin JJ 19261 2653 2 , , , 19261 2653 3 sharp sharp JJ 19261 2653 4 foreign foreign JJ 19261 2653 5 bodies body NNS 19261 2653 6 such such JJ 19261 2653 7 as as IN 19261 2653 8 bones bone NNS 19261 2653 9 , , , 19261 2653 10 dentures denture NNS 19261 2653 11 , , , 19261 2653 12 pins pin NNS 19261 2653 13 , , , 19261 2653 14 safety safety NN 19261 2653 15 - - HYPH 19261 2653 16 pins pin NNS 19261 2653 17 , , , 19261 2653 18 etcetera etcetera NN 19261 2653 19 , , , 19261 2653 20 are be VBP 19261 2653 21 often often RB 19261 2653 22 found find VBN 19261 2653 23 to to TO 19261 2653 24 lie lie VB 19261 2653 25 crosswise crosswise NN 19261 2653 26 in in IN 19261 2653 27 the the DT 19261 2653 28 esophagus esophagus NN 19261 2653 29 , , , 19261 2653 30 and and CC 19261 2653 31 it -PRON- PRP 19261 2653 32 is be VBZ 19261 2653 33 imperative imperative JJ 19261 2653 34 that that IN 19261 2653 35 one one CD 19261 2653 36 end end NN 19261 2653 37 be be VB 19261 2653 38 disengaged disengage VBN 19261 2653 39 and and CC 19261 2653 40 the the DT 19261 2653 41 long long JJ 19261 2653 42 axis axis NN 19261 2653 43 of of IN 19261 2653 44 the the DT 19261 2653 45 object object NN 19261 2653 46 be be VB 19261 2653 47 made make VBN 19261 2653 48 to to TO 19261 2653 49 correspond correspond VB 19261 2653 50 to to IN 19261 2653 51 that that DT 19261 2653 52 of of IN 19261 2653 53 the the DT 19261 2653 54 esophagus esophagus NN 19261 2653 55 before before IN 19261 2653 56 traction traction NN 19261 2653 57 for for IN 19261 2653 58 removal removal NN 19261 2653 59 is be VBZ 19261 2653 60 made make VBN 19261 2653 61 ( ( -LRB- 19261 2653 62 Fig fig NN 19261 2653 63 . . . 19261 2654 1 92 92 CD 19261 2654 2 ) ) -RRB- 19261 2654 3 . . . 19261 2655 1 Should Should MD 19261 2655 2 the the DT 19261 2655 3 intruder intruder NN 19261 2655 4 be be VB 19261 2655 5 grasped grasp VBN 19261 2655 6 in in IN 19261 2655 7 the the DT 19261 2655 8 center center NN 19261 2655 9 and and CC 19261 2655 10 traction traction NN 19261 2655 11 exerted exert VBD 19261 2655 12 , , , 19261 2655 13 serious serious JJ 19261 2655 14 and and CC 19261 2655 15 perhaps perhaps RB 19261 2655 16 fatal fatal JJ 19261 2655 17 trauma trauma NN 19261 2655 18 might may MD 19261 2655 19 ensue ensue VB 19261 2655 20 . . . 19261 2656 1 [ [ -LRB- 19261 2656 2 191 191 CD 19261 2656 3 ] ] -RRB- 19261 2656 4 [ [ -LRB- 19261 2656 5 FIG FIG NNP 19261 2656 6 . . . 19261 2657 1 92.--The 92.--the DT 19261 2657 2 problem problem NN 19261 2657 3 of of IN 19261 2657 4 the the DT 19261 2657 5 horizontally horizontally RB 19261 2657 6 transfixed transfix VBN 19261 2657 7 foreign foreign JJ 19261 2657 8 body body NN 19261 2657 9 in in IN 19261 2657 10 the the DT 19261 2657 11 esophagus esophagus NN 19261 2657 12 . . . 19261 2658 1 The the DT 19261 2658 2 point point NN 19261 2658 3 , , , 19261 2658 4 D d NN 19261 2658 5 , , , 19261 2658 6 had have VBD 19261 2658 7 caught catch VBN 19261 2658 8 as as IN 19261 2658 9 the the DT 19261 2658 10 bone bone NN 19261 2658 11 , , , 19261 2658 12 A A NNP 19261 2658 13 , , , 19261 2658 14 was be VBD 19261 2658 15 being be VBG 19261 2658 16 swallowed swallow VBN 19261 2658 17 . . . 19261 2659 1 The the DT 19261 2659 2 end end NN 19261 2659 3 , , , 19261 2659 4 E e NN 19261 2659 5 , , , 19261 2659 6 was be VBD 19261 2659 7 forced force VBN 19261 2659 8 down down RP 19261 2659 9 to to IN 19261 2659 10 C C NNP 19261 2659 11 , , , 19261 2659 12 by by IN 19261 2659 13 food food NN 19261 2659 14 or or CC 19261 2659 15 by by IN 19261 2659 16 blind blind JJ 19261 2659 17 attempts attempt NNS 19261 2659 18 at at IN 19261 2659 19 pushing push VBG 19261 2659 20 the the DT 19261 2659 21 bone bone NN 19261 2659 22 downward downward RB 19261 2659 23 . . . 19261 2660 1 The the DT 19261 2660 2 wall wall NN 19261 2660 3 , , , 19261 2660 4 F F NNP 19261 2660 5 , , , 19261 2660 6 should should MD 19261 2660 7 be be VB 19261 2660 8 laterally laterally RB 19261 2660 9 displaced displace VBN 19261 2660 10 to to IN 19261 2660 11 J J NNP 19261 2660 12 , , , 19261 2660 13 with with IN 19261 2660 14 the the DT 19261 2660 15 esophagoscope esophagoscope NN 19261 2660 16 , , , 19261 2660 17 permitting permit VBG 19261 2660 18 the the DT 19261 2660 19 forceps forceps NNS 19261 2660 20 to to TO 19261 2660 21 grasp grasp VB 19261 2660 22 the the DT 19261 2660 23 end end NN 19261 2660 24 , , , 19261 2660 25 M M NNP 19261 2660 26 , , , 19261 2660 27 of of IN 19261 2660 28 the the DT 19261 2660 29 bone bone NN 19261 2660 30 . . . 19261 2661 1 Traction traction NN 19261 2661 2 in in IN 19261 2661 3 the the DT 19261 2661 4 direction direction NN 19261 2661 5 of of IN 19261 2661 6 the the DT 19261 2661 7 dart dart NN 19261 2661 8 will will MD 19261 2661 9 disimpact disimpact VB 19261 2661 10 the the DT 19261 2661 11 bone bone NN 19261 2661 12 and and CC 19261 2661 13 permit permit VB 19261 2661 14 it -PRON- PRP 19261 2661 15 to to TO 19261 2661 16 rotate rotate VB 19261 2661 17 . . . 19261 2662 1 The the DT 19261 2662 2 rotation rotation NN 19261 2662 3 forceps forceps NNS 19261 2662 4 are be VBP 19261 2662 5 used use VBN 19261 2662 6 as as IN 19261 2662 7 at at IN 19261 2662 8 K. k. NN 19261 2662 9 ] ] -RRB- 19261 2662 10 [ [ -LRB- 19261 2662 11 FIG FIG NNP 19261 2662 12 . . . 19261 2663 1 93.--Solution 93.--solution CD 19261 2663 2 of of IN 19261 2663 3 the the DT 19261 2663 4 mechanical mechanical JJ 19261 2663 5 problem problem NN 19261 2663 6 of of IN 19261 2663 7 the the DT 19261 2663 8 broad broad JJ 19261 2663 9 foreign foreign JJ 19261 2663 10 body body NN 19261 2663 11 having have VBG 19261 2663 12 a a DT 19261 2663 13 sharp sharp JJ 19261 2663 14 point point NN 19261 2663 15 by by IN 19261 2663 16 version version NN 19261 2663 17 . . . 19261 2664 1 If if IN 19261 2664 2 withdrawn withdraw VBN 19261 2664 3 with with IN 19261 2664 4 plain plain JJ 19261 2664 5 forceps forceps NNS 19261 2664 6 as as IN 19261 2664 7 applied apply VBN 19261 2664 8 at at IN 19261 2664 9 A a NN 19261 2664 10 , , , 19261 2664 11 the the DT 19261 2664 12 point point NN 19261 2664 13 B B NNP 19261 2664 14 , , , 19261 2664 15 will will MD 19261 2664 16 rip rip VB 19261 2664 17 open open VB 19261 2664 18 the the DT 19261 2664 19 esophageal esophageal JJ 19261 2664 20 wall wall NN 19261 2664 21 . . . 19261 2665 1 If if IN 19261 2665 2 grasped grasp VBN 19261 2665 3 at at IN 19261 2665 4 C C NNP 19261 2665 5 , , , 19261 2665 6 the the DT 19261 2665 7 point point NN 19261 2665 8 , , , 19261 2665 9 D d NN 19261 2665 10 , , , 19261 2665 11 will will MD 19261 2665 12 rotate rotate VB 19261 2665 13 in in IN 19261 2665 14 the the DT 19261 2665 15 direction direction NN 19261 2665 16 of of IN 19261 2665 17 F F NNP 19261 2665 18 and and CC 19261 2665 19 will will MD 19261 2665 20 trail trail VB 19261 2665 21 harmlessly harmlessly RB 19261 2665 22 . . . 19261 2666 1 To to TO 19261 2666 2 permit permit VB 19261 2666 3 this this DT 19261 2666 4 version version NN 19261 2666 5 the the DT 19261 2666 6 rotation rotation NN 19261 2666 7 forceps forceps NNS 19261 2666 8 are be VBP 19261 2666 9 used use VBN 19261 2666 10 as as IN 19261 2666 11 at at IN 19261 2666 12 H. H. NNP 19261 2666 13 On on IN 19261 2666 14 this this DT 19261 2666 15 principle principle JJ 19261 2666 16 flat flat JJ 19261 2666 17 foreign foreign JJ 19261 2666 18 bodies body NNS 19261 2666 19 with with IN 19261 2666 20 jagged jagged JJ 19261 2666 21 or or CC 19261 2666 22 rough rough JJ 19261 2666 23 parts part NNS 19261 2666 24 are be VBP 19261 2666 25 so so RB 19261 2666 26 turned turn VBN 19261 2666 27 that that IN 19261 2666 28 the the DT 19261 2666 29 potentially potentially RB 19261 2666 30 traumatizing traumatize VBG 19261 2666 31 parts part NNS 19261 2666 32 trail trail NN 19261 2666 33 during during IN 19261 2666 34 withdrawal withdrawal NN 19261 2666 35 . . . 19261 2666 36 ] ] -RRB- 19261 2667 1 The the DT 19261 2667 2 extraction extraction NN 19261 2667 3 of of IN 19261 2667 4 broad broad JJ 19261 2667 5 , , , 19261 2667 6 flat flat JJ 19261 2667 7 foreign foreign JJ 19261 2667 8 bodies body NNS 19261 2667 9 having have VBG 19261 2667 10 a a DT 19261 2667 11 sharp sharp JJ 19261 2667 12 point point NN 19261 2667 13 or or CC 19261 2667 14 a a DT 19261 2667 15 rough rough JJ 19261 2667 16 place place NN 19261 2667 17 on on IN 19261 2667 18 part part NN 19261 2667 19 of of IN 19261 2667 20 their -PRON- PRP$ 19261 2667 21 periphery periphery NN 19261 2667 22 is be VBZ 19261 2667 23 best well RBS 19261 2667 24 accomplished accomplish VBN 19261 2667 25 by by IN 19261 2667 26 the the DT 19261 2667 27 method method NN 19261 2667 28 of of IN 19261 2667 29 rotation rotation NN 19261 2667 30 as as IN 19261 2667 31 shown show VBN 19261 2667 32 in in IN 19261 2667 33 Fig Fig NNP 19261 2667 34 . . . 19261 2668 1 93 93 CD 19261 2668 2 . . . 19261 2669 1 _ _ NNP 19261 2669 2 Extraction Extraction NNP 19261 2669 3 of of IN 19261 2669 4 Open Open NNP 19261 2669 5 Safety safety NN 19261 2669 6 - - HYPH 19261 2669 7 pins pin NNS 19261 2669 8 from from IN 19261 2669 9 the the DT 19261 2669 10 Esophagus_.--An Esophagus_.--An NNP 19261 2669 11 open open JJ 19261 2669 12 safety safety NN 19261 2669 13 pin pin NN 19261 2669 14 with with IN 19261 2669 15 the the DT 19261 2669 16 point point NN 19261 2669 17 down down RB 19261 2669 18 offers offer VBZ 19261 2669 19 no no DT 19261 2669 20 particular particular JJ 19261 2669 21 mechanical mechanical JJ 19261 2669 22 difficulty difficulty NN 19261 2669 23 in in IN 19261 2669 24 removal removal NN 19261 2669 25 . . . 19261 2670 1 Great great JJ 19261 2670 2 care care NN 19261 2670 3 must must MD 19261 2670 4 be be VB 19261 2670 5 exercised exercise VBN 19261 2670 6 , , , 19261 2670 7 however however RB 19261 2670 8 , , , 19261 2670 9 that that IN 19261 2670 10 it -PRON- PRP 19261 2670 11 be be VB 19261 2670 12 not not RB 19261 2670 13 overridden overridden JJ 19261 2670 14 or or CC 19261 2670 15 pushed push VBN 19261 2670 16 upon upon IN 19261 2670 17 , , , 19261 2670 18 as as IN 19261 2670 19 either either DT 19261 2670 20 accident accident NN 19261 2670 21 might may MD 19261 2670 22 result result VB 19261 2670 23 in in IN 19261 2670 24 perforation perforation NN 19261 2670 25 of of IN 19261 2670 26 the the DT 19261 2670 27 esophagus esophagus NN 19261 2670 28 by by IN 19261 2670 29 the the DT 19261 2670 30 pin pin NN 19261 2670 31 point point NN 19261 2670 32 . . . 19261 2671 1 The the DT 19261 2671 2 coiled coiled JJ 19261 2671 3 spring spring NN 19261 2671 4 is be VBZ 19261 2671 5 to to TO 19261 2671 6 be be VB 19261 2671 7 sought seek VBN 19261 2671 8 , , , 19261 2671 9 and and CC 19261 2671 10 when when WRB 19261 2671 11 found find VBN 19261 2671 12 , , , 19261 2671 13 seized seize VBN 19261 2671 14 with with IN 19261 2671 15 the the DT 19261 2671 16 rotation rotation NN 19261 2671 17 forceps forceps NNP 19261 2671 18 and and CC 19261 2671 19 the the DT 19261 2671 20 pin pin NN 19261 2671 21 thus thus RB 19261 2671 22 drawn draw VBD 19261 2671 23 into into IN 19261 2671 24 the the DT 19261 2671 25 esophagoscope esophagoscope NN 19261 2671 26 to to TO 19261 2671 27 effect effect VB 19261 2671 28 closure closure NN 19261 2671 29 . . . 19261 2672 1 An an DT 19261 2672 2 open open JJ 19261 2672 3 safety safety NN 19261 2672 4 - - HYPH 19261 2672 5 pin pin NN 19261 2672 6 lodged lodge VBN 19261 2672 7 point point VBP 19261 2672 8 upward upward RB 19261 2672 9 in in IN 19261 2672 10 the the DT 19261 2672 11 esophagus esophagus NN 19261 2672 12 is be VBZ 19261 2672 13 one one CD 19261 2672 14 of of IN 19261 2672 15 the the DT 19261 2672 16 most most RBS 19261 2672 17 difficult difficult JJ 19261 2672 18 and and CC 19261 2672 19 dangerous dangerous JJ 19261 2672 20 problems problem NNS 19261 2672 21 . . . 19261 2673 1 A a DT 19261 2673 2 roentgenogram roentgenogram NN 19261 2673 3 should should MD 19261 2673 4 always always RB 19261 2673 5 be be VB 19261 2673 6 made make VBN 19261 2673 7 in in IN 19261 2673 8 the the DT 19261 2673 9 plane plane NN 19261 2673 10 showing show VBG 19261 2673 11 the the DT 19261 2673 12 widest wide JJS 19261 2673 13 spread spread NN 19261 2673 14 of of IN 19261 2673 15 the the DT 19261 2673 16 pin pin NN 19261 2673 17 . . . 19261 2674 1 It -PRON- PRP 19261 2674 2 is be VBZ 19261 2674 3 to to TO 19261 2674 4 be be VB 19261 2674 5 remembered remember VBN 19261 2674 6 that that IN 19261 2674 7 the the DT 19261 2674 8 endoscopist endoscopist NN 19261 2674 9 can can MD 19261 2674 10 see see VB 19261 2674 11 but but CC 19261 2674 12 one one CD 19261 2674 13 portion portion NN 19261 2674 14 of of IN 19261 2674 15 the the DT 19261 2674 16 pin pin NN 19261 2674 17 at at IN 19261 2674 18 a a DT 19261 2674 19 time time NN 19261 2674 20 ( ( -LRB- 19261 2674 21 except except IN 19261 2674 22 in in IN 19261 2674 23 cases case NNS 19261 2674 24 of of IN 19261 2674 25 very very RB 19261 2674 26 small small JJ 19261 2674 27 safety safety NN 19261 2674 28 - - HYPH 19261 2674 29 pins pin NNS 19261 2674 30 ) ) -RRB- 19261 2674 31 and and CC 19261 2674 32 that that IN 19261 2674 33 if if IN 19261 2674 34 he -PRON- PRP 19261 2674 35 grasps grasp VBZ 19261 2674 36 the the DT 19261 2674 37 part part NN 19261 2674 38 first first RB 19261 2674 39 showing showing NN 19261 2674 40 , , , 19261 2674 41 which which WDT 19261 2674 42 is be VBZ 19261 2674 43 almost almost RB 19261 2674 44 invariably invariably RB 19261 2674 45 the the DT 19261 2674 46 keeper keeper NN 19261 2674 47 , , , 19261 2674 48 fatal fatal JJ 19261 2674 49 trauma trauma NN 19261 2674 50 will will MD 19261 2674 51 surely surely RB 19261 2674 52 be be VB 19261 2674 53 inflicted inflict VBN 19261 2674 54 when when WRB 19261 2674 55 traction traction NN 19261 2674 56 is be VBZ 19261 2674 57 made make VBN 19261 2674 58 . . . 19261 2675 1 It -PRON- PRP 19261 2675 2 may may MD 19261 2675 3 be be VB 19261 2675 4 best good JJS 19261 2675 5 to to TO 19261 2675 6 close close VB 19261 2675 7 the the DT 19261 2675 8 safety safety NN 19261 2675 9 pin pin NN 19261 2675 10 with with IN 19261 2675 11 the the DT 19261 2675 12 safety safety NN 19261 2675 13 - - HYPH 19261 2675 14 pin pin NN 19261 2675 15 closer close RBR 19261 2675 16 , , , 19261 2675 17 as as IN 19261 2675 18 illustrated illustrate VBN 19261 2675 19 in in IN 19261 2675 20 Fig Fig NNP 19261 2675 21 . . . 19261 2676 1 37 37 CD 19261 2676 2 . . . 19261 2677 1 For for IN 19261 2677 2 this this DT 19261 2677 3 purpose purpose NN 19261 2677 4 Arrowsmith Arrowsmith NNP 19261 2677 5 's 's POS 19261 2677 6 closer close JJR 19261 2677 7 is be VBZ 19261 2677 8 excellent excellent JJ 19261 2677 9 . . . 19261 2678 1 In in IN 19261 2678 2 other other JJ 19261 2678 3 cases case NNS 19261 2678 4 it -PRON- PRP 19261 2678 5 may may MD 19261 2678 6 prove prove VB 19261 2678 7 best good JJS 19261 2678 8 to to TO 19261 2678 9 disengage disengage VB 19261 2678 10 the the DT 19261 2678 11 point point NN 19261 2678 12 of of IN 19261 2678 13 the the DT 19261 2678 14 pin pin NN 19261 2678 15 and and CC 19261 2678 16 to to TO 19261 2678 17 bring bring VB 19261 2678 18 the the DT 19261 2678 19 pointed pointed JJ 19261 2678 20 shaft shaft NN 19261 2678 21 into into IN 19261 2678 22 the the DT 19261 2678 23 esophagoscope esophagoscope NN 19261 2678 24 with with IN 19261 2678 25 the the DT 19261 2678 26 Tucker Tucker NNP 19261 2678 27 forceps forceps NNPS 19261 2678 28 and and CC 19261 2678 29 withdraw withdraw VBP 19261 2678 30 the the DT 19261 2678 31 pin pin NNP 19261 2678 32 , , , 19261 2678 33 forceps forceps NNP 19261 2678 34 , , , 19261 2678 35 and and CC 19261 2678 36 esophagoscope esophagoscope VB 19261 2678 37 , , , 19261 2678 38 with with IN 19261 2678 39 the the DT 19261 2678 40 keeper keeper NN 19261 2678 41 and and CC 19261 2678 42 its -PRON- PRP$ 19261 2678 43 shaft shaft NN 19261 2678 44 sliding slide VBG 19261 2678 45 alongside alongside IN 19261 2678 46 the the DT 19261 2678 47 tube tube NN 19261 2678 48 . . . 19261 2679 1 The the DT 19261 2679 2 rounded rounded JJ 19261 2679 3 end end NN 19261 2679 4 of of IN 19261 2679 5 the the DT 19261 2679 6 keeper keeper NN 19261 2679 7 lying lie VBG 19261 2679 8 outside outside IN 19261 2679 9 the the DT 19261 2679 10 tube tube NN 19261 2679 11 allows allow VBZ 19261 2679 12 it -PRON- PRP 19261 2679 13 to to TO 19261 2679 14 slip slip VB 19261 2679 15 along along IN 19261 2679 16 the the DT 19261 2679 17 esophageal esophageal JJ 19261 2679 18 walls wall NNS 19261 2679 19 during during IN 19261 2679 20 withdrawal withdrawal NN 19261 2679 21 without without IN 19261 2679 22 inflicting inflict VBG 19261 2679 23 trauma trauma NN 19261 2679 24 ; ; : 19261 2679 25 however however RB 19261 2679 26 , , , 19261 2679 27 should should MD 19261 2679 28 resistance resistance NN 19261 2679 29 be be VB 19261 2679 30 felt feel VBN 19261 2679 31 , , , 19261 2679 32 withdrawal withdrawal NN 19261 2679 33 must must MD 19261 2679 34 immediately immediately RB 19261 2679 35 cease cease VB 19261 2679 36 and and CC 19261 2679 37 the the DT 19261 2679 38 pin pin NN 19261 2679 39 must must MD 19261 2679 40 be be VB 19261 2679 41 rotated rotate VBN 19261 2679 42 into into IN 19261 2679 43 a a DT 19261 2679 44 different different JJ 19261 2679 45 plane plane NN 19261 2679 46 to to TO 19261 2679 47 release release VB 19261 2679 48 the the DT 19261 2679 49 keeper keeper NN 19261 2679 50 from from IN 19261 2679 51 the the DT 19261 2679 52 fold fold NN 19261 2679 53 in in IN 19261 2679 54 which which WDT 19261 2679 55 it -PRON- PRP 19261 2679 56 has have VBZ 19261 2679 57 probably probably RB 19261 2679 58 caught catch VBN 19261 2679 59 . . . 19261 2680 1 The the DT 19261 2680 2 sense sense NN 19261 2680 3 of of IN 19261 2680 4 touch touch NN 19261 2680 5 will will MD 19261 2680 6 aid aid VB 19261 2680 7 the the DT 19261 2680 8 sense sense NN 19261 2680 9 of of IN 19261 2680 10 sight sight NN 19261 2680 11 in in IN 19261 2680 12 the the DT 19261 2680 13 execution execution NN 19261 2680 14 of of IN 19261 2680 15 this this DT 19261 2680 16 maneuver maneuver NN 19261 2680 17 ( ( -LRB- 19261 2680 18 Fig fig NN 19261 2680 19 . . . 19261 2681 1 87 87 CD 19261 2681 2 ) ) -RRB- 19261 2681 3 . . . 19261 2682 1 When when WRB 19261 2682 2 the the DT 19261 2682 3 pin pin NN 19261 2682 4 reaches reach VBZ 19261 2682 5 the the DT 19261 2682 6 cricopharyngeal cricopharyngeal NN 19261 2682 7 level level NN 19261 2682 8 the the DT 19261 2682 9 esophagoscope esophagoscope NN 19261 2682 10 , , , 19261 2682 11 forceps forceps NNP 19261 2682 12 , , , 19261 2682 13 and and CC 19261 2682 14 pin pin NN 19261 2682 15 should should MD 19261 2682 16 be be VB 19261 2682 17 turned turn VBN 19261 2682 18 so so IN 19261 2682 19 that that IN 19261 2682 20 the the DT 19261 2682 21 keeper keeper NN 19261 2682 22 will will MD 19261 2682 23 be be VB 19261 2682 24 to to IN 19261 2682 25 the the DT 19261 2682 26 right right NN 19261 2682 27 , , , 19261 2682 28 not not RB 19261 2682 29 so so RB 19261 2682 30 much much RB 19261 2682 31 because because IN 19261 2682 32 of of IN 19261 2682 33 the the DT 19261 2682 34 cricopharyngeal cricopharyngeal JJ 19261 2682 35 muscle muscle NN 19261 2682 36 as as IN 19261 2682 37 to to TO 19261 2682 38 escape escape VB 19261 2682 39 the the DT 19261 2682 40 posteriorly posteriorly RB 19261 2682 41 protuberant protuberant JJ 19261 2682 42 cricoid cricoid NN 19261 2682 43 cartilage cartilage NN 19261 2682 44 . . . 19261 2683 1 In in IN 19261 2683 2 certain certain JJ 19261 2683 3 cases case NNS 19261 2683 4 in in IN 19261 2683 5 which which WDT 19261 2683 6 it -PRON- PRP 19261 2683 7 is be VBZ 19261 2683 8 found find VBN 19261 2683 9 that that IN 19261 2683 10 the the DT 19261 2683 11 pointed pointed JJ 19261 2683 12 shaft shaft NN 19261 2683 13 of of IN 19261 2683 14 a a DT 19261 2683 15 small small JJ 19261 2683 16 safety safety NN 19261 2683 17 pin pin NN 19261 2683 18 has have VBZ 19261 2683 19 penetrated penetrate VBN 19261 2683 20 the the DT 19261 2683 21 esophageal esophageal JJ 19261 2683 22 wall wall NN 19261 2683 23 , , , 19261 2683 24 the the DT 19261 2683 25 pin pin NN 19261 2683 26 has have VBZ 19261 2683 27 been be VBN 19261 2683 28 successfully successfully RB 19261 2683 29 removed remove VBN 19261 2683 30 by by IN 19261 2683 31 working work VBG 19261 2683 32 the the DT 19261 2683 33 keeper keeper NN 19261 2683 34 into into IN 19261 2683 35 the the DT 19261 2683 36 tube tube NN 19261 2683 37 mouth mouth NN 19261 2683 38 , , , 19261 2683 39 grasping grasp VBG 19261 2683 40 the the DT 19261 2683 41 keeper keeper NN 19261 2683 42 with with IN 19261 2683 43 the the DT 19261 2683 44 rotation rotation NN 19261 2683 45 forceps forceps NNS 19261 2683 46 or or CC 19261 2683 47 side side NN 19261 2683 48 - - HYPH 19261 2683 49 curved curve VBN 19261 2683 50 forceps forceps NNS 19261 2683 51 , , , 19261 2683 52 and and CC 19261 2683 53 pulling pull VBG 19261 2683 54 the the DT 19261 2683 55 whole whole JJ 19261 2683 56 pin pin NN 19261 2683 57 into into IN 19261 2683 58 the the DT 19261 2683 59 tube tube NN 19261 2683 60 by by IN 19261 2683 61 straightening straighten VBG 19261 2683 62 it -PRON- PRP 19261 2683 63 . . . 19261 2684 1 This this DT 19261 2684 2 , , , 19261 2684 3 however however RB 19261 2684 4 , , , 19261 2684 5 is be VBZ 19261 2684 6 a a DT 19261 2684 7 dangerous dangerous JJ 19261 2684 8 method method NN 19261 2684 9 and and CC 19261 2684 10 applicable applicable JJ 19261 2684 11 in in IN 19261 2684 12 but but CC 19261 2684 13 few few JJ 19261 2684 14 cases case NNS 19261 2684 15 . . . 19261 2685 1 It -PRON- PRP 19261 2685 2 is be VBZ 19261 2685 3 better well JJR 19261 2685 4 to to TO 19261 2685 5 disengage disengage VB 19261 2685 6 the the DT 19261 2685 7 point point NN 19261 2685 8 by by IN 19261 2685 9 downward downward JJ 19261 2685 10 and and CC 19261 2685 11 inward inward JJ 19261 2685 12 rotation rotation NN 19261 2685 13 with with IN 19261 2685 14 the the DT 19261 2685 15 Tucker Tucker NNP 19261 2685 16 forceps forceps NNS 19261 2685 17 . . . 19261 2686 1 _ _ NNP 19261 2686 2 Version Version NNP 19261 2686 3 of of IN 19261 2686 4 a a DT 19261 2686 5 Safety Safety NNP 19261 2686 6 Pin_.--A Pin_.--A NNP 19261 2686 7 safety safety NN 19261 2686 8 pin pin NN 19261 2686 9 of of IN 19261 2686 10 very very RB 19261 2686 11 small small JJ 19261 2686 12 size size NN 19261 2686 13 may may MD 19261 2686 14 be be VB 19261 2686 15 turned turn VBN 19261 2686 16 over over RP 19261 2686 17 in in IN 19261 2686 18 a a DT 19261 2686 19 direction direction NN 19261 2686 20 that that WDT 19261 2686 21 will will MD 19261 2686 22 cause cause VB 19261 2686 23 the the DT 19261 2686 24 point point NN 19261 2686 25 to to TO 19261 2686 26 trail trail VB 19261 2686 27 . . . 19261 2687 1 An an DT 19261 2687 2 advancing advance VBG 19261 2687 3 point point NN 19261 2687 4 will will MD 19261 2687 5 puncture puncture VB 19261 2687 6 . . . 19261 2688 1 This this DT 19261 2688 2 is be VBZ 19261 2688 3 a a DT 19261 2688 4 dangerous dangerous JJ 19261 2688 5 procedure procedure NN 19261 2688 6 with with IN 19261 2688 7 a a DT 19261 2688 8 large large JJ 19261 2688 9 safety safety NN 19261 2688 10 pin pin NN 19261 2688 11 . . . 19261 2689 1 _ _ NNP 19261 2689 2 Endogastric Endogastric NNP 19261 2689 3 Version_.--A Version_.--A NNP 19261 2689 4 very very RB 19261 2689 5 useful useful JJ 19261 2689 6 and and CC 19261 2689 7 comparatively comparatively RB 19261 2689 8 safe safe JJ 19261 2689 9 method method NN 19261 2689 10 is be VBZ 19261 2689 11 illustrated illustrate VBN 19261 2689 12 in in IN 19261 2689 13 Figs Figs NNP 19261 2689 14 . . . 19261 2690 1 94 94 CD 19261 2690 2 and and CC 19261 2690 3 95 95 CD 19261 2690 4 . . . 19261 2691 1 In in IN 19261 2691 2 the the DT 19261 2691 3 execution execution NN 19261 2691 4 of of IN 19261 2691 5 this this DT 19261 2691 6 maneuver maneuver NN 19261 2691 7 the the DT 19261 2691 8 pin pin NN 19261 2691 9 is be VBZ 19261 2691 10 seized seize VBN 19261 2691 11 by by IN 19261 2691 12 the the DT 19261 2691 13 spring spring NN 19261 2691 14 with with IN 19261 2691 15 a a DT 19261 2691 16 rotation rotation NN 19261 2691 17 forceps forceps NNS 19261 2691 18 , , , 19261 2691 19 and and CC 19261 2691 20 thus thus RB 19261 2691 21 passed pass VBD 19261 2691 22 along along RP 19261 2691 23 with with IN 19261 2691 24 the the DT 19261 2691 25 esophagoscope esophagoscope NN 19261 2691 26 into into IN 19261 2691 27 the the DT 19261 2691 28 stomach stomach NN 19261 2691 29 where where WRB 19261 2691 30 it -PRON- PRP 19261 2691 31 is be VBZ 19261 2691 32 rotated rotate VBN 19261 2691 33 so so IN 19261 2691 34 that that IN 19261 2691 35 the the DT 19261 2691 36 spring spring NN 19261 2691 37 is be VBZ 19261 2691 38 uppermost uppermost JJ 19261 2691 39 . . . 19261 2692 1 It -PRON- PRP 19261 2692 2 can can MD 19261 2692 3 then then RB 19261 2692 4 be be VB 19261 2692 5 drawn draw VBN 19261 2692 6 into into IN 19261 2692 7 the the DT 19261 2692 8 tube tube NN 19261 2692 9 mouth mouth NN 19261 2692 10 so so IN 19261 2692 11 as as IN 19261 2692 12 to to TO 19261 2692 13 protect protect VB 19261 2692 14 the the DT 19261 2692 15 tissues tissue NNS 19261 2692 16 during during IN 19261 2692 17 withdrawal withdrawal NN 19261 2692 18 of of IN 19261 2692 19 the the DT 19261 2692 20 pin pin NNP 19261 2692 21 , , , 19261 2692 22 forceps forceps NNP 19261 2692 23 , , , 19261 2692 24 and and CC 19261 2692 25 esophagoscope esophagoscope VB 19261 2692 26 as as IN 19261 2692 27 one one CD 19261 2692 28 piece piece NN 19261 2692 29 . . . 19261 2693 1 Only only RB 19261 2693 2 very very RB 19261 2693 3 small small JJ 19261 2693 4 safety safety NN 19261 2693 5 - - HYPH 19261 2693 6 pins pin NNS 19261 2693 7 can can MD 19261 2693 8 be be VB 19261 2693 9 withdrawn withdraw VBN 19261 2693 10 through through IN 19261 2693 11 the the DT 19261 2693 12 esophagoscope esophagoscope NN 19261 2693 13 . . . 19261 2694 1 _ _ NNP 19261 2694 2 Spatula Spatula NNP 19261 2694 3 - - HYPH 19261 2694 4 protected protect VBN 19261 2694 5 Method_.--Safety Method_.--Safety NNP 19261 2694 6 - - HYPH 19261 2694 7 pins pin NNS 19261 2694 8 in in IN 19261 2694 9 children child NNS 19261 2694 10 , , , 19261 2694 11 point point VB 19261 2694 12 upward upward RB 19261 2694 13 , , , 19261 2694 14 when when WRB 19261 2694 15 lodged lodge VBN 19261 2694 16 high high RB 19261 2694 17 in in IN 19261 2694 18 the the DT 19261 2694 19 cervical cervical JJ 19261 2694 20 esophagus esophagus NN 19261 2694 21 may may MD 19261 2694 22 be be VB 19261 2694 23 readily readily RB 19261 2694 24 removed remove VBN 19261 2694 25 with with IN 19261 2694 26 the the DT 19261 2694 27 aid aid NN 19261 2694 28 of of IN 19261 2694 29 the the DT 19261 2694 30 laryngoscope laryngoscope NN 19261 2694 31 , , , 19261 2694 32 or or CC 19261 2694 33 esophageal esophageal JJ 19261 2694 34 speculum speculum NN 19261 2694 35 . . . 19261 2695 1 The the DT 19261 2695 2 keeper keeper NN 19261 2695 3 end end NN 19261 2695 4 is be VBZ 19261 2695 5 grasped grasp VBN 19261 2695 6 with with IN 19261 2695 7 the the DT 19261 2695 8 alligator alligator NN 19261 2695 9 forceps forceps NNS 19261 2695 10 , , , 19261 2695 11 while while IN 19261 2695 12 the the DT 19261 2695 13 spatular spatular JJ 19261 2695 14 tip tip NN 19261 2695 15 of of IN 19261 2695 16 the the DT 19261 2695 17 laryngoscope laryngoscope NN 19261 2695 18 is be VBZ 19261 2695 19 worked work VBN 19261 2695 20 under under IN 19261 2695 21 the the DT 19261 2695 22 point point NN 19261 2695 23 . . . 19261 2696 1 Instruments instrument NNS 19261 2696 2 and and CC 19261 2696 3 foreign foreign JJ 19261 2696 4 body body NN 19261 2696 5 are be VBP 19261 2696 6 then then RB 19261 2696 7 removed remove VBN 19261 2696 8 together together RB 19261 2696 9 . . . 19261 2697 1 Often often RB 19261 2697 2 the the DT 19261 2697 3 pin pin NN 19261 2697 4 point point NN 19261 2697 5 will will MD 19261 2697 6 catch catch VB 19261 2697 7 in in IN 19261 2697 8 the the DT 19261 2697 9 light light JJ 19261 2697 10 - - HYPH 19261 2697 11 chamber chamber NN 19261 2697 12 where where WRB 19261 2697 13 it -PRON- PRP 19261 2697 14 is be VBZ 19261 2697 15 very very RB 19261 2697 16 safely safely RB 19261 2697 17 lodged lodge VBN 19261 2697 18 . . . 19261 2698 1 If if IN 19261 2698 2 the the DT 19261 2698 3 pin pin NN 19261 2698 4 be be VBP 19261 2698 5 then then RB 19261 2698 6 pulled pull VBN 19261 2698 7 upon upon IN 19261 2698 8 it -PRON- PRP 19261 2698 9 will will MD 19261 2698 10 straighten straighten VB 19261 2698 11 out out RP 19261 2698 12 and and CC 19261 2698 13 may may MD 19261 2698 14 be be VB 19261 2698 15 withdrawn withdraw VBN 19261 2698 16 through through IN 19261 2698 17 the the DT 19261 2698 18 tube tube NN 19261 2698 19 . . . 19261 2699 1 [ [ -LRB- 19261 2699 2 FIG FIG NNP 19261 2699 3 . . . 19261 2700 1 94.--Endogastric 94.--endogastric CD 19261 2700 2 version version NN 19261 2700 3 . . . 19261 2701 1 One one CD 19261 2701 2 of of IN 19261 2701 3 the the DT 19261 2701 4 author author NN 19261 2701 5 's 's POS 19261 2701 6 methods method NNS 19261 2701 7 of of IN 19261 2701 8 removal removal NN 19261 2701 9 of of IN 19261 2701 10 upward upward RB 19261 2701 11 pointed point VBD 19261 2701 12 esophageally esophageally RB 19261 2701 13 lodged lodge VBD 19261 2701 14 open open JJ 19261 2701 15 safety safety NN 19261 2701 16 - - HYPH 19261 2701 17 pins pin NNS 19261 2701 18 by by IN 19261 2701 19 passing pass VBG 19261 2701 20 them -PRON- PRP 19261 2701 21 into into IN 19261 2701 22 stomach stomach NN 19261 2701 23 , , , 19261 2701 24 where where WRB 19261 2701 25 they -PRON- PRP 19261 2701 26 are be VBP 19261 2701 27 turned turn VBN 19261 2701 28 and and CC 19261 2701 29 removed remove VBN 19261 2701 30 . . . 19261 2702 1 The the DT 19261 2702 2 first first JJ 19261 2702 3 illustration illustration NN 19261 2702 4 ( ( -LRB- 19261 2702 5 A a NN 19261 2702 6 ) ) -RRB- 19261 2702 7 shows show VBZ 19261 2702 8 the the DT 19261 2702 9 rotation rotation NN 19261 2702 10 forceps forcep VBN 19261 2702 11 before before IN 19261 2702 12 seizing seize VBG 19261 2702 13 pin pin NN 19261 2702 14 by by IN 19261 2702 15 the the DT 19261 2702 16 ring ring NN 19261 2702 17 of of IN 19261 2702 18 the the DT 19261 2702 19 spring spring NN 19261 2702 20 end end NN 19261 2702 21 . . . 19261 2703 1 ( ( -LRB- 19261 2703 2 Forceps Forceps NNP 19261 2703 3 jaws jaw NNS 19261 2703 4 are be VBP 19261 2703 5 shown show VBN 19261 2703 6 opening opening NN 19261 2703 7 in in IN 19261 2703 8 the the DT 19261 2703 9 wrong wrong JJ 19261 2703 10 diameter diameter NN 19261 2703 11 . . . 19261 2703 12 ) ) -RRB- 19261 2704 1 At at IN 19261 2704 2 B B NNP 19261 2704 3 is be VBZ 19261 2704 4 shown show VBN 19261 2704 5 the the DT 19261 2704 6 pin pin NN 19261 2704 7 seized seize VBN 19261 2704 8 in in IN 19261 2704 9 the the DT 19261 2704 10 ring ring NN 19261 2704 11 by by IN 19261 2704 12 the the DT 19261 2704 13 points point NNS 19261 2704 14 of of IN 19261 2704 15 the the DT 19261 2704 16 forceps forceps NNPS 19261 2704 17 . . . 19261 2705 1 At at IN 19261 2705 2 C C NNP 19261 2705 3 is be VBZ 19261 2705 4 shown show VBN 19261 2705 5 the the DT 19261 2705 6 pin pin NN 19261 2705 7 carried carry VBN 19261 2705 8 into into IN 19261 2705 9 the the DT 19261 2705 10 stomach stomach NN 19261 2705 11 and and CC 19261 2705 12 about about IN 19261 2705 13 to to TO 19261 2705 14 be be VB 19261 2705 15 rotated rotate VBN 19261 2705 16 by by IN 19261 2705 17 withdrawal withdrawal NN 19261 2705 18 . . . 19261 2706 1 D D NNP 19261 2706 2 , , , 19261 2706 3 the the DT 19261 2706 4 withdrawal withdrawal NN 19261 2706 5 of of IN 19261 2706 6 the the DT 19261 2706 7 pin pin NN 19261 2706 8 into into IN 19261 2706 9 the the DT 19261 2706 10 esophagoscope esophagoscope NN 19261 2706 11 which which WDT 19261 2706 12 will will MD 19261 2706 13 thereby thereby RB 19261 2706 14 close close VB 19261 2706 15 it -PRON- PRP 19261 2706 16 . . . 19261 2707 1 If if IN 19261 2707 2 withdrawn withdraw VBN 19261 2707 3 by by IN 19261 2707 4 flat flat JJ 19261 2707 5 - - HYPH 19261 2707 6 jawed jawed JJ 19261 2707 7 forceps forceps NNS 19261 2707 8 as as IN 19261 2707 9 at at IN 19261 2707 10 F F NNP 19261 2707 11 , , , 19261 2707 12 the the DT 19261 2707 13 esophageal esophageal JJ 19261 2707 14 wall wall NN 19261 2707 15 would would MD 19261 2707 16 be be VB 19261 2707 17 fatally fatally RB 19261 2707 18 lacerated lacerate VBN 19261 2707 19 . . . 19261 2707 20 ] ] -RRB- 19261 2708 1 _ _ NNP 19261 2708 2 Double double JJ 19261 2708 3 pointed pointed JJ 19261 2708 4 tacks tack NNS 19261 2708 5 and and CC 19261 2708 6 staples staple NNS 19261 2708 7 _ _ NNP 19261 2708 8 , , , 19261 2708 9 when when WRB 19261 2708 10 lodged lodge VBN 19261 2708 11 point point VBP 19261 2708 12 upward upward RB 19261 2708 13 , , , 19261 2708 14 must must MD 19261 2708 15 be be VB 19261 2708 16 turned turn VBN 19261 2708 17 so so IN 19261 2708 18 that that IN 19261 2708 19 the the DT 19261 2708 20 points point NNS 19261 2708 21 trail trail VBP 19261 2708 22 on on IN 19261 2708 23 removal removal NN 19261 2708 24 . . . 19261 2709 1 This this DT 19261 2709 2 may may MD 19261 2709 3 be be VB 19261 2709 4 done do VBN 19261 2709 5 by by IN 19261 2709 6 carrying carry VBG 19261 2709 7 them -PRON- PRP 19261 2709 8 into into IN 19261 2709 9 the the DT 19261 2709 10 stomach stomach NN 19261 2709 11 and and CC 19261 2709 12 turning turn VBG 19261 2709 13 them -PRON- PRP 19261 2709 14 , , , 19261 2709 15 as as IN 19261 2709 16 described describe VBN 19261 2709 17 under under IN 19261 2709 18 safety safety NN 19261 2709 19 - - HYPH 19261 2709 20 pins pin NNS 19261 2709 21 . . . 19261 2710 1 _ _ NNP 19261 2710 2 The the DT 19261 2710 3 extraction extraction NN 19261 2710 4 of of IN 19261 2710 5 foreign foreign JJ 19261 2710 6 bodies body NNS 19261 2710 7 of of IN 19261 2710 8 very very RB 19261 2710 9 large large JJ 19261 2710 10 size size NN 19261 2710 11 _ _ NNP 19261 2710 12 from from IN 19261 2710 13 the the DT 19261 2710 14 esophagus esophagus NN 19261 2710 15 is be VBZ 19261 2710 16 greatly greatly RB 19261 2710 17 facilitated facilitate VBN 19261 2710 18 by by IN 19261 2710 19 the the DT 19261 2710 20 use use NN 19261 2710 21 of of IN 19261 2710 22 general general JJ 19261 2710 23 anesthesia anesthesia NNP 19261 2710 24 , , , 19261 2710 25 which which WDT 19261 2710 26 relaxes relax VBZ 19261 2710 27 the the DT 19261 2710 28 spasmodic spasmodic JJ 19261 2710 29 contractions contraction NNS 19261 2710 30 of of IN 19261 2710 31 the the DT 19261 2710 32 esophagus esophagus NN 19261 2710 33 often often RB 19261 2710 34 occurring occur VBG 19261 2710 35 when when WRB 19261 2710 36 attempt attempt NN 19261 2710 37 is be VBZ 19261 2710 38 made make VBN 19261 2710 39 to to TO 19261 2710 40 withdraw withdraw VB 19261 2710 41 the the DT 19261 2710 42 foreign foreign JJ 19261 2710 43 body body NN 19261 2710 44 . . . 19261 2711 1 General General NNP 19261 2711 2 anesthesia anesthesia NNP 19261 2711 3 , , , 19261 2711 4 though though IN 19261 2711 5 entirely entirely RB 19261 2711 6 unnecessary unnecessary JJ 19261 2711 7 for for IN 19261 2711 8 introduction introduction NN 19261 2711 9 of of IN 19261 2711 10 the the DT 19261 2711 11 esophagoscope esophagoscope NN 19261 2711 12 , , , 19261 2711 13 in in IN 19261 2711 14 any any DT 19261 2711 15 case case NN 19261 2711 16 may may MD 19261 2711 17 be be VB 19261 2711 18 used use VBN 19261 2711 19 if if IN 19261 2711 20 the the DT 19261 2711 21 body body NN 19261 2711 22 is be VBZ 19261 2711 23 large large JJ 19261 2711 24 , , , 19261 2711 25 sharp sharp JJ 19261 2711 26 , , , 19261 2711 27 and and CC 19261 2711 28 rough rough JJ 19261 2711 29 , , , 19261 2711 30 in in IN 19261 2711 31 order order NN 19261 2711 32 to to TO 19261 2711 33 prevent prevent VB 19261 2711 34 laceration laceration NN 19261 2711 35 through through IN 19261 2711 36 the the DT 19261 2711 37 muscular muscular JJ 19261 2711 38 contractions contraction NNS 19261 2711 39 otherwise otherwise RB 19261 2711 40 incident incident NN 19261 2711 41 to to IN 19261 2711 42 withdrawal withdrawal NN 19261 2711 43 . . . 19261 2712 1 * * NFP 19261 2712 2 In in IN 19261 2712 3 exceptional exceptional JJ 19261 2712 4 cases case NNS 19261 2712 5 it -PRON- PRP 19261 2712 6 may may MD 19261 2712 7 be be VB 19261 2712 8 necessary necessary JJ 19261 2712 9 to to TO 19261 2712 10 comminute comminute VB 19261 2712 11 a a DT 19261 2712 12 large large JJ 19261 2712 13 foreign foreign JJ 19261 2712 14 body body NN 19261 2712 15 such such JJ 19261 2712 16 as as IN 19261 2712 17 a a DT 19261 2712 18 tooth tooth NN 19261 2712 19 plate plate NN 19261 2712 20 . . . 19261 2713 1 A a DT 19261 2713 2 large large JJ 19261 2713 3 smooth smooth JJ 19261 2713 4 foreign foreign JJ 19261 2713 5 body body NN 19261 2713 6 may may MD 19261 2713 7 be be VB 19261 2713 8 difficult difficult JJ 19261 2713 9 to to TO 19261 2713 10 seize seize VB 19261 2713 11 with with IN 19261 2713 12 forceps forceps NNS 19261 2713 13 . . . 19261 2714 1 In in IN 19261 2714 2 this this DT 19261 2714 3 case case NN 19261 2714 4 the the DT 19261 2714 5 mechanical mechanical JJ 19261 2714 6 spoon spoon NN 19261 2714 7 or or CC 19261 2714 8 the the DT 19261 2714 9 author author NN 19261 2714 10 's 's POS 19261 2714 11 safety safety NN 19261 2714 12 - - HYPH 19261 2714 13 pin pin NN 19261 2714 14 closer close RBR 19261 2714 15 may may MD 19261 2714 16 be be VB 19261 2714 17 used use VBN 19261 2714 18 . . . 19261 2715 1 * * NFP 19261 2715 2 It -PRON- PRP 19261 2715 3 must must MD 19261 2715 4 always always RB 19261 2715 5 be be VB 19261 2715 6 remembered remember VBN 19261 2715 7 that that IN 19261 2715 8 large large JJ 19261 2715 9 foreign foreign JJ 19261 2715 10 bodies body NNS 19261 2715 11 are be VBP 19261 2715 12 very very RB 19261 2715 13 prone prone JJ 19261 2715 14 to to TO 19261 2715 15 cause cause VB 19261 2715 16 dyspnea dyspnea RB 19261 2715 17 that that WDT 19261 2715 18 renders render VBZ 19261 2715 19 general general NNP 19261 2715 20 anesthesia anesthesia NNP 19261 2715 21 exceedingly exceedingly RB 19261 2715 22 dangerous dangerous JJ 19261 2715 23 especially especially RB 19261 2715 24 in in IN 19261 2715 25 children child NNS 19261 2715 26 . . . 19261 2716 1 [ [ -LRB- 19261 2716 2 FIG FIG NNP 19261 2716 3 . . . 19261 2717 1 95.--Lateral 95.--lateral CD 19261 2717 2 roentgenogram roentgenogram NN 19261 2717 3 of of IN 19261 2717 4 a a DT 19261 2717 5 safety safety NN 19261 2717 6 - - HYPH 19261 2717 7 pin pin NN 19261 2717 8 in in IN 19261 2717 9 a a DT 19261 2717 10 child child NN 19261 2717 11 aged age VBN 19261 2717 12 11 11 CD 19261 2717 13 months month NNS 19261 2717 14 , , , 19261 2717 15 demonstrating demonstrate VBG 19261 2717 16 the the DT 19261 2717 17 esophageal esophageal JJ 19261 2717 18 location location NN 19261 2717 19 of of IN 19261 2717 20 the the DT 19261 2717 21 pin pin NN 19261 2717 22 in in IN 19261 2717 23 this this DT 19261 2717 24 case case NN 19261 2717 25 and and CC 19261 2717 26 the the DT 19261 2717 27 great great JJ 19261 2717 28 value value NN 19261 2717 29 of of IN 19261 2717 30 the the DT 19261 2717 31 lateral lateral JJ 19261 2717 32 roentgenogram roentgenogram NNP 19261 2717 33 in in IN 19261 2717 34 the the DT 19261 2717 35 localization localization NN 19261 2717 36 of of IN 19261 2717 37 foreign foreign JJ 19261 2717 38 bodies body NNS 19261 2717 39 . . . 19261 2718 1 The the DT 19261 2718 2 pin pin NN 19261 2718 3 was be VBD 19261 2718 4 removed remove VBN 19261 2718 5 by by IN 19261 2718 6 the the DT 19261 2718 7 author author NN 19261 2718 8 's 's POS 19261 2718 9 method method NN 19261 2718 10 of of IN 19261 2718 11 endogastric endogastric JJ 19261 2718 12 version version NN 19261 2718 13 . . . 19261 2719 1 ( ( -LRB- 19261 2719 2 Plate plate NN 19261 2719 3 made make VBN 19261 2719 4 by by IN 19261 2719 5 George George NNP 19261 2719 6 C. C. NNP 19261 2719 7 Johnston Johnston NNP 19261 2719 8 ) ) -RRB- 19261 2719 9 ] ] -RRB- 19261 2719 10 _ _ NNP 19261 2719 11 The the DT 19261 2719 12 extraction extraction NN 19261 2719 13 of of IN 19261 2719 14 meat meat NN 19261 2719 15 and and CC 19261 2719 16 other other JJ 19261 2719 17 foods food NNS 19261 2719 18 from from IN 19261 2719 19 the the DT 19261 2719 20 esophagus esophagus NN 19261 2719 21 _ _ NNP 19261 2719 22 at at IN 19261 2719 23 the the DT 19261 2719 24 level level NN 19261 2719 25 of of IN 19261 2719 26 the the DT 19261 2719 27 upper upper JJ 19261 2719 28 thoracic thoracic NN 19261 2719 29 aperture aperture NN 19261 2719 30 is be VBZ 19261 2719 31 usually usually RB 19261 2719 32 readily readily RB 19261 2719 33 accomplished accomplish VBN 19261 2719 34 with with IN 19261 2719 35 the the DT 19261 2719 36 esophageal esophageal JJ 19261 2719 37 speculum speculum NN 19261 2719 38 and and CC 19261 2719 39 forceps forceps NNS 19261 2719 40 . . . 19261 2720 1 In in IN 19261 2720 2 certain certain JJ 19261 2720 3 cases case NNS 19261 2720 4 the the DT 19261 2720 5 mechanical mechanical JJ 19261 2720 6 spoon spoon NN 19261 2720 7 will will MD 19261 2720 8 be be VB 19261 2720 9 found find VBN 19261 2720 10 useful useful JJ 19261 2720 11 . . . 19261 2721 1 Should Should MD 19261 2721 2 the the DT 19261 2721 3 bolus bolus NN 19261 2721 4 of of IN 19261 2721 5 food food NN 19261 2721 6 be be VB 19261 2721 7 lodged lodge VBN 19261 2721 8 at at IN 19261 2721 9 the the DT 19261 2721 10 lower low JJR 19261 2721 11 level level NN 19261 2721 12 the the DT 19261 2721 13 esophagoscope esophagoscope NN 19261 2721 14 will will MD 19261 2721 15 be be VB 19261 2721 16 required require VBN 19261 2721 17 . . . 19261 2722 1 _ _ NNP 19261 2722 2 Extraction Extraction NNP 19261 2722 3 of of IN 19261 2722 4 Foreign Foreign NNP 19261 2722 5 Bodies Bodies NNPS 19261 2722 6 from from IN 19261 2722 7 the the DT 19261 2722 8 Strictured strictured JJ 19261 2722 9 Esophagus_.--Foreign esophagus_.--foreign JJ 19261 2722 10 bodies body NNS 19261 2722 11 of of IN 19261 2722 12 relatively relatively RB 19261 2722 13 small small JJ 19261 2722 14 size size NN 19261 2722 15 will will MD 19261 2722 16 lodge lodge VB 19261 2722 17 in in IN 19261 2722 18 a a DT 19261 2722 19 strictured strictured JJ 19261 2722 20 esophagus esophagus NN 19261 2722 21 . . . 19261 2723 1 Removal removal NN 19261 2723 2 may may MD 19261 2723 3 be be VB 19261 2723 4 rendered render VBN 19261 2723 5 difficult difficult JJ 19261 2723 6 when when WRB 19261 2723 7 the the DT 19261 2723 8 patient patient NN 19261 2723 9 has have VBZ 19261 2723 10 an an DT 19261 2723 11 upper upper JJ 19261 2723 12 stricture stricture NN 19261 2723 13 relatively relatively RB 19261 2723 14 larger large JJR 19261 2723 15 than than IN 19261 2723 16 the the DT 19261 2723 17 lower low JJR 19261 2723 18 one one CD 19261 2723 19 , , , 19261 2723 20 and and CC 19261 2723 21 the the DT 19261 2723 22 foreign foreign JJ 19261 2723 23 body body NN 19261 2723 24 passing pass VBG 19261 2723 25 the the DT 19261 2723 26 first first JJ 19261 2723 27 one one CD 19261 2723 28 lodges lodge NNS 19261 2723 29 at at IN 19261 2723 30 the the DT 19261 2723 31 second second JJ 19261 2723 32 . . . 19261 2724 1 Still still RB 19261 2724 2 more more RBR 19261 2724 3 difficult difficult JJ 19261 2724 4 is be VBZ 19261 2724 5 the the DT 19261 2724 6 case case NN 19261 2724 7 when when WRB 19261 2724 8 the the DT 19261 2724 9 second second JJ 19261 2724 10 stricture stricture NN 19261 2724 11 is be VBZ 19261 2724 12 considerably considerably RB 19261 2724 13 below below IN 19261 2724 14 the the DT 19261 2724 15 first first JJ 19261 2724 16 , , , 19261 2724 17 and and CC 19261 2724 18 not not RB 19261 2724 19 concentric concentric JJ 19261 2724 20 . . . 19261 2725 1 Under under IN 19261 2725 2 these these DT 19261 2725 3 circumstances circumstance NNS 19261 2725 4 it -PRON- PRP 19261 2725 5 is be VBZ 19261 2725 6 best good JJS 19261 2725 7 to to TO 19261 2725 8 divulse divulse VB 19261 2725 9 the the DT 19261 2725 10 upper upper JJ 19261 2725 11 stricture stricture NN 19261 2725 12 mechanically mechanically RB 19261 2725 13 , , , 19261 2725 14 when when WRB 19261 2725 15 a a DT 19261 2725 16 small small JJ 19261 2725 17 tube tube NN 19261 2725 18 can can MD 19261 2725 19 be be VB 19261 2725 20 inserted insert VBN 19261 2725 21 past past IN 19261 2725 22 the the DT 19261 2725 23 first first JJ 19261 2725 24 stricture stricture NN 19261 2725 25 to to IN 19261 2725 26 the the DT 19261 2725 27 site site NN 19261 2725 28 of of IN 19261 2725 29 lodgement lodgement NN 19261 2725 30 of of IN 19261 2725 31 the the DT 19261 2725 32 foreign foreign JJ 19261 2725 33 body body NN 19261 2725 34 . . . 19261 2726 1 _ _ NNP 19261 2726 2 Prolonged Prolonged NNP 19261 2726 3 sojourn sojourn NN 19261 2726 4 of of IN 19261 2726 5 foreign foreign JJ 19261 2726 6 bodies body NNS 19261 2726 7 in in IN 19261 2726 8 the the DT 19261 2726 9 esophagus esophagus NN 19261 2726 10 _ _ NNP 19261 2726 11 , , , 19261 2726 12 while while IN 19261 2726 13 not not RB 19261 2726 14 so so RB 19261 2726 15 common common JJ 19261 2726 16 as as IN 19261 2726 17 in in IN 19261 2726 18 the the DT 19261 2726 19 bronchi bronchi NN 19261 2726 20 is be VBZ 19261 2726 21 by by IN 19261 2726 22 no no DT 19261 2726 23 means means NN 19261 2726 24 of of IN 19261 2726 25 rare rare JJ 19261 2726 26 occurrence occurrence NN 19261 2726 27 . . . 19261 2727 1 Following follow VBG 19261 2727 2 their -PRON- PRP$ 19261 2727 3 removal removal NN 19261 2727 4 , , , 19261 2727 5 stricture stricture NN 19261 2727 6 of of IN 19261 2727 7 greater great JJR 19261 2727 8 or or CC 19261 2727 9 less less JJR 19261 2727 10 extent extent NN 19261 2727 11 is be VBZ 19261 2727 12 almost almost RB 19261 2727 13 certain certain JJ 19261 2727 14 to to TO 19261 2727 15 follow follow VB 19261 2727 16 from from IN 19261 2727 17 contraction contraction NN 19261 2727 18 of of IN 19261 2727 19 the the DT 19261 2727 20 fibrous fibrous JJ 19261 2727 21 - - HYPH 19261 2727 22 tissue tissue NN 19261 2727 23 produced produce VBN 19261 2727 24 by by IN 19261 2727 25 the the DT 19261 2727 26 foreign foreign JJ 19261 2727 27 body body NN 19261 2727 28 . . . 19261 2728 1 _ _ NNP 19261 2728 2 Fluoroscopic Fluoroscopic NNP 19261 2728 3 esophagoscopy esophagoscopy NN 19261 2728 4 _ _ NNP 19261 2728 5 is be VBZ 19261 2728 6 a a DT 19261 2728 7 questionable questionable JJ 19261 2728 8 procedure procedure NN 19261 2728 9 , , , 19261 2728 10 for for IN 19261 2728 11 the the DT 19261 2728 12 esophagus esophagus NN 19261 2728 13 can can MD 19261 2728 14 be be VB 19261 2728 15 explored explore VBN 19261 2728 16 throughout throughout IN 19261 2728 17 by by IN 19261 2728 18 sight sight NN 19261 2728 19 . . . 19261 2729 1 In in IN 19261 2729 2 cases case NNS 19261 2729 3 in in IN 19261 2729 4 which which WDT 19261 2729 5 it -PRON- PRP 19261 2729 6 is be VBZ 19261 2729 7 suspected suspect VBN 19261 2729 8 that that IN 19261 2729 9 a a DT 19261 2729 10 foreign foreign JJ 19261 2729 11 body body NN 19261 2729 12 , , , 19261 2729 13 such such JJ 19261 2729 14 as as IN 19261 2729 15 pin pin NNP 19261 2729 16 , , , 19261 2729 17 has have VBZ 19261 2729 18 partially partially RB 19261 2729 19 escaped escape VBN 19261 2729 20 from from IN 19261 2729 21 the the DT 19261 2729 22 esophagus esophagus NN 19261 2729 23 , , , 19261 2729 24 the the DT 19261 2729 25 fluoroscope fluoroscope NN 19261 2729 26 may may MD 19261 2729 27 aid aid VB 19261 2729 28 in in IN 19261 2729 29 a a DT 19261 2729 30 detailed detailed JJ 19261 2729 31 search search NN 19261 2729 32 to to TO 19261 2729 33 determine determine VB 19261 2729 34 its -PRON- PRP$ 19261 2729 35 location location NN 19261 2729 36 , , , 19261 2729 37 but but CC 19261 2729 38 under under IN 19261 2729 39 no no DT 19261 2729 40 circumstances circumstance NNS 19261 2729 41 should should MD 19261 2729 42 it -PRON- PRP 19261 2729 43 be be VB 19261 2729 44 the the DT 19261 2729 45 guide guide NN 19261 2729 46 for for IN 19261 2729 47 the the DT 19261 2729 48 application application NN 19261 2729 49 of of IN 19261 2729 50 forceps forceps NNP 19261 2729 51 , , , 19261 2729 52 because because IN 19261 2729 53 the the DT 19261 2729 54 transparent transparent JJ 19261 2729 55 but but CC 19261 2729 56 vital vital JJ 19261 2729 57 tissues tissue NNS 19261 2729 58 are be VBP 19261 2729 59 almost almost RB 19261 2729 60 certain certain JJ 19261 2729 61 to to TO 19261 2729 62 be be VB 19261 2729 63 included include VBN 19261 2729 64 in in IN 19261 2729 65 the the DT 19261 2729 66 grasp grasp NN 19261 2729 67 . . . 19261 2730 1 [ [ -LRB- 19261 2730 2 197 197 CD 19261 2730 3 ] ] -RRB- 19261 2730 4 Complications Complications NNPS 19261 2730 5 and and CC 19261 2730 6 Dangers Dangers NNPS 19261 2730 7 of of IN 19261 2730 8 Esophagoscopy Esophagoscopy NNP 19261 2730 9 for for IN 19261 2730 10 Foreign Foreign NNP 19261 2730 11 Bodies Bodies NNPS 19261 2730 12 . . . 19261 2731 1 Asphyxia asphyxia NN 19261 2731 2 from from IN 19261 2731 3 the the DT 19261 2731 4 pressure pressure NN 19261 2731 5 of of IN 19261 2731 6 the the DT 19261 2731 7 foreign foreign JJ 19261 2731 8 body body NN 19261 2731 9 , , , 19261 2731 10 or or CC 19261 2731 11 the the DT 19261 2731 12 foreign foreign JJ 19261 2731 13 body body NN 19261 2731 14 plus plus CC 19261 2731 15 the the DT 19261 2731 16 esophagoscope esophagoscope NN 19261 2731 17 , , , 19261 2731 18 is be VBZ 19261 2731 19 a a DT 19261 2731 20 possibility possibility NN 19261 2731 21 ( ( -LRB- 19261 2731 22 Fig fig NN 19261 2731 23 . . . 19261 2732 1 91 91 CD 19261 2732 2 ) ) -RRB- 19261 2732 3 . . . 19261 2733 1 Faulty faulty JJ 19261 2733 2 position position NN 19261 2733 3 of of IN 19261 2733 4 the the DT 19261 2733 5 patient patient NN 19261 2733 6 , , , 19261 2733 7 especially especially RB 19261 2733 8 a a DT 19261 2733 9 low low JJ 19261 2733 10 position position NN 19261 2733 11 of of IN 19261 2733 12 the the DT 19261 2733 13 head head NN 19261 2733 14 , , , 19261 2733 15 with with IN 19261 2733 16 faulty faulty JJ 19261 2733 17 direction direction NN 19261 2733 18 of of IN 19261 2733 19 the the DT 19261 2733 20 esophagoscope esophagoscope NN 19261 2733 21 may may MD 19261 2733 22 cause cause VB 19261 2733 23 the the DT 19261 2733 24 tube tube NN 19261 2733 25 mouth mouth NN 19261 2733 26 to to TO 19261 2733 27 press press VB 19261 2733 28 the the DT 19261 2733 29 membranous membranous JJ 19261 2733 30 tracheo tracheo NN 19261 2733 31 - - HYPH 19261 2733 32 esophageal esophageal NN 19261 2733 33 wall wall NN 19261 2733 34 into into IN 19261 2733 35 the the DT 19261 2733 36 trachea trachea NN 19261 2733 37 , , , 19261 2733 38 so so IN 19261 2733 39 as as RB 19261 2733 40 temporarily temporarily RB 19261 2733 41 to to TO 19261 2733 42 occlude occlude VB 19261 2733 43 the the DT 19261 2733 44 tracheal tracheal NN 19261 2733 45 lumen luman NNS 19261 2733 46 , , , 19261 2733 47 creating create VBG 19261 2733 48 a a DT 19261 2733 49 very very RB 19261 2733 50 dangerous dangerous JJ 19261 2733 51 situation situation NN 19261 2733 52 in in IN 19261 2733 53 a a DT 19261 2733 54 patient patient NN 19261 2733 55 under under IN 19261 2733 56 general general JJ 19261 2733 57 anesthesia anesthesia NNP 19261 2733 58 . . . 19261 2734 1 Prompt prompt JJ 19261 2734 2 introduction introduction NN 19261 2734 3 of of IN 19261 2734 4 a a DT 19261 2734 5 bronchoscope bronchoscope NN 19261 2734 6 , , , 19261 2734 7 with with IN 19261 2734 8 oxygen oxygen NN 19261 2734 9 and and CC 19261 2734 10 amyl amyl VB 19261 2734 11 nitrite nitrite JJ 19261 2734 12 insufflation insufflation NN 19261 2734 13 and and CC 19261 2734 14 artificial artificial JJ 19261 2734 15 respiration respiration NN 19261 2734 16 , , , 19261 2734 17 may may MD 19261 2734 18 be be VB 19261 2734 19 necessary necessary JJ 19261 2734 20 to to TO 19261 2734 21 save save VB 19261 2734 22 life life NN 19261 2734 23 . . . 19261 2735 1 The the DT 19261 2735 2 danger danger NN 19261 2735 3 is be VBZ 19261 2735 4 greater great JJR 19261 2735 5 , , , 19261 2735 6 of of IN 19261 2735 7 course course NN 19261 2735 8 , , , 19261 2735 9 with with IN 19261 2735 10 chloroform chloroform NN 19261 2735 11 than than IN 19261 2735 12 with with IN 19261 2735 13 ether ether NN 19261 2735 14 anesthesia anesthesia NNP 19261 2735 15 . . . 19261 2736 1 Cocain cocain JJ 19261 2736 2 poisoning poisoning NN 19261 2736 3 may may MD 19261 2736 4 occur occur VB 19261 2736 5 in in IN 19261 2736 6 those those DT 19261 2736 7 having have VBG 19261 2736 8 an an DT 19261 2736 9 idiosyncrasy idiosyncrasy NN 19261 2736 10 to to IN 19261 2736 11 the the DT 19261 2736 12 drug drug NN 19261 2736 13 . . . 19261 2737 1 Cocain Cocain NNP 19261 2737 2 should should MD 19261 2737 3 never never RB 19261 2737 4 be be VB 19261 2737 5 used use VBN 19261 2737 6 with with IN 19261 2737 7 children child NNS 19261 2737 8 , , , 19261 2737 9 and and CC 19261 2737 10 is be VBZ 19261 2737 11 of of IN 19261 2737 12 little little JJ 19261 2737 13 use use NN 19261 2737 14 in in IN 19261 2737 15 esophagoscopy esophagoscopy NN 19261 2737 16 in in IN 19261 2737 17 adults adult NNS 19261 2737 18 . . . 19261 2738 1 Its -PRON- PRP$ 19261 2738 2 application application NN 19261 2738 3 is be VBZ 19261 2738 4 more more RBR 19261 2738 5 annoying annoying JJ 19261 2738 6 and and CC 19261 2738 7 requires require VBZ 19261 2738 8 more more JJR 19261 2738 9 time time NN 19261 2738 10 than than IN 19261 2738 11 the the DT 19261 2738 12 esophagoscopic esophagoscopic JJ 19261 2738 13 removal removal NN 19261 2738 14 of of IN 19261 2738 15 the the DT 19261 2738 16 foreign foreign JJ 19261 2738 17 bodies body NNS 19261 2738 18 without without IN 19261 2738 19 local local JJ 19261 2738 20 anesthesia anesthesia NNS 19261 2738 21 . . . 19261 2739 1 Traumatic traumatic JJ 19261 2739 2 esophagitis esophagitis NN 19261 2739 3 , , , 19261 2739 4 septic septic JJ 19261 2739 5 mediastinitis mediastinitis NN 19261 2739 6 , , , 19261 2739 7 cervical cervical JJ 19261 2739 8 cellulitis cellulitis NN 19261 2739 9 , , , 19261 2739 10 and and CC 19261 2739 11 , , , 19261 2739 12 most most RBS 19261 2739 13 dangerous dangerous JJ 19261 2739 14 , , , 19261 2739 15 gangrenous gangrenous JJ 19261 2739 16 esophagitis esophagitis NN 19261 2739 17 may may MD 19261 2739 18 be be VB 19261 2739 19 present present JJ 19261 2739 20 , , , 19261 2739 21 caused cause VBN 19261 2739 22 by by IN 19261 2739 23 the the DT 19261 2739 24 foreign foreign JJ 19261 2739 25 body body NN 19261 2739 26 itself -PRON- PRP 19261 2739 27 or or CC 19261 2739 28 ill ill RB 19261 2739 29 - - HYPH 19261 2739 30 advised advise VBN 19261 2739 31 efforts effort NNS 19261 2739 32 at at IN 19261 2739 33 removal removal NN 19261 2739 34 . . . 19261 2740 1 Perforation perforation NN 19261 2740 2 of of IN 19261 2740 3 the the DT 19261 2740 4 esophagus esophagus NN 19261 2740 5 with with IN 19261 2740 6 the the DT 19261 2740 7 esophagoscope esophagoscope NN 19261 2740 8 is be VBZ 19261 2740 9 rare rare JJ 19261 2740 10 , , , 19261 2740 11 in in IN 19261 2740 12 skillful skillful JJ 19261 2740 13 hands hand NNS 19261 2740 14 , , , 19261 2740 15 if if IN 19261 2740 16 the the DT 19261 2740 17 esophageal esophageal JJ 19261 2740 18 wall wall NN 19261 2740 19 is be VBZ 19261 2740 20 sound sound JJ 19261 2740 21 . . . 19261 2741 1 The the DT 19261 2741 2 esophageal esophageal JJ 19261 2741 3 wall wall NN 19261 2741 4 , , , 19261 2741 5 however however RB 19261 2741 6 , , , 19261 2741 7 may may MD 19261 2741 8 be be VB 19261 2741 9 weakened weaken VBN 19261 2741 10 by by IN 19261 2741 11 ulceration ulceration NN 19261 2741 12 , , , 19261 2741 13 malignant malignant JJ 19261 2741 14 disease disease NN 19261 2741 15 , , , 19261 2741 16 or or CC 19261 2741 17 trauma trauma NN 19261 2741 18 , , , 19261 2741 19 so so IN 19261 2741 20 that that IN 19261 2741 21 the the DT 19261 2741 22 possibility possibility NN 19261 2741 23 of of IN 19261 2741 24 making make VBG 19261 2741 25 a a DT 19261 2741 26 false false JJ 19261 2741 27 passage passage NN 19261 2741 28 should should MD 19261 2741 29 always always RB 19261 2741 30 deter deter VB 19261 2741 31 the the DT 19261 2741 32 endoscopist endoscopist NN 19261 2741 33 from from IN 19261 2741 34 advancing advance VBG 19261 2741 35 the the DT 19261 2741 36 tube tube NN 19261 2741 37 beyond beyond IN 19261 2741 38 a a DT 19261 2741 39 visible visible JJ 19261 2741 40 point point NN 19261 2741 41 of of IN 19261 2741 42 weakening weakening NN 19261 2741 43 . . . 19261 2742 1 To to TO 19261 2742 2 avoid avoid VB 19261 2742 3 entering enter VBG 19261 2742 4 a a DT 19261 2742 5 false false JJ 19261 2742 6 passage passage NN 19261 2742 7 previously previously RB 19261 2742 8 created create VBN 19261 2742 9 , , , 19261 2742 10 is be VBZ 19261 2742 11 often often RB 19261 2742 12 exceedingly exceedingly RB 19261 2742 13 difficult difficult JJ 19261 2742 14 , , , 19261 2742 15 and and CC 19261 2742 16 usually usually RB 19261 2742 17 it -PRON- PRP 19261 2742 18 is be VBZ 19261 2742 19 better well JJR 19261 2742 20 to to TO 19261 2742 21 wait wait VB 19261 2742 22 for for IN 19261 2742 23 obliterative obliterative JJ 19261 2742 24 adhesive adhesive JJ 19261 2742 25 inflammation inflammation NN 19261 2742 26 to to TO 19261 2742 27 seal seal VB 19261 2742 28 the the DT 19261 2742 29 tissue tissue NN 19261 2742 30 layers layer NNS 19261 2742 31 together together RB 19261 2742 32 . . . 19261 2743 1 _ _ NNP 19261 2743 2 Treatment_.--Acute treatment_.--acute NN 19261 2743 3 esophagitis esophagitis NN 19261 2743 4 calls call VBZ 19261 2743 5 for for IN 19261 2743 6 rest rest NN 19261 2743 7 in in IN 19261 2743 8 bed bed NN 19261 2743 9 , , , 19261 2743 10 sterile sterile JJ 19261 2743 11 liquid liquid JJ 19261 2743 12 food food NN 19261 2743 13 , , , 19261 2743 14 and and CC 19261 2743 15 the the DT 19261 2743 16 administration administration NN 19261 2743 17 of of IN 19261 2743 18 bismuth bismuth NNP 19261 2743 19 powder powder NNP 19261 2743 20 mentioned mention VBN 19261 2743 21 in in IN 19261 2743 22 the the DT 19261 2743 23 paragraph paragraph NN 19261 2743 24 on on IN 19261 2743 25 contraindications contraindication NNS 19261 2743 26 . . . 19261 2744 1 An an DT 19261 2744 2 ice ice NN 19261 2744 3 bag bag NN 19261 2744 4 applied apply VBD 19261 2744 5 to to IN 19261 2744 6 the the DT 19261 2744 7 neck neck NN 19261 2744 8 may may MD 19261 2744 9 afford afford VB 19261 2744 10 some some DT 19261 2744 11 relief relief NN 19261 2744 12 . . . 19261 2745 1 The the DT 19261 2745 2 mouth mouth NN 19261 2745 3 should should MD 19261 2745 4 be be VB 19261 2745 5 hourly hourly RB 19261 2745 6 cleansed cleanse VBN 19261 2745 7 with with IN 19261 2745 8 the the DT 19261 2745 9 following follow VBG 19261 2745 10 solution solution NN 19261 2745 11 : : : 19261 2745 12 Dakin Dakin NNP 19261 2745 13 's 's POS 19261 2745 14 solution solution NN 19261 2745 15 1 1 CD 19261 2745 16 part part NN 19261 2745 17 Cinnamon Cinnamon NNP 19261 2745 18 water water NN 19261 2745 19 5 5 CD 19261 2745 20 parts part NNS 19261 2745 21 . . . 19261 2746 1 Emphysema Emphysema NNP 19261 2746 2 unaccompanied unaccompanied JJ 19261 2746 3 by by IN 19261 2746 4 pyogenic pyogenic JJ 19261 2746 5 processes process NNS 19261 2746 6 usually usually RB 19261 2746 7 requires require VBZ 19261 2746 8 no no DT 19261 2746 9 treatment treatment NN 19261 2746 10 , , , 19261 2746 11 though though IN 19261 2746 12 an an DT 19261 2746 13 occasional occasional JJ 19261 2746 14 case case NN 19261 2746 15 may may MD 19261 2746 16 require require VB 19261 2746 17 punctures puncture NNS 19261 2746 18 of of IN 19261 2746 19 the the DT 19261 2746 20 skin skin NN 19261 2746 21 to to TO 19261 2746 22 liberate liberate VB 19261 2746 23 the the DT 19261 2746 24 air air NN 19261 2746 25 . . . 19261 2747 1 Gaseous gaseous JJ 19261 2747 2 emphysema emphysema NN 19261 2747 3 and and CC 19261 2747 4 pus pus NNP 19261 2747 5 formation formation NN 19261 2747 6 urgently urgently RB 19261 2747 7 demand demand VBP 19261 2747 8 early early JJ 19261 2747 9 external external JJ 19261 2747 10 drainage drainage NN 19261 2747 11 , , , 19261 2747 12 preferably preferably RB 19261 2747 13 behind behind IN 19261 2747 14 the the DT 19261 2747 15 sternomastoid sternomastoid NN 19261 2747 16 . . . 19261 2748 1 Should Should MD 19261 2748 2 the the DT 19261 2748 3 pleura pleura NN 19261 2748 4 be be VB 19261 2748 5 perforated perforate VBN 19261 2748 6 by by IN 19261 2748 7 sudden sudden JJ 19261 2748 8 puncture puncture NN 19261 2748 9 pyo pyo NN 19261 2748 10 - - HYPH 19261 2748 11 pneumothorax pneumothorax NNS 19261 2748 12 is be VBZ 19261 2748 13 inevitable inevitable JJ 19261 2748 14 . . . 19261 2749 1 Prompt prompt VB 19261 2749 2 thoracotomy thoracotomy NN 19261 2749 3 for for IN 19261 2749 4 drainage drainage NN 19261 2749 5 may may MD 19261 2749 6 save save VB 19261 2749 7 the the DT 19261 2749 8 patient patient NN 19261 2749 9 's 's POS 19261 2749 10 life life NN 19261 2749 11 if if IN 19261 2749 12 the the DT 19261 2749 13 mediastinum mediastinum NN 19261 2749 14 has have VBZ 19261 2749 15 not not RB 19261 2749 16 also also RB 19261 2749 17 been be VBN 19261 2749 18 infected infect VBN 19261 2749 19 . . . 19261 2750 1 Foreign foreign JJ 19261 2750 2 bodies body NNS 19261 2750 3 ulcerating ulcerate VBG 19261 2750 4 through through IN 19261 2750 5 may may MD 19261 2750 6 reach reach VB 19261 2750 7 the the DT 19261 2750 8 lung lung NN 19261 2750 9 without without IN 19261 2750 10 pleural pleural JJ 19261 2750 11 leakage leakage NN 19261 2750 12 because because IN 19261 2750 13 of of IN 19261 2750 14 the the DT 19261 2750 15 sealing sealing NN 19261 2750 16 together together RB 19261 2750 17 of of IN 19261 2750 18 the the DT 19261 2750 19 visceral visceral JJ 19261 2750 20 and and CC 19261 2750 21 parietal parietal JJ 19261 2750 22 pleurae pleura NNS 19261 2750 23 . . . 19261 2751 1 In in IN 19261 2751 2 the the DT 19261 2751 3 serious serious JJ 19261 2751 4 degrees degree NNS 19261 2751 5 of of IN 19261 2751 6 esophageal esophageal JJ 19261 2751 7 trauma trauma NN 19261 2751 8 , , , 19261 2751 9 particularly particularly RB 19261 2751 10 if if IN 19261 2751 11 the the DT 19261 2751 12 pleura pleura NN 19261 2751 13 be be VB 19261 2751 14 perforated perforate VBN 19261 2751 15 , , , 19261 2751 16 gastrostomy gastrostomy NNP 19261 2751 17 is be VBZ 19261 2751 18 indicated indicate VBN 19261 2751 19 to to TO 19261 2751 20 afford afford VB 19261 2751 21 rest rest NN 19261 2751 22 of of IN 19261 2751 23 the the DT 19261 2751 24 esophagus esophagus NN 19261 2751 25 , , , 19261 2751 26 and and CC 19261 2751 27 for for IN 19261 2751 28 alimentation alimentation NN 19261 2751 29 . . . 19261 2752 1 A a DT 19261 2752 2 duodenal duodenal JJ 19261 2752 3 feeding feeding NN 19261 2752 4 tube tube NN 19261 2752 5 may may MD 19261 2752 6 be be VB 19261 2752 7 placed place VBN 19261 2752 8 through through IN 19261 2752 9 an an DT 19261 2752 10 esophagoscope esophagoscope NN 19261 2752 11 passed pass VBN 19261 2752 12 into into IN 19261 2752 13 the the DT 19261 2752 14 stomach stomach NN 19261 2752 15 in in IN 19261 2752 16 the the DT 19261 2752 17 usual usual JJ 19261 2752 18 way way NN 19261 2752 19 through through IN 19261 2752 20 the the DT 19261 2752 21 mouth mouth NN 19261 2752 22 , , , 19261 2752 23 avoiding avoid VBG 19261 2752 24 by by IN 19261 2752 25 ocular ocular NNP 19261 2752 26 guidance guidance VB 19261 2752 27 the the DT 19261 2752 28 perforation perforation NN 19261 2752 29 into into IN 19261 2752 30 which which WDT 19261 2752 31 a a DT 19261 2752 32 blindly blindly RB 19261 2752 33 passed pass VBN 19261 2752 34 stomach stomach NN 19261 2752 35 tube tube NN 19261 2752 36 would would MD 19261 2752 37 be be VB 19261 2752 38 very very RB 19261 2752 39 likely likely JJ 19261 2752 40 to to TO 19261 2752 41 enter enter VB 19261 2752 42 , , , 19261 2752 43 with with IN 19261 2752 44 probably probably RB 19261 2752 45 dangerous dangerous JJ 19261 2752 46 results result NNS 19261 2752 47 . . . 19261 2753 1 [ [ -LRB- 19261 2753 2 199 199 CD 19261 2753 3 ] ] -RRB- 19261 2753 4 CHAPTER CHAPTER NNP 19261 2753 5 XX XX NNP 19261 2753 6 -- -- : 19261 2753 7 PLEUROSCOPY PLEUROSCOPY NNP 19261 2753 8 _ _ NNP 19261 2753 9 Foreign foreign JJ 19261 2753 10 bodies body NNS 19261 2753 11 in in IN 19261 2753 12 the the DT 19261 2753 13 pleural pleural JJ 19261 2753 14 cavity cavity NN 19261 2753 15 _ _ NNP 19261 2753 16 should should MD 19261 2753 17 be be VB 19261 2753 18 immediately immediately RB 19261 2753 19 removed remove VBN 19261 2753 20 . . . 19261 2754 1 The the DT 19261 2754 2 esophageal esophageal JJ 19261 2754 3 speculum speculum NN 19261 2754 4 inserted insert VBN 19261 2754 5 through through IN 19261 2754 6 a a DT 19261 2754 7 small small JJ 19261 2754 8 intercostal intercostal JJ 19261 2754 9 incision incision NN 19261 2754 10 makes make VBZ 19261 2754 11 an an DT 19261 2754 12 excellent excellent JJ 19261 2754 13 pleuroscope pleuroscope NN 19261 2754 14 , , , 19261 2754 15 its -PRON- PRP$ 19261 2754 16 spatular spatular JJ 19261 2754 17 tip tip NN 19261 2754 18 being be VBG 19261 2754 19 of of IN 19261 2754 20 particular particular JJ 19261 2754 21 value value NN 19261 2754 22 in in IN 19261 2754 23 moving move VBG 19261 2754 24 the the DT 19261 2754 25 lung lung NN 19261 2754 26 out out IN 19261 2754 27 of of IN 19261 2754 28 the the DT 19261 2754 29 way way NN 19261 2754 30 . . . 19261 2755 1 This this DT 19261 2755 2 otherwise otherwise RB 19261 2755 3 dark dark JJ 19261 2755 4 cavity cavity NN 19261 2755 5 is be VBZ 19261 2755 6 thus thus RB 19261 2755 7 brilliantly brilliantly RB 19261 2755 8 illuminated illuminate VBN 19261 2755 9 without without IN 19261 2755 10 the the DT 19261 2755 11 necessity necessity NN 19261 2755 12 of of IN 19261 2755 13 making make VBG 19261 2755 14 a a DT 19261 2755 15 large large JJ 19261 2755 16 flap flap JJ 19261 2755 17 resection resection NN 19261 2755 18 , , , 19261 2755 19 an an DT 19261 2755 20 important important JJ 19261 2755 21 factor factor NN 19261 2755 22 in in IN 19261 2755 23 those those DT 19261 2755 24 cases case NNS 19261 2755 25 in in IN 19261 2755 26 which which WDT 19261 2755 27 there there EX 19261 2755 28 is be VBZ 19261 2755 29 no no DT 19261 2755 30 infection infection NN 19261 2755 31 present present JJ 19261 2755 32 . . . 19261 2756 1 The the DT 19261 2756 2 pleura pleura NN 19261 2756 3 and and CC 19261 2756 4 wound wound NN 19261 2756 5 may may MD 19261 2756 6 be be VB 19261 2756 7 immediately immediately RB 19261 2756 8 closed close VBN 19261 2756 9 without without IN 19261 2756 10 drainage drainage NN 19261 2756 11 , , , 19261 2756 12 if if IN 19261 2756 13 the the DT 19261 2756 14 pleura pleura NN 19261 2756 15 is be VBZ 19261 2756 16 not not RB 19261 2756 17 infected infect VBN 19261 2756 18 . . . 19261 2757 1 Excessive excessive JJ 19261 2757 2 plus plus CC 19261 2757 3 pressure pressure NN 19261 2757 4 or or CC 19261 2757 5 pus pus NNP 19261 2757 6 may may MD 19261 2757 7 require require VB 19261 2757 8 reopening reopen VBG 19261 2757 9 . . . 19261 2758 1 In in IN 19261 2758 2 one one CD 19261 2758 3 case case NN 19261 2758 4 in in IN 19261 2758 5 which which WDT 19261 2758 6 the the DT 19261 2758 7 author author NN 19261 2758 8 removed remove VBD 19261 2758 9 a a DT 19261 2758 10 foreign foreign JJ 19261 2758 11 body body NN 19261 2758 12 by by IN 19261 2758 13 pleuroscopy pleuroscopy NN 19261 2758 14 , , , 19261 2758 15 healing healing NN 19261 2758 16 was be VBD 19261 2758 17 by by IN 19261 2758 18 first first JJ 19261 2758 19 intention intention NN 19261 2758 20 and and CC 19261 2758 21 the the DT 19261 2758 22 lung lung NN 19261 2758 23 filled fill VBN 19261 2758 24 in in IN 19261 2758 25 a a DT 19261 2758 26 few few JJ 19261 2758 27 days day NNS 19261 2758 28 . . . 19261 2759 1 Drainage drainage NN 19261 2759 2 tubes tube NNS 19261 2759 3 that that WDT 19261 2759 4 have have VBP 19261 2759 5 slipped slip VBN 19261 2759 6 up up RP 19261 2759 7 into into IN 19261 2759 8 the the DT 19261 2759 9 empyemic empyemic JJ 19261 2759 10 cavity cavity NN 19261 2759 11 are be VBP 19261 2759 12 foreign foreign JJ 19261 2759 13 bodies body NNS 19261 2759 14 . . . 19261 2760 1 They -PRON- PRP 19261 2760 2 are be VBP 19261 2760 3 readily readily RB 19261 2760 4 removed remove VBN 19261 2760 5 with with IN 19261 2760 6 the the DT 19261 2760 7 retrograde retrograde NN 19261 2760 8 esophagoscope esophagoscope NN 19261 2760 9 even even RB 19261 2760 10 through through IN 19261 2760 11 the the DT 19261 2760 12 smallest small JJS 19261 2760 13 fistula fistula NN 19261 2760 14 . . . 19261 2761 1 The the DT 19261 2761 2 aspirating aspirating NN 19261 2761 3 canal canal NN 19261 2761 4 keeps keep VBZ 19261 2761 5 a a DT 19261 2761 6 clear clear JJ 19261 2761 7 field field NN 19261 2761 8 while while IN 19261 2761 9 searching search VBG 19261 2761 10 for for IN 19261 2761 11 the the DT 19261 2761 12 drain drain NN 19261 2761 13 . . . 19261 2762 1 _ _ NNP 19261 2762 2 Pleuroscopy Pleuroscopy NNP 19261 2762 3 for for IN 19261 2762 4 Disease_.--Most Disease_.--Most NNP 19261 2762 5 pleural pleural JJ 19261 2762 6 diseases disease NNS 19261 2762 7 require require VBP 19261 2762 8 a a DT 19261 2762 9 large large JJ 19261 2762 10 external external JJ 19261 2762 11 opening opening NN 19261 2762 12 for for IN 19261 2762 13 drainage drainage NN 19261 2762 14 , , , 19261 2762 15 and and CC 19261 2762 16 even even RB 19261 2762 17 here here RB 19261 2762 18 the the DT 19261 2762 19 pleuroscope pleuroscope NN 19261 2762 20 may may MD 19261 2762 21 be be VB 19261 2762 22 of of IN 19261 2762 23 some some DT 19261 2762 24 use use NN 19261 2762 25 in in IN 19261 2762 26 exploring explore VBG 19261 2762 27 the the DT 19261 2762 28 cavities cavity NNS 19261 2762 29 . . . 19261 2763 1 Usually usually RB 19261 2763 2 there there EX 19261 2763 3 are be VBP 19261 2763 4 many many JJ 19261 2763 5 adhesions adhesion NNS 19261 2763 6 and and CC 19261 2763 7 careful careful JJ 19261 2763 8 ray ray NN 19261 2763 9 study study NN 19261 2763 10 may may MD 19261 2763 11 reveal reveal VB 19261 2763 12 one one CD 19261 2763 13 or or CC 19261 2763 14 more more JJR 19261 2763 15 the the DT 19261 2763 16 breaking breaking NN 19261 2763 17 up up RP 19261 2763 18 of of IN 19261 2763 19 which which WDT 19261 2763 20 will will MD 19261 2763 21 improve improve VB 19261 2763 22 drainage drainage NN 19261 2763 23 to to IN 19261 2763 24 such such PDT 19261 2763 25 an an DT 19261 2763 26 extent extent NN 19261 2763 27 as as IN 19261 2763 28 to to TO 19261 2763 29 cure cure VB 19261 2763 30 an an DT 19261 2763 31 empyema empyema NN 19261 2763 32 of of IN 19261 2763 33 long long JJ 19261 2763 34 standing standing NN 19261 2763 35 . . . 19261 2764 1 Repeated repeat VBN 19261 2764 2 severing severing NN 19261 2764 3 of of IN 19261 2764 4 adhesions adhesion NNS 19261 2764 5 , , , 19261 2764 6 aspiration aspiration NN 19261 2764 7 and and CC 19261 2764 8 sometimes sometimes RB 19261 2764 9 incision incision NN 19261 2764 10 of of IN 19261 2764 11 the the DT 19261 2764 12 thickened thicken VBN 19261 2764 13 visceral visceral JJ 19261 2764 14 pleura pleura NN 19261 2764 15 may may MD 19261 2764 16 be be VB 19261 2764 17 necessary necessary JJ 19261 2764 18 . . . 19261 2765 1 The the DT 19261 2765 2 author author NN 19261 2765 3 is be VBZ 19261 2765 4 so so RB 19261 2765 5 strongly strongly RB 19261 2765 6 imbued imbue VBN 19261 2765 7 with with IN 19261 2765 8 the the DT 19261 2765 9 idea idea NN 19261 2765 10 that that IN 19261 2765 11 local local JJ 19261 2765 12 examination examination NN 19261 2765 13 under under IN 19261 2765 14 full full JJ 19261 2765 15 illumination illumination NN 19261 2765 16 has have VBZ 19261 2765 17 so so RB 19261 2765 18 revolutionized revolutionize VBN 19261 2765 19 the the DT 19261 2765 20 surgery surgery NN 19261 2765 21 of of IN 19261 2765 22 every every DT 19261 2765 23 region region NN 19261 2765 24 of of IN 19261 2765 25 the the DT 19261 2765 26 body body NN 19261 2765 27 to to TO 19261 2765 28 which which WDT 19261 2765 29 it -PRON- PRP 19261 2765 30 has have VBZ 19261 2765 31 been be VBN 19261 2765 32 applied apply VBN 19261 2765 33 , , , 19261 2765 34 that that IN 19261 2765 35 every every DT 19261 2765 36 accessible accessible JJ 19261 2765 37 region region NN 19261 2765 38 should should MD 19261 2765 39 be be VB 19261 2765 40 thus thus RB 19261 2765 41 studied study VBN 19261 2765 42 . . . 19261 2766 1 The the DT 19261 2766 2 pleural pleural JJ 19261 2766 3 cavity cavity NN 19261 2766 4 is be VBZ 19261 2766 5 quite quite RB 19261 2766 6 accessible accessible JJ 19261 2766 7 with with IN 19261 2766 8 or or CC 19261 2766 9 without without IN 19261 2766 10 rib rib NN 19261 2766 11 - - NN 19261 2766 12 resection resection NN 19261 2766 13 , , , 19261 2766 14 and and CC 19261 2766 15 there there EX 19261 2766 16 is be VBZ 19261 2766 17 practically practically RB 19261 2766 18 no no DT 19261 2766 19 risk risk NN 19261 2766 20 in in IN 19261 2766 21 careful careful JJ 19261 2766 22 pleuroscopy pleuroscopy NN 19261 2766 23 . . . 19261 2767 1 [ [ -LRB- 19261 2767 2 201 201 CD 19261 2767 3 ] ] -RRB- 19261 2767 4 CHAPTER chapter NN 19261 2767 5 XXI xxi NN 19261 2767 6 -- -- : 19261 2767 7 BENIGN benign JJ 19261 2767 8 GROWTHS growths NN 19261 2767 9 IN in IN 19261 2767 10 THE the DT 19261 2767 11 LARYNX LARYNX NNP 19261 2767 12 Benign benign JJ 19261 2767 13 growths growth NNS 19261 2767 14 in in IN 19261 2767 15 the the DT 19261 2767 16 larynx larynx NN 19261 2767 17 are be VBP 19261 2767 18 easily easily RB 19261 2767 19 and and CC 19261 2767 20 accurately accurately RB 19261 2767 21 removable removable VB 19261 2767 22 by by IN 19261 2767 23 direct direct JJ 19261 2767 24 laryngoscopy laryngoscopy NN 19261 2767 25 ; ; : 19261 2767 26 but but CC 19261 2767 27 perhaps perhaps RB 19261 2767 28 no no DT 19261 2767 29 method method NN 19261 2767 30 has have VBZ 19261 2767 31 been be VBN 19261 2767 32 more more RBR 19261 2767 33 often often RB 19261 2767 34 misused misuse VBN 19261 2767 35 and and CC 19261 2767 36 followed follow VBN 19261 2767 37 by by IN 19261 2767 38 most most JJS 19261 2767 39 unfortunate unfortunate JJ 19261 2767 40 results result NNS 19261 2767 41 . . . 19261 2768 1 It -PRON- PRP 19261 2768 2 should should MD 19261 2768 3 always always RB 19261 2768 4 be be VB 19261 2768 5 remembered remember VBN 19261 2768 6 that that IN 19261 2768 7 benign benign JJ 19261 2768 8 growths growth NNS 19261 2768 9 are be VBP 19261 2768 10 benign benign JJ 19261 2768 11 , , , 19261 2768 12 and and CC 19261 2768 13 that that IN 19261 2768 14 hence hence RB 19261 2768 15 they -PRON- PRP 19261 2768 16 do do VBP 19261 2768 17 not not RB 19261 2768 18 justify justify VB 19261 2768 19 the the DT 19261 2768 20 radical radical JJ 19261 2768 21 work work NN 19261 2768 22 demanded demand VBD 19261 2768 23 in in IN 19261 2768 24 dealing deal VBG 19261 2768 25 with with IN 19261 2768 26 malignancy malignancy NN 19261 2768 27 . . . 19261 2769 1 The the DT 19261 2769 2 larynx larynx NN 19261 2769 3 should should MD 19261 2769 4 be be VB 19261 2769 5 worked work VBN 19261 2769 6 upon upon IN 19261 2769 7 with with IN 19261 2769 8 the the DT 19261 2769 9 same same JJ 19261 2769 10 delicacy delicacy NN 19261 2769 11 and and CC 19261 2769 12 respect respect NN 19261 2769 13 for for IN 19261 2769 14 the the DT 19261 2769 15 normal normal JJ 19261 2769 16 tissues tissue NNS 19261 2769 17 that that WDT 19261 2769 18 are be VBP 19261 2769 19 customary customary JJ 19261 2769 20 in in IN 19261 2769 21 dealing deal VBG 19261 2769 22 with with IN 19261 2769 23 the the DT 19261 2769 24 eye eye NN 19261 2769 25 . . . 19261 2770 1 _ _ NNP 19261 2770 2 Granulomata Granulomata NNP 19261 2770 3 in in IN 19261 2770 4 the the DT 19261 2770 5 larynx larynx NN 19261 2770 6 _ _ NNP 19261 2770 7 , , , 19261 2770 8 while while IN 19261 2770 9 not not RB 19261 2770 10 true true JJ 19261 2770 11 neoplasms neoplasm NNS 19261 2770 12 , , , 19261 2770 13 require require VBP 19261 2770 14 extirpation extirpation NN 19261 2770 15 in in IN 19261 2770 16 some some DT 19261 2770 17 instances instance NNS 19261 2770 18 . . . 19261 2771 1 _ _ NNP 19261 2771 2 Vocal Vocal NNP 19261 2771 3 nodules nodule VBZ 19261 2771 4 _ _ NNP 19261 2771 5 , , , 19261 2771 6 when when WRB 19261 2771 7 other other JJ 19261 2771 8 methods method NNS 19261 2771 9 of of IN 19261 2771 10 cure cure NN 19261 2771 11 such such JJ 19261 2771 12 as as IN 19261 2771 13 vocal vocal JJ 19261 2771 14 rest rest NN 19261 2771 15 , , , 19261 2771 16 various various JJ 19261 2771 17 vocal vocal JJ 19261 2771 18 exercises exercise NNS 19261 2771 19 , , , 19261 2771 20 etcetera etcetera NNP 19261 2771 21 have have VBP 19261 2771 22 failed fail VBN 19261 2771 23 may may MD 19261 2771 24 require require VB 19261 2771 25 surgical surgical JJ 19261 2771 26 excision excision NN 19261 2771 27 . . . 19261 2772 1 This this DT 19261 2772 2 may may MD 19261 2772 3 be be VB 19261 2772 4 done do VBN 19261 2772 5 with with IN 19261 2772 6 the the DT 19261 2772 7 laryngeal laryngeal JJ 19261 2772 8 tissue tissue NN 19261 2772 9 forceps forceps NNS 19261 2772 10 or or CC 19261 2772 11 with with IN 19261 2772 12 the the DT 19261 2772 13 author author NN 19261 2772 14 's 's POS 19261 2772 15 vocal vocal JJ 19261 2772 16 nodule nodule NN 19261 2772 17 forceps forceps NNP 19261 2772 18 . . . 19261 2773 1 Sessile Sessile NNP 19261 2773 2 vocal vocal NN 19261 2773 3 nodules nodule NNS 19261 2773 4 may may MD 19261 2773 5 be be VB 19261 2773 6 cured cure VBN 19261 2773 7 by by IN 19261 2773 8 touching touch VBG 19261 2773 9 them -PRON- PRP 19261 2773 10 with with IN 19261 2773 11 a a DT 19261 2773 12 fine fine JJ 19261 2773 13 galvanocautery galvanocautery NN 19261 2773 14 point point NN 19261 2773 15 , , , 19261 2773 16 but but CC 19261 2773 17 all all DT 19261 2773 18 work work VBP 19261 2773 19 on on IN 19261 2773 20 the the DT 19261 2773 21 vocal vocal JJ 19261 2773 22 cords cord NNS 19261 2773 23 must must MD 19261 2773 24 be be VB 19261 2773 25 done do VBN 19261 2773 26 with with IN 19261 2773 27 extreme extreme JJ 19261 2773 28 caution caution NN 19261 2773 29 and and CC 19261 2773 30 nicety nicety NN 19261 2773 31 . . . 19261 2774 1 It -PRON- PRP 19261 2774 2 is be VBZ 19261 2774 3 exceedingly exceedingly RB 19261 2774 4 easy easy JJ 19261 2774 5 to to TO 19261 2774 6 ruin ruin VB 19261 2774 7 a a DT 19261 2774 8 fine fine JJ 19261 2774 9 voice voice NN 19261 2774 10 . . . 19261 2775 1 _ _ NNP 19261 2775 2 Fibromata Fibromata NNP 19261 2775 3 _ _ NNP 19261 2775 4 , , , 19261 2775 5 often often RB 19261 2775 6 of of IN 19261 2775 7 inflammatory inflammatory JJ 19261 2775 8 genesis genesis NN 19261 2775 9 , , , 19261 2775 10 are be VBP 19261 2775 11 best well RBS 19261 2775 12 removed remove VBN 19261 2775 13 with with IN 19261 2775 14 the the DT 19261 2775 15 laryngeal laryngeal NN 19261 2775 16 grasping grasp VBG 19261 2775 17 forceps forceps NNP 19261 2775 18 , , , 19261 2775 19 though though IN 19261 2775 20 the the DT 19261 2775 21 small small JJ 19261 2775 22 laryngeal laryngeal NN 19261 2775 23 punch punch NN 19261 2775 24 or or CC 19261 2775 25 tissue tissue NN 19261 2775 26 forceps forceps NNS 19261 2775 27 may may MD 19261 2775 28 be be VB 19261 2775 29 used use VBN 19261 2775 30 . . . 19261 2776 1 If if IN 19261 2776 2 very very RB 19261 2776 3 large large JJ 19261 2776 4 , , , 19261 2776 5 they -PRON- PRP 19261 2776 6 may may MD 19261 2776 7 be be VB 19261 2776 8 amputated amputate VBN 19261 2776 9 with with IN 19261 2776 10 the the DT 19261 2776 11 snare snare NN 19261 2776 12 , , , 19261 2776 13 the the DT 19261 2776 14 base base NN 19261 2776 15 being be VBG 19261 2776 16 treated treat VBN 19261 2776 17 with with IN 19261 2776 18 galvanocautery galvanocautery NN 19261 2776 19 though though IN 19261 2776 20 this this DT 19261 2776 21 is be VBZ 19261 2776 22 seldom seldom RB 19261 2776 23 advisable advisable JJ 19261 2776 24 . . . 19261 2777 1 Strong strong JJ 19261 2777 2 traction traction NN 19261 2777 3 should should MD 19261 2777 4 be be VB 19261 2777 5 avoided avoid VBN 19261 2777 6 as as IN 19261 2777 7 likely likely JJ 19261 2777 8 to to TO 19261 2777 9 do do VB 19261 2777 10 irreparable irreparable JJ 19261 2777 11 injury injury NN 19261 2777 12 to to IN 19261 2777 13 the the DT 19261 2777 14 laryngeal laryngeal JJ 19261 2777 15 motility motility NN 19261 2777 16 . . . 19261 2778 1 _ _ NNP 19261 2778 2 Cystomata Cystomata NNP 19261 2778 3 _ _ NNP 19261 2778 4 may may MD 19261 2778 5 get get VB 19261 2778 6 well well RB 19261 2778 7 after after IN 19261 2778 8 simple simple JJ 19261 2778 9 excision excision NN 19261 2778 10 or or CC 19261 2778 11 galvanopuncture galvanopuncture NN 19261 2778 12 of of IN 19261 2778 13 a a DT 19261 2778 14 part part NN 19261 2778 15 of of IN 19261 2778 16 the the DT 19261 2778 17 wall wall NN 19261 2778 18 of of IN 19261 2778 19 the the DT 19261 2778 20 sac sac NN 19261 2778 21 , , , 19261 2778 22 but but CC 19261 2778 23 complete complete JJ 19261 2778 24 extirpation extirpation NN 19261 2778 25 of of IN 19261 2778 26 the the DT 19261 2778 27 sac sac NN 19261 2778 28 is be VBZ 19261 2778 29 often often RB 19261 2778 30 required require VBN 19261 2778 31 for for IN 19261 2778 32 cure cure NN 19261 2778 33 . . . 19261 2779 1 The the DT 19261 2779 2 same same JJ 19261 2779 3 is be VBZ 19261 2779 4 true true JJ 19261 2779 5 of of IN 19261 2779 6 _ _ NNP 19261 2779 7 adenomata adenomata NNP 19261 2779 8 . . . 19261 2779 9 _ _ NNP 19261 2779 10 [ [ -LRB- 19261 2779 11 202 202 CD 19261 2779 12 ] ] -RRB- 19261 2779 13 Angiomata Angiomata NNP 19261 2779 14 , , , 19261 2779 15 if if IN 19261 2779 16 extensive extensive JJ 19261 2779 17 and and CC 19261 2779 18 deeply deeply RB 19261 2779 19 seated seated JJ 19261 2779 20 , , , 19261 2779 21 may may MD 19261 2779 22 require require VB 19261 2779 23 deep deep JJ 19261 2779 24 excision excision NN 19261 2779 25 , , , 19261 2779 26 but but CC 19261 2779 27 usually usually RB 19261 2779 28 cure cure NN 19261 2779 29 results result NNS 19261 2779 30 from from IN 19261 2779 31 superficial superficial JJ 19261 2779 32 removal removal NN 19261 2779 33 . . . 19261 2780 1 Usually usually RB 19261 2780 2 no no DT 19261 2780 3 cauterization cauterization NN 19261 2780 4 of of IN 19261 2780 5 the the DT 19261 2780 6 vessels vessel NNS 19261 2780 7 at at IN 19261 2780 8 the the DT 19261 2780 9 base base NN 19261 2780 10 is be VBZ 19261 2780 11 necessary necessary JJ 19261 2780 12 , , , 19261 2780 13 either either CC 19261 2780 14 to to TO 19261 2780 15 arrest arrest VB 19261 2780 16 hemorrhage hemorrhage NN 19261 2780 17 or or CC 19261 2780 18 to to TO 19261 2780 19 lessen lessen VB 19261 2780 20 the the DT 19261 2780 21 tendency tendency NN 19261 2780 22 to to TO 19261 2780 23 recurrence recurrence VB 19261 2780 24 . . . 19261 2781 1 A a DT 19261 2781 2 diffuse diffuse NN 19261 2781 3 telangiectasis telangiectasis NN 19261 2781 4 , , , 19261 2781 5 should should MD 19261 2781 6 it -PRON- PRP 19261 2781 7 require require VB 19261 2781 8 treatment treatment NN 19261 2781 9 , , , 19261 2781 10 may may MD 19261 2781 11 be be VB 19261 2781 12 gently gently RB 19261 2781 13 touched touch VBN 19261 2781 14 with with IN 19261 2781 15 a a DT 19261 2781 16 needle needle NN 19261 2781 17 - - HYPH 19261 2781 18 pointed point VBN 19261 2781 19 galvanocaustic galvanocaustic JJ 19261 2781 20 electrode electrode NN 19261 2781 21 at at IN 19261 2781 22 a a DT 19261 2781 23 number number NN 19261 2781 24 of of IN 19261 2781 25 sittings sitting NNS 19261 2781 26 . . . 19261 2782 1 The the DT 19261 2782 2 galvanonocautery galvanonocautery NN 19261 2782 3 is be VBZ 19261 2782 4 a a DT 19261 2782 5 dangerous dangerous JJ 19261 2782 6 method method NN 19261 2782 7 to to TO 19261 2782 8 use use VB 19261 2782 9 in in IN 19261 2782 10 the the DT 19261 2782 11 larynx larynx NN 19261 2782 12 . . . 19261 2783 1 Radium Radium NNP 19261 2783 2 offers offer VBZ 19261 2783 3 the the DT 19261 2783 4 best good JJS 19261 2783 5 results result NNS 19261 2783 6 in in IN 19261 2783 7 this this DT 19261 2783 8 latter latter JJ 19261 2783 9 form form NN 19261 2783 10 of of IN 19261 2783 11 angioma angioma NNP 19261 2783 12 , , , 19261 2783 13 applied apply VBD 19261 2783 14 either either CC 19261 2783 15 internally internally RB 19261 2783 16 or or CC 19261 2783 17 to to IN 19261 2783 18 the the DT 19261 2783 19 neck neck NN 19261 2783 20 . . . 19261 2784 1 _ _ NNP 19261 2784 2 Lymphoma Lymphoma NNP 19261 2784 3 , , , 19261 2784 4 enchondroma enchondroma NN 19261 2784 5 and and CC 19261 2784 6 osteoma osteoma NNP 19261 2784 7 _ _ NNP 19261 2784 8 , , , 19261 2784 9 if if IN 19261 2784 10 not not RB 19261 2784 11 too too RB 19261 2784 12 extensively extensively RB 19261 2784 13 involving involve VBG 19261 2784 14 the the DT 19261 2784 15 laryngeal laryngeal JJ 19261 2784 16 walls wall NNS 19261 2784 17 , , , 19261 2784 18 may may MD 19261 2784 19 be be VB 19261 2784 20 excised excise VBN 19261 2784 21 with with IN 19261 2784 22 basket basket NN 19261 2784 23 punch punch NN 19261 2784 24 forceps forceps NNP 19261 2784 25 , , , 19261 2784 26 but but CC 19261 2784 27 lymphoma lymphoma NN 19261 2784 28 is be VBZ 19261 2784 29 probably probably RB 19261 2784 30 better well RBR 19261 2784 31 treated treat VBN 19261 2784 32 by by IN 19261 2784 33 radium radium NN 19261 2784 34 . . . 19261 2785 1 * * NFP 19261 2785 2 _ _ NNP 19261 2785 3 True true JJ 19261 2785 4 myxomata myxomata NN 19261 2785 5 and and CC 19261 2785 6 lipomata lipomata NNP 19261 2785 7 _ _ NNP 19261 2785 8 are be VBP 19261 2785 9 very very RB 19261 2785 10 rare rare JJ 19261 2785 11 . . . 19261 2786 1 _ _ NNP 19261 2786 2 Amyloid Amyloid NNP 19261 2786 3 tumors tumor NNS 19261 2786 4 _ _ NNP 19261 2786 5 are be VBP 19261 2786 6 occasionally occasionally RB 19261 2786 7 met meet VBN 19261 2786 8 with with IN 19261 2786 9 , , , 19261 2786 10 and and CC 19261 2786 11 are be VBP 19261 2786 12 very very RB 19261 2786 13 resistant resistant JJ 19261 2786 14 to to IN 19261 2786 15 treatment treatment NN 19261 2786 16 . . . 19261 2787 1 _ _ NNP 19261 2787 2 Aberrant Aberrant NNP 19261 2787 3 thyroid thyroid NN 19261 2787 4 tumors tumor NNS 19261 2787 5 _ _ NNP 19261 2787 6 do do VBP 19261 2787 7 not not RB 19261 2787 8 require require VB 19261 2787 9 very very RB 19261 2787 10 radical radical JJ 19261 2787 11 excision excision NN 19261 2787 12 of of IN 19261 2787 13 normal normal JJ 19261 2787 14 base base NN 19261 2787 15 , , , 19261 2787 16 but but CC 19261 2787 17 should should MD 19261 2787 18 be be VB 19261 2787 19 removed remove VBN 19261 2787 20 as as RB 19261 2787 21 completely completely RB 19261 2787 22 as as IN 19261 2787 23 possible possible JJ 19261 2787 24 . . . 19261 2788 1 In in IN 19261 2788 2 a a DT 19261 2788 3 general general JJ 19261 2788 4 way way NN 19261 2788 5 , , , 19261 2788 6 it -PRON- PRP 19261 2788 7 may may MD 19261 2788 8 be be VB 19261 2788 9 stated state VBN 19261 2788 10 that that IN 19261 2788 11 with with IN 19261 2788 12 benign benign JJ 19261 2788 13 growths growth NNS 19261 2788 14 in in IN 19261 2788 15 the the DT 19261 2788 16 larynx larynx NN 19261 2788 17 the the DT 19261 2788 18 best good JJS 19261 2788 19 functional functional JJ 19261 2788 20 results result NNS 19261 2788 21 are be VBP 19261 2788 22 obtained obtain VBN 19261 2788 23 by by IN 19261 2788 24 superficial superficial NN 19261 2788 25 rather rather RB 19261 2788 26 than than IN 19261 2788 27 radical radical JJ 19261 2788 28 , , , 19261 2788 29 deep deep JJ 19261 2788 30 extirpation extirpation NN 19261 2788 31 , , , 19261 2788 32 remembering remember VBG 19261 2788 33 that that IN 19261 2788 34 it -PRON- PRP 19261 2788 35 is be VBZ 19261 2788 36 easier easy JJR 19261 2788 37 to to TO 19261 2788 38 remove remove VB 19261 2788 39 tissue tissue NN 19261 2788 40 than than IN 19261 2788 41 to to TO 19261 2788 42 replace replace VB 19261 2788 43 it -PRON- PRP 19261 2788 44 , , , 19261 2788 45 and and CC 19261 2788 46 that that IN 19261 2788 47 cicatrices cicatrix NNS 19261 2788 48 impair impair VBP 19261 2788 49 or or CC 19261 2788 50 ruin ruin VBP 19261 2788 51 the the DT 19261 2788 52 voice voice NN 19261 2788 53 and and CC 19261 2788 54 may may MD 19261 2788 55 cause cause VB 19261 2788 56 stenosis stenosis NN 19261 2788 57 . . . 19261 2789 1 * * NFP 19261 2789 2 In in IN 19261 2789 3 a a DT 19261 2789 4 case case NN 19261 2789 5 reported report VBN 19261 2789 6 by by IN 19261 2789 7 Delavan Delavan NNP 19261 2789 8 a a DT 19261 2789 9 complete complete JJ 19261 2789 10 cure cure NN 19261 2789 11 with with IN 19261 2789 12 perfect perfect JJ 19261 2789 13 restoration restoration NN 19261 2789 14 of of IN 19261 2789 15 voice voice NN 19261 2789 16 resulted result VBD 19261 2789 17 from from IN 19261 2789 18 radium radium NN 19261 2789 19 after after IN 19261 2789 20 I -PRON- PRP 19261 2789 21 had have VBD 19261 2789 22 failed fail VBN 19261 2789 23 to to TO 19261 2789 24 cure cure VB 19261 2789 25 by by IN 19261 2789 26 operative operative JJ 19261 2789 27 methods method NNS 19261 2789 28 . . . 19261 2790 1 ( ( -LRB- 19261 2790 2 Proceedings Proceedings NNP 19261 2790 3 American American NNP 19261 2790 4 Laryngological Laryngological NNP 19261 2790 5 Association Association NNP 19261 2790 6 , , , 19261 2790 7 1921 1921 CD 19261 2790 8 . . . 19261 2790 9 ) ) -RRB- 19261 2791 1 [ [ -LRB- 19261 2791 2 203 203 CD 19261 2791 3 ] ] -RRB- 19261 2791 4 CHAPTER chapter NN 19261 2791 5 XXII XXII NNS 19261 2791 6 -- -- : 19261 2791 7 BENIGN benign JJ 19261 2791 8 GROWTHS growths NN 19261 2791 9 IN in IN 19261 2791 10 THE the DT 19261 2791 11 LARYNX LARYNX NNP 19261 2791 12 ( ( -LRB- 19261 2791 13 Continued continued JJ 19261 2791 14 ) ) -RRB- 19261 2791 15 PAPILLOMATA papilloma NNS 19261 2791 16 OF of IN 19261 2791 17 THE the DT 19261 2791 18 LARYNX LARYNX NNP 19261 2791 19 IN in IN 19261 2791 20 CHILDREN child NNS 19261 2791 21 Of of IN 19261 2791 22 all all DT 19261 2791 23 benign benign JJ 19261 2791 24 growths growth NNS 19261 2791 25 in in IN 19261 2791 26 the the DT 19261 2791 27 larynx larynx NNP 19261 2791 28 papilloma papilloma NNP 19261 2791 29 is be VBZ 19261 2791 30 the the DT 19261 2791 31 most most RBS 19261 2791 32 frequent frequent JJ 19261 2791 33 . . . 19261 2792 1 It -PRON- PRP 19261 2792 2 may may MD 19261 2792 3 occur occur VB 19261 2792 4 at at IN 19261 2792 5 any any DT 19261 2792 6 age age NN 19261 2792 7 of of IN 19261 2792 8 childhood childhood NN 19261 2792 9 and and CC 19261 2792 10 may may MD 19261 2792 11 even even RB 19261 2792 12 be be VB 19261 2792 13 congenital congenital JJ 19261 2792 14 . . . 19261 2793 1 The the DT 19261 2793 2 outstanding outstanding JJ 19261 2793 3 fact fact NN 19261 2793 4 which which WDT 19261 2793 5 necessarily necessarily RB 19261 2793 6 influences influence VBZ 19261 2793 7 our -PRON- PRP$ 19261 2793 8 treatment treatment NN 19261 2793 9 is be VBZ 19261 2793 10 the the DT 19261 2793 11 tendency tendency NN 19261 2793 12 to to IN 19261 2793 13 recurrences recurrence NNS 19261 2793 14 , , , 19261 2793 15 followed follow VBD 19261 2793 16 eventually eventually RB 19261 2793 17 in in IN 19261 2793 18 practically practically RB 19261 2793 19 all all DT 19261 2793 20 cases case NNS 19261 2793 21 by by IN 19261 2793 22 a a DT 19261 2793 23 tendency tendency NN 19261 2793 24 to to TO 19261 2793 25 disappearance disappearance VB 19261 2793 26 . . . 19261 2794 1 In in IN 19261 2794 2 the the DT 19261 2794 3 author author NN 19261 2794 4 's 's POS 19261 2794 5 opinion opinion NN 19261 2794 6 multiple multiple JJ 19261 2794 7 papillomata papillomata NN 19261 2794 8 constitute constitute VBP 19261 2794 9 a a DT 19261 2794 10 benign benign JJ 19261 2794 11 , , , 19261 2794 12 self self NN 19261 2794 13 - - HYPH 19261 2794 14 limited limit VBN 19261 2794 15 disease disease NN 19261 2794 16 . . . 19261 2795 1 There there EX 19261 2795 2 are be VBP 19261 2795 3 two two CD 19261 2795 4 classes class NNS 19261 2795 5 of of IN 19261 2795 6 cases case NNS 19261 2795 7 . . . 19261 2796 1 1 1 LS 19261 2796 2 . . . 19261 2797 1 Those those DT 19261 2797 2 in in IN 19261 2797 3 which which WDT 19261 2797 4 the the DT 19261 2797 5 growth growth NN 19261 2797 6 gets get VBZ 19261 2797 7 well well RB 19261 2797 8 spontaneously spontaneously RB 19261 2797 9 , , , 19261 2797 10 or or CC 19261 2797 11 with with IN 19261 2797 12 slight slight JJ 19261 2797 13 treatment treatment NN 19261 2797 14 , , , 19261 2797 15 surgically surgically RB 19261 2797 16 or or CC 19261 2797 17 otherwise otherwise RB 19261 2797 18 ; ; : 19261 2797 19 and and CC 19261 2797 20 , , , 19261 2797 21 2 2 CD 19261 2797 22 , , , 19261 2797 23 those those DT 19261 2797 24 not not RB 19261 2797 25 readily readily RB 19261 2797 26 amenable amenable JJ 19261 2797 27 to to IN 19261 2797 28 any any DT 19261 2797 29 form form NN 19261 2797 30 of of IN 19261 2797 31 treatment treatment NN 19261 2797 32 , , , 19261 2797 33 recurrences recurrence NNS 19261 2797 34 appearing appear VBG 19261 2797 35 persistently persistently RB 19261 2797 36 at at IN 19261 2797 37 the the DT 19261 2797 38 old old JJ 19261 2797 39 sites site NNS 19261 2797 40 , , , 19261 2797 41 and and CC 19261 2797 42 in in IN 19261 2797 43 entirely entirely RB 19261 2797 44 new new JJ 19261 2797 45 locations location NNS 19261 2797 46 . . . 19261 2798 1 In in IN 19261 2798 2 the the DT 19261 2798 3 author author NN 19261 2798 4 's 's POS 19261 2798 5 opinion opinion NN 19261 2798 6 these these DT 19261 2798 7 two two CD 19261 2798 8 classes class NNS 19261 2798 9 of of IN 19261 2798 10 case case NN 19261 2798 11 represent represent VBP 19261 2798 12 not not RB 19261 2798 13 two two CD 19261 2798 14 different different JJ 19261 2798 15 kinds kind NNS 19261 2798 16 of of IN 19261 2798 17 growths growth NNS 19261 2798 18 , , , 19261 2798 19 but but CC 19261 2798 20 stages stage NNS 19261 2798 21 in in IN 19261 2798 22 the the DT 19261 2798 23 disease disease NN 19261 2798 24 . . . 19261 2799 1 Those those DT 19261 2799 2 that that WDT 19261 2799 3 get get VBP 19261 2799 4 well well RB 19261 2799 5 after after IN 19261 2799 6 a a DT 19261 2799 7 single single JJ 19261 2799 8 removal removal NN 19261 2799 9 are be VBP 19261 2799 10 near near IN 19261 2799 11 the the DT 19261 2799 12 end end NN 19261 2799 13 of of IN 19261 2799 14 the the DT 19261 2799 15 disease disease NN 19261 2799 16 . . . 19261 2800 1 Papillomata papilloma NNS 19261 2800 2 are be VBP 19261 2800 3 of of IN 19261 2800 4 inflammatory inflammatory JJ 19261 2800 5 origin origin NN 19261 2800 6 and and CC 19261 2800 7 are be VBP 19261 2800 8 not not RB 19261 2800 9 true true JJ 19261 2800 10 neoplasms neoplasm NNS 19261 2800 11 in in IN 19261 2800 12 the the DT 19261 2800 13 strictest strictest NN 19261 2800 14 sense sense NN 19261 2800 15 . . . 19261 2801 1 _ _ NNP 19261 2801 2 Methods Methods NNPS 19261 2801 3 of of IN 19261 2801 4 Treatment_.--Irritating treatment_.--irritate VBG 19261 2801 5 applications application NNS 19261 2801 6 probably probably RB 19261 2801 7 provoke provoke VBP 19261 2801 8 recurrences recurrence NNS 19261 2801 9 , , , 19261 2801 10 because because IN 19261 2801 11 the the DT 19261 2801 12 growths growth NNS 19261 2801 13 are be VBP 19261 2801 14 of of IN 19261 2801 15 inflammatory inflammatory JJ 19261 2801 16 origin origin NN 19261 2801 17 . . . 19261 2802 1 Formerly formerly RB 19261 2802 2 laryngostomy laryngostomy NN 19261 2802 3 was be VBD 19261 2802 4 recommended recommend VBN 19261 2802 5 as as IN 19261 2802 6 a a DT 19261 2802 7 last last JJ 19261 2802 8 resort resort NN 19261 2802 9 when when WRB 19261 2802 10 all all DT 19261 2802 11 other other JJ 19261 2802 12 means mean NNS 19261 2802 13 had have VBD 19261 2802 14 failed fail VBN 19261 2802 15 . . . 19261 2803 1 The the DT 19261 2803 2 excellent excellent JJ 19261 2803 3 results result NNS 19261 2803 4 from from IN 19261 2803 5 the the DT 19261 2803 6 method method NN 19261 2803 7 described describe VBN 19261 2803 8 in in IN 19261 2803 9 the the DT 19261 2803 10 foregoing foregoing JJ 19261 2803 11 paragraph paragraph NN 19261 2803 12 has have VBZ 19261 2803 13 relegated relegate VBN 19261 2803 14 laryngostomy laryngostomy NN 19261 2803 15 to to IN 19261 2803 16 those those DT 19261 2803 17 cases case NNS 19261 2803 18 that that WDT 19261 2803 19 come come VBP 19261 2803 20 in in RP 19261 2803 21 with with IN 19261 2803 22 a a DT 19261 2803 23 severe severe JJ 19261 2803 24 cicatricial cicatricial JJ 19261 2803 25 stenosis stenosis NN 19261 2803 26 from from IN 19261 2803 27 an an DT 19261 2803 28 injudicious injudicious JJ 19261 2803 29 laryngofissure laryngofissure NN 19261 2803 30 ; ; : 19261 2803 31 and and CC 19261 2803 32 even even RB 19261 2803 33 in in IN 19261 2803 34 these these DT 19261 2803 35 cases case NNS 19261 2803 36 cure cure VBP 19261 2803 37 of of IN 19261 2803 38 the the DT 19261 2803 39 stenosis stenosis NN 19261 2803 40 as as RB 19261 2803 41 well well RB 19261 2803 42 as as IN 19261 2803 43 the the DT 19261 2803 44 papillomata papillomata NN 19261 2803 45 can can MD 19261 2803 46 usually usually RB 19261 2803 47 be be VB 19261 2803 48 obtained obtain VBN 19261 2803 49 by by IN 19261 2803 50 endoscopic endoscopic JJ 19261 2803 51 methods method NNS 19261 2803 52 alone alone RB 19261 2803 53 , , , 19261 2803 54 using use VBG 19261 2803 55 superficial superficial JJ 19261 2803 56 scalping scalp VBG 19261 2803 57 off off IN 19261 2803 58 of of IN 19261 2803 59 the the DT 19261 2803 60 papillomata papillomata NN 19261 2803 61 with with IN 19261 2803 62 subsequent subsequent JJ 19261 2803 63 laryngoscopic laryngoscopic JJ 19261 2803 64 bouginage bouginage NN 19261 2803 65 for for IN 19261 2803 66 the the DT 19261 2803 67 stenosis stenosis NN 19261 2803 68 . . . 19261 2804 1 Thyrotomy Thyrotomy NNP 19261 2804 2 for for IN 19261 2804 3 papillomata papillomata NN 19261 2804 4 is be VBZ 19261 2804 5 mentioned mention VBN 19261 2804 6 only only RB 19261 2804 7 to to TO 19261 2804 8 be be VB 19261 2804 9 condemned condemn VBN 19261 2804 10 . . . 19261 2805 1 Fulguration fulguration NN 19261 2805 2 has have VBZ 19261 2805 3 been be VBN 19261 2805 4 satisfactory satisfactory JJ 19261 2805 5 in in IN 19261 2805 6 the the DT 19261 2805 7 hands hand NNS 19261 2805 8 of of IN 19261 2805 9 some some DT 19261 2805 10 , , , 19261 2805 11 disappointing disappointing JJ 19261 2805 12 to to IN 19261 2805 13 others other NNS 19261 2805 14 . . . 19261 2806 1 It -PRON- PRP 19261 2806 2 is be VBZ 19261 2806 3 easily easily RB 19261 2806 4 and and CC 19261 2806 5 accurately accurately RB 19261 2806 6 applied apply VBD 19261 2806 7 through through IN 19261 2806 8 the the DT 19261 2806 9 direct direct JJ 19261 2806 10 laryngoscope laryngoscope NN 19261 2806 11 , , , 19261 2806 12 but but CC 19261 2806 13 damage damage NN 19261 2806 14 to to IN 19261 2806 15 normal normal JJ 19261 2806 16 tissues tissue NNS 19261 2806 17 must must MD 19261 2806 18 be be VB 19261 2806 19 avoided avoid VBN 19261 2806 20 . . . 19261 2807 1 Radium radium NN 19261 2807 2 , , , 19261 2807 3 mesothorium mesothorium NN 19261 2807 4 , , , 19261 2807 5 and and CC 19261 2807 6 the the DT 19261 2807 7 roentgenray roentgenray NN 19261 2807 8 are be VBP 19261 2807 9 reported report VBN 19261 2807 10 to to TO 19261 2807 11 have have VB 19261 2807 12 had have VBN 19261 2807 13 in in IN 19261 2807 14 certain certain JJ 19261 2807 15 isolated isolated JJ 19261 2807 16 cases case NNS 19261 2807 17 a a DT 19261 2807 18 seemingly seemingly RB 19261 2807 19 beneficial beneficial JJ 19261 2807 20 action action NN 19261 2807 21 . . . 19261 2808 1 In in IN 19261 2808 2 my -PRON- PRP$ 19261 2808 3 experience experience NN 19261 2808 4 , , , 19261 2808 5 however however RB 19261 2808 6 , , , 19261 2808 7 I -PRON- PRP 19261 2808 8 have have VBP 19261 2808 9 never never RB 19261 2808 10 seen see VBN 19261 2808 11 a a DT 19261 2808 12 cure cure NN 19261 2808 13 of of IN 19261 2808 14 papillomata papillomata NN 19261 2808 15 which which WDT 19261 2808 16 could could MD 19261 2808 17 be be VB 19261 2808 18 attributed attribute VBN 19261 2808 19 to to IN 19261 2808 20 the the DT 19261 2808 21 radiation radiation NN 19261 2808 22 . . . 19261 2809 1 I -PRON- PRP 19261 2809 2 have have VBP 19261 2809 3 seen see VBN 19261 2809 4 cases case NNS 19261 2809 5 in in IN 19261 2809 6 which which WDT 19261 2809 7 no no DT 19261 2809 8 effect effect NN 19261 2809 9 on on IN 19261 2809 10 the the DT 19261 2809 11 growths growth NNS 19261 2809 12 or or CC 19261 2809 13 recurrence recurrence NN 19261 2809 14 was be VBD 19261 2809 15 apparent apparent JJ 19261 2809 16 , , , 19261 2809 17 and and CC 19261 2809 18 in in IN 19261 2809 19 some some DT 19261 2809 20 cases case NNS 19261 2809 21 the the DT 19261 2809 22 growths growth NNS 19261 2809 23 seemed seem VBD 19261 2809 24 to to TO 19261 2809 25 have have VB 19261 2809 26 been be VBN 19261 2809 27 stimulated stimulate VBN 19261 2809 28 to to IN 19261 2809 29 more more JJR 19261 2809 30 rapid rapid JJ 19261 2809 31 repullulations repullulation NNS 19261 2809 32 . . . 19261 2810 1 In in IN 19261 2810 2 other other JJ 19261 2810 3 most most RBS 19261 2810 4 unfortunate unfortunate JJ 19261 2810 5 cases case NNS 19261 2810 6 I -PRON- PRP 19261 2810 7 have have VBP 19261 2810 8 seen see VBN 19261 2810 9 perichondritis perichondritis NN 19261 2810 10 of of IN 19261 2810 11 the the DT 19261 2810 12 laryngeal laryngeal JJ 19261 2810 13 cartilages cartilage NNS 19261 2810 14 with with IN 19261 2810 15 subsequent subsequent JJ 19261 2810 16 stenosis stenosis NN 19261 2810 17 occurring occur VBG 19261 2810 18 after after IN 19261 2810 19 the the DT 19261 2810 20 roentgenotherapy roentgenotherapy NN 19261 2810 21 . . . 19261 2811 1 Possibly possibly RB 19261 2811 2 the the DT 19261 2811 3 disastrous disastrous JJ 19261 2811 4 results result NNS 19261 2811 5 were be VBD 19261 2811 6 due due JJ 19261 2811 7 to to IN 19261 2811 8 overdosage overdosage NN 19261 2811 9 ; ; : 19261 2811 10 but but CC 19261 2811 11 I -PRON- PRP 19261 2811 12 feel feel VBP 19261 2811 13 it -PRON- PRP 19261 2811 14 a a DT 19261 2811 15 duty duty NN 19261 2811 16 to to TO 19261 2811 17 state state VB 19261 2811 18 the the DT 19261 2811 19 unfavorable unfavorable JJ 19261 2811 20 experience experience NN 19261 2811 21 , , , 19261 2811 22 and and CC 19261 2811 23 to to TO 19261 2811 24 call call VB 19261 2811 25 attention attention NN 19261 2811 26 to to IN 19261 2811 27 the the DT 19261 2811 28 difference difference NN 19261 2811 29 between between IN 19261 2811 30 cancer cancer NN 19261 2811 31 and and CC 19261 2811 32 papillomata papillomata NN 19261 2811 33 . . . 19261 2812 1 Multiple multiple JJ 19261 2812 2 papillomata papillomata NN 19261 2812 3 involve involve VBP 19261 2812 4 no no DT 19261 2812 5 danger danger NN 19261 2812 6 to to IN 19261 2812 7 life life NN 19261 2812 8 other other JJ 19261 2812 9 than than IN 19261 2812 10 that that DT 19261 2812 11 of of IN 19261 2812 12 easily easily RB 19261 2812 13 obviated obviate VBN 19261 2812 14 asphyxia asphyxia NN 19261 2812 15 , , , 19261 2812 16 and and CC 19261 2812 17 it -PRON- PRP 19261 2812 18 is be VBZ 19261 2812 19 moreover moreover RB 19261 2812 20 a a DT 19261 2812 21 benign benign JJ 19261 2812 22 self self NN 19261 2812 23 - - HYPH 19261 2812 24 limited limited JJ 19261 2812 25 disease disease NN 19261 2812 26 that that WDT 19261 2812 27 repullulates repullulate VBZ 19261 2812 28 on on IN 19261 2812 29 the the DT 19261 2812 30 surface surface NN 19261 2812 31 . . . 19261 2813 1 In in IN 19261 2813 2 cancer cancer NN 19261 2813 3 we -PRON- PRP 19261 2813 4 have have VBP 19261 2813 5 an an DT 19261 2813 6 infiltrating infiltrating JJ 19261 2813 7 process process NN 19261 2813 8 that that WDT 19261 2813 9 has have VBZ 19261 2813 10 no no DT 19261 2813 11 limits limit NNS 19261 2813 12 short short JJ 19261 2813 13 of of IN 19261 2813 14 life life NN 19261 2813 15 itself -PRON- PRP 19261 2813 16 . . . 19261 2814 1 _ _ NNP 19261 2814 2 Endolaryngeal Endolaryngeal NNP 19261 2814 3 extirpation extirpation NN 19261 2814 4 _ _ NNP 19261 2814 5 of of IN 19261 2814 6 papillomata papillomata NN 19261 2814 7 in in IN 19261 2814 8 children child NNS 19261 2814 9 requires require VBZ 19261 2814 10 no no DT 19261 2814 11 anesthetic anesthetic JJ 19261 2814 12 , , , 19261 2814 13 general general JJ 19261 2814 14 or or CC 19261 2814 15 local local JJ 19261 2814 16 ; ; : 19261 2814 17 the the DT 19261 2814 18 growths growth NNS 19261 2814 19 are be VBP 19261 2814 20 devoid devoid JJ 19261 2814 21 of of IN 19261 2814 22 sensibility sensibility NN 19261 2814 23 . . . 19261 2815 1 If if IN 19261 2815 2 , , , 19261 2815 3 for for IN 19261 2815 4 any any DT 19261 2815 5 reason reason NN 19261 2815 6 , , , 19261 2815 7 a a DT 19261 2815 8 general general JJ 19261 2815 9 anesthetic anesthetic NN 19261 2815 10 is be VBZ 19261 2815 11 used use VBN 19261 2815 12 it -PRON- PRP 19261 2815 13 should should MD 19261 2815 14 be be VB 19261 2815 15 only only RB 19261 2815 16 in in IN 19261 2815 17 tracheotomized tracheotomized JJ 19261 2815 18 cases case NNS 19261 2815 19 , , , 19261 2815 20 because because IN 19261 2815 21 the the DT 19261 2815 22 growths growth NNS 19261 2815 23 obstruct obstruct VBP 19261 2815 24 the the DT 19261 2815 25 airway airway NN 19261 2815 26 . . . 19261 2816 1 Obstructed obstruct VBN 19261 2816 2 respiration respiration NN 19261 2816 3 introduces introduce NNS 19261 2816 4 into into IN 19261 2816 5 general general JJ 19261 2816 6 anesthesia anesthesia NNP 19261 2816 7 an an DT 19261 2816 8 enormous enormous JJ 19261 2816 9 element element NN 19261 2816 10 of of IN 19261 2816 11 danger danger NN 19261 2816 12 . . . 19261 2817 1 Concerning concern VBG 19261 2817 2 the the DT 19261 2817 3 treatment treatment NN 19261 2817 4 of of IN 19261 2817 5 multiple multiple JJ 19261 2817 6 papillomata papillomata NN 19261 2817 7 it -PRON- PRP 19261 2817 8 has have VBZ 19261 2817 9 been be VBN 19261 2817 10 my -PRON- PRP$ 19261 2817 11 experience experience NN 19261 2817 12 in in IN 19261 2817 13 hundreds hundred NNS 19261 2817 14 of of IN 19261 2817 15 cases case NNS 19261 2817 16 that that WDT 19261 2817 17 have have VBP 19261 2817 18 come come VBN 19261 2817 19 to to IN 19261 2817 20 the the DT 19261 2817 21 Bronchoscopic Bronchoscopic NNP 19261 2817 22 Clinic Clinic NNP 19261 2817 23 , , , 19261 2817 24 that that WDT 19261 2817 25 repeated repeat VBD 19261 2817 26 superficial superficial JJ 19261 2817 27 removals removal NNS 19261 2817 28 with with IN 19261 2817 29 blunt blunt JJ 19261 2817 30 non non JJ 19261 2817 31 - - JJ 19261 2817 32 cutting cutting JJ 19261 2817 33 forceps forceps NNS 19261 2817 34 ( ( -LRB- 19261 2817 35 see see VB 19261 2817 36 Chapter Chapter NNP 19261 2817 37 I I NNP 19261 2817 38 ) ) -RRB- 19261 2817 39 will will MD 19261 2817 40 so so RB 19261 2817 41 modify modify VB 19261 2817 42 the the DT 19261 2817 43 soil soil NN 19261 2817 44 as as IN 19261 2817 45 to to TO 19261 2817 46 make make VB 19261 2817 47 it -PRON- PRP 19261 2817 48 unfavorable unfavorable JJ 19261 2817 49 for for IN 19261 2817 50 repullulation repullulation NN 19261 2817 51 . . . 19261 2818 1 The the DT 19261 2818 2 removals removal NNS 19261 2818 3 are be VBP 19261 2818 4 superficial superficial JJ 19261 2818 5 and and CC 19261 2818 6 do do VBP 19261 2818 7 not not RB 19261 2818 8 include include VB 19261 2818 9 the the DT 19261 2818 10 subjacent subjacent JJ 19261 2818 11 normal normal JJ 19261 2818 12 tissue tissue NN 19261 2818 13 . . . 19261 2819 1 Radical radical JJ 19261 2819 2 removal removal NN 19261 2819 3 of of IN 19261 2819 4 a a DT 19261 2819 5 papilloma papilloma NN 19261 2819 6 situated situate VBN 19261 2819 7 , , , 19261 2819 8 for for IN 19261 2819 9 instance instance NN 19261 2819 10 , , , 19261 2819 11 on on IN 19261 2819 12 the the DT 19261 2819 13 left left JJ 19261 2819 14 ventricular ventricular JJ 19261 2819 15 band band NN 19261 2819 16 or or CC 19261 2819 17 cord cord NN 19261 2819 18 , , , 19261 2819 19 can can MD 19261 2819 20 in in IN 19261 2819 21 no no DT 19261 2819 22 way way NN 19261 2819 23 prevent prevent VB 19261 2819 24 the the DT 19261 2819 25 subsequent subsequent JJ 19261 2819 26 occurrence occurrence NN 19261 2819 27 of of IN 19261 2819 28 a a DT 19261 2819 29 similar similar JJ 19261 2819 30 growth growth NN 19261 2819 31 at at IN 19261 2819 32 a a DT 19261 2819 33 different different JJ 19261 2819 34 site site NN 19261 2819 35 , , , 19261 2819 36 as as IN 19261 2819 37 upon upon IN 19261 2819 38 the the DT 19261 2819 39 epiglottis epiglottis NN 19261 2819 40 , , , 19261 2819 41 or or CC 19261 2819 42 even even RB 19261 2819 43 in in IN 19261 2819 44 the the DT 19261 2819 45 fauces fauce NNS 19261 2819 46 . . . 19261 2820 1 Furthermore furthermore RB 19261 2820 2 , , , 19261 2820 3 radical radical JJ 19261 2820 4 removal removal NN 19261 2820 5 of of IN 19261 2820 6 the the DT 19261 2820 7 basal basal NN 19261 2820 8 tissues tissue NNS 19261 2820 9 is be VBZ 19261 2820 10 certain certain JJ 19261 2820 11 to to TO 19261 2820 12 impair impair VB 19261 2820 13 the the DT 19261 2820 14 phonatory phonatory JJ 19261 2820 15 function function NN 19261 2820 16 . . . 19261 2821 1 Excellent excellent JJ 19261 2821 2 results result NNS 19261 2821 3 as as IN 19261 2821 4 to to IN 19261 2821 5 voice voice NN 19261 2821 6 and and CC 19261 2821 7 freedom freedom NN 19261 2821 8 from from IN 19261 2821 9 recurrence recurrence NN 19261 2821 10 have have VBP 19261 2821 11 always always RB 19261 2821 12 followed follow VBN 19261 2821 13 repeated repeat VBN 19261 2821 14 superficial superficial JJ 19261 2821 15 removal removal NN 19261 2821 16 . . . 19261 2822 1 The the DT 19261 2822 2 time time NN 19261 2822 3 required require VBN 19261 2822 4 has have VBZ 19261 2822 5 been be VBN 19261 2822 6 months month NNS 19261 2822 7 or or CC 19261 2822 8 a a DT 19261 2822 9 year year NN 19261 2822 10 or or CC 19261 2822 11 two two CD 19261 2822 12 . . . 19261 2823 1 Only only RB 19261 2823 2 rarely rarely RB 19261 2823 3 has have VBZ 19261 2823 4 a a DT 19261 2823 5 cure cure NN 19261 2823 6 followed follow VBD 19261 2823 7 a a DT 19261 2823 8 single single JJ 19261 2823 9 extirpation extirpation NN 19261 2823 10 . . . 19261 2824 1 If if IN 19261 2824 2 the the DT 19261 2824 3 child child NN 19261 2824 4 is be VBZ 19261 2824 5 but but CC 19261 2824 6 slightly slightly RB 19261 2824 7 dyspneic dyspneic VBZ 19261 2824 8 , , , 19261 2824 9 the the DT 19261 2824 10 obstructing obstruct VBG 19261 2824 11 part part NN 19261 2824 12 of of IN 19261 2824 13 the the DT 19261 2824 14 growth growth NN 19261 2824 15 is be VBZ 19261 2824 16 first first RB 19261 2824 17 removed remove VBN 19261 2824 18 without without IN 19261 2824 19 anesthesia anesthesia NNP 19261 2824 20 , , , 19261 2824 21 general general JJ 19261 2824 22 or or CC 19261 2824 23 local local JJ 19261 2824 24 ; ; : 19261 2824 25 the the DT 19261 2824 26 remaining remain VBG 19261 2824 27 fungations fungation NNS 19261 2824 28 are be VBP 19261 2824 29 extirpated extirpate VBN 19261 2824 30 subsequently subsequently RB 19261 2824 31 at at IN 19261 2824 32 a a DT 19261 2824 33 number number NN 19261 2824 34 of of IN 19261 2824 35 brief brief JJ 19261 2824 36 seances seance NNS 19261 2824 37 . . . 19261 2825 1 The the DT 19261 2825 2 child child NN 19261 2825 3 is be VBZ 19261 2825 4 thus thus RB 19261 2825 5 not not RB 19261 2825 6 terrified terrify VBN 19261 2825 7 , , , 19261 2825 8 soon soon RB 19261 2825 9 loses lose VBZ 19261 2825 10 dread dread NN 19261 2825 11 of of IN 19261 2825 12 the the DT 19261 2825 13 removals removal NNS 19261 2825 14 , , , 19261 2825 15 and and CC 19261 2825 16 appreciates appreciate VBZ 19261 2825 17 the the DT 19261 2825 18 relief relief NN 19261 2825 19 . . . 19261 2826 1 Should Should MD 19261 2826 2 the the DT 19261 2826 3 child child NN 19261 2826 4 be be VB 19261 2826 5 very very RB 19261 2826 6 dyspneic dyspneic JJ 19261 2826 7 when when WRB 19261 2826 8 first first RB 19261 2826 9 seen see VBN 19261 2826 10 , , , 19261 2826 11 a a DT 19261 2826 12 low low JJ 19261 2826 13 tracheotomy tracheotomy NN 19261 2826 14 is be VBZ 19261 2826 15 immediately immediately RB 19261 2826 16 done do VBN 19261 2826 17 , , , 19261 2826 18 and and CC 19261 2826 19 after after IN 19261 2826 20 an an DT 19261 2826 21 interim interim NN 19261 2826 22 of of IN 19261 2826 23 ten ten CD 19261 2826 24 days day NNS 19261 2826 25 , , , 19261 2826 26 laryngoscopic laryngoscopic NN 19261 2826 27 removal removal NN 19261 2826 28 of of IN 19261 2826 29 the the DT 19261 2826 30 growth growth NN 19261 2826 31 is be VBZ 19261 2826 32 begun begin VBN 19261 2826 33 . . . 19261 2827 1 Tracheotomy Tracheotomy NNP 19261 2827 2 probably probably RB 19261 2827 3 has have VBZ 19261 2827 4 a a DT 19261 2827 5 beneficial beneficial JJ 19261 2827 6 effect effect NN 19261 2827 7 on on IN 19261 2827 8 the the DT 19261 2827 9 disease disease NN 19261 2827 10 . . . 19261 2828 1 Tracheal tracheal NN 19261 2828 2 growths growth NNS 19261 2828 3 require require VBP 19261 2828 4 the the DT 19261 2828 5 insertion insertion NN 19261 2828 6 of of IN 19261 2828 7 the the DT 19261 2828 8 bronchoscope bronchoscope NN 19261 2828 9 for for IN 19261 2828 10 their -PRON- PRP$ 19261 2828 11 removal removal NN 19261 2828 12 . . . 19261 2829 1 _ _ NNP 19261 2829 2 Papillomata Papillomata NNP 19261 2829 3 in in IN 19261 2829 4 the the DT 19261 2829 5 larynx larynx NN 19261 2829 6 of of IN 19261 2829 7 adults adult NNS 19261 2829 8 _ _ NNP 19261 2829 9 are be VBP 19261 2829 10 , , , 19261 2829 11 on on IN 19261 2829 12 the the DT 19261 2829 13 whole whole JJ 19261 2829 14 , , , 19261 2829 15 much much RB 19261 2829 16 more more RBR 19261 2829 17 amenable amenable JJ 19261 2829 18 to to IN 19261 2829 19 treatment treatment NN 19261 2829 20 than than IN 19261 2829 21 similar similar JJ 19261 2829 22 growths growth NNS 19261 2829 23 in in IN 19261 2829 24 children child NNS 19261 2829 25 . . . 19261 2830 1 Tracheotomy Tracheotomy NNP 19261 2830 2 is be VBZ 19261 2830 3 very very RB 19261 2830 4 rarely rarely RB 19261 2830 5 required require VBN 19261 2830 6 , , , 19261 2830 7 and and CC 19261 2830 8 the the DT 19261 2830 9 tendency tendency NN 19261 2830 10 to to TO 19261 2830 11 recurrence recurrence VB 19261 2830 12 is be VBZ 19261 2830 13 less less RBR 19261 2830 14 marked marked JJ 19261 2830 15 . . . 19261 2831 1 Many many JJ 19261 2831 2 are be VBP 19261 2831 3 cured cure VBN 19261 2831 4 by by IN 19261 2831 5 a a DT 19261 2831 6 single single JJ 19261 2831 7 extirpation extirpation NN 19261 2831 8 . . . 19261 2832 1 The the DT 19261 2832 2 best good JJS 19261 2832 3 results result NNS 19261 2832 4 are be VBP 19261 2832 5 obtained obtain VBN 19261 2832 6 by by IN 19261 2832 7 removal removal NN 19261 2832 8 of of IN 19261 2832 9 the the DT 19261 2832 10 growths growth NNS 19261 2832 11 with with IN 19261 2832 12 the the DT 19261 2832 13 laryngeal laryngeal NN 19261 2832 14 grasping grasping NN 19261 2832 15 - - HYPH 19261 2832 16 forceps forceps NNP 19261 2832 17 , , , 19261 2832 18 taking take VBG 19261 2832 19 the the DT 19261 2832 20 utmost utmost JJ 19261 2832 21 care care NN 19261 2832 22 to to TO 19261 2832 23 avoid avoid VB 19261 2832 24 including include VBG 19261 2832 25 in in IN 19261 2832 26 the the DT 19261 2832 27 bite bite NN 19261 2832 28 of of IN 19261 2832 29 the the DT 19261 2832 30 forceps forceps NNS 19261 2832 31 any any DT 19261 2832 32 of of IN 19261 2832 33 the the DT 19261 2832 34 subjacent subjacent JJ 19261 2832 35 normal normal JJ 19261 2832 36 tissue tissue NN 19261 2832 37 . . . 19261 2833 1 Radical radical JJ 19261 2833 2 resection resection NN 19261 2833 3 or or CC 19261 2833 4 cauterization cauterization NN 19261 2833 5 of of IN 19261 2833 6 the the DT 19261 2833 7 base base NN 19261 2833 8 is be VBZ 19261 2833 9 unwise unwise JJ 19261 2833 10 because because IN 19261 2833 11 of of IN 19261 2833 12 the the DT 19261 2833 13 probable probable JJ 19261 2833 14 impairment impairment NN 19261 2833 15 of of IN 19261 2833 16 the the DT 19261 2833 17 voice voice NN 19261 2833 18 , , , 19261 2833 19 or or CC 19261 2833 20 cicatricial cicatricial JJ 19261 2833 21 stenosis stenosis NN 19261 2833 22 , , , 19261 2833 23 without without IN 19261 2833 24 in in IN 19261 2833 25 anyway anyway RB 19261 2833 26 insuring insure VBG 19261 2833 27 against against IN 19261 2833 28 repullulation repullulation NN 19261 2833 29 . . . 19261 2834 1 The the DT 19261 2834 2 papillomata papillomata NN 19261 2834 3 are be VBP 19261 2834 4 so so RB 19261 2834 5 soft soft JJ 19261 2834 6 that that IN 19261 2834 7 they -PRON- PRP 19261 2834 8 give give VBP 19261 2834 9 no no DT 19261 2834 10 sensation sensation NN 19261 2834 11 of of IN 19261 2834 12 traction traction NN 19261 2834 13 to to IN 19261 2834 14 the the DT 19261 2834 15 forceps forceps NNP 19261 2834 16 . . . 19261 2835 1 They -PRON- PRP 19261 2835 2 can can MD 19261 2835 3 readily readily RB 19261 2835 4 be be VB 19261 2835 5 " " `` 19261 2835 6 scalped scalp VBN 19261 2835 7 " " '' 19261 2835 8 off off RB 19261 2835 9 without without IN 19261 2835 10 any any DT 19261 2835 11 impairment impairment NN 19261 2835 12 of of IN 19261 2835 13 the the DT 19261 2835 14 sound sound JJ 19261 2835 15 tissues tissue NNS 19261 2835 16 , , , 19261 2835 17 by by IN 19261 2835 18 the the DT 19261 2835 19 use use NN 19261 2835 20 of of IN 19261 2835 21 the the DT 19261 2835 22 author author NN 19261 2835 23 's 's POS 19261 2835 24 papilloma papilloma NN 19261 2835 25 forceps forceps NNP 19261 2835 26 ( ( -LRB- 19261 2835 27 Fig fig NN 19261 2835 28 . . . 19261 2836 1 29 29 CD 19261 2836 2 ) ) -RRB- 19261 2836 3 . . . 19261 2837 1 Cutting cut VBG 19261 2837 2 forceps forceps NNS 19261 2837 3 of of IN 19261 2837 4 all all DT 19261 2837 5 kinds kind NNS 19261 2837 6 are be VBP 19261 2837 7 objectionable objectionable JJ 19261 2837 8 because because IN 19261 2837 9 they -PRON- PRP 19261 2837 10 may may MD 19261 2837 11 wound wound VB 19261 2837 12 the the DT 19261 2837 13 normal normal JJ 19261 2837 14 tissues tissue NNS 19261 2837 15 before before IN 19261 2837 16 the the DT 19261 2837 17 sense sense NN 19261 2837 18 of of IN 19261 2837 19 touch touch NN 19261 2837 20 can can MD 19261 2837 21 give give VB 19261 2837 22 warning warning NN 19261 2837 23 . . . 19261 2838 1 A a DT 19261 2838 2 gentle gentle JJ 19261 2838 3 hand hand NN 19261 2838 4 might may MD 19261 2838 5 be be VB 19261 2838 6 trusted trust VBN 19261 2838 7 with with IN 19261 2838 8 the the DT 19261 2838 9 cup cup NN 19261 2838 10 forceps forceps NNP 19261 2838 11 ( ( -LRB- 19261 2838 12 Fig Fig NNP 19261 2838 13 . . . 19261 2839 1 32 32 CD 19261 2839 2 , , , 19261 2839 3 large large JJ 19261 2839 4 size size NN 19261 2839 5 . . . 19261 2839 6 ) ) -RRB- 19261 2840 1 Sir Sir NNP 19261 2840 2 Felix Felix NNP 19261 2840 3 Semon Semon NNP 19261 2840 4 proved prove VBD 19261 2840 5 conclusively conclusively RB 19261 2840 6 by by IN 19261 2840 7 his -PRON- PRP$ 19261 2840 8 collective collective JJ 19261 2840 9 investigations investigation NNS 19261 2840 10 that that WDT 19261 2840 11 cancer cancer NN 19261 2840 12 can can MD 19261 2840 13 not not RB 19261 2840 14 be be VB 19261 2840 15 caused cause VBN 19261 2840 16 by by IN 19261 2840 17 the the DT 19261 2840 18 repeated repeat VBN 19261 2840 19 removals removal NNS 19261 2840 20 of of IN 19261 2840 21 benign benign JJ 19261 2840 22 growths growth NNS 19261 2840 23 . . . 19261 2841 1 Therefore therefore RB 19261 2841 2 , , , 19261 2841 3 no no DT 19261 2841 4 fear fear NN 19261 2841 5 of of IN 19261 2841 6 causing cause VBG 19261 2841 7 cancer cancer NN 19261 2841 8 need nee MD 19261 2841 9 give give VB 19261 2841 10 rise rise NN 19261 2841 11 to to IN 19261 2841 12 hesitation hesitation NN 19261 2841 13 in in IN 19261 2841 14 repeatedly repeatedly RB 19261 2841 15 removing remove VBG 19261 2841 16 the the DT 19261 2841 17 repullulations repullulation NNS 19261 2841 18 of of IN 19261 2841 19 papillomata papillomata NN 19261 2841 20 or or CC 19261 2841 21 other other JJ 19261 2841 22 benign benign JJ 19261 2841 23 growths growth NNS 19261 2841 24 . . . 19261 2842 1 Indeed indeed RB 19261 2842 2 there there EX 19261 2842 3 is be VBZ 19261 2842 4 much much JJ 19261 2842 5 clinical clinical JJ 19261 2842 6 evidence evidence NN 19261 2842 7 elsewhere elsewhere RB 19261 2842 8 in in IN 19261 2842 9 the the DT 19261 2842 10 body body NN 19261 2842 11 , , , 19261 2842 12 and and CC 19261 2842 13 more more JJR 19261 2842 14 than than IN 19261 2842 15 a a DT 19261 2842 16 little little JJ 19261 2842 17 such such JJ 19261 2842 18 evidence evidence NN 19261 2842 19 as as IN 19261 2842 20 to to IN 19261 2842 21 the the DT 19261 2842 22 larynx larynx NN 19261 2842 23 , , , 19261 2842 24 to to TO 19261 2842 25 warrant warrant VB 19261 2842 26 the the DT 19261 2842 27 removal removal NN 19261 2842 28 of of IN 19261 2842 29 benign benign JJ 19261 2842 30 growths growth NNS 19261 2842 31 , , , 19261 2842 32 repeated repeat VBN 19261 2842 33 if if IN 19261 2842 34 necessary necessary JJ 19261 2842 35 , , , 19261 2842 36 as as IN 19261 2842 37 a a DT 19261 2842 38 prophylactic prophylactic NN 19261 2842 39 of of IN 19261 2842 40 cancer cancer NN 19261 2842 41 ( ( -LRB- 19261 2842 42 Bibliography Bibliography NNP 19261 2842 43 , , , 19261 2842 44 19 19 CD 19261 2842 45 ) ) -RRB- 19261 2842 46 . . . 19261 2843 1 [ [ -LRB- 19261 2843 2 207 207 CD 19261 2843 3 ] ] -RRB- 19261 2843 4 CHAPTER chapter NN 19261 2843 5 XXIII xxiii NN 19261 2843 6 -- -- : 19261 2843 7 BENIGN benign JJ 19261 2843 8 GROWTHS growths NN 19261 2843 9 PRIMARY primary NN 19261 2843 10 IN in IN 19261 2843 11 THE the DT 19261 2843 12 TRACHEOBRONCHIAL TRACHEOBRONCHIAL NNP 19261 2843 13 TREE TREE NNP 19261 2843 14 Extension extension NN 19261 2843 15 of of IN 19261 2843 16 papillomata papillomata NN 19261 2843 17 from from IN 19261 2843 18 the the DT 19261 2843 19 larynx larynx NN 19261 2843 20 into into IN 19261 2843 21 the the DT 19261 2843 22 cervical cervical JJ 19261 2843 23 trachea trachea NN 19261 2843 24 , , , 19261 2843 25 especially especially RB 19261 2843 26 about about IN 19261 2843 27 the the DT 19261 2843 28 tracheotomy tracheotomy NN 19261 2843 29 wound wound NN 19261 2843 30 , , , 19261 2843 31 is be VBZ 19261 2843 32 of of IN 19261 2843 33 relatively relatively RB 19261 2843 34 common common JJ 19261 2843 35 occurrence occurrence NN 19261 2843 36 . . . 19261 2844 1 True true JJ 19261 2844 2 primary primary JJ 19261 2844 3 growths growth NNS 19261 2844 4 of of IN 19261 2844 5 the the DT 19261 2844 6 tracheobronchial tracheobronchial JJ 19261 2844 7 tree tree NN 19261 2844 8 , , , 19261 2844 9 though though IN 19261 2844 10 not not RB 19261 2844 11 frequent frequent JJ 19261 2844 12 , , , 19261 2844 13 are be VBP 19261 2844 14 by by IN 19261 2844 15 no no DT 19261 2844 16 means means NN 19261 2844 17 rare rare JJ 19261 2844 18 . . . 19261 2845 1 These these DT 19261 2845 2 primary primary JJ 19261 2845 3 growths growth NNS 19261 2845 4 include include VBP 19261 2845 5 primary primary JJ 19261 2845 6 papillomata papillomata NN 19261 2845 7 and and CC 19261 2845 8 fibromata fibromata NN 19261 2845 9 as as IN 19261 2845 10 the the DT 19261 2845 11 most most RBS 19261 2845 12 frequent frequent JJ 19261 2845 13 , , , 19261 2845 14 aberrant aberrant JJ 19261 2845 15 thyroid thyroid NN 19261 2845 16 , , , 19261 2845 17 lipomata lipomata NNP 19261 2845 18 , , , 19261 2845 19 adenomata adenomata NNP 19261 2845 20 , , , 19261 2845 21 granulomata granulomata NN 19261 2845 22 and and CC 19261 2845 23 amyloid amyloid NN 19261 2845 24 tumors tumor NNS 19261 2845 25 . . . 19261 2846 1 Chondromata Chondromata NNP 19261 2846 2 and and CC 19261 2846 3 osteochondromata osteochondromata NN 19261 2846 4 may may MD 19261 2846 5 be be VB 19261 2846 6 benign benign JJ 19261 2846 7 but but CC 19261 2846 8 are be VBP 19261 2846 9 prone prone JJ 19261 2846 10 to to TO 19261 2846 11 develop develop VB 19261 2846 12 malignancy malignancy NN 19261 2846 13 , , , 19261 2846 14 and and CC 19261 2846 15 by by IN 19261 2846 16 sarcomatous sarcomatous JJ 19261 2846 17 or or CC 19261 2846 18 other other JJ 19261 2846 19 changes change NNS 19261 2846 20 , , , 19261 2846 21 even even RB 19261 2846 22 metaplasia metaplasia NNP 19261 2846 23 . . . 19261 2847 1 Edematous edematous JJ 19261 2847 2 polypi polypus NNS 19261 2847 3 and and CC 19261 2847 4 other other JJ 19261 2847 5 more more RBR 19261 2847 6 or or CC 19261 2847 7 less less JJR 19261 2847 8 tumor tumor NN 19261 2847 9 - - HYPH 19261 2847 10 like like JJ 19261 2847 11 inflammatory inflammatory JJ 19261 2847 12 sequelae sequela NNS 19261 2847 13 are be VBP 19261 2847 14 occasionally occasionally RB 19261 2847 15 encountered encounter VBN 19261 2847 16 . . . 19261 2848 1 _ _ NNP 19261 2848 2 Symptoms Symptoms NNPS 19261 2848 3 of of IN 19261 2848 4 Benign benign JJ 19261 2848 5 Tumors tumor NNS 19261 2848 6 of of IN 19261 2848 7 the the DT 19261 2848 8 Tracheobronchial Tracheobronchial NNP 19261 2848 9 Tree_.--Cough Tree_.--Cough NNP 19261 2848 10 , , , 19261 2848 11 wheezing wheeze VBG 19261 2848 12 respiration respiration NN 19261 2848 13 , , , 19261 2848 14 and and CC 19261 2848 15 dyspnea dyspnea JJ 19261 2848 16 , , , 19261 2848 17 varying vary VBG 19261 2848 18 in in IN 19261 2848 19 degree degree NN 19261 2848 20 with with IN 19261 2848 21 the the DT 19261 2848 22 size size NN 19261 2848 23 of of IN 19261 2848 24 the the DT 19261 2848 25 tumor tumor NN 19261 2848 26 , , , 19261 2848 27 indicate indicate VBP 19261 2848 28 obstruction obstruction NN 19261 2848 29 of of IN 19261 2848 30 the the DT 19261 2848 31 airway airway NN 19261 2848 32 . . . 19261 2849 1 Associated associate VBN 19261 2849 2 with with IN 19261 2849 3 defective defective JJ 19261 2849 4 aeration aeration NN 19261 2849 5 will will MD 19261 2849 6 be be VB 19261 2849 7 the the DT 19261 2849 8 signs sign NNS 19261 2849 9 of of IN 19261 2849 10 deficient deficient JJ 19261 2849 11 drainage drainage NN 19261 2849 12 of of IN 19261 2849 13 secretions secretion NNS 19261 2849 14 . . . 19261 2850 1 Roentgenray roentgenray JJ 19261 2850 2 examination examination NN 19261 2850 3 may may MD 19261 2850 4 show show VB 19261 2850 5 the the DT 19261 2850 6 shadow shadow NN 19261 2850 7 of of IN 19261 2850 8 enchondromata enchondromata NN 19261 2850 9 or or CC 19261 2850 10 osteomata osteomata NN 19261 2850 11 , , , 19261 2850 12 and and CC 19261 2850 13 will will MD 19261 2850 14 also also RB 19261 2850 15 show show VB 19261 2850 16 variations variation NNS 19261 2850 17 in in IN 19261 2850 18 aeration aeration NN 19261 2850 19 should should MD 19261 2850 20 the the DT 19261 2850 21 tumor tumor NN 19261 2850 22 be be VB 19261 2850 23 in in IN 19261 2850 24 a a DT 19261 2850 25 bronchus bronchus NN 19261 2850 26 . . . 19261 2851 1 _ _ NNP 19261 2851 2 Bronchoscopic Bronchoscopic NNP 19261 2851 3 removal removal NN 19261 2851 4 of of IN 19261 2851 5 benign benign JJ 19261 2851 6 growths growth NNS 19261 2851 7 _ _ NNP 19261 2851 8 is be VBZ 19261 2851 9 readily readily RB 19261 2851 10 accomplished accomplish VBN 19261 2851 11 with with IN 19261 2851 12 the the DT 19261 2851 13 endoscopic endoscopic JJ 19261 2851 14 punch punch NN 19261 2851 15 forceps forceps NNP 19261 2851 16 shown show VBN 19261 2851 17 in in IN 19261 2851 18 Figs Figs NNP 19261 2851 19 . . . 19261 2852 1 28 28 CD 19261 2852 2 and and CC 19261 2852 3 33 33 CD 19261 2852 4 . . . 19261 2853 1 Quick quick JJ 19261 2853 2 action action NN 19261 2853 3 may may MD 19261 2853 4 be be VB 19261 2853 5 necessary necessary JJ 19261 2853 6 should should MD 19261 2853 7 a a DT 19261 2853 8 large large JJ 19261 2853 9 tumor tumor NN 19261 2853 10 producing produce VBG 19261 2853 11 great great JJ 19261 2853 12 dyspnea dyspnea NN 19261 2853 13 be be VB 19261 2853 14 encountered encounter VBN 19261 2853 15 , , , 19261 2853 16 for for IN 19261 2853 17 the the DT 19261 2853 18 dyspnea dyspnea NN 19261 2853 19 is be VBZ 19261 2853 20 apt apt JJ 19261 2853 21 to to TO 19261 2853 22 be be VB 19261 2853 23 increased increase VBN 19261 2853 24 by by IN 19261 2853 25 the the DT 19261 2853 26 congestion congestion NN 19261 2853 27 , , , 19261 2853 28 cough cough NN 19261 2853 29 , , , 19261 2853 30 and and CC 19261 2853 31 increased increase VBN 19261 2853 32 respiration respiration NN 19261 2853 33 and and CC 19261 2853 34 spasm spasm VB 19261 2853 35 incidental incidental JJ 19261 2853 36 to to IN 19261 2853 37 the the DT 19261 2853 38 presence presence NN 19261 2853 39 of of IN 19261 2853 40 the the DT 19261 2853 41 bronchoscope bronchoscope NN 19261 2853 42 in in IN 19261 2853 43 the the DT 19261 2853 44 trachea trachea NN 19261 2853 45 . . . 19261 2854 1 General General NNP 19261 2854 2 anesthesia anesthesia NNP 19261 2854 3 , , , 19261 2854 4 as as IN 19261 2854 5 in in IN 19261 2854 6 all all DT 19261 2854 7 cases case NNS 19261 2854 8 showing show VBG 19261 2854 9 dyspnea dyspnea RB 19261 2854 10 , , , 19261 2854 11 is be VBZ 19261 2854 12 contraindicated contraindicate VBN 19261 2854 13 . . . 19261 2855 1 The the DT 19261 2855 2 risks risk NNS 19261 2855 3 of of IN 19261 2855 4 hemorrhage hemorrhage NN 19261 2855 5 following follow VBG 19261 2855 6 removal removal NN 19261 2855 7 are be VBP 19261 2855 8 very very RB 19261 2855 9 slight slight JJ 19261 2855 10 , , , 19261 2855 11 provided provide VBN 19261 2855 12 fungations fungation NNS 19261 2855 13 on on IN 19261 2855 14 an an DT 19261 2855 15 aneurismal aneurismal JJ 19261 2855 16 erosion erosion NN 19261 2855 17 be be VB 19261 2855 18 not not RB 19261 2855 19 mistaken mistake VBN 19261 2855 20 for for IN 19261 2855 21 a a DT 19261 2855 22 tumor tumor NN 19261 2855 23 . . . 19261 2856 1 Multiple multiple JJ 19261 2856 2 papillomata papillomata NN 19261 2856 3 when when WRB 19261 2856 4 very very RB 19261 2856 5 numerous numerous JJ 19261 2856 6 are be VBP 19261 2856 7 best best RB 19261 2856 8 removed remove VBN 19261 2856 9 by by IN 19261 2856 10 the the DT 19261 2856 11 author author NN 19261 2856 12 's 's POS 19261 2856 13 " " `` 19261 2856 14 coring core VBG 19261 2856 15 " " '' 19261 2856 16 method method NN 19261 2856 17 . . . 19261 2857 1 This this DT 19261 2857 2 consists consist VBZ 19261 2857 3 in in IN 19261 2857 4 the the DT 19261 2857 5 insertion insertion NN 19261 2857 6 of of IN 19261 2857 7 an an DT 19261 2857 8 aspirating aspirate VBG 19261 2857 9 bronchoscope bronchoscope NN 19261 2857 10 with with IN 19261 2857 11 the the DT 19261 2857 12 mechanical mechanical JJ 19261 2857 13 aspirator aspirator NN 19261 2857 14 working work VBG 19261 2857 15 at at IN 19261 2857 16 full full JJ 19261 2857 17 negative negative JJ 19261 2857 18 pressure pressure NN 19261 2857 19 . . . 19261 2858 1 The the DT 19261 2858 2 papillomata papilloma NNS 19261 2858 3 are be VBP 19261 2858 4 removed remove VBN 19261 2858 5 like like IN 19261 2858 6 coring core VBG 19261 2858 7 an an DT 19261 2858 8 apple apple NN 19261 2858 9 ; ; : 19261 2858 10 though though IN 19261 2858 11 the the DT 19261 2858 12 rounded rounded JJ 19261 2858 13 edge edge NN 19261 2858 14 of of IN 19261 2858 15 the the DT 19261 2858 16 bronchoscope bronchoscope NN 19261 2858 17 does do VBZ 19261 2858 18 not not RB 19261 2858 19 even even RB 19261 2858 20 scratch scratch VB 19261 2858 21 the the DT 19261 2858 22 tracheal tracheal NN 19261 2858 23 mucosa mucosa NNS 19261 2858 24 . . . 19261 2859 1 Many many JJ 19261 2859 2 of of IN 19261 2859 3 the the DT 19261 2859 4 papillomata papillomata NN 19261 2859 5 are be VBP 19261 2859 6 taken take VBN 19261 2859 7 off off RP 19261 2859 8 by by IN 19261 2859 9 the the DT 19261 2859 10 holes hole NNS 19261 2859 11 in in IN 19261 2859 12 the the DT 19261 2859 13 bronchoscope bronchoscope NN 19261 2859 14 . . . 19261 2860 1 Aspiration aspiration NN 19261 2860 2 of of IN 19261 2860 3 the the DT 19261 2860 4 detached detached JJ 19261 2860 5 papillomata papillomata NN 19261 2860 6 into into IN 19261 2860 7 the the DT 19261 2860 8 lungs lung NNS 19261 2860 9 is be VBZ 19261 2860 10 prevented prevent VBN 19261 2860 11 by by IN 19261 2860 12 the the DT 19261 2860 13 corking corking NN 19261 2860 14 of of IN 19261 2860 15 the the DT 19261 2860 16 tube tube NN 19261 2860 17 - - HYPH 19261 2860 18 mouth mouth NN 19261 2860 19 with with IN 19261 2860 20 the the DT 19261 2860 21 mass mass NN 19261 2860 22 of of IN 19261 2860 23 papillomata papilloma NNS 19261 2860 24 held hold VBN 19261 2860 25 by by IN 19261 2860 26 the the DT 19261 2860 27 negative negative JJ 19261 2860 28 pressure pressure NN 19261 2860 29 at at IN 19261 2860 30 the the DT 19261 2860 31 canal canal NNP 19261 2860 32 inlet inlet NNP 19261 2860 33 orifice orifice NNP 19261 2860 34 . . . 19261 2861 1 CHAPTER chapter NN 19261 2861 2 XXIV XXIV NNP 19261 2861 3 -- -- : 19261 2861 4 BENIGN benign JJ 19261 2861 5 NEOPLASMS neoplasms NN 19261 2861 6 OF of IN 19261 2861 7 THE the DT 19261 2861 8 ESOPHAGUS esophagus NN 19261 2861 9 As as IN 19261 2861 10 a a DT 19261 2861 11 result result NN 19261 2861 12 of of IN 19261 2861 13 prolonged prolonged JJ 19261 2861 14 inflammation inflammation NN 19261 2861 15 edematous edematous JJ 19261 2861 16 polypi polypus NNS 19261 2861 17 and and CC 19261 2861 18 granulomata granulomata NN 19261 2861 19 are be VBP 19261 2861 20 not not RB 19261 2861 21 infrequently infrequently RB 19261 2861 22 seen see VBN 19261 2861 23 , , , 19261 2861 24 but but CC 19261 2861 25 true true JJ 19261 2861 26 benign benign JJ 19261 2861 27 tumors tumor NNS 19261 2861 28 of of IN 19261 2861 29 the the DT 19261 2861 30 esophagus esophagu NNS 19261 2861 31 are be VBP 19261 2861 32 rare rare JJ 19261 2861 33 affections affection NNS 19261 2861 34 . . . 19261 2862 1 Keloidal Keloidal NNP 19261 2862 2 changes change VBZ 19261 2862 3 in in IN 19261 2862 4 scar scar JJ 19261 2862 5 tissue tissue NN 19261 2862 6 may may MD 19261 2862 7 occur occur VB 19261 2862 8 . . . 19261 2863 1 Cases case NNS 19261 2863 2 of of IN 19261 2863 3 retention retention NN 19261 2863 4 , , , 19261 2863 5 epithelial epithelial NN 19261 2863 6 and and CC 19261 2863 7 dermoid dermoid NN 19261 2863 8 cysts cyst NNS 19261 2863 9 have have VBP 19261 2863 10 been be VBN 19261 2863 11 observed observe VBN 19261 2863 12 ; ; : 19261 2863 13 and and CC 19261 2863 14 there there EX 19261 2863 15 are be VBP 19261 2863 16 isolated isolate VBN 19261 2863 17 reports report NNS 19261 2863 18 of of IN 19261 2863 19 the the DT 19261 2863 20 finding finding NN 19261 2863 21 of of IN 19261 2863 22 papillomata papillomata NN 19261 2863 23 , , , 19261 2863 24 fibromata fibromata NNP 19261 2863 25 , , , 19261 2863 26 lipomata lipomata NNP 19261 2863 27 , , , 19261 2863 28 myomata myomata NNP 19261 2863 29 and and CC 19261 2863 30 adenomata adenomata NNP 19261 2863 31 . . . 19261 2864 1 The the DT 19261 2864 2 removal removal NN 19261 2864 3 of of IN 19261 2864 4 these these DT 19261 2864 5 is be VBZ 19261 2864 6 readily readily RB 19261 2864 7 accomplished accomplish VBN 19261 2864 8 with with IN 19261 2864 9 the the DT 19261 2864 10 tissue tissue NN 19261 2864 11 forceps forceps NNS 19261 2864 12 ( ( -LRB- 19261 2864 13 Fig fig NN 19261 2864 14 . . . 19261 2865 1 28 28 CD 19261 2865 2 ) ) -RRB- 19261 2865 3 , , , 19261 2865 4 if if IN 19261 2865 5 the the DT 19261 2865 6 growths growth NNS 19261 2865 7 are be VBP 19261 2865 8 small small JJ 19261 2865 9 and and CC 19261 2865 10 projecting project VBG 19261 2865 11 into into IN 19261 2865 12 the the DT 19261 2865 13 esophageal esophageal JJ 19261 2865 14 lumen luman NNS 19261 2865 15 . . . 19261 2866 1 The the DT 19261 2866 2 determination determination NN 19261 2866 3 of of IN 19261 2866 4 the the DT 19261 2866 5 advisability advisability NN 19261 2866 6 of of IN 19261 2866 7 the the DT 19261 2866 8 removal removal NN 19261 2866 9 of of IN 19261 2866 10 keloidal keloidal NN 19261 2866 11 scars scar NNS 19261 2866 12 would would MD 19261 2866 13 require require VB 19261 2866 14 careful careful JJ 19261 2866 15 consideration consideration NN 19261 2866 16 of of IN 19261 2866 17 the the DT 19261 2866 18 particular particular JJ 19261 2866 19 case case NN 19261 2866 20 , , , 19261 2866 21 and and CC 19261 2866 22 the the DT 19261 2866 23 same same JJ 19261 2866 24 may may MD 19261 2866 25 be be VB 19261 2866 26 said say VBN 19261 2866 27 of of IN 19261 2866 28 very very RB 19261 2866 29 large large JJ 19261 2866 30 growths growth NNS 19261 2866 31 of of IN 19261 2866 32 any any DT 19261 2866 33 kind kind NN 19261 2866 34 . . . 19261 2867 1 The the DT 19261 2867 2 extreme extreme JJ 19261 2867 3 thinness thinness NN 19261 2867 4 of of IN 19261 2867 5 the the DT 19261 2867 6 esophageal esophageal JJ 19261 2867 7 walls wall NNS 19261 2867 8 must must MD 19261 2867 9 be be VB 19261 2867 10 always always RB 19261 2867 11 in in IN 19261 2867 12 the the DT 19261 2867 13 mind mind NN 19261 2867 14 of of IN 19261 2867 15 the the DT 19261 2867 16 esophagoscopist esophagoscopist NN 19261 2867 17 if if IN 19261 2867 18 he -PRON- PRP 19261 2867 19 would would MD 19261 2867 20 avoid avoid VB 19261 2867 21 disaster disaster NN 19261 2867 22 . . . 19261 2868 1 [ [ -LRB- 19261 2868 2 210 210 CD 19261 2868 3 ] ] -RRB- 19261 2868 4 CHAPTER CHAPTER NNP 19261 2868 5 XXV XXV NNP 19261 2868 6 -- -- : 19261 2868 7 ENDOSCOPY ENDOSCOPY NNP 19261 2868 8 IN in IN 19261 2868 9 MALIGNANT MALIGNANT NNP 19261 2868 10 DISEASE DISEASE NNP 19261 2868 11 OF of IN 19261 2868 12 THE the DT 19261 2868 13 LARYNX LARYNX NNP 19261 2868 14 The the DT 19261 2868 15 general general JJ 19261 2868 16 surgical surgical JJ 19261 2868 17 rule rule NN 19261 2868 18 applying apply VBG 19261 2868 19 to to IN 19261 2868 20 individuals individual NNS 19261 2868 21 past past IN 19261 2868 22 middle middle JJ 19261 2868 23 life life NN 19261 2868 24 , , , 19261 2868 25 that that IN 19261 2868 26 benign benign JJ 19261 2868 27 growths growth NNS 19261 2868 28 exposed expose VBN 19261 2868 29 to to IN 19261 2868 30 irritation irritation NN 19261 2868 31 should should MD 19261 2868 32 be be VB 19261 2868 33 removed remove VBN 19261 2868 34 , , , 19261 2868 35 probably probably RB 19261 2868 36 applies apply VBZ 19261 2868 37 to to IN 19261 2868 38 the the DT 19261 2868 39 larynx larynx NN 19261 2868 40 as as RB 19261 2868 41 well well RB 19261 2868 42 as as IN 19261 2868 43 to to IN 19261 2868 44 any any DT 19261 2868 45 other other JJ 19261 2868 46 epithelialized epithelialized JJ 19261 2868 47 structure structure NN 19261 2868 48 . . . 19261 2869 1 The the DT 19261 2869 2 facility facility NN 19261 2869 3 , , , 19261 2869 4 accuracy accuracy NN 19261 2869 5 and and CC 19261 2869 6 thoroughness thoroughness NN 19261 2869 7 afforded afford VBN 19261 2869 8 by by IN 19261 2869 9 skilled skilled JJ 19261 2869 10 , , , 19261 2869 11 direct direct JJ 19261 2869 12 , , , 19261 2869 13 laryngeal laryngeal JJ 19261 2869 14 operation operation NN 19261 2869 15 offers offer VBZ 19261 2869 16 a a DT 19261 2869 17 means means NN 19261 2869 18 of of IN 19261 2869 19 lessening lessen VBG 19261 2869 20 the the DT 19261 2869 21 incidence incidence NN 19261 2869 22 of of IN 19261 2869 23 cancer cancer NN 19261 2869 24 . . . 19261 2870 1 To to IN 19261 2870 2 a a DT 19261 2870 3 much much RB 19261 2870 4 greater great JJR 19261 2870 5 extent extent NN 19261 2870 6 the the DT 19261 2870 7 facility facility NN 19261 2870 8 , , , 19261 2870 9 accuracy accuracy NN 19261 2870 10 , , , 19261 2870 11 and and CC 19261 2870 12 thoroughness thoroughness NN 19261 2870 13 contribute contribute VB 19261 2870 14 to to IN 19261 2870 15 the the DT 19261 2870 16 cure cure NN 19261 2870 17 of of IN 19261 2870 18 cancer cancer NN 19261 2870 19 by by IN 19261 2870 20 establishing establish VBG 19261 2870 21 the the DT 19261 2870 22 necessary necessary JJ 19261 2870 23 early early JJ 19261 2870 24 diagnosis diagnosis NN 19261 2870 25 . . . 19261 2871 1 Well well RB 19261 2871 2 - - HYPH 19261 2871 3 planned plan VBN 19261 2871 4 , , , 19261 2871 5 careful careful JJ 19261 2871 6 , , , 19261 2871 7 external external JJ 19261 2871 8 operation operation NN 19261 2871 9 ( ( -LRB- 19261 2871 10 laryngofissure laryngofissure NN 19261 2871 11 ) ) -RRB- 19261 2871 12 followed follow VBN 19261 2871 13 by by IN 19261 2871 14 painstaking painstaking JJ 19261 2871 15 after after NN 19261 2871 16 - - HYPH 19261 2871 17 care care NN 19261 2871 18 is be VBZ 19261 2871 19 the the DT 19261 2871 20 only only JJ 19261 2871 21 absolute absolute JJ 19261 2871 22 cure cure NN 19261 2871 23 so so RB 19261 2871 24 far far RB 19261 2871 25 known know VBN 19261 2871 26 for for IN 19261 2871 27 malignant malignant JJ 19261 2871 28 neoplasms neoplasm NNS 19261 2871 29 of of IN 19261 2871 30 the the DT 19261 2871 31 larynx larynx NN 19261 2871 32 ; ; : 19261 2871 33 and and CC 19261 2871 34 it -PRON- PRP 19261 2871 35 is be VBZ 19261 2871 36 a a DT 19261 2871 37 cure cure NN 19261 2871 38 only only RB 19261 2871 39 in in IN 19261 2871 40 those those DT 19261 2871 41 intrinsic intrinsic JJ 19261 2871 42 cases case NNS 19261 2871 43 in in IN 19261 2871 44 which which WDT 19261 2871 45 the the DT 19261 2871 46 growth growth NN 19261 2871 47 is be VBZ 19261 2871 48 small small JJ 19261 2871 49 , , , 19261 2871 50 and and CC 19261 2871 51 is be VBZ 19261 2871 52 located locate VBN 19261 2871 53 in in IN 19261 2871 54 the the DT 19261 2871 55 anterior anterior JJ 19261 2871 56 two two CD 19261 2871 57 - - HYPH 19261 2871 58 thirds third NNS 19261 2871 59 of of IN 19261 2871 60 the the DT 19261 2871 61 intrinsic intrinsic JJ 19261 2871 62 area area NN 19261 2871 63 . . . 19261 2872 1 By by IN 19261 2872 2 limiting limit VBG 19261 2872 3 operations operation NNS 19261 2872 4 strictly strictly RB 19261 2872 5 to to IN 19261 2872 6 this this DT 19261 2872 7 class class NN 19261 2872 8 of of IN 19261 2872 9 case case NN 19261 2872 10 , , , 19261 2872 11 eighty eighty CD 19261 2872 12 - - HYPH 19261 2872 13 five five CD 19261 2872 14 per per IN 19261 2872 15 cent cent NN 19261 2872 16 of of IN 19261 2872 17 cures cure NNS 19261 2872 18 may may MD 19261 2872 19 be be VB 19261 2872 20 obtained obtain VBN 19261 2872 21 . . . 19261 2873 1 * * NFP 19261 2873 2 In in IN 19261 2873 3 determining determine VBG 19261 2873 4 the the DT 19261 2873 5 nature nature NN 19261 2873 6 of of IN 19261 2873 7 the the DT 19261 2873 8 growth growth NN 19261 2873 9 and and CC 19261 2873 10 its -PRON- PRP$ 19261 2873 11 operability operability NN 19261 2873 12 the the DT 19261 2873 13 limits limit NNS 19261 2873 14 of of IN 19261 2873 15 the the DT 19261 2873 16 usefulness usefulness NN 19261 2873 17 of of IN 19261 2873 18 direct direct JJ 19261 2873 19 endoscopy endoscopy NN 19261 2873 20 are be VBP 19261 2873 21 reached reach VBN 19261 2873 22 . . . 19261 2874 1 It -PRON- PRP 19261 2874 2 is be VBZ 19261 2874 3 very very RB 19261 2874 4 unwise unwise JJ 19261 2874 5 to to TO 19261 2874 6 attempt attempt VB 19261 2874 7 the the DT 19261 2874 8 extirpation extirpation NN 19261 2874 9 of of IN 19261 2874 10 intrinsic intrinsic JJ 19261 2874 11 laryngeal laryngeal NN 19261 2874 12 malignancy malignancy NN 19261 2874 13 by by IN 19261 2874 14 the the DT 19261 2874 15 endoscopic endoscopic JJ 19261 2874 16 method method NN 19261 2874 17 , , , 19261 2874 18 for for IN 19261 2874 19 the the DT 19261 2874 20 reason reason NN 19261 2874 21 that that IN 19261 2874 22 the the DT 19261 2874 23 full full JJ 19261 2874 24 extent extent NN 19261 2874 25 of of IN 19261 2874 26 the the DT 19261 2874 27 growth growth NN 19261 2874 28 can can MD 19261 2874 29 not not RB 19261 2874 30 be be VB 19261 2874 31 appreciated appreciate VBN 19261 2874 32 when when WRB 19261 2874 33 viewed view VBN 19261 2874 34 only only RB 19261 2874 35 from from IN 19261 2874 36 above above RB 19261 2874 37 , , , 19261 2874 38 and and CC 19261 2874 39 the the DT 19261 2874 40 necessary necessary JJ 19261 2874 41 radical radical JJ 19261 2874 42 removal removal NN 19261 2874 43 can can MD 19261 2874 44 not not RB 19261 2874 45 be be VB 19261 2874 46 accurately accurately RB 19261 2874 47 or or CC 19261 2874 48 completely completely RB 19261 2874 49 accomplished accomplish VBN 19261 2874 50 . . . 19261 2875 1 * * NFP 19261 2875 2 The the DT 19261 2875 3 author author NN 19261 2875 4 's 's POS 19261 2875 5 results result NNS 19261 2875 6 in in IN 19261 2875 7 laryngofissure laryngofissure NN 19261 2875 8 have have VBP 19261 2875 9 recently recently RB 19261 2875 10 fallen fall VBN 19261 2875 11 to to IN 19261 2875 12 79 79 CD 19261 2875 13 per per NN 19261 2875 14 cent cent NN 19261 2875 15 of of IN 19261 2875 16 relative relative JJ 19261 2875 17 cures cure NNS 19261 2875 18 by by IN 19261 2875 19 thyrochondrotomy thyrochondrotomy NNP 19261 2875 20 . . . 19261 2876 1 _ _ IN 19261 2876 2 Malignant malignant JJ 19261 2876 3 disease disease NN 19261 2876 4 of of IN 19261 2876 5 the the DT 19261 2876 6 epiglottis epiglottis NN 19261 2876 7 _ _ NNP 19261 2876 8 , , , 19261 2876 9 in in IN 19261 2876 10 those those DT 19261 2876 11 rare rare JJ 19261 2876 12 cases case NNS 19261 2876 13 where where WRB 19261 2876 14 the the DT 19261 2876 15 lesion lesion NN 19261 2876 16 is be VBZ 19261 2876 17 strictly strictly RB 19261 2876 18 limited limit VBN 19261 2876 19 to to IN 19261 2876 20 the the DT 19261 2876 21 tip tip NN 19261 2876 22 is be VBZ 19261 2876 23 , , , 19261 2876 24 however however RB 19261 2876 25 , , , 19261 2876 26 an an DT 19261 2876 27 exception exception NN 19261 2876 28 . . . 19261 2877 1 If if IN 19261 2877 2 amputation amputation NN 19261 2877 3 of of IN 19261 2877 4 the the DT 19261 2877 5 epiglottis epiglottis NN 19261 2877 6 will will MD 19261 2877 7 give give VB 19261 2877 8 a a DT 19261 2877 9 sufficiently sufficiently RB 19261 2877 10 wide wide JJ 19261 2877 11 removal removal NN 19261 2877 12 , , , 19261 2877 13 this this DT 19261 2877 14 may may MD 19261 2877 15 be be VB 19261 2877 16 done do VBN 19261 2877 17 en en IN 19261 2877 18 masse masse NN 19261 2877 19 with with IN 19261 2877 20 a a DT 19261 2877 21 heavy heavy JJ 19261 2877 22 snare snare NN 19261 2877 23 , , , 19261 2877 24 and and CC 19261 2877 25 has have VBZ 19261 2877 26 resulted result VBN 19261 2877 27 in in IN 19261 2877 28 complete complete JJ 19261 2877 29 cure cure NN 19261 2877 30 . . . 19261 2878 1 Very very RB 19261 2878 2 small small JJ 19261 2878 3 growths growth NNS 19261 2878 4 may may MD 19261 2878 5 be be VB 19261 2878 6 removed remove VBN 19261 2878 7 sufficiently sufficiently RB 19261 2878 8 widely widely RB 19261 2878 9 with with IN 19261 2878 10 the the DT 19261 2878 11 punch punch NN 19261 2878 12 forceps forceps NNP 19261 2878 13 ( ( -LRB- 19261 2878 14 Fig fig NN 19261 2878 15 . . . 19261 2879 1 33 33 CD 19261 2879 2 ) ) -RRB- 19261 2879 3 ; ; : 19261 2879 4 but but CC 19261 2879 5 piece piece VB 19261 2879 6 meal meal NN 19261 2879 7 removal removal NN 19261 2879 8 of of IN 19261 2879 9 malignancy malignancy NN 19261 2879 10 is be VBZ 19261 2879 11 to to TO 19261 2879 12 be be VB 19261 2879 13 avoided avoid VBN 19261 2879 14 . . . 19261 2880 1 _ _ NNP 19261 2880 2 Differential Differential NNP 19261 2880 3 Diagnosis Diagnosis NNP 19261 2880 4 of of IN 19261 2880 5 Laryngeal Laryngeal NNP 19261 2880 6 Growths Growths NNPS 19261 2880 7 in in IN 19261 2880 8 the the DT 19261 2880 9 Larynx Larynx NNP 19261 2880 10 of of IN 19261 2880 11 Adults_.--Determination adults_.--determination NN 19261 2880 12 of of IN 19261 2880 13 the the DT 19261 2880 14 nature nature NN 19261 2880 15 of of IN 19261 2880 16 the the DT 19261 2880 17 lesion lesion NN 19261 2880 18 in in IN 19261 2880 19 these these DT 19261 2880 20 cases case NNS 19261 2880 21 usually usually RB 19261 2880 22 consists consist VBZ 19261 2880 23 in in IN 19261 2880 24 the the DT 19261 2880 25 diagnosis diagnosis NN 19261 2880 26 by by IN 19261 2880 27 exclusion exclusion NN 19261 2880 28 of of IN 19261 2880 29 the the DT 19261 2880 30 possibilities possibility NNS 19261 2880 31 , , , 19261 2880 32 namely namely RB 19261 2880 33 , , , 19261 2880 34 1 1 CD 19261 2880 35 . . . 19261 2881 1 Lues lue NNS 19261 2881 2 . . . 19261 2882 1 2 2 LS 19261 2882 2 . . . 19261 2883 1 Tuberculosis Tuberculosis NNP 19261 2883 2 , , , 19261 2883 3 including include VBG 19261 2883 4 lupus lupus NN 19261 2883 5 . . . 19261 2884 1 3 3 LS 19261 2884 2 . . . 19261 2885 1 Scleroma Scleroma NNP 19261 2885 2 . . . 19261 2886 1 4 4 LS 19261 2886 2 . . . 19261 2887 1 Malignant malignant JJ 19261 2887 2 neoplasm neoplasm NN 19261 2887 3 . . . 19261 2888 1 In in IN 19261 2888 2 the the DT 19261 2888 3 Bronchoscopic Bronchoscopic NNP 19261 2888 4 Clinic Clinic NNP 19261 2888 5 the the DT 19261 2888 6 following follow VBG 19261 2888 7 is be VBZ 19261 2888 8 the the DT 19261 2888 9 routine routine JJ 19261 2888 10 procedure procedure NN 19261 2888 11 : : : 19261 2888 12 1 1 CD 19261 2888 13 . . . 19261 2889 1 A a DT 19261 2889 2 Wassermann Wassermann NNP 19261 2889 3 test test NN 19261 2889 4 is be VBZ 19261 2889 5 made make VBN 19261 2889 6 . . . 19261 2890 1 If if IN 19261 2890 2 negative negative JJ 19261 2890 3 , , , 19261 2890 4 and and CC 19261 2890 5 there there EX 19261 2890 6 remains remain VBZ 19261 2890 7 a a DT 19261 2890 8 suspicion suspicion NN 19261 2890 9 of of IN 19261 2890 10 lues lue NNS 19261 2890 11 , , , 19261 2890 12 a a DT 19261 2890 13 therapeutic therapeutic JJ 19261 2890 14 test test NN 19261 2890 15 with with IN 19261 2890 16 mercury mercury NN 19261 2890 17 protoiodid protoiodid VBD 19261 2890 18 is be VBZ 19261 2890 19 carried carry VBN 19261 2890 20 out out RP 19261 2890 21 by by IN 19261 2890 22 keeping keep VBG 19261 2890 23 the the DT 19261 2890 24 patient patient NN 19261 2890 25 just just RB 19261 2890 26 under under IN 19261 2890 27 the the DT 19261 2890 28 salivation salivation NN 19261 2890 29 point point NN 19261 2890 30 for for IN 19261 2890 31 eight eight CD 19261 2890 32 weeks week NNS 19261 2890 33 ; ; : 19261 2890 34 during during IN 19261 2890 35 which which WDT 19261 2890 36 time time NN 19261 2890 37 no no DT 19261 2890 38 potassium potassium NN 19261 2890 39 iodid iodid NN 19261 2890 40 is be VBZ 19261 2890 41 given give VBN 19261 2890 42 , , , 19261 2890 43 lest lest IN 19261 2890 44 its -PRON- PRP$ 19261 2890 45 reaction reaction NN 19261 2890 46 upon upon IN 19261 2890 47 the the DT 19261 2890 48 larynx larynx NN 19261 2890 49 cause cause IN 19261 2890 50 an an DT 19261 2890 51 edema edema NN 19261 2890 52 necessitating necessitate VBG 19261 2890 53 tracheotomy tracheotomy NN 19261 2890 54 . . . 19261 2891 1 If if IN 19261 2891 2 no no DT 19261 2891 3 improvement improvement NN 19261 2891 4 is be VBZ 19261 2891 5 noticed notice VBN 19261 2891 6 lues lue NNS 19261 2891 7 is be VBZ 19261 2891 8 excluded exclude VBN 19261 2891 9 . . . 19261 2892 1 If if IN 19261 2892 2 the the DT 19261 2892 3 Wassermann Wassermann NNP 19261 2892 4 is be VBZ 19261 2892 5 positive positive JJ 19261 2892 6 , , , 19261 2892 7 malignancy malignancy NN 19261 2892 8 and and CC 19261 2892 9 the the DT 19261 2892 10 other other JJ 19261 2892 11 possibilities possibility NNS 19261 2892 12 are be VBP 19261 2892 13 not not RB 19261 2892 14 considered consider VBN 19261 2892 15 as as IN 19261 2892 16 excluded exclude VBN 19261 2892 17 until until IN 19261 2892 18 the the DT 19261 2892 19 patient patient NN 19261 2892 20 has have VBZ 19261 2892 21 been be VBN 19261 2892 22 completely completely RB 19261 2892 23 cured cure VBN 19261 2892 24 by by IN 19261 2892 25 mercury mercury NN 19261 2892 26 , , , 19261 2892 27 because because IN 19261 2892 28 , , , 19261 2892 29 for for IN 19261 2892 30 instance instance NN 19261 2892 31 , , , 19261 2892 32 a a DT 19261 2892 33 leutic leutic JJ 19261 2892 34 or or CC 19261 2892 35 tuberculous tuberculous JJ 19261 2892 36 patient patient NN 19261 2892 37 may may MD 19261 2892 38 have have VB 19261 2892 39 cancer cancer NN 19261 2892 40 ; ; : 19261 2892 41 a a DT 19261 2892 42 tuberculous tuberculous JJ 19261 2892 43 patient patient NN 19261 2892 44 may may MD 19261 2892 45 have have VB 19261 2892 46 lues lue NNS 19261 2892 47 ; ; : 19261 2892 48 or or CC 19261 2892 49 a a DT 19261 2892 50 leutic leutic JJ 19261 2892 51 patient patient NN 19261 2892 52 , , , 19261 2892 53 tuberculosis tuberculosis NN 19261 2892 54 . . . 19261 2893 1 2 2 LS 19261 2893 2 . . . 19261 2894 1 Pulmonary pulmonary JJ 19261 2894 2 tuberculosis tuberculosis NN 19261 2894 3 is be VBZ 19261 2894 4 excluded exclude VBN 19261 2894 5 by by IN 19261 2894 6 the the DT 19261 2894 7 usual usual JJ 19261 2894 8 means mean NNS 19261 2894 9 . . . 19261 2895 1 If if IN 19261 2895 2 present present JJ 19261 2895 3 the the DT 19261 2895 4 laryngeal laryngeal JJ 19261 2895 5 lesion lesion NN 19261 2895 6 may may MD 19261 2895 7 or or CC 19261 2895 8 may may MD 19261 2895 9 not not RB 19261 2895 10 be be VB 19261 2895 11 tuberculous tuberculous JJ 19261 2895 12 ; ; : 19261 2895 13 if if IN 19261 2895 14 the the DT 19261 2895 15 laryngoscopic laryngoscopic JJ 19261 2895 16 appearances appearance NNS 19261 2895 17 are be VBP 19261 2895 18 doubtful doubtful JJ 19261 2895 19 a a DT 19261 2895 20 specimen speciman NNS 19261 2895 21 is be VBZ 19261 2895 22 taken take VBN 19261 2895 23 . . . 19261 2896 1 Lupoid Lupoid NNP 19261 2896 2 laryngeal laryngeal NN 19261 2896 3 tuberculosis tuberculosis NN 19261 2896 4 so so RB 19261 2896 5 much much JJ 19261 2896 6 resembles resemble NNS 19261 2896 7 lues lue NNS 19261 2896 8 that that IN 19261 2896 9 both both CC 19261 2896 10 the the DT 19261 2896 11 therapeutic therapeutic JJ 19261 2896 12 test test NN 19261 2896 13 and and CC 19261 2896 14 biopsy biopsy NN 19261 2896 15 may may MD 19261 2896 16 be be VB 19261 2896 17 required require VBN 19261 2896 18 for for IN 19261 2896 19 certainty certainty NN 19261 2896 20 . . . 19261 2897 1 3 3 LS 19261 2897 2 . . . 19261 2898 1 In in IN 19261 2898 2 all all DT 19261 2898 3 cases case NNS 19261 2898 4 in in IN 19261 2898 5 which which WDT 19261 2898 6 the the DT 19261 2898 7 diagnosis diagnosis NN 19261 2898 8 is be VBZ 19261 2898 9 not not RB 19261 2898 10 clear clear JJ 19261 2898 11 a a DT 19261 2898 12 specimen speciman NNS 19261 2898 13 is be VBZ 19261 2898 14 taken take VBN 19261 2898 15 . . . 19261 2899 1 This this DT 19261 2899 2 is be VBZ 19261 2899 3 readily readily RB 19261 2899 4 accomplished accomplish VBN 19261 2899 5 by by IN 19261 2899 6 direct direct JJ 19261 2899 7 laryngoscopy laryngoscopy NN 19261 2899 8 under under IN 19261 2899 9 local local JJ 19261 2899 10 anesthesia anesthesia NNS 19261 2899 11 , , , 19261 2899 12 using use VBG 19261 2899 13 the the DT 19261 2899 14 regular regular JJ 19261 2899 15 laryngoscope laryngoscope NN 19261 2899 16 or or CC 19261 2899 17 the the DT 19261 2899 18 anterior anterior NNP 19261 2899 19 commissure commissure NN 19261 2899 20 laryngoscope laryngoscope NN 19261 2899 21 . . . 19261 2900 1 The the DT 19261 2900 2 best good JJS 19261 2900 3 forceps forceps NNS 19261 2900 4 in in IN 19261 2900 5 case case NN 19261 2900 6 of of IN 19261 2900 7 large large JJ 19261 2900 8 growths growth NNS 19261 2900 9 are be VBP 19261 2900 10 the the DT 19261 2900 11 alligator alligator NN 19261 2900 12 punch punch NN 19261 2900 13 forceps forceps NNP 19261 2900 14 ( ( -LRB- 19261 2900 15 Fig fig NN 19261 2900 16 . . . 19261 2901 1 33 33 CD 19261 2901 2 ) ) -RRB- 19261 2901 3 . . . 19261 2902 1 Smaller small JJR 19261 2902 2 growths growth NNS 19261 2902 3 require require VBP 19261 2902 4 tissue tissue NN 19261 2902 5 forceps forceps NNP 19261 2902 6 ( ( -LRB- 19261 2902 7 Fig fig NN 19261 2902 8 . . . 19261 2903 1 28 28 CD 19261 2903 2 ) ) -RRB- 19261 2903 3 . . . 19261 2904 1 In in IN 19261 2904 2 case case NN 19261 2904 3 of of IN 19261 2904 4 small small JJ 19261 2904 5 growths growth NNS 19261 2904 6 , , , 19261 2904 7 it -PRON- PRP 19261 2904 8 is be VBZ 19261 2904 9 best good JJS 19261 2904 10 to to TO 19261 2904 11 remove remove VB 19261 2904 12 the the DT 19261 2904 13 entire entire JJ 19261 2904 14 growth growth NN 19261 2904 15 ; ; : 19261 2904 16 but but CC 19261 2904 17 without without IN 19261 2904 18 any any DT 19261 2904 19 attempt attempt NN 19261 2904 20 at at IN 19261 2904 21 radical radical JJ 19261 2904 22 extirpation extirpation NN 19261 2904 23 of of IN 19261 2904 24 the the DT 19261 2904 25 base base NN 19261 2904 26 ; ; : 19261 2904 27 because because IN 19261 2904 28 , , , 19261 2904 29 if if IN 19261 2904 30 the the DT 19261 2904 31 growth growth NN 19261 2904 32 prove prove VBP 19261 2904 33 benign benign JJ 19261 2904 34 it -PRON- PRP 19261 2904 35 is be VBZ 19261 2904 36 unnecessary unnecessary JJ 19261 2904 37 ; ; : 19261 2904 38 if if IN 19261 2904 39 malignant malignant JJ 19261 2904 40 , , , 19261 2904 41 it -PRON- PRP 19261 2904 42 is be VBZ 19261 2904 43 insufficient insufficient JJ 19261 2904 44 . . . 19261 2905 1 _ _ NNP 19261 2905 2 Inspection Inspection NNP 19261 2905 3 of of IN 19261 2905 4 the the DT 19261 2905 5 Party Party NNP 19261 2905 6 Wall Wall NNP 19261 2905 7 in in IN 19261 2905 8 Cases case NNS 19261 2905 9 of of IN 19261 2905 10 Suspected Suspected NNP 19261 2905 11 Laryngeal Laryngeal NNP 19261 2905 12 Malignancy_.--When Malignancy_.--When NNP 19261 2905 13 taking take VBG 19261 2905 14 a a DT 19261 2905 15 specimen speciman NNS 19261 2905 16 the the DT 19261 2905 17 party party NN 19261 2905 18 wall wall NN 19261 2905 19 should should MD 19261 2905 20 be be VB 19261 2905 21 inspected inspect VBN 19261 2905 22 by by IN 19261 2905 23 passing pass VBG 19261 2905 24 a a DT 19261 2905 25 laryngoscope laryngoscope NN 19261 2905 26 or or CC 19261 2905 27 , , , 19261 2905 28 if if IN 19261 2905 29 necessary necessary JJ 19261 2905 30 , , , 19261 2905 31 an an DT 19261 2905 32 esophageal esophageal JJ 19261 2905 33 speculum speculum NN 19261 2905 34 down down IN 19261 2905 35 through through IN 19261 2905 36 the the DT 19261 2905 37 laryngopharynx laryngopharynx NN 19261 2905 38 and and CC 19261 2905 39 beyond beyond IN 19261 2905 40 the the DT 19261 2905 41 cricopharyngeus cricopharyngeus NN 19261 2905 42 . . . 19261 2906 1 If if IN 19261 2906 2 this this DT 19261 2906 3 region region NN 19261 2906 4 shows show VBZ 19261 2906 5 infiltration infiltration NN 19261 2906 6 , , , 19261 2906 7 all all DT 19261 2906 8 hope hope NN 19261 2906 9 of of IN 19261 2906 10 cure cure NN 19261 2906 11 by by IN 19261 2906 12 operation operation NN 19261 2906 13 , , , 19261 2906 14 however however RB 19261 2906 15 radical radical JJ 19261 2906 16 , , , 19261 2906 17 should should MD 19261 2906 18 be be VB 19261 2906 19 abandoned abandon VBN 19261 2906 20 . . . 19261 2907 1 _ _ NNP 19261 2907 2 Radium Radium NNP 19261 2907 3 and and CC 19261 2907 4 the the DT 19261 2907 5 therapeutic therapeutic JJ 19261 2907 6 roentgenray roentgenray NNP 19261 2907 7 _ _ NNP 19261 2907 8 have have VBP 19261 2907 9 given give VBN 19261 2907 10 good good JJ 19261 2907 11 results result NNS 19261 2907 12 , , , 19261 2907 13 but but CC 19261 2907 14 not not RB 19261 2907 15 such such JJ 19261 2907 16 as as IN 19261 2907 17 would would MD 19261 2907 18 warrant warrant VB 19261 2907 19 their -PRON- PRP$ 19261 2907 20 exclusive exclusive JJ 19261 2907 21 use use NN 19261 2907 22 in in IN 19261 2907 23 any any DT 19261 2907 24 case case NN 19261 2907 25 of of IN 19261 2907 26 malignancy malignancy NN 19261 2907 27 in in IN 19261 2907 28 the the DT 19261 2907 29 larynx larynx NN 19261 2907 30 operable operable JJ 19261 2907 31 by by IN 19261 2907 32 laryngofissure laryngofissure NN 19261 2907 33 . . . 19261 2908 1 With with IN 19261 2908 2 inoperable inoperable JJ 19261 2908 3 cases case NNS 19261 2908 4 , , , 19261 2908 5 excellent excellent JJ 19261 2908 6 palliative palliative JJ 19261 2908 7 results result NNS 19261 2908 8 are be VBP 19261 2908 9 obtained obtain VBN 19261 2908 10 . . . 19261 2909 1 In in IN 19261 2909 2 some some DT 19261 2909 3 cases case NNS 19261 2909 4 an an DT 19261 2909 5 almost almost RB 19261 2909 6 complete complete JJ 19261 2909 7 disappearance disappearance NN 19261 2909 8 of of IN 19261 2909 9 the the DT 19261 2909 10 growth growth NN 19261 2909 11 has have VBZ 19261 2909 12 occurred occur VBN 19261 2909 13 , , , 19261 2909 14 but but CC 19261 2909 15 ultimately ultimately RB 19261 2909 16 there there EX 19261 2909 17 has have VBZ 19261 2909 18 been be VBN 19261 2909 19 recurrence recurrence NN 19261 2909 20 . . . 19261 2910 1 The the DT 19261 2910 2 method method NN 19261 2910 3 of of IN 19261 2910 4 application application NN 19261 2910 5 of of IN 19261 2910 6 the the DT 19261 2910 7 radium radium NN 19261 2910 8 , , , 19261 2910 9 dosage dosage NN 19261 2910 10 , , , 19261 2910 11 and and CC 19261 2910 12 its -PRON- PRP$ 19261 2910 13 screening screening NN 19261 2910 14 , , , 19261 2910 15 are be VBP 19261 2910 16 best well RBS 19261 2910 17 determined determine VBN 19261 2910 18 by by IN 19261 2910 19 the the DT 19261 2910 20 radiologist radiologist NN 19261 2910 21 in in IN 19261 2910 22 consultation consultation NN 19261 2910 23 with with IN 19261 2910 24 the the DT 19261 2910 25 laryngologist laryngologist NN 19261 2910 26 . . . 19261 2911 1 Radium Radium NNP 19261 2911 2 may may MD 19261 2911 3 be be VB 19261 2911 4 applied apply VBN 19261 2911 5 externally externally RB 19261 2911 6 to to IN 19261 2911 7 the the DT 19261 2911 8 neck neck NN 19261 2911 9 , , , 19261 2911 10 or or CC 19261 2911 11 suspended suspend VBN 19261 2911 12 in in IN 19261 2911 13 the the DT 19261 2911 14 larynx larynx NN 19261 2911 15 ; ; : 19261 2911 16 radium radium NN 19261 2911 17 - - HYPH 19261 2911 18 containing contain VBG 19261 2911 19 needles needle NNS 19261 2911 20 may may MD 19261 2911 21 be be VB 19261 2911 22 buried bury VBN 19261 2911 23 in in IN 19261 2911 24 the the DT 19261 2911 25 growth growth NN 19261 2911 26 , , , 19261 2911 27 or or CC 19261 2911 28 the the DT 19261 2911 29 emanations emanation NNS 19261 2911 30 , , , 19261 2911 31 imprisoned imprison VBN 19261 2911 32 in in IN 19261 2911 33 glass glass NN 19261 2911 34 pearls pearl NNS 19261 2911 35 or or CC 19261 2911 36 capillary capillary JJ 19261 2911 37 tubes tube NNS 19261 2911 38 , , , 19261 2911 39 may may MD 19261 2911 40 be be VB 19261 2911 41 inserted insert VBN 19261 2911 42 deeply deeply RB 19261 2911 43 into into IN 19261 2911 44 the the DT 19261 2911 45 growth growth NN 19261 2911 46 by by IN 19261 2911 47 means mean NNS 19261 2911 48 of of IN 19261 2911 49 a a DT 19261 2911 50 small small JJ 19261 2911 51 trocar trocar NNS 19261 2911 52 and and CC 19261 2911 53 cannula cannula NN 19261 2911 54 . . . 19261 2912 1 For for IN 19261 2912 2 all all DT 19261 2912 3 of of IN 19261 2912 4 these these DT 19261 2912 5 procedures procedure NNS 19261 2912 6 direct direct VBP 19261 2912 7 laryngoscopy laryngoscopy NN 19261 2912 8 affords afford VBZ 19261 2912 9 a a DT 19261 2912 10 ready ready JJ 19261 2912 11 means mean NNS 19261 2912 12 of of IN 19261 2912 13 accurate accurate JJ 19261 2912 14 application application NN 19261 2912 15 . . . 19261 2913 1 Tracheotomy Tracheotomy NNP 19261 2913 2 is be VBZ 19261 2913 3 necessary necessary JJ 19261 2913 4 however however RB 19261 2913 5 , , , 19261 2913 6 because because IN 19261 2913 7 of of IN 19261 2913 8 the the DT 19261 2913 9 reactionary reactionary JJ 19261 2913 10 swelling swelling NN 19261 2913 11 , , , 19261 2913 12 which which WDT 19261 2913 13 may may MD 19261 2913 14 be be VB 19261 2913 15 so so RB 19261 2913 16 great great JJ 19261 2913 17 as as IN 19261 2913 18 to to TO 19261 2913 19 close close VB 19261 2913 20 completely completely RB 19261 2913 21 the the DT 19261 2913 22 narrowed narrow VBN 19261 2913 23 glottic glottic JJ 19261 2913 24 chink chink NN 19261 2913 25 . . . 19261 2914 1 Where where WRB 19261 2914 2 this this DT 19261 2914 3 is be VBZ 19261 2914 4 the the DT 19261 2914 5 case case NN 19261 2914 6 , , , 19261 2914 7 the the DT 19261 2914 8 endolaryngeal endolaryngeal JJ 19261 2914 9 application application NN 19261 2914 10 of of IN 19261 2914 11 the the DT 19261 2914 12 radium radium NN 19261 2914 13 may may MD 19261 2914 14 be be VB 19261 2914 15 made make VBN 19261 2914 16 by by IN 19261 2914 17 inserting insert VBG 19261 2914 18 the the DT 19261 2914 19 container container NN 19261 2914 20 through through IN 19261 2914 21 the the DT 19261 2914 22 tracheotomic tracheotomic JJ 19261 2914 23 wound wound NN 19261 2914 24 , , , 19261 2914 25 and and CC 19261 2914 26 anchoring anchor VBG 19261 2914 27 it -PRON- PRP 19261 2914 28 to to IN 19261 2914 29 the the DT 19261 2914 30 cannula cannula NN 19261 2914 31 . . . 19261 2915 1 The the DT 19261 2915 2 author author NN 19261 2915 3 is be VBZ 19261 2915 4 much much RB 19261 2915 5 impressed impressed JJ 19261 2915 6 with with IN 19261 2915 7 Freer Freer NNP 19261 2915 8 's 's POS 19261 2915 9 method method NN 19261 2915 10 of of IN 19261 2915 11 radiation radiation NN 19261 2915 12 from from IN 19261 2915 13 the the DT 19261 2915 14 pyriform pyriform NN 19261 2915 15 sinus sinus NN 19261 2915 16 in in IN 19261 2915 17 such such JJ 19261 2915 18 cases case NNS 19261 2915 19 as as IN 19261 2915 20 those those DT 19261 2915 21 in in IN 19261 2915 22 which which WDT 19261 2915 23 external external JJ 19261 2915 24 radiation radiation NN 19261 2915 25 alone alone RB 19261 2915 26 is be VBZ 19261 2915 27 deemed deem VBN 19261 2915 28 insufficient insufficient JJ 19261 2915 29 . . . 19261 2916 1 The the DT 19261 2916 2 work work NN 19261 2916 3 of of IN 19261 2916 4 Drs Drs NNP 19261 2916 5 . . . 19261 2917 1 D. D. NNP 19261 2917 2 Bryson Bryson NNP 19261 2917 3 Delavan Delavan NNP 19261 2917 4 and and CC 19261 2917 5 Douglass Douglass NNP 19261 2917 6 M. M. NNP 19261 2917 7 Quick Quick NNP 19261 2917 8 forms form VBZ 19261 2917 9 one one CD 19261 2917 10 of of IN 19261 2917 11 the the DT 19261 2917 12 most most RBS 19261 2917 13 important important JJ 19261 2917 14 contributions contribution NNS 19261 2917 15 to to IN 19261 2917 16 the the DT 19261 2917 17 subject subject NN 19261 2917 18 of of IN 19261 2917 19 the the DT 19261 2917 20 treatment treatment NN 19261 2917 21 of of IN 19261 2917 22 radium radium NN 19261 2917 23 by by IN 19261 2917 24 cancer cancer NN 19261 2917 25 . . . 19261 2918 1 ( ( -LRB- 19261 2918 2 See See NNP 19261 2918 3 Proceedings Proceedings NNP 19261 2918 4 of of IN 19261 2918 5 the the DT 19261 2918 6 American American NNP 19261 2918 7 Laryngological Laryngological NNP 19261 2918 8 Association Association NNP 19261 2918 9 , , , 19261 2918 10 1922 1922 CD 19261 2918 11 ; ; : 19261 2918 12 also also RB 19261 2918 13 Proceedings proceeding NNS 19261 2918 14 of of IN 19261 2918 15 the the DT 19261 2918 16 Tenth Tenth NNP 19261 2918 17 International International NNP 19261 2918 18 Otological Otological NNP 19261 2918 19 Congress Congress NNP 19261 2918 20 , , , 19261 2918 21 Paris Paris NNP 19261 2918 22 , , , 19261 2918 23 1922 1922 CD 19261 2918 24 . . . 19261 2918 25 ) ) -RRB- 19261 2919 1 [ [ -LRB- 19261 2919 2 214 214 CD 19261 2919 3 ] ] -RRB- 19261 2919 4 CHAPTER chapter NN 19261 2919 5 XXVI XXVI NNP 19261 2919 6 -- -- : 19261 2919 7 BRONCHOSCOPY BRONCHOSCOPY NNP 19261 2919 8 IN in IN 19261 2919 9 MALIGNANT MALIGNANT NNP 19261 2919 10 GROWTHS GROWTHS NNP 19261 2919 11 OF of IN 19261 2919 12 THE the DT 19261 2919 13 TRACHEA trachea NN 19261 2919 14 The the DT 19261 2919 15 trachea trachea NN 19261 2919 16 is be VBZ 19261 2919 17 often often RB 19261 2919 18 secondarily secondarily RB 19261 2919 19 invaded invade VBN 19261 2919 20 by by IN 19261 2919 21 malignancy malignancy NN 19261 2919 22 of of IN 19261 2919 23 the the DT 19261 2919 24 esophagus esophagus NN 19261 2919 25 , , , 19261 2919 26 thyroid thyroid NNP 19261 2919 27 gland gland NNP 19261 2919 28 , , , 19261 2919 29 peritracheal peritracheal NN 19261 2919 30 or or CC 19261 2919 31 peribronchial peribronchial JJ 19261 2919 32 glands gland NNS 19261 2919 33 . . . 19261 2920 1 Primary primary JJ 19261 2920 2 malignant malignant JJ 19261 2920 3 neoplasms neoplasm NNS 19261 2920 4 of of IN 19261 2920 5 the the DT 19261 2920 6 trachea trachea NN 19261 2920 7 or or CC 19261 2920 8 bronchus bronchu NNS 19261 2920 9 have have VBP 19261 2920 10 not not RB 19261 2920 11 infrequently infrequently RB 19261 2920 12 been be VBN 19261 2920 13 diagnosticated diagnosticate VBN 19261 2920 14 by by IN 19261 2920 15 bronchoscopy bronchoscopy NN 19261 2920 16 . . . 19261 2921 1 Peritracheal peritracheal NN 19261 2921 2 or or CC 19261 2921 3 peribronchial peribronchial JJ 19261 2921 4 malignancy malignancy NN 19261 2921 5 may may MD 19261 2921 6 produce produce VB 19261 2921 7 a a DT 19261 2921 8 compressive compressive JJ 19261 2921 9 stenosis stenosis NN 19261 2921 10 covered cover VBN 19261 2921 11 with with IN 19261 2921 12 normal normal JJ 19261 2921 13 mucosa mucosa NNS 19261 2921 14 . . . 19261 2922 1 Endoscopically endoscopically RB 19261 2922 2 , , , 19261 2922 3 the the DT 19261 2922 4 wall wall NN 19261 2922 5 is be VBZ 19261 2922 6 seen see VBN 19261 2922 7 to to IN 19261 2922 8 bulge bulge NNP 19261 2922 9 in in RP 19261 2922 10 from from IN 19261 2922 11 one one CD 19261 2922 12 side side NN 19261 2922 13 causing cause VBG 19261 2922 14 a a DT 19261 2922 15 crescentic crescentic JJ 19261 2922 16 picture picture NN 19261 2922 17 , , , 19261 2922 18 or or CC 19261 2922 19 compression compression NN 19261 2922 20 of of IN 19261 2922 21 opposite opposite JJ 19261 2922 22 walls wall NNS 19261 2922 23 may may MD 19261 2922 24 cause cause VB 19261 2922 25 a a DT 19261 2922 26 " " `` 19261 2922 27 scabbard scabbard NN 19261 2922 28 " " '' 19261 2922 29 or or CC 19261 2922 30 pear pear NNP 19261 2922 31 shaped shaped JJ 19261 2922 32 lumen luman NNS 19261 2922 33 . . . 19261 2923 1 Endotracheal endotracheal NN 19261 2923 2 and and CC 19261 2923 3 endobronchial endobronchial JJ 19261 2923 4 malignancy malignancy NN 19261 2923 5 ulcerate ulcerate VBP 19261 2923 6 early early RB 19261 2923 7 , , , 19261 2923 8 and and CC 19261 2923 9 are be VBP 19261 2923 10 characterized characterize VBN 19261 2923 11 by by IN 19261 2923 12 the the DT 19261 2923 13 bronchoscopic bronchoscopic JJ 19261 2923 14 view view NN 19261 2923 15 of of IN 19261 2923 16 a a DT 19261 2923 17 bleeding bleed VBG 19261 2923 18 mass mass NN 19261 2923 19 of of IN 19261 2923 20 fungating fungate VBG 19261 2923 21 tissue tissue NN 19261 2923 22 bathed bathe VBN 19261 2923 23 in in IN 19261 2923 24 pus pus NNP 19261 2923 25 and and CC 19261 2923 26 secretion secretion NN 19261 2923 27 , , , 19261 2923 28 usually usually RB 19261 2923 29 foul foul JJ 19261 2923 30 . . . 19261 2924 1 The the DT 19261 2924 2 diagnosis diagnosis NN 19261 2924 3 in in IN 19261 2924 4 these these DT 19261 2924 5 cases case NNS 19261 2924 6 rests rest VBZ 19261 2924 7 upon upon IN 19261 2924 8 the the DT 19261 2924 9 exclusion exclusion NN 19261 2924 10 of of IN 19261 2924 11 lues lue NNS 19261 2924 12 , , , 19261 2924 13 and and CC 19261 2924 14 is be VBZ 19261 2924 15 rendered render VBN 19261 2924 16 certain certain JJ 19261 2924 17 by by IN 19261 2924 18 the the DT 19261 2924 19 removal removal NN 19261 2924 20 of of IN 19261 2924 21 a a DT 19261 2924 22 specimen speciman NNS 19261 2924 23 for for IN 19261 2924 24 biopsy biopsy NN 19261 2924 25 . . . 19261 2925 1 Sarcoma sarcoma NN 19261 2925 2 and and CC 19261 2925 3 carcinoma carcinoma NN 19261 2925 4 of of IN 19261 2925 5 the the DT 19261 2925 6 thyroid thyroid NN 19261 2925 7 when when WRB 19261 2925 8 perforating perforate VBG 19261 2925 9 the the DT 19261 2925 10 trachea trachea NN 19261 2925 11 may may MD 19261 2925 12 become become VB 19261 2925 13 pedunculated pedunculate VBN 19261 2925 14 . . . 19261 2926 1 In in IN 19261 2926 2 such such JJ 19261 2926 3 cases case NNS 19261 2926 4 aberrant aberrant VBP 19261 2926 5 non non JJ 19261 2926 6 - - JJ 19261 2926 7 pathologic pathologic JJ 19261 2926 8 thyroid thyroid NN 19261 2926 9 must must MD 19261 2926 10 be be VB 19261 2926 11 excluded exclude VBN 19261 2926 12 by by IN 19261 2926 13 biopsy biopsy NN 19261 2926 14 . . . 19261 2927 1 Endothelioma Endothelioma NNP 19261 2927 2 of of IN 19261 2927 3 the the DT 19261 2927 4 trachea trachea NN 19261 2927 5 or or CC 19261 2927 6 bronchus bronchus NN 19261 2927 7 may may MD 19261 2927 8 also also RB 19261 2927 9 assume assume VB 19261 2927 10 a a DT 19261 2927 11 pedunculated pedunculate VBN 19261 2927 12 form form NN 19261 2927 13 , , , 19261 2927 14 but but CC 19261 2927 15 is be VBZ 19261 2927 16 more more RBR 19261 2927 17 often often RB 19261 2927 18 sessile sessile JJ 19261 2927 19 . . . 19261 2928 1 _ _ NNP 19261 2928 2 Treatment_.--Pedunculated treatment_.--pedunculate VBD 19261 2928 3 malignant malignant JJ 19261 2928 4 growths growth NNS 19261 2928 5 are be VBP 19261 2928 6 readily readily RB 19261 2928 7 removed remove VBN 19261 2928 8 with with IN 19261 2928 9 snare snare NN 19261 2928 10 or or CC 19261 2928 11 punch punch VB 19261 2928 12 forceps forceps NNS 19261 2928 13 . . . 19261 2929 1 Cure cure NN 19261 2929 2 has have VBZ 19261 2929 3 resulted result VBN 19261 2929 4 in in IN 19261 2929 5 one one CD 19261 2929 6 case case NN 19261 2929 7 of of IN 19261 2929 8 the the DT 19261 2929 9 author author NN 19261 2929 10 following follow VBG 19261 2929 11 bronchoscopic bronchoscopic NNP 19261 2929 12 removal removal NN 19261 2929 13 of of IN 19261 2929 14 an an DT 19261 2929 15 endothelioma endothelioma NN 19261 2929 16 from from IN 19261 2929 17 the the DT 19261 2929 18 bronchus bronchu NNS 19261 2929 19 ; ; , 19261 2929 20 and and CC 19261 2929 21 a a DT 19261 2929 22 limited limit VBN 19261 2929 23 carcinoma carcinoma NN 19261 2929 24 of of IN 19261 2929 25 the the DT 19261 2929 26 bronchus bronchus NN 19261 2929 27 has have VBZ 19261 2929 28 been be VBN 19261 2929 29 reported report VBN 19261 2929 30 cured cure VBN 19261 2929 31 by by IN 19261 2929 32 bronchoscopic bronchoscopic NNP 19261 2929 33 removal removal NNP 19261 2929 34 , , , 19261 2929 35 with with IN 19261 2929 36 cauterization cauterization NN 19261 2929 37 of of IN 19261 2929 38 the the DT 19261 2929 39 base base NN 19261 2929 40 . . . 19261 2930 1 Most Most JJS 19261 2930 2 of of IN 19261 2930 3 the the DT 19261 2930 4 cases case NNS 19261 2930 5 , , , 19261 2930 6 however however RB 19261 2930 7 , , , 19261 2930 8 will will MD 19261 2930 9 be be VB 19261 2930 10 subjects subject NNS 19261 2930 11 for for IN 19261 2930 12 palliative palliative JJ 19261 2930 13 tracheotomy tracheotomy NN 19261 2930 14 and and CC 19261 2930 15 radium radium NN 19261 2930 16 therapy therapy NN 19261 2930 17 . . . 19261 2931 1 It -PRON- PRP 19261 2931 2 will will MD 19261 2931 3 be be VB 19261 2931 4 found find VBN 19261 2931 5 necessary necessary JJ 19261 2931 6 in in IN 19261 2931 7 many many JJ 19261 2931 8 of of IN 19261 2931 9 the the DT 19261 2931 10 cases case NNS 19261 2931 11 to to TO 19261 2931 12 employ employ VB 19261 2931 13 the the DT 19261 2931 14 author author NN 19261 2931 15 's 's POS 19261 2931 16 long long JJ 19261 2931 17 , , , 19261 2931 18 cane cane NN 19261 2931 19 - - HYPH 19261 2931 20 shaped shape VBN 19261 2931 21 tracheal tracheal NN 19261 2931 22 cannula cannula NN 19261 2931 23 ( ( -LRB- 19261 2931 24 Fig fig NN 19261 2931 25 . . . 19261 2932 1 104 104 CD 19261 2932 2 , , , 19261 2932 3 A a NN 19261 2932 4 ) ) -RRB- 19261 2932 5 , , , 19261 2932 6 in in IN 19261 2932 7 order order NN 19261 2932 8 to to TO 19261 2932 9 pipe pipe VB 19261 2932 10 the the DT 19261 2932 11 air air NN 19261 2932 12 down down RB 19261 2932 13 to to IN 19261 2932 14 one one CD 19261 2932 15 or or CC 19261 2932 16 both both CC 19261 2932 17 bronchi bronchi NN 19261 2932 18 past past IN 19261 2932 19 the the DT 19261 2932 20 projecting projecting NN 19261 2932 21 neoplasm neoplasm NN 19261 2932 22 . . . 19261 2933 1 It -PRON- PRP 19261 2933 2 has have VBZ 19261 2933 3 recently recently RB 19261 2933 4 been be VBN 19261 2933 5 demonstrated demonstrate VBN 19261 2933 6 that that IN 19261 2933 7 following follow VBG 19261 2933 8 the the DT 19261 2933 9 intravenous intravenous JJ 19261 2933 10 injection injection NN 19261 2933 11 of of IN 19261 2933 12 a a DT 19261 2933 13 suspension suspension NN 19261 2933 14 of of IN 19261 2933 15 the the DT 19261 2933 16 insoluble insoluble JJ 19261 2933 17 salt salt NN 19261 2933 18 , , , 19261 2933 19 radium radium NN 19261 2933 20 sulphate sulphate NN 19261 2933 21 , , , 19261 2933 22 that that IN 19261 2933 23 the the DT 19261 2933 24 suspended suspend VBN 19261 2933 25 particles particle NNS 19261 2933 26 are be VBP 19261 2933 27 held hold VBN 19261 2933 28 in in IN 19261 2933 29 the the DT 19261 2933 30 capillaries capillary NNS 19261 2933 31 of of IN 19261 2933 32 the the DT 19261 2933 33 lung lung NN 19261 2933 34 for for IN 19261 2933 35 a a DT 19261 2933 36 period period NN 19261 2933 37 of of IN 19261 2933 38 one one CD 19261 2933 39 year year NN 19261 2933 40 . . . 19261 2934 1 Intravenous intravenous JJ 19261 2934 2 injections injection NNS 19261 2934 3 of of IN 19261 2934 4 a a DT 19261 2934 5 watery watery JJ 19261 2934 6 suspension suspension NN 19261 2934 7 , , , 19261 2934 8 and and CC 19261 2934 9 endobronchial endobronchial JJ 19261 2934 10 injections injection NNS 19261 2934 11 of of IN 19261 2934 12 a a DT 19261 2934 13 suspension suspension NN 19261 2934 14 of of IN 19261 2934 15 radium radium NN 19261 2934 16 sulphate sulphate NN 19261 2934 17 in in IN 19261 2934 18 oil oil NN 19261 2934 19 , , , 19261 2934 20 have have VBP 19261 2934 21 had have VBN 19261 2934 22 definite definite JJ 19261 2934 23 beneficial beneficial JJ 19261 2934 24 action action NN 19261 2934 25 . . . 19261 2935 1 While while IN 19261 2935 2 as as IN 19261 2935 3 yet yet RB 19261 2935 4 , , , 19261 2935 5 no no DT 19261 2935 6 relatively relatively RB 19261 2935 7 permanent permanent JJ 19261 2935 8 cures cure NNS 19261 2935 9 of of IN 19261 2935 10 pulmonary pulmonary JJ 19261 2935 11 malignancy malignancy NN 19261 2935 12 have have VBP 19261 2935 13 been be VBN 19261 2935 14 obtained obtain VBN 19261 2935 15 , , , 19261 2935 16 the the DT 19261 2935 17 amelioration amelioration NN 19261 2935 18 and and CC 19261 2935 19 steady steady JJ 19261 2935 20 improvement improvement NN 19261 2935 21 noted note VBN 19261 2935 22 in in IN 19261 2935 23 the the DT 19261 2935 24 technic technic NN 19261 2935 25 of of IN 19261 2935 26 radium radium NN 19261 2935 27 therapy therapy NN 19261 2935 28 are be VBP 19261 2935 29 so so RB 19261 2935 30 encouraging encouraging JJ 19261 2935 31 that that IN 19261 2935 32 every every DT 19261 2935 33 inoperable inoperable JJ 19261 2935 34 case case NN 19261 2935 35 should should MD 19261 2935 36 be be VB 19261 2935 37 thus thus RB 19261 2935 38 treated treat VBN 19261 2935 39 , , , 19261 2935 40 if if IN 19261 2935 41 the the DT 19261 2935 42 disease disease NN 19261 2935 43 is be VBZ 19261 2935 44 not not RB 19261 2935 45 in in IN 19261 2935 46 a a DT 19261 2935 47 hopelessly hopelessly RB 19261 2935 48 advanced advanced JJ 19261 2935 49 stage stage NN 19261 2935 50 . . . 19261 2936 1 In in IN 19261 2936 2 a a DT 19261 2936 3 case case NN 19261 2936 4 under under IN 19261 2936 5 the the DT 19261 2936 6 care care NN 19261 2936 7 of of IN 19261 2936 8 Dr. Dr. NNP 19261 2936 9 Robert Robert NNP 19261 2936 10 M. M. NNP 19261 2936 11 Lukens Lukens NNP 19261 2936 12 at at IN 19261 2936 13 the the DT 19261 2936 14 Bronchoscopic Bronchoscopic NNP 19261 2936 15 Clinic Clinic NNP 19261 2936 16 , , , 19261 2936 17 a a DT 19261 2936 18 primary primary JJ 19261 2936 19 epithelioma epithelioma NN 19261 2936 20 of of IN 19261 2936 21 the the DT 19261 2936 22 trachea trachea NN 19261 2936 23 was be VBD 19261 2936 24 retarded retard VBN 19261 2936 25 for for IN 19261 2936 26 2 2 CD 19261 2936 27 years year NNS 19261 2936 28 by by IN 19261 2936 29 the the DT 19261 2936 30 use use NN 19261 2936 31 of of IN 19261 2936 32 radium radium NN 19261 2936 33 applied apply VBN 19261 2936 34 by by IN 19261 2936 35 Dr. Dr. NNP 19261 2936 36 William William NNP 19261 2936 37 S. S. NNP 19261 2936 38 Newcomet Newcomet NNP 19261 2936 39 , , , 19261 2936 40 radium radium NN 19261 2936 41 - - HYPH 19261 2936 42 therapist therapist NN 19261 2936 43 , , , 19261 2936 44 and and CC 19261 2936 45 Miss Miss NNP 19261 2936 46 Katherine Katherine NNP 19261 2936 47 E. E. NNP 19261 2936 48 Schaeffer Schaeffer NNP 19261 2936 49 , , , 19261 2936 50 technician technician NNP 19261 2936 51 . . . 19261 2937 1 [ [ -LRB- 19261 2937 2 216 216 CD 19261 2937 3 ] ] -RRB- 19261 2937 4 CHAPTER chapter NN 19261 2937 5 XXVII xxvii NN 19261 2937 6 -- -- : 19261 2937 7 MALIGNANT MALIGNANT NNP 19261 2937 8 DISEASE DISEASE NNP 19261 2937 9 OF of IN 19261 2937 10 THE the DT 19261 2937 11 ESOPHAGUS ESOPHAGUS NNP 19261 2937 12 Cancer Cancer NNP 19261 2937 13 of of IN 19261 2937 14 the the DT 19261 2937 15 esophagus esophagus NN 19261 2937 16 is be VBZ 19261 2937 17 a a DT 19261 2937 18 more more RBR 19261 2937 19 prevalent prevalent JJ 19261 2937 20 disease disease NN 19261 2937 21 than than IN 19261 2937 22 is be VBZ 19261 2937 23 commonly commonly RB 19261 2937 24 thought think VBN 19261 2937 25 . . . 19261 2938 1 In in IN 19261 2938 2 the the DT 19261 2938 3 male male NN 19261 2938 4 it -PRON- PRP 19261 2938 5 usually usually RB 19261 2938 6 develops develop VBZ 19261 2938 7 during during IN 19261 2938 8 the the DT 19261 2938 9 fourth fourth JJ 19261 2938 10 and and CC 19261 2938 11 fifth fifth JJ 19261 2938 12 decades decade NNS 19261 2938 13 of of IN 19261 2938 14 life life NN 19261 2938 15 . . . 19261 2939 1 There there EX 19261 2939 2 is be VBZ 19261 2939 3 in in IN 19261 2939 4 some some DT 19261 2939 5 cases case NNS 19261 2939 6 the the DT 19261 2939 7 history history NN 19261 2939 8 of of IN 19261 2939 9 years year NNS 19261 2939 10 of of IN 19261 2939 11 more more JJR 19261 2939 12 or or CC 19261 2939 13 less less RBR 19261 2939 14 habitual habitual JJ 19261 2939 15 consumption consumption NN 19261 2939 16 of of IN 19261 2939 17 strong strong JJ 19261 2939 18 alcoholic alcoholic JJ 19261 2939 19 liquors liquor NNS 19261 2939 20 . . . 19261 2940 1 In in IN 19261 2940 2 the the DT 19261 2940 3 female female NN 19261 2940 4 the the DT 19261 2940 5 condition condition NN 19261 2940 6 often often RB 19261 2940 7 occurs occur VBZ 19261 2940 8 at at IN 19261 2940 9 an an DT 19261 2940 10 earlier early JJR 19261 2940 11 age age NN 19261 2940 12 than than IN 19261 2940 13 in in IN 19261 2940 14 the the DT 19261 2940 15 male male NN 19261 2940 16 , , , 19261 2940 17 and and CC 19261 2940 18 tends tend VBZ 19261 2940 19 to to TO 19261 2940 20 run run VB 19261 2940 21 a a DT 19261 2940 22 more more RBR 19261 2940 23 protracted protract VBN 19261 2940 24 course course NN 19261 2940 25 , , , 19261 2940 26 preceeded preceede VBN 19261 2940 27 in in IN 19261 2940 28 some some DT 19261 2940 29 cases case NNS 19261 2940 30 by by IN 19261 2940 31 years year NNS 19261 2940 32 of of IN 19261 2940 33 precancerous precancerous JJ 19261 2940 34 dysphagia dysphagia NN 19261 2940 35 . . . 19261 2941 1 Squamous squamous JJ 19261 2941 2 - - HYPH 19261 2941 3 celled celle VBN 19261 2941 4 epithelioma epithelioma NN 19261 2941 5 is be VBZ 19261 2941 6 the the DT 19261 2941 7 most most RBS 19261 2941 8 frequent frequent JJ 19261 2941 9 type type NN 19261 2941 10 of of IN 19261 2941 11 neoplasm neoplasm NNP 19261 2941 12 . . . 19261 2942 1 In in IN 19261 2942 2 the the DT 19261 2942 3 lower low JJR 19261 2942 4 third third NN 19261 2942 5 of of IN 19261 2942 6 the the DT 19261 2942 7 esophagus esophagus NN 19261 2942 8 , , , 19261 2942 9 cylindric cylindric JJ 19261 2942 10 cell cell NN 19261 2942 11 carcinoma carcinoma NN 19261 2942 12 may may MD 19261 2942 13 be be VB 19261 2942 14 found find VBN 19261 2942 15 associated associate VBN 19261 2942 16 with with IN 19261 2942 17 a a DT 19261 2942 18 like like JJ 19261 2942 19 lesion lesion NN 19261 2942 20 in in IN 19261 2942 21 the the DT 19261 2942 22 stomach stomach NN 19261 2942 23 . . . 19261 2943 1 Sarcoma Sarcoma NNP 19261 2943 2 of of IN 19261 2943 3 the the DT 19261 2943 4 esophagus esophagus NN 19261 2943 5 is be VBZ 19261 2943 6 relatively relatively RB 19261 2943 7 rare rare JJ 19261 2943 8 ( ( -LRB- 19261 2943 9 Bibliography Bibliography NNP 19261 2943 10 1 1 CD 19261 2943 11 , , , 19261 2943 12 p. p. NN 19261 2943 13 449 449 CD 19261 2943 14 ) ) -RRB- 19261 2943 15 . . . 19261 2944 1 The the DT 19261 2944 2 sites site NNS 19261 2944 3 of of IN 19261 2944 4 the the DT 19261 2944 5 lesion lesion NN 19261 2944 6 are be VBP 19261 2944 7 those those DT 19261 2944 8 of of IN 19261 2944 9 physiologic physiologic JJ 19261 2944 10 narrowing narrowing NN 19261 2944 11 of of IN 19261 2944 12 the the DT 19261 2944 13 esophagus esophagus NN 19261 2944 14 . . . 19261 2945 1 The the DT 19261 2945 2 middle middle JJ 19261 2945 3 third third RB 19261 2945 4 is be VBZ 19261 2945 5 most most RBS 19261 2945 6 frequently frequently RB 19261 2945 7 involved involve VBN 19261 2945 8 ; ; : 19261 2945 9 and and CC 19261 2945 10 the the DT 19261 2945 11 lower low JJR 19261 2945 12 third third JJ 19261 2945 13 , , , 19261 2945 14 near near IN 19261 2945 15 the the DT 19261 2945 16 cardia cardia NN 19261 2945 17 , , , 19261 2945 18 comes come VBZ 19261 2945 19 next next RB 19261 2945 20 in in IN 19261 2945 21 frequency frequency NN 19261 2945 22 . . . 19261 2946 1 Cancer cancer NN 19261 2946 2 of of IN 19261 2946 3 the the DT 19261 2946 4 lower low JJR 19261 2946 5 third third JJ 19261 2946 6 of of IN 19261 2946 7 the the DT 19261 2946 8 esophagus esophagus NN 19261 2946 9 preponderates preponderate NNS 19261 2946 10 in in IN 19261 2946 11 men man NNS 19261 2946 12 , , , 19261 2946 13 while while IN 19261 2946 14 cancer cancer NN 19261 2946 15 of of IN 19261 2946 16 the the DT 19261 2946 17 upper upper JJ 19261 2946 18 orifice orifice NN 19261 2946 19 is be VBZ 19261 2946 20 , , , 19261 2946 21 curiously curiously RB 19261 2946 22 , , , 19261 2946 23 more more RBR 19261 2946 24 prevalent prevalent JJ 19261 2946 25 in in IN 19261 2946 26 women woman NNS 19261 2946 27 . . . 19261 2947 1 The the DT 19261 2947 2 lesion lesion NN 19261 2947 3 is be VBZ 19261 2947 4 usually usually RB 19261 2947 5 single single JJ 19261 2947 6 , , , 19261 2947 7 but but CC 19261 2947 8 multiple multiple JJ 19261 2947 9 lesions lesion NNS 19261 2947 10 , , , 19261 2947 11 resulting result VBG 19261 2947 12 from from IN 19261 2947 13 implantation implantation NN 19261 2947 14 metastases metastasis NNS 19261 2947 15 have have VBP 19261 2947 16 been be VBN 19261 2947 17 observed observe VBN 19261 2947 18 ( ( -LRB- 19261 2947 19 Bibliography Bibliography NNP 19261 2947 20 1 1 CD 19261 2947 21 , , , 19261 2947 22 p. p. NN 19261 2947 23 391 391 CD 19261 2947 24 ) ) -RRB- 19261 2947 25 . . . 19261 2948 1 Bronchoesophageal Bronchoesophageal NNP 19261 2948 2 fistula fistula NN 19261 2948 3 from from IN 19261 2948 4 extension extension NN 19261 2948 5 is be VBZ 19261 2948 6 not not RB 19261 2948 7 uncommon uncommon JJ 19261 2948 8 . . . 19261 2949 1 _ _ NNP 19261 2949 2 Symptoms_.--Malignant symptoms_.--malignant NN 19261 2949 3 disease disease NN 19261 2949 4 of of IN 19261 2949 5 the the DT 19261 2949 6 esophagus esophagus NN 19261 2949 7 is be VBZ 19261 2949 8 rarely rarely RB 19261 2949 9 seen see VBN 19261 2949 10 early early RB 19261 2949 11 , , , 19261 2949 12 because because IN 19261 2949 13 of of IN 19261 2949 14 the the DT 19261 2949 15 absence absence NN 19261 2949 16 , , , 19261 2949 17 or or CC 19261 2949 18 mildness mildness NN 19261 2949 19 , , , 19261 2949 20 of of IN 19261 2949 21 the the DT 19261 2949 22 symptoms symptom NNS 19261 2949 23 . . . 19261 2950 1 Dysphagia Dysphagia NNP 19261 2950 2 , , , 19261 2950 3 the the DT 19261 2950 4 one one CD 19261 2950 5 common common JJ 19261 2950 6 symptom symptom NN 19261 2950 7 of of IN 19261 2950 8 all all DT 19261 2950 9 esophageal esophageal JJ 19261 2950 10 disease disease NN 19261 2950 11 , , , 19261 2950 12 is be VBZ 19261 2950 13 often often RB 19261 2950 14 ignored ignore VBN 19261 2950 15 by by IN 19261 2950 16 the the DT 19261 2950 17 patient patient NN 19261 2950 18 until until IN 19261 2950 19 it -PRON- PRP 19261 2950 20 becomes become VBZ 19261 2950 21 so so RB 19261 2950 22 marked marked JJ 19261 2950 23 as as IN 19261 2950 24 to to TO 19261 2950 25 prevent prevent VB 19261 2950 26 the the DT 19261 2950 27 taking taking NN 19261 2950 28 of of IN 19261 2950 29 solid solid JJ 19261 2950 30 food food NN 19261 2950 31 ; ; : 19261 2950 32 therefore therefore RB 19261 2950 33 , , , 19261 2950 34 the the DT 19261 2950 35 onset onset NN 19261 2950 36 may may MD 19261 2950 37 have have VB 19261 2950 38 the the DT 19261 2950 39 similitude similitude NN 19261 2950 40 of of IN 19261 2950 41 abruptness abruptness NN 19261 2950 42 . . . 19261 2951 1 Any any DT 19261 2951 2 well well RB 19261 2951 3 masticated masticate VBN 19261 2951 4 solid solid JJ 19261 2951 5 food food NN 19261 2951 6 can can MD 19261 2951 7 be be VB 19261 2951 8 swallowed swallow VBN 19261 2951 9 through through IN 19261 2951 10 a a DT 19261 2951 11 lumen luman NNS 19261 2951 12 5 5 CD 19261 2951 13 millimeters millimeter NNS 19261 2951 14 in in IN 19261 2951 15 diameter diameter NN 19261 2951 16 . . . 19261 2952 1 The the DT 19261 2952 2 inability inability NN 19261 2952 3 to to TO 19261 2952 4 maintain maintain VB 19261 2952 5 the the DT 19261 2952 6 nutrition nutrition NN 19261 2952 7 is be VBZ 19261 2952 8 evidenced evidence VBN 19261 2952 9 by by IN 19261 2952 10 loss loss NN 19261 2952 11 of of IN 19261 2952 12 weight weight NN 19261 2952 13 and and CC 19261 2952 14 the the DT 19261 2952 15 rapid rapid JJ 19261 2952 16 development development NN 19261 2952 17 of of IN 19261 2952 18 cachexia cachexia NNP 19261 2952 19 . . . 19261 2953 1 When when WRB 19261 2953 2 the the DT 19261 2953 3 stenosis stenosis NN 19261 2953 4 becomes become VBZ 19261 2953 5 so so RB 19261 2953 6 severe severe JJ 19261 2953 7 that that IN 19261 2953 8 the the DT 19261 2953 9 fluid fluid JJ 19261 2953 10 intake intake NN 19261 2953 11 is be VBZ 19261 2953 12 limited limited JJ 19261 2953 13 , , , 19261 2953 14 rapid rapid JJ 19261 2953 15 decline decline NN 19261 2953 16 occurs occur VBZ 19261 2953 17 from from IN 19261 2953 18 water water NN 19261 2953 19 starvation starvation NN 19261 2953 20 . . . 19261 2954 1 Pain pain NN 19261 2954 2 is be VBZ 19261 2954 3 usually usually RB 19261 2954 4 a a DT 19261 2954 5 late late JJ 19261 2954 6 symptom symptom NN 19261 2954 7 of of IN 19261 2954 8 the the DT 19261 2954 9 disease disease NN 19261 2954 10 . . . 19261 2955 1 It -PRON- PRP 19261 2955 2 may may MD 19261 2955 3 be be VB 19261 2955 4 of of IN 19261 2955 5 an an DT 19261 2955 6 aching ache VBG 19261 2955 7 character character NN 19261 2955 8 and and CC 19261 2955 9 referred refer VBD 19261 2955 10 to to IN 19261 2955 11 the the DT 19261 2955 12 vertebral vertebral JJ 19261 2955 13 region region NN 19261 2955 14 or or CC 19261 2955 15 to to IN 19261 2955 16 the the DT 19261 2955 17 neck neck NN 19261 2955 18 ; ; : 19261 2955 19 or or CC 19261 2955 20 it -PRON- PRP 19261 2955 21 may may MD 19261 2955 22 only only RB 19261 2955 23 accompany accompany VB 19261 2955 24 the the DT 19261 2955 25 act act NN 19261 2955 26 of of IN 19261 2955 27 swallowing swallow VBG 19261 2955 28 . . . 19261 2956 1 Blood blood NN 19261 2956 2 - - HYPH 19261 2956 3 streaked streak VBN 19261 2956 4 , , , 19261 2956 5 regurgitated regurgitate VBD 19261 2956 6 material material NN 19261 2956 7 , , , 19261 2956 8 and and CC 19261 2956 9 the the DT 19261 2956 10 presence presence NN 19261 2956 11 of of IN 19261 2956 12 odor odor NNP 19261 2956 13 , , , 19261 2956 14 are be VBP 19261 2956 15 late late JJ 19261 2956 16 manifestations manifestation NNS 19261 2956 17 of of IN 19261 2956 18 ulceration ulceration NN 19261 2956 19 and and CC 19261 2956 20 secondary secondary JJ 19261 2956 21 infection infection NN 19261 2956 22 . . . 19261 2957 1 In in IN 19261 2957 2 some some DT 19261 2957 3 cases case NNS 19261 2957 4 , , , 19261 2957 5 constant constant JJ 19261 2957 6 oozing oozing NN 19261 2957 7 of of IN 19261 2957 8 blood blood NN 19261 2957 9 from from IN 19261 2957 10 the the DT 19261 2957 11 ulcerated ulcerated JJ 19261 2957 12 area area NN 19261 2957 13 adds add VBZ 19261 2957 14 greatly greatly RB 19261 2957 15 to to IN 19261 2957 16 the the DT 19261 2957 17 cachexia cachexia NN 19261 2957 18 . . . 19261 2958 1 If if IN 19261 2958 2 the the DT 19261 2958 3 recurrent recurrent JJ 19261 2958 4 laryngeal laryngeal NN 19261 2958 5 nerves nerve NNS 19261 2958 6 are be VBP 19261 2958 7 involved involve VBN 19261 2958 8 , , , 19261 2958 9 unilateral unilateral JJ 19261 2958 10 or or CC 19261 2958 11 bilateral bilateral JJ 19261 2958 12 paralysis paralysis NN 19261 2958 13 of of IN 19261 2958 14 the the DT 19261 2958 15 larynx larynx NN 19261 2958 16 may may MD 19261 2958 17 complicate complicate VB 19261 2958 18 the the DT 19261 2958 19 symptoms symptom NNS 19261 2958 20 by by IN 19261 2958 21 cough cough NN 19261 2958 22 , , , 19261 2958 23 dyspnea dyspnea NNP 19261 2958 24 , , , 19261 2958 25 aphonia aphonia NNP 19261 2958 26 , , , 19261 2958 27 and and CC 19261 2958 28 possibly possibly RB 19261 2958 29 septic septic NN 19261 2958 30 pneumonia pneumonia NN 19261 2958 31 . . . 19261 2959 1 _ _ NNP 19261 2959 2 Diagnosis_.--It Diagnosis_.--It NNP 19261 2959 3 has have VBZ 19261 2959 4 been be VBN 19261 2959 5 estimated estimate VBN 19261 2959 6 that that IN 19261 2959 7 70 70 CD 19261 2959 8 per per IN 19261 2959 9 cent cent NN 19261 2959 10 of of IN 19261 2959 11 stenoses stenosis NNS 19261 2959 12 of of IN 19261 2959 13 the the DT 19261 2959 14 esophagus esophagus NN 19261 2959 15 in in IN 19261 2959 16 adults adult NNS 19261 2959 17 are be VBP 19261 2959 18 malignant malignant JJ 19261 2959 19 in in IN 19261 2959 20 nature nature NN 19261 2959 21 . . . 19261 2960 1 This this DT 19261 2960 2 should should MD 19261 2960 3 stimulate stimulate VB 19261 2960 4 the the DT 19261 2960 5 early early JJ 19261 2960 6 and and CC 19261 2960 7 careful careful JJ 19261 2960 8 investigation investigation NN 19261 2960 9 of of IN 19261 2960 10 every every DT 19261 2960 11 case case NN 19261 2960 12 of of IN 19261 2960 13 dysphagia dysphagia NN 19261 2960 14 . . . 19261 2961 1 When when WRB 19261 2961 2 all all DT 19261 2961 3 cases case NNS 19261 2961 4 of of IN 19261 2961 5 persistent persistent JJ 19261 2961 6 dysphagia dysphagia NN 19261 2961 7 , , , 19261 2961 8 however however WRB 19261 2961 9 slight slight JJ 19261 2961 10 , , , 19261 2961 11 are be VBP 19261 2961 12 endoscopically endoscopically RB 19261 2961 13 studied study VBN 19261 2961 14 , , , 19261 2961 15 precancerous precancerous JJ 19261 2961 16 lesions lesion NNS 19261 2961 17 may may MD 19261 2961 18 be be VB 19261 2961 19 discovered discover VBN 19261 2961 20 and and CC 19261 2961 21 treated treat VBN 19261 2961 22 , , , 19261 2961 23 and and CC 19261 2961 24 the the DT 19261 2961 25 limited limited JJ 19261 2961 26 malignancy malignancy NN 19261 2961 27 of of IN 19261 2961 28 the the DT 19261 2961 29 early early JJ 19261 2961 30 stages stage NNS 19261 2961 31 may may MD 19261 2961 32 be be VB 19261 2961 33 afforded afford VBN 19261 2961 34 surgical surgical JJ 19261 2961 35 treatment treatment NN 19261 2961 36 while while IN 19261 2961 37 yet yet RB 19261 2961 38 there there EX 19261 2961 39 is be VBZ 19261 2961 40 hope hope NN 19261 2961 41 of of IN 19261 2961 42 complete complete JJ 19261 2961 43 removal removal NN 19261 2961 44 . . . 19261 2962 1 Luetic luetic JJ 19261 2962 2 and and CC 19261 2962 3 tuberculous tuberculous JJ 19261 2962 4 ulceration ulceration NN 19261 2962 5 of of IN 19261 2962 6 the the DT 19261 2962 7 esophagus esophagus NN 19261 2962 8 are be VBP 19261 2962 9 to to TO 19261 2962 10 be be VB 19261 2962 11 eliminated eliminate VBN 19261 2962 12 by by IN 19261 2962 13 suitable suitable JJ 19261 2962 14 tests test NNS 19261 2962 15 , , , 19261 2962 16 supplemented supplement VBN 19261 2962 17 in in IN 19261 2962 18 rare rare JJ 19261 2962 19 instances instance NNS 19261 2962 20 by by IN 19261 2962 21 biopsy biopsy NN 19261 2962 22 . . . 19261 2963 1 Aneurysm Aneurysm NNS 19261 2963 2 of of IN 19261 2963 3 the the DT 19261 2963 4 aorta aorta NNP 19261 2963 5 must must MD 19261 2963 6 in in IN 19261 2963 7 all all DT 19261 2963 8 cases case NNS 19261 2963 9 of of IN 19261 2963 10 dysphagia dysphagia NNP 19261 2963 11 be be VB 19261 2963 12 excluded exclude VBN 19261 2963 13 , , , 19261 2963 14 for for IN 19261 2963 15 the the DT 19261 2963 16 dilated dilate VBN 19261 2963 17 aorta aorta NNP 19261 2963 18 may may MD 19261 2963 19 be be VB 19261 2963 20 the the DT 19261 2963 21 sole sole JJ 19261 2963 22 cause cause NN 19261 2963 23 of of IN 19261 2963 24 the the DT 19261 2963 25 condition condition NN 19261 2963 26 , , , 19261 2963 27 and and CC 19261 2963 28 its -PRON- PRP$ 19261 2963 29 presence presence NN 19261 2963 30 contraindicates contraindicate NNS 19261 2963 31 esophagoscopy esophagoscopy RB 19261 2963 32 because because IN 19261 2963 33 of of IN 19261 2963 34 the the DT 19261 2963 35 liability liability NN 19261 2963 36 of of IN 19261 2963 37 rupture rupture NN 19261 2963 38 . . . 19261 2964 1 Foreign foreign JJ 19261 2964 2 body body NN 19261 2964 3 is be VBZ 19261 2964 4 to to TO 19261 2964 5 be be VB 19261 2964 6 excluded exclude VBN 19261 2964 7 by by IN 19261 2964 8 history history NN 19261 2964 9 and and CC 19261 2964 10 roentgenographic roentgenographic JJ 19261 2964 11 study study NN 19261 2964 12 . . . 19261 2965 1 Spasmodic spasmodic JJ 19261 2965 2 stenosis stenosis NN 19261 2965 3 of of IN 19261 2965 4 the the DT 19261 2965 5 esophagus esophagus NN 19261 2965 6 may may MD 19261 2965 7 or or CC 19261 2965 8 may may MD 19261 2965 9 not not RB 19261 2965 10 have have VB 19261 2965 11 a a DT 19261 2965 12 malignant malignant JJ 19261 2965 13 origin origin NN 19261 2965 14 . . . 19261 2966 1 Esophagoscopy esophagoscopy JJ 19261 2966 2 and and CC 19261 2966 3 removal removal NN 19261 2966 4 of of IN 19261 2966 5 a a DT 19261 2966 6 specimen speciman NNS 19261 2966 7 for for IN 19261 2966 8 biopsy biopsy NN 19261 2966 9 renders render VBZ 19261 2966 10 the the DT 19261 2966 11 diagnosis diagnosis NN 19261 2966 12 certain certain JJ 19261 2966 13 . . . 19261 2967 1 It -PRON- PRP 19261 2967 2 is be VBZ 19261 2967 3 to to TO 19261 2967 4 be be VB 19261 2967 5 especially especially RB 19261 2967 6 remembered remember VBN 19261 2967 7 , , , 19261 2967 8 however however RB 19261 2967 9 , , , 19261 2967 10 that that IN 19261 2967 11 it -PRON- PRP 19261 2967 12 is be VBZ 19261 2967 13 very very RB 19261 2967 14 unwise unwise JJ 19261 2967 15 to to TO 19261 2967 16 bite bite VB 19261 2967 17 through through IN 19261 2967 18 normal normal JJ 19261 2967 19 mucosa mucosa NNS 19261 2967 20 for for IN 19261 2967 21 the the DT 19261 2967 22 purpose purpose NN 19261 2967 23 of of IN 19261 2967 24 taking take VBG 19261 2967 25 a a DT 19261 2967 26 specimen speciman NNS 19261 2967 27 from from IN 19261 2967 28 a a DT 19261 2967 29 periesophageal periesophageal JJ 19261 2967 30 growth growth NN 19261 2967 31 . . . 19261 2968 1 Fungations fungation NNS 19261 2968 2 and and CC 19261 2968 3 polypoid polypoid NN 19261 2968 4 protuberances protuberance NNS 19261 2968 5 afford afford VBP 19261 2968 6 safe safe JJ 19261 2968 7 opportunities opportunity NNS 19261 2968 8 for for IN 19261 2968 9 the the DT 19261 2968 10 removal removal NN 19261 2968 11 of of IN 19261 2968 12 specimens specimen NNS 19261 2968 13 of of IN 19261 2968 14 tissue tissue NN 19261 2968 15 . . . 19261 2969 1 _ _ NNP 19261 2969 2 The the DT 19261 2969 3 esophagoscopic esophagoscopic NN 19261 2969 4 appearances appearance NNS 19261 2969 5 of of IN 19261 2969 6 malignant malignant JJ 19261 2969 7 disease disease NN 19261 2969 8 _ _ NNP 19261 2969 9 , , , 19261 2969 10 varying vary VBG 19261 2969 11 with with IN 19261 2969 12 the the DT 19261 2969 13 stage stage NN 19261 2969 14 and and CC 19261 2969 15 site site NN 19261 2969 16 of of IN 19261 2969 17 origin origin NN 19261 2969 18 of of IN 19261 2969 19 the the DT 19261 2969 20 growth growth NN 19261 2969 21 , , , 19261 2969 22 may may MD 19261 2969 23 present present VB 19261 2969 24 as as IN 19261 2969 25 follows:-- follows:-- ADD 19261 2969 26 1 1 CD 19261 2969 27 . . . 19261 2970 1 Submucosal submucosal NN 19261 2970 2 infiltration infiltration NN 19261 2970 3 covered cover VBN 19261 2970 4 by by IN 19261 2970 5 perfectly perfectly RB 19261 2970 6 normal normal JJ 19261 2970 7 membrane membrane NN 19261 2970 8 , , , 19261 2970 9 usually usually RB 19261 2970 10 associated associate VBN 19261 2970 11 with with IN 19261 2970 12 more more JJR 19261 2970 13 or or CC 19261 2970 14 less less RBR 19261 2970 15 bulging bulging NN 19261 2970 16 of of IN 19261 2970 17 the the DT 19261 2970 18 esophageal esophageal JJ 19261 2970 19 wall wall NN 19261 2970 20 , , , 19261 2970 21 and and CC 19261 2970 22 very very RB 19261 2970 23 often often RB 19261 2970 24 with with IN 19261 2970 25 hardness hardness NN 19261 2970 26 and and CC 19261 2970 27 infiltration infiltration NN 19261 2970 28 . . . 19261 2971 1 2 2 LS 19261 2971 2 . . . 19261 2972 1 Leucoplakia Leucoplakia NNP 19261 2972 2 . . . 19261 2973 1 3 3 LS 19261 2973 2 . . . 19261 2974 1 Ulceration ulceration NN 19261 2974 2 projecting projecting NN 19261 2974 3 but but CC 19261 2974 4 little little JJ 19261 2974 5 above above IN 19261 2974 6 the the DT 19261 2974 7 surface surface NN 19261 2974 8 at at IN 19261 2974 9 the the DT 19261 2974 10 edges edge NNS 19261 2974 11 . . . 19261 2975 1 4 4 LS 19261 2975 2 . . . 19261 2976 1 Rounded round VBN 19261 2976 2 nodular nodular JJ 19261 2976 3 masses masse NNS 19261 2976 4 grouped group VBN 19261 2976 5 in in IN 19261 2976 6 mulberry mulberry NN 19261 2976 7 - - HYPH 19261 2976 8 like like JJ 19261 2976 9 form form NN 19261 2976 10 , , , 19261 2976 11 either either CC 19261 2976 12 dark dark JJ 19261 2976 13 or or CC 19261 2976 14 light light JJ 19261 2976 15 red red NN 19261 2976 16 in in IN 19261 2976 17 color color NN 19261 2976 18 . . . 19261 2977 1 5 5 CD 19261 2977 2 . . . 19261 2978 1 Polypoid Polypoid NNP 19261 2978 2 masses masse NNS 19261 2978 3 . . . 19261 2979 1 6 6 CD 19261 2979 2 . . . 19261 2980 1 Cauliflower cauliflower NN 19261 2980 2 fungations fungation NNS 19261 2980 3 . . . 19261 2981 1 In in IN 19261 2981 2 considering consider VBG 19261 2981 3 the the DT 19261 2981 4 esophagoscopic esophagoscopic NN 19261 2981 5 appearances appearance NNS 19261 2981 6 of of IN 19261 2981 7 cancer cancer NN 19261 2981 8 , , , 19261 2981 9 it -PRON- PRP 19261 2981 10 is be VBZ 19261 2981 11 necessary necessary JJ 19261 2981 12 to to TO 19261 2981 13 remember remember VB 19261 2981 14 that that IN 19261 2981 15 after after IN 19261 2981 16 ulceration ulceration NN 19261 2981 17 has have VBZ 19261 2981 18 set set VBN 19261 2981 19 in in RP 19261 2981 20 , , , 19261 2981 21 the the DT 19261 2981 22 cancerous cancerous JJ 19261 2981 23 process process NN 19261 2981 24 may may MD 19261 2981 25 have have VB 19261 2981 26 engrafted engraft VBN 19261 2981 27 upon upon IN 19261 2981 28 it -PRON- PRP 19261 2981 29 , , , 19261 2981 30 and and CC 19261 2981 31 upon upon IN 19261 2981 32 its -PRON- PRP$ 19261 2981 33 neighborhood neighborhood NN 19261 2981 34 , , , 19261 2981 35 the the DT 19261 2981 36 results result NNS 19261 2981 37 of of IN 19261 2981 38 inflammation inflammation NN 19261 2981 39 due due IN 19261 2981 40 to to IN 19261 2981 41 the the DT 19261 2981 42 mixed mixed JJ 19261 2981 43 infections infection NNS 19261 2981 44 . . . 19261 2982 1 Cancer cancer NN 19261 2982 2 invading invade VBG 19261 2982 3 the the DT 19261 2982 4 wall wall NN 19261 2982 5 from from IN 19261 2982 6 without without IN 19261 2982 7 may may NNP 19261 2982 8 for for IN 19261 2982 9 a a DT 19261 2982 10 long long JJ 19261 2982 11 time time NN 19261 2982 12 be be VB 19261 2982 13 covered cover VBN 19261 2982 14 with with IN 19261 2982 15 perfectly perfectly RB 19261 2982 16 normal normal JJ 19261 2982 17 mucous mucous JJ 19261 2982 18 membrane membrane NN 19261 2982 19 . . . 19261 2983 1 The the DT 19261 2983 2 significant significant JJ 19261 2983 3 signs sign NNS 19261 2983 4 at at IN 19261 2983 5 this this DT 19261 2983 6 early early JJ 19261 2983 7 stage stage NN 19261 2983 8 are be VBP 19261 2983 9 : : : 19261 2983 10 1 1 LS 19261 2983 11 . . . 19261 2984 1 Absence absence NN 19261 2984 2 of of IN 19261 2984 3 one one CD 19261 2984 4 or or CC 19261 2984 5 more more JJR 19261 2984 6 of of IN 19261 2984 7 the the DT 19261 2984 8 normal normal JJ 19261 2984 9 radial radial JJ 19261 2984 10 creases crease NNS 19261 2984 11 between between IN 19261 2984 12 the the DT 19261 2984 13 folds fold NNS 19261 2984 14 . . . 19261 2985 1 2 2 LS 19261 2985 2 . . . 19261 2986 1 Asymmetry asymmetry NN 19261 2986 2 of of IN 19261 2986 3 the the DT 19261 2986 4 inspiratory inspiratory JJ 19261 2986 5 enlargement enlargement NN 19261 2986 6 of of IN 19261 2986 7 lumen luman NNS 19261 2986 8 . . . 19261 2987 1 3 3 LS 19261 2987 2 . . . 19261 2988 1 Sensation sensation NN 19261 2988 2 of of IN 19261 2988 3 hardness hardness NN 19261 2988 4 of of IN 19261 2988 5 the the DT 19261 2988 6 wall wall NN 19261 2988 7 on on IN 19261 2988 8 palpation palpation NN 19261 2988 9 with with IN 19261 2988 10 the the DT 19261 2988 11 tube tube NN 19261 2988 12 . . . 19261 2989 1 4 4 LS 19261 2989 2 . . . 19261 2990 1 The the DT 19261 2990 2 involved involved JJ 19261 2990 3 wall wall NN 19261 2990 4 will will MD 19261 2990 5 not not RB 19261 2990 6 readily readily RB 19261 2990 7 be be VB 19261 2990 8 made make VBN 19261 2990 9 to to TO 19261 2990 10 wrinkle wrinkle VB 19261 2990 11 when when WRB 19261 2990 12 pushed push VBN 19261 2990 13 upon upon IN 19261 2990 14 with with IN 19261 2990 15 the the DT 19261 2990 16 tube tube NN 19261 2990 17 mouth mouth NN 19261 2990 18 . . . 19261 2991 1 In in IN 19261 2991 2 all all PDT 19261 2991 3 the the DT 19261 2991 4 later later JJ 19261 2991 5 forms form NNS 19261 2991 6 of of IN 19261 2991 7 lesions lesion NNS 19261 2991 8 the the DT 19261 2991 9 two two CD 19261 2991 10 characteristics characteristic NNS 19261 2991 11 are be VBP 19261 2991 12 ( ( -LRB- 19261 2991 13 a a LS 19261 2991 14 ) ) -RRB- 19261 2991 15 the the DT 19261 2991 16 readiness readiness NN 19261 2991 17 with with IN 19261 2991 18 which which WDT 19261 2991 19 oozing oozing NN 19261 2991 20 of of IN 19261 2991 21 blood blood NN 19261 2991 22 occurs occur VBZ 19261 2991 23 ; ; : 19261 2991 24 and and CC 19261 2991 25 ( ( -LRB- 19261 2991 26 b b LS 19261 2991 27 ) ) -RRB- 19261 2991 28 the the DT 19261 2991 29 sense sense NN 19261 2991 30 of of IN 19261 2991 31 rigidity rigidity NN 19261 2991 32 , , , 19261 2991 33 or or CC 19261 2991 34 fixation fixation NN 19261 2991 35 , , , 19261 2991 36 of of IN 19261 2991 37 the the DT 19261 2991 38 involved involved JJ 19261 2991 39 area area NN 19261 2991 40 as as IN 19261 2991 41 palpated palpate VBN 19261 2991 42 with with IN 19261 2991 43 the the DT 19261 2991 44 esophagoscope esophagoscope NN 19261 2991 45 , , , 19261 2991 46 in in IN 19261 2991 47 contrast contrast NN 19261 2991 48 to to IN 19261 2991 49 the the DT 19261 2991 50 normally normally RB 19261 2991 51 supple supple JJ 19261 2991 52 esophageal esophageal JJ 19261 2991 53 wall wall NN 19261 2991 54 . . . 19261 2992 1 Esophageal esophageal JJ 19261 2992 2 dilatation dilatation NN 19261 2992 3 above above IN 19261 2992 4 a a DT 19261 2992 5 malignant malignant JJ 19261 2992 6 lesion lesion NN 19261 2992 7 is be VBZ 19261 2992 8 rarely rarely RB 19261 2992 9 great great JJ 19261 2992 10 , , , 19261 2992 11 because because IN 19261 2992 12 the the DT 19261 2992 13 stenosis stenosis NN 19261 2992 14 is be VBZ 19261 2992 15 seldom seldom RB 19261 2992 16 severely severely RB 19261 2992 17 obstructive obstructive JJ 19261 2992 18 until until IN 19261 2992 19 late late JJ 19261 2992 20 in in IN 19261 2992 21 the the DT 19261 2992 22 course course NN 19261 2992 23 of of IN 19261 2992 24 the the DT 19261 2992 25 disease disease NN 19261 2992 26 . . . 19261 2993 1 _ _ NNP 19261 2993 2 Treatment_.--The Treatment_.--The NNP 19261 2993 3 present present JJ 19261 2993 4 100 100 CD 19261 2993 5 per per NN 19261 2993 6 cent cent NN 19261 2993 7 mortality mortality NN 19261 2993 8 in in IN 19261 2993 9 cancer cancer NN 19261 2993 10 of of IN 19261 2993 11 the the DT 19261 2993 12 esophagus esophagus NN 19261 2993 13 will will MD 19261 2993 14 be be VB 19261 2993 15 lowered lower VBN 19261 2993 16 and and CC 19261 2993 17 a a DT 19261 2993 18 certain certain JJ 19261 2993 19 percentage percentage NN 19261 2993 20 of of IN 19261 2993 21 surgical surgical JJ 19261 2993 22 cures cure NNS 19261 2993 23 will will MD 19261 2993 24 be be VB 19261 2993 25 obtained obtain VBN 19261 2993 26 when when WRB 19261 2993 27 patients patient NNS 19261 2993 28 with with IN 19261 2993 29 esophageal esophageal JJ 19261 2993 30 symptoms symptom NNS 19261 2993 31 are be VBP 19261 2993 32 given give VBN 19261 2993 33 the the DT 19261 2993 34 benefit benefit NN 19261 2993 35 of of IN 19261 2993 36 early early JJ 19261 2993 37 esophagoscopic esophagoscopic JJ 19261 2993 38 study study NN 19261 2993 39 . . . 19261 2994 1 The the DT 19261 2994 2 relief relief NN 19261 2994 3 or or CC 19261 2994 4 circumvention circumvention NN 19261 2994 5 of of IN 19261 2994 6 the the DT 19261 2994 7 dysphagia dysphagia NN 19261 2994 8 requires require VBZ 19261 2994 9 early early JJ 19261 2994 10 measures measure NNS 19261 2994 11 to to TO 19261 2994 12 prevent prevent VB 19261 2994 13 food food NN 19261 2994 14 and and CC 19261 2994 15 water water NN 19261 2994 16 starvation starvation NN 19261 2994 17 . . . 19261 2995 1 _ _ NNP 19261 2995 2 Bouginage Bouginage NNP 19261 2995 3 _ _ NNP 19261 2995 4 of of IN 19261 2995 5 a a DT 19261 2995 6 malignant malignant JJ 19261 2995 7 esophagus esophagus NN 19261 2995 8 to to TO 19261 2995 9 increase increase VB 19261 2995 10 temporarily temporarily RB 19261 2995 11 the the DT 19261 2995 12 size size NN 19261 2995 13 of of IN 19261 2995 14 the the DT 19261 2995 15 stenosed stenose VBN 19261 2995 16 lumen luman NNS 19261 2995 17 is be VBZ 19261 2995 18 of of IN 19261 2995 19 questionable questionable JJ 19261 2995 20 advisability advisability NN 19261 2995 21 , , , 19261 2995 22 and and CC 19261 2995 23 is be VBZ 19261 2995 24 attended attend VBN 19261 2995 25 with with IN 19261 2995 26 the the DT 19261 2995 27 great great JJ 19261 2995 28 risk risk NN 19261 2995 29 of of IN 19261 2995 30 perforating perforate VBG 19261 2995 31 the the DT 19261 2995 32 weakened weakened JJ 19261 2995 33 esophageal esophageal JJ 19261 2995 34 wall wall NN 19261 2995 35 . . . 19261 2996 1 _ _ NNP 19261 2996 2 Esophageal Esophageal NNP 19261 2996 3 intubation intubation NN 19261 2996 4 _ _ NNP 19261 2996 5 may may MD 19261 2996 6 serve serve VB 19261 2996 7 for for IN 19261 2996 8 a a DT 19261 2996 9 time time NN 19261 2996 10 to to TO 19261 2996 11 delay delay VB 19261 2996 12 gastrostomy gastrostomy NNP 19261 2996 13 but but CC 19261 2996 14 it -PRON- PRP 19261 2996 15 can can MD 19261 2996 16 not not RB 19261 2996 17 supplant supplant VB 19261 2996 18 it -PRON- PRP 19261 2996 19 , , , 19261 2996 20 nor nor CC 19261 2996 21 obviate obviate VB 19261 2996 22 the the DT 19261 2996 23 necessity necessity NN 19261 2996 24 for for IN 19261 2996 25 its -PRON- PRP$ 19261 2996 26 ultimate ultimate JJ 19261 2996 27 performance performance NN 19261 2996 28 . . . 19261 2997 1 The the DT 19261 2997 2 Charters Charters NNPS 19261 2997 3 - - HYPH 19261 2997 4 Symonds Symonds NNPS 19261 2997 5 or or CC 19261 2997 6 Guisez Guisez NNP 19261 2997 7 esophageal esophageal JJ 19261 2997 8 intubation intubation NN 19261 2997 9 tube tube NN 19261 2997 10 is be VBZ 19261 2997 11 readily readily RB 19261 2997 12 inserted insert VBN 19261 2997 13 after after IN 19261 2997 14 drawing draw VBG 19261 2997 15 the the DT 19261 2997 16 larynx larynx NN 19261 2997 17 forward forward RB 19261 2997 18 with with IN 19261 2997 19 the the DT 19261 2997 20 laryngoscope laryngoscope NN 19261 2997 21 . . . 19261 2998 1 The the DT 19261 2998 2 tube tube NN 19261 2998 3 must must MD 19261 2998 4 be be VB 19261 2998 5 changed change VBN 19261 2998 6 every every DT 19261 2998 7 week week NN 19261 2998 8 or or CC 19261 2998 9 two two CD 19261 2998 10 for for IN 19261 2998 11 cleaning cleaning NN 19261 2998 12 , , , 19261 2998 13 and and CC 19261 2998 14 duplicate duplicate VBP 19261 2998 15 tubes tube NNS 19261 2998 16 must must MD 19261 2998 17 be be VB 19261 2998 18 ready ready JJ 19261 2998 19 for for IN 19261 2998 20 immediate immediate JJ 19261 2998 21 reinsertion reinsertion NN 19261 2998 22 . . . 19261 2999 1 Eventually eventually RB 19261 2999 2 , , , 19261 2999 3 a a DT 19261 2999 4 smaller small JJR 19261 2999 5 , , , 19261 2999 6 and and CC 19261 2999 7 then then RB 19261 2999 8 a a DT 19261 2999 9 still still RB 19261 2999 10 smaller small JJR 19261 2999 11 tube tube NN 19261 2999 12 are be VBP 19261 2999 13 needed need VBN 19261 2999 14 , , , 19261 2999 15 until until IN 19261 2999 16 finally finally RB 19261 2999 17 none none NN 19261 2999 18 can can MD 19261 2999 19 be be VB 19261 2999 20 introduced introduce VBN 19261 2999 21 ; ; : 19261 2999 22 though though IN 19261 2999 23 in in IN 19261 2999 24 some some DT 19261 2999 25 cases case NNS 19261 2999 26 the the DT 19261 2999 27 tube tube NN 19261 2999 28 can can MD 19261 2999 29 be be VB 19261 2999 30 kept keep VBN 19261 2999 31 in in IN 19261 2999 32 the the DT 19261 2999 33 soft soft JJ 19261 2999 34 mass mass NN 19261 2999 35 of of IN 19261 2999 36 fungations fungation NNS 19261 2999 37 until until IN 19261 2999 38 the the DT 19261 2999 39 patient patient NN 19261 2999 40 has have VBZ 19261 2999 41 died die VBN 19261 2999 42 of of IN 19261 2999 43 hemorrhage hemorrhage NN 19261 2999 44 , , , 19261 2999 45 exhaustion exhaustion NN 19261 2999 46 , , , 19261 2999 47 complications complication NNS 19261 2999 48 or or CC 19261 2999 49 intercurrent intercurrent NN 19261 2999 50 disease disease NN 19261 2999 51 . . . 19261 3000 1 _ _ NNP 19261 3000 2 Gastrostomy Gastrostomy NNP 19261 3000 3 _ _ NNP 19261 3000 4 is be VBZ 19261 3000 5 always always RB 19261 3000 6 indicated indicate VBN 19261 3000 7 as as IN 19261 3000 8 the the DT 19261 3000 9 disease disease NN 19261 3000 10 progresses progress VBZ 19261 3000 11 , , , 19261 3000 12 and and CC 19261 3000 13 it -PRON- PRP 19261 3000 14 should should MD 19261 3000 15 be be VB 19261 3000 16 done do VBN 19261 3000 17 before before IN 19261 3000 18 nutrition nutrition NN 19261 3000 19 is be VBZ 19261 3000 20 greatly greatly RB 19261 3000 21 impaired impaired JJ 19261 3000 22 . . . 19261 3001 1 Surgeons surgeon NNS 19261 3001 2 often often RB 19261 3001 3 hesitate hesitate VBP 19261 3001 4 thus thus RB 19261 3001 5 to to TO 19261 3001 6 " " `` 19261 3001 7 operate operate VB 19261 3001 8 on on IN 19261 3001 9 an an DT 19261 3001 10 inoperable inoperable JJ 19261 3001 11 case case NN 19261 3001 12 ; ; : 19261 3001 13 " " `` 19261 3001 14 but but CC 19261 3001 15 it -PRON- PRP 19261 3001 16 must must MD 19261 3001 17 be be VB 19261 3001 18 remembered remember VBN 19261 3001 19 that that IN 19261 3001 20 no no DT 19261 3001 21 one one PRP 19261 3001 22 should should MD 19261 3001 23 be be VB 19261 3001 24 allowed allow VBN 19261 3001 25 to to TO 19261 3001 26 die die VB 19261 3001 27 of of IN 19261 3001 28 hunger hunger NN 19261 3001 29 and and CC 19261 3001 30 thirst thirst NN 19261 3001 31 . . . 19261 3002 1 The the DT 19261 3002 2 operation operation NN 19261 3002 3 should should MD 19261 3002 4 be be VB 19261 3002 5 done do VBN 19261 3002 6 before before IN 19261 3002 7 inanition inanition NN 19261 3002 8 has have VBZ 19261 3002 9 made make VBN 19261 3002 10 serious serious JJ 19261 3002 11 inroads inroad NNS 19261 3002 12 . . . 19261 3003 1 As as IN 19261 3003 2 in in IN 19261 3003 3 the the DT 19261 3003 4 case case NN 19261 3003 5 of of IN 19261 3003 6 tracheotomy tracheotomy NN 19261 3003 7 , , , 19261 3003 8 we -PRON- PRP 19261 3003 9 always always RB 19261 3003 10 preach preach VBP 19261 3003 11 doing do VBG 19261 3003 12 it -PRON- PRP 19261 3003 13 early early RB 19261 3003 14 , , , 19261 3003 15 and and CC 19261 3003 16 always always RB 19261 3003 17 do do VB 19261 3003 18 it -PRON- PRP 19261 3003 19 late late RB 19261 3003 20 . . . 19261 3004 1 If if IN 19261 3004 2 postponed postpone VBN 19261 3004 3 too too RB 19261 3004 4 long long JJ 19261 3004 5 , , , 19261 3004 6 water water NN 19261 3004 7 starvation starvation NN 19261 3004 8 may may MD 19261 3004 9 proceed proceed VB 19261 3004 10 so so RB 19261 3004 11 far far RB 19261 3004 12 that that IN 19261 3004 13 the the DT 19261 3004 14 patient patient NN 19261 3004 15 will will MD 19261 3004 16 not not RB 19261 3004 17 recover recover VB 19261 3004 18 , , , 19261 3004 19 because because IN 19261 3004 20 the the DT 19261 3004 21 water water NN 19261 3004 22 - - HYPH 19261 3004 23 starved starve VBN 19261 3004 24 tissues tissue NNS 19261 3004 25 will will MD 19261 3004 26 not not RB 19261 3004 27 take take VB 19261 3004 28 up up RP 19261 3004 29 water water NN 19261 3004 30 put put VBN 19261 3004 31 in in IN 19261 3004 32 the the DT 19261 3004 33 stomach stomach NN 19261 3004 34 . . . 19261 3005 1 _ _ NNP 19261 3005 2 Radiotherapy_.--Radium Radiotherapy_.--Radium NNP 19261 3005 3 and and CC 19261 3005 4 the the DT 19261 3005 5 therapeutic therapeutic JJ 19261 3005 6 roentgenray roentgenray NN 19261 3005 7 are be VBP 19261 3005 8 today today NN 19261 3005 9 our -PRON- PRP$ 19261 3005 10 only only JJ 19261 3005 11 effective effective JJ 19261 3005 12 means mean NNS 19261 3005 13 of of IN 19261 3005 14 retarding retard VBG 19261 3005 15 the the DT 19261 3005 16 progress progress NN 19261 3005 17 of of IN 19261 3005 18 esophageal esophageal JJ 19261 3005 19 malignant malignant JJ 19261 3005 20 neoplasms neoplasm NNS 19261 3005 21 . . . 19261 3006 1 No no DT 19261 3006 2 permanent permanent JJ 19261 3006 3 cures cure NNS 19261 3006 4 have have VBP 19261 3006 5 been be VBN 19261 3006 6 reported report VBN 19261 3006 7 , , , 19261 3006 8 but but CC 19261 3006 9 marked mark VBD 19261 3006 10 temporary temporary JJ 19261 3006 11 improvement improvement NN 19261 3006 12 in in IN 19261 3006 13 the the DT 19261 3006 14 swallowing swallow VBG 19261 3006 15 function function NN 19261 3006 16 and and CC 19261 3006 17 prolongation prolongation NN 19261 3006 18 of of IN 19261 3006 19 life life NN 19261 3006 20 have have VBP 19261 3006 21 been be VBN 19261 3006 22 repeatedly repeatedly RB 19261 3006 23 observed observe VBN 19261 3006 24 . . . 19261 3007 1 The the DT 19261 3007 2 combination combination NN 19261 3007 3 of of IN 19261 3007 4 radium radium NN 19261 3007 5 treatment treatment NN 19261 3007 6 applied apply VBD 19261 3007 7 within within IN 19261 3007 8 the the DT 19261 3007 9 esophageal esophageal JJ 19261 3007 10 lumen luman NNS 19261 3007 11 and and CC 19261 3007 12 the the DT 19261 3007 13 therapeutic therapeutic JJ 19261 3007 14 roentgenray roentgenray NN 19261 3007 15 through through IN 19261 3007 16 the the DT 19261 3007 17 chest chest NN 19261 3007 18 wall wall NN 19261 3007 19 , , , 19261 3007 20 has have VBZ 19261 3007 21 retarded retard VBN 19261 3007 22 the the DT 19261 3007 23 progress progress NN 19261 3007 24 of of IN 19261 3007 25 some some DT 19261 3007 26 cases case NNS 19261 3007 27 . . . 19261 3008 1 The the DT 19261 3008 2 dosage dosage NN 19261 3008 3 of of IN 19261 3008 4 radium radium NN 19261 3008 5 or or CC 19261 3008 6 the the DT 19261 3008 7 therapeutic therapeutic JJ 19261 3008 8 ray ray NN 19261 3008 9 must must MD 19261 3008 10 be be VB 19261 3008 11 determined determine VBN 19261 3008 12 by by IN 19261 3008 13 the the DT 19261 3008 14 radiologist radiologist NN 19261 3008 15 for for IN 19261 3008 16 the the DT 19261 3008 17 particular particular JJ 19261 3008 18 individual individual JJ 19261 3008 19 case case NN 19261 3008 20 ; ; : 19261 3008 21 its -PRON- PRP$ 19261 3008 22 method method NN 19261 3008 23 of of IN 19261 3008 24 application application NN 19261 3008 25 should should MD 19261 3008 26 be be VB 19261 3008 27 decided decide VBN 19261 3008 28 by by IN 19261 3008 29 consultation consultation NN 19261 3008 30 of of IN 19261 3008 31 the the DT 19261 3008 32 radiologist radiologist NN 19261 3008 33 and and CC 19261 3008 34 the the DT 19261 3008 35 endoscopist endoscopist JJ 19261 3008 36 . . . 19261 3009 1 Two two CD 19261 3009 2 fundamental fundamental JJ 19261 3009 3 points point NNS 19261 3009 4 are be VBP 19261 3009 5 to to TO 19261 3009 6 be be VB 19261 3009 7 considered consider VBN 19261 3009 8 , , , 19261 3009 9 however however RB 19261 3009 10 . . . 19261 3010 1 The the DT 19261 3010 2 radium radium NN 19261 3010 3 capsule capsule NN 19261 3010 4 , , , 19261 3010 5 if if IN 19261 3010 6 applied apply VBN 19261 3010 7 within within IN 19261 3010 8 the the DT 19261 3010 9 esophagus esophagus NN 19261 3010 10 , , , 19261 3010 11 should should MD 19261 3010 12 be be VB 19261 3010 13 so so RB 19261 3010 14 screened screen VBN 19261 3010 15 that that IN 19261 3010 16 the the DT 19261 3010 17 soft soft JJ 19261 3010 18 , , , 19261 3010 19 irritating irritating JJ 19261 3010 20 , , , 19261 3010 21 beta beta NN 19261 3010 22 rays ray NNS 19261 3010 23 , , , 19261 3010 24 and and CC 19261 3010 25 the the DT 19261 3010 26 secondary secondary JJ 19261 3010 27 rays ray NNS 19261 3010 28 , , , 19261 3010 29 are be VBP 19261 3010 30 both both DT 19261 3010 31 filtered filter VBN 19261 3010 32 out out RP 19261 3010 33 to to TO 19261 3010 34 prevent prevent VB 19261 3010 35 sloughing sloughing NN 19261 3010 36 of of IN 19261 3010 37 the the DT 19261 3010 38 esophageal esophageal JJ 19261 3010 39 mucosa mucosa NNS 19261 3010 40 . . . 19261 3011 1 The the DT 19261 3011 2 dose dose NN 19261 3011 3 should should MD 19261 3011 4 be be VB 19261 3011 5 large large JJ 19261 3011 6 enough enough RB 19261 3011 7 to to TO 19261 3011 8 have have VB 19261 3011 9 a a DT 19261 3011 10 lethal lethal JJ 19261 3011 11 effect effect NN 19261 3011 12 upon upon IN 19261 3011 13 the the DT 19261 3011 14 cancer cancer NN 19261 3011 15 cells cell NNS 19261 3011 16 at at IN 19261 3011 17 the the DT 19261 3011 18 periphery periphery NN 19261 3011 19 of of IN 19261 3011 20 the the DT 19261 3011 21 growth growth NN 19261 3011 22 as as RB 19261 3011 23 well well RB 19261 3011 24 as as IN 19261 3011 25 in in IN 19261 3011 26 the the DT 19261 3011 27 center center NN 19261 3011 28 . . . 19261 3012 1 If if IN 19261 3012 2 the the DT 19261 3012 3 dose dose NN 19261 3012 4 be be VB 19261 3012 5 insufficient insufficient JJ 19261 3012 6 , , , 19261 3012 7 development development NN 19261 3012 8 of of IN 19261 3012 9 the the DT 19261 3012 10 cells cell NNS 19261 3012 11 at at IN 19261 3012 12 the the DT 19261 3012 13 outside outside NN 19261 3012 14 of of IN 19261 3012 15 the the DT 19261 3012 16 growth growth NN 19261 3012 17 is be VBZ 19261 3012 18 stimulated stimulate VBN 19261 3012 19 rather rather RB 19261 3012 20 than than IN 19261 3012 21 inhibited inhibit VBN 19261 3012 22 . . . 19261 3013 1 It -PRON- PRP 19261 3013 2 is be VBZ 19261 3013 3 essential essential JJ 19261 3013 4 that that IN 19261 3013 5 the the DT 19261 3013 6 radium radium NN 19261 3013 7 capsule capsule NN 19261 3013 8 be be VB 19261 3013 9 accurately accurately RB 19261 3013 10 placed place VBN 19261 3013 11 in in IN 19261 3013 12 the the DT 19261 3013 13 center center NN 19261 3013 14 of of IN 19261 3013 15 the the DT 19261 3013 16 malignant malignant JJ 19261 3013 17 strictured strictured JJ 19261 3013 18 area area NN 19261 3013 19 and and CC 19261 3013 20 this this DT 19261 3013 21 can can MD 19261 3013 22 be be VB 19261 3013 23 done do VBN 19261 3013 24 only only RB 19261 3013 25 by by IN 19261 3013 26 visual visual JJ 19261 3013 27 control control NN 19261 3013 28 through through IN 19261 3013 29 the the DT 19261 3013 30 esophagoscope esophagoscope NN 19261 3013 31 ( ( -LRB- 19261 3013 32 Fig fig NN 19261 3013 33 . . . 19261 3014 1 95 95 CD 19261 3014 2 ) ) -RRB- 19261 3014 3 Drs Drs NNP 19261 3014 4 . . . 19261 3015 1 Henry Henry NNP 19261 3015 2 K. K. NNP 19261 3015 3 Pancoast Pancoast NNP 19261 3015 4 , , , 19261 3015 5 George George NNP 19261 3015 6 E. E. NNP 19261 3015 7 Pfahler Pfahler NNP 19261 3015 8 and and CC 19261 3015 9 William William NNP 19261 3015 10 S. S. NNP 19261 3015 11 Newcomet Newcomet NNP 19261 3015 12 have have VBP 19261 3015 13 obtained obtain VBN 19261 3015 14 very very RB 19261 3015 15 satisfactory satisfactory JJ 19261 3015 16 palliative palliative JJ 19261 3015 17 effects effect NNS 19261 3015 18 from from IN 19261 3015 19 the the DT 19261 3015 20 use use NN 19261 3015 21 of of IN 19261 3015 22 radium radium NN 19261 3015 23 in in IN 19261 3015 24 esophageal esophageal JJ 19261 3015 25 cancer cancer NN 19261 3015 26 . . . 19261 3016 1 [ [ -LRB- 19261 3016 2 221 221 CD 19261 3016 3 ] ] -RRB- 19261 3016 4 CHAPTER chapter NN 19261 3016 5 XXVIII xxviii NN 19261 3016 6 -- -- : 19261 3016 7 DIRECT DIRECT NNP 19261 3016 8 LARYNGOSCOPY LARYNGOSCOPY NNP 19261 3016 9 IN in IN 19261 3016 10 DISEASES diseases NN 19261 3016 11 OF of IN 19261 3016 12 THE the DT 19261 3016 13 LARYNX LARYNX NNP 19261 3016 14 The the DT 19261 3016 15 diagnosis diagnosis NN 19261 3016 16 of of IN 19261 3016 17 laryngeal laryngeal NN 19261 3016 18 disease disease NN 19261 3016 19 in in IN 19261 3016 20 young young JJ 19261 3016 21 children child NNS 19261 3016 22 , , , 19261 3016 23 impossible impossible JJ 19261 3016 24 with with IN 19261 3016 25 the the DT 19261 3016 26 mirror mirror NN 19261 3016 27 , , , 19261 3016 28 has have VBZ 19261 3016 29 been be VBN 19261 3016 30 made make VBN 19261 3016 31 easy easy JJ 19261 3016 32 and and CC 19261 3016 33 precise precise JJ 19261 3016 34 by by IN 19261 3016 35 the the DT 19261 3016 36 development development NN 19261 3016 37 of of IN 19261 3016 38 direct direct JJ 19261 3016 39 laryngoscopy laryngoscopy NN 19261 3016 40 . . . 19261 3017 1 No no DT 19261 3017 2 anesthetic anesthetic JJ 19261 3017 3 , , , 19261 3017 4 local local JJ 19261 3017 5 or or CC 19261 3017 6 general general JJ 19261 3017 7 , , , 19261 3017 8 should should MD 19261 3017 9 be be VB 19261 3017 10 used use VBN 19261 3017 11 , , , 19261 3017 12 for for IN 19261 3017 13 the the DT 19261 3017 14 practised practise VBN 19261 3017 15 endoscopist endoscopist JJ 19261 3017 16 can can MD 19261 3017 17 complete complete VB 19261 3017 18 the the DT 19261 3017 19 examination examination NN 19261 3017 20 within within IN 19261 3017 21 a a DT 19261 3017 22 minute minute NN 19261 3017 23 of of IN 19261 3017 24 time time NN 19261 3017 25 and and CC 19261 3017 26 without without IN 19261 3017 27 pain pain NN 19261 3017 28 to to IN 19261 3017 29 the the DT 19261 3017 30 patient patient NN 19261 3017 31 . . . 19261 3018 1 The the DT 19261 3018 2 technic technic NN 19261 3018 3 for for IN 19261 3018 4 doing do VBG 19261 3018 5 this this DT 19261 3018 6 should should MD 19261 3018 7 be be VB 19261 3018 8 acquired acquire VBN 19261 3018 9 by by IN 19261 3018 10 every every DT 19261 3018 11 laryngologist laryngologist NN 19261 3018 12 . . . 19261 3019 1 Anesthesia Anesthesia NNP 19261 3019 2 is be VBZ 19261 3019 3 absolutely absolutely RB 19261 3019 4 contraindicated contraindicated JJ 19261 3019 5 because because IN 19261 3019 6 of of IN 19261 3019 7 the the DT 19261 3019 8 possibility possibility NN 19261 3019 9 of of IN 19261 3019 10 the the DT 19261 3019 11 presence presence NN 19261 3019 12 of of IN 19261 3019 13 diphtheria diphtheria NN 19261 3019 14 , , , 19261 3019 15 and and CC 19261 3019 16 especially especially RB 19261 3019 17 because because IN 19261 3019 18 of of IN 19261 3019 19 the the DT 19261 3019 20 dyspnea dyspnea NN 19261 3019 21 so so RB 19261 3019 22 frequently frequently RB 19261 3019 23 present present JJ 19261 3019 24 in in IN 19261 3019 25 laryngeal laryngeal JJ 19261 3019 26 disease disease NN 19261 3019 27 . . . 19261 3020 1 To to TO 19261 3020 2 attempt attempt VB 19261 3020 3 general general JJ 19261 3020 4 anesthesia anesthesia NNP 19261 3020 5 in in IN 19261 3020 6 a a DT 19261 3020 7 dyspneic dyspneic NN 19261 3020 8 case case NN 19261 3020 9 is be VBZ 19261 3020 10 to to TO 19261 3020 11 invite invite VB 19261 3020 12 disaster disaster NN 19261 3020 13 ( ( -LRB- 19261 3020 14 see see VB 19261 3020 15 Tracheotomy Tracheotomy NNP 19261 3020 16 ) ) -RRB- 19261 3020 17 . . . 19261 3021 1 It -PRON- PRP 19261 3021 2 is be VBZ 19261 3021 3 to to TO 19261 3021 4 be be VB 19261 3021 5 remembered remember VBN 19261 3021 6 that that IN 19261 3021 7 coughing cough VBG 19261 3021 8 and and CC 19261 3021 9 straining straining NN 19261 3021 10 produce produce NN 19261 3021 11 an an DT 19261 3021 12 engorgement engorgement NN 19261 3021 13 of of IN 19261 3021 14 the the DT 19261 3021 15 laryngeal laryngeal NN 19261 3021 16 mucosa mucosa NNS 19261 3021 17 , , , 19261 3021 18 so so IN 19261 3021 19 that that IN 19261 3021 20 the the DT 19261 3021 21 first first JJ 19261 3021 22 glance glance NN 19261 3021 23 should should MD 19261 3021 24 include include VB 19261 3021 25 an an DT 19261 3021 26 estimation estimation NN 19261 3021 27 of of IN 19261 3021 28 the the DT 19261 3021 29 color color NN 19261 3021 30 of of IN 19261 3021 31 the the DT 19261 3021 32 mucosa mucosa NNS 19261 3021 33 , , , 19261 3021 34 which which WDT 19261 3021 35 , , , 19261 3021 36 as as IN 19261 3021 37 a a DT 19261 3021 38 result result NN 19261 3021 39 of of IN 19261 3021 40 the the DT 19261 3021 41 engorgement engorgement NN 19261 3021 42 , , , 19261 3021 43 deepens deepen VBZ 19261 3021 44 with with IN 19261 3021 45 the the DT 19261 3021 46 prolongation prolongation NN 19261 3021 47 of of IN 19261 3021 48 the the DT 19261 3021 49 direct direct JJ 19261 3021 50 laryngoscopy laryngoscopy NN 19261 3021 51 . . . 19261 3022 1 _ _ NNP 19261 3022 2 Chronic chronic JJ 19261 3022 3 subglottic subglottic JJ 19261 3022 4 edema edema NN 19261 3022 5 _ _ NNP 19261 3022 6 , , , 19261 3022 7 often often RB 19261 3022 8 the the DT 19261 3022 9 result result NN 19261 3022 10 of of IN 19261 3022 11 perichondritis perichondritis NN 19261 3022 12 , , , 19261 3022 13 may may MD 19261 3022 14 require require VB 19261 3022 15 linear linear JJ 19261 3022 16 cauterization cauterization NN 19261 3022 17 at at IN 19261 3022 18 various various JJ 19261 3022 19 times time NNS 19261 3022 20 , , , 19261 3022 21 to to TO 19261 3022 22 reduce reduce VB 19261 3022 23 its -PRON- PRP$ 19261 3022 24 bulk bulk NN 19261 3022 25 , , , 19261 3022 26 after after IN 19261 3022 27 the the DT 19261 3022 28 underlying underlying JJ 19261 3022 29 cause cause NN 19261 3022 30 has have VBZ 19261 3022 31 been be VBN 19261 3022 32 removed remove VBN 19261 3022 33 . . . 19261 3023 1 _ _ NNP 19261 3023 2 Perichondritis Perichondritis NNP 19261 3023 3 and and CC 19261 3023 4 abscess abscess NNP 19261 3023 5 _ _ NNP 19261 3023 6 , , , 19261 3023 7 and and CC 19261 3023 8 their -PRON- PRP$ 19261 3023 9 sequelae sequela NNS 19261 3023 10 are be VBP 19261 3023 11 to to TO 19261 3023 12 be be VB 19261 3023 13 treated treat VBN 19261 3023 14 on on IN 19261 3023 15 the the DT 19261 3023 16 accepted accepted JJ 19261 3023 17 surgical surgical JJ 19261 3023 18 precepts precept NNS 19261 3023 19 . . . 19261 3024 1 They -PRON- PRP 19261 3024 2 may may MD 19261 3024 3 be be VB 19261 3024 4 due due IN 19261 3024 5 to to IN 19261 3024 6 trauma trauma NN 19261 3024 7 , , , 19261 3024 8 lues lue NNS 19261 3024 9 , , , 19261 3024 10 tuberculosis tuberculosis NN 19261 3024 11 , , , 19261 3024 12 enteric enteric JJ 19261 3024 13 fever fever NN 19261 3024 14 , , , 19261 3024 15 pneumonia pneumonia NN 19261 3024 16 , , , 19261 3024 17 influenza influenza NNP 19261 3024 18 , , , 19261 3024 19 etc etc FW 19261 3024 20 . . . 19261 3025 1 _ _ NNP 19261 3025 2 Tuberculosis Tuberculosis NNP 19261 3025 3 of of IN 19261 3025 4 the the DT 19261 3025 5 larynx larynx NN 19261 3025 6 _ _ NNP 19261 3025 7 calls call VBZ 19261 3025 8 for for IN 19261 3025 9 conservatism conservatism NN 19261 3025 10 in in IN 19261 3025 11 the the DT 19261 3025 12 application application NN 19261 3025 13 of of IN 19261 3025 14 surgery surgery NN 19261 3025 15 . . . 19261 3026 1 Ulceration ulceration NN 19261 3026 2 limited limit VBN 19261 3026 3 to to IN 19261 3026 4 the the DT 19261 3026 5 epiglottis epiglottis NN 19261 3026 6 may may MD 19261 3026 7 justify justify VB 19261 3026 8 amputation amputation NN 19261 3026 9 of of IN 19261 3026 10 the the DT 19261 3026 11 projecting projecting NN 19261 3026 12 portion portion NN 19261 3026 13 or or CC 19261 3026 14 excision excision NN 19261 3026 15 of of IN 19261 3026 16 only only RB 19261 3026 17 the the DT 19261 3026 18 ulcerated ulcerated JJ 19261 3026 19 area area NN 19261 3026 20 . . . 19261 3027 1 In in IN 19261 3027 2 either either DT 19261 3027 3 case case NN 19261 3027 4 , , , 19261 3027 5 rapid rapid JJ 19261 3027 6 healing healing NN 19261 3027 7 may may MD 19261 3027 8 be be VB 19261 3027 9 expected expect VBN 19261 3027 10 , , , 19261 3027 11 and and CC 19261 3027 12 relief relief NN 19261 3027 13 from from IN 19261 3027 14 the the DT 19261 3027 15 odynphagia odynphagia NN 19261 3027 16 is be VBZ 19261 3027 17 sometimes sometimes RB 19261 3027 18 prompt prompt JJ 19261 3027 19 . . . 19261 3028 1 Amputation amputation NN 19261 3028 2 of of IN 19261 3028 3 the the DT 19261 3028 4 epiglottis epiglottis NN 19261 3028 5 is be VBZ 19261 3028 6 , , , 19261 3028 7 however however RB 19261 3028 8 , , , 19261 3028 9 not not RB 19261 3028 10 to to TO 19261 3028 11 be be VB 19261 3028 12 done do VBN 19261 3028 13 if if IN 19261 3028 14 ulceration ulceration NN 19261 3028 15 in in IN 19261 3028 16 other other JJ 19261 3028 17 portions portion NNS 19261 3028 18 of of IN 19261 3028 19 the the DT 19261 3028 20 larynx larynx NNP 19261 3028 21 coexist coexist NNP 19261 3028 22 . . . 19261 3029 1 The the DT 19261 3029 2 removal removal NN 19261 3029 3 of of IN 19261 3029 4 tuberculomata tuberculomata NN 19261 3029 5 is be VBZ 19261 3029 6 sometimes sometimes RB 19261 3029 7 indicated indicate VBN 19261 3029 8 , , , 19261 3029 9 and and CC 19261 3029 10 the the DT 19261 3029 11 excision excision NN 19261 3029 12 of of IN 19261 3029 13 limited limited JJ 19261 3029 14 ulcerative ulcerative JJ 19261 3029 15 lesions lesion NNS 19261 3029 16 situated situate VBN 19261 3029 17 elsewhere elsewhere RB 19261 3029 18 than than IN 19261 3029 19 on on IN 19261 3029 20 the the DT 19261 3029 21 epiglottis epiglottis NN 19261 3029 22 may may MD 19261 3029 23 be be VB 19261 3029 24 curative curative JJ 19261 3029 25 . . . 19261 3030 1 These these DT 19261 3030 2 measures measure NNS 19261 3030 3 as as RB 19261 3030 4 well well RB 19261 3030 5 as as IN 19261 3030 6 the the DT 19261 3030 7 galvanocautery galvanocautery NN 19261 3030 8 are be VBP 19261 3030 9 easily easily RB 19261 3030 10 executed execute VBN 19261 3030 11 by by IN 19261 3030 12 the the DT 19261 3030 13 facile facile JJ 19261 3030 14 operator operator NN 19261 3030 15 ; ; : 19261 3030 16 but but CC 19261 3030 17 their -PRON- PRP$ 19261 3030 18 advisability advisability NN 19261 3030 19 should should MD 19261 3030 20 always always RB 19261 3030 21 be be VB 19261 3030 22 considered consider VBN 19261 3030 23 from from IN 19261 3030 24 a a DT 19261 3030 25 conservative conservative JJ 19261 3030 26 viewpoint viewpoint NN 19261 3030 27 . . . 19261 3031 1 They -PRON- PRP 19261 3031 2 are be VBP 19261 3031 3 rarely rarely RB 19261 3031 4 justifiable justifiable JJ 19261 3031 5 until until IN 19261 3031 6 after after IN 19261 3031 7 months month NNS 19261 3031 8 of of IN 19261 3031 9 absolute absolute JJ 19261 3031 10 silence silence NN 19261 3031 11 and and CC 19261 3031 12 a a DT 19261 3031 13 general general JJ 19261 3031 14 antituberculous antituberculous JJ 19261 3031 15 regime regime NN 19261 3031 16 have have VBP 19261 3031 17 failed fail VBN 19261 3031 18 of of IN 19261 3031 19 benefit benefit NN 19261 3031 20 . . . 19261 3032 1 _ _ NNP 19261 3032 2 Galvanopuncture Galvanopuncture NNP 19261 3032 3 _ _ NNP 19261 3032 4 for for IN 19261 3032 5 laryngeal laryngeal NN 19261 3032 6 tuberculosis tuberculosis NN 19261 3032 7 has have VBZ 19261 3032 8 yielded yield VBN 19261 3032 9 excellent excellent JJ 19261 3032 10 results result NNS 19261 3032 11 in in IN 19261 3032 12 reducing reduce VBG 19261 3032 13 the the DT 19261 3032 14 large large JJ 19261 3032 15 pyriform pyriform NN 19261 3032 16 edematous edematous JJ 19261 3032 17 swellings swelling NNS 19261 3032 18 of of IN 19261 3032 19 the the DT 19261 3032 20 aryepiglottic aryepiglottic JJ 19261 3032 21 folds fold NNS 19261 3032 22 when when WRB 19261 3032 23 ulceration ulceration NN 19261 3032 24 has have VBZ 19261 3032 25 not not RB 19261 3032 26 yet yet RB 19261 3032 27 developed develop VBN 19261 3032 28 . . . 19261 3033 1 Deep deep JJ 19261 3033 2 punctures puncture NNS 19261 3033 3 at at IN 19261 3033 4 nearly nearly RB 19261 3033 5 a a DT 19261 3033 6 white white JJ 19261 3033 7 heat heat NN 19261 3033 8 , , , 19261 3033 9 made make VBN 19261 3033 10 perpendicular perpendicular JJ 19261 3033 11 to to IN 19261 3033 12 the the DT 19261 3033 13 surface surface NN 19261 3033 14 , , , 19261 3033 15 are be VBP 19261 3033 16 best good JJS 19261 3033 17 . . . 19261 3034 1 Care care NN 19261 3034 2 must must MD 19261 3034 3 be be VB 19261 3034 4 exercised exercise VBN 19261 3034 5 not not RB 19261 3034 6 to to TO 19261 3034 7 injure injure VB 19261 3034 8 the the DT 19261 3034 9 cricoarytenoid cricoarytenoid JJ 19261 3034 10 joint joint NN 19261 3034 11 . . . 19261 3035 1 Fungating fungate VBG 19261 3035 2 ulcerations ulceration NNS 19261 3035 3 may may MD 19261 3035 4 in in IN 19261 3035 5 some some DT 19261 3035 6 cases case NNS 19261 3035 7 be be VB 19261 3035 8 made make VBN 19261 3035 9 to to TO 19261 3035 10 cicatrize cicatrize VB 19261 3035 11 by by IN 19261 3035 12 superficial superficial JJ 19261 3035 13 cauterization cauterization NN 19261 3035 14 . . . 19261 3036 1 Excessive excessive JJ 19261 3036 2 reactions reaction NNS 19261 3036 3 sometimes sometimes RB 19261 3036 4 follow follow VBP 19261 3036 5 , , , 19261 3036 6 so so IN 19261 3036 7 that that IN 19261 3036 8 a a DT 19261 3036 9 light light JJ 19261 3036 10 application application NN 19261 3036 11 should should MD 19261 3036 12 be be VB 19261 3036 13 made make VBN 19261 3036 14 at at IN 19261 3036 15 the the DT 19261 3036 16 first first JJ 19261 3036 17 treatment treatment NN 19261 3036 18 . . . 19261 3037 1 _ _ NNP 19261 3037 2 Congenital Congenital NNP 19261 3037 3 laryngeal laryngeal NN 19261 3037 4 stridor stridor NN 19261 3037 5 _ _ NNP 19261 3037 6 is be VBZ 19261 3037 7 produced produce VBN 19261 3037 8 by by IN 19261 3037 9 an an DT 19261 3037 10 exaggeration exaggeration NN 19261 3037 11 of of IN 19261 3037 12 the the DT 19261 3037 13 infantile infantile JJ 19261 3037 14 type type NN 19261 3037 15 of of IN 19261 3037 16 larynx larynx NN 19261 3037 17 . . . 19261 3038 1 The the DT 19261 3038 2 epiglottis epiglottis NN 19261 3038 3 will will MD 19261 3038 4 be be VB 19261 3038 5 found find VBN 19261 3038 6 long long JJ 19261 3038 7 and and CC 19261 3038 8 tapering tapering JJ 19261 3038 9 , , , 19261 3038 10 its -PRON- PRP$ 19261 3038 11 lateral lateral JJ 19261 3038 12 margins margin NNS 19261 3038 13 rolled roll VBD 19261 3038 14 backward backward RB 19261 3038 15 so so IN 19261 3038 16 as as IN 19261 3038 17 to to TO 19261 3038 18 meet meet VB 19261 3038 19 and and CC 19261 3038 20 form form VB 19261 3038 21 a a DT 19261 3038 22 cylinder cylinder NN 19261 3038 23 above above RB 19261 3038 24 . . . 19261 3039 1 The the DT 19261 3039 2 upper upper JJ 19261 3039 3 edges edge NNS 19261 3039 4 of of IN 19261 3039 5 the the DT 19261 3039 6 aryepiglottic aryepiglottic JJ 19261 3039 7 folds fold NNS 19261 3039 8 are be VBP 19261 3039 9 approximated approximate VBN 19261 3039 10 , , , 19261 3039 11 leaving leave VBG 19261 3039 12 a a DT 19261 3039 13 narrow narrow JJ 19261 3039 14 chink chink NN 19261 3039 15 . . . 19261 3040 1 The the DT 19261 3040 2 lack lack NN 19261 3040 3 of of IN 19261 3040 4 firmness firmness NN 19261 3040 5 in in IN 19261 3040 6 these these DT 19261 3040 7 folds fold NNS 19261 3040 8 and and CC 19261 3040 9 the the DT 19261 3040 10 loose loose JJ 19261 3040 11 tissue tissue NN 19261 3040 12 in in IN 19261 3040 13 the the DT 19261 3040 14 posterior posterior NN 19261 3040 15 portion portion NN 19261 3040 16 of of IN 19261 3040 17 the the DT 19261 3040 18 larynx larynx NN 19261 3040 19 , , , 19261 3040 20 favors favor VBZ 19261 3040 21 the the DT 19261 3040 22 drawing drawing NN 19261 3040 23 inward inward RB 19261 3040 24 of of IN 19261 3040 25 the the DT 19261 3040 26 laryngeal laryngeal JJ 19261 3040 27 aperture aperture NN 19261 3040 28 by by IN 19261 3040 29 the the DT 19261 3040 30 inspiratory inspiratory NN 19261 3040 31 blast blast NN 19261 3040 32 . . . 19261 3041 1 The the DT 19261 3041 2 vibration vibration NN 19261 3041 3 of of IN 19261 3041 4 the the DT 19261 3041 5 margins margin NNS 19261 3041 6 of of IN 19261 3041 7 this this DT 19261 3041 8 aperture aperture NN 19261 3041 9 produces produce VBZ 19261 3041 10 the the DT 19261 3041 11 inspiratory inspiratory NN 19261 3041 12 stridor stridor NN 19261 3041 13 . . . 19261 3042 1 Diagnosis diagnosis NN 19261 3042 2 is be VBZ 19261 3042 3 quickly quickly RB 19261 3042 4 made make VBN 19261 3042 5 by by IN 19261 3042 6 the the DT 19261 3042 7 inspection inspection NN 19261 3042 8 of of IN 19261 3042 9 the the DT 19261 3042 10 larynx larynx NN 19261 3042 11 with with IN 19261 3042 12 the the DT 19261 3042 13 infant infant NN 19261 3042 14 diagnostic diagnostic JJ 19261 3042 15 laryngoscope laryngoscope NN 19261 3042 16 . . . 19261 3043 1 No no DT 19261 3043 2 anesthetic anesthetic JJ 19261 3043 3 , , , 19261 3043 4 general general JJ 19261 3043 5 or or CC 19261 3043 6 local local JJ 19261 3043 7 , , , 19261 3043 8 is be VBZ 19261 3043 9 needed need VBN 19261 3043 10 . . . 19261 3044 1 Stridorous stridorous JJ 19261 3044 2 respiration respiration NN 19261 3044 3 may may MD 19261 3044 4 also also RB 19261 3044 5 be be VB 19261 3044 6 due due IN 19261 3044 7 to to IN 19261 3044 8 the the DT 19261 3044 9 presence presence NN 19261 3044 10 of of IN 19261 3044 11 laryngeal laryngeal JJ 19261 3044 12 papillomata papillomata NN 19261 3044 13 , , , 19261 3044 14 laryngeal laryngeal JJ 19261 3044 15 spasm spasm NN 19261 3044 16 , , , 19261 3044 17 thymic thymic JJ 19261 3044 18 compression compression NN 19261 3044 19 , , , 19261 3044 20 congenital congenital JJ 19261 3044 21 web web NN 19261 3044 22 , , , 19261 3044 23 or or CC 19261 3044 24 an an DT 19261 3044 25 abnormal abnormal JJ 19261 3044 26 inspiratory inspiratory NN 19261 3044 27 bulging bulge VBG 19261 3044 28 into into IN 19261 3044 29 the the DT 19261 3044 30 trachea trachea NN 19261 3044 31 of of IN 19261 3044 32 the the DT 19261 3044 33 posterior posterior NN 19261 3044 34 membranous membranous JJ 19261 3044 35 tracheo tracheo IN 19261 3044 36 - - HYPH 19261 3044 37 esophageal esophageal NN 19261 3044 38 wall wall NN 19261 3044 39 . . . 19261 3045 1 The the DT 19261 3045 2 term term NN 19261 3045 3 " " `` 19261 3045 4 congenital congenital JJ 19261 3045 5 laryngeal laryngeal NN 19261 3045 6 stridor stridor NN 19261 3045 7 " " '' 19261 3045 8 should should MD 19261 3045 9 be be VB 19261 3045 10 limited limit VBN 19261 3045 11 to to IN 19261 3045 12 the the DT 19261 3045 13 first first JJ 19261 3045 14 described describe VBN 19261 3045 15 condition condition NN 19261 3045 16 of of IN 19261 3045 17 exaggerated exaggerated JJ 19261 3045 18 infantile infantile JJ 19261 3045 19 larynx larynx NN 19261 3045 20 . . . 19261 3046 1 _ _ NNP 19261 3046 2 Treatment Treatment NNP 19261 3046 3 of of IN 19261 3046 4 congenital congenital JJ 19261 3046 5 laryngeal laryngeal NN 19261 3046 6 stridor stridor NNP 19261 3046 7 _ _ NNP 19261 3046 8 should should MD 19261 3046 9 be be VB 19261 3046 10 directed direct VBN 19261 3046 11 to to IN 19261 3046 12 the the DT 19261 3046 13 relief relief NN 19261 3046 14 of of IN 19261 3046 15 dyspnea dyspnea NN 19261 3046 16 , , , 19261 3046 17 and and CC 19261 3046 18 to to IN 19261 3046 19 increasing increase VBG 19261 3046 20 the the DT 19261 3046 21 nutrition nutrition NN 19261 3046 22 and and CC 19261 3046 23 development development NN 19261 3046 24 of of IN 19261 3046 25 the the DT 19261 3046 26 infant infant NN 19261 3046 27 . . . 19261 3047 1 The the DT 19261 3047 2 insertion insertion NN 19261 3047 3 of of IN 19261 3047 4 a a DT 19261 3047 5 bronchoscope bronchoscope NN 19261 3047 6 will will MD 19261 3047 7 temporarily temporarily RB 19261 3047 8 relieve relieve VB 19261 3047 9 an an DT 19261 3047 10 urgent urgent JJ 19261 3047 11 dyspneic dyspneic NN 19261 3047 12 attack attack NN 19261 3047 13 precipitated precipitate VBN 19261 3047 14 by by IN 19261 3047 15 examination examination NN 19261 3047 16 ; ; : 19261 3047 17 but but CC 19261 3047 18 this this DT 19261 3047 19 rarely rarely RB 19261 3047 20 happens happen VBZ 19261 3047 21 if if IN 19261 3047 22 the the DT 19261 3047 23 examination examination NN 19261 3047 24 is be VBZ 19261 3047 25 not not RB 19261 3047 26 unduly unduly RB 19261 3047 27 prolonged prolonged JJ 19261 3047 28 . . . 19261 3048 1 Tracheotomy Tracheotomy NNP 19261 3048 2 may may MD 19261 3048 3 be be VB 19261 3048 4 needed need VBN 19261 3048 5 to to TO 19261 3048 6 prevent prevent VB 19261 3048 7 asphyxia asphyxia NN 19261 3048 8 or or CC 19261 3048 9 exhaustion exhaustion NN 19261 3048 10 from from IN 19261 3048 11 loss loss NN 19261 3048 12 of of IN 19261 3048 13 sleep sleep NN 19261 3048 14 ; ; : 19261 3048 15 but but CC 19261 3048 16 very very RB 19261 3048 17 few few JJ 19261 3048 18 cases case NNS 19261 3048 19 require require VBP 19261 3048 20 anything anything NN 19261 3048 21 but but IN 19261 3048 22 attention attention NN 19261 3048 23 to to IN 19261 3048 24 nutrition nutrition NN 19261 3048 25 and and CC 19261 3048 26 hygiene hygiene NN 19261 3048 27 . . . 19261 3049 1 Recovery recovery NN 19261 3049 2 can can MD 19261 3049 3 be be VB 19261 3049 4 expected expect VBN 19261 3049 5 with with IN 19261 3049 6 development development NN 19261 3049 7 of of IN 19261 3049 8 the the DT 19261 3049 9 laryngeal laryngeal NN 19261 3049 10 structures structure NNS 19261 3049 11 . . . 19261 3050 1 _ _ NNP 19261 3050 2 Congenital Congenital NNP 19261 3050 3 webs webs NN 19261 3050 4 of of IN 19261 3050 5 the the DT 19261 3050 6 larynx larynx NN 19261 3050 7 _ _ NNP 19261 3050 8 require require VBP 19261 3050 9 incision incision NN 19261 3050 10 or or CC 19261 3050 11 excision excision NN 19261 3050 12 , , , 19261 3050 13 or or CC 19261 3050 14 perhaps perhaps RB 19261 3050 15 simply simply RB 19261 3050 16 bouginage bouginage VB 19261 3050 17 . . . 19261 3051 1 Congenital congenital JJ 19261 3051 2 goiter goiter NN 19261 3051 3 and and CC 19261 3051 4 congenital congenital JJ 19261 3051 5 laryngeal laryngeal NN 19261 3051 6 paralysis paralysis NN 19261 3051 7 , , , 19261 3051 8 both both DT 19261 3051 9 of of IN 19261 3051 10 which which WDT 19261 3051 11 may may MD 19261 3051 12 cause cause VB 19261 3051 13 stertorous stertorous JJ 19261 3051 14 breathing breathing NN 19261 3051 15 , , , 19261 3051 16 are be VBP 19261 3051 17 considered consider VBN 19261 3051 18 in in IN 19261 3051 19 connection connection NN 19261 3051 20 with with IN 19261 3051 21 other other JJ 19261 3051 22 forms form NNS 19261 3051 23 of of IN 19261 3051 24 stenosis stenosis NN 19261 3051 25 of of IN 19261 3051 26 the the DT 19261 3051 27 air air NN 19261 3051 28 passages passage NNS 19261 3051 29 . . . 19261 3052 1 _ _ NNP 19261 3052 2 Aphonia Aphonia NNP 19261 3052 3 _ _ NNP 19261 3052 4 due due IN 19261 3052 5 to to IN 19261 3052 6 cicatricial cicatricial JJ 19261 3052 7 webs webs NN 19261 3052 8 of of IN 19261 3052 9 the the DT 19261 3052 10 larynx larynx NN 19261 3052 11 may may MD 19261 3052 12 be be VB 19261 3052 13 cured cure VBN 19261 3052 14 by by IN 19261 3052 15 plastic plastic JJ 19261 3052 16 operations operation NNS 19261 3052 17 that that WDT 19261 3052 18 reform reform VBP 19261 3052 19 the the DT 19261 3052 20 cords cord NNS 19261 3052 21 , , , 19261 3052 22 with with IN 19261 3052 23 a a DT 19261 3052 24 clean clean JJ 19261 3052 25 , , , 19261 3052 26 sharp sharp JJ 19261 3052 27 anterior anterior JJ 19261 3052 28 commissure commissure NN 19261 3052 29 , , , 19261 3052 30 which which WDT 19261 3052 31 is be VBZ 19261 3052 32 a a DT 19261 3052 33 necessity necessity NN 19261 3052 34 for for IN 19261 3052 35 clear clear JJ 19261 3052 36 phonation phonation NN 19261 3052 37 . . . 19261 3053 1 The the DT 19261 3053 2 laryngeal laryngeal NN 19261 3053 3 scissors scissor NNS 19261 3053 4 and and CC 19261 3053 5 the the DT 19261 3053 6 long long JJ 19261 3053 7 slender slender NN 19261 3053 8 punch punch NN 19261 3053 9 are be VBP 19261 3053 10 often often RB 19261 3053 11 more more RBR 19261 3053 12 useful useful JJ 19261 3053 13 for for IN 19261 3053 14 these these DT 19261 3053 15 operations operation NNS 19261 3053 16 than than IN 19261 3053 17 the the DT 19261 3053 18 knife knife NN 19261 3053 19 . . . 19261 3054 1 [ [ -LRB- 19261 3054 2 224 224 CD 19261 3054 3 ] ] -RRB- 19261 3054 4 CHAPTER chapter NN 19261 3054 5 XXIX XXIX NNP 19261 3054 6 -- -- : 19261 3054 7 BRONCHOSCOPY BRONCHOSCOPY VBN 19261 3054 8 IN in IN 19261 3054 9 DISEASES diseases NN 19261 3054 10 OF of IN 19261 3054 11 THE the DT 19261 3054 12 TRACHEA TRACHEA NNP 19261 3054 13 AND and CC 19261 3054 14 BRONCHI BRONCHI NNP 19261 3054 15 _ _ NNP 19261 3054 16 The the DT 19261 3054 17 indications indication NNS 19261 3054 18 for for IN 19261 3054 19 bronchoscopy bronchoscopy NN 19261 3054 20 in in IN 19261 3054 21 disease disease NNP 19261 3054 22 _ _ NNP 19261 3054 23 are be VBP 19261 3054 24 becoming become VBG 19261 3054 25 increasingly increasingly RB 19261 3054 26 numerous numerous JJ 19261 3054 27 . . . 19261 3055 1 Among among IN 19261 3055 2 the the DT 19261 3055 3 more more RBR 19261 3055 4 important important JJ 19261 3055 5 may may MD 19261 3055 6 be be VB 19261 3055 7 mentioned mention VBN 19261 3055 8 : : : 19261 3055 9 1 1 CD 19261 3055 10 . . . 19261 3056 1 Bronchiectasis bronchiectasis NN 19261 3056 2 . . . 19261 3057 1 2 2 LS 19261 3057 2 . . . 19261 3058 1 Chronic chronic JJ 19261 3058 2 pulmonary pulmonary JJ 19261 3058 3 abscess abscess NN 19261 3058 4 . . . 19261 3059 1 3 3 LS 19261 3059 2 . . . 19261 3060 1 Unexplained unexplained JJ 19261 3060 2 dyspnea dyspnea NN 19261 3060 3 . . . 19261 3061 1 4 4 LS 19261 3061 2 . . . 19261 3062 1 Dyspnea dyspnea RB 19261 3062 2 unrelieved unrelieve VBN 19261 3062 3 by by IN 19261 3062 4 tracheotomy tracheotomy NN 19261 3062 5 calls call NNS 19261 3062 6 for for IN 19261 3062 7 bronchoscopic bronchoscopic NNP 19261 3062 8 search search NNP 19261 3062 9 for for IN 19261 3062 10 deeper deep JJR 19261 3062 11 obstruction obstruction NN 19261 3062 12 . . . 19261 3063 1 5 5 CD 19261 3063 2 . . . 19261 3064 1 Paralysis paralysis NN 19261 3064 2 of of IN 19261 3064 3 the the DT 19261 3064 4 recurrent recurrent JJ 19261 3064 5 laryngeal laryngeal NN 19261 3064 6 nerve nerve NN 19261 3064 7 , , , 19261 3064 8 the the DT 19261 3064 9 cause cause NN 19261 3064 10 of of IN 19261 3064 11 which which WDT 19261 3064 12 is be VBZ 19261 3064 13 not not RB 19261 3064 14 positively positively RB 19261 3064 15 known know VBN 19261 3064 16 . . . 19261 3065 1 6 6 CD 19261 3065 2 . . . 19261 3066 1 Obscure obscure JJ 19261 3066 2 thoracic thoracic NN 19261 3066 3 disease disease NN 19261 3066 4 . . . 19261 3067 1 7 7 LS 19261 3067 2 . . . 19261 3068 1 Unexplained unexplained JJ 19261 3068 2 hemoptysis hemoptysis NN 19261 3068 3 . . . 19261 3069 1 8 8 LS 19261 3069 2 . . . 19261 3070 1 Unexplained unexplained JJ 19261 3070 2 cough cough NN 19261 3070 3 . . . 19261 3071 1 9 9 CD 19261 3071 2 . . . 19261 3072 1 Unexplained unexplained JJ 19261 3072 2 expectoration expectoration NN 19261 3072 3 . . . 19261 3073 1 _ _ NNP 19261 3073 2 Contraindications contraindication NNS 19261 3073 3 to to TO 19261 3073 4 bronchoscopy bronchoscopy VB 19261 3073 5 in in IN 19261 3073 6 disease disease NNP 19261 3073 7 _ _ NNP 19261 3073 8 do do VBP 19261 3073 9 not not RB 19261 3073 10 exist exist VB 19261 3073 11 if if IN 19261 3073 12 the the DT 19261 3073 13 bronchoscopy bronchoscopy NN 19261 3073 14 is be VBZ 19261 3073 15 really really RB 19261 3073 16 needed need VBN 19261 3073 17 . . . 19261 3074 1 Serious serious JJ 19261 3074 2 organic organic JJ 19261 3074 3 disease disease NN 19261 3074 4 such such JJ 19261 3074 5 as as IN 19261 3074 6 aneurysm aneurysm NNS 19261 3074 7 , , , 19261 3074 8 hypertension hypertension NN 19261 3074 9 , , , 19261 3074 10 advanced advanced JJ 19261 3074 11 cardiac cardiac JJ 19261 3074 12 disease disease NN 19261 3074 13 , , , 19261 3074 14 might may MD 19261 3074 15 render render VB 19261 3074 16 bronchoscopy bronchoscopy NN 19261 3074 17 inadvisable inadvisable JJ 19261 3074 18 except except IN 19261 3074 19 for for IN 19261 3074 20 the the DT 19261 3074 21 removal removal NN 19261 3074 22 of of IN 19261 3074 23 foreign foreign JJ 19261 3074 24 bodies body NNS 19261 3074 25 . . . 19261 3075 1 _ _ NNP 19261 3075 2 Bronchoscopic Bronchoscopic NNP 19261 3075 3 Appearances Appearances NNPS 19261 3075 4 in in IN 19261 3075 5 Disease_.--The disease_.--the ADD 19261 3075 6 first first JJ 19261 3075 7 look look NN 19261 3075 8 should should MD 19261 3075 9 note note VB 19261 3075 10 the the DT 19261 3075 11 color color NN 19261 3075 12 of of IN 19261 3075 13 the the DT 19261 3075 14 bronchial bronchial JJ 19261 3075 15 mucosa mucosa NNS 19261 3075 16 , , , 19261 3075 17 due due JJ 19261 3075 18 allowance allowance NN 19261 3075 19 being be VBG 19261 3075 20 made make VBN 19261 3075 21 for for IN 19261 3075 22 the the DT 19261 3075 23 pressure pressure NN 19261 3075 24 of of IN 19261 3075 25 tubal tubal JJ 19261 3075 26 contact contact NN 19261 3075 27 , , , 19261 3075 28 secretions secretion NNS 19261 3075 29 , , , 19261 3075 30 and and CC 19261 3075 31 the the DT 19261 3075 32 engorgement engorgement NN 19261 3075 33 incident incident NN 19261 3075 34 to to IN 19261 3075 35 continued continued JJ 19261 3075 36 cough cough NN 19261 3075 37 . . . 19261 3076 1 The the DT 19261 3076 2 carina carina NN 19261 3076 3 trachealis tracheali VBD 19261 3076 4 normally normally RB 19261 3076 5 moves move VBZ 19261 3076 6 slowly slowly RB 19261 3076 7 forward forward RB 19261 3076 8 as as RB 19261 3076 9 well well RB 19261 3076 10 as as IN 19261 3076 11 downward downward RB 19261 3076 12 during during IN 19261 3076 13 deep deep JJ 19261 3076 14 inspiration inspiration NN 19261 3076 15 , , , 19261 3076 16 returning return VBG 19261 3076 17 quickly quickly RB 19261 3076 18 during during IN 19261 3076 19 expiration expiration NN 19261 3076 20 . . . 19261 3077 1 Impaired impaired JJ 19261 3077 2 movement movement NN 19261 3077 3 of of IN 19261 3077 4 the the DT 19261 3077 5 carina carina NN 19261 3077 6 indicates indicate VBZ 19261 3077 7 peritracheal peritracheal JJ 19261 3077 8 and and CC 19261 3077 9 peribronchial peribronchial JJ 19261 3077 10 pathology pathology NN 19261 3077 11 , , , 19261 3077 12 the the DT 19261 3077 13 fixation fixation NN 19261 3077 14 being be VBG 19261 3077 15 greatest greatest RBS 19261 3077 16 in in IN 19261 3077 17 advanced advanced JJ 19261 3077 18 cancer cancer NN 19261 3077 19 . . . 19261 3078 1 In in IN 19261 3078 2 children child NNS 19261 3078 3 and and CC 19261 3078 4 in in IN 19261 3078 5 the the DT 19261 3078 6 smaller small JJR 19261 3078 7 tubes tube NNS 19261 3078 8 of of IN 19261 3078 9 the the DT 19261 3078 10 adult adult NN 19261 3078 11 , , , 19261 3078 12 the the DT 19261 3078 13 lengthening lengthening NN 19261 3078 14 and and CC 19261 3078 15 dilatation dilatation NN 19261 3078 16 of of IN 19261 3078 17 the the DT 19261 3078 18 bronchi bronchi NN 19261 3078 19 during during IN 19261 3078 20 inspiration inspiration NN 19261 3078 21 , , , 19261 3078 22 and and CC 19261 3078 23 their -PRON- PRP$ 19261 3078 24 shortening shortening NN 19261 3078 25 and and CC 19261 3078 26 contraction contraction NN 19261 3078 27 during during IN 19261 3078 28 expiration expiration NN 19261 3078 29 are be VBP 19261 3078 30 readily readily RB 19261 3078 31 seen see VBN 19261 3078 32 . . . 19261 3079 1 _ _ NNP 19261 3079 2 Anomalies Anomalies NNPS 19261 3079 3 of of IN 19261 3079 4 the the DT 19261 3079 5 Tracheobronchial Tracheobronchial NNP 19261 3079 6 Tree_.--Tracheobronchial Tree_.--Tracheobronchial NNP 19261 3079 7 anomalies anomaly NNS 19261 3079 8 are be VBP 19261 3079 9 relatively relatively RB 19261 3079 10 rare rare JJ 19261 3079 11 . . . 19261 3080 1 Congenital congenital JJ 19261 3080 2 esophagotracheal esophagotracheal NN 19261 3080 3 and and CC 19261 3080 4 esophagobronchial esophagobronchial JJ 19261 3080 5 fistulae fistula NNS 19261 3080 6 are be VBP 19261 3080 7 occasionally occasionally RB 19261 3080 8 seen see VBN 19261 3080 9 , , , 19261 3080 10 and and CC 19261 3080 11 cases case NNS 19261 3080 12 of of IN 19261 3080 13 cervicotracheal cervicotracheal NN 19261 3080 14 fistulae fistula NNS 19261 3080 15 have have VBP 19261 3080 16 been be VBN 19261 3080 17 reported report VBN 19261 3080 18 . . . 19261 3081 1 Congenital congenital JJ 19261 3081 2 webs webs NN 19261 3081 3 and and CC 19261 3081 4 diverticula diverticula NN 19261 3081 5 of of IN 19261 3081 6 the the DT 19261 3081 7 trachea trachea NN 19261 3081 8 are be VBP 19261 3081 9 cited cite VBN 19261 3081 10 infrequently infrequently RB 19261 3081 11 . . . 19261 3082 1 Laryngoptosis laryngoptosis NN 19261 3082 2 and and CC 19261 3082 3 deviation deviation NN 19261 3082 4 of of IN 19261 3082 5 the the DT 19261 3082 6 trachea trachea NN 19261 3082 7 may may MD 19261 3082 8 be be VB 19261 3082 9 congenital congenital JJ 19261 3082 10 . . . 19261 3083 1 Substernal substernal JJ 19261 3083 2 goitre goitre NNP 19261 3083 3 , , , 19261 3083 4 aneurysm aneurysm NNS 19261 3083 5 , , , 19261 3083 6 malignant malignant JJ 19261 3083 7 growths growth NNS 19261 3083 8 , , , 19261 3083 9 and and CC 19261 3083 10 various various JJ 19261 3083 11 mediastinal mediastinal JJ 19261 3083 12 adenopathies adenopathy NNS 19261 3083 13 may may MD 19261 3083 14 displace displace VB 19261 3083 15 the the DT 19261 3083 16 trachea trachea NN 19261 3083 17 from from IN 19261 3083 18 its -PRON- PRP$ 19261 3083 19 normal normal JJ 19261 3083 20 course course NN 19261 3083 21 . . . 19261 3084 1 The the DT 19261 3084 2 emphysematous emphysematous JJ 19261 3084 3 chest chest NN 19261 3084 4 fixed fix VBN 19261 3084 5 in in IN 19261 3084 6 the the DT 19261 3084 7 deep deep JJ 19261 3084 8 voluntary voluntary JJ 19261 3084 9 inspiratory inspiratory NN 19261 3084 10 position position NN 19261 3084 11 produces produce VBZ 19261 3084 12 in in IN 19261 3084 13 some some DT 19261 3084 14 cases case NNS 19261 3084 15 an an DT 19261 3084 16 elevation elevation NN 19261 3084 17 of of IN 19261 3084 18 the the DT 19261 3084 19 superior superior JJ 19261 3084 20 thoracic thoracic NN 19261 3084 21 aperture aperture NN 19261 3084 22 simulating simulating NN 19261 3084 23 laryngoptosis laryngoptosis NN 19261 3084 24 ( ( -LRB- 19261 3084 25 Bibliography Bibliography NNP 19261 3084 26 r r NNP 19261 3084 27 , , , 19261 3084 28 pp pp NNP 19261 3084 29 . . . 19261 3085 1 468 468 CD 19261 3085 2 , , , 19261 3085 3 594 594 CD 19261 3085 4 ) ) -RRB- 19261 3085 5 . . . 19261 3086 1 _ _ NNP 19261 3086 2 Compression Compression NNP 19261 3086 3 Stenosis Stenosis NNP 19261 3086 4 of of IN 19261 3086 5 the the DT 19261 3086 6 Trachea Trachea NNP 19261 3086 7 and and CC 19261 3086 8 Bronchi_.--Compression bronchi_.--compression NN 19261 3086 9 of of IN 19261 3086 10 the the DT 19261 3086 11 trachea trachea NN 19261 3086 12 is be VBZ 19261 3086 13 most most RBS 19261 3086 14 commonly commonly RB 19261 3086 15 caused cause VBN 19261 3086 16 by by IN 19261 3086 17 goiter goiter NN 19261 3086 18 , , , 19261 3086 19 substernal substernal JJ 19261 3086 20 or or CC 19261 3086 21 cervical cervical JJ 19261 3086 22 , , , 19261 3086 23 aneurysm aneurysm NNS 19261 3086 24 , , , 19261 3086 25 malignancy malignancy NN 19261 3086 26 , , , 19261 3086 27 or or CC 19261 3086 28 , , , 19261 3086 29 in in IN 19261 3086 30 children child NNS 19261 3086 31 , , , 19261 3086 32 by by IN 19261 3086 33 enlarged enlarged JJ 19261 3086 34 thymus thymus NN 19261 3086 35 . . . 19261 3087 1 Less less RBR 19261 3087 2 frequently frequently RB 19261 3087 3 , , , 19261 3087 4 enlarged enlarge VBN 19261 3087 5 mediastinal mediastinal JJ 19261 3087 6 tuberculous tuberculous JJ 19261 3087 7 , , , 19261 3087 8 leukemic leukemic JJ 19261 3087 9 , , , 19261 3087 10 leutic leutic JJ 19261 3087 11 or or CC 19261 3087 12 Hodgkin Hodgkin NNP 19261 3087 13 's 's POS 19261 3087 14 glands gland NNS 19261 3087 15 compress compress VBP 19261 3087 16 the the DT 19261 3087 17 airway airway NN 19261 3087 18 . . . 19261 3088 1 The the DT 19261 3088 2 left left JJ 19261 3088 3 bronchus bronchu NNS 19261 3088 4 may may MD 19261 3088 5 be be VB 19261 3088 6 stenosed stenose VBN 19261 3088 7 by by IN 19261 3088 8 pressure pressure NN 19261 3088 9 from from IN 19261 3088 10 a a DT 19261 3088 11 hypertrophied hypertrophied JJ 19261 3088 12 cardiac cardiac JJ 19261 3088 13 auricle auricle NN 19261 3088 14 . . . 19261 3089 1 Compression compression NN 19261 3089 2 stenosis stenosis NN 19261 3089 3 of of IN 19261 3089 4 the the DT 19261 3089 5 trachea trachea NN 19261 3089 6 associated associate VBN 19261 3089 7 with with IN 19261 3089 8 pulmonary pulmonary JJ 19261 3089 9 emphysema emphysema NN 19261 3089 10 accounts account NNS 19261 3089 11 for for IN 19261 3089 12 the the DT 19261 3089 13 dyspnea dyspnea NN 19261 3089 14 during during IN 19261 3089 15 attacks attack NNS 19261 3089 16 of of IN 19261 3089 17 coughing coughing NN 19261 3089 18 . . . 19261 3090 1 The the DT 19261 3090 2 endoscopic endoscopic JJ 19261 3090 3 picture picture NN 19261 3090 4 of of IN 19261 3090 5 compression compression NN 19261 3090 6 stenosis stenosis NN 19261 3090 7 is be VBZ 19261 3090 8 that that DT 19261 3090 9 of of IN 19261 3090 10 an an DT 19261 3090 11 elliptical elliptical JJ 19261 3090 12 or or CC 19261 3090 13 scabbard scabbard RB 19261 3090 14 - - HYPH 19261 3090 15 shaped shape VBN 19261 3090 16 lumen luman NNS 19261 3090 17 when when WRB 19261 3090 18 the the DT 19261 3090 19 bronchus bronchus NN 19261 3090 20 is be VBZ 19261 3090 21 at at IN 19261 3090 22 rest rest NN 19261 3090 23 or or CC 19261 3090 24 during during IN 19261 3090 25 inspiration inspiration NN 19261 3090 26 . . . 19261 3091 1 Concentric concentric JJ 19261 3091 2 funnel funnel NN 19261 3091 3 - - HYPH 19261 3091 4 like like JJ 19261 3091 5 compression compression NN 19261 3091 6 stenosis stenosis NN 19261 3091 7 , , , 19261 3091 8 while while IN 19261 3091 9 rare rare JJ 19261 3091 10 , , , 19261 3091 11 may may MD 19261 3091 12 be be VB 19261 3091 13 produced produce VBN 19261 3091 14 by by IN 19261 3091 15 annular annular JJ 19261 3091 16 growths growth NNS 19261 3091 17 . . . 19261 3092 1 _ _ NNP 19261 3092 2 Treatment Treatment NNP 19261 3092 3 of of IN 19261 3092 4 Compression Compression NNP 19261 3092 5 Stenoses Stenoses NNPS 19261 3092 6 of of IN 19261 3092 7 the the DT 19261 3092 8 Trachea_.--If Trachea_.--If NNP 19261 3092 9 the the DT 19261 3092 10 thymus thymus NN 19261 3092 11 be be VB 19261 3092 12 at at IN 19261 3092 13 fault fault NN 19261 3092 14 , , , 19261 3092 15 rapid rapid JJ 19261 3092 16 amelioration amelioration NN 19261 3092 17 of of IN 19261 3092 18 symptoms symptom NNS 19261 3092 19 follows follow VBZ 19261 3092 20 roentgenray roentgenray JJ 19261 3092 21 or or CC 19261 3092 22 radium radium NN 19261 3092 23 therapy therapy NN 19261 3092 24 . . . 19261 3093 1 Tracheotomy Tracheotomy NNP 19261 3093 2 and and CC 19261 3093 3 the the DT 19261 3093 4 insertion insertion NN 19261 3093 5 of of IN 19261 3093 6 the the DT 19261 3093 7 long long JJ 19261 3093 8 cane cane NN 19261 3093 9 - - HYPH 19261 3093 10 shaped shape VBN 19261 3093 11 cannula cannula NN 19261 3093 12 ( ( -LRB- 19261 3093 13 Fig fig NN 19261 3093 14 . . . 19261 3094 1 104 104 LS 19261 3094 2 ) ) -RRB- 19261 3094 3 past past IN 19261 3094 4 the the DT 19261 3094 5 compressed compressed JJ 19261 3094 6 area area NN 19261 3094 7 is be VBZ 19261 3094 8 required require VBN 19261 3094 9 in in IN 19261 3094 10 the the DT 19261 3094 11 cases case NNS 19261 3094 12 caused cause VBN 19261 3094 13 by by IN 19261 3094 14 conditions condition NNS 19261 3094 15 less less RBR 19261 3094 16 amenable amenable JJ 19261 3094 17 to to IN 19261 3094 18 treatment treatment NN 19261 3094 19 than than IN 19261 3094 20 thymic thymic JJ 19261 3094 21 enlargement enlargement NN 19261 3094 22 . . . 19261 3095 1 Permanent permanent JJ 19261 3095 2 cure cure NN 19261 3095 3 depends depend VBZ 19261 3095 4 upon upon IN 19261 3095 5 the the DT 19261 3095 6 removability removability NN 19261 3095 7 of of IN 19261 3095 8 the the DT 19261 3095 9 compressive compressive JJ 19261 3095 10 mass mass NN 19261 3095 11 . . . 19261 3096 1 Should Should MD 19261 3096 2 the the DT 19261 3096 3 bronchi bronchi NN 19261 3096 4 be be VB 19261 3096 5 so so RB 19261 3096 6 compressed compress VBN 19261 3096 7 by by IN 19261 3096 8 a a DT 19261 3096 9 benign benign JJ 19261 3096 10 condition condition NN 19261 3096 11 as as IN 19261 3096 12 to to TO 19261 3096 13 prevent prevent VB 19261 3096 14 escape escape NN 19261 3096 15 of of IN 19261 3096 16 secretions secretion NNS 19261 3096 17 from from IN 19261 3096 18 the the DT 19261 3096 19 subjacent subjacent JJ 19261 3096 20 air air NN 19261 3096 21 passages passage NNS 19261 3096 22 , , , 19261 3096 23 bronchial bronchial JJ 19261 3096 24 intubation intubation NN 19261 3096 25 tubes tube NNS 19261 3096 26 may may MD 19261 3096 27 be be VB 19261 3096 28 inserted insert VBN 19261 3096 29 , , , 19261 3096 30 and and CC 19261 3096 31 , , , 19261 3096 32 if if IN 19261 3096 33 necessary necessary JJ 19261 3096 34 , , , 19261 3096 35 worn wear VBN 19261 3096 36 constantly constantly RB 19261 3096 37 . . . 19261 3097 1 They -PRON- PRP 19261 3097 2 should should MD 19261 3097 3 be be VB 19261 3097 4 removed remove VBN 19261 3097 5 weekly weekly RB 19261 3097 6 for for IN 19261 3097 7 cleansing cleansing NN 19261 3097 8 and and CC 19261 3097 9 oftener oftener NN 19261 3097 10 if if IN 19261 3097 11 obstructed obstruct VBN 19261 3097 12 . . . 19261 3098 1 _ _ NNP 19261 3098 2 Influenzal influenzal JJ 19261 3098 3 Laryngotracheobronchitis_.--Influenzal laryngotracheobronchitis_.--influenzal NN 19261 3098 4 infection infection NN 19261 3098 5 , , , 19261 3098 6 not not RB 19261 3098 7 always always RB 19261 3098 8 by by IN 19261 3098 9 the the DT 19261 3098 10 same same JJ 19261 3098 11 organism organism NN 19261 3098 12 , , , 19261 3098 13 sweeps sweep VBZ 19261 3098 14 over over IN 19261 3098 15 the the DT 19261 3098 16 population population NN 19261 3098 17 , , , 19261 3098 18 attacking attack VBG 19261 3098 19 the the DT 19261 3098 20 air air NN 19261 3098 21 passages passage NNS 19261 3098 22 in in IN 19261 3098 23 a a DT 19261 3098 24 violent violent JJ 19261 3098 25 and and CC 19261 3098 26 quite quite RB 19261 3098 27 characteristic characteristic JJ 19261 3098 28 way way NN 19261 3098 29 . . . 19261 3099 1 Bronchoscopy Bronchoscopy NNP 19261 3099 2 shows show VBZ 19261 3099 3 the the DT 19261 3099 4 influenzal influenzal NN 19261 3099 5 infection infection NN 19261 3099 6 to to TO 19261 3099 7 be be VB 19261 3099 8 characterized characterize VBN 19261 3099 9 by by IN 19261 3099 10 intense intense JJ 19261 3099 11 reddening reddening NN 19261 3099 12 and and CC 19261 3099 13 swelling swelling NN 19261 3099 14 of of IN 19261 3099 15 the the DT 19261 3099 16 mucosa mucosa NNS 19261 3099 17 . . . 19261 3100 1 In in IN 19261 3100 2 some some DT 19261 3100 3 cases case NNS 19261 3100 4 the the DT 19261 3100 5 swelling swelling NN 19261 3100 6 is be VBZ 19261 3100 7 so so RB 19261 3100 8 great great JJ 19261 3100 9 as as IN 19261 3100 10 to to TO 19261 3100 11 necessitate necessitate VB 19261 3100 12 tracheotomy tracheotomy NN 19261 3100 13 , , , 19261 3100 14 or or CC 19261 3100 15 intubation intubation NN 19261 3100 16 of of IN 19261 3100 17 the the DT 19261 3100 18 larynx larynx NN 19261 3100 19 ; ; : 19261 3100 20 and and CC 19261 3100 21 if if IN 19261 3100 22 the the DT 19261 3100 23 edema edema NNS 19261 3100 24 involve involve VBP 19261 3100 25 the the DT 19261 3100 26 bronchi bronchi NN 19261 3100 27 , , , 19261 3100 28 occlusion occlusion NN 19261 3100 29 may may MD 19261 3100 30 be be VB 19261 3100 31 fatal fatal JJ 19261 3100 32 . . . 19261 3101 1 Hemorrhagic hemorrhagic JJ 19261 3101 2 spots spot NNS 19261 3101 3 and and CC 19261 3101 4 superficial superficial JJ 19261 3101 5 erosions erosion NNS 19261 3101 6 are be VBP 19261 3101 7 commonly commonly RB 19261 3101 8 seen see VBN 19261 3101 9 , , , 19261 3101 10 and and CC 19261 3101 11 a a DT 19261 3101 12 thick thick JJ 19261 3101 13 , , , 19261 3101 14 tenacious tenacious JJ 19261 3101 15 exudate exudate NN 19261 3101 16 , , , 19261 3101 17 difficult difficult JJ 19261 3101 18 of of IN 19261 3101 19 expectoration expectoration NN 19261 3101 20 , , , 19261 3101 21 lies lie VBZ 19261 3101 22 in in IN 19261 3101 23 patches patch NNS 19261 3101 24 in in IN 19261 3101 25 the the DT 19261 3101 26 trachea trachea NN 19261 3101 27 . . . 19261 3102 1 Infants infant NNS 19261 3102 2 may may MD 19261 3102 3 asphyxiate asphyxiate VB 19261 3102 4 from from IN 19261 3102 5 accumulation accumulation NN 19261 3102 6 of of IN 19261 3102 7 this this DT 19261 3102 8 secretion secretion NN 19261 3102 9 which which WDT 19261 3102 10 they -PRON- PRP 19261 3102 11 are be VBP 19261 3102 12 unable unable JJ 19261 3102 13 to to TO 19261 3102 14 expel expel VB 19261 3102 15 . . . 19261 3103 1 The the DT 19261 3103 2 differential differential NN 19261 3103 3 diagnosis diagnosis NN 19261 3103 4 from from IN 19261 3103 5 diphtheria diphtheria NN 19261 3103 6 is be VBZ 19261 3103 7 sometimes sometimes RB 19261 3103 8 difficult difficult JJ 19261 3103 9 . . . 19261 3104 1 The the DT 19261 3104 2 absence absence NN 19261 3104 3 of of IN 19261 3104 4 true true JJ 19261 3104 5 membrane membrane NN 19261 3104 6 and and CC 19261 3104 7 the the DT 19261 3104 8 failure failure NN 19261 3104 9 to to TO 19261 3104 10 find find VB 19261 3104 11 diphtheria diphtheria NN 19261 3104 12 bacilli bacilli NNP 19261 3104 13 in in IN 19261 3104 14 smears smear NNS 19261 3104 15 taken take VBN 19261 3104 16 from from IN 19261 3104 17 the the DT 19261 3104 18 trachea trachea NN 19261 3104 19 are be VBP 19261 3104 20 of of IN 19261 3104 21 aid aid NN 19261 3104 22 but but CC 19261 3104 23 are be VBP 19261 3104 24 not not RB 19261 3104 25 infallible infallible JJ 19261 3104 26 . . . 19261 3105 1 In in IN 19261 3105 2 doubtful doubtful JJ 19261 3105 3 cases case NNS 19261 3105 4 , , , 19261 3105 5 the the DT 19261 3105 6 administration administration NN 19261 3105 7 of of IN 19261 3105 8 diphtheria diphtheria NNP 19261 3105 9 antitoxin antitoxin NNP 19261 3105 10 is be VBZ 19261 3105 11 a a DT 19261 3105 12 wise wise JJ 19261 3105 13 precaution precaution NN 19261 3105 14 pending pende VBG 19261 3105 15 the the DT 19261 3105 16 establishment establishment NN 19261 3105 17 of of IN 19261 3105 18 a a DT 19261 3105 19 definite definite JJ 19261 3105 20 diagnosis diagnosis NN 19261 3105 21 . . . 19261 3106 1 The the DT 19261 3106 2 pseudomembrane pseudomembrane NN 19261 3106 3 sometimes sometimes RB 19261 3106 4 present present JJ 19261 3106 5 in in IN 19261 3106 6 influenzal influenzal NN 19261 3106 7 tracheobronchitis tracheobronchitis NN 19261 3106 8 is be VBZ 19261 3106 9 thinner thin JJR 19261 3106 10 and and CC 19261 3106 11 less less RBR 19261 3106 12 pulpy pulpy JJ 19261 3106 13 than than IN 19261 3106 14 that that DT 19261 3106 15 of of IN 19261 3106 16 the the DT 19261 3106 17 earlier early JJR 19261 3106 18 stages stage NNS 19261 3106 19 of of IN 19261 3106 20 diphtheria diphtheria NN 19261 3106 21 . . . 19261 3107 1 The the DT 19261 3107 2 casts cast NNS 19261 3107 3 of of IN 19261 3107 4 the the DT 19261 3107 5 later later JJ 19261 3107 6 stages stage NNS 19261 3107 7 do do VBP 19261 3107 8 not not RB 19261 3107 9 occur occur VB 19261 3107 10 in in IN 19261 3107 11 influenzal influenzal NN 19261 3107 12 tracheobronchitis tracheobronchitis NN 19261 3107 13 ( ( -LRB- 19261 3107 14 Bibliography Bibliography NNP 19261 3107 15 I I NNP 19261 3107 16 , , , 19261 3107 17 p. p. NN 19261 3107 18 480 480 CD 19261 3107 19 ) ) -RRB- 19261 3107 20 . . . 19261 3108 1 _ _ NNP 19261 3108 2 Edematous Edematous NNP 19261 3108 3 Tracheobronchitis_.--This Tracheobronchitis_.--This NNP 19261 3108 4 is be VBZ 19261 3108 5 chiefly chiefly RB 19261 3108 6 observed observe VBN 19261 3108 7 in in IN 19261 3108 8 children child NNS 19261 3108 9 . . . 19261 3109 1 The the DT 19261 3109 2 most most RBS 19261 3109 3 frequently frequently RB 19261 3109 4 encountered encounter VBN 19261 3109 5 form form NN 19261 3109 6 is be VBZ 19261 3109 7 the the DT 19261 3109 8 epidemic epidemic NN 19261 3109 9 disease disease NN 19261 3109 10 to to TO 19261 3109 11 which which WDT 19261 3109 12 the the DT 19261 3109 13 name name NN 19261 3109 14 " " `` 19261 3109 15 Influenza Influenza NNP 19261 3109 16 " " '' 19261 3109 17 has have VBZ 19261 3109 18 been be VBN 19261 3109 19 given give VBN 19261 3109 20 ( ( -LRB- 19261 3109 21 q.v q.v NNP 19261 3109 22 . . . 19261 3110 1 supra supra NNP 19261 3110 2 ) ) -RRB- 19261 3110 3 . . . 19261 3111 1 The the DT 19261 3111 2 only only JJ 19261 3111 3 noticeable noticeable JJ 19261 3111 4 difference difference NN 19261 3111 5 between between IN 19261 3111 6 the the DT 19261 3111 7 epidemic epidemic NN 19261 3111 8 and and CC 19261 3111 9 the the DT 19261 3111 10 sporadic sporadic JJ 19261 3111 11 cases case NNS 19261 3111 12 is be VBZ 19261 3111 13 in in IN 19261 3111 14 the the DT 19261 3111 15 more more RBR 19261 3111 16 general general JJ 19261 3111 17 susceptibility susceptibility NN 19261 3111 18 to to IN 19261 3111 19 the the DT 19261 3111 20 infective infective JJ 19261 3111 21 agent agent NN 19261 3111 22 , , , 19261 3111 23 which which WDT 19261 3111 24 gives give VBZ 19261 3111 25 the the DT 19261 3111 26 influenzal influenzal NN 19261 3111 27 form form VB 19261 3111 28 an an DT 19261 3111 29 appearance appearance NN 19261 3111 30 of of IN 19261 3111 31 being be VBG 19261 3111 32 more more RBR 19261 3111 33 virulently virulently RB 19261 3111 34 infective infective JJ 19261 3111 35 . . . 19261 3112 1 Possibly possibly RB 19261 3112 2 the the DT 19261 3112 3 sporadic sporadic JJ 19261 3112 4 form form NN 19261 3112 5 is be VBZ 19261 3112 6 simply simply RB 19261 3112 7 the the DT 19261 3112 8 attack attack NN 19261 3112 9 of of IN 19261 3112 10 children child NNS 19261 3112 11 not not RB 19261 3112 12 immunized immunize VBN 19261 3112 13 by by IN 19261 3112 14 a a DT 19261 3112 15 previous previous JJ 19261 3112 16 attack attack NN 19261 3112 17 during during IN 19261 3112 18 an an DT 19261 3112 19 epidemic epidemic NN 19261 3112 20 . . . 19261 3113 1 There there EX 19261 3113 2 is be VBZ 19261 3113 3 another another DT 19261 3113 4 form form NN 19261 3113 5 of of IN 19261 3113 6 edematous edematous JJ 19261 3113 7 tracheobronchitis tracheobronchitis NN 19261 3113 8 often often RB 19261 3113 9 of of IN 19261 3113 10 great great JJ 19261 3113 11 severity severity NN 19261 3113 12 and and CC 19261 3113 13 grave grave JJ 19261 3113 14 prognosis prognosis NN 19261 3113 15 , , , 19261 3113 16 that that WDT 19261 3113 17 results result VBZ 19261 3113 18 from from IN 19261 3113 19 the the DT 19261 3113 20 aspiration aspiration NN 19261 3113 21 of of IN 19261 3113 22 irritating irritate VBG 19261 3113 23 liquids liquid NNS 19261 3113 24 or or CC 19261 3113 25 vapors vapor NNS 19261 3113 26 , , , 19261 3113 27 or or CC 19261 3113 28 of of IN 19261 3113 29 certain certain JJ 19261 3113 30 organic organic JJ 19261 3113 31 substances substance NNS 19261 3113 32 such such JJ 19261 3113 33 as as IN 19261 3113 34 peanut peanut NN 19261 3113 35 kernels kernel NNS 19261 3113 36 , , , 19261 3113 37 watermelon watermelon NNP 19261 3113 38 seeds seeds NNP 19261 3113 39 , , , 19261 3113 40 etcetera etcetera NN 19261 3113 41 . . . 19261 3114 1 Tracheotomy Tracheotomy NNP 19261 3114 2 should should MD 19261 3114 3 be be VB 19261 3114 4 done do VBN 19261 3114 5 if if IN 19261 3114 6 marked mark VBN 19261 3114 7 dyspnea dyspnea NNS 19261 3114 8 be be VB 19261 3114 9 present present JJ 19261 3114 10 . . . 19261 3115 1 Secretions secretion NNS 19261 3115 2 can can MD 19261 3115 3 then then RB 19261 3115 4 be be VB 19261 3115 5 easily easily RB 19261 3115 6 removed remove VBN 19261 3115 7 and and CC 19261 3115 8 medication medication NN 19261 3115 9 in in IN 19261 3115 10 the the DT 19261 3115 11 form form NN 19261 3115 12 of of IN 19261 3115 13 oily oily JJ 19261 3115 14 solutions solution NNS 19261 3115 15 be be VB 19261 3115 16 instilled instill VBN 19261 3115 17 at at IN 19261 3115 18 will will NN 19261 3115 19 into into IN 19261 3115 20 the the DT 19261 3115 21 trachea trachea NN 19261 3115 22 . . . 19261 3116 1 In in IN 19261 3116 2 the the DT 19261 3116 3 Bronchoscopic Bronchoscopic NNP 19261 3116 4 Clinic Clinic NNP 19261 3116 5 many many JJ 19261 3116 6 children child NNS 19261 3116 7 have have VBP 19261 3116 8 been be VBN 19261 3116 9 kept keep VBN 19261 3116 10 alive alive JJ 19261 3116 11 for for IN 19261 3116 12 days day NNS 19261 3116 13 , , , 19261 3116 14 and and CC 19261 3116 15 their -PRON- PRP$ 19261 3116 16 lives life NNS 19261 3116 17 finally finally RB 19261 3116 18 saved save VBN 19261 3116 19 by by IN 19261 3116 20 aspiration aspiration NN 19261 3116 21 of of IN 19261 3116 22 thick thick JJ 19261 3116 23 , , , 19261 3116 24 tough tough JJ 19261 3116 25 , , , 19261 3116 26 sometimes sometimes RB 19261 3116 27 clotted clot VBN 19261 3116 28 and and CC 19261 3116 29 crusted crust VBN 19261 3116 30 secretions secretion NNS 19261 3116 31 , , , 19261 3116 32 with with IN 19261 3116 33 the the DT 19261 3116 34 aspirating aspirating NN 19261 3116 35 tube tube NN 19261 3116 36 ( ( -LRB- 19261 3116 37 Fig fig NN 19261 3116 38 . . . 19261 3117 1 10 10 LS 19261 3117 2 ) ) -RRB- 19261 3117 3 . . . 19261 3118 1 It -PRON- PRP 19261 3118 2 is be VBZ 19261 3118 3 better well JJR 19261 3118 4 in in IN 19261 3118 5 these these DT 19261 3118 6 cases case NNS 19261 3118 7 not not RB 19261 3118 8 to to TO 19261 3118 9 pass pass VB 19261 3118 10 the the DT 19261 3118 11 bronchoscope bronchoscope NN 19261 3118 12 repeatedly repeatedly RB 19261 3118 13 . . . 19261 3119 1 If if IN 19261 3119 2 , , , 19261 3119 3 however however RB 19261 3119 4 , , , 19261 3119 5 evidences evidence NNS 19261 3119 6 of of IN 19261 3119 7 obstruction obstruction NN 19261 3119 8 remain remain VBP 19261 3119 9 , , , 19261 3119 10 after after IN 19261 3119 11 aspiration aspiration NN 19261 3119 12 , , , 19261 3119 13 it -PRON- PRP 19261 3119 14 is be VBZ 19261 3119 15 necessary necessary JJ 19261 3119 16 to to TO 19261 3119 17 see see VB 19261 3119 18 the the DT 19261 3119 19 nature nature NN 19261 3119 20 of of IN 19261 3119 21 the the DT 19261 3119 22 obstruction obstruction NN 19261 3119 23 and and CC 19261 3119 24 relieve relieve VB 19261 3119 25 it -PRON- PRP 19261 3119 26 by by IN 19261 3119 27 removal removal NN 19261 3119 28 , , , 19261 3119 29 dilatation dilatation NN 19261 3119 30 , , , 19261 3119 31 or or CC 19261 3119 32 bronchial bronchial JJ 19261 3119 33 intubation intubation NN 19261 3119 34 as as IN 19261 3119 35 the the DT 19261 3119 36 case case NN 19261 3119 37 may may MD 19261 3119 38 require require VB 19261 3119 39 . . . 19261 3120 1 It -PRON- PRP 19261 3120 2 is be VBZ 19261 3120 3 all all PDT 19261 3120 4 a a DT 19261 3120 5 matter matter NN 19261 3120 6 of of IN 19261 3120 7 " " `` 19261 3120 8 plumbing plumb VBG 19261 3120 9 " " '' 19261 3120 10 i.e. i.e. FW 19261 3120 11 , , , 19261 3120 12 clearing clear VBG 19261 3120 13 out out RP 19261 3120 14 the the DT 19261 3120 15 " " `` 19261 3120 16 pipes pipe NNS 19261 3120 17 , , , 19261 3120 18 " " '' 19261 3120 19 and and CC 19261 3120 20 maintaining maintain VBG 19261 3120 21 a a DT 19261 3120 22 patulous patulous JJ 19261 3120 23 airway airway NN 19261 3120 24 . . . 19261 3121 1 _ _ NNP 19261 3121 2 Tracheobronchial tracheobronchial JJ 19261 3121 3 Diphtheria_.--Urgent diphtheria_.--urgent NN 19261 3121 4 dyspnea dyspnea NN 19261 3121 5 in in IN 19261 3121 6 diphtheria diphtheria NN 19261 3121 7 when when WRB 19261 3121 8 no no DT 19261 3121 9 membrane membrane NN 19261 3121 10 and and CC 19261 3121 11 but but CC 19261 3121 12 slight slight JJ 19261 3121 13 lessening lessening NN 19261 3121 14 of of IN 19261 3121 15 the the DT 19261 3121 16 laryngeal laryngeal NN 19261 3121 17 airway airway NN 19261 3121 18 is be VBZ 19261 3121 19 seen see VBN 19261 3121 20 , , , 19261 3121 21 calls call NNS 19261 3121 22 for for IN 19261 3121 23 bronchoscopy bronchoscopy NN 19261 3121 24 . . . 19261 3122 1 Many many JJ 19261 3122 2 lives life NNS 19261 3122 3 have have VBP 19261 3122 4 been be VBN 19261 3122 5 saved save VBN 19261 3122 6 by by IN 19261 3122 7 the the DT 19261 3122 8 bronchoscopic bronchoscopic NNP 19261 3122 9 removal removal NN 19261 3122 10 of of IN 19261 3122 11 membrane membrane NN 19261 3122 12 obstructing obstruct VBG 19261 3122 13 the the DT 19261 3122 14 trachea trachea NN 19261 3122 15 or or CC 19261 3122 16 bronchi bronchi NN 19261 3122 17 . . . 19261 3123 1 In in IN 19261 3123 2 the the DT 19261 3123 3 early early JJ 19261 3123 4 stages stage NNS 19261 3123 5 , , , 19261 3123 6 pulpy pulpy NN 19261 3123 7 masses masse NNS 19261 3123 8 looking look VBG 19261 3123 9 like like IN 19261 3123 10 " " `` 19261 3123 11 mother mother NN 19261 3123 12 " " '' 19261 3123 13 of of IN 19261 3123 14 vinegar vinegar NN 19261 3123 15 are be VBP 19261 3123 16 very very RB 19261 3123 17 obstructive obstructive JJ 19261 3123 18 . . . 19261 3124 1 Later later JJ 19261 3124 2 casts cast NNS 19261 3124 3 of of IN 19261 3124 4 membrane membrane NN 19261 3124 5 may may MD 19261 3124 6 simulate simulate VB 19261 3124 7 foreign foreign JJ 19261 3124 8 bodies body NNS 19261 3124 9 . . . 19261 3125 1 The the DT 19261 3125 2 local local JJ 19261 3125 3 application application NN 19261 3125 4 of of IN 19261 3125 5 diphtheria diphtheria NN 19261 3125 6 antitoxin antitoxin NN 19261 3125 7 to to IN 19261 3125 8 the the DT 19261 3125 9 trachea trachea NNP 19261 3125 10 and and CC 19261 3125 11 bronchi bronchi NNP 19261 3125 12 has have VBZ 19261 3125 13 also also RB 19261 3125 14 been be VBN 19261 3125 15 recommended recommend VBN 19261 3125 16 . . . 19261 3126 1 A a DT 19261 3126 2 preparation preparation NN 19261 3126 3 free free JJ 19261 3126 4 from from IN 19261 3126 5 a a DT 19261 3126 6 chemical chemical JJ 19261 3126 7 irritant irritant NN 19261 3126 8 should should MD 19261 3126 9 be be VB 19261 3126 10 selected select VBN 19261 3126 11 . . . 19261 3127 1 _ _ NNP 19261 3127 2 Abscess Abscess NNP 19261 3127 3 of of IN 19261 3127 4 the the DT 19261 3127 5 Lung_.--If lung_.--if NN 19261 3127 6 of of IN 19261 3127 7 foreign foreign JJ 19261 3127 8 - - HYPH 19261 3127 9 body body NN 19261 3127 10 origin origin NN 19261 3127 11 , , , 19261 3127 12 pulmonary pulmonary JJ 19261 3127 13 abscess abscess NN 19261 3127 14 almost almost RB 19261 3127 15 invariably invariably RB 19261 3127 16 heals heal NNS 19261 3127 17 after after IN 19261 3127 18 the the DT 19261 3127 19 removal removal NN 19261 3127 20 of of IN 19261 3127 21 the the DT 19261 3127 22 object object NN 19261 3127 23 and and CC 19261 3127 24 a a DT 19261 3127 25 regime regime NN 19261 3127 26 of of IN 19261 3127 27 fresh fresh JJ 19261 3127 28 air air NN 19261 3127 29 and and CC 19261 3127 30 rest rest NN 19261 3127 31 , , , 19261 3127 32 without without IN 19261 3127 33 local local JJ 19261 3127 34 measures measure NNS 19261 3127 35 of of IN 19261 3127 36 any any DT 19261 3127 37 kind kind NN 19261 3127 38 . . . 19261 3128 1 Acute acute JJ 19261 3128 2 pulmonary pulmonary JJ 19261 3128 3 abscess abscess NN 19261 3128 4 from from IN 19261 3128 5 other other JJ 19261 3128 6 causes cause NNS 19261 3128 7 may may MD 19261 3128 8 require require VB 19261 3128 9 bronchoscopic bronchoscopic NNP 19261 3128 10 drainage drainage NNP 19261 3128 11 and and CC 19261 3128 12 gentle gentle JJ 19261 3128 13 dilatation dilatation NN 19261 3128 14 of of IN 19261 3128 15 the the DT 19261 3128 16 swollen swollen NN 19261 3128 17 and and CC 19261 3128 18 narrowed narrow VBD 19261 3128 19 bronchi bronchi NNP 19261 3128 20 leading lead VBG 19261 3128 21 to to IN 19261 3128 22 it -PRON- PRP 19261 3128 23 . . . 19261 3129 1 Some some DT 19261 3129 2 of of IN 19261 3129 3 these these DT 19261 3129 4 bronchi bronchus NNS 19261 3129 5 are be VBP 19261 3129 6 practically practically RB 19261 3129 7 fistulae fistula NNS 19261 3129 8 . . . 19261 3130 1 Obstructive obstructive JJ 19261 3130 2 granulations granulation NNS 19261 3130 3 should should MD 19261 3130 4 be be VB 19261 3130 5 removed remove VBN 19261 3130 6 with with IN 19261 3130 7 crushing crush VBG 19261 3130 8 , , , 19261 3130 9 not not RB 19261 3130 10 biting bite VBG 19261 3130 11 forceps forceps NNS 19261 3130 12 . . . 19261 3131 1 The the DT 19261 3131 2 regular regular JJ 19261 3131 3 foreign foreign JJ 19261 3131 4 - - HYPH 19261 3131 5 body body NN 19261 3131 6 forceps forceps NNS 19261 3131 7 are be VBP 19261 3131 8 best good JJS 19261 3131 9 for for IN 19261 3131 10 this this DT 19261 3131 11 purpose purpose NN 19261 3131 12 . . . 19261 3132 1 Caution caution NN 19261 3132 2 should should MD 19261 3132 3 be be VB 19261 3132 4 used use VBN 19261 3132 5 as as IN 19261 3132 6 to to IN 19261 3132 7 removal removal NN 19261 3132 8 of of IN 19261 3132 9 the the DT 19261 3132 10 granulations granulation NNS 19261 3132 11 with with IN 19261 3132 12 which which WDT 19261 3132 13 the the DT 19261 3132 14 abscess abscess NN 19261 3132 15 " " `` 19261 3132 16 cavity cavity NN 19261 3132 17 " " '' 19261 3132 18 is be VBZ 19261 3132 19 filled fill VBN 19261 3132 20 in in IN 19261 3132 21 chronic chronic JJ 19261 3132 22 cases case NNS 19261 3132 23 . . . 19261 3133 1 The the DT 19261 3133 2 term term NN 19261 3133 3 " " `` 19261 3133 4 abscess abscess NN 19261 3133 5 " " '' 19261 3133 6 is be VBZ 19261 3133 7 usually usually RB 19261 3133 8 loosely loosely RB 19261 3133 9 applied apply VBN 19261 3133 10 to to IN 19261 3133 11 the the DT 19261 3133 12 condition condition NN 19261 3133 13 of of IN 19261 3133 14 drowned drown VBN 19261 3133 15 lung lung NN 19261 3133 16 in in IN 19261 3133 17 which which WDT 19261 3133 18 the the DT 19261 3133 19 pus pus NNP 19261 3133 20 has have VBZ 19261 3133 21 accumulated accumulate VBN 19261 3133 22 in in IN 19261 3133 23 natural natural JJ 19261 3133 24 passages passage NNS 19261 3133 25 , , , 19261 3133 26 and and CC 19261 3133 27 in in IN 19261 3133 28 which which WDT 19261 3133 29 there there EX 19261 3133 30 is be VBZ 19261 3133 31 neither neither CC 19261 3133 32 a a DT 19261 3133 33 new new JJ 19261 3133 34 wall wall NN 19261 3133 35 nor nor CC 19261 3133 36 a a DT 19261 3133 37 breaking break VBG 19261 3133 38 down down RP 19261 3133 39 of of IN 19261 3133 40 normal normal JJ 19261 3133 41 walls wall NNS 19261 3133 42 . . . 19261 3134 1 Chronic chronic JJ 19261 3134 2 lung lung NN 19261 3134 3 - - HYPH 19261 3134 4 abscess abscess NN 19261 3134 5 is be VBZ 19261 3134 6 often often RB 19261 3134 7 successfully successfully RB 19261 3134 8 treated treat VBN 19261 3134 9 by by IN 19261 3134 10 weekly weekly JJ 19261 3134 11 bronchoscopic bronchoscopic NNP 19261 3134 12 lavage lavage NN 19261 3134 13 with with IN 19261 3134 14 20 20 CD 19261 3134 15 cc cc NN 19261 3134 16 . . . 19261 3135 1 or or CC 19261 3135 2 more more JJR 19261 3135 3 of of IN 19261 3135 4 a a DT 19261 3135 5 warm warm JJ 19261 3135 6 , , , 19261 3135 7 normal normal JJ 19261 3135 8 salt salt NN 19261 3135 9 solution solution NN 19261 3135 10 , , , 19261 3135 11 a a DT 19261 3135 12 1:1000 1:1000 CD 19261 3135 13 watery watery JJ 19261 3135 14 potassium potassium NN 19261 3135 15 permanganate permanganate JJ 19261 3135 16 solution solution NN 19261 3135 17 , , , 19261 3135 18 or or CC 19261 3135 19 a a DT 19261 3135 20 weak weak JJ 19261 3135 21 iodine iodine NN 19261 3135 22 solution solution NN 19261 3135 23 as as IN 19261 3135 24 in in IN 19261 3135 25 the the DT 19261 3135 26 following following JJ 19261 3135 27 formula formula NN 19261 3135 28 : : : 19261 3135 29 Rx Rx NNP 19261 3135 30 . . . 19261 3136 1 Monochlorphenol Monochlorphenol NNP 19261 3136 2 ( ( -LRB- 19261 3136 3 Merck Merck NNP 19261 3136 4 ) ) -RRB- 19261 3136 5 .12 .12 NFP 19261 3136 6 Lugol Lugol NNP 19261 3136 7 's 's POS 19261 3136 8 solution solution NN 19261 3136 9 8.00 8.00 CD 19261 3136 10 Normal normal JJ 19261 3136 11 salt salt NN 19261 3136 12 solution solution NN 19261 3136 13 500 500 CD 19261 3136 14 . . . 19261 3137 1 Perhaps perhaps RB 19261 3137 2 the the DT 19261 3137 3 best good JJS 19261 3137 4 procedure procedure NN 19261 3137 5 is be VBZ 19261 3137 6 to to TO 19261 3137 7 precede precede VB 19261 3137 8 medicinal medicinal JJ 19261 3137 9 applications application NNS 19261 3137 10 by by IN 19261 3137 11 the the DT 19261 3137 12 clearing clearing NN 19261 3137 13 out out IN 19261 3137 14 of of IN 19261 3137 15 the the DT 19261 3137 16 purulent purulent NN 19261 3137 17 secretions secretion NNS 19261 3137 18 by by IN 19261 3137 19 aspiration aspiration NN 19261 3137 20 with with IN 19261 3137 21 the the DT 19261 3137 22 aspirating aspirate VBG 19261 3137 23 bronchoscope bronchoscope NN 19261 3137 24 and and CC 19261 3137 25 the the DT 19261 3137 26 independent independent JJ 19261 3137 27 aspirating aspirating NN 19261 3137 28 tube tube NN 19261 3137 29 , , , 19261 3137 30 the the DT 19261 3137 31 latter latter JJ 19261 3137 32 being be VBG 19261 3137 33 inserted insert VBN 19261 3137 34 into into IN 19261 3137 35 passages passage NNS 19261 3137 36 too too RB 19261 3137 37 small small JJ 19261 3137 38 to to TO 19261 3137 39 enter enter VB 19261 3137 40 with with IN 19261 3137 41 the the DT 19261 3137 42 bronchoscope bronchoscope NN 19261 3137 43 , , , 19261 3137 44 and and CC 19261 3137 45 the the DT 19261 3137 46 endobronchial endobronchial JJ 19261 3137 47 instillation instillation NN 19261 3137 48 of of IN 19261 3137 49 from from IN 19261 3137 50 10 10 CD 19261 3137 51 to to TO 19261 3137 52 30 30 CD 19261 3137 53 cc cc NN 19261 3137 54 . . . 19261 3138 1 of of IN 19261 3138 2 the the DT 19261 3138 3 medicament medicament NN 19261 3138 4 . . . 19261 3139 1 The the DT 19261 3139 2 following follow VBG 19261 3139 3 have have VBP 19261 3139 4 been be VBN 19261 3139 5 used use VBN 19261 3139 6 : : : 19261 3139 7 Argyrol Argyrol NNP 19261 3139 8 , , , 19261 3139 9 1 1 CD 19261 3139 10 per per NN 19261 3139 11 cent cent NN 19261 3139 12 watery watery JJ 19261 3139 13 solution solution NN 19261 3139 14 ; ; : 19261 3139 15 Silvol Silvol NNP 19261 3139 16 , , , 19261 3139 17 1 1 CD 19261 3139 18 per per NN 19261 3139 19 cent cent NN 19261 3139 20 watery watery JJ 19261 3139 21 solution solution NN 19261 3139 22 ; ; : 19261 3139 23 Iodoform Iodoform NNP 19261 3139 24 , , , 19261 3139 25 oil oil NN 19261 3139 26 emulsion emulsion NN 19261 3139 27 10 10 CD 19261 3139 28 per per NN 19261 3139 29 cent cent NN 19261 3139 30 ; ; : 19261 3139 31 Guaiacol Guaiacol NNP 19261 3139 32 , , , 19261 3139 33 10 10 CD 19261 3139 34 per per NN 19261 3139 35 cent cent NN 19261 3139 36 solution solution NN 19261 3139 37 in in IN 19261 3139 38 paraffine paraffine NN 19261 3139 39 oil oil NN 19261 3139 40 ; ; : 19261 3139 41 Gomenol Gomenol NNP 19261 3139 42 , , , 19261 3139 43 20 20 CD 19261 3139 44 per per NN 19261 3139 45 cent cent NN 19261 3139 46 solution solution NN 19261 3139 47 in in IN 19261 3139 48 oil oil NN 19261 3139 49 ; ; : 19261 3139 50 or or CC 19261 3139 51 a a DT 19261 3139 52 bismuth bismuth NNP 19261 3139 53 subnitrate subnitrate NN 19261 3139 54 suspension suspension NN 19261 3139 55 in in IN 19261 3139 56 oil oil NN 19261 3139 57 . . . 19261 3140 1 Robert Robert NNP 19261 3140 2 M. M. NNP 19261 3140 3 Lukens Lukens NNP 19261 3140 4 and and CC 19261 3140 5 William William NNP 19261 3140 6 F. F. NNP 19261 3140 7 Moore Moore NNP 19261 3140 8 of of IN 19261 3140 9 the the DT 19261 3140 10 Bronchoscopic Bronchoscopic NNP 19261 3140 11 Clinic Clinic NNP 19261 3140 12 report report NN 19261 3140 13 excellent excellent JJ 19261 3140 14 results result NNS 19261 3140 15 in in IN 19261 3140 16 post post JJ 19261 3140 17 - - JJ 19261 3140 18 tonsillectomy tonsillectomy JJ 19261 3140 19 abscesses abscess NNS 19261 3140 20 from from IN 19261 3140 21 one one CD 19261 3140 22 tenth tenth NN 19261 3140 23 of of IN 19261 3140 24 one one CD 19261 3140 25 per per IN 19261 3140 26 cent cent NN 19261 3140 27 phenol phenol NN 19261 3140 28 in in IN 19261 3140 29 normal normal JJ 19261 3140 30 salt salt NN 19261 3140 31 solution solution NN 19261 3140 32 with with IN 19261 3140 33 the the DT 19261 3140 34 addition addition NN 19261 3140 35 of of IN 19261 3140 36 2 2 CD 19261 3140 37 per per NN 19261 3140 38 cent cent NN 19261 3140 39 Lugol Lugol NNP 19261 3140 40 's 's POS 19261 3140 41 solution solution NN 19261 3140 42 . . . 19261 3141 1 Chlorinated chlorinate VBN 19261 3141 2 solutions solution NNS 19261 3141 3 are be VBP 19261 3141 4 irritating irritate VBG 19261 3141 5 , , , 19261 3141 6 and and CC 19261 3141 7 if if IN 19261 3141 8 used use VBN 19261 3141 9 , , , 19261 3141 10 require require VB 19261 3141 11 copious copious JJ 19261 3141 12 dilution dilution NN 19261 3141 13 . . . 19261 3142 1 Liquid liquid JJ 19261 3142 2 petrolatum petrolatum NN 19261 3142 3 with with IN 19261 3142 4 a a DT 19261 3142 5 little little JJ 19261 3142 6 oil oil NN 19261 3142 7 of of IN 19261 3142 8 eucalyptus eucalyptus NN 19261 3142 9 has have VBZ 19261 3142 10 been be VBN 19261 3142 11 most most RBS 19261 3142 12 often often RB 19261 3142 13 the the DT 19261 3142 14 medium medium NN 19261 3142 15 . . . 19261 3143 1 _ _ NNP 19261 3143 2 Gangrene Gangrene NNP 19261 3143 3 of of IN 19261 3143 4 the the DT 19261 3143 5 Lung_.--Pulmonary Lung_.--Pulmonary NNP 19261 3143 6 gangrene gangrene NN 19261 3143 7 has have VBZ 19261 3143 8 been be VBN 19261 3143 9 followed follow VBN 19261 3143 10 by by IN 19261 3143 11 recovery recovery NN 19261 3143 12 after after IN 19261 3143 13 the the DT 19261 3143 14 endobronchial endobronchial JJ 19261 3143 15 injection injection NN 19261 3143 16 of of IN 19261 3143 17 oily oily JJ 19261 3143 18 solutions solution NNS 19261 3143 19 of of IN 19261 3143 20 gomenol gomenol NNS 19261 3143 21 and and CC 19261 3143 22 guaiacol guaiacol NNP 19261 3143 23 ( ( -LRB- 19261 3143 24 Guisez Guisez NNP 19261 3143 25 ) ) -RRB- 19261 3143 26 . . . 19261 3144 1 The the DT 19261 3144 2 injections injection NNS 19261 3144 3 are be VBP 19261 3144 4 readily readily RB 19261 3144 5 made make VBN 19261 3144 6 through through IN 19261 3144 7 the the DT 19261 3144 8 laryngoscope laryngoscope NN 19261 3144 9 without without IN 19261 3144 10 the the DT 19261 3144 11 insertion insertion NN 19261 3144 12 of of IN 19261 3144 13 a a DT 19261 3144 14 bronchoscope bronchoscope NN 19261 3144 15 . . . 19261 3145 1 A a DT 19261 3145 2 silk silk NN 19261 3145 3 woven weave VBN 19261 3145 4 catheter catheter NN 19261 3145 5 may may MD 19261 3145 6 be be VB 19261 3145 7 used use VBN 19261 3145 8 with with IN 19261 3145 9 an an DT 19261 3145 10 ordinary ordinary JJ 19261 3145 11 glass glass NN 19261 3145 12 syringe syringe NN 19261 3145 13 or or CC 19261 3145 14 a a DT 19261 3145 15 long long RB 19261 3145 16 - - HYPH 19261 3145 17 nozzled nozzle VBN 19261 3145 18 laryngeal laryngeal NN 19261 3145 19 syringe syringe NN 19261 3145 20 , , , 19261 3145 21 or or CC 19261 3145 22 a a DT 19261 3145 23 bronchoscopic bronchoscopic JJ 19261 3145 24 syringe syringe NN 19261 3145 25 may may MD 19261 3145 26 be be VB 19261 3145 27 used use VBN 19261 3145 28 . . . 19261 3146 1 _ _ NNP 19261 3146 2 Lung Lung NNP 19261 3146 3 - - HYPH 19261 3146 4 mapping mapping NNP 19261 3146 5 _ _ NNP 19261 3146 6 by by IN 19261 3146 7 a a DT 19261 3146 8 roentgenogram roentgenogram NN 19261 3146 9 taken take VBN 19261 3146 10 promptly promptly RB 19261 3146 11 after after IN 19261 3146 12 the the DT 19261 3146 13 bronchoscopic bronchoscopic NNP 19261 3146 14 insufflation insufflation NN 19261 3146 15 of of IN 19261 3146 16 bismuth bismuth NNP 19261 3146 17 subnitrate subnitrate NNP 19261 3146 18 powder powder NN 19261 3146 19 or or CC 19261 3146 20 the the DT 19261 3146 21 injection injection NN 19261 3146 22 of of IN 19261 3146 23 a a DT 19261 3146 24 suspension suspension NN 19261 3146 25 of of IN 19261 3146 26 bismuth bismuth NNP 19261 3146 27 in in IN 19261 3146 28 liquid liquid JJ 19261 3146 29 petrolatum petrolatum NN 19261 3146 30 is be VBZ 19261 3146 31 advisable advisable JJ 19261 3146 32 in in IN 19261 3146 33 most most JJS 19261 3146 34 cases case NNS 19261 3146 35 of of IN 19261 3146 36 pulmonary pulmonary JJ 19261 3146 37 abscess abscess NN 19261 3146 38 before before IN 19261 3146 39 beginning begin VBG 19261 3146 40 any any DT 19261 3146 41 kind kind NN 19261 3146 42 of of IN 19261 3146 43 treatment treatment NN 19261 3146 44 . . . 19261 3147 1 _ _ NNP 19261 3147 2 Bronchial bronchial JJ 19261 3147 3 Stenosis_.--Stenosis stenosis_.--stenosis NN 19261 3147 4 of of IN 19261 3147 5 one one CD 19261 3147 6 or or CC 19261 3147 7 more more JJR 19261 3147 8 bronchi bronchi JJ 19261 3147 9 results result NNS 19261 3147 10 at at IN 19261 3147 11 times time NNS 19261 3147 12 from from IN 19261 3147 13 cicatricial cicatricial JJ 19261 3147 14 contraction contraction NN 19261 3147 15 following follow VBG 19261 3147 16 secondary secondary JJ 19261 3147 17 infection infection NN 19261 3147 18 of of IN 19261 3147 19 leutic leutic JJ 19261 3147 20 , , , 19261 3147 21 tuberculous tuberculous JJ 19261 3147 22 or or CC 19261 3147 23 traumatic traumatic JJ 19261 3147 24 lesions lesion NNS 19261 3147 25 . . . 19261 3148 1 The the DT 19261 3148 2 narrowing narrowing NN 19261 3148 3 resulting result VBG 19261 3148 4 from from IN 19261 3148 5 foreign foreign JJ 19261 3148 6 body body NN 19261 3148 7 traumatism traumatism NN 19261 3148 8 rarely rarely RB 19261 3148 9 requires require VBZ 19261 3148 10 secondary secondary JJ 19261 3148 11 dilatation dilatation NN 19261 3148 12 after after IN 19261 3148 13 the the DT 19261 3148 14 foreign foreign JJ 19261 3148 15 body body NN 19261 3148 16 has have VBZ 19261 3148 17 been be VBN 19261 3148 18 removed remove VBN 19261 3148 19 . . . 19261 3149 1 Tuberculous tuberculous JJ 19261 3149 2 bronchial bronchial JJ 19261 3149 3 stenoses stenosis NNS 19261 3149 4 rarely rarely RB 19261 3149 5 require require VBP 19261 3149 6 local local JJ 19261 3149 7 treatment treatment NN 19261 3149 8 , , , 19261 3149 9 but but CC 19261 3149 10 are be VBP 19261 3149 11 easily easily RB 19261 3149 12 dilated dilate VBN 19261 3149 13 when when WRB 19261 3149 14 necessary necessary JJ 19261 3149 15 . . . 19261 3150 1 Luetic luetic JJ 19261 3150 2 cicatricial cicatricial JJ 19261 3150 3 stenosis stenosis NN 19261 3150 4 may may MD 19261 3150 5 require require VB 19261 3150 6 repeated repeated JJ 19261 3150 7 dilatation dilatation NN 19261 3150 8 , , , 19261 3150 9 or or CC 19261 3150 10 even even RB 19261 3150 11 bronchial bronchial JJ 19261 3150 12 intubation intubation NN 19261 3150 13 . . . 19261 3151 1 Endobronchial endobronchial JJ 19261 3151 2 neoplasms neoplasm NNS 19261 3151 3 may may MD 19261 3151 4 cause cause VB 19261 3151 5 a a DT 19261 3151 6 subjacent subjacent JJ 19261 3151 7 bronchiectasis bronchiectasis NN 19261 3151 8 , , , 19261 3151 9 and and CC 19261 3151 10 superjacent superjacent JJ 19261 3151 11 stenosis stenosis NN 19261 3151 12 ; ; : 19261 3151 13 the the DT 19261 3151 14 latter latter JJ 19261 3151 15 may may MD 19261 3151 16 require require VB 19261 3151 17 dilatation dilatation NN 19261 3151 18 . . . 19261 3152 1 Cicatricial cicatricial JJ 19261 3152 2 stenoses stenosis NNS 19261 3152 3 of of IN 19261 3152 4 the the DT 19261 3152 5 bronchi bronchus NNS 19261 3152 6 are be VBP 19261 3152 7 readily readily RB 19261 3152 8 recognizable recognizable JJ 19261 3152 9 by by IN 19261 3152 10 the the DT 19261 3152 11 scarred scar VBN 19261 3152 12 wall wall NN 19261 3152 13 and and CC 19261 3152 14 the the DT 19261 3152 15 absence absence NN 19261 3152 16 of of IN 19261 3152 17 rings ring NNS 19261 3152 18 at at IN 19261 3152 19 or or CC 19261 3152 20 near near IN 19261 3152 21 the the DT 19261 3152 22 narrowing narrowing NN 19261 3152 23 . . . 19261 3153 1 _ _ NNP 19261 3153 2 Bronchiectasis_.--In Bronchiectasis_.--In NNP 19261 3153 3 most most JJS 19261 3153 4 cases case NNS 19261 3153 5 of of IN 19261 3153 6 bronchiectasis bronchiectasis NN 19261 3153 7 there there EX 19261 3153 8 are be VBP 19261 3153 9 strong strong JJ 19261 3153 10 indications indication NNS 19261 3153 11 for for IN 19261 3153 12 a a DT 19261 3153 13 bronchoscopic bronchoscopic JJ 19261 3153 14 diagnosis diagnosis NN 19261 3153 15 , , , 19261 3153 16 to to TO 19261 3153 17 eliminate eliminate VB 19261 3153 18 such such JJ 19261 3153 19 conditions condition NNS 19261 3153 20 as as IN 19261 3153 21 foreign foreign JJ 19261 3153 22 body body NN 19261 3153 23 , , , 19261 3153 24 cicatricial cicatricial JJ 19261 3153 25 bronchial bronchial JJ 19261 3153 26 stenosis stenosis NN 19261 3153 27 , , , 19261 3153 28 or or CC 19261 3153 29 endobronchial endobronchial JJ 19261 3153 30 neoplasm neoplasm NNP 19261 3153 31 as as IN 19261 3153 32 etiologic etiologic JJ 19261 3153 33 factors factor NNS 19261 3153 34 . . . 19261 3154 1 In in IN 19261 3154 2 the the DT 19261 3154 3 idiopathic idiopathic JJ 19261 3154 4 types type NNS 19261 3154 5 considerable considerable JJ 19261 3154 6 benefit benefit NN 19261 3154 7 has have VBZ 19261 3154 8 resulted result VBN 19261 3154 9 from from IN 19261 3154 10 the the DT 19261 3154 11 endobronchial endobronchial JJ 19261 3154 12 lavage lavage NN 19261 3154 13 and and CC 19261 3154 14 endobronchial endobronchial JJ 19261 3154 15 oily oily JJ 19261 3154 16 injections injection NNS 19261 3154 17 mentioned mention VBN 19261 3154 18 under under IN 19261 3154 19 lung lung NN 19261 3154 20 abscess abscess NN 19261 3154 21 . . . 19261 3155 1 It -PRON- PRP 19261 3155 2 is be VBZ 19261 3155 3 probable probable JJ 19261 3155 4 that that IN 19261 3155 5 if if IN 19261 3155 6 bronchoscopic bronchoscopic NNP 19261 3155 7 study study NNP 19261 3155 8 were be VBD 19261 3155 9 carried carry VBN 19261 3155 10 out out RP 19261 3155 11 in in IN 19261 3155 12 every every DT 19261 3155 13 case case NN 19261 3155 14 , , , 19261 3155 15 definite definite JJ 19261 3155 16 causes cause VBZ 19261 3155 17 for for IN 19261 3155 18 many many JJ 19261 3155 19 so so RB 19261 3155 20 - - HYPH 19261 3155 21 called call VBN 19261 3155 22 " " `` 19261 3155 23 idiopathic idiopathic JJ 19261 3155 24 " " '' 19261 3155 25 cases case NNS 19261 3155 26 would would MD 19261 3155 27 be be VB 19261 3155 28 discovered discover VBN 19261 3155 29 . . . 19261 3156 1 Lung lung NN 19261 3156 2 - - HYPH 19261 3156 3 mapping mapping NN 19261 3156 4 as as IN 19261 3156 5 elsewhere elsewhere NNP 19261 3156 6 herein herein NNP 19261 3156 7 explained explain VBD 19261 3156 8 is be VBZ 19261 3156 9 invaluable invaluable JJ 19261 3156 10 in in IN 19261 3156 11 the the DT 19261 3156 12 study study NN 19261 3156 13 of of IN 19261 3156 14 bronchiectasis bronchiectasis NN 19261 3156 15 . . . 19261 3157 1 _ _ NNP 19261 3157 2 Bronchial bronchial JJ 19261 3157 3 asthma asthma NN 19261 3157 4 _ _ NNP 19261 3157 5 affords afford VBZ 19261 3157 6 a a DT 19261 3157 7 large large JJ 19261 3157 8 field field NN 19261 3157 9 for for IN 19261 3157 10 bronchoscopic bronchoscopic NNP 19261 3157 11 study study NNP 19261 3157 12 . . . 19261 3158 1 As as IN 19261 3158 2 yet yet RB 19261 3158 3 , , , 19261 3158 4 sufficient sufficient JJ 19261 3158 5 data datum NNS 19261 3158 6 to to TO 19261 3158 7 afford afford VB 19261 3158 8 any any DT 19261 3158 9 definite definite JJ 19261 3158 10 conclusions conclusion NNS 19261 3158 11 even even RB 19261 3158 12 as as IN 19261 3158 13 to to IN 19261 3158 14 the the DT 19261 3158 15 endoscopic endoscopic JJ 19261 3158 16 picture picture NN 19261 3158 17 of of IN 19261 3158 18 this this DT 19261 3158 19 disease disease NN 19261 3158 20 have have VBP 19261 3158 21 not not RB 19261 3158 22 been be VBN 19261 3158 23 accumulated accumulate VBN 19261 3158 24 . . . 19261 3159 1 Of of IN 19261 3159 2 the the DT 19261 3159 3 cases case NNS 19261 3159 4 seen see VBN 19261 3159 5 in in IN 19261 3159 6 the the DT 19261 3159 7 Bronchoscopic Bronchoscopic NNP 19261 3159 8 Clinic Clinic NNP 19261 3159 9 some some DT 19261 3159 10 showed show VBD 19261 3159 11 no no DT 19261 3159 12 abnormality abnormality NN 19261 3159 13 of of IN 19261 3159 14 the the DT 19261 3159 15 bronchi bronchi NN 19261 3159 16 in in IN 19261 3159 17 the the DT 19261 3159 18 intervals interval NNS 19261 3159 19 between between IN 19261 3159 20 attacks attack NNS 19261 3159 21 , , , 19261 3159 22 others other NNS 19261 3159 23 a a DT 19261 3159 24 chronic chronic JJ 19261 3159 25 bronchitis bronchitis NN 19261 3159 26 . . . 19261 3160 1 In in IN 19261 3160 2 cases case NNS 19261 3160 3 studied study VBN 19261 3160 4 bronchoscopically bronchoscopically RB 19261 3160 5 during during IN 19261 3160 6 an an DT 19261 3160 7 attack attack NN 19261 3160 8 , , , 19261 3160 9 the the DT 19261 3160 10 bronchi bronchi NN 19261 3160 11 were be VBD 19261 3160 12 found find VBN 19261 3160 13 filled fill VBN 19261 3160 14 with with IN 19261 3160 15 bubbling bubble VBG 19261 3160 16 secretions secretion NNS 19261 3160 17 and and CC 19261 3160 18 the the DT 19261 3160 19 mucosa mucosa NNS 19261 3160 20 was be VBD 19261 3160 21 somewhat somewhat RB 19261 3160 22 cyanotic cyanotic JJ 19261 3160 23 in in IN 19261 3160 24 color color NN 19261 3160 25 . . . 19261 3161 1 The the DT 19261 3161 2 bronchial bronchial JJ 19261 3161 3 lumen luman NNS 19261 3161 4 was be VBD 19261 3161 5 narrowed narrow VBN 19261 3161 6 only only RB 19261 3161 7 as as RB 19261 3161 8 much much RB 19261 3161 9 as as IN 19261 3161 10 it -PRON- PRP 19261 3161 11 would would MD 19261 3161 12 be be VB 19261 3161 13 , , , 19261 3161 14 with with IN 19261 3161 15 the the DT 19261 3161 16 same same JJ 19261 3161 17 degree degree NN 19261 3161 18 of of IN 19261 3161 19 cough cough NN 19261 3161 20 , , , 19261 3161 21 in in IN 19261 3161 22 any any DT 19261 3161 23 patient patient NN 19261 3161 24 not not RB 19261 3161 25 subject subject JJ 19261 3161 26 to to IN 19261 3161 27 asthma asthma NN 19261 3161 28 . . . 19261 3162 1 The the DT 19261 3162 2 secretions secretion NNS 19261 3162 3 were be VBD 19261 3162 4 removed remove VBN 19261 3162 5 and and CC 19261 3162 6 the the DT 19261 3162 7 attack attack NN 19261 3162 8 quickly quickly RB 19261 3162 9 subsided subside VBD 19261 3162 10 ; ; : 19261 3162 11 but but CC 19261 3162 12 no no DT 19261 3162 13 influence influence NN 19261 3162 14 on on IN 19261 3162 15 the the DT 19261 3162 16 recurrence recurrence NN 19261 3162 17 of of IN 19261 3162 18 attacks attack NNS 19261 3162 19 was be VBD 19261 3162 20 observed observe VBN 19261 3162 21 . . . 19261 3163 1 It -PRON- PRP 19261 3163 2 is be VBZ 19261 3163 3 essential essential JJ 19261 3163 4 that that IN 19261 3163 5 the the DT 19261 3163 6 bronchoscopic bronchoscopic NNP 19261 3163 7 studies study NNS 19261 3163 8 be be VB 19261 3163 9 made make VBN 19261 3163 10 , , , 19261 3163 11 as as IN 19261 3163 12 were be VBD 19261 3163 13 these these DT 19261 3163 14 , , , 19261 3163 15 without without IN 19261 3163 16 anesthesia anesthesia NNP 19261 3163 17 , , , 19261 3163 18 local local JJ 19261 3163 19 or or CC 19261 3163 20 general general JJ 19261 3163 21 , , , 19261 3163 22 for for IN 19261 3163 23 it -PRON- PRP 19261 3163 24 is be VBZ 19261 3163 25 known know VBN 19261 3163 26 that that IN 19261 3163 27 the the DT 19261 3163 28 application application NN 19261 3163 29 of of IN 19261 3163 30 cocain cocain NN 19261 3163 31 or or CC 19261 3163 32 adrenalin adrenalin NNP 19261 3163 33 to to IN 19261 3163 34 the the DT 19261 3163 35 larynx larynx NN 19261 3163 36 , , , 19261 3163 37 or or CC 19261 3163 38 even even RB 19261 3163 39 in in IN 19261 3163 40 the the DT 19261 3163 41 nose nose NN 19261 3163 42 , , , 19261 3163 43 will will MD 19261 3163 44 , , , 19261 3163 45 with with IN 19261 3163 46 some some DT 19261 3163 47 patients patient NNS 19261 3163 48 , , , 19261 3163 49 stop stop VB 19261 3163 50 the the DT 19261 3163 51 attack attack NN 19261 3163 52 . . . 19261 3164 1 When when WRB 19261 3164 2 done do VBN 19261 3164 3 without without IN 19261 3164 4 local local JJ 19261 3164 5 anesthesia anesthesia NNS 19261 3164 6 , , , 19261 3164 7 allowance allowance NN 19261 3164 8 must must MD 19261 3164 9 be be VB 19261 3164 10 made make VBN 19261 3164 11 for for IN 19261 3164 12 the the DT 19261 3164 13 reaction reaction NN 19261 3164 14 to to IN 19261 3164 15 the the DT 19261 3164 16 presence presence NN 19261 3164 17 of of IN 19261 3164 18 the the DT 19261 3164 19 tube tube NN 19261 3164 20 . . . 19261 3165 1 In in IN 19261 3165 2 those those DT 19261 3165 3 cases case NNS 19261 3165 4 in in IN 19261 3165 5 which which WDT 19261 3165 6 other other JJ 19261 3165 7 means mean NNS 19261 3165 8 have have VBP 19261 3165 9 failed fail VBN 19261 3165 10 to to TO 19261 3165 11 give give VB 19261 3165 12 relief relief NN 19261 3165 13 , , , 19261 3165 14 the the DT 19261 3165 15 endobronchial endobronchial JJ 19261 3165 16 application application NN 19261 3165 17 of of IN 19261 3165 18 novocain novocain NN 19261 3165 19 and and CC 19261 3165 20 adrenalin adrenalin NNP 19261 3165 21 , , , 19261 3165 22 orthoform orthoform NN 19261 3165 23 , , , 19261 3165 24 propaesin propaesin NN 19261 3165 25 or or CC 19261 3165 26 anesthesin anesthesin VB 19261 3165 27 emulsion emulsion NN 19261 3165 28 may may MD 19261 3165 29 be be VB 19261 3165 30 tried try VBN 19261 3165 31 . . . 19261 3166 1 Cures cure NNS 19261 3166 2 have have VBP 19261 3166 3 been be VBN 19261 3166 4 reported report VBN 19261 3166 5 by by IN 19261 3166 6 this this DT 19261 3166 7 treatment treatment NN 19261 3166 8 . . . 19261 3167 1 Argentic argentic JJ 19261 3167 2 nitrate nitrate RB 19261 3167 3 applied apply VBN 19261 3167 4 at at IN 19261 3167 5 weekly weekly JJ 19261 3167 6 intervals interval NNS 19261 3167 7 has have VBZ 19261 3167 8 proven prove VBN 19261 3167 9 very very RB 19261 3167 10 efficient efficient JJ 19261 3167 11 in in IN 19261 3167 12 some some DT 19261 3167 13 cases case NNS 19261 3167 14 . . . 19261 3168 1 Associated associated JJ 19261 3168 2 infective infective JJ 19261 3168 3 disease disease NN 19261 3168 4 of of IN 19261 3168 5 the the DT 19261 3168 6 bronchial bronchial JJ 19261 3168 7 mucosa mucosa NNS 19261 3168 8 brings bring VBZ 19261 3168 9 with with IN 19261 3168 10 it -PRON- PRP 19261 3168 11 the the DT 19261 3168 12 questions question NNS 19261 3168 13 of of IN 19261 3168 14 immunity immunity NN 19261 3168 15 , , , 19261 3168 16 allergy allergy NN 19261 3168 17 , , , 19261 3168 18 anaphylaxis anaphylaxi NNS 19261 3168 19 , , , 19261 3168 20 and and CC 19261 3168 21 vaccine vaccine NN 19261 3168 22 therapy therapy NN 19261 3168 23 ; ; , 19261 3168 24 and and CC 19261 3168 25 the the DT 19261 3168 26 often often RB 19261 3168 27 present present JJ 19261 3168 28 defective defective JJ 19261 3168 29 metabolism metabolism NN 19261 3168 30 has have VBZ 19261 3168 31 to to TO 19261 3168 32 be be VB 19261 3168 33 considered consider VBN 19261 3168 34 . . . 19261 3169 1 _ _ NNP 19261 3169 2 Autodrownage_.--Autodrownage autodrownage_.--autodrownage NN 19261 3169 3 is be VBZ 19261 3169 4 the the DT 19261 3169 5 name name NN 19261 3169 6 given give VBN 19261 3169 7 by by IN 19261 3169 8 the the DT 19261 3169 9 author author NN 19261 3169 10 to to IN 19261 3169 11 the the DT 19261 3169 12 drowning drowning NN 19261 3169 13 of of IN 19261 3169 14 the the DT 19261 3169 15 patient patient NN 19261 3169 16 in in IN 19261 3169 17 his -PRON- PRP$ 19261 3169 18 own own JJ 19261 3169 19 secretions secretion NNS 19261 3169 20 . . . 19261 3170 1 Tracheobronchial tracheobronchial JJ 19261 3170 2 secretions secretion NNS 19261 3170 3 in in IN 19261 3170 4 excess excess NN 19261 3170 5 of of IN 19261 3170 6 the the DT 19261 3170 7 amount amount NN 19261 3170 8 required require VBN 19261 3170 9 to to TO 19261 3170 10 moisten moisten VB 19261 3170 11 the the DT 19261 3170 12 inspired inspire VBN 19261 3170 13 air air NN 19261 3170 14 , , , 19261 3170 15 become become VBN 19261 3170 16 , , , 19261 3170 17 in in IN 19261 3170 18 certain certain JJ 19261 3170 19 cases case NNS 19261 3170 20 , , , 19261 3170 21 a a DT 19261 3170 22 mechanical mechanical JJ 19261 3170 23 menace menace NN 19261 3170 24 to to IN 19261 3170 25 life life NN 19261 3170 26 , , , 19261 3170 27 unless unless IN 19261 3170 28 removed remove VBN 19261 3170 29 . . . 19261 3171 1 The the DT 19261 3171 2 cough cough NN 19261 3171 3 reflex reflex NN 19261 3171 4 , , , 19261 3171 5 forced force VBN 19261 3171 6 expiration expiration NN 19261 3171 7 , , , 19261 3171 8 and and CC 19261 3171 9 ciliary ciliary JJ 19261 3171 10 action action NN 19261 3171 11 , , , 19261 3171 12 normally normally RB 19261 3171 13 remove remove VBP 19261 3171 14 the the DT 19261 3171 15 excess excess NN 19261 3171 16 . . . 19261 3172 1 When when WRB 19261 3172 2 these these DT 19261 3172 3 mechanisms mechanism NNS 19261 3172 4 are be VBP 19261 3172 5 impaired impair VBN 19261 3172 6 , , , 19261 3172 7 as as IN 19261 3172 8 in in IN 19261 3172 9 profound profound JJ 19261 3172 10 asthenia asthenia NNP 19261 3172 11 , , , 19261 3172 12 laryngeal laryngeal JJ 19261 3172 13 paralysis paralysis NN 19261 3172 14 , , , 19261 3172 15 laryngeal laryngeal NN 19261 3172 16 or or CC 19261 3172 17 tracheal tracheal NN 19261 3172 18 stenosis stenosis NN 19261 3172 19 , , , 19261 3172 20 etc etc FW 19261 3172 21 . . . 19261 3173 1 ; ; : 19261 3173 2 and and CC 19261 3173 3 especially especially RB 19261 3173 4 when when WRB 19261 3173 5 in in IN 19261 3173 6 addition addition NN 19261 3173 7 to to IN 19261 3173 8 a a DT 19261 3173 9 mild mild JJ 19261 3173 10 degree degree NN 19261 3173 11 of of IN 19261 3173 12 glottic glottic JJ 19261 3173 13 stenosis stenosis NN 19261 3173 14 or or CC 19261 3173 15 impaired impair VBN 19261 3173 16 laryngeal laryngeal JJ 19261 3173 17 mobility mobility NN 19261 3173 18 , , , 19261 3173 19 the the DT 19261 3173 20 secretions secretion NNS 19261 3173 21 become become VBP 19261 3173 22 excessive excessive JJ 19261 3173 23 , , , 19261 3173 24 the the DT 19261 3173 25 accumulation accumulation NN 19261 3173 26 may may MD 19261 3173 27 literally literally RB 19261 3173 28 drown drown VB 19261 3173 29 the the DT 19261 3173 30 patient patient NN 19261 3173 31 in in IN 19261 3173 32 his -PRON- PRP$ 19261 3173 33 own own JJ 19261 3173 34 secretions secretion NNS 19261 3173 35 . . . 19261 3174 1 This this DT 19261 3174 2 is be VBZ 19261 3174 3 illustrated illustrate VBN 19261 3174 4 frequently frequently RB 19261 3174 5 in in IN 19261 3174 6 influenza influenza NN 19261 3174 7 and and CC 19261 3174 8 arachidic arachidic JJ 19261 3174 9 bronchitis bronchitis NN 19261 3174 10 . . . 19261 3175 1 Infants infant NNS 19261 3175 2 can can MD 19261 3175 3 not not RB 19261 3175 4 expectorate expectorate VB 19261 3175 5 , , , 19261 3175 6 and and CC 19261 3175 7 their -PRON- PRP$ 19261 3175 8 cough cough NN 19261 3175 9 reflex reflex NN 19261 3175 10 is be VBZ 19261 3175 11 exceedingly exceedingly RB 19261 3175 12 ineffective ineffective JJ 19261 3175 13 in in IN 19261 3175 14 raising raise VBG 19261 3175 15 secretion secretion NN 19261 3175 16 to to IN 19261 3175 17 the the DT 19261 3175 18 pharynx pharynx NN 19261 3175 19 ; ; : 19261 3175 20 furthermore furthermore RB 19261 3175 21 they -PRON- PRP 19261 3175 22 are be VBP 19261 3175 23 easily easily RB 19261 3175 24 exhausted exhaust VBN 19261 3175 25 by by IN 19261 3175 26 bechic bechic JJ 19261 3175 27 efforts effort NNS 19261 3175 28 ; ; : 19261 3175 29 so so IN 19261 3175 30 that that DT 19261 3175 31 age age NN 19261 3175 32 may may MD 19261 3175 33 be be VB 19261 3175 34 cited cite VBN 19261 3175 35 as as IN 19261 3175 36 one one CD 19261 3175 37 of of IN 19261 3175 38 the the DT 19261 3175 39 most most RBS 19261 3175 40 frequent frequent JJ 19261 3175 41 etiologic etiologic JJ 19261 3175 42 factors factor NNS 19261 3175 43 in in IN 19261 3175 44 the the DT 19261 3175 45 condition condition NN 19261 3175 46 of of IN 19261 3175 47 autodrownage autodrownage NN 19261 3175 48 . . . 19261 3176 1 Bronchoscopic Bronchoscopic NNP 19261 3176 2 sponge sponge NN 19261 3176 3 - - HYPH 19261 3176 4 pumping pumping NN 19261 3176 5 ( ( -LRB- 19261 3176 6 _ _ NNP 19261 3176 7 q.v q.v NNP 19261 3176 8 . . NNP 19261 3176 9 _ _ NNP 19261 3176 10 ) ) -RRB- 19261 3176 11 and and CC 19261 3176 12 bronchoscopic bronchoscopic JJ 19261 3176 13 aspiration aspiration NN 19261 3176 14 are be VBP 19261 3176 15 quite quite RB 19261 3176 16 efficient efficient JJ 19261 3176 17 and and CC 19261 3176 18 can can MD 19261 3176 19 save save VB 19261 3176 20 any any DT 19261 3176 21 patient patient NN 19261 3176 22 not not RB 19261 3176 23 afflicted afflict VBN 19261 3176 24 with with IN 19261 3176 25 conditions condition NNS 19261 3176 26 that that WDT 19261 3176 27 are be VBP 19261 3176 28 fatal fatal JJ 19261 3176 29 by by IN 19261 3176 30 other other JJ 19261 3176 31 pathologic pathologic JJ 19261 3176 32 processes process NNS 19261 3176 33 . . . 19261 3177 1 _ _ NNP 19261 3177 2 Lues Lues NNP 19261 3177 3 of of IN 19261 3177 4 the the DT 19261 3177 5 Tracheobronchial Tracheobronchial NNP 19261 3177 6 Tree_.--Compared Tree_.--Compared NNP 19261 3177 7 to to TO 19261 3177 8 laryngeal laryngeal VB 19261 3177 9 involvement involvement NN 19261 3177 10 , , , 19261 3177 11 syphilis syphili NNS 19261 3177 12 of of IN 19261 3177 13 the the DT 19261 3177 14 tracheobronchial tracheobronchial JJ 19261 3177 15 tree tree NN 19261 3177 16 is be VBZ 19261 3177 17 relatively relatively RB 19261 3177 18 rare rare JJ 19261 3177 19 . . . 19261 3178 1 The the DT 19261 3178 2 lesions lesion NNS 19261 3178 3 may may MD 19261 3178 4 be be VB 19261 3178 5 gummatous gummatous JJ 19261 3178 6 , , , 19261 3178 7 ulcerative ulcerative JJ 19261 3178 8 , , , 19261 3178 9 or or CC 19261 3178 10 inflammatory inflammatory JJ 19261 3178 11 , , , 19261 3178 12 or or CC 19261 3178 13 there there EX 19261 3178 14 may may MD 19261 3178 15 be be VB 19261 3178 16 compressive compressive JJ 19261 3178 17 granulomatous granulomatous JJ 19261 3178 18 masses masse NNS 19261 3178 19 . . . 19261 3179 1 Hemoptysis hemoptysis NN 19261 3179 2 may may MD 19261 3179 3 have have VB 19261 3179 4 its -PRON- PRP$ 19261 3179 5 origin origin NN 19261 3179 6 from from IN 19261 3179 7 a a DT 19261 3179 8 luetic luetic JJ 19261 3179 9 ulceration ulceration NN 19261 3179 10 . . . 19261 3180 1 Excision excision NN 19261 3180 2 of of IN 19261 3180 3 fungations fungation NNS 19261 3180 4 or or CC 19261 3180 5 of of IN 19261 3180 6 a a DT 19261 3180 7 portion portion NN 19261 3180 8 of of IN 19261 3180 9 the the DT 19261 3180 10 margin margin NN 19261 3180 11 of of IN 19261 3180 12 the the DT 19261 3180 13 ulceration ulceration NN 19261 3180 14 for for IN 19261 3180 15 biopsy biopsy NN 19261 3180 16 is be VBZ 19261 3180 17 advisable advisable JJ 19261 3180 18 . . . 19261 3181 1 The the DT 19261 3181 2 Wassermann Wassermann NNP 19261 3181 3 and and CC 19261 3181 4 therapeutic therapeutic JJ 19261 3181 5 tests test NNS 19261 3181 6 , , , 19261 3181 7 and and CC 19261 3181 8 the the DT 19261 3181 9 elimination elimination NN 19261 3181 10 of of IN 19261 3181 11 tuberculosis tuberculosis NN 19261 3181 12 will will MD 19261 3181 13 be be VB 19261 3181 14 required require VBN 19261 3181 15 for for IN 19261 3181 16 confirmation confirmation NN 19261 3181 17 . . . 19261 3182 1 Luetic luetic JJ 19261 3182 2 stenoses stenosis NNS 19261 3182 3 are be VBP 19261 3182 4 referred refer VBN 19261 3182 5 to to IN 19261 3182 6 above above RB 19261 3182 7 . . . 19261 3183 1 _ _ NNP 19261 3183 2 Tuberculosis Tuberculosis NNP 19261 3183 3 of of IN 19261 3183 4 the the DT 19261 3183 5 Tracheobronchial tracheobronchial JJ 19261 3183 6 Tree_.--The tree_.--the NN 19261 3183 7 bronchoscopic bronchoscopic NNP 19261 3183 8 study study NN 19261 3183 9 of of IN 19261 3183 10 tuberculosis tuberculosis NN 19261 3183 11 is be VBZ 19261 3183 12 very very RB 19261 3183 13 interesting interesting JJ 19261 3183 14 , , , 19261 3183 15 but but CC 19261 3183 16 only only RB 19261 3183 17 a a DT 19261 3183 18 few few JJ 19261 3183 19 cases case NNS 19261 3183 20 justify justify VBP 19261 3183 21 bronchoscopy bronchoscopy JJ 19261 3183 22 . . . 19261 3184 1 The the DT 19261 3184 2 subglottic subglottic JJ 19261 3184 3 infiltrations infiltration NNS 19261 3184 4 from from IN 19261 3184 5 extensions extension NNS 19261 3184 6 of of IN 19261 3184 7 laryngeal laryngeal NN 19261 3184 8 disease disease NN 19261 3184 9 are be VBP 19261 3184 10 usually usually RB 19261 3184 11 of of IN 19261 3184 12 edematous edematous JJ 19261 3184 13 appearance appearance NN 19261 3184 14 , , , 19261 3184 15 though though IN 19261 3184 16 they -PRON- PRP 19261 3184 17 are be VBP 19261 3184 18 much much RB 19261 3184 19 more more RBR 19261 3184 20 firm firm JJ 19261 3184 21 than than IN 19261 3184 22 in in IN 19261 3184 23 ordinary ordinary JJ 19261 3184 24 inflammatory inflammatory JJ 19261 3184 25 edema edema NNS 19261 3184 26 . . . 19261 3185 1 Ulcerations ulceration NNS 19261 3185 2 in in IN 19261 3185 3 this this DT 19261 3185 4 region region NN 19261 3185 5 are be VBP 19261 3185 6 rare rare JJ 19261 3185 7 , , , 19261 3185 8 except except IN 19261 3185 9 as as IN 19261 3185 10 direct direct JJ 19261 3185 11 extensions extension NNS 19261 3185 12 of of IN 19261 3185 13 ulceration ulceration NN 19261 3185 14 above above IN 19261 3185 15 the the DT 19261 3185 16 cord cord NN 19261 3185 17 . . . 19261 3186 1 The the DT 19261 3186 2 trachea trachea NN 19261 3186 3 is be VBZ 19261 3186 4 relatively relatively RB 19261 3186 5 rarely rarely RB 19261 3186 6 involved involved JJ 19261 3186 7 in in IN 19261 3186 8 tuberculosis tuberculosis NN 19261 3186 9 , , , 19261 3186 10 but but CC 19261 3186 11 we -PRON- PRP 19261 3186 12 may may MD 19261 3186 13 have have VB 19261 3186 14 in in IN 19261 3186 15 the the DT 19261 3186 16 trachea trachea NN 19261 3186 17 the the DT 19261 3186 18 pale pale JJ 19261 3186 19 swelling swelling NN 19261 3186 20 of of IN 19261 3186 21 the the DT 19261 3186 22 early early JJ 19261 3186 23 stage stage NN 19261 3186 24 of of IN 19261 3186 25 a a DT 19261 3186 26 perichondritis perichondritis NN 19261 3186 27 , , , 19261 3186 28 or or CC 19261 3186 29 the the DT 19261 3186 30 later later JJ 19261 3186 31 ulceration ulceration NN 19261 3186 32 and and CC 19261 3186 33 all all PDT 19261 3186 34 the the DT 19261 3186 35 phenomena phenomenon NNS 19261 3186 36 following follow VBG 19261 3186 37 the the DT 19261 3186 38 mixed mixed JJ 19261 3186 39 pyogenic pyogenic JJ 19261 3186 40 infections infection NNS 19261 3186 41 . . . 19261 3187 1 These these DT 19261 3187 2 same same JJ 19261 3187 3 conditions condition NNS 19261 3187 4 may may MD 19261 3187 5 exist exist VB 19261 3187 6 in in IN 19261 3187 7 the the DT 19261 3187 8 bronchi bronchi NN 19261 3187 9 . . . 19261 3188 1 In in IN 19261 3188 2 a a DT 19261 3188 3 number number NN 19261 3188 4 of of IN 19261 3188 5 instances instance NNS 19261 3188 6 , , , 19261 3188 7 the the DT 19261 3188 8 entire entire JJ 19261 3188 9 lumen luman NNS 19261 3188 10 of of IN 19261 3188 11 the the DT 19261 3188 12 bronchus bronchus NN 19261 3188 13 was be VBD 19261 3188 14 occluded occlude VBN 19261 3188 15 by by IN 19261 3188 16 cheesy cheesy NNP 19261 3188 17 pus pus NNP 19261 3188 18 and and CC 19261 3188 19 debris debris NN 19261 3188 20 of of IN 19261 3188 21 a a DT 19261 3188 22 peribronchial peribronchial JJ 19261 3188 23 gland gland NN 19261 3188 24 which which WDT 19261 3188 25 had have VBD 19261 3188 26 eroded erode VBN 19261 3188 27 through through IN 19261 3188 28 . . . 19261 3189 1 As as IN 19261 3189 2 a a DT 19261 3189 3 rule rule NN 19261 3189 4 , , , 19261 3189 5 the the DT 19261 3189 6 mucosa mucosa NNS 19261 3189 7 of of IN 19261 3189 8 tuberculosis tuberculosis NN 19261 3189 9 is be VBZ 19261 3189 10 pale pale JJ 19261 3189 11 , , , 19261 3189 12 and and CC 19261 3189 13 the the DT 19261 3189 14 pallor pallor NN 19261 3189 15 is be VBZ 19261 3189 16 accentuated accentuate VBN 19261 3189 17 by by IN 19261 3189 18 the the DT 19261 3189 19 rather rather RB 19261 3189 20 bluish bluish JJ 19261 3189 21 streak streak NN 19261 3189 22 of of IN 19261 3189 23 vessels vessel NNS 19261 3189 24 , , , 19261 3189 25 where where WRB 19261 3189 26 these these DT 19261 3189 27 are be VBP 19261 3189 28 visible visible JJ 19261 3189 29 . . . 19261 3190 1 Erosion erosion NN 19261 3190 2 through through IN 19261 3190 3 of of IN 19261 3190 4 peri peri NN 19261 3190 5 - - HYPH 19261 3190 6 bronchial bronchial JJ 19261 3190 7 or or CC 19261 3190 8 peri peri NN 19261 3190 9 - - HYPH 19261 3190 10 tracheal tracheal NN 19261 3190 11 lymph lymph NN 19261 3190 12 masses masse NNS 19261 3190 13 may may MD 19261 3190 14 be be VB 19261 3190 15 associated associate VBN 19261 3190 16 with with IN 19261 3190 17 granulation granulation NN 19261 3190 18 tissue tissue NN 19261 3190 19 , , , 19261 3190 20 usually usually RB 19261 3190 21 of of IN 19261 3190 22 pale pale JJ 19261 3190 23 color color NN 19261 3190 24 , , , 19261 3190 25 but but CC 19261 3190 26 occasionally occasionally RB 19261 3190 27 reddish reddish JJ 19261 3190 28 ; ; : 19261 3190 29 and and CC 19261 3190 30 sometimes sometimes RB 19261 3190 31 oozing ooze VBG 19261 3190 32 of of IN 19261 3190 33 blood blood NN 19261 3190 34 is be VBZ 19261 3190 35 noticed notice VBN 19261 3190 36 . . . 19261 3191 1 A a DT 19261 3191 2 most most RBS 19261 3191 3 common common JJ 19261 3191 4 picture picture NN 19261 3191 5 in in IN 19261 3191 6 tuberculosis tuberculosis NN 19261 3191 7 is be VBZ 19261 3191 8 a a DT 19261 3191 9 broadening broadening NN 19261 3191 10 of of IN 19261 3191 11 the the DT 19261 3191 12 carina carina NN 19261 3191 13 , , , 19261 3191 14 which which WDT 19261 3191 15 may may MD 19261 3191 16 be be VB 19261 3191 17 so so RB 19261 3191 18 marked mark VBN 19261 3191 19 as as IN 19261 3191 20 to to TO 19261 3191 21 obliterate obliterate VB 19261 3191 22 the the DT 19261 3191 23 carina carina NN 19261 3191 24 and and CC 19261 3191 25 to to IN 19261 3191 26 bulge bulge NNP 19261 3191 27 inward inward RB 19261 3191 28 , , , 19261 3191 29 producing produce VBG 19261 3191 30 deformed deformed NNP 19261 3191 31 lumina lumina NNP 19261 3191 32 in in IN 19261 3191 33 both both DT 19261 3191 34 bronchi bronchi NNP 19261 3191 35 . . . 19261 3192 1 Sometimes sometimes RB 19261 3192 2 the the DT 19261 3192 3 lumina lumina NNP 19261 3192 4 are be VBP 19261 3192 5 crescentic crescentic JJ 19261 3192 6 , , , 19261 3192 7 the the DT 19261 3192 8 concavity concavity NN 19261 3192 9 of of IN 19261 3192 10 the the DT 19261 3192 11 crescent crescent NNP 19261 3192 12 being be VBG 19261 3192 13 internal internal JJ 19261 3192 14 , , , 19261 3192 15 that that RB 19261 3192 16 is is RB 19261 3192 17 , , , 19261 3192 18 toward toward IN 19261 3192 19 the the DT 19261 3192 20 median median JJ 19261 3192 21 line line NN 19261 3192 22 . . . 19261 3193 1 Absence absence NN 19261 3193 2 of of IN 19261 3193 3 the the DT 19261 3193 4 normal normal JJ 19261 3193 5 anterior anterior NN 19261 3193 6 and and CC 19261 3193 7 downward downward JJ 19261 3193 8 movement movement NN 19261 3193 9 of of IN 19261 3193 10 the the DT 19261 3193 11 carina carina NN 19261 3193 12 on on IN 19261 3193 13 deep deep JJ 19261 3193 14 inspiration inspiration NN 19261 3193 15 is be VBZ 19261 3193 16 almost almost RB 19261 3193 17 pathognomonic pathognomonic JJ 19261 3193 18 of of IN 19261 3193 19 a a DT 19261 3193 20 mass mass NN 19261 3193 21 at at IN 19261 3193 22 the the DT 19261 3193 23 bifurcation bifurcation NN 19261 3193 24 , , , 19261 3193 25 and and CC 19261 3193 26 such such PDT 19261 3193 27 a a DT 19261 3193 28 mass mass NN 19261 3193 29 is be VBZ 19261 3193 30 usually usually RB 19261 3193 31 tuberculous tuberculous JJ 19261 3193 32 , , , 19261 3193 33 though though IN 19261 3193 34 it -PRON- PRP 19261 3193 35 may may MD 19261 3193 36 be be VB 19261 3193 37 malignant malignant JJ 19261 3193 38 , , , 19261 3193 39 and and CC 19261 3193 40 , , , 19261 3193 41 very very RB 19261 3193 42 rarely rarely RB 19261 3193 43 , , , 19261 3193 44 luetic luetic JJ 19261 3193 45 . . . 19261 3194 1 The the DT 19261 3194 2 only only JJ 19261 3194 3 lesion lesion NN 19261 3194 4 visible visible JJ 19261 3194 5 in in IN 19261 3194 6 a a DT 19261 3194 7 tuberculous tuberculous JJ 19261 3194 8 case case NN 19261 3194 9 may may MD 19261 3194 10 be be VB 19261 3194 11 cicatrices cicatrix NNS 19261 3194 12 from from IN 19261 3194 13 healed heal VBN 19261 3194 14 processes process NNS 19261 3194 15 . . . 19261 3195 1 In in IN 19261 3195 2 a a DT 19261 3195 3 number number NN 19261 3195 4 of of IN 19261 3195 5 cases case NNS 19261 3195 6 there there EX 19261 3195 7 has have VBZ 19261 3195 8 been be VBN 19261 3195 9 a a DT 19261 3195 10 discharge discharge NN 19261 3195 11 of of IN 19261 3195 12 pus pus NNP 19261 3195 13 coming come VBG 19261 3195 14 from from IN 19261 3195 15 the the DT 19261 3195 16 upper upper JJ 19261 3195 17 - - HYPH 19261 3195 18 lobe lobe NN 19261 3195 19 bronchus bronchus NN 19261 3195 20 . . . 19261 3196 1 [ [ -LRB- 19261 3196 2 Fig fig NN 19261 3196 3 . . . 19261 3197 1 96.--The 96.--the CD 19261 3197 2 author author NN 19261 3197 3 's 's POS 19261 3197 4 tampons tampon NNS 19261 3197 5 for for IN 19261 3197 6 pulmonary pulmonary JJ 19261 3197 7 hemostasis hemostasis NN 19261 3197 8 by by IN 19261 3197 9 bronchoscopic bronchoscopic NNP 19261 3197 10 tamponade tamponade NNP 19261 3197 11 . . . 19261 3198 1 The the DT 19261 3198 2 folded fold VBN 19261 3198 3 gauze gauze NN 19261 3198 4 is be VBZ 19261 3198 5 10 10 CD 19261 3198 6 cm cm NNS 19261 3198 7 . . . 19261 3199 1 long long RB 19261 3199 2 ; ; : 19261 3199 3 the the DT 19261 3199 4 braided braid VBN 19261 3199 5 silk silk NN 19261 3199 6 cord cord NN 19261 3199 7 60 60 CD 19261 3199 8 cm cm NNS 19261 3199 9 . . . 19261 3200 1 long long RB 19261 3200 2 . . . 19261 3200 3 ] ] -RRB- 19261 3201 1 _ _ NNP 19261 3201 2 Hemoptysis_.--In Hemoptysis_.--In NNP 19261 3201 3 cases case NNS 19261 3201 4 not not RB 19261 3201 5 demonstrably demonstrably RB 19261 3201 6 tuberculous tuberculous JJ 19261 3201 7 , , , 19261 3201 8 hemoptysis hemoptysis NN 19261 3201 9 may may MD 19261 3201 10 require require VB 19261 3201 11 bronchoscopic bronchoscopic NNP 19261 3201 12 examination examination NN 19261 3201 13 to to TO 19261 3201 14 determine determine VB 19261 3201 15 the the DT 19261 3201 16 origin origin NN 19261 3201 17 . . . 19261 3202 1 Varices varix NNS 19261 3202 2 or or CC 19261 3202 3 unsuspected unsuspected JJ 19261 3202 4 luetic luetic JJ 19261 3202 5 , , , 19261 3202 6 malignant malignant JJ 19261 3202 7 , , , 19261 3202 8 or or CC 19261 3202 9 tuberculous tuberculous JJ 19261 3202 10 lesions lesion NNS 19261 3202 11 may may MD 19261 3202 12 be be VB 19261 3202 13 found find VBN 19261 3202 14 to to TO 19261 3202 15 be be VB 19261 3202 16 the the DT 19261 3202 17 cause cause NN 19261 3202 18 . . . 19261 3203 1 It -PRON- PRP 19261 3203 2 is be VBZ 19261 3203 3 mechanically mechanically RB 19261 3203 4 easy easy JJ 19261 3203 5 to to TO 19261 3203 6 pack pack VB 19261 3203 7 off off RP 19261 3203 8 one one CD 19261 3203 9 bronchus bronchus NN 19261 3203 10 with with IN 19261 3203 11 the the DT 19261 3203 12 author author NN 19261 3203 13 's 's POS 19261 3203 14 packs pack NNS 19261 3203 15 ( ( -LRB- 19261 3203 16 Fig fig NN 19261 3203 17 . . . 19261 3204 1 96 96 CD 19261 3204 2 ) ) -RRB- 19261 3204 3 introduced introduce VBN 19261 3204 4 through through IN 19261 3204 5 the the DT 19261 3204 6 bronchoscope bronchoscope NN 19261 3204 7 , , , 19261 3204 8 but but CC 19261 3204 9 the the DT 19261 3204 10 advisability advisability NN 19261 3204 11 of of IN 19261 3204 12 doing do VBG 19261 3204 13 so so RB 19261 3204 14 requires require VBZ 19261 3204 15 further further JJ 19261 3204 16 clinical clinical JJ 19261 3204 17 tests test NNS 19261 3204 18 . . . 19261 3205 1 _ _ NNP 19261 3205 2 Angioneurotic angioneurotic JJ 19261 3205 3 Edema_.--Angioneurotic edema_.--angioneurotic JJ 19261 3205 4 edema edema NN 19261 3205 5 manifests manifest VBZ 19261 3205 6 itself -PRON- PRP 19261 3205 7 by by IN 19261 3205 8 a a DT 19261 3205 9 pale pale JJ 19261 3205 10 or or CC 19261 3205 11 red red JJ 19261 3205 12 swollen swollen JJ 19261 3205 13 mucosa mucosa NNS 19261 3205 14 producing produce VBG 19261 3205 15 stenosis stenosis NN 19261 3205 16 of of IN 19261 3205 17 the the DT 19261 3205 18 lumen luman NNS 19261 3205 19 . . . 19261 3206 1 The the DT 19261 3206 2 temporary temporary JJ 19261 3206 3 character character NN 19261 3206 4 of of IN 19261 3206 5 the the DT 19261 3206 6 lesion lesion NN 19261 3206 7 and and CC 19261 3206 8 its -PRON- PRP$ 19261 3206 9 appearance appearance NN 19261 3206 10 in in IN 19261 3206 11 other other JJ 19261 3206 12 regions region NNS 19261 3206 13 confirm confirm VBP 19261 3206 14 the the DT 19261 3206 15 diagnosis diagnosis NN 19261 3206 16 . . . 19261 3207 1 _ _ NNP 19261 3207 2 Scleroma Scleroma NNP 19261 3207 3 of of IN 19261 3207 4 the the DT 19261 3207 5 trachea trachea NN 19261 3207 6 _ _ NNP 19261 3207 7 is be VBZ 19261 3207 8 characterized characterize VBN 19261 3207 9 by by IN 19261 3207 10 infiltration infiltration NN 19261 3207 11 of of IN 19261 3207 12 the the DT 19261 3207 13 tracheal tracheal NN 19261 3207 14 mucosa mucosa NNS 19261 3207 15 , , , 19261 3207 16 which which WDT 19261 3207 17 greatly greatly RB 19261 3207 18 narrows narrow VBZ 19261 3207 19 the the DT 19261 3207 20 lumen luman NNS 19261 3207 21 . . . 19261 3208 1 The the DT 19261 3208 2 infiltration infiltration NN 19261 3208 3 may may MD 19261 3208 4 be be VB 19261 3208 5 limited limit VBN 19261 3208 6 in in IN 19261 3208 7 area area NN 19261 3208 8 and and CC 19261 3208 9 produce produce VBP 19261 3208 10 a a DT 19261 3208 11 single single JJ 19261 3208 12 stricture stricture NN 19261 3208 13 , , , 19261 3208 14 or or CC 19261 3208 15 it -PRON- PRP 19261 3208 16 may may MD 19261 3208 17 involve involve VB 19261 3208 18 the the DT 19261 3208 19 entire entire JJ 19261 3208 20 trachea trachea NN 19261 3208 21 and and CC 19261 3208 22 even even RB 19261 3208 23 close close VB 19261 3208 24 a a DT 19261 3208 25 bronchial bronchial JJ 19261 3208 26 orifice orifice NN 19261 3208 27 . . . 19261 3209 1 Drying drying NN 19261 3209 2 and and CC 19261 3209 3 crusting crusting NN 19261 3209 4 of of IN 19261 3209 5 secretions secretion NNS 19261 3209 6 renders render VBZ 19261 3209 7 the the DT 19261 3209 8 stenosis stenosis NN 19261 3209 9 still still RB 19261 3209 10 more more RBR 19261 3209 11 distressing distressing JJ 19261 3209 12 . . . 19261 3210 1 This this DT 19261 3210 2 disease disease NN 19261 3210 3 is be VBZ 19261 3210 4 but but CC 19261 3210 5 rarely rarely RB 19261 3210 6 encountered encounter VBN 19261 3210 7 in in IN 19261 3210 8 America America NNP 19261 3210 9 but but CC 19261 3210 10 is be VBZ 19261 3210 11 not not RB 19261 3210 12 infrequent infrequent JJ 19261 3210 13 in in IN 19261 3210 14 some some DT 19261 3210 15 parts part NNS 19261 3210 16 of of IN 19261 3210 17 Europe Europe NNP 19261 3210 18 . . . 19261 3211 1 Treatment treatment NN 19261 3211 2 consists consist VBZ 19261 3211 3 in in IN 19261 3211 4 the the DT 19261 3211 5 prevention prevention NN 19261 3211 6 of of IN 19261 3211 7 crusts crust NNS 19261 3211 8 and and CC 19261 3211 9 their -PRON- PRP$ 19261 3211 10 removal removal NN 19261 3211 11 . . . 19261 3212 1 Limited limited JJ 19261 3212 2 stenotic stenotic JJ 19261 3212 3 areas area NNS 19261 3212 4 may may MD 19261 3212 5 yield yield VB 19261 3212 6 to to IN 19261 3212 7 bronchoscopic bronchoscopic NNP 19261 3212 8 bouginage bouginage NNP 19261 3212 9 . . . 19261 3213 1 Urgent urgent JJ 19261 3213 2 dyspnea dyspnea JJ 19261 3213 3 calls call NNS 19261 3213 4 for for IN 19261 3213 5 tracheotomy tracheotomy NN 19261 3213 6 . . . 19261 3214 1 Radium radium NN 19261 3214 2 and and CC 19261 3214 3 roentgenray roentgenray JJ 19261 3214 4 therapy therapy NN 19261 3214 5 have have VBP 19261 3214 6 been be VBN 19261 3214 7 advised advise VBN 19261 3214 8 , , , 19261 3214 9 and and CC 19261 3214 10 cure cure NN 19261 3214 11 has have VBZ 19261 3214 12 been be VBN 19261 3214 13 reported report VBN 19261 3214 14 by by IN 19261 3214 15 intravenous intravenous JJ 19261 3214 16 salvarsan salvarsan JJ 19261 3214 17 treatment treatment NN 19261 3214 18 ( ( -LRB- 19261 3214 19 see see VB 19261 3214 20 article article NN 19261 3214 21 by by IN 19261 3214 22 S. S. NNP 19261 3214 23 Shelton Shelton NNP 19261 3214 24 Watkins Watkins NNP 19261 3214 25 , , , 19261 3214 26 on on IN 19261 3214 27 Scleroma Scleroma NNP 19261 3214 28 in in IN 19261 3214 29 Surg Surg NNP 19261 3214 30 . . . 19261 3215 1 Gynecol Gynecol NNP 19261 3215 2 . . . 19261 3216 1 and and CC 19261 3216 2 Obst Obst NNP 19261 3216 3 . . . 19261 3216 4 , , , 19261 3216 5 July July NNP 19261 3216 6 , , , 19261 3216 7 1921 1921 CD 19261 3216 8 , , , 19261 3216 9 p. p. NN 19261 3216 10 47 47 CD 19261 3216 11 ) ) -RRB- 19261 3216 12 . . . 19261 3217 1 _ _ NNP 19261 3217 2 Atrophic Atrophic NNP 19261 3217 3 tracheitis tracheitis NN 19261 3217 4 _ _ NNP 19261 3217 5 , , , 19261 3217 6 with with IN 19261 3217 7 symptoms symptom NNS 19261 3217 8 quite quite RB 19261 3217 9 similar similar JJ 19261 3217 10 to to IN 19261 3217 11 atrophic atrophic JJ 19261 3217 12 rhinitis rhinitis NN 19261 3217 13 is be VBZ 19261 3217 14 a a DT 19261 3217 15 not not RB 19261 3217 16 unusual unusual JJ 19261 3217 17 accompaniment accompaniment NN 19261 3217 18 of of IN 19261 3217 19 the the DT 19261 3217 20 nasal nasal NN 19261 3217 21 condition condition NN 19261 3217 22 . . . 19261 3218 1 It -PRON- PRP 19261 3218 2 may may MD 19261 3218 3 also also RB 19261 3218 4 exist exist VB 19261 3218 5 without without IN 19261 3218 6 nasal nasal NN 19261 3218 7 involvement involvement NN 19261 3218 8 . . . 19261 3219 1 On on IN 19261 3219 2 tracheoscopy tracheoscopy NN 19261 3219 3 the the DT 19261 3219 4 mucosa mucosa NNS 19261 3219 5 is be VBZ 19261 3219 6 thinned thin VBN 19261 3219 7 , , , 19261 3219 8 pale pale JJ 19261 3219 9 and and CC 19261 3219 10 dry dry JJ 19261 3219 11 , , , 19261 3219 12 and and CC 19261 3219 13 is be VBZ 19261 3219 14 covered cover VBN 19261 3219 15 with with IN 19261 3219 16 patches patch NNS 19261 3219 17 of of IN 19261 3219 18 thick thick JJ 19261 3219 19 mucilaginous mucilaginous JJ 19261 3219 20 secretion secretion NN 19261 3219 21 and and CC 19261 3219 22 crusts crust NNS 19261 3219 23 . . . 19261 3220 1 Decomposition decomposition NN 19261 3220 2 of of IN 19261 3220 3 secretion secretion NN 19261 3220 4 produces produce VBZ 19261 3220 5 tracheal tracheal NN 19261 3220 6 " " `` 19261 3220 7 ozena ozena NNP 19261 3220 8 , , , 19261 3220 9 " " '' 19261 3220 10 while while IN 19261 3220 11 the the DT 19261 3220 12 accumulated accumulate VBN 19261 3220 13 crusts crust NNS 19261 3220 14 give give VBP 19261 3220 15 rise rise NN 19261 3220 16 to to IN 19261 3220 17 the the DT 19261 3220 18 sensation sensation NN 19261 3220 19 of of IN 19261 3220 20 a a DT 19261 3220 21 foreign foreign JJ 19261 3220 22 body body NN 19261 3220 23 and and CC 19261 3220 24 may may MD 19261 3220 25 seriously seriously RB 19261 3220 26 interfere interfere VB 19261 3220 27 with with IN 19261 3220 28 respiration respiration NN 19261 3220 29 , , , 19261 3220 30 making make VBG 19261 3220 31 bronchoscopic bronchoscopic NNP 19261 3220 32 removal removal NNP 19261 3220 33 imperative imperative JJ 19261 3220 34 . . . 19261 3221 1 The the DT 19261 3221 2 associated associated JJ 19261 3221 3 development development NN 19261 3221 4 of of IN 19261 3221 5 tracheal tracheal NN 19261 3221 6 nodular nodular JJ 19261 3221 7 enchondromata enchondromata NN 19261 3221 8 has have VBZ 19261 3221 9 been be VBN 19261 3221 10 described describe VBN 19261 3221 11 . . . 19261 3222 1 The the DT 19261 3222 2 internal internal JJ 19261 3222 3 administration administration NNP 19261 3222 4 of of IN 19261 3222 5 iodine iodine NNP 19261 3222 6 and and CC 19261 3222 7 the the DT 19261 3222 8 intratracheal intratracheal NN 19261 3222 9 injection injection NN 19261 3222 10 of of IN 19261 3222 11 bland bland JJ 19261 3222 12 oily oily JJ 19261 3222 13 solutions solution NNS 19261 3222 14 of of IN 19261 3222 15 menthol menthol NNP 19261 3222 16 , , , 19261 3222 17 guaiacol guaiacol JJ 19261 3222 18 , , , 19261 3222 19 or or CC 19261 3222 20 gomenol gomenol NNS 19261 3222 21 are be VBP 19261 3222 22 helpful helpful JJ 19261 3222 23 . . . 19261 3223 1 [ [ -LRB- 19261 3223 2 235 235 CD 19261 3223 3 ] ] -RRB- 19261 3223 4 CHAPTER CHAPTER NNP 19261 3223 5 XXX XXX NNP 19261 3223 6 -- -- : 19261 3223 7 DISEASES diseases NN 19261 3223 8 OF of IN 19261 3223 9 THE the DT 19261 3223 10 ESOPHAGUS esophagus NN 19261 3223 11 The the DT 19261 3223 12 more more RBR 19261 3223 13 frequent frequent JJ 19261 3223 14 causes cause NNS 19261 3223 15 of of IN 19261 3223 16 the the DT 19261 3223 17 one one CD 19261 3223 18 common common JJ 19261 3223 19 symptom symptom NN 19261 3223 20 of of IN 19261 3223 21 esophageal esophageal JJ 19261 3223 22 disease disease NN 19261 3223 23 , , , 19261 3223 24 dysphagia dysphagia NNP 19261 3223 25 , , , 19261 3223 26 are be VBP 19261 3223 27 included include VBN 19261 3223 28 in in IN 19261 3223 29 the the DT 19261 3223 30 list list NN 19261 3223 31 given give VBN 19261 3223 32 below below RB 19261 3223 33 . . . 19261 3224 1 To to TO 19261 3224 2 avoid avoid VB 19261 3224 3 elaboration elaboration NN 19261 3224 4 and and CC 19261 3224 5 to to TO 19261 3224 6 obtain obtain VB 19261 3224 7 maximum maximum JJ 19261 3224 8 usefulness usefulness NN 19261 3224 9 as as IN 19261 3224 10 a a DT 19261 3224 11 reminder reminder NN 19261 3224 12 , , , 19261 3224 13 overlapping overlapping NN 19261 3224 14 has have VBZ 19261 3224 15 not not RB 19261 3224 16 been be VBN 19261 3224 17 eliminated eliminate VBN 19261 3224 18 . . . 19261 3225 1 1 1 LS 19261 3225 2 . . . 19261 3226 1 Anomalies anomaly NNS 19261 3226 2 . . . 19261 3227 1 2 2 LS 19261 3227 2 . . . 19261 3228 1 Esophagitis Esophagitis NNP 19261 3228 2 , , , 19261 3228 3 acute acute JJ 19261 3228 4 . . . 19261 3229 1 3 3 LS 19261 3229 2 . . . 19261 3230 1 Esophagitis Esophagitis NNP 19261 3230 2 , , , 19261 3230 3 chronic chronic JJ 19261 3230 4 . . . 19261 3231 1 4 4 LS 19261 3231 2 . . . 19261 3232 1 Erosion erosion NN 19261 3232 2 . . . 19261 3233 1 5 5 CD 19261 3233 2 . . . 19261 3234 1 Ulceration ulceration NN 19261 3234 2 . . . 19261 3235 1 6 6 CD 19261 3235 2 . . . 19261 3236 1 Trauma Trauma NNP 19261 3236 2 . . . 19261 3237 1 7 7 LS 19261 3237 2 . . . 19261 3238 1 Stricture stricture NN 19261 3238 2 , , , 19261 3238 3 congenital congenital JJ 19261 3238 4 . . . 19261 3239 1 8 8 LS 19261 3239 2 . . . 19261 3240 1 Stricture stricture NN 19261 3240 2 , , , 19261 3240 3 spasmodic spasmodic JJ 19261 3240 4 , , , 19261 3240 5 including include VBG 19261 3240 6 cramp cramp NN 19261 3240 7 of of IN 19261 3240 8 the the DT 19261 3240 9 diaphragmatic diaphragmatic JJ 19261 3240 10 pinchcock pinchcock NN 19261 3240 11 . . . 19261 3241 1 9 9 CD 19261 3241 2 . . . 19261 3242 1 Stricture stricture NN 19261 3242 2 , , , 19261 3242 3 inflammatory inflammatory JJ 19261 3242 4 . . . 19261 3243 1 10 10 CD 19261 3243 2 . . . 19261 3244 1 Stricture stricture NN 19261 3244 2 , , , 19261 3244 3 cicatricial cicatricial NN 19261 3244 4 . . . 19261 3245 1 11 11 CD 19261 3245 2 . . . 19261 3246 1 Dilatation dilatation NN 19261 3246 2 , , , 19261 3246 3 local local JJ 19261 3246 4 . . . 19261 3247 1 12 12 CD 19261 3247 2 . . . 19261 3248 1 Dilatation dilatation NN 19261 3248 2 , , , 19261 3248 3 diffuse diffuse NN 19261 3248 4 . . . 19261 3249 1 13 13 CD 19261 3249 2 . . . 19261 3250 1 Diverticulum Diverticulum NNP 19261 3250 2 . . . 19261 3251 1 14 14 CD 19261 3251 2 . . . 19261 3252 1 Compression compression NN 19261 3252 2 stenosis stenosis NN 19261 3252 3 . . . 19261 3253 1 15 15 CD 19261 3253 2 . . . 19261 3254 1 Mediastinal mediastinal JJ 19261 3254 2 tumor tumor NN 19261 3254 3 . . . 19261 3255 1 16 16 CD 19261 3255 2 . . . 19261 3256 1 Mediastinal mediastinal JJ 19261 3256 2 abscess abscess NN 19261 3256 3 . . . 19261 3257 1 17 17 CD 19261 3257 2 . . . 19261 3258 1 Mediastinal mediastinal JJ 19261 3258 2 glandular glandular JJ 19261 3258 3 mass mass NN 19261 3258 4 . . . 19261 3259 1 18 18 CD 19261 3259 2 . . . 19261 3260 1 Aneurysm Aneurysm NNS 19261 3260 2 . . . 19261 3261 1 19 19 CD 19261 3261 2 . . . 19261 3262 1 Malignant malignant JJ 19261 3262 2 neoplasm neoplasm NN 19261 3262 3 . . . 19261 3263 1 20 20 CD 19261 3263 2 . . . 19261 3264 1 Benign benign JJ 19261 3264 2 neoplasm neoplasm NN 19261 3264 3 . . . 19261 3265 1 21 21 CD 19261 3265 2 . . . 19261 3266 1 Tuberculosis tuberculosis NN 19261 3266 2 . . . 19261 3267 1 22 22 CD 19261 3267 2 . . . 19261 3268 1 Lues lue NNS 19261 3268 2 . . . 19261 3269 1 23 23 CD 19261 3269 2 . . . 19261 3270 1 Actinomycosis actinomycosis NN 19261 3270 2 . . . 19261 3271 1 24 24 CD 19261 3271 2 . . . 19261 3272 1 Varix Varix NNP 19261 3272 2 . . . 19261 3273 1 25 25 CD 19261 3273 2 . . . 19261 3274 1 Angioneurotic angioneurotic JJ 19261 3274 2 edema edema NN 19261 3274 3 . . . 19261 3275 1 26 26 CD 19261 3275 2 . . . 19261 3276 1 Hysteria Hysteria NNP 19261 3276 2 . . . 19261 3277 1 27 27 CD 19261 3277 2 . . . 19261 3278 1 Functional functional JJ 19261 3278 2 antiperistalsis antiperistalsis NN 19261 3278 3 . . . 19261 3279 1 28 28 CD 19261 3279 2 . . . 19261 3280 1 Paralysis paralysis NN 19261 3280 2 . . . 19261 3281 1 29 29 CD 19261 3281 2 . . . 19261 3282 1 Foreign foreign JJ 19261 3282 2 body body NN 19261 3282 3 in in IN 19261 3282 4 ( ( -LRB- 19261 3282 5 a a DT 19261 3282 6 ) ) -RRB- 19261 3282 7 pharynx pharynx NN 19261 3282 8 , , , 19261 3282 9 ( ( -LRB- 19261 3282 10 b b NN 19261 3282 11 ) ) -RRB- 19261 3282 12 larynx larynx NNP 19261 3282 13 , , , 19261 3282 14 ( ( -LRB- 19261 3282 15 c c NN 19261 3282 16 ) ) -RRB- 19261 3282 17 trachea trachea NN 19261 3282 18 , , , 19261 3282 19 ( ( -LRB- 19261 3282 20 d d NN 19261 3282 21 ) ) -RRB- 19261 3282 22 esophagus esophagus FW 19261 3282 23 . . . 19261 3283 1 [ [ -LRB- 19261 3283 2 236 236 CD 19261 3283 3 ] ] -RRB- 19261 3283 4 _ _ NNP 19261 3283 5 Diagnosis_.--The Diagnosis_.--The NNP 19261 3283 6 swallowing swallow VBG 19261 3283 7 function function NN 19261 3283 8 can can MD 19261 3283 9 be be VB 19261 3283 10 studied study VBN 19261 3283 11 only only RB 19261 3283 12 with with IN 19261 3283 13 the the DT 19261 3283 14 fluoroscope fluoroscope NN 19261 3283 15 ; ; : 19261 3283 16 esophagoscopy esophagoscopy RB 19261 3283 17 for for IN 19261 3283 18 diagnosis diagnosis NN 19261 3283 19 , , , 19261 3283 20 should should MD 19261 3283 21 therefore therefore RB 19261 3283 22 always always RB 19261 3283 23 be be VB 19261 3283 24 preceded precede VBN 19261 3283 25 by by IN 19261 3283 26 a a DT 19261 3283 27 fluoroscopic fluoroscopic JJ 19261 3283 28 study study NN 19261 3283 29 of of IN 19261 3283 30 deglutition deglutition NN 19261 3283 31 with with IN 19261 3283 32 a a DT 19261 3283 33 barium barium NN 19261 3283 34 or or CC 19261 3283 35 other other JJ 19261 3283 36 opaque opaque JJ 19261 3283 37 mixture mixture NN 19261 3283 38 and and CC 19261 3283 39 examination examination NN 19261 3283 40 of of IN 19261 3283 41 the the DT 19261 3283 42 thoracic thoracic NNP 19261 3283 43 organs organ NNS 19261 3283 44 to to TO 19261 3283 45 eliminate eliminate VB 19261 3283 46 external external JJ 19261 3283 47 pressure pressure NN 19261 3283 48 on on IN 19261 3283 49 the the DT 19261 3283 50 esophagus esophagus NN 19261 3283 51 as as IN 19261 3283 52 the the DT 19261 3283 53 cause cause NN 19261 3283 54 of of IN 19261 3283 55 stenosis stenosis NN 19261 3283 56 . . . 19261 3284 1 Complete complete JJ 19261 3284 2 physical physical JJ 19261 3284 3 examination examination NN 19261 3284 4 and and CC 19261 3284 5 Wassermann Wassermann NNP 19261 3284 6 reaction reaction NN 19261 3284 7 are be VBP 19261 3284 8 further further JJ 19261 3284 9 routine routine JJ 19261 3284 10 preliminaries preliminary NNS 19261 3284 11 to to IN 19261 3284 12 any any DT 19261 3284 13 esophagoscopy esophagoscopy NN 19261 3284 14 . . . 19261 3285 1 Special special JJ 19261 3285 2 laboratory laboratory NN 19261 3285 3 tests test NNS 19261 3285 4 are be VBP 19261 3285 5 done do VBN 19261 3285 6 as as IN 19261 3285 7 may may MD 19261 3285 8 be be VB 19261 3285 9 indicated indicate VBN 19261 3285 10 . . . 19261 3286 1 The the DT 19261 3286 2 physical physical JJ 19261 3286 3 examination examination NN 19261 3286 4 is be VBZ 19261 3286 5 meant mean VBN 19261 3286 6 to to TO 19261 3286 7 include include VB 19261 3286 8 a a DT 19261 3286 9 careful careful JJ 19261 3286 10 examination examination NN 19261 3286 11 of of IN 19261 3286 12 the the DT 19261 3286 13 lips lip NNS 19261 3286 14 , , , 19261 3286 15 tongue tongue NN 19261 3286 16 , , , 19261 3286 17 palate palate NN 19261 3286 18 , , , 19261 3286 19 pharynx pharynx NN 19261 3286 20 , , , 19261 3286 21 and and CC 19261 3286 22 a a DT 19261 3286 23 mirror mirror NN 19261 3286 24 examination examination NN 19261 3286 25 of of IN 19261 3286 26 the the DT 19261 3286 27 larynx larynx NN 19261 3286 28 when when WRB 19261 3286 29 age age NN 19261 3286 30 permits permit VBZ 19261 3286 31 . . . 19261 3287 1 _ _ NNP 19261 3287 2 Indications Indications NNPS 19261 3287 3 for for IN 19261 3287 4 Esophagoscopy Esophagoscopy NNP 19261 3287 5 in in IN 19261 3287 6 Disease_.--Any disease_.--any DT 19261 3287 7 persistent persistent JJ 19261 3287 8 abnormal abnormal JJ 19261 3287 9 sensation sensation NN 19261 3287 10 or or CC 19261 3287 11 disturbance disturbance NN 19261 3287 12 of of IN 19261 3287 13 function function NN 19261 3287 14 of of IN 19261 3287 15 the the DT 19261 3287 16 esophagus esophagus NN 19261 3287 17 calls call VBZ 19261 3287 18 for for IN 19261 3287 19 esophagoscopy esophagoscopy NN 19261 3287 20 . . . 19261 3288 1 Vague vague JJ 19261 3288 2 stomach stomach NN 19261 3288 3 symptoms symptom NNS 19261 3288 4 may may MD 19261 3288 5 prove prove VB 19261 3288 6 to to TO 19261 3288 7 be be VB 19261 3288 8 esophageal esophageal JJ 19261 3288 9 in in IN 19261 3288 10 origin origin NN 19261 3288 11 , , , 19261 3288 12 for for IN 19261 3288 13 vomiting vomiting NN 19261 3288 14 is be VBZ 19261 3288 15 often often RB 19261 3288 16 a a DT 19261 3288 17 complaint complaint NN 19261 3288 18 when when WRB 19261 3288 19 the the DT 19261 3288 20 patient patient NN 19261 3288 21 really really RB 19261 3288 22 regurgitates regurgitate VBZ 19261 3288 23 . . . 19261 3289 1 _ _ NNP 19261 3289 2 Contraindications Contraindications NNPS 19261 3289 3 to to IN 19261 3289 4 Esophagoscopy_.--In esophagoscopy_.--in VB 19261 3289 5 the the DT 19261 3289 6 presence presence NN 19261 3289 7 of of IN 19261 3289 8 aneurysm aneurysm NNS 19261 3289 9 , , , 19261 3289 10 advanced advanced JJ 19261 3289 11 organic organic JJ 19261 3289 12 disease disease NN 19261 3289 13 , , , 19261 3289 14 extensive extensive JJ 19261 3289 15 esophageal esophageal JJ 19261 3289 16 varicosities varicosity NNS 19261 3289 17 , , , 19261 3289 18 acute acute JJ 19261 3289 19 necrotic necrotic JJ 19261 3289 20 or or CC 19261 3289 21 corrosive corrosive JJ 19261 3289 22 esophagitis esophagitis NN 19261 3289 23 , , , 19261 3289 24 esophagoscopy esophagoscopy RB 19261 3289 25 should should MD 19261 3289 26 not not RB 19261 3289 27 be be VB 19261 3289 28 done do VBN 19261 3289 29 except except IN 19261 3289 30 for for IN 19261 3289 31 urgent urgent JJ 19261 3289 32 reasons reason NNS 19261 3289 33 , , , 19261 3289 34 such such JJ 19261 3289 35 as as IN 19261 3289 36 the the DT 19261 3289 37 lodgment lodgment NN 19261 3289 38 of of IN 19261 3289 39 a a DT 19261 3289 40 foreign foreign JJ 19261 3289 41 body body NN 19261 3289 42 ; ; : 19261 3289 43 and and CC 19261 3289 44 in in IN 19261 3289 45 this this DT 19261 3289 46 case case NN 19261 3289 47 the the DT 19261 3289 48 esophagoscopy esophagoscopy NN 19261 3289 49 may may MD 19261 3289 50 be be VB 19261 3289 51 postponed postpone VBN 19261 3289 52 , , , 19261 3289 53 if if IN 19261 3289 54 necessary necessary JJ 19261 3289 55 , , , 19261 3289 56 unless unless IN 19261 3289 57 the the DT 19261 3289 58 patient patient NN 19261 3289 59 is be VBZ 19261 3289 60 unable unable JJ 19261 3289 61 to to TO 19261 3289 62 swallow swallow VB 19261 3289 63 fluids fluid NNS 19261 3289 64 . . . 19261 3290 1 Esophagoscopy esophagoscopy NN 19261 3290 2 should should MD 19261 3290 3 be be VB 19261 3290 4 deferred defer VBN 19261 3290 5 , , , 19261 3290 6 in in IN 19261 3290 7 cases case NNS 19261 3290 8 of of IN 19261 3290 9 acute acute JJ 19261 3290 10 esophagitis esophagitis NN 19261 3290 11 from from IN 19261 3290 12 swallowing swallow VBG 19261 3290 13 of of IN 19261 3290 14 caustics caustic NNS 19261 3290 15 , , , 19261 3290 16 until until IN 19261 3290 17 sloughing sloughing NNP 19261 3290 18 has have VBZ 19261 3290 19 ceased cease VBN 19261 3290 20 and and CC 19261 3290 21 healing healing NN 19261 3290 22 has have VBZ 19261 3290 23 strengthened strengthen VBN 19261 3290 24 the the DT 19261 3290 25 weak weak JJ 19261 3290 26 places place NNS 19261 3290 27 . . . 19261 3291 1 The the DT 19261 3291 2 extremes extreme NNS 19261 3291 3 of of IN 19261 3291 4 age age NN 19261 3291 5 are be VBP 19261 3291 6 not not RB 19261 3291 7 contraindications contraindication NNS 19261 3291 8 to to TO 19261 3291 9 esophagoscopy esophagoscopy VB 19261 3291 10 . . . 19261 3292 1 A a DT 19261 3292 2 number number NN 19261 3292 3 of of IN 19261 3292 4 newborn newborn JJ 19261 3292 5 infants infant NNS 19261 3292 6 have have VBP 19261 3292 7 been be VBN 19261 3292 8 esophagoscoped esophagoscope VBN 19261 3292 9 by by IN 19261 3292 10 the the DT 19261 3292 11 author author NN 19261 3292 12 ; ; : 19261 3292 13 and and CC 19261 3292 14 he -PRON- PRP 19261 3292 15 has have VBZ 19261 3292 16 removed remove VBN 19261 3292 17 foreign foreign JJ 19261 3292 18 bodies body NNS 19261 3292 19 from from IN 19261 3292 20 patients patient NNS 19261 3292 21 over over IN 19261 3292 22 80 80 CD 19261 3292 23 years year NNS 19261 3292 24 of of IN 19261 3292 25 age age NN 19261 3292 26 . . . 19261 3293 1 _ _ NNP 19261 3293 2 Water Water NNP 19261 3293 3 starvation starvation NN 19261 3293 4 _ _ NNP 19261 3293 5 makes make VBZ 19261 3293 6 the the DT 19261 3293 7 patient patient NN 19261 3293 8 a a DT 19261 3293 9 very very RB 19261 3293 10 bad bad JJ 19261 3293 11 surgical surgical JJ 19261 3293 12 subject subject NN 19261 3293 13 , , , 19261 3293 14 and and CC 19261 3293 15 is be VBZ 19261 3293 16 a a DT 19261 3293 17 distinct distinct JJ 19261 3293 18 contraindication contraindication NN 19261 3293 19 to to TO 19261 3293 20 esophagoscopy esophagoscopy VB 19261 3293 21 . . . 19261 3294 1 Water water NN 19261 3294 2 must must MD 19261 3294 3 be be VB 19261 3294 4 supplied supply VBN 19261 3294 5 by by IN 19261 3294 6 means mean NNS 19261 3294 7 of of IN 19261 3294 8 proctoclysis proctoclysis NN 19261 3294 9 and and CC 19261 3294 10 hypodermoclysis hypodermoclysis NN 19261 3294 11 before before IN 19261 3294 12 any any DT 19261 3294 13 endoscopic endoscopic JJ 19261 3294 14 or or CC 19261 3294 15 surgical surgical JJ 19261 3294 16 procedure procedure NN 19261 3294 17 is be VBZ 19261 3294 18 attempted attempt VBN 19261 3294 19 . . . 19261 3295 1 If if IN 19261 3295 2 the the DT 19261 3295 3 esophageal esophageal JJ 19261 3295 4 stenosis stenosis NN 19261 3295 5 is be VBZ 19261 3295 6 not not RB 19261 3295 7 readily readily RB 19261 3295 8 and and CC 19261 3295 9 quickly quickly RB 19261 3295 10 remediable remediable JJ 19261 3295 11 , , , 19261 3295 12 gastrostomy gastrostomy NNP 19261 3295 13 should should MD 19261 3295 14 be be VB 19261 3295 15 done do VBN 19261 3295 16 immediately immediately RB 19261 3295 17 . . . 19261 3296 1 _ _ NNP 19261 3296 2 Rectal Rectal NNP 19261 3296 3 feeding feed VBG 19261 3296 4 _ _ NNP 19261 3296 5 will will MD 19261 3296 6 supply supply VB 19261 3296 7 water water NN 19261 3296 8 for for IN 19261 3296 9 a a DT 19261 3296 10 limited limited JJ 19261 3296 11 time time NN 19261 3296 12 , , , 19261 3296 13 but but CC 19261 3296 14 for for IN 19261 3296 15 nutrient nutrient NN 19261 3296 16 purposes purpose NNS 19261 3296 17 rectal rectal JJ 19261 3296 18 alimentation alimentation NN 19261 3296 19 is be VBZ 19261 3296 20 dangerously dangerously RB 19261 3296 21 inefficient inefficient JJ 19261 3296 22 . . . 19261 3297 1 _ _ NNP 19261 3297 2 Preliminary preliminary JJ 19261 3297 3 examination examination NN 19261 3297 4 of of IN 19261 3297 5 the the DT 19261 3297 6 pharynx pharynx NN 19261 3297 7 and and CC 19261 3297 8 larynx larynx NN 19261 3297 9 with with IN 19261 3297 10 tongue tongue NN 19261 3297 11 depressor depressor NN 19261 3297 12 _ _ NNP 19261 3297 13 should should MD 19261 3297 14 always always RB 19261 3297 15 precede precede VB 19261 3297 16 esophagoscopy esophagoscopy RB 19261 3297 17 , , , 19261 3297 18 for for IN 19261 3297 19 any any DT 19261 3297 20 purpose purpose NN 19261 3297 21 , , , 19261 3297 22 because because IN 19261 3297 23 the the DT 19261 3297 24 symptoms symptom NNS 19261 3297 25 may may MD 19261 3297 26 be be VB 19261 3297 27 due due JJ 19261 3297 28 to to TO 19261 3297 29 laryngeal laryngeal VB 19261 3297 30 or or CC 19261 3297 31 pharyngeal pharyngeal NN 19261 3297 32 disease disease NN 19261 3297 33 that that WDT 19261 3297 34 might may MD 19261 3297 35 be be VB 19261 3297 36 overlooked overlook VBN 19261 3297 37 in in IN 19261 3297 38 passing pass VBG 19261 3297 39 the the DT 19261 3297 40 esophagoscope esophagoscope NN 19261 3297 41 . . . 19261 3298 1 A a DT 19261 3298 2 high high JJ 19261 3298 3 degree degree NN 19261 3298 4 of of IN 19261 3298 5 esophageal esophageal JJ 19261 3298 6 stenosis stenosis NN 19261 3298 7 results result NNS 19261 3298 8 in in IN 19261 3298 9 retention retention NN 19261 3298 10 in in IN 19261 3298 11 the the DT 19261 3298 12 suprajacent suprajacent NN 19261 3298 13 esophagus esophagus NN 19261 3298 14 of of IN 19261 3298 15 the the DT 19261 3298 16 fluids fluid NNS 19261 3298 17 which which WDT 19261 3298 18 normally normally RB 19261 3298 19 are be VBP 19261 3298 20 continually continually RB 19261 3298 21 flowing flow VBG 19261 3298 22 downward downward RB 19261 3298 23 . . . 19261 3299 1 The the DT 19261 3299 2 pyriform pyriform NN 19261 3299 3 sinuses sinuse VBZ 19261 3299 4 in in IN 19261 3299 5 these these DT 19261 3299 6 cases case NNS 19261 3299 7 are be VBP 19261 3299 8 seen see VBN 19261 3299 9 with with IN 19261 3299 10 the the DT 19261 3299 11 laryngeal laryngeal NN 19261 3299 12 mirror mirror NN 19261 3299 13 to to TO 19261 3299 14 be be VB 19261 3299 15 filled fill VBN 19261 3299 16 with with IN 19261 3299 17 frothy frothy JJ 19261 3299 18 secretion secretion NN 19261 3299 19 ( ( -LRB- 19261 3299 20 Jackson Jackson NNP 19261 3299 21 's 's POS 19261 3299 22 sign sign NN 19261 3299 23 of of IN 19261 3299 24 esophageal esophageal JJ 19261 3299 25 stenosis stenosis NN 19261 3299 26 ) ) -RRB- 19261 3299 27 and and CC 19261 3299 28 this this DT 19261 3299 29 secretion secretion NN 19261 3299 30 may may MD 19261 3299 31 sometimes sometimes RB 19261 3299 32 be be VB 19261 3299 33 seen see VBN 19261 3299 34 trickling trickle VBG 19261 3299 35 into into IN 19261 3299 36 the the DT 19261 3299 37 larynx larynx NN 19261 3299 38 . . . 19261 3300 1 This this DT 19261 3300 2 overflow overflow IN 19261 3300 3 into into IN 19261 3300 4 the the DT 19261 3300 5 larynx larynx NN 19261 3300 6 and and CC 19261 3300 7 lower low JJR 19261 3300 8 air air NN 19261 3300 9 passages passage NNS 19261 3300 10 is be VBZ 19261 3300 11 often often RB 19261 3300 12 the the DT 19261 3300 13 cause cause NN 19261 3300 14 of of IN 19261 3300 15 pulmonary pulmonary JJ 19261 3300 16 symptoms symptom NNS 19261 3300 17 , , , 19261 3300 18 which which WDT 19261 3300 19 are be VBP 19261 3300 20 thus thus RB 19261 3300 21 strictly strictly RB 19261 3300 22 secondary secondary JJ 19261 3300 23 to to IN 19261 3300 24 the the DT 19261 3300 25 esophageal esophageal JJ 19261 3300 26 disease disease NN 19261 3300 27 . . . 19261 3301 1 ANOMALIES anomaly NNS 19261 3301 2 OF of IN 19261 3301 3 THE the DT 19261 3301 4 ESOPHAGUS ESOPHAGUS NNP 19261 3301 5 _ _ NNP 19261 3301 6 Congenital Congenital NNP 19261 3301 7 esophagotracheal esophagotracheal NN 19261 3301 8 fistulae fistulae NNP 19261 3301 9 _ _ NNP 19261 3301 10 are be VBP 19261 3301 11 the the DT 19261 3301 12 most most RBS 19261 3301 13 frequent frequent JJ 19261 3301 14 of of IN 19261 3301 15 the the DT 19261 3301 16 embryonic embryonic JJ 19261 3301 17 developmental developmental JJ 19261 3301 18 errors error NNS 19261 3301 19 of of IN 19261 3301 20 this this DT 19261 3301 21 organ organ NN 19261 3301 22 . . . 19261 3302 1 Septic septic JJ 19261 3302 2 pneumonia pneumonia NN 19261 3302 3 from from IN 19261 3302 4 the the DT 19261 3302 5 entrance entrance NN 19261 3302 6 of of IN 19261 3302 7 fluids fluid NNS 19261 3302 8 into into IN 19261 3302 9 the the DT 19261 3302 10 lungs lung NNS 19261 3302 11 usually usually RB 19261 3302 12 causes cause VBZ 19261 3302 13 death death NN 19261 3302 14 within within IN 19261 3302 15 a a DT 19261 3302 16 few few JJ 19261 3302 17 weeks week NNS 19261 3302 18 . . . 19261 3303 1 _ _ NNP 19261 3303 2 Imperforate Imperforate NNP 19261 3303 3 esophagus esophagus NN 19261 3303 4 _ _ NNP 19261 3303 5 usually usually RB 19261 3303 6 shows show VBZ 19261 3303 7 an an DT 19261 3303 8 upper upper JJ 19261 3303 9 esophageal esophageal JJ 19261 3303 10 segment segment NN 19261 3303 11 ending end VBG 19261 3303 12 in in IN 19261 3303 13 a a DT 19261 3303 14 blind blind JJ 19261 3303 15 pouch pouch JJ 19261 3303 16 . . . 19261 3304 1 A a DT 19261 3304 2 lower low JJR 19261 3304 3 segment segment NN 19261 3304 4 is be VBZ 19261 3304 5 usually usually RB 19261 3304 6 present present JJ 19261 3304 7 and and CC 19261 3304 8 may may MD 19261 3304 9 be be VB 19261 3304 10 connected connect VBN 19261 3304 11 with with IN 19261 3304 12 the the DT 19261 3304 13 upper upper JJ 19261 3304 14 segment segment NN 19261 3304 15 by by IN 19261 3304 16 a a DT 19261 3304 17 fistula fistula NNP 19261 3304 18 . . . 19261 3305 1 _ _ NNP 19261 3305 2 Congenital Congenital NNP 19261 3305 3 stricture stricture NN 19261 3305 4 _ _ NNP 19261 3305 5 of of IN 19261 3305 6 the the DT 19261 3305 7 esophagus esophagus NN 19261 3305 8 may may MD 19261 3305 9 be be VB 19261 3305 10 single single JJ 19261 3305 11 or or CC 19261 3305 12 multiple multiple JJ 19261 3305 13 , , , 19261 3305 14 and and CC 19261 3305 15 may may MD 19261 3305 16 be be VB 19261 3305 17 thin thin JJ 19261 3305 18 and and CC 19261 3305 19 weblike weblike JJ 19261 3305 20 , , , 19261 3305 21 or or CC 19261 3305 22 it -PRON- PRP 19261 3305 23 may may MD 19261 3305 24 extend extend VB 19261 3305 25 over over IN 19261 3305 26 a a DT 19261 3305 27 third third JJ 19261 3305 28 or or CC 19261 3305 29 more more JJR 19261 3305 30 of of IN 19261 3305 31 the the DT 19261 3305 32 length length NN 19261 3305 33 of of IN 19261 3305 34 the the DT 19261 3305 35 esophagus esophagus NN 19261 3305 36 . . . 19261 3306 1 It -PRON- PRP 19261 3306 2 may may MD 19261 3306 3 not not RB 19261 3306 4 become become VB 19261 3306 5 manifest manifest NN 19261 3306 6 until until IN 19261 3306 7 solids solid NNS 19261 3306 8 are be VBP 19261 3306 9 added add VBN 19261 3306 10 to to IN 19261 3306 11 the the DT 19261 3306 12 child child NN 19261 3306 13 's 's POS 19261 3306 14 diet diet NN 19261 3306 15 ; ; : 19261 3306 16 often often RB 19261 3306 17 not not RB 19261 3306 18 for for IN 19261 3306 19 many many JJ 19261 3306 20 months month NNS 19261 3306 21 . . . 19261 3307 1 The the DT 19261 3307 2 lodgment lodgment NN 19261 3307 3 of of IN 19261 3307 4 an an DT 19261 3307 5 unusually unusually RB 19261 3307 6 large large JJ 19261 3307 7 bolus bolus NN 19261 3307 8 of of IN 19261 3307 9 unmasticated unmasticated JJ 19261 3307 10 food food NN 19261 3307 11 may may MD 19261 3307 12 set set VB 19261 3307 13 up up RP 19261 3307 14 an an DT 19261 3307 15 esophagitis esophagitis NN 19261 3307 16 the the DT 19261 3307 17 swelling swelling NN 19261 3307 18 of of IN 19261 3307 19 which which WDT 19261 3307 20 may may MD 19261 3307 21 completely completely RB 19261 3307 22 close close VB 19261 3307 23 the the DT 19261 3307 24 lumen luman NNS 19261 3307 25 of of IN 19261 3307 26 the the DT 19261 3307 27 congenitally congenitally RB 19261 3307 28 narrow narrow JJ 19261 3307 29 esophagus esophagus NN 19261 3307 30 . . . 19261 3308 1 It -PRON- PRP 19261 3308 2 is be VBZ 19261 3308 3 not not RB 19261 3308 4 uncommon uncommon JJ 19261 3308 5 to to TO 19261 3308 6 meet meet VB 19261 3308 7 with with IN 19261 3308 8 cases case NNS 19261 3308 9 of of IN 19261 3308 10 adults adult NNS 19261 3308 11 who who WP 19261 3308 12 have have VBP 19261 3308 13 " " `` 19261 3308 14 never never RB 19261 3308 15 swallowed swallow VBN 19261 3308 16 as as RB 19261 3308 17 well well RB 19261 3308 18 as as IN 19261 3308 19 other other JJ 19261 3308 20 people people NNS 19261 3308 21 , , , 19261 3308 22 " " '' 19261 3308 23 and and CC 19261 3308 24 in in IN 19261 3308 25 whom whom WP 19261 3308 26 cicatricial cicatricial JJ 19261 3308 27 and and CC 19261 3308 28 spasmodic spasmodic JJ 19261 3308 29 stenosis stenosis NN 19261 3308 30 can can MD 19261 3308 31 be be VB 19261 3308 32 excluded exclude VBN 19261 3308 33 by by IN 19261 3308 34 esophagoscopy esophagoscopy NN 19261 3308 35 , , , 19261 3308 36 which which WDT 19261 3308 37 demonstrates demonstrate VBZ 19261 3308 38 an an DT 19261 3308 39 obvious obvious JJ 19261 3308 40 narrowing narrowing NN 19261 3308 41 of of IN 19261 3308 42 the the DT 19261 3308 43 esophageal esophageal JJ 19261 3308 44 lumen luman NNS 19261 3308 45 . . . 19261 3309 1 These these DT 19261 3309 2 cases case NNS 19261 3309 3 are be VBP 19261 3309 4 doubtless doubtless RB 19261 3309 5 congenital congenital JJ 19261 3309 6 . . . 19261 3310 1 _ _ NNP 19261 3310 2 Webs Webs NNP 19261 3310 3 in in IN 19261 3310 4 the the DT 19261 3310 5 upper upper JJ 19261 3310 6 third third NN 19261 3310 7 of of IN 19261 3310 8 the the DT 19261 3310 9 esophagus esophagus NN 19261 3310 10 _ _ NNP 19261 3310 11 are be VBP 19261 3310 12 best well RBS 19261 3310 13 determined determine VBN 19261 3310 14 by by IN 19261 3310 15 the the DT 19261 3310 16 passage passage NN 19261 3310 17 of of IN 19261 3310 18 a a DT 19261 3310 19 large large JJ 19261 3310 20 esophagoscope esophagoscope NN 19261 3310 21 which which WDT 19261 3310 22 puts put VBZ 19261 3310 23 the the DT 19261 3310 24 esophagus esophagus NN 19261 3310 25 on on IN 19261 3310 26 the the DT 19261 3310 27 stretch stretch NN 19261 3310 28 . . . 19261 3311 1 The the DT 19261 3311 2 webs webs NN 19261 3311 3 may may MD 19261 3311 4 be be VB 19261 3311 5 broken break VBN 19261 3311 6 by by IN 19261 3311 7 the the DT 19261 3311 8 insertion insertion NN 19261 3311 9 of of IN 19261 3311 10 a a DT 19261 3311 11 closed close VBN 19261 3311 12 alligator alligator NN 19261 3311 13 forceps forceps NNS 19261 3311 14 , , , 19261 3311 15 which which WDT 19261 3311 16 is be VBZ 19261 3311 17 then then RB 19261 3311 18 withdrawn withdraw VBN 19261 3311 19 with with IN 19261 3311 20 opened open VBN 19261 3311 21 blades blade NNS 19261 3311 22 . . . 19261 3312 1 Better well RBR 19261 3312 2 still still RB 19261 3312 3 is be VBZ 19261 3312 4 the the DT 19261 3312 5 dilator dilator NN 19261 3312 6 shown show VBN 19261 3312 7 in in IN 19261 3312 8 Fig Fig NNP 19261 3312 9 . . . 19261 3313 1 26 26 CD 19261 3313 2 . . . 19261 3314 1 This this DT 19261 3314 2 retrograde retrograde NN 19261 3314 3 dilatation dilatation NN 19261 3314 4 is be VBZ 19261 3314 5 relatively relatively RB 19261 3314 6 safe safe JJ 19261 3314 7 . . . 19261 3315 1 A a DT 19261 3315 2 silk silk NN 19261 3315 3 - - HYPH 19261 3315 4 woven weave VBN 19261 3315 5 esophagoscopic esophagoscopic NN 19261 3315 6 bougie bougie NN 19261 3315 7 or or CC 19261 3315 8 the the DT 19261 3315 9 metallic metallic JJ 19261 3315 10 tracheal tracheal NN 19261 3315 11 bougie bougie NN 19261 3315 12 may may MD 19261 3315 13 be be VB 19261 3315 14 used use VBN 19261 3315 15 , , , 19261 3315 16 with with IN 19261 3315 17 proper proper JJ 19261 3315 18 caution caution NN 19261 3315 19 . . . 19261 3316 1 Subsequent subsequent JJ 19261 3316 2 dilatation dilatation NN 19261 3316 3 for for IN 19261 3316 4 a a DT 19261 3316 5 few few JJ 19261 3316 6 times time NNS 19261 3316 7 will will MD 19261 3316 8 be be VB 19261 3316 9 required require VBN 19261 3316 10 to to TO 19261 3316 11 prevent prevent VB 19261 3316 12 a a DT 19261 3316 13 reproduction reproduction NN 19261 3316 14 of of IN 19261 3316 15 the the DT 19261 3316 16 stenosis stenosis NN 19261 3316 17 . . . 19261 3317 1 _ _ NNP 19261 3317 2 Treatment Treatment NNP 19261 3317 3 of of IN 19261 3317 4 Esophageal Esophageal NNP 19261 3317 5 Anomalies_.--Gastrostomy anomalies_.--gastrostomy NN 19261 3317 6 is be VBZ 19261 3317 7 required require VBN 19261 3317 8 in in IN 19261 3317 9 the the DT 19261 3317 10 imperforate imperforate JJ 19261 3317 11 cases case NNS 19261 3317 12 . . . 19261 3318 1 Esophagoscopic Esophagoscopic NNP 19261 3318 2 bouginage bouginage NN 19261 3318 3 is be VBZ 19261 3318 4 very very RB 19261 3318 5 successful successful JJ 19261 3318 6 in in IN 19261 3318 7 the the DT 19261 3318 8 cure cure NN 19261 3318 9 of of IN 19261 3318 10 all all DT 19261 3318 11 cases case NNS 19261 3318 12 of of IN 19261 3318 13 congenital congenital JJ 19261 3318 14 stenosis stenosis NN 19261 3318 15 . . . 19261 3319 1 Any any DT 19261 3319 2 sort sort NN 19261 3319 3 of of IN 19261 3319 4 lumen luman NNS 19261 3319 5 can can MD 19261 3319 6 be be VB 19261 3319 7 enlarged enlarge VBN 19261 3319 8 so so RB 19261 3319 9 any any DT 19261 3319 10 well well RB 19261 3319 11 masticated masticate VBN 19261 3319 12 food food NN 19261 3319 13 can can MD 19261 3319 14 be be VB 19261 3319 15 swallowed swallow VBN 19261 3319 16 . . . 19261 3320 1 Careful careful JJ 19261 3320 2 esophagoscopic esophagoscopic NN 19261 3320 3 work work NN 19261 3320 4 with with IN 19261 3320 5 the the DT 19261 3320 6 bougies bougie NNS 19261 3320 7 ( ( -LRB- 19261 3320 8 Fig fig NN 19261 3320 9 . . . 19261 3321 1 40 40 LS 19261 3321 2 ) ) -RRB- 19261 3321 3 will will MD 19261 3321 4 ultimately ultimately RB 19261 3321 5 cure cure VB 19261 3321 6 with with IN 19261 3321 7 little little JJ 19261 3321 8 or or CC 19261 3321 9 no no DT 19261 3321 10 risk risk NN 19261 3321 11 of of IN 19261 3321 12 mortality mortality NN 19261 3321 13 . . . 19261 3322 1 Any any DT 19261 3322 2 form form NN 19261 3322 3 of of IN 19261 3322 4 rapid rapid JJ 19261 3322 5 dilatation dilatation NN 19261 3322 6 is be VBZ 19261 3322 7 dangerous dangerous JJ 19261 3322 8 . . . 19261 3323 1 Congenital congenital JJ 19261 3323 2 stenosis stenosis NN 19261 3323 3 , , , 19261 3323 4 if if IN 19261 3323 5 not not RB 19261 3323 6 an an DT 19261 3323 7 absolute absolute JJ 19261 3323 8 atresia atresia NN 19261 3323 9 , , , 19261 3323 10 yields yield NNS 19261 3323 11 more more RBR 19261 3323 12 readily readily RB 19261 3323 13 to to IN 19261 3323 14 esophagoscopic esophagoscopic NN 19261 3323 15 bouginage bouginage NN 19261 3323 16 than than IN 19261 3323 17 cicatricial cicatricial JJ 19261 3323 18 stenosis stenosis NN 19261 3323 19 . . . 19261 3324 1 RUPTURE RUPTURE NNP 19261 3324 2 AND and CC 19261 3324 3 TRAUMA trauma NN 19261 3324 4 OF of IN 19261 3324 5 THE the DT 19261 3324 6 ESOPHAGUS ESOPHAGUS NNP 19261 3324 7 These these DT 19261 3324 8 may may MD 19261 3324 9 be be VB 19261 3324 10 spontaneous spontaneous JJ 19261 3324 11 or or CC 19261 3324 12 may may MD 19261 3324 13 ensue ensue VB 19261 3324 14 from from IN 19261 3324 15 the the DT 19261 3324 16 passage passage NN 19261 3324 17 of of IN 19261 3324 18 an an DT 19261 3324 19 instrument instrument NN 19261 3324 20 , , , 19261 3324 21 or or CC 19261 3324 22 foreign foreign JJ 19261 3324 23 body body NN 19261 3324 24 , , , 19261 3324 25 or or CC 19261 3324 26 of of IN 19261 3324 27 both both DT 19261 3324 28 combined combine VBN 19261 3324 29 , , , 19261 3324 30 as as IN 19261 3324 31 exemplified exemplify VBN 19261 3324 32 in in IN 19261 3324 33 the the DT 19261 3324 34 blind blind JJ 19261 3324 35 attempts attempt NNS 19261 3324 36 to to TO 19261 3324 37 remove remove VB 19261 3324 38 a a DT 19261 3324 39 foreign foreign JJ 19261 3324 40 body body NN 19261 3324 41 or or CC 19261 3324 42 to to TO 19261 3324 43 push push VB 19261 3324 44 it -PRON- PRP 19261 3324 45 downwards downwards RB 19261 3324 46 . . . 19261 3325 1 Digestion digestion NN 19261 3325 2 of of IN 19261 3325 3 the the DT 19261 3325 4 esophagus esophagus NN 19261 3325 5 and and CC 19261 3325 6 perforation perforation NN 19261 3325 7 may may MD 19261 3325 8 result result VB 19261 3325 9 from from IN 19261 3325 10 the the DT 19261 3325 11 stagnation stagnation NN 19261 3325 12 of of IN 19261 3325 13 regurgitated regurgitate VBN 19261 3325 14 gastric gastric JJ 19261 3325 15 juice juice NN 19261 3325 16 therein therein RB 19261 3325 17 . . . 19261 3326 1 This this DT 19261 3326 2 condition condition NN 19261 3326 3 sometimes sometimes RB 19261 3326 4 occurs occur VBZ 19261 3326 5 in in IN 19261 3326 6 profound profound JJ 19261 3326 7 toxic toxic JJ 19261 3326 8 and and CC 19261 3326 9 debilitated debilitated JJ 19261 3326 10 states state NNS 19261 3326 11 . . . 19261 3327 1 Rupture rupture NN 19261 3327 2 of of IN 19261 3327 3 the the DT 19261 3327 4 thoracic thoracic NNP 19261 3327 5 esophagus esophagus NNP 19261 3327 6 produces produce VBZ 19261 3327 7 profound profound JJ 19261 3327 8 shock shock NN 19261 3327 9 , , , 19261 3327 10 fever fever NN 19261 3327 11 , , , 19261 3327 12 mediastinal mediastinal NNP 19261 3327 13 emphysema emphysema NNP 19261 3327 14 , , , 19261 3327 15 and and CC 19261 3327 16 rapid rapid JJ 19261 3327 17 sinking sinking NN 19261 3327 18 . . . 19261 3328 1 Pneumothorax Pneumothorax NNP 19261 3328 2 and and CC 19261 3328 3 empyema empyema NN 19261 3328 4 follow follow VBP 19261 3328 5 perforation perforation NN 19261 3328 6 into into IN 19261 3328 7 the the DT 19261 3328 8 pleural pleural JJ 19261 3328 9 cavity cavity NN 19261 3328 10 . . . 19261 3329 1 Rupture rupture NN 19261 3329 2 of of IN 19261 3329 3 the the DT 19261 3329 4 cervical cervical JJ 19261 3329 5 esophagus esophagus NN 19261 3329 6 is be VBZ 19261 3329 7 usually usually RB 19261 3329 8 followed follow VBN 19261 3329 9 by by IN 19261 3329 10 cervical cervical JJ 19261 3329 11 emphysema emphysema NNP 19261 3329 12 and and CC 19261 3329 13 cervical cervical JJ 19261 3329 14 abscess abscess NN 19261 3329 15 , , , 19261 3329 16 both both DT 19261 3329 17 of of IN 19261 3329 18 which which WDT 19261 3329 19 often often RB 19261 3329 20 burrow burrow VBP 19261 3329 21 into into IN 19261 3329 22 the the DT 19261 3329 23 mediastinum mediastinum NN 19261 3329 24 along along IN 19261 3329 25 the the DT 19261 3329 26 fascial fascial JJ 19261 3329 27 layers layer NNS 19261 3329 28 of of IN 19261 3329 29 the the DT 19261 3329 30 neck neck NN 19261 3329 31 . . . 19261 3330 1 Lesser less JJR 19261 3330 2 degrees degree NNS 19261 3330 3 of of IN 19261 3330 4 trauma trauma NN 19261 3330 5 produce produce NN 19261 3330 6 esophagitis esophagitis NNP 19261 3330 7 usually usually RB 19261 3330 8 accompanied accompany VBN 19261 3330 9 by by IN 19261 3330 10 fever fever NN 19261 3330 11 and and CC 19261 3330 12 painful painful JJ 19261 3330 13 and and CC 19261 3330 14 difficult difficult JJ 19261 3330 15 swallowing swallowing NN 19261 3330 16 . . . 19261 3331 1 The the DT 19261 3331 2 treatment treatment NN 19261 3331 3 of of IN 19261 3331 4 traumatic traumatic JJ 19261 3331 5 esophagitis esophagitis NN 19261 3331 6 consists consist VBZ 19261 3331 7 in in IN 19261 3331 8 rest rest NN 19261 3331 9 in in IN 19261 3331 10 bed bed NN 19261 3331 11 , , , 19261 3331 12 sterile sterile JJ 19261 3331 13 liquid liquid JJ 19261 3331 14 food food NN 19261 3331 15 , , , 19261 3331 16 and and CC 19261 3331 17 the the DT 19261 3331 18 administration administration NN 19261 3331 19 of of IN 19261 3331 20 bismuth bismuth NNP 19261 3331 21 subnitrate subnitrate NNP 19261 3331 22 ( ( -LRB- 19261 3331 23 about about RB 19261 3331 24 one one CD 19261 3331 25 gramme gramme NN 19261 3331 26 in in IN 19261 3331 27 an an DT 19261 3331 28 adult adult NN 19261 3331 29 ) ) -RRB- 19261 3331 30 , , , 19261 3331 31 dry dry JJ 19261 3331 32 on on IN 19261 3331 33 the the DT 19261 3331 34 tongue tongue NN 19261 3331 35 every every DT 19261 3331 36 4 4 CD 19261 3331 37 hours hour NNS 19261 3331 38 . . . 19261 3332 1 Rupture rupture NN 19261 3332 2 of of IN 19261 3332 3 the the DT 19261 3332 4 esophagus esophagus NN 19261 3332 5 requires require VBZ 19261 3332 6 immediate immediate JJ 19261 3332 7 gastrostomy gastrostomy NNP 19261 3332 8 to to TO 19261 3332 9 put put VB 19261 3332 10 the the DT 19261 3332 11 esophagus esophagus NN 19261 3332 12 at at IN 19261 3332 13 rest rest NN 19261 3332 14 and and CC 19261 3332 15 supply supply VB 19261 3332 16 necessary necessary JJ 19261 3332 17 alimentation alimentation NN 19261 3332 18 . . . 19261 3333 1 Thoracotomy thoracotomy NN 19261 3333 2 for for IN 19261 3333 3 drainage drainage NN 19261 3333 4 is be VBZ 19261 3333 5 required require VBN 19261 3333 6 when when WRB 19261 3333 7 the the DT 19261 3333 8 pleural pleural JJ 19261 3333 9 cavity cavity NN 19261 3333 10 has have VBZ 19261 3333 11 been be VBN 19261 3333 12 involved involve VBN 19261 3333 13 , , , 19261 3333 14 not not RB 19261 3333 15 only only RB 19261 3333 16 for for IN 19261 3333 17 pleural pleural JJ 19261 3333 18 secretions secretion NNS 19261 3333 19 , , , 19261 3333 20 but but CC 19261 3333 21 for for IN 19261 3333 22 the the DT 19261 3333 23 constant constant JJ 19261 3333 24 and and CC 19261 3333 25 copious copious JJ 19261 3333 26 esophageal esophageal JJ 19261 3333 27 leakage leakage NN 19261 3333 28 . . . 19261 3334 1 It -PRON- PRP 19261 3334 2 is be VBZ 19261 3334 3 not not RB 19261 3334 4 ordinarily ordinarily RB 19261 3334 5 realized realize VBN 19261 3334 6 how how WRB 19261 3334 7 much much JJ 19261 3334 8 normal normal JJ 19261 3334 9 salivary salivary JJ 19261 3334 10 drainage drainage NN 19261 3334 11 passes pass VBZ 19261 3334 12 down down RP 19261 3334 13 the the DT 19261 3334 14 esophagus esophagus NN 19261 3334 15 . . . 19261 3335 1 The the DT 19261 3335 2 customary customary JJ 19261 3335 3 treatment treatment NN 19261 3335 4 of of IN 19261 3335 5 shock shock NN 19261 3335 6 is be VBZ 19261 3335 7 to to TO 19261 3335 8 be be VB 19261 3335 9 applied apply VBN 19261 3335 10 . . . 19261 3336 1 No no DT 19261 3336 2 attempt attempt NN 19261 3336 3 should should MD 19261 3336 4 be be VB 19261 3336 5 made make VBN 19261 3336 6 to to TO 19261 3336 7 remove remove VB 19261 3336 8 a a DT 19261 3336 9 foreign foreign JJ 19261 3336 10 body body NN 19261 3336 11 until until IN 19261 3336 12 the the DT 19261 3336 13 traumatic traumatic JJ 19261 3336 14 lesions lesion NNS 19261 3336 15 have have VBP 19261 3336 16 healed heal VBN 19261 3336 17 . . . 19261 3337 1 This this DT 19261 3337 2 may may MD 19261 3337 3 require require VB 19261 3337 4 a a DT 19261 3337 5 number number NN 19261 3337 6 of of IN 19261 3337 7 weeks week NNS 19261 3337 8 . . . 19261 3338 1 Decision decision NN 19261 3338 2 as as IN 19261 3338 3 to to IN 19261 3338 4 when when WRB 19261 3338 5 to to TO 19261 3338 6 remove remove VB 19261 3338 7 the the DT 19261 3338 8 intruder intruder NN 19261 3338 9 is be VBZ 19261 3338 10 determined determine VBN 19261 3338 11 by by IN 19261 3338 12 esophagoscopic esophagoscopic NN 19261 3338 13 inspection inspection NN 19261 3338 14 . . . 19261 3339 1 Subcutaneous subcutaneous JJ 19261 3339 2 emphysema emphysema NN 19261 3339 3 does do VBZ 19261 3339 4 not not RB 19261 3339 5 require require VB 19261 3339 6 puncture puncture NN 19261 3339 7 unless unless IN 19261 3339 8 gaseous gaseous JJ 19261 3339 9 , , , 19261 3339 10 or or CC 19261 3339 11 unless unless IN 19261 3339 12 pus pus NNP 19261 3339 13 forms form NNS 19261 3339 14 . . . 19261 3340 1 In in IN 19261 3340 2 the the DT 19261 3340 3 latter latter JJ 19261 3340 4 event event NN 19261 3340 5 free free JJ 19261 3340 6 external external JJ 19261 3340 7 drainage drainage NN 19261 3340 8 becomes become VBZ 19261 3340 9 imperative imperative JJ 19261 3340 10 . . . 19261 3341 1 ACUTE ACUTE NNP 19261 3341 2 ESOPHAGITIS ESOPHAGITIS NNP 19261 3341 3 This this DT 19261 3341 4 is be VBZ 19261 3341 5 usually usually RB 19261 3341 6 of of IN 19261 3341 7 traumatic traumatic JJ 19261 3341 8 or or CC 19261 3341 9 cauterant cauterant JJ 19261 3341 10 origin origin NN 19261 3341 11 . . . 19261 3342 1 If if IN 19261 3342 2 severe severe JJ 19261 3342 3 or or CC 19261 3342 4 extensive extensive JJ 19261 3342 5 , , , 19261 3342 6 all all PDT 19261 3342 7 the the DT 19261 3342 8 symptoms symptom NNS 19261 3342 9 described describe VBN 19261 3342 10 under under IN 19261 3342 11 " " `` 19261 3342 12 Rupture Rupture NNP 19261 3342 13 of of IN 19261 3342 14 the the DT 19261 3342 15 Esophagus Esophagus NNP 19261 3342 16 " " '' 19261 3342 17 may may MD 19261 3342 18 be be VB 19261 3342 19 present present JJ 19261 3342 20 . . . 19261 3343 1 The the DT 19261 3343 2 endoscopic endoscopic JJ 19261 3343 3 appearances appearance NNS 19261 3343 4 are be VBP 19261 3343 5 unmistakable unmistakable JJ 19261 3343 6 to to IN 19261 3343 7 anyone anyone NN 19261 3343 8 familiar familiar JJ 19261 3343 9 with with IN 19261 3343 10 the the DT 19261 3343 11 appearance appearance NN 19261 3343 12 of of IN 19261 3343 13 mucosal mucosal NN 19261 3343 14 inflammations inflammation NNS 19261 3343 15 . . . 19261 3344 1 The the DT 19261 3344 2 pale pale JJ 19261 3344 3 , , , 19261 3344 4 bluish bluish JJ 19261 3344 5 pink pink JJ 19261 3344 6 color color NN 19261 3344 7 of of IN 19261 3344 8 the the DT 19261 3344 9 normal normal JJ 19261 3344 10 mucosa mucosa NNS 19261 3344 11 is be VBZ 19261 3344 12 replaced replace VBN 19261 3344 13 by by IN 19261 3344 14 a a DT 19261 3344 15 deep deep JJ 19261 3344 16 - - HYPH 19261 3344 17 red red JJ 19261 3344 18 velvety velvety NN 19261 3344 19 swollen swollen JJ 19261 3344 20 appearance appearance NN 19261 3344 21 in in IN 19261 3344 22 which which WDT 19261 3344 23 individual individual JJ 19261 3344 24 vessels vessel NNS 19261 3344 25 are be VBP 19261 3344 26 invisible invisible JJ 19261 3344 27 . . . 19261 3345 1 After after IN 19261 3345 2 exudation exudation NN 19261 3345 3 of of IN 19261 3345 4 serum serum NN 19261 3345 5 into into IN 19261 3345 6 the the DT 19261 3345 7 tissues tissue NNS 19261 3345 8 , , , 19261 3345 9 the the DT 19261 3345 10 color color NN 19261 3345 11 may may MD 19261 3345 12 be be VB 19261 3345 13 paler paler NN 19261 3345 14 and and CC 19261 3345 15 in in IN 19261 3345 16 some some DT 19261 3345 17 instances instance NNS 19261 3345 18 a a DT 19261 3345 19 typical typical JJ 19261 3345 20 edema edema NN 19261 3345 21 may may MD 19261 3345 22 be be VB 19261 3345 23 seen see VBN 19261 3345 24 . . . 19261 3346 1 This this DT 19261 3346 2 may may MD 19261 3346 3 diminish diminish VB 19261 3346 4 the the DT 19261 3346 5 lumen luman NNS 19261 3346 6 temporarily temporarily RB 19261 3346 7 . . . 19261 3347 1 Folds fold NNS 19261 3347 2 of of IN 19261 3347 3 swollen swollen JJ 19261 3347 4 mucosa mucosa NNS 19261 3347 5 crowd crowd VBP 19261 3347 6 into into IN 19261 3347 7 the the DT 19261 3347 8 lumen luman NNS 19261 3347 9 if if IN 19261 3347 10 the the DT 19261 3347 11 inflammation inflammation NN 19261 3347 12 is be VBZ 19261 3347 13 intense intense JJ 19261 3347 14 . . . 19261 3348 1 These these DT 19261 3348 2 folds fold NNS 19261 3348 3 are be VBP 19261 3348 4 sometimes sometimes RB 19261 3348 5 demonstrable demonstrable JJ 19261 3348 6 in in IN 19261 3348 7 the the DT 19261 3348 8 roentgenogram roentgenogram NN 19261 3348 9 by by IN 19261 3348 10 the the DT 19261 3348 11 bismuth bismuth NN 19261 3348 12 or or CC 19261 3348 13 barium barium NN 19261 3348 14 in in IN 19261 3348 15 the the DT 19261 3348 16 creases crease NNS 19261 3348 17 between between IN 19261 3348 18 which which WDT 19261 3348 19 the the DT 19261 3348 20 prominence prominence NN 19261 3348 21 of of IN 19261 3348 22 the the DT 19261 3348 23 folds fold NNS 19261 3348 24 show show VBP 19261 3348 25 as as IN 19261 3348 26 islands island NNS 19261 3348 27 as as IN 19261 3348 28 beautifully beautifully RB 19261 3348 29 demonstrated demonstrate VBN 19261 3348 30 by by IN 19261 3348 31 David David NNP 19261 3348 32 R. R. NNP 19261 3348 33 Bowen Bowen NNP 19261 3348 34 in in IN 19261 3348 35 one one CD 19261 3348 36 of of IN 19261 3348 37 the the DT 19261 3348 38 author author NN 19261 3348 39 's 's POS 19261 3348 40 cases case NNS 19261 3348 41 . . . 19261 3349 1 If if IN 19261 3349 2 the the DT 19261 3349 3 inflammation inflammation NN 19261 3349 4 is be VBZ 19261 3349 5 due due JJ 19261 3349 6 to to IN 19261 3349 7 corrosives corrosive NNS 19261 3349 8 , , , 19261 3349 9 a a DT 19261 3349 10 grayish grayish NN 19261 3349 11 exudate exudate NN 19261 3349 12 may may MD 19261 3349 13 be be VB 19261 3349 14 visible visible JJ 19261 3349 15 early early RB 19261 3349 16 , , , 19261 3349 17 sloughs slough NNS 19261 3349 18 later later RB 19261 3349 19 . . . 19261 3350 1 ULCERATION ulceration NN 19261 3350 2 OF of IN 19261 3350 3 THE the DT 19261 3350 4 ESOPHAGUS ESOPHAGUS NNP 19261 3350 5 Superficial superficial JJ 19261 3350 6 erosions erosion NNS 19261 3350 7 of of IN 19261 3350 8 the the DT 19261 3350 9 esophagus esophagu NNS 19261 3350 10 are be VBP 19261 3350 11 by by IN 19261 3350 12 no no DT 19261 3350 13 means means NN 19261 3350 14 an an DT 19261 3350 15 uncommon uncommon JJ 19261 3350 16 accompaniment accompaniment NN 19261 3350 17 of of IN 19261 3350 18 the the DT 19261 3350 19 stagnation stagnation NN 19261 3350 20 of of IN 19261 3350 21 food food NN 19261 3350 22 and and CC 19261 3350 23 secretions secretion NNS 19261 3350 24 . . . 19261 3351 1 From from IN 19261 3351 2 the the DT 19261 3351 3 irritation irritation NN 19261 3351 4 they -PRON- PRP 19261 3351 5 produce produce VBP 19261 3351 6 , , , 19261 3351 7 spastic spastic JJ 19261 3351 8 stenosis stenosis NN 19261 3351 9 may may MD 19261 3351 10 occur occur VB 19261 3351 11 , , , 19261 3351 12 thus thus RB 19261 3351 13 constituting constitute VBG 19261 3351 14 a a DT 19261 3351 15 vicious vicious JJ 19261 3351 16 circle circle NN 19261 3351 17 ; ; : 19261 3351 18 the the DT 19261 3351 19 spasm spasm NN 19261 3351 20 of of IN 19261 3351 21 the the DT 19261 3351 22 esophagus esophagus NN 19261 3351 23 increases increase VBZ 19261 3351 24 the the DT 19261 3351 25 stagnation stagnation NN 19261 3351 26 which which WDT 19261 3351 27 in in IN 19261 3351 28 turn turn NN 19261 3351 29 results result VBZ 19261 3351 30 in in IN 19261 3351 31 further further JJ 19261 3351 32 inflammation inflammation NN 19261 3351 33 and and CC 19261 3351 34 ultimate ultimate JJ 19261 3351 35 ulceration ulceration NN 19261 3351 36 . . . 19261 3352 1 Healing healing NN 19261 3352 2 of of IN 19261 3352 3 such such JJ 19261 3352 4 ulcers ulcer NNS 19261 3352 5 may may MD 19261 3352 6 result result VB 19261 3352 7 in in IN 19261 3352 8 cicatricial cicatricial JJ 19261 3352 9 contraction contraction NN 19261 3352 10 and and CC 19261 3352 11 organic organic JJ 19261 3352 12 stenosis stenosis NN 19261 3352 13 . . . 19261 3353 1 Ulceration ulceration NN 19261 3353 2 may may MD 19261 3353 3 follow follow VB 19261 3353 4 trauma trauma NN 19261 3353 5 by by IN 19261 3353 6 instrument instrument NN 19261 3353 7 , , , 19261 3353 8 foreign foreign JJ 19261 3353 9 body body NN 19261 3353 10 , , , 19261 3353 11 or or CC 19261 3353 12 corrosive corrosive JJ 19261 3353 13 . . . 19261 3354 1 DIFFERENTIAL differential NN 19261 3354 2 DIAGNOSIS DIAGNOSIS NNP 19261 3354 3 OF of IN 19261 3354 4 ULCER ULCER NNP 19261 3354 5 OF of IN 19261 3354 6 THE the DT 19261 3354 7 ESOPHAGUS ESOPHAGUS NNP 19261 3354 8 _ _ NNP 19261 3354 9 Simple Simple NNP 19261 3354 10 ulcer ulcer NN 19261 3354 11 _ _ NNP 19261 3354 12 requires require VBZ 19261 3354 13 the the DT 19261 3354 14 exclusion exclusion NN 19261 3354 15 of of IN 19261 3354 16 lues lue NNS 19261 3354 17 , , , 19261 3354 18 tuberculosis tuberculosis NN 19261 3354 19 , , , 19261 3354 20 epithelioma epithelioma NN 19261 3354 21 , , , 19261 3354 22 endothelioma endothelioma NNP 19261 3354 23 , , , 19261 3354 24 sarcoma sarcoma NN 19261 3354 25 , , , 19261 3354 26 and and CC 19261 3354 27 actinomycosis actinomycosis NN 19261 3354 28 . . . 19261 3355 1 Simple simple JJ 19261 3355 2 ulcer ulcer NN 19261 3355 3 of of IN 19261 3355 4 the the DT 19261 3355 5 esophagus esophagus NN 19261 3355 6 is be VBZ 19261 3355 7 usually usually RB 19261 3355 8 associated associate VBN 19261 3355 9 with with IN 19261 3355 10 stenosis stenosis NN 19261 3355 11 , , , 19261 3355 12 spastic spastic JJ 19261 3355 13 or or CC 19261 3355 14 organic organic JJ 19261 3355 15 . . . 19261 3356 1 _ _ NNP 19261 3356 2 Luetic luetic JJ 19261 3356 3 ulcers ulcer NNS 19261 3356 4 _ _ NNP 19261 3356 5 commonly commonly RB 19261 3356 6 show show VBP 19261 3356 7 a a DT 19261 3356 8 surrounding surround VBG 19261 3356 9 inflammatory inflammatory JJ 19261 3356 10 areola areola NN 19261 3356 11 , , , 19261 3356 12 and and CC 19261 3356 13 they -PRON- PRP 19261 3356 14 usually usually RB 19261 3356 15 have have VBP 19261 3356 16 thickened thicken VBN 19261 3356 17 elevated elevated JJ 19261 3356 18 edges edge NNS 19261 3356 19 , , , 19261 3356 20 generally generally RB 19261 3356 21 free free JJ 19261 3356 22 from from IN 19261 3356 23 granulation granulation NN 19261 3356 24 tissue tissue NN 19261 3356 25 , , , 19261 3356 26 with with IN 19261 3356 27 a a DT 19261 3356 28 pasty pasty NN 19261 3356 29 center center NN 19261 3356 30 not not RB 19261 3356 31 bleeding bleed VBG 19261 3356 32 readily readily RB 19261 3356 33 when when WRB 19261 3356 34 sponged sponge VBN 19261 3356 35 . . . 19261 3357 1 The the DT 19261 3357 2 Wassermann Wassermann NNP 19261 3357 3 reaction reaction NN 19261 3357 4 may may MD 19261 3357 5 contribute contribute VB 19261 3357 6 to to IN 19261 3357 7 the the DT 19261 3357 8 diagnosis diagnosis NN 19261 3357 9 ; ; : 19261 3357 10 but but CC 19261 3357 11 if if IN 19261 3357 12 negative negative JJ 19261 3357 13 , , , 19261 3357 14 a a DT 19261 3357 15 thorough thorough JJ 19261 3357 16 and and CC 19261 3357 17 prolonged prolonged JJ 19261 3357 18 test test NN 19261 3357 19 with with IN 19261 3357 20 mercury mercury NN 19261 3357 21 is be VBZ 19261 3357 22 imperative imperative JJ 19261 3357 23 . . . 19261 3358 1 It -PRON- PRP 19261 3358 2 must must MD 19261 3358 3 be be VB 19261 3358 4 remembered remember VBN 19261 3358 5 that that IN 19261 3358 6 a a DT 19261 3358 7 person person NN 19261 3358 8 with with IN 19261 3358 9 lues lue NNS 19261 3358 10 may may MD 19261 3358 11 have have VB 19261 3358 12 a a DT 19261 3358 13 simple simple JJ 19261 3358 14 , , , 19261 3358 15 mixed mixed JJ 19261 3358 16 , , , 19261 3358 17 or or CC 19261 3358 18 malignant malignant JJ 19261 3358 19 ulceration ulceration NN 19261 3358 20 of of IN 19261 3358 21 the the DT 19261 3358 22 esophagus esophagus NN 19261 3358 23 , , , 19261 3358 24 or or CC 19261 3358 25 the the DT 19261 3358 26 three three CD 19261 3358 27 lesions lesion NNS 19261 3358 28 may may MD 19261 3358 29 even even RB 19261 3358 30 be be VB 19261 3358 31 combined combine VBN 19261 3358 32 . . . 19261 3359 1 It -PRON- PRP 19261 3359 2 may may MD 19261 3359 3 be be VB 19261 3359 4 in in IN 19261 3359 5 some some DT 19261 3359 6 cases case NNS 19261 3359 7 possible possible JJ 19261 3359 8 to to TO 19261 3359 9 demonstrate demonstrate VB 19261 3359 10 the the DT 19261 3359 11 treponema treponema JJ 19261 3359 12 pallidum pallidum NN 19261 3359 13 in in IN 19261 3359 14 scrapings scraping NNS 19261 3359 15 taken take VBN 19261 3359 16 from from IN 19261 3359 17 the the DT 19261 3359 18 ulcer ulcer NN 19261 3359 19 . . . 19261 3360 1 The the DT 19261 3360 2 single single JJ 19261 3360 3 _ _ NNP 19261 3360 4 tuberculous tuberculous JJ 19261 3360 5 ulcer ulcer NN 19261 3360 6 _ _ NNP 19261 3360 7 is be VBZ 19261 3360 8 usually usually RB 19261 3360 9 pale pale JJ 19261 3360 10 , , , 19261 3360 11 superficial superficial JJ 19261 3360 12 , , , 19261 3360 13 and and CC 19261 3360 14 granular granular JJ 19261 3360 15 in in IN 19261 3360 16 base base NN 19261 3360 17 . . . 19261 3361 1 If if IN 19261 3361 2 it -PRON- PRP 19261 3361 3 is be VBZ 19261 3361 4 a a DT 19261 3361 5 continuation continuation NN 19261 3361 6 from from IN 19261 3361 7 more more RBR 19261 3361 8 extensive extensive JJ 19261 3361 9 extra extra JJ 19261 3361 10 - - HYPH 19261 3361 11 esophageal esophageal JJ 19261 3361 12 tuberculous tuberculous JJ 19261 3361 13 ulceration ulceration NN 19261 3361 14 , , , 19261 3361 15 pale pale JJ 19261 3361 16 cauliflower cauliflower NN 19261 3361 17 granulations granulation NNS 19261 3361 18 may may MD 19261 3361 19 be be VB 19261 3361 20 present present JJ 19261 3361 21 . . . 19261 3362 1 Slight slight JJ 19261 3362 2 cicatrices cicatrix NNS 19261 3362 3 may may MD 19261 3362 4 be be VB 19261 3362 5 seen see VBN 19261 3362 6 . . . 19261 3363 1 Tuberculosis tuberculosis NN 19261 3363 2 in in IN 19261 3363 3 other other JJ 19261 3363 4 organs organ NNS 19261 3363 5 can can MD 19261 3363 6 almost almost RB 19261 3363 7 always always RB 19261 3363 8 be be VB 19261 3363 9 demonstrated demonstrate VBN 19261 3363 10 by by IN 19261 3363 11 roentgenographic roentgenographic JJ 19261 3363 12 , , , 19261 3363 13 physical physical JJ 19261 3363 14 , , , 19261 3363 15 or or CC 19261 3363 16 laboratory laboratory NN 19261 3363 17 studies study NNS 19261 3363 18 . . . 19261 3364 1 Tuberculin tuberculin NN 19261 3364 2 tests test NNS 19261 3364 3 and and CC 19261 3364 4 animal animal NN 19261 3364 5 injection injection NN 19261 3364 6 with with IN 19261 3364 7 an an DT 19261 3364 8 emulsion emulsion NN 19261 3364 9 of of IN 19261 3364 10 a a DT 19261 3364 11 specimen speciman NNS 19261 3364 12 of of IN 19261 3364 13 tissue tissue NN 19261 3364 14 may may MD 19261 3364 15 be be VB 19261 3364 16 required require VBN 19261 3364 17 . . . 19261 3365 1 The the DT 19261 3365 2 specimen speciman NNS 19261 3365 3 must must MD 19261 3365 4 be be VB 19261 3365 5 taken take VBN 19261 3365 6 very very RB 19261 3365 7 superficially superficially RB 19261 3365 8 to to TO 19261 3365 9 avoid avoid VB 19261 3365 10 risk risk NN 19261 3365 11 of of IN 19261 3365 12 perforation perforation NN 19261 3365 13 . . . 19261 3366 1 _ _ NNP 19261 3366 2 Sarcomatous sarcomatous JJ 19261 3366 3 ulcers ulcer NNS 19261 3366 4 _ _ NNP 19261 3366 5 do do VBP 19261 3366 6 not not RB 19261 3366 7 differ differ VB 19261 3366 8 materially materially RB 19261 3366 9 in in IN 19261 3366 10 appearance appearance NN 19261 3366 11 from from IN 19261 3366 12 those those DT 19261 3366 13 of of IN 19261 3366 14 carcinoma carcinoma NN 19261 3366 15 , , , 19261 3366 16 but but CC 19261 3366 17 they -PRON- PRP 19261 3366 18 are be VBP 19261 3366 19 much much RB 19261 3366 20 more more RBR 19261 3366 21 rare rare JJ 19261 3366 22 . . . 19261 3367 1 _ _ NNP 19261 3367 2 Carcinomatous carcinomatous JJ 19261 3367 3 ulcer ulcer NN 19261 3367 4 _ _ NNP 19261 3367 5 is be VBZ 19261 3367 6 usually usually RB 19261 3367 7 characterized characterize VBN 19261 3367 8 by by IN 19261 3367 9 the the DT 19261 3367 10 very very RB 19261 3367 11 vascular vascular JJ 19261 3367 12 bright bright JJ 19261 3367 13 red red JJ 19261 3367 14 zone zone NN 19261 3367 15 , , , 19261 3367 16 raised raise VBD 19261 3367 17 edges edge NNS 19261 3367 18 , , , 19261 3367 19 fungations fungation NNS 19261 3367 20 , , , 19261 3367 21 granulation granulation NN 19261 3367 22 tissue tissue NN 19261 3367 23 that that WDT 19261 3367 24 bleeds bleed VBZ 19261 3367 25 freely freely RB 19261 3367 26 on on IN 19261 3367 27 the the DT 19261 3367 28 lightest light JJS 19261 3367 29 touch touch NN 19261 3367 30 , , , 19261 3367 31 and and CC 19261 3367 32 above above IN 19261 3367 33 all all DT 19261 3367 34 , , , 19261 3367 35 it -PRON- PRP 19261 3367 36 is be VBZ 19261 3367 37 almost almost RB 19261 3367 38 invariably invariably RB 19261 3367 39 situated situate VBN 19261 3367 40 on on IN 19261 3367 41 an an DT 19261 3367 42 infiltrated infiltrated JJ 19261 3367 43 base base NN 19261 3367 44 which which WDT 19261 3367 45 communicates communicate VBZ 19261 3367 46 a a DT 19261 3367 47 feeling feeling NN 19261 3367 48 of of IN 19261 3367 49 hardness hardness NN 19261 3367 50 to to IN 19261 3367 51 the the DT 19261 3367 52 pressure pressure NN 19261 3367 53 of of IN 19261 3367 54 sponges sponge NNS 19261 3367 55 or or CC 19261 3367 56 the the DT 19261 3367 57 esophagoscope esophagoscope NN 19261 3367 58 itself -PRON- PRP 19261 3367 59 . . . 19261 3368 1 A a DT 19261 3368 2 scar scar NN 19261 3368 3 may may MD 19261 3368 4 be be VB 19261 3368 5 from from IN 19261 3368 6 the the DT 19261 3368 7 healing healing NN 19261 3368 8 of of IN 19261 3368 9 an an DT 19261 3368 10 ulcer ulcer NN 19261 3368 11 from from IN 19261 3368 12 stasis stasis NN 19261 3368 13 , , , 19261 3368 14 or or CC 19261 3368 15 one one CD 19261 3368 16 of of IN 19261 3368 17 specific specific JJ 19261 3368 18 or or CC 19261 3368 19 precancerous precancerous JJ 19261 3368 20 character character NN 19261 3368 21 . . . 19261 3369 1 It -PRON- PRP 19261 3369 2 may may MD 19261 3369 3 be be VB 19261 3369 4 a a DT 19261 3369 5 cancerous cancerous JJ 19261 3369 6 process process NN 19261 3369 7 developing develop VBG 19261 3369 8 on on IN 19261 3369 9 the the DT 19261 3369 10 site site NN 19261 3369 11 of of IN 19261 3369 12 a a DT 19261 3369 13 scar scar NN 19261 3369 14 , , , 19261 3369 15 so so IN 19261 3369 16 that that IN 19261 3369 17 the the DT 19261 3369 18 presence presence NN 19261 3369 19 of of IN 19261 3369 20 scar scar JJ 19261 3369 21 tissue tissue NN 19261 3369 22 does do VBZ 19261 3369 23 not not RB 19261 3369 24 absolutely absolutely RB 19261 3369 25 negative negative JJ 19261 3369 26 malignancy malignancy NN 19261 3369 27 . . . 19261 3370 1 As as IN 19261 3370 2 a a DT 19261 3370 3 rule rule NN 19261 3370 4 , , , 19261 3370 5 however however RB 19261 3370 6 , , , 19261 3370 7 scars scar NNS 19261 3370 8 are be VBP 19261 3370 9 absent absent JJ 19261 3370 10 in in IN 19261 3370 11 cancer cancer NN 19261 3370 12 of of IN 19261 3370 13 the the DT 19261 3370 14 esophagus esophagus NN 19261 3370 15 . . . 19261 3371 1 The the DT 19261 3371 2 firm firm NN 19261 3371 3 and and CC 19261 3371 4 sometimes sometimes RB 19261 3371 5 prominent prominent JJ 19261 3371 6 ridge ridge NN 19261 3371 7 of of IN 19261 3371 8 the the DT 19261 3371 9 crossing crossing NN 19261 3371 10 of of IN 19261 3371 11 the the DT 19261 3371 12 left left JJ 19261 3371 13 bronchus bronchu NNS 19261 3371 14 must must MD 19261 3371 15 not not RB 19261 3371 16 be be VB 19261 3371 17 mistaken mistake VBN 19261 3371 18 for for IN 19261 3371 19 infiltration infiltration NN 19261 3371 20 , , , 19261 3371 21 and and CC 19261 3371 22 the the DT 19261 3371 23 esophagoscopist esophagoscopist NN 19261 3371 24 must must MD 19261 3371 25 be be VB 19261 3371 26 familiar familiar JJ 19261 3371 27 with with IN 19261 3371 28 the the DT 19261 3371 29 normal normal JJ 19261 3371 30 rigidity rigidity NN 19261 3371 31 of of IN 19261 3371 32 the the DT 19261 3371 33 cricopharyngeus cricopharyngeus NN 19261 3371 34 . . . 19261 3372 1 [ [ -LRB- 19261 3372 2 242 242 CD 19261 3372 3 ] ] -RRB- 19261 3372 4 Mixed mixed JJ 19261 3372 5 infection infection NN 19261 3372 6 gives give VBZ 19261 3372 7 to to IN 19261 3372 8 all all DT 19261 3372 9 esophageal esophageal JJ 19261 3372 10 ulceration ulceration NN 19261 3372 11 a a DT 19261 3372 12 certain certain JJ 19261 3372 13 uniformity uniformity NN 19261 3372 14 of of IN 19261 3372 15 appearance appearance NN 19261 3372 16 , , , 19261 3372 17 so so IN 19261 3372 18 that that IN 19261 3372 19 laboratory laboratory NN 19261 3372 20 studies study NNS 19261 3372 21 of of IN 19261 3372 22 smears smear NNS 19261 3372 23 or or CC 19261 3372 24 histologic histologic JJ 19261 3372 25 and and CC 19261 3372 26 bacteriologic bacteriologic JJ 19261 3372 27 study study NN 19261 3372 28 of of IN 19261 3372 29 tissue tissue NN 19261 3372 30 specimens specimen NNS 19261 3372 31 taken take VBN 19261 3372 32 from from IN 19261 3372 33 fungations fungation NNS 19261 3372 34 or or CC 19261 3372 35 thickened thicken VBN 19261 3372 36 edges edge NNS 19261 3372 37 are be VBP 19261 3372 38 often often RB 19261 3372 39 required require VBN 19261 3372 40 to to TO 19261 3372 41 confirm confirm VB 19261 3372 42 the the DT 19261 3372 43 endoscopic endoscopic JJ 19261 3372 44 diagnosis diagnosis NN 19261 3372 45 . . . 19261 3373 1 If if IN 19261 3373 2 the the DT 19261 3373 3 edges edge NNS 19261 3373 4 are be VBP 19261 3373 5 thin thin JJ 19261 3373 6 and and CC 19261 3373 7 flat flat JJ 19261 3373 8 , , , 19261 3373 9 the the DT 19261 3373 10 taking taking NN 19261 3373 11 of of IN 19261 3373 12 a a DT 19261 3373 13 specimen speciman NNS 19261 3373 14 involves involve VBZ 19261 3373 15 some some DT 19261 3373 16 risk risk NN 19261 3373 17 ; ; : 19261 3373 18 fungations fungation NNS 19261 3373 19 can can MD 19261 3373 20 be be VB 19261 3373 21 removed remove VBN 19261 3373 22 without without IN 19261 3373 23 risk risk NN 19261 3373 24 ; ; : 19261 3373 25 so so CC 19261 3373 26 can can MD 19261 3373 27 nodules nodule NNS 19261 3373 28 , , , 19261 3373 29 but but CC 19261 3373 30 care care NN 19261 3373 31 must must MD 19261 3373 32 be be VB 19261 3373 33 taken take VBN 19261 3373 34 that that IN 19261 3373 35 projecting projecting NN 19261 3373 36 folds fold NNS 19261 3373 37 are be VBP 19261 3373 38 not not RB 19261 3373 39 mistaken mistaken JJ 19261 3373 40 for for IN 19261 3373 41 nodules nodule NNS 19261 3373 42 . . . 19261 3374 1 It -PRON- PRP 19261 3374 2 is be VBZ 19261 3374 3 always always RB 19261 3374 4 wise wise JJ 19261 3374 5 to to TO 19261 3374 6 push push VB 19261 3374 7 the the DT 19261 3374 8 therapeutic therapeutic JJ 19261 3374 9 test test NN 19261 3374 10 with with IN 19261 3374 11 potassium potassium NN 19261 3374 12 iodid iodid VBD 19261 3374 13 and and CC 19261 3374 14 especially especially RB 19261 3374 15 mercury mercury NN 19261 3374 16 in in IN 19261 3374 17 any any DT 19261 3374 18 case case NN 19261 3374 19 of of IN 19261 3374 20 esophageal esophageal JJ 19261 3374 21 ulceration ulceration NN 19261 3374 22 unassociated unassociate VBN 19261 3374 23 with with IN 19261 3374 24 stasis stasis NN 19261 3374 25 . . . 19261 3375 1 _ _ NNP 19261 3375 2 Treatment Treatment NNP 19261 3375 3 of of IN 19261 3375 4 Acute Acute NNP 19261 3375 5 and and CC 19261 3375 6 Subacute Subacute NNP 19261 3375 7 Inflammation Inflammation NNP 19261 3375 8 and and CC 19261 3375 9 Ulceration Ulceration NNP 19261 3375 10 of of IN 19261 3375 11 the the DT 19261 3375 12 Esophagus_.--Bismuth Esophagus_.--Bismuth NNP 19261 3375 13 subnitrate subnitrate NN 19261 3375 14 in in IN 19261 3375 15 doses dose NNS 19261 3375 16 of of IN 19261 3375 17 about about RB 19261 3375 18 one one CD 19261 3375 19 gramme gramme NN 19261 3375 20 , , , 19261 3375 21 given give VBN 19261 3375 22 dry dry JJ 19261 3375 23 on on IN 19261 3375 24 the the DT 19261 3375 25 tongue tongue NN 19261 3375 26 and and CC 19261 3375 27 swallowed swallow VBD 19261 3375 28 without without IN 19261 3375 29 water water NN 19261 3375 30 , , , 19261 3375 31 has have VBZ 19261 3375 32 a a DT 19261 3375 33 local local JJ 19261 3375 34 antiseptic antiseptic NN 19261 3375 35 and and CC 19261 3375 36 protective protective JJ 19261 3375 37 action action NN 19261 3375 38 . . . 19261 3376 1 Its -PRON- PRP$ 19261 3376 2 antiseptic antiseptic JJ 19261 3376 3 power power NN 19261 3376 4 may may MD 19261 3376 5 be be VB 19261 3376 6 enhanced enhance VBN 19261 3376 7 by by IN 19261 3376 8 the the DT 19261 3376 9 addition addition NN 19261 3376 10 of of IN 19261 3376 11 calomel calomel NN 19261 3376 12 to to IN 19261 3376 13 the the DT 19261 3376 14 powder powder NN 19261 3376 15 , , , 19261 3376 16 in in IN 19261 3376 17 such such JJ 19261 3376 18 amount amount NN 19261 3376 19 as as IN 19261 3376 20 may may MD 19261 3376 21 be be VB 19261 3376 22 tolerated tolerate VBN 19261 3376 23 by by IN 19261 3376 24 the the DT 19261 3376 25 bowels bowel NNS 19261 3376 26 . . . 19261 3377 1 If if IN 19261 3377 2 pain pain NN 19261 3377 3 be be VBP 19261 3377 4 present present IN 19261 3377 5 the the DT 19261 3377 6 combination combination NN 19261 3377 7 of of IN 19261 3377 8 a a DT 19261 3377 9 grain grain NN 19261 3377 10 or or CC 19261 3377 11 two two CD 19261 3377 12 of of IN 19261 3377 13 anesthesin anesthesin NN 19261 3377 14 or or CC 19261 3377 15 orthoform orthoform NN 19261 3377 16 with with IN 19261 3377 17 the the DT 19261 3377 18 bismuth bismuth NN 19261 3377 19 will will MD 19261 3377 20 be be VB 19261 3377 21 grateful grateful JJ 19261 3377 22 . . . 19261 3378 1 The the DT 19261 3378 2 local local JJ 19261 3378 3 application application NN 19261 3378 4 of of IN 19261 3378 5 argyrol argyrol JJ 19261 3378 6 in in IN 19261 3378 7 25 25 CD 19261 3378 8 per per NN 19261 3378 9 cent cent NN 19261 3378 10 watery watery JJ 19261 3378 11 solution solution NN 19261 3378 12 is be VBZ 19261 3378 13 also also RB 19261 3378 14 of of IN 19261 3378 15 great great JJ 19261 3378 16 value value NN 19261 3378 17 . . . 19261 3379 1 The the DT 19261 3379 2 mouth mouth NN 19261 3379 3 and and CC 19261 3379 4 teeth tooth NNS 19261 3379 5 are be VBP 19261 3379 6 to to TO 19261 3379 7 be be VB 19261 3379 8 kept keep VBN 19261 3379 9 clean clean JJ 19261 3379 10 with with IN 19261 3379 11 a a DT 19261 3379 12 mouth mouth NN 19261 3379 13 wash wash NN 19261 3379 14 of of IN 19261 3379 15 Dakin Dakin NNP 19261 3379 16 's 's POS 19261 3379 17 solution solution NN 19261 3379 18 , , , 19261 3379 19 1 1 CD 19261 3379 20 part part NN 19261 3379 21 , , , 19261 3379 22 to to TO 19261 3379 23 peppermint peppermint VB 19261 3379 24 water water NN 19261 3379 25 , , , 19261 3379 26 6 6 CD 19261 3379 27 parts part NNS 19261 3379 28 . . . 19261 3380 1 The the DT 19261 3380 2 esophagus esophagus NN 19261 3380 3 must must MD 19261 3380 4 be be VB 19261 3380 5 placed place VBN 19261 3380 6 at at IN 19261 3380 7 rest rest NN 19261 3380 8 as as RB 19261 3380 9 far far RB 19261 3380 10 as as IN 19261 3380 11 possible possible JJ 19261 3380 12 by by IN 19261 3380 13 liquid liquid JJ 19261 3380 14 diet diet NN 19261 3380 15 or or CC 19261 3380 16 , , , 19261 3380 17 if if IN 19261 3380 18 need need NN 19261 3380 19 be be VB 19261 3380 20 , , , 19261 3380 21 by by IN 19261 3380 22 gastrostomy gastrostomy NNP 19261 3380 23 . . . 19261 3381 1 CHRONIC CHRONIC NNP 19261 3381 2 ESOPHAGITIS ESOPHAGITIS NNP 19261 3381 3 This this DT 19261 3381 4 is be VBZ 19261 3381 5 usually usually RB 19261 3381 6 a a DT 19261 3381 7 result result NN 19261 3381 8 of of IN 19261 3381 9 stagnation stagnation NN 19261 3381 10 of of IN 19261 3381 11 food food NN 19261 3381 12 or or CC 19261 3381 13 secretion secretion NN 19261 3381 14 , , , 19261 3381 15 and and CC 19261 3381 16 will will MD 19261 3381 17 be be VB 19261 3381 18 considered consider VBN 19261 3381 19 under under IN 19261 3381 20 spasmodic spasmodic JJ 19261 3381 21 stenosis stenosis NN 19261 3381 22 and and CC 19261 3381 23 diffuse diffuse VB 19261 3381 24 dilatation dilatation NN 19261 3381 25 of of IN 19261 3381 26 the the DT 19261 3381 27 esophagus esophagus NN 19261 3381 28 . . . 19261 3382 1 A a DT 19261 3382 2 very very RB 19261 3382 3 marked marked JJ 19261 3382 4 case case NN 19261 3382 5 with with IN 19261 3382 6 local local JJ 19261 3382 7 distress distress NN 19261 3382 8 and and CC 19261 3382 9 pain pain NN 19261 3382 10 extending extend VBG 19261 3382 11 through through IN 19261 3382 12 to to IN 19261 3382 13 the the DT 19261 3382 14 back back NN 19261 3382 15 was be VBD 19261 3382 16 seen see VBN 19261 3382 17 by by IN 19261 3382 18 the the DT 19261 3382 19 author author NN 19261 3382 20 in in IN 19261 3382 21 consultation consultation NN 19261 3382 22 with with IN 19261 3382 23 Dr. Dr. NNP 19261 3382 24 John John NNP 19261 3382 25 B. B. NNP 19261 3382 26 Wright Wright NNP 19261 3382 27 who who WP 19261 3382 28 had have VBD 19261 3382 29 made make VBN 19261 3382 30 the the DT 19261 3382 31 diagnosis diagnosis NN 19261 3382 32 . . . 19261 3383 1 The the DT 19261 3383 2 patient patient NN 19261 3383 3 was be VBD 19261 3383 4 a a DT 19261 3383 5 sufferer sufferer NN 19261 3383 6 from from IN 19261 3383 7 ankylostomiasis ankylostomiasis NN 19261 3383 8 . . . 19261 3384 1 [ [ -LRB- 19261 3384 2 243 243 CD 19261 3384 3 ] ] -RRB- 19261 3384 4 COMPRESSION COMPRESSION VBN 19261 3384 5 STENOSIS STENOSIS NNP 19261 3384 6 OF of IN 19261 3384 7 THE the DT 19261 3384 8 ESOPHAGUS esophagus NN 19261 3384 9 The the DT 19261 3384 10 esophagus esophagus NN 19261 3384 11 may may MD 19261 3384 12 be be VB 19261 3384 13 narrowed narrow VBN 19261 3384 14 by by IN 19261 3384 15 the the DT 19261 3384 16 pressure pressure NN 19261 3384 17 of of IN 19261 3384 18 any any DT 19261 3384 19 periesophageal periesophageal JJ 19261 3384 20 disease disease NN 19261 3384 21 or or CC 19261 3384 22 anomaly anomaly IN 19261 3384 23 . . . 19261 3385 1 The the DT 19261 3385 2 lesions lesion NNS 19261 3385 3 most most RBS 19261 3385 4 frequently frequently RB 19261 3385 5 found find VBN 19261 3385 6 are be VBP 19261 3385 7 : : : 19261 3385 8 1 1 LS 19261 3385 9 . . . 19261 3386 1 Goiter Goiter NNP 19261 3386 2 , , , 19261 3386 3 cervical cervical NN 19261 3386 4 or or CC 19261 3386 5 thoracic thoracic NN 19261 3386 6 . . . 19261 3387 1 2 2 LS 19261 3387 2 . . . 19261 3388 1 Malignancy Malignancy NNP 19261 3388 2 of of IN 19261 3388 3 any any DT 19261 3388 4 of of IN 19261 3388 5 the the DT 19261 3388 6 intrathoracic intrathoracic NNP 19261 3388 7 viscera viscera NNP 19261 3388 8 . . . 19261 3389 1 3 3 LS 19261 3389 2 . . . 19261 3390 1 Aneurysm Aneurysm NNS 19261 3390 2 . . . 19261 3391 1 4 4 LS 19261 3391 2 . . . 19261 3392 1 Cardiac cardiac JJ 19261 3392 2 and and CC 19261 3392 3 aortic aortic JJ 19261 3392 4 enlargement enlargement NN 19261 3392 5 . . . 19261 3393 1 5 5 CD 19261 3393 2 . . . 19261 3394 1 Lymphadenopathies lymphadenopathy NNS 19261 3394 2 . . . 19261 3395 1 Hodgkins Hodgkins NNP 19261 3395 2 ' ' POS 19261 3395 3 disease disease NN 19261 3395 4 . . . 19261 3396 1 Leukemia Leukemia NNP 19261 3396 2 . . . 19261 3397 1 Lues lue NNS 19261 3397 2 . . . 19261 3398 1 Tuberculosis tuberculosis NN 19261 3398 2 . . . 19261 3399 1 Simple simple JJ 19261 3399 2 infective infective JJ 19261 3399 3 adenitis adenitis NN 19261 3399 4 . . . 19261 3400 1 6 6 CD 19261 3400 2 . . . 19261 3401 1 Lordosis Lordosis NNP 19261 3401 2 . . . 19261 3402 1 7 7 LS 19261 3402 2 . . . 19261 3403 1 Enlargement enlargement NN 19261 3403 2 of of IN 19261 3403 3 the the DT 19261 3403 4 left left JJ 19261 3403 5 hepatic hepatic JJ 19261 3403 6 lobe lobe NN 19261 3403 7 . . . 19261 3404 1 Endoscopically endoscopically RB 19261 3404 2 , , , 19261 3404 3 compression compression NN 19261 3404 4 stenosis stenosis NN 19261 3404 5 of of IN 19261 3404 6 the the DT 19261 3404 7 esophagus esophagus NN 19261 3404 8 is be VBZ 19261 3404 9 manifested manifest VBN 19261 3404 10 by by IN 19261 3404 11 a a DT 19261 3404 12 slit slit NN 19261 3404 13 - - HYPH 19261 3404 14 like like JJ 19261 3404 15 crevice crevice NN 19261 3404 16 which which WDT 19261 3404 17 occupies occupy VBZ 19261 3404 18 the the DT 19261 3404 19 place place NN 19261 3404 20 of of IN 19261 3404 21 the the DT 19261 3404 22 lumen luman NNS 19261 3404 23 and and CC 19261 3404 24 which which WDT 19261 3404 25 does do VBZ 19261 3404 26 not not RB 19261 3404 27 open open VB 19261 3404 28 up up RP 19261 3404 29 readily readily RB 19261 3404 30 before before IN 19261 3404 31 the the DT 19261 3404 32 advancing advance VBG 19261 3404 33 tube tube NN 19261 3404 34 . . . 19261 3405 1 The the DT 19261 3405 2 long long JJ 19261 3405 3 axis axis NN 19261 3405 4 of of IN 19261 3405 5 the the DT 19261 3405 6 slit slit NN 19261 3405 7 is be VBZ 19261 3405 8 almost almost RB 19261 3405 9 always always RB 19261 3405 10 at at IN 19261 3405 11 right right JJ 19261 3405 12 angles angle NNS 19261 3405 13 to to IN 19261 3405 14 the the DT 19261 3405 15 compressive compressive JJ 19261 3405 16 mass mass NN 19261 3405 17 , , , 19261 3405 18 if if IN 19261 3405 19 the the DT 19261 3405 20 esophageal esophageal JJ 19261 3405 21 wall wall NN 19261 3405 22 be be VB 19261 3405 23 uninvolved uninvolved JJ 19261 3405 24 . . . 19261 3406 1 The the DT 19261 3406 2 covering covering NN 19261 3406 3 mucosa mucosa NNS 19261 3406 4 may may MD 19261 3406 5 be be VB 19261 3406 6 normal normal JJ 19261 3406 7 or or CC 19261 3406 8 it -PRON- PRP 19261 3406 9 may may MD 19261 3406 10 show show VB 19261 3406 11 signs sign NNS 19261 3406 12 of of IN 19261 3406 13 chronic chronic JJ 19261 3406 14 inflammation inflammation NN 19261 3406 15 . . . 19261 3407 1 Malignant malignant JJ 19261 3407 2 compressions compression NNS 19261 3407 3 are be VBP 19261 3407 4 characterized characterize VBN 19261 3407 5 by by IN 19261 3407 6 their -PRON- PRP$ 19261 3407 7 hardness hardness NN 19261 3407 8 when when WRB 19261 3407 9 palpated palpate VBN 19261 3407 10 with with IN 19261 3407 11 the the DT 19261 3407 12 tube tube NN 19261 3407 13 . . . 19261 3408 1 Associated associated JJ 19261 3408 2 pressure pressure NN 19261 3408 3 on on IN 19261 3408 4 the the DT 19261 3408 5 recurrent recurrent JJ 19261 3408 6 laryngeal laryngeal NN 19261 3408 7 nerve nerve NN 19261 3408 8 often often RB 19261 3408 9 makes make VBZ 19261 3408 10 laryngeal laryngeal JJ 19261 3408 11 paralysis paralysis NN 19261 3408 12 coexistent coexistent NN 19261 3408 13 . . . 19261 3409 1 The the DT 19261 3409 2 nature nature NN 19261 3409 3 of of IN 19261 3409 4 the the DT 19261 3409 5 compressive compressive JJ 19261 3409 6 mass mass NN 19261 3409 7 will will MD 19261 3409 8 require require VB 19261 3409 9 for for IN 19261 3409 10 its -PRON- PRP$ 19261 3409 11 determination determination NN 19261 3409 12 the the DT 19261 3409 13 aid aid NN 19261 3409 14 of of IN 19261 3409 15 the the DT 19261 3409 16 roentgenologist roentgenologist NN 19261 3409 17 , , , 19261 3409 18 internist internist JJ 19261 3409 19 , , , 19261 3409 20 and and CC 19261 3409 21 clinical clinical JJ 19261 3409 22 laboratory laboratory NN 19261 3409 23 . . . 19261 3410 1 Compression compression NN 19261 3410 2 by by IN 19261 3410 3 the the DT 19261 3410 4 enlarged enlarged JJ 19261 3410 5 left left JJ 19261 3410 6 auricle auricle NN 19261 3410 7 has have VBZ 19261 3410 8 been be VBN 19261 3410 9 observed observe VBN 19261 3410 10 a a DT 19261 3410 11 number number NN 19261 3410 12 of of IN 19261 3410 13 times time NNS 19261 3410 14 . . . 19261 3411 1 The the DT 19261 3411 2 presence presence NN 19261 3411 3 of of IN 19261 3411 4 aneurysm aneurysm NNS 19261 3411 5 is be VBZ 19261 3411 6 a a DT 19261 3411 7 distinct distinct JJ 19261 3411 8 contraindication contraindication NN 19261 3411 9 to to TO 19261 3411 10 esophagoscopy esophagoscopy VB 19261 3411 11 for for IN 19261 3411 12 diagnosis diagnosis NN 19261 3411 13 except except IN 19261 3411 14 in in IN 19261 3411 15 case case NN 19261 3411 16 of of IN 19261 3411 17 suspected suspect VBN 19261 3411 18 foreign foreign JJ 19261 3411 19 body body NN 19261 3411 20 . . . 19261 3412 1 _ _ NNP 19261 3412 2 Treatment Treatment NNP 19261 3412 3 of of IN 19261 3412 4 compressive compressive JJ 19261 3412 5 stenosis stenosis NN 19261 3412 6 of of IN 19261 3412 7 the the DT 19261 3412 8 esophagus esophagus NN 19261 3412 9 _ _ NNP 19261 3412 10 depends depend VBZ 19261 3412 11 upon upon IN 19261 3412 12 the the DT 19261 3412 13 nature nature NN 19261 3412 14 of of IN 19261 3412 15 the the DT 19261 3412 16 compressive compressive JJ 19261 3412 17 lesion lesion NN 19261 3412 18 and and CC 19261 3412 19 is be VBZ 19261 3412 20 without without IN 19261 3412 21 the the DT 19261 3412 22 realm realm NN 19261 3412 23 of of IN 19261 3412 24 endoscopy endoscopy NN 19261 3412 25 . . . 19261 3413 1 In in IN 19261 3413 2 uncertain uncertain JJ 19261 3413 3 cases case NNS 19261 3413 4 potassium potassium NN 19261 3413 5 iodid iodid VBD 19261 3413 6 , , , 19261 3413 7 and and CC 19261 3413 8 especially especially RB 19261 3413 9 mercury mercury NN 19261 3413 10 , , , 19261 3413 11 should should MD 19261 3413 12 always always RB 19261 3413 13 be be VB 19261 3413 14 given give VBN 19261 3413 15 a a DT 19261 3413 16 thorough thorough JJ 19261 3413 17 and and CC 19261 3413 18 prolonged prolong VBD 19261 3413 19 trial trial NN 19261 3413 20 ; ; : 19261 3413 21 an an DT 19261 3413 22 occasional occasional JJ 19261 3413 23 cure cure NN 19261 3413 24 will will MD 19261 3413 25 result result VB 19261 3413 26 . . . 19261 3414 1 Esophageal esophageal JJ 19261 3414 2 intubation intubation NN 19261 3414 3 is be VBZ 19261 3414 4 indicated indicate VBN 19261 3414 5 in in IN 19261 3414 6 all all DT 19261 3414 7 conditions condition NNS 19261 3414 8 except except IN 19261 3414 9 aneurysm aneurysm NNS 19261 3414 10 . . . 19261 3415 1 Gastrostomy Gastrostomy NNP 19261 3415 2 should should MD 19261 3415 3 be be VB 19261 3415 4 done do VBN 19261 3415 5 early early RB 19261 3415 6 when when WRB 19261 3415 7 necessary necessary JJ 19261 3415 8 . . . 19261 3416 1 DIFFUSE DIFFUSE JJR 19261 3416 2 DILATATION DILATATION NNS 19261 3416 3 OF of IN 19261 3416 4 THE the DT 19261 3416 5 ESOPHAGUS esophagus NN 19261 3416 6 This this DT 19261 3416 7 is be VBZ 19261 3416 8 practically practically RB 19261 3416 9 always always RB 19261 3416 10 due due JJ 19261 3416 11 to to IN 19261 3416 12 stagnation stagnation NN 19261 3416 13 ectasia ectasia NNP 19261 3416 14 , , , 19261 3416 15 which which WDT 19261 3416 16 is be VBZ 19261 3416 17 invariably invariably RB 19261 3416 18 associated associate VBN 19261 3416 19 with with IN 19261 3416 20 either either CC 19261 3416 21 organic organic JJ 19261 3416 22 or or CC 19261 3416 23 " " `` 19261 3416 24 spasmodic spasmodic JJ 19261 3416 25 " " '' 19261 3416 26 stricture stricture NN 19261 3416 27 , , , 19261 3416 28 existing exist VBG 19261 3416 29 at at IN 19261 3416 30 the the DT 19261 3416 31 time time NN 19261 3416 32 of of IN 19261 3416 33 observation observation NN 19261 3416 34 or or CC 19261 3416 35 at at IN 19261 3416 36 some some DT 19261 3416 37 time time NN 19261 3416 38 prior prior JJ 19261 3416 39 thereto thereto NN 19261 3416 40 . . . 19261 3417 1 The the DT 19261 3417 2 dilating dilate VBG 19261 3417 3 effect effect NN 19261 3417 4 of of IN 19261 3417 5 the the DT 19261 3417 6 repeatedly repeatedly RB 19261 3417 7 accumulated accumulate VBN 19261 3417 8 food food NN 19261 3417 9 results result NNS 19261 3417 10 in in IN 19261 3417 11 a a DT 19261 3417 12 permanent permanent JJ 19261 3417 13 enlargement enlargement NN 19261 3417 14 , , , 19261 3417 15 so so IN 19261 3417 16 that that IN 19261 3417 17 the the DT 19261 3417 18 esophagus esophagus NN 19261 3417 19 acts act VBZ 19261 3417 20 as as IN 19261 3417 21 the the DT 19261 3417 22 reservoir reservoir NN 19261 3417 23 of of IN 19261 3417 24 a a DT 19261 3417 25 large large JJ 19261 3417 26 funnel funnel NN 19261 3417 27 with with IN 19261 3417 28 a a DT 19261 3417 29 very very RB 19261 3417 30 small small JJ 19261 3417 31 opening opening NN 19261 3417 32 . . . 19261 3418 1 When when WRB 19261 3418 2 food food NN 19261 3418 3 is be VBZ 19261 3418 4 swallowed swallow VBN 19261 3418 5 the the DT 19261 3418 6 esophagus esophagus NN 19261 3418 7 fills fill NNS 19261 3418 8 , , , 19261 3418 9 and and CC 19261 3418 10 the the DT 19261 3418 11 contents content NNS 19261 3418 12 trickle trickle VBP 19261 3418 13 slowly slowly RB 19261 3418 14 through through IN 19261 3418 15 the the DT 19261 3418 16 opening opening NN 19261 3418 17 . . . 19261 3419 1 Gases gas NNS 19261 3419 2 due due JJ 19261 3419 3 to to IN 19261 3419 4 fermentation fermentation NN 19261 3419 5 increase increase VB 19261 3419 6 the the DT 19261 3419 7 distension distension NN 19261 3419 8 and and CC 19261 3419 9 cause cause VB 19261 3419 10 substernal substernal JJ 19261 3419 11 pressure pressure NN 19261 3419 12 , , , 19261 3419 13 discomfort discomfort NN 19261 3419 14 , , , 19261 3419 15 and and CC 19261 3419 16 belching belch VBG 19261 3419 17 . . . 19261 3420 1 A a DT 19261 3420 2 very very RB 19261 3420 3 large large JJ 19261 3420 4 dilatation dilatation NN 19261 3420 5 of of IN 19261 3420 6 the the DT 19261 3420 7 thoracic thoracic NNP 19261 3420 8 esophagus esophagus NNP 19261 3420 9 indicates indicate VBZ 19261 3420 10 spastic spastic JJ 19261 3420 11 stenosis stenosis NN 19261 3420 12 . . . 19261 3421 1 Cicatricial cicatricial JJ 19261 3421 2 stenoses stenosis NNS 19261 3421 3 do do VBP 19261 3421 4 not not RB 19261 3421 5 result result VB 19261 3421 6 in in IN 19261 3421 7 such such JJ 19261 3421 8 large large JJ 19261 3421 9 dilatations dilatation NNS 19261 3421 10 and and CC 19261 3421 11 the the DT 19261 3421 12 dilatation dilatation NN 19261 3421 13 above above IN 19261 3421 14 a a DT 19261 3421 15 malignant malignant JJ 19261 3421 16 stenosis stenosis NN 19261 3421 17 is be VBZ 19261 3421 18 usually usually RB 19261 3421 19 slight slight JJ 19261 3421 20 , , , 19261 3421 21 probably probably RB 19261 3421 22 because because IN 19261 3421 23 of of IN 19261 3421 24 its -PRON- PRP$ 19261 3421 25 relatively relatively RB 19261 3421 26 shorter short JJR 19261 3421 27 duration duration NN 19261 3421 28 . . . 19261 3422 1 The the DT 19261 3422 2 _ _ NNP 19261 3422 3 treatment treatment NN 19261 3422 4 of of IN 19261 3422 5 diffuse diffuse NN 19261 3422 6 esophageal esophageal JJ 19261 3422 7 dilatation dilatation NN 19261 3422 8 _ _ NNP 19261 3422 9 consists consist VBZ 19261 3422 10 in in IN 19261 3422 11 dilating dilate VBG 19261 3422 12 the the DT 19261 3422 13 " " `` 19261 3422 14 diaphragmatic diaphragmatic JJ 19261 3422 15 pinchcock pinchcock NN 19261 3422 16 " " '' 19261 3422 17 that that RB 19261 3422 18 is is RB 19261 3422 19 , , , 19261 3422 20 the the DT 19261 3422 21 hiatal hiatal JJ 19261 3422 22 esophagus esophagus NN 19261 3422 23 . . . 19261 3423 1 Chronic chronic JJ 19261 3423 2 esophagitis esophagitis NN 19261 3423 3 is be VBZ 19261 3423 4 to to TO 19261 3423 5 be be VB 19261 3423 6 controlled control VBN 19261 3423 7 by by IN 19261 3423 8 esophageal esophageal JJ 19261 3423 9 lavage lavage NN 19261 3423 10 , , , 19261 3423 11 the the DT 19261 3423 12 regulation regulation NN 19261 3423 13 of of IN 19261 3423 14 the the DT 19261 3423 15 diet diet NN 19261 3423 16 to to IN 19261 3423 17 liquefiable liquefiable JJ 19261 3423 18 foods food NNS 19261 3423 19 and and CC 19261 3423 20 the the DT 19261 3423 21 administration administration NNP 19261 3423 22 of of IN 19261 3423 23 bismuth bismuth NNP 19261 3423 24 subnitrate subnitrate NNP 19261 3423 25 . . . 19261 3424 1 The the DT 19261 3424 2 patient patient NN 19261 3424 3 can can MD 19261 3424 4 be be VB 19261 3424 5 taught teach VBN 19261 3424 6 to to TO 19261 3424 7 do do VB 19261 3424 8 the the DT 19261 3424 9 lavage lavage NN 19261 3424 10 . . . 19261 3425 1 The the DT 19261 3425 2 local local JJ 19261 3425 3 esophagoscopic esophagoscopic NN 19261 3425 4 application application NN 19261 3425 5 of of IN 19261 3425 6 a a DT 19261 3425 7 small small JJ 19261 3425 8 quantity quantity NN 19261 3425 9 of of IN 19261 3425 10 a a DT 19261 3425 11 25 25 CD 19261 3425 12 per per NN 19261 3425 13 cent cent NN 19261 3425 14 watery watery JJ 19261 3425 15 solution solution NN 19261 3425 16 of of IN 19261 3425 17 argyrol argyrol NN 19261 3425 18 may may MD 19261 3425 19 be be VB 19261 3425 20 required require VBN 19261 3425 21 for for IN 19261 3425 22 the the DT 19261 3425 23 static static JJ 19261 3425 24 esophagitis esophagitis NN 19261 3425 25 . . . 19261 3426 1 The the DT 19261 3426 2 redundancy redundancy NN 19261 3426 3 probably probably RB 19261 3426 4 never never RB 19261 3426 5 disappears disappear VBZ 19261 3426 6 ; ; : 19261 3426 7 but but CC 19261 3426 8 functional functional JJ 19261 3426 9 and and CC 19261 3426 10 subjective subjective JJ 19261 3426 11 cures cure NNS 19261 3426 12 are be VBP 19261 3426 13 usually usually RB 19261 3426 14 obtainable obtainable JJ 19261 3426 15 . . . 19261 3427 1 [ [ -LRB- 19261 3427 2 245 245 CD 19261 3427 3 ] ] -RRB- 19261 3427 4 CHAPTER chapter NN 19261 3427 5 XXXI xxxi NN 19261 3427 6 -- -- : 19261 3427 7 DISEASES diseases NN 19261 3427 8 OF of IN 19261 3427 9 THE the DT 19261 3427 10 ESOPHAGUS ESOPHAGUS NNP 19261 3427 11 ( ( -LRB- 19261 3427 12 _ _ NNP 19261 3427 13 Continued Continued NNP 19261 3427 14 _ _ NNP 19261 3427 15 ) ) -RRB- 19261 3427 16 SPASMODIC SPASMODIC NNP 19261 3427 17 STENOSIS STENOSIS NNP 19261 3427 18 OF of IN 19261 3427 19 THE the DT 19261 3427 20 ESOPHAGUS ESOPHAGUS NNP 19261 3427 21 _ _ NNP 19261 3427 22 Etiology_.--The etiology_.--the JJ 19261 3427 23 functional functional JJ 19261 3427 24 activity activity NN 19261 3427 25 of of IN 19261 3427 26 the the DT 19261 3427 27 esophagus esophagus NN 19261 3427 28 is be VBZ 19261 3427 29 dependent dependent JJ 19261 3427 30 upon upon IN 19261 3427 31 reflex reflex JJ 19261 3427 32 action action NN 19261 3427 33 . . . 19261 3428 1 The the DT 19261 3428 2 food food NN 19261 3428 3 is be VBZ 19261 3428 4 propulsed propulse VBN 19261 3428 5 in in IN 19261 3428 6 a a DT 19261 3428 7 peristaltic peristaltic JJ 19261 3428 8 wave wave NN 19261 3428 9 by by IN 19261 3428 10 the the DT 19261 3428 11 same same JJ 19261 3428 12 mechanism mechanism NN 19261 3428 13 as as IN 19261 3428 14 , , , 19261 3428 15 and and CC 19261 3428 16 through through IN 19261 3428 17 an an DT 19261 3428 18 innervation innervation NN 19261 3428 19 ( ( -LRB- 19261 3428 20 Auerbach Auerbach NNP 19261 3428 21 and and CC 19261 3428 22 Meissner Meissner NNP 19261 3428 23 plexus plexus NN 19261 3428 24 ) ) -RRB- 19261 3428 25 similar similar JJ 19261 3428 26 to to IN 19261 3428 27 that that DT 19261 3428 28 which which WDT 19261 3428 29 controls control VBZ 19261 3428 30 intestinal intestinal JJ 19261 3428 31 movements movement NNS 19261 3428 32 . . . 19261 3429 1 The the DT 19261 3429 2 vagus vagus NN 19261 3429 3 also also RB 19261 3429 4 is be VBZ 19261 3429 5 directly directly RB 19261 3429 6 concerned concerned JJ 19261 3429 7 with with IN 19261 3429 8 the the DT 19261 3429 9 deglutitory deglutitory JJ 19261 3429 10 act act NN 19261 3429 11 , , , 19261 3429 12 for for IN 19261 3429 13 swallowing swallow VBG 19261 3429 14 is be VBZ 19261 3429 15 impossible impossible JJ 19261 3429 16 if if IN 19261 3429 17 both both CC 19261 3429 18 vagi vagi NNP 19261 3429 19 are be VBP 19261 3429 20 cut cut VBN 19261 3429 21 . . . 19261 3430 1 Anything anything NN 19261 3430 2 which which WDT 19261 3430 3 unduly unduly RB 19261 3430 4 disturbs disturb VBZ 19261 3430 5 this this DT 19261 3430 6 reflex reflex NNP 19261 3430 7 arc arc NN 19261 3430 8 may may MD 19261 3430 9 serve serve VB 19261 3430 10 as as IN 19261 3430 11 an an DT 19261 3430 12 exciting exciting JJ 19261 3430 13 cause cause NN 19261 3430 14 of of IN 19261 3430 15 spasmodic spasmodic JJ 19261 3430 16 stenosis stenosis NN 19261 3430 17 . . . 19261 3431 1 Bolting bolt VBG 19261 3431 2 of of IN 19261 3431 3 food food NN 19261 3431 4 , , , 19261 3431 5 superficial superficial JJ 19261 3431 6 erosions erosion NNS 19261 3431 7 , , , 19261 3431 8 local local JJ 19261 3431 9 esophageal esophageal JJ 19261 3431 10 disease disease NN 19261 3431 11 , , , 19261 3431 12 or or CC 19261 3431 13 a a DT 19261 3431 14 small small JJ 19261 3431 15 foreign foreign JJ 19261 3431 16 body body NN 19261 3431 17 , , , 19261 3431 18 may may MD 19261 3431 19 produce produce VB 19261 3431 20 spasmodic spasmodic JJ 19261 3431 21 stenosis stenosis NN 19261 3431 22 . . . 19261 3432 1 Spasm spasm VB 19261 3432 2 secondary secondary JJ 19261 3432 3 to to IN 19261 3432 4 disease disease NN 19261 3432 5 of of IN 19261 3432 6 the the DT 19261 3432 7 stomach stomach NN 19261 3432 8 , , , 19261 3432 9 liver liver NN 19261 3432 10 , , , 19261 3432 11 gall gall NNP 19261 3432 12 bladder bladder NNP 19261 3432 13 , , , 19261 3432 14 appendix appendix NNP 19261 3432 15 , , , 19261 3432 16 or or CC 19261 3432 17 other other JJ 19261 3432 18 abdominal abdominal JJ 19261 3432 19 organ organ NN 19261 3432 20 is be VBZ 19261 3432 21 clinically clinically RB 19261 3432 22 well well RB 19261 3432 23 recognized recognize VBN 19261 3432 24 . . . 19261 3433 1 A a DT 19261 3433 2 perpetuating perpetuate VBG 19261 3433 3 cause cause NN 19261 3433 4 in in IN 19261 3433 5 established establish VBN 19261 3433 6 cases case NNS 19261 3433 7 is be VBZ 19261 3433 8 undoubtedly undoubtedly RB 19261 3433 9 " " `` 19261 3433 10 nerve nerve NN 19261 3433 11 cell cell NN 19261 3433 12 habit habit NN 19261 3433 13 , , , 19261 3433 14 " " '' 19261 3433 15 and and CC 19261 3433 16 in in IN 19261 3433 17 many many JJ 19261 3433 18 cases case NNS 19261 3433 19 there there EX 19261 3433 20 is be VBZ 19261 3433 21 an an DT 19261 3433 22 underlying underlie VBG 19261 3433 23 neurotic neurotic JJ 19261 3433 24 factor factor NN 19261 3433 25 . . . 19261 3434 1 Shock shock NN 19261 3434 2 as as IN 19261 3434 3 an an DT 19261 3434 4 exciting exciting JJ 19261 3434 5 cause cause NN 19261 3434 6 has have VBZ 19261 3434 7 been be VBN 19261 3434 8 well well RB 19261 3434 9 exemplified exemplify VBN 19261 3434 10 by by IN 19261 3434 11 the the DT 19261 3434 12 number number NN 19261 3434 13 of of IN 19261 3434 14 cases case NNS 19261 3434 15 of of IN 19261 3434 16 phrenospasm phrenospasm NN 19261 3434 17 developing develop VBG 19261 3434 18 in in IN 19261 3434 19 soldiers soldier NNS 19261 3434 20 during during IN 19261 3434 21 the the DT 19261 3434 22 World World NNP 19261 3434 23 War War NNP 19261 3434 24 . . . 19261 3435 1 _ _ NNP 19261 3435 2 Cricopharyngeal Cricopharyngeal NNP 19261 3435 3 spasmodic spasmodic JJ 19261 3435 4 stenosis stenosis NN 19261 3435 5 _ _ NNP 19261 3435 6 usually usually RB 19261 3435 7 presents present VBZ 19261 3435 8 the the DT 19261 3435 9 subjective subjective JJ 19261 3435 10 symptom symptom NN 19261 3435 11 of of IN 19261 3435 12 difficulty difficulty NN 19261 3435 13 in in IN 19261 3435 14 starting start VBG 19261 3435 15 the the DT 19261 3435 16 bolus bolus NN 19261 3435 17 of of IN 19261 3435 18 food food NN 19261 3435 19 downward downward RB 19261 3435 20 . . . 19261 3436 1 Once once RB 19261 3436 2 started start VBD 19261 3436 3 , , , 19261 3436 4 the the DT 19261 3436 5 food food NN 19261 3436 6 passes pass VBZ 19261 3436 7 into into IN 19261 3436 8 the the DT 19261 3436 9 stomach stomach NN 19261 3436 10 unimpeded unimpeded JJ 19261 3436 11 . . . 19261 3437 1 Regurgitation regurgitation NN 19261 3437 2 , , , 19261 3437 3 if if IN 19261 3437 4 it -PRON- PRP 19261 3437 5 occurs occur VBZ 19261 3437 6 , , , 19261 3437 7 is be VBZ 19261 3437 8 immediate immediate JJ 19261 3437 9 . . . 19261 3438 1 The the DT 19261 3438 2 condition condition NN 19261 3438 3 consists consist VBZ 19261 3438 4 in in IN 19261 3438 5 a a DT 19261 3438 6 tonic tonic NN 19261 3438 7 contraction contraction NN 19261 3438 8 , , , 19261 3438 9 ahead ahead RB 19261 3438 10 of of IN 19261 3438 11 the the DT 19261 3438 12 bolus bolus NN 19261 3438 13 , , , 19261 3438 14 of of IN 19261 3438 15 the the DT 19261 3438 16 circular circular JJ 19261 3438 17 fibers fiber NNS 19261 3438 18 of of IN 19261 3438 19 the the DT 19261 3438 20 inferior inferior JJ 19261 3438 21 constrictor constrictor NN 19261 3438 22 known know VBN 19261 3438 23 as as IN 19261 3438 24 the the DT 19261 3438 25 cricopharyngeus cricopharyngeus NN 19261 3438 26 muscle muscle NN 19261 3438 27 , , , 19261 3438 28 or or CC 19261 3438 29 in in IN 19261 3438 30 a a DT 19261 3438 31 failure failure NN 19261 3438 32 of of IN 19261 3438 33 this this DT 19261 3438 34 muscle muscle NN 19261 3438 35 to to TO 19261 3438 36 relax relax VB 19261 3438 37 so so IN 19261 3438 38 as as IN 19261 3438 39 to to TO 19261 3438 40 allow allow VB 19261 3438 41 the the DT 19261 3438 42 bolus bolus NN 19261 3438 43 to to TO 19261 3438 44 pass pass VB 19261 3438 45 . . . 19261 3439 1 In in IN 19261 3439 2 either either DT 19261 3439 3 case case NN 19261 3439 4 the the DT 19261 3439 5 disorder disorder NN 19261 3439 6 may may MD 19261 3439 7 be be VB 19261 3439 8 secondary secondary JJ 19261 3439 9 to to IN 19261 3439 10 an an DT 19261 3439 11 organic organic JJ 19261 3439 12 lesion lesion NN 19261 3439 13 . . . 19261 3440 1 Local local JJ 19261 3440 2 malignant malignant JJ 19261 3440 3 disease disease NN 19261 3440 4 or or CC 19261 3440 5 foreign foreign JJ 19261 3440 6 bodies body NNS 19261 3440 7 may may MD 19261 3440 8 be be VB 19261 3440 9 the the DT 19261 3440 10 cause cause NN 19261 3440 11 . . . 19261 3441 1 Globus Globus NNP 19261 3441 2 hystericus hystericus NNP 19261 3441 3 , , , 19261 3441 4 " " `` 19261 3441 5 lump lump NN 19261 3441 6 in in IN 19261 3441 7 the the DT 19261 3441 8 throat throat NN 19261 3441 9 , , , 19261 3441 10 " " '' 19261 3441 11 and and CC 19261 3441 12 the the DT 19261 3441 13 sense sense NN 19261 3441 14 of of IN 19261 3441 15 constriction constriction NN 19261 3441 16 and and CC 19261 3441 17 choking choking NN 19261 3441 18 during during IN 19261 3441 19 emotion emotion NN 19261 3441 20 are be VBP 19261 3441 21 due due JJ 19261 3441 22 to to IN 19261 3441 23 the the DT 19261 3441 24 same same JJ 19261 3441 25 spasmodic spasmodic JJ 19261 3441 26 condition condition NN 19261 3441 27 . . . 19261 3442 1 _ _ NNP 19261 3442 2 Diagnosis_.--At Diagnosis_.--At NNP 19261 3442 3 esophagoscopy esophagoscopy NN 19261 3442 4 there there EX 19261 3442 5 will will MD 19261 3442 6 be be VB 19261 3442 7 found find VBN 19261 3442 8 marked mark VBN 19261 3442 9 exaggeration exaggeration NN 19261 3442 10 of of IN 19261 3442 11 the the DT 19261 3442 12 usual usual JJ 19261 3442 13 spasm spasm NN 19261 3442 14 which which WDT 19261 3442 15 occurs occur VBZ 19261 3442 16 at at IN 19261 3442 17 the the DT 19261 3442 18 cricopharyngeus cricopharyngeus NN 19261 3442 19 during during IN 19261 3442 20 the the DT 19261 3442 21 introduction introduction NN 19261 3442 22 of of IN 19261 3442 23 the the DT 19261 3442 24 tube tube NN 19261 3442 25 . . . 19261 3443 1 The the DT 19261 3443 2 lumen luman NNS 19261 3443 3 may may MD 19261 3443 4 assume assume VB 19261 3443 5 various various JJ 19261 3443 6 shapes shape NNS 19261 3443 7 , , , 19261 3443 8 or or CC 19261 3443 9 be be VB 19261 3443 10 so so RB 19261 3443 11 tightly tightly RB 19261 3443 12 closed close VBN 19261 3443 13 that that IN 19261 3443 14 the the DT 19261 3443 15 folds fold NNS 19261 3443 16 form form VBP 19261 3443 17 a a DT 19261 3443 18 mammilliform mammilliform JJ 19261 3443 19 projection projection NN 19261 3443 20 in in IN 19261 3443 21 the the DT 19261 3443 22 center center NN 19261 3443 23 . . . 19261 3444 1 If if IN 19261 3444 2 the the DT 19261 3444 3 spasm spasm NN 19261 3444 4 gradually gradually RB 19261 3444 5 yields yield VBZ 19261 3444 6 , , , 19261 3444 7 and and CC 19261 3444 8 a a DT 19261 3444 9 full full JJ 19261 3444 10 - - HYPH 19261 3444 11 sized sized JJ 19261 3444 12 esophagoscope esophagoscope NN 19261 3444 13 passes pass VBZ 19261 3444 14 without without IN 19261 3444 15 further further JJ 19261 3444 16 resistance resistance NN 19261 3444 17 , , , 19261 3444 18 it -PRON- PRP 19261 3444 19 may may MD 19261 3444 20 be be VB 19261 3444 21 stated state VBN 19261 3444 22 that that IN 19261 3444 23 the the DT 19261 3444 24 esophagus esophagus NN 19261 3444 25 is be VBZ 19261 3444 26 of of IN 19261 3444 27 normal normal JJ 19261 3444 28 calibre calibre NN 19261 3444 29 , , , 19261 3444 30 and and CC 19261 3444 31 a a DT 19261 3444 32 diagnosis diagnosis NN 19261 3444 33 of of IN 19261 3444 34 spasmodic spasmodic JJ 19261 3444 35 stenosis stenosis NN 19261 3444 36 can can MD 19261 3444 37 be be VB 19261 3444 38 made make VBN 19261 3444 39 . . . 19261 3445 1 Considerable considerable JJ 19261 3445 2 experience experience NN 19261 3445 3 is be VBZ 19261 3445 4 required require VBN 19261 3445 5 to to TO 19261 3445 6 distinguish distinguish VB 19261 3445 7 between between IN 19261 3445 8 normal normal JJ 19261 3445 9 and and CC 19261 3445 10 pathologic pathologic JJ 19261 3445 11 spasm spasm NN 19261 3445 12 in in IN 19261 3445 13 an an DT 19261 3445 14 unanesthetized unanesthetized JJ 19261 3445 15 individual individual NN 19261 3445 16 . . . 19261 3446 1 To to IN 19261 3446 2 the the DT 19261 3446 3 less less RBR 19261 3446 4 experienced experienced JJ 19261 3446 5 esophagoscopist esophagoscopist NN 19261 3446 6 , , , 19261 3446 7 examination examination NN 19261 3446 8 under under IN 19261 3446 9 ether ether NN 19261 3446 10 anesthesia anesthesia NNP 19261 3446 11 is be VBZ 19261 3446 12 recommended recommend VBN 19261 3446 13 . . . 19261 3447 1 Deep deep JJ 19261 3447 2 anesthesia anesthesia NNP 19261 3447 3 will will MD 19261 3447 4 relax relax VB 19261 3447 5 the the DT 19261 3447 6 normal normal JJ 19261 3447 7 cricopharyngeal cricopharyngeal NN 19261 3447 8 reflex reflex NN 19261 3447 9 closure closure NN 19261 3447 10 as as RB 19261 3447 11 well well RB 19261 3447 12 as as IN 19261 3447 13 any any DT 19261 3447 14 abnormal abnormal JJ 19261 3447 15 spasm spasm NN 19261 3447 16 , , , 19261 3447 17 thus thus RB 19261 3447 18 assisting assist VBG 19261 3447 19 in in IN 19261 3447 20 the the DT 19261 3447 21 differentiation differentiation NN 19261 3447 22 between between IN 19261 3447 23 an an DT 19261 3447 24 organic organic JJ 19261 3447 25 stricture stricture NN 19261 3447 26 and and CC 19261 3447 27 one one CD 19261 3447 28 of of IN 19261 3447 29 functional functional JJ 19261 3447 30 character character NN 19261 3447 31 . . . 19261 3448 1 Under under IN 19261 3448 2 deep deep JJ 19261 3448 3 general general JJ 19261 3448 4 anesthesia anesthesia NNP 19261 3448 5 , , , 19261 3448 6 however however RB 19261 3448 7 , , , 19261 3448 8 it -PRON- PRP 19261 3448 9 is be VBZ 19261 3448 10 impossible impossible JJ 19261 3448 11 to to TO 19261 3448 12 differentiate differentiate VB 19261 3448 13 between between IN 19261 3448 14 the the DT 19261 3448 15 normal normal JJ 19261 3448 16 reflex reflex NN 19261 3448 17 and and CC 19261 3448 18 a a DT 19261 3448 19 spasmodic spasmodic JJ 19261 3448 20 condition condition NN 19261 3448 21 , , , 19261 3448 22 since since IN 19261 3448 23 both both DT 19261 3448 24 are be VBP 19261 3448 25 abolished abolish VBN 19261 3448 26 . . . 19261 3449 1 Many many JJ 19261 3449 2 cases case NNS 19261 3449 3 of of IN 19261 3449 4 intermittent intermittent JJ 19261 3449 5 esophageal esophageal JJ 19261 3449 6 stenosis stenosis NN 19261 3449 7 supposed suppose VBN 19261 3449 8 to to TO 19261 3449 9 be be VB 19261 3449 10 spasmodic spasmodic JJ 19261 3449 11 are be VBP 19261 3449 12 due due JJ 19261 3449 13 to to IN 19261 3449 14 organic organic JJ 19261 3449 15 narrowness narrowness NN 19261 3449 16 of of IN 19261 3449 17 lumen luman NNS 19261 3449 18 plus plus CC 19261 3449 19 lodgement lodgement NN 19261 3449 20 of of IN 19261 3449 21 food food NN 19261 3449 22 , , , 19261 3449 23 obstructive obstructive JJ 19261 3449 24 in in IN 19261 3449 25 itself -PRON- PRP 19261 3449 26 and and CC 19261 3449 27 in in IN 19261 3449 28 the the DT 19261 3449 29 esophagitis esophagitis NN 19261 3449 30 resulting result VBG 19261 3449 31 from from IN 19261 3449 32 its -PRON- PRP$ 19261 3449 33 presence presence NN 19261 3449 34 . . . 19261 3450 1 The the DT 19261 3450 2 organic organic JJ 19261 3450 3 narrowing narrowing NN 19261 3450 4 , , , 19261 3450 5 congenital congenital JJ 19261 3450 6 or or CC 19261 3450 7 pathologic pathologic JJ 19261 3450 8 , , , 19261 3450 9 is be VBZ 19261 3450 10 readily readily RB 19261 3450 11 recognizable recognizable JJ 19261 3450 12 esophagoscopically esophagoscopically RB 19261 3450 13 . . . 19261 3451 1 _ _ NNP 19261 3451 2 Treatment_.--The Treatment_.--The NNP 19261 3451 3 fundamental fundamental JJ 19261 3451 4 cause cause NN 19261 3451 5 of of IN 19261 3451 6 the the DT 19261 3451 7 disturbance disturbance NN 19261 3451 8 of of IN 19261 3451 9 the the DT 19261 3451 10 reflex reflex NN 19261 3451 11 should should MD 19261 3451 12 be be VB 19261 3451 13 searched search VBN 19261 3451 14 for for IN 19261 3451 15 , , , 19261 3451 16 and and CC 19261 3451 17 treated treat VBN 19261 3451 18 according accord VBG 19261 3451 19 to to IN 19261 3451 20 its -PRON- PRP$ 19261 3451 21 nature nature NN 19261 3451 22 . . . 19261 3452 1 Purely purely RB 19261 3452 2 functional functional JJ 19261 3452 3 cases case NNS 19261 3452 4 are be VBP 19261 3452 5 often often RB 19261 3452 6 cured cure VBN 19261 3452 7 by by IN 19261 3452 8 the the DT 19261 3452 9 passage passage NN 19261 3452 10 of of IN 19261 3452 11 a a DT 19261 3452 12 large large JJ 19261 3452 13 esophagoscope esophagoscope NN 19261 3452 14 . . . 19261 3453 1 Recurrences recurrence NNS 19261 3453 2 may may MD 19261 3453 3 require require VB 19261 3453 4 similar similar JJ 19261 3453 5 treatment treatment NN 19261 3453 6 . . . 19261 3454 1 [ [ -LRB- 19261 3454 2 247 247 CD 19261 3454 3 ] ] -RRB- 19261 3454 4 FUNCTIONAL functional JJ 19261 3454 5 HIATAL HIATAL NNP 19261 3454 6 STENOSIS STENOSIS NNP 19261 3454 7 . . . 19261 3455 1 HIATAL HIATAL NNP 19261 3455 2 ESOPHAGISMUS ESOPHAGISMUS NNP 19261 3455 3 . . . 19261 3456 1 PHRENOSPASM PHRENOSPASM NNP 19261 3456 2 , , , 19261 3456 3 DIAPHRAGMATIC diaphragmatic NN 19261 3456 4 PINCHCOCK pinchcock NN 19261 3456 5 STENOSIS STENOSIS NNP 19261 3456 6 . . . 19261 3457 1 ( ( -LRB- 19261 3457 2 SO so RB 19261 3457 3 - - HYPH 19261 3457 4 CALLED call VBN 19261 3457 5 CARDIOSPASM cardiospasm NN 19261 3457 6 ) ) -RRB- 19261 3457 7 There there EX 19261 3457 8 is be VBZ 19261 3457 9 no no DT 19261 3457 10 sphincteric sphincteric JJ 19261 3457 11 muscular muscular JJ 19261 3457 12 arrangement arrangement NN 19261 3457 13 at at IN 19261 3457 14 the the DT 19261 3457 15 cardiac cardiac JJ 19261 3457 16 orifice orifice NN 19261 3457 17 of of IN 19261 3457 18 the the DT 19261 3457 19 esophagus esophagus NN 19261 3457 20 , , , 19261 3457 21 so so IN 19261 3457 22 that that IN 19261 3457 23 spasmodic spasmodic JJ 19261 3457 24 stenosis stenosis NN 19261 3457 25 at at IN 19261 3457 26 this this DT 19261 3457 27 level level NN 19261 3457 28 is be VBZ 19261 3457 29 not not RB 19261 3457 30 possible possible JJ 19261 3457 31 and and CC 19261 3457 32 the the DT 19261 3457 33 term term NN 19261 3457 34 cardiospasm cardiospasm NN 19261 3457 35 is be VBZ 19261 3457 36 , , , 19261 3457 37 therefore therefore RB 19261 3457 38 , , , 19261 3457 39 a a DT 19261 3457 40 misnomer misnomer NN 19261 3457 41 . . . 19261 3458 1 It -PRON- PRP 19261 3458 2 was be VBD 19261 3458 3 first first RB 19261 3458 4 demonstrated demonstrate VBN 19261 3458 5 by by IN 19261 3458 6 the the DT 19261 3458 7 author author NN 19261 3458 8 that that IN 19261 3458 9 in in IN 19261 3458 10 so so RB 19261 3458 11 - - HYPH 19261 3458 12 called call VBN 19261 3458 13 cardiospasm cardiospasm NN 19261 3458 14 the the DT 19261 3458 15 functional functional JJ 19261 3458 16 closure closure NN 19261 3458 17 of of IN 19261 3458 18 the the DT 19261 3458 19 esophagus esophagus NN 19261 3458 20 occurred occur VBD 19261 3458 21 at at IN 19261 3458 22 the the DT 19261 3458 23 diaphragmatic diaphragmatic JJ 19261 3458 24 level level NN 19261 3458 25 , , , 19261 3458 26 and and CC 19261 3458 27 that that IN 19261 3458 28 it -PRON- PRP 19261 3458 29 was be VBD 19261 3458 30 due due JJ 19261 3458 31 to to IN 19261 3458 32 the the DT 19261 3458 33 " " `` 19261 3458 34 diaphragmatic diaphragmatic JJ 19261 3458 35 pinchcock pinchcock NN 19261 3458 36 . . . 19261 3458 37 " " '' 19261 3459 1 Anatomical anatomical JJ 19261 3459 2 studies study NNS 19261 3459 3 have have VBP 19261 3459 4 corroborated corroborate VBN 19261 3459 5 this this DT 19261 3459 6 finding finding NN 19261 3459 7 by by IN 19261 3459 8 demonstrating demonstrate VBG 19261 3459 9 a a DT 19261 3459 10 definite definite JJ 19261 3459 11 sphincteric sphincteric JJ 19261 3459 12 mechanism mechanism NN 19261 3459 13 consisting consist VBG 19261 3459 14 of of IN 19261 3459 15 muscle muscle NN 19261 3459 16 bands band NNS 19261 3459 17 springing spring VBG 19261 3459 18 from from IN 19261 3459 19 the the DT 19261 3459 20 crura crura NNP 19261 3459 21 of of IN 19261 3459 22 the the DT 19261 3459 23 diaphragm diaphragm NNP 19261 3459 24 and and CC 19261 3459 25 surrounding surround VBG 19261 3459 26 the the DT 19261 3459 27 esophagus esophagus NN 19261 3459 28 at at IN 19261 3459 29 the the DT 19261 3459 30 under under JJ 19261 3459 31 surface surface NN 19261 3459 32 of of IN 19261 3459 33 the the DT 19261 3459 34 hiatus hiatus NN 19261 3459 35 . . . 19261 3460 1 An an DT 19261 3460 2 inspection inspection NN 19261 3460 3 of of IN 19261 3460 4 the the DT 19261 3460 5 cadaveric cadaveric NN 19261 3460 6 diaphragm diaphragm VBN 19261 3460 7 from from IN 19261 3460 8 below below IN 19261 3460 9 will will MD 19261 3460 10 demonstrate demonstrate VB 19261 3460 11 an an DT 19261 3460 12 arrangement arrangement NN 19261 3460 13 like like IN 19261 3460 14 double double JJ 19261 3460 15 shears shear NNS 19261 3460 16 admirably admirably RB 19261 3460 17 adapted adapt VBN 19261 3460 18 to to IN 19261 3460 19 this this DT 19261 3460 20 " " `` 19261 3460 21 pinchcock pinchcock NN 19261 3460 22 " " '' 19261 3460 23 action action NN 19261 3460 24 . . . 19261 3461 1 Further further JJ 19261 3461 2 confirmation confirmation NN 19261 3461 3 is be VBZ 19261 3461 4 the the DT 19261 3461 5 fact fact NN 19261 3461 6 that that IN 19261 3461 7 all all DT 19261 3461 8 dilatation dilatation NN 19261 3461 9 of of IN 19261 3461 10 the the DT 19261 3461 11 esophagus esophagus JJ 19261 3461 12 incident incident NN 19261 3461 13 to to TO 19261 3461 14 spasm spasm VB 19261 3461 15 at at IN 19261 3461 16 its -PRON- PRP$ 19261 3461 17 lower low JJR 19261 3461 18 extremity extremity NN 19261 3461 19 is be VBZ 19261 3461 20 situated situate VBN 19261 3461 21 above above IN 19261 3461 22 the the DT 19261 3461 23 diaphragm diaphragm NN 19261 3461 24 . . . 19261 3462 1 In in IN 19261 3462 2 passing pass VBG 19261 3462 3 it -PRON- PRP 19261 3462 4 may may MD 19261 3462 5 be be VB 19261 3462 6 stated state VBN 19261 3462 7 that that IN 19261 3462 8 the the DT 19261 3462 9 pinchcock pinchcock NN 19261 3462 10 action action NN 19261 3462 11 , , , 19261 3462 12 plus plus CC 19261 3462 13 the the DT 19261 3462 14 kinking kinking NN 19261 3462 15 of of IN 19261 3462 16 the the DT 19261 3462 17 esophagus esophagus NN 19261 3462 18 normally normally RB 19261 3462 19 prevents prevent VBZ 19261 3462 20 regurgitation regurgitation NN 19261 3462 21 when when WRB 19261 3462 22 a a DT 19261 3462 23 man man NN 19261 3462 24 with with IN 19261 3462 25 a a DT 19261 3462 26 full full JJ 19261 3462 27 stomach stomach NN 19261 3462 28 " " '' 19261 3462 29 stands stand VBZ 19261 3462 30 on on IN 19261 3462 31 his -PRON- PRP$ 19261 3462 32 head head NN 19261 3462 33 " " '' 19261 3462 34 or or CC 19261 3462 35 inverts invert VBZ 19261 3462 36 his -PRON- PRP$ 19261 3462 37 body body NN 19261 3462 38 . . . 19261 3463 1 For for IN 19261 3463 2 the the DT 19261 3463 3 upward upward JJ 19261 3463 4 escape escape NN 19261 3463 5 of of IN 19261 3463 6 food food NN 19261 3463 7 from from IN 19261 3463 8 the the DT 19261 3463 9 stomach stomach NN 19261 3463 10 an an DT 19261 3463 11 involuntary involuntary JJ 19261 3463 12 co co JJ 19261 3463 13 - - JJ 19261 3463 14 ordinated ordinated JJ 19261 3463 15 antiperistaltic antiperistaltic JJ 19261 3463 16 cycle cycle NN 19261 3463 17 is be VBZ 19261 3463 18 necessary necessary JJ 19261 3463 19 . . . 19261 3464 1 The the DT 19261 3464 2 dilatation dilatation NN 19261 3464 3 resulting result VBG 19261 3464 4 from from IN 19261 3464 5 phrenospasm phrenospasm NNP 19261 3464 6 may may MD 19261 3464 7 reach reach VB 19261 3464 8 great great JJ 19261 3464 9 size size NN 19261 3464 10 ( ( -LRB- 19261 3464 11 Fig fig NN 19261 3464 12 . . . 19261 3465 1 96a 96a NNS 19261 3465 2 ) ) -RRB- 19261 3465 3 , , , 19261 3465 4 and and CC 19261 3465 5 the the DT 19261 3465 6 capacity capacity NN 19261 3465 7 of of IN 19261 3465 8 the the DT 19261 3465 9 sac sac NN 19261 3465 10 may may MD 19261 3465 11 be be VB 19261 3465 12 as as RB 19261 3465 13 much much JJ 19261 3465 14 as as IN 19261 3465 15 two two CD 19261 3465 16 liters liter NNS 19261 3465 17 . . . 19261 3466 1 While while IN 19261 3466 2 the the DT 19261 3466 3 esophagus esophagus NN 19261 3466 4 is be VBZ 19261 3466 5 usually usually RB 19261 3466 6 dilated dilate VBN 19261 3466 7 , , , 19261 3466 8 the the DT 19261 3466 9 stomach stomach NN 19261 3466 10 on on IN 19261 3466 11 the the DT 19261 3466 12 other other JJ 19261 3466 13 hand hand NN 19261 3466 14 is be VBZ 19261 3466 15 often often RB 19261 3466 16 contracted contract VBN 19261 3466 17 , , , 19261 3466 18 largely largely RB 19261 3466 19 from from IN 19261 3466 20 lack lack NN 19261 3466 21 of of IN 19261 3466 22 distention distention NN 19261 3466 23 by by IN 19261 3466 24 food food NN 19261 3466 25 , , , 19261 3466 26 but but CC 19261 3466 27 possibly possibly RB 19261 3466 28 also also RB 19261 3466 29 because because IN 19261 3466 30 of of IN 19261 3466 31 a a DT 19261 3466 32 spastic spastic JJ 19261 3466 33 state state NN 19261 3466 34 due due IN 19261 3466 35 to to IN 19261 3466 36 the the DT 19261 3466 37 same same JJ 19261 3466 38 causes cause NNS 19261 3466 39 as as IN 19261 3466 40 the the DT 19261 3466 41 phrenospasm phrenospasm NN 19261 3466 42 . . . 19261 3467 1 Recently recently RB 19261 3467 2 Mosher Mosher NNP 19261 3467 3 has have VBZ 19261 3467 4 demonstrated demonstrate VBN 19261 3467 5 that that IN 19261 3467 6 hepatic hepatic JJ 19261 3467 7 abnormality abnormality NN 19261 3467 8 may may MD 19261 3467 9 furnish furnish VB 19261 3467 10 an an DT 19261 3467 11 organic organic JJ 19261 3467 12 cause cause NN 19261 3467 13 in in IN 19261 3467 14 many many JJ 19261 3467 15 cases case NNS 19261 3467 16 formerly formerly RB 19261 3467 17 considered consider VBN 19261 3467 18 spasmodic spasmodic JJ 19261 3467 19 . . . 19261 3468 1 The the DT 19261 3468 2 _ _ NNP 19261 3468 3 symptoms symptom NNS 19261 3468 4 of of IN 19261 3468 5 hiatal hiatal NNP 19261 3468 6 esophagismus esophagismus NNP 19261 3468 7 _ _ NNP 19261 3468 8 are be VBP 19261 3468 9 variable variable JJ 19261 3468 10 in in IN 19261 3468 11 degree degree NN 19261 3468 12 . . . 19261 3469 1 Substernal substernal JJ 19261 3469 2 distress distress NN 19261 3469 3 , , , 19261 3469 4 with with IN 19261 3469 5 a a DT 19261 3469 6 feeling feeling NN 19261 3469 7 of of IN 19261 3469 8 fullness fullness NN 19261 3469 9 and and CC 19261 3469 10 pressure pressure NN 19261 3469 11 followed follow VBN 19261 3469 12 by by IN 19261 3469 13 eructations eructation NNS 19261 3469 14 of of IN 19261 3469 15 gas gas NN 19261 3469 16 and and CC 19261 3469 17 regurgitation regurgitation NN 19261 3469 18 of of IN 19261 3469 19 food food NN 19261 3469 20 within within IN 19261 3469 21 a a DT 19261 3469 22 period period NN 19261 3469 23 of of IN 19261 3469 24 a a DT 19261 3469 25 quarter quarter NN 19261 3469 26 of of IN 19261 3469 27 an an DT 19261 3469 28 hour hour NN 19261 3469 29 to to IN 19261 3469 30 several several JJ 19261 3469 31 hours hour NNS 19261 3469 32 after after IN 19261 3469 33 eating eat VBG 19261 3469 34 , , , 19261 3469 35 are be VBP 19261 3469 36 present present JJ 19261 3469 37 . . . 19261 3470 1 If if IN 19261 3470 2 the the DT 19261 3470 3 esophageal esophageal JJ 19261 3470 4 dilatation dilatation NN 19261 3470 5 be be VB 19261 3470 6 great great JJ 19261 3470 7 , , , 19261 3470 8 regurgitation regurgitation NN 19261 3470 9 may may MD 19261 3470 10 occur occur VB 19261 3470 11 only only RB 19261 3470 12 after after IN 19261 3470 13 an an DT 19261 3470 14 accumulation accumulation NN 19261 3470 15 of of IN 19261 3470 16 several several JJ 19261 3470 17 days day NNS 19261 3470 18 , , , 19261 3470 19 when when WRB 19261 3470 20 large large JJ 19261 3470 21 quantities quantity NNS 19261 3470 22 of of IN 19261 3470 23 stale stale JJ 19261 3470 24 food food NN 19261 3470 25 will will MD 19261 3470 26 be be VB 19261 3470 27 expelled expel VBN 19261 3470 28 . . . 19261 3471 1 The the DT 19261 3471 2 general general JJ 19261 3471 3 nutrition nutrition NN 19261 3471 4 is be VBZ 19261 3471 5 impaired impair VBN 19261 3471 6 , , , 19261 3471 7 and and CC 19261 3471 8 there there EX 19261 3471 9 is be VBZ 19261 3471 10 usually usually RB 19261 3471 11 the the DT 19261 3471 12 history history NN 19261 3471 13 of of IN 19261 3471 14 weight weight NN 19261 3471 15 loss loss NN 19261 3471 16 to to IN 19261 3471 17 a a DT 19261 3471 18 certain certain JJ 19261 3471 19 level level NN 19261 3471 20 at at IN 19261 3471 21 which which WDT 19261 3471 22 it -PRON- PRP 19261 3471 23 is be VBZ 19261 3471 24 maintained maintain VBN 19261 3471 25 with with IN 19261 3471 26 but but CC 19261 3471 27 slight slight JJ 19261 3471 28 variation variation NN 19261 3471 29 . . . 19261 3472 1 This this DT 19261 3472 2 is be VBZ 19261 3472 3 explained explain VBN 19261 3472 4 by by IN 19261 3472 5 the the DT 19261 3472 6 trickling trickling NN 19261 3472 7 of of IN 19261 3472 8 liquified liquified JJ 19261 3472 9 food food NN 19261 3472 10 from from IN 19261 3472 11 the the DT 19261 3472 12 esophageal esophageal JJ 19261 3472 13 reservoir reservoir NN 19261 3472 14 into into IN 19261 3472 15 the the DT 19261 3472 16 stomach stomach NN 19261 3472 17 as as IN 19261 3472 18 the the DT 19261 3472 19 spasm spasm NN 19261 3472 20 intermittently intermittently RB 19261 3472 21 relaxes relax VBZ 19261 3472 22 , , , 19261 3472 23 this this DT 19261 3472 24 occurring occur VBG 19261 3472 25 usually usually RB 19261 3472 26 before before IN 19261 3472 27 a a DT 19261 3472 28 serious serious JJ 19261 3472 29 state state NN 19261 3472 30 of of IN 19261 3472 31 inanition inanition NN 19261 3472 32 supervenes supervene NNS 19261 3472 33 . . . 19261 3473 1 At at IN 19261 3473 2 times time NNS 19261 3473 3 the the DT 19261 3473 4 hiatal hiatal JJ 19261 3473 5 spasms spasm NNS 19261 3473 6 are be VBP 19261 3473 7 extremely extremely RB 19261 3473 8 violent violent JJ 19261 3473 9 and and CC 19261 3473 10 painful painful JJ 19261 3473 11 , , , 19261 3473 12 the the DT 19261 3473 13 pain pain NN 19261 3473 14 being be VBG 19261 3473 15 referred refer VBN 19261 3473 16 from from IN 19261 3473 17 the the DT 19261 3473 18 xiphoid xiphoid NN 19261 3473 19 region region NN 19261 3473 20 to to IN 19261 3473 21 the the DT 19261 3473 22 back back NN 19261 3473 23 , , , 19261 3473 24 or or CC 19261 3473 25 upward upward RB 19261 3473 26 into into IN 19261 3473 27 the the DT 19261 3473 28 neck neck NN 19261 3473 29 . . . 19261 3474 1 Patients patient NNS 19261 3474 2 are be VBP 19261 3474 3 often often RB 19261 3474 4 conscious conscious JJ 19261 3474 5 of of IN 19261 3474 6 the the DT 19261 3474 7 times time NNS 19261 3474 8 of of IN 19261 3474 9 patulency patulency NN 19261 3474 10 of of IN 19261 3474 11 the the DT 19261 3474 12 esophagus esophagus NN 19261 3474 13 ; ; : 19261 3474 14 they -PRON- PRP 19261 3474 15 will will MD 19261 3474 16 know know VB 19261 3474 17 the the DT 19261 3474 18 esophagus esophagus NN 19261 3474 19 to to TO 19261 3474 20 be be VB 19261 3474 21 open open JJ 19261 3474 22 and and CC 19261 3474 23 will will MD 19261 3474 24 eat eat VB 19261 3474 25 without without IN 19261 3474 26 hesitation hesitation NN 19261 3474 27 , , , 19261 3474 28 or or CC 19261 3474 29 will will MD 19261 3474 30 refuse refuse VB 19261 3474 31 food food NN 19261 3474 32 with with IN 19261 3474 33 the the DT 19261 3474 34 certain certain JJ 19261 3474 35 knowledge knowledge NN 19261 3474 36 that that IN 19261 3474 37 it -PRON- PRP 19261 3474 38 will will MD 19261 3474 39 not not RB 19261 3474 40 pass pass VB 19261 3474 41 into into IN 19261 3474 42 the the DT 19261 3474 43 stomach stomach NN 19261 3474 44 . . . 19261 3475 1 Periods period NNS 19261 3475 2 of of IN 19261 3475 3 remission remission NN 19261 3475 4 of of IN 19261 3475 5 symptoms symptom NNS 19261 3475 6 for for IN 19261 3475 7 months month NNS 19261 3475 8 and and CC 19261 3475 9 years year NNS 19261 3475 10 are be VBP 19261 3475 11 noted note VBN 19261 3475 12 . . . 19261 3476 1 The the DT 19261 3476 2 neurotic neurotic JJ 19261 3476 3 character character NN 19261 3476 4 of of IN 19261 3476 5 the the DT 19261 3476 6 lesion lesion NN 19261 3476 7 in in IN 19261 3476 8 some some DT 19261 3476 9 cases case NNS 19261 3476 10 is be VBZ 19261 3476 11 evidenced evidence VBN 19261 3476 12 by by IN 19261 3476 13 the the DT 19261 3476 14 occasionally occasionally RB 19261 3476 15 sudden sudden JJ 19261 3476 16 and and CC 19261 3476 17 startling startling JJ 19261 3476 18 cures cure NNS 19261 3476 19 following follow VBG 19261 3476 20 a a DT 19261 3476 21 single single JJ 19261 3476 22 dilatation dilatation NN 19261 3476 23 , , , 19261 3476 24 as as RB 19261 3476 25 well well RB 19261 3476 26 as as IN 19261 3476 27 by by IN 19261 3476 28 the the DT 19261 3476 29 tendency tendency NN 19261 3476 30 to to TO 19261 3476 31 relapse relapse VB 19261 3476 32 when when WRB 19261 3476 33 the the DT 19261 3476 34 individual individual NN 19261 3476 35 is be VBZ 19261 3476 36 subject subject JJ 19261 3476 37 to to IN 19261 3476 38 what what WP 19261 3476 39 is be VBZ 19261 3476 40 for for IN 19261 3476 41 him -PRON- PRP 19261 3476 42 undue undue JJ 19261 3476 43 nervous nervous JJ 19261 3476 44 tension tension NN 19261 3476 45 . . . 19261 3477 1 In in IN 19261 3477 2 a a DT 19261 3477 3 very very RB 19261 3477 4 few few JJ 19261 3477 5 cases case NNS 19261 3477 6 , , , 19261 3477 7 with with IN 19261 3477 8 patients patient NNS 19261 3477 9 of of IN 19261 3477 10 rather rather RB 19261 3477 11 a a DT 19261 3477 12 stolid stolid JJ 19261 3477 13 type type NN 19261 3477 14 , , , 19261 3477 15 all all DT 19261 3477 16 neurotic neurotic JJ 19261 3477 17 tendencies tendency NNS 19261 3477 18 seem seem VBP 19261 3477 19 to to TO 19261 3477 20 be be VB 19261 3477 21 absent absent JJ 19261 3477 22 . . . 19261 3478 1 The the DT 19261 3478 2 _ _ NNP 19261 3478 3 diagnosis diagnosis NN 19261 3478 4 of of IN 19261 3478 5 hiatal hiatal NNP 19261 3478 6 esophagismus esophagismus NNP 19261 3478 7 _ _ NNP 19261 3478 8 requires require VBZ 19261 3478 9 the the DT 19261 3478 10 exclusion exclusion NN 19261 3478 11 of of IN 19261 3478 12 local local JJ 19261 3478 13 organic organic JJ 19261 3478 14 esophageal esophageal NN 19261 3478 15 lesions lesion NNS 19261 3478 16 . . . 19261 3479 1 In in IN 19261 3479 2 the the DT 19261 3479 3 typical typical JJ 19261 3479 4 case case NN 19261 3479 5 with with IN 19261 3479 6 marked marked JJ 19261 3479 7 dilatation dilatation NN 19261 3479 8 , , , 19261 3479 9 the the DT 19261 3479 10 esophagoscopic esophagoscopic NNP 19261 3479 11 findings finding NNS 19261 3479 12 are be VBP 19261 3479 13 diagnostic diagnostic JJ 19261 3479 14 . . . 19261 3480 1 A a DT 19261 3480 2 white white JJ 19261 3480 3 , , , 19261 3480 4 pasty pasty NN 19261 3480 5 , , , 19261 3480 6 macerated macerate VBD 19261 3480 7 mucosa mucosa NNP 19261 3480 8 , , , 19261 3480 9 and and CC 19261 3480 10 normally normally RB 19261 3480 11 contracted contract VBD 19261 3480 12 hiatus hiatus NNP 19261 3480 13 esophageus esophageu NNS 19261 3480 14 which which WDT 19261 3480 15 when when WRB 19261 3480 16 found find VBD 19261 3480 17 permits permit VBZ 19261 3480 18 the the DT 19261 3480 19 large large JJ 19261 3480 20 esophagoscope esophagoscope NN 19261 3480 21 to to TO 19261 3480 22 pass pass VB 19261 3480 23 into into IN 19261 3480 24 the the DT 19261 3480 25 stomach stomach NN 19261 3480 26 , , , 19261 3480 27 will will MD 19261 3480 28 be be VB 19261 3480 29 recognized recognize VBN 19261 3480 30 as as IN 19261 3480 31 characteristic characteristic JJ 19261 3480 32 by by IN 19261 3480 33 anyone anyone NN 19261 3480 34 who who WP 19261 3480 35 has have VBZ 19261 3480 36 seen see VBN 19261 3480 37 the the DT 19261 3480 38 condition condition NN 19261 3480 39 . . . 19261 3481 1 In in IN 19261 3481 2 the the DT 19261 3481 3 cases case NNS 19261 3481 4 with with IN 19261 3481 5 but but CC 19261 3481 6 little little JJ 19261 3481 7 esophageal esophageal JJ 19261 3481 8 distension distension NN 19261 3481 9 the the DT 19261 3481 10 diagnosis diagnosis NN 19261 3481 11 is be VBZ 19261 3481 12 confirmed confirm VBN 19261 3481 13 by by IN 19261 3481 14 the the DT 19261 3481 15 constancy constancy NN 19261 3481 16 of of IN 19261 3481 17 the the DT 19261 3481 18 obstruction obstruction NN 19261 3481 19 to to IN 19261 3481 20 a a DT 19261 3481 21 barium barium NN 19261 3481 22 mixture mixture NN 19261 3481 23 at at IN 19261 3481 24 the the DT 19261 3481 25 phrenic phrenic JJ 19261 3481 26 level level NN 19261 3481 27 , , , 19261 3481 28 while while IN 19261 3481 29 at at IN 19261 3481 30 esophagoscopy esophagoscopy JJ 19261 3481 31 the the DT 19261 3481 32 usual usual JJ 19261 3481 33 resistance resistance NN 19261 3481 34 at at IN 19261 3481 35 the the DT 19261 3481 36 hiatus hiatus NNP 19261 3481 37 esophageus esophageus NNP 19261 3481 38 is be VBZ 19261 3481 39 found find VBN 19261 3481 40 not not RB 19261 3481 41 to to TO 19261 3481 42 be be VB 19261 3481 43 increased increase VBN 19261 3481 44 , , , 19261 3481 45 and and CC 19261 3481 46 no no DT 19261 3481 47 other other JJ 19261 3481 48 local local JJ 19261 3481 49 lesion lesion NN 19261 3481 50 is be VBZ 19261 3481 51 found find VBN 19261 3481 52 as as IN 19261 3481 53 the the DT 19261 3481 54 esophagoscope esophagoscope NN 19261 3481 55 enters enter VBZ 19261 3481 56 the the DT 19261 3481 57 stomach stomach NN 19261 3481 58 . . . 19261 3482 1 It -PRON- PRP 19261 3482 2 is be VBZ 19261 3482 3 the the DT 19261 3482 4 failure failure NN 19261 3482 5 of of IN 19261 3482 6 the the DT 19261 3482 7 diaphragmatic diaphragmatic JJ 19261 3482 8 pinchcock pinchcock NN 19261 3482 9 to to TO 19261 3482 10 open open VB 19261 3482 11 , , , 19261 3482 12 as as IN 19261 3482 13 in in IN 19261 3482 14 the the DT 19261 3482 15 normal normal JJ 19261 3482 16 deglutitory deglutitory JJ 19261 3482 17 cycle cycle NN 19261 3482 18 , , , 19261 3482 19 rather rather RB 19261 3482 20 than than IN 19261 3482 21 a a DT 19261 3482 22 spasmodic spasmodic JJ 19261 3482 23 tightness tightness NN 19261 3482 24 , , , 19261 3482 25 that that WDT 19261 3482 26 obstructs obstruct VBZ 19261 3482 27 the the DT 19261 3482 28 food food NN 19261 3482 29 . . . 19261 3483 1 The the DT 19261 3483 2 presence presence NN 19261 3483 3 of of IN 19261 3483 4 organic organic JJ 19261 3483 5 stenosis stenosis NN 19261 3483 6 at at IN 19261 3483 7 the the DT 19261 3483 8 hiatus hiatus NN 19261 3483 9 may may MD 19261 3483 10 remove remove VB 19261 3483 11 the the DT 19261 3483 12 case case NN 19261 3483 13 altogether altogether RB 19261 3483 14 from from IN 19261 3483 15 the the DT 19261 3483 16 spasmodic spasmodic JJ 19261 3483 17 class class NN 19261 3483 18 , , , 19261 3483 19 or or CC 19261 3483 20 a a DT 19261 3483 21 cicatricial cicatricial JJ 19261 3483 22 or or CC 19261 3483 23 infiltrated infiltrate VBN 19261 3483 24 narrowing narrowing NN 19261 3483 25 may may MD 19261 3483 26 be be VB 19261 3483 27 the the DT 19261 3483 28 result result NN 19261 3483 29 of of IN 19261 3483 30 static static JJ 19261 3483 31 esophagitis esophagitis NN 19261 3483 32 . . . 19261 3484 1 A a DT 19261 3484 2 compressive compressive JJ 19261 3484 3 stenosis stenosis NN 19261 3484 4 due due JJ 19261 3484 5 to to IN 19261 3484 6 hepatic hepatic JJ 19261 3484 7 abnormality abnormality NN 19261 3484 8 may may MD 19261 3484 9 simulate simulate VB 19261 3484 10 spasmodic spasmodic JJ 19261 3484 11 stenosis stenosis NN 19261 3484 12 as as IN 19261 3484 13 shown show VBN 19261 3484 14 by by IN 19261 3484 15 Mosher Mosher NNP 19261 3484 16 , , , 19261 3484 17 who who WP 19261 3484 18 believes believe VBZ 19261 3484 19 that that IN 19261 3484 20 75 75 CD 19261 3484 21 per per NN 19261 3484 22 cent cent NN 19261 3484 23 of of IN 19261 3484 24 so so RB 19261 3484 25 - - HYPH 19261 3484 26 called call VBN 19261 3484 27 cardiospasms cardiospasm NNS 19261 3484 28 are be VBP 19261 3484 29 organic organic JJ 19261 3484 30 . . . 19261 3485 1 _ _ NNP 19261 3485 2 Treatment Treatment NNP 19261 3485 3 of of IN 19261 3485 4 hiatal hiatal NNP 19261 3485 5 esophagismus esophagismus NNP 19261 3485 6 ( ( -LRB- 19261 3485 7 so so RB 19261 3485 8 - - HYPH 19261 3485 9 called call VBN 19261 3485 10 cardiospasm cardiospasm NN 19261 3485 11 ) ) -RRB- 19261 3485 12 _ _ NNP 19261 3485 13 consists consist VBZ 19261 3485 14 in in IN 19261 3485 15 the the DT 19261 3485 16 over over NN 19261 3485 17 - - HYPH 19261 3485 18 dilatation dilatation NN 19261 3485 19 of of IN 19261 3485 20 the the DT 19261 3485 21 " " `` 19261 3485 22 diaphragmatic diaphragmatic JJ 19261 3485 23 pinchcock pinchcock NN 19261 3485 24 " " '' 19261 3485 25 or or CC 19261 3485 26 hiatus hiatus NNP 19261 3485 27 esophageus esophageus NNP 19261 3485 28 , , , 19261 3485 29 and and CC 19261 3485 30 in in IN 19261 3485 31 proper proper JJ 19261 3485 32 remedial remedial JJ 19261 3485 33 measures measure NNS 19261 3485 34 for for IN 19261 3485 35 the the DT 19261 3485 36 removal removal NN 19261 3485 37 of of IN 19261 3485 38 the the DT 19261 3485 39 underlying underlie VBG 19261 3485 40 neurosis neurosis NN 19261 3485 41 . . . 19261 3486 1 The the DT 19261 3486 2 simple simple JJ 19261 3486 3 passage passage NN 19261 3486 4 of of IN 19261 3486 5 the the DT 19261 3486 6 esophagoscope esophagoscope NN 19261 3486 7 suffices suffice NNS 19261 3486 8 to to TO 19261 3486 9 cure cure VB 19261 3486 10 some some DT 19261 3486 11 cases case NNS 19261 3486 12 . . . 19261 3487 1 Further further JJ 19261 3487 2 dilatation dilatation NN 19261 3487 3 by by IN 19261 3487 4 endoscopic endoscopic JJ 19261 3487 5 guidance guidance NN 19261 3487 6 may may MD 19261 3487 7 be be VB 19261 3487 8 obtained obtain VBN 19261 3487 9 by by IN 19261 3487 10 the the DT 19261 3487 11 introduction introduction NN 19261 3487 12 of of IN 19261 3487 13 Mosher Mosher NNP 19261 3487 14 's 's POS 19261 3487 15 divulsor divulsor NN 19261 3487 16 through through IN 19261 3487 17 the the DT 19261 3487 18 esophagoscope esophagoscope NN 19261 3487 19 , , , 19261 3487 20 by by IN 19261 3487 21 which which WDT 19261 3487 22 accurate accurate JJ 19261 3487 23 placement placement NN 19261 3487 24 is be VBZ 19261 3487 25 obtained obtain VBN 19261 3487 26 . . . 19261 3488 1 The the DT 19261 3488 2 distension distension NN 19261 3488 3 should should MD 19261 3488 4 not not RB 19261 3488 5 usually usually RB 19261 3488 6 exceed exceed VB 19261 3488 7 25 25 CD 19261 3488 8 mm mm NNS 19261 3488 9 . . . 19261 3489 1 Numerous numerous JJ 19261 3489 2 water water NN 19261 3489 3 and and CC 19261 3489 4 air air NN 19261 3489 5 bags bag NNS 19261 3489 6 have have VBP 19261 3489 7 been be VBN 19261 3489 8 devised devise VBN 19261 3489 9 for for IN 19261 3489 10 stretching stretch VBG 19261 3489 11 the the DT 19261 3489 12 hiatus hiatus NN 19261 3489 13 , , , 19261 3489 14 and and CC 19261 3489 15 excellent excellent JJ 19261 3489 16 results result NNS 19261 3489 17 have have VBP 19261 3489 18 been be VBN 19261 3489 19 obtained obtain VBN 19261 3489 20 by by IN 19261 3489 21 their -PRON- PRP$ 19261 3489 22 use use NN 19261 3489 23 . . . 19261 3490 1 Possibly possibly RB 19261 3490 2 some some DT 19261 3490 3 of of IN 19261 3490 4 the the DT 19261 3490 5 cures cure NNS 19261 3490 6 have have VBP 19261 3490 7 been be VBN 19261 3490 8 due due JJ 19261 3490 9 to to IN 19261 3490 10 the the DT 19261 3490 11 dilatation dilatation NN 19261 3490 12 of of IN 19261 3490 13 organic organic JJ 19261 3490 14 lesions lesion NNS 19261 3490 15 , , , 19261 3490 16 or or CC 19261 3490 17 to to IN 19261 3490 18 the the DT 19261 3490 19 crowding crowding NN 19261 3490 20 back back RB 19261 3490 21 of of IN 19261 3490 22 an an DT 19261 3490 23 enlarged enlarge VBN 19261 3490 24 malposed malpose VBN 19261 3490 25 , , , 19261 3490 26 or or CC 19261 3490 27 otherwise otherwise RB 19261 3490 28 abnormal abnormal JJ 19261 3490 29 left left JJ 19261 3490 30 lobe lobe NN 19261 3490 31 of of IN 19261 3490 32 the the DT 19261 3490 33 liver liver NN 19261 3490 34 , , , 19261 3490 35 which which WDT 19261 3490 36 Mosher Mosher NNP 19261 3490 37 has have VBZ 19261 3490 38 shown show VBN 19261 3490 39 to to TO 19261 3490 40 be be VB 19261 3490 41 an an DT 19261 3490 42 etiologic etiologic JJ 19261 3490 43 factor factor NN 19261 3490 44 . . . 19261 3491 1 Certain certain JJ 19261 3491 2 cases case NNS 19261 3491 3 prove prove VBP 19261 3491 4 very very JJ 19261 3491 5 obstinate obstinate NN 19261 3491 6 of of IN 19261 3491 7 cure cure NN 19261 3491 8 , , , 19261 3491 9 and and CC 19261 3491 10 require require VBP 19261 3491 11 esophageal esophageal JJ 19261 3491 12 lavage lavage NN 19261 3491 13 for for IN 19261 3491 14 the the DT 19261 3491 15 esophagitis esophagitis NN 19261 3491 16 , , , 19261 3491 17 and and CC 19261 3491 18 feedings feeding NNS 19261 3491 19 through through IN 19261 3491 20 the the DT 19261 3491 21 stomach stomach NN 19261 3491 22 tube tube NN 19261 3491 23 to to TO 19261 3491 24 increase increase VB 19261 3491 25 nutrition nutrition NN 19261 3491 26 and and CC 19261 3491 27 to to TO 19261 3491 28 dilate dilate VB 19261 3491 29 the the DT 19261 3491 30 contracted contract VBN 19261 3491 31 stomach stomach NN 19261 3491 32 . . . 19261 3492 1 Gastrostomy Gastrostomy NNP 19261 3492 2 for for IN 19261 3492 3 feeding feeding NN 19261 3492 4 rarely rarely RB 19261 3492 5 becomes become VBZ 19261 3492 6 necessary necessary JJ 19261 3492 7 , , , 19261 3492 8 for for IN 19261 3492 9 a a DT 19261 3492 10 stomach stomach NN 19261 3492 11 tube tube NN 19261 3492 12 can can MD 19261 3492 13 always always RB 19261 3492 14 be be VB 19261 3492 15 placed place VBN 19261 3492 16 with with IN 19261 3492 17 the the DT 19261 3492 18 esophagoscope esophagoscope NN 19261 3492 19 if if IN 19261 3492 20 it -PRON- PRP 19261 3492 21 will will MD 19261 3492 22 not not RB 19261 3492 23 pass pass VB 19261 3492 24 otherwise otherwise RB 19261 3492 25 . . . 19261 3493 1 Retrograde retrograde NN 19261 3493 2 dilatation dilatation NN 19261 3493 3 with with IN 19261 3493 4 the the DT 19261 3493 5 fingers finger NNS 19261 3493 6 through through IN 19261 3493 7 a a DT 19261 3493 8 gastrostomy gastrostomy NN 19261 3493 9 opening opening NN 19261 3493 10 has have VBZ 19261 3493 11 been be VBN 19261 3493 12 done do VBN 19261 3493 13 , , , 19261 3493 14 but but CC 19261 3493 15 seems seem VBZ 19261 3493 16 hardly hardly RB 19261 3493 17 warranted warrant VBN 19261 3493 18 in in IN 19261 3493 19 view view NN 19261 3493 20 of of IN 19261 3493 21 the the DT 19261 3493 22 excellent excellent JJ 19261 3493 23 results result NNS 19261 3493 24 obtainable obtainable JJ 19261 3493 25 from from IN 19261 3493 26 above above RB 19261 3493 27 . . . 19261 3494 1 Instructions instruction NNS 19261 3494 2 should should MD 19261 3494 3 be be VB 19261 3494 4 given give VBN 19261 3494 5 concerning concern VBG 19261 3494 6 the the DT 19261 3494 7 proper proper JJ 19261 3494 8 mastication mastication NN 19261 3494 9 of of IN 19261 3494 10 food food NN 19261 3494 11 , , , 19261 3494 12 and and CC 19261 3494 13 during during IN 19261 3494 14 treatment treatment NN 19261 3494 15 the the DT 19261 3494 16 frequent frequent JJ 19261 3494 17 partaking partaking NN 19261 3494 18 of of IN 19261 3494 19 small small JJ 19261 3494 20 quantities quantity NNS 19261 3494 21 of of IN 19261 3494 22 liquid liquid JJ 19261 3494 23 foods food NNS 19261 3494 24 is be VBZ 19261 3494 25 recommended recommend VBN 19261 3494 26 . . . 19261 3495 1 Liquids liquid NNS 19261 3495 2 and and CC 19261 3495 3 foods food NNS 19261 3495 4 should should MD 19261 3495 5 be be VB 19261 3495 6 neither neither CC 19261 3495 7 hot hot JJ 19261 3495 8 nor nor CC 19261 3495 9 cold cold JJ 19261 3495 10 . . . 19261 3496 1 The the DT 19261 3496 2 neurologist neurologist NN 19261 3496 3 should should MD 19261 3496 4 be be VB 19261 3496 5 consulted consult VBN 19261 3496 6 in in IN 19261 3496 7 cases case NNS 19261 3496 8 deemed deem VBN 19261 3496 9 neurotic neurotic JJ 19261 3496 10 . . . 19261 3497 1 [ [ -LRB- 19261 3497 2 96a.-Functional 96a.-functional CD 19261 3497 3 hiatal hiatal JJ 19261 3497 4 stenosis stenosis NN 19261 3497 5 . . . 19261 3498 1 Cramp cramp NN 19261 3498 2 of of IN 19261 3498 3 the the DT 19261 3498 4 diaphragmatic diaphragmatic JJ 19261 3498 5 pinchcock pinchcock NN 19261 3498 6 ( ( -LRB- 19261 3498 7 so so RB 19261 3498 8 - - HYPH 19261 3498 9 called call VBN 19261 3498 10 cardiospasm cardiospasm NN 19261 3498 11 ) ) -RRB- 19261 3498 12 . . . 19261 3498 13 ] ] -RRB- 19261 3499 1 Endocrine endocrine NN 19261 3499 2 imbalance imbalance NN 19261 3499 3 should should MD 19261 3499 4 be be VB 19261 3499 5 investigated investigate VBN 19261 3499 6 and and CC 19261 3499 7 treated treat VBN 19261 3499 8 , , , 19261 3499 9 as as IN 19261 3499 10 urged urge VBN 19261 3499 11 by by IN 19261 3499 12 MacNab MacNab NNP 19261 3499 13 . . . 19261 3500 1 _ _ NNP 19261 3500 2 Esophageal esophageal JJ 19261 3500 3 antiperistalsis antiperistalsis NN 19261 3500 4 _ _ NNP 19261 3500 5 is be VBZ 19261 3500 6 the the DT 19261 3500 7 name name NN 19261 3500 8 given give VBN 19261 3500 9 by by IN 19261 3500 10 the the DT 19261 3500 11 author author NN 19261 3500 12 to to IN 19261 3500 13 a a DT 19261 3500 14 heretofore heretofore RB 19261 3500 15 undescribed undescribed JJ 19261 3500 16 disease disease NN 19261 3500 17 associated associate VBN 19261 3500 18 with with IN 19261 3500 19 regurgitation regurgitation NN 19261 3500 20 of of IN 19261 3500 21 food food NN 19261 3500 22 from from IN 19261 3500 23 the the DT 19261 3500 24 esophagus esophagus NN 19261 3500 25 , , , 19261 3500 26 the the DT 19261 3500 27 food food NN 19261 3500 28 not not RB 19261 3500 29 having have VBG 19261 3500 30 reached reach VBN 19261 3500 31 the the DT 19261 3500 32 stomach stomach NN 19261 3500 33 . . . 19261 3501 1 It -PRON- PRP 19261 3501 2 may may MD 19261 3501 3 be be VB 19261 3501 4 continuous continuous JJ 19261 3501 5 or or CC 19261 3501 6 paroxysmal paroxysmal JJ 19261 3501 7 and and CC 19261 3501 8 may may MD 19261 3501 9 be be VB 19261 3501 10 of of IN 19261 3501 11 so so RB 19261 3501 12 serious serious JJ 19261 3501 13 a a DT 19261 3501 14 degree degree NN 19261 3501 15 as as IN 19261 3501 16 to to TO 19261 3501 17 threaten threaten VB 19261 3501 18 starvation starvation NN 19261 3501 19 . . . 19261 3502 1 The the DT 19261 3502 2 best good JJS 19261 3502 3 treatment treatment NN 19261 3502 4 in in IN 19261 3502 5 severe severe JJ 19261 3502 6 cases case NNS 19261 3502 7 is be VBZ 19261 3502 8 gastrostomy gastrostomy NNP 19261 3502 9 to to TO 19261 3502 10 put put VB 19261 3502 11 the the DT 19261 3502 12 esophagus esophagus NN 19261 3502 13 at at IN 19261 3502 14 rest rest NN 19261 3502 15 . . . 19261 3503 1 Milder milder NN 19261 3503 2 cases case NNS 19261 3503 3 get get VBP 19261 3503 4 well well JJ 19261 3503 5 under under IN 19261 3503 6 liquid liquid JJ 19261 3503 7 diet diet NN 19261 3503 8 , , , 19261 3503 9 rest rest VB 19261 3503 10 in in IN 19261 3503 11 bed bed NN 19261 3503 12 , , , 19261 3503 13 endocrine endocrine NN 19261 3503 14 therapy therapy NN 19261 3503 15 , , , 19261 3503 16 cure cure NN 19261 3503 17 of of IN 19261 3503 18 associated associate VBN 19261 3503 19 abdominal abdominal JJ 19261 3503 20 disease disease NNP 19261 3503 21 , , , 19261 3503 22 etcetera etcetera NN 19261 3503 23 . . . 19261 3504 1 [ [ -LRB- 19261 3504 2 251 251 CD 19261 3504 3 ] ] -RRB- 19261 3504 4 CHAPTER chapter NN 19261 3504 5 XXXII xxxii NN 19261 3504 6 -- -- : 19261 3504 7 DISEASES disease NNS 19261 3504 8 OF of IN 19261 3504 9 THE the DT 19261 3504 10 ESOPHAGUS ESOPHAGUS NNP 19261 3504 11 ( ( -LRB- 19261 3504 12 _ _ NNP 19261 3504 13 Continued Continued NNP 19261 3504 14 _ _ NNP 19261 3504 15 ) ) -RRB- 19261 3504 16 CICATRICIAL cicatricial NN 19261 3504 17 STENOSIS STENOSIS NNP 19261 3504 18 OF of IN 19261 3504 19 THE the DT 19261 3504 20 ESOPHAGUS ESOPHAGUS NNP 19261 3504 21 _ _ NNP 19261 3504 22 Etiology_.--The etiology_.--the JJ 19261 3504 23 accidental accidental JJ 19261 3504 24 swallowing swallowing NN 19261 3504 25 of of IN 19261 3504 26 caustic caustic JJ 19261 3504 27 alkali alkali NN 19261 3504 28 in in IN 19261 3504 29 solutions solution NNS 19261 3504 30 of of IN 19261 3504 31 lye lye NN 19261 3504 32 or or CC 19261 3504 33 proprietary proprietary JJ 19261 3504 34 washing washing NN 19261 3504 35 and and CC 19261 3504 36 cleansing cleanse VBG 19261 3504 37 powders powder NNS 19261 3504 38 , , , 19261 3504 39 is be VBZ 19261 3504 40 the the DT 19261 3504 41 most most RBS 19261 3504 42 frequent frequent JJ 19261 3504 43 cause cause NN 19261 3504 44 of of IN 19261 3504 45 cicatricial cicatricial JJ 19261 3504 46 stenosis stenosis NN 19261 3504 47 . . . 19261 3505 1 Commercial commercial JJ 19261 3505 2 lye lye NN 19261 3505 3 preparations preparation NNS 19261 3505 4 are be VBP 19261 3505 5 about about RB 19261 3505 6 95 95 CD 19261 3505 7 per per IN 19261 3505 8 cent cent NN 19261 3505 9 sodium sodium NN 19261 3505 10 hydroxide hydroxide NN 19261 3505 11 . . . 19261 3506 1 The the DT 19261 3506 2 cleansing cleanse VBG 19261 3506 3 and and CC 19261 3506 4 washing washing NN 19261 3506 5 powders powder NNS 19261 3506 6 contain contain VBP 19261 3506 7 from from IN 19261 3506 8 eight eight CD 19261 3506 9 to to TO 19261 3506 10 fifty fifty CD 19261 3506 11 per per IN 19261 3506 12 cent cent NN 19261 3506 13 of of IN 19261 3506 14 caustic caustic JJ 19261 3506 15 alkali alkali NN 19261 3506 16 , , , 19261 3506 17 usually usually RB 19261 3506 18 soda soda NN 19261 3506 19 ash ash NN 19261 3506 20 , , , 19261 3506 21 and and CC 19261 3506 22 are be VBP 19261 3506 23 sold sell VBN 19261 3506 24 by by IN 19261 3506 25 grocers grocer NNS 19261 3506 26 everywhere everywhere RB 19261 3506 27 . . . 19261 3507 1 The the DT 19261 3507 2 labels label NNS 19261 3507 3 on on IN 19261 3507 4 their -PRON- PRP$ 19261 3507 5 containers container NNS 19261 3507 6 not not RB 19261 3507 7 only only RB 19261 3507 8 give give VBP 19261 3507 9 no no DT 19261 3507 10 warning warning NN 19261 3507 11 of of IN 19261 3507 12 the the DT 19261 3507 13 dangerous dangerous JJ 19261 3507 14 nature nature NN 19261 3507 15 of of IN 19261 3507 16 the the DT 19261 3507 17 contents content NNS 19261 3507 18 nor nor CC 19261 3507 19 antidotal antidotal JJ 19261 3507 20 advice advice NN 19261 3507 21 , , , 19261 3507 22 but but CC 19261 3507 23 have have VBP 19261 3507 24 such such JJ 19261 3507 25 directly directly RB 19261 3507 26 misleading misleading JJ 19261 3507 27 statements statement NNS 19261 3507 28 as as IN 19261 3507 29 : : : 19261 3507 30 " " `` 19261 3507 31 Will Will MD 19261 3507 32 not not RB 19261 3507 33 injure injure VB 19261 3507 34 the the DT 19261 3507 35 most most RBS 19261 3507 36 delicate delicate JJ 19261 3507 37 fabric fabric NN 19261 3507 38 , , , 19261 3507 39 " " '' 19261 3507 40 " " `` 19261 3507 41 Will Will MD 19261 3507 42 not not RB 19261 3507 43 injure injure VB 19261 3507 44 the the DT 19261 3507 45 hands hand NNS 19261 3507 46 , , , 19261 3507 47 " " '' 19261 3507 48 etc etc FW 19261 3507 49 . . . 19261 3508 1 Utensils utensil NNS 19261 3508 2 used use VBD 19261 3508 3 to to TO 19261 3508 4 measure measure VB 19261 3508 5 or or CC 19261 3508 6 dissolve dissolve VB 19261 3508 7 the the DT 19261 3508 8 powders powder NNS 19261 3508 9 are be VBP 19261 3508 10 afterward afterward RB 19261 3508 11 used use VBN 19261 3508 12 for for IN 19261 3508 13 drinking drinking NN 19261 3508 14 , , , 19261 3508 15 without without IN 19261 3508 16 rinsing rinse VBG 19261 3508 17 , , , 19261 3508 18 and and CC 19261 3508 19 thus thus RB 19261 3508 20 the the DT 19261 3508 21 residue residue NN 19261 3508 22 of of IN 19261 3508 23 the the DT 19261 3508 24 powder powder NN 19261 3508 25 remaining remain VBG 19261 3508 26 is be VBZ 19261 3508 27 swallowed swallow VBN 19261 3508 28 in in IN 19261 3508 29 strong strong JJ 19261 3508 30 solution solution NN 19261 3508 31 . . . 19261 3509 1 At at IN 19261 3509 2 other other JJ 19261 3509 3 times time NNS 19261 3509 4 solutions solution NNS 19261 3509 5 of of IN 19261 3509 6 lye lye NNS 19261 3509 7 are be VBP 19261 3509 8 drunk drunk JJ 19261 3509 9 in in IN 19261 3509 10 mistake mistake NN 19261 3509 11 for for IN 19261 3509 12 water water NN 19261 3509 13 , , , 19261 3509 14 coffee coffee NN 19261 3509 15 , , , 19261 3509 16 or or CC 19261 3509 17 wine wine NN 19261 3509 18 . . . 19261 3510 1 These these DT 19261 3510 2 entirely entirely RB 19261 3510 3 preventable preventable JJ 19261 3510 4 accidents accident NNS 19261 3510 5 would would MD 19261 3510 6 be be VB 19261 3510 7 rare rare JJ 19261 3510 8 if if IN 19261 3510 9 they -PRON- PRP 19261 3510 10 were be VBD 19261 3510 11 as as RB 19261 3510 12 conspicuously conspicuously RB 19261 3510 13 labelled label VBN 19261 3510 14 " " `` 19261 3510 15 Poison poison NN 19261 3510 16 " " '' 19261 3510 17 as as IN 19261 3510 18 is be VBZ 19261 3510 19 required require VBN 19261 3510 20 by by IN 19261 3510 21 law law NN 19261 3510 22 in in IN 19261 3510 23 the the DT 19261 3510 24 case case NN 19261 3510 25 of of IN 19261 3510 26 these these DT 19261 3510 27 and and CC 19261 3510 28 any any DT 19261 3510 29 other other JJ 19261 3510 30 poisons poison NNS 19261 3510 31 , , , 19261 3510 32 when when WRB 19261 3510 33 sold sell VBN 19261 3510 34 by by IN 19261 3510 35 druggists druggist NNS 19261 3510 36 . . . 19261 3511 1 The the DT 19261 3511 2 necessity necessity NN 19261 3511 3 for for IN 19261 3511 4 such such JJ 19261 3511 5 labelling labelling NN 19261 3511 6 is be VBZ 19261 3511 7 even even RB 19261 3511 8 greater great JJR 19261 3511 9 with with IN 19261 3511 10 the the DT 19261 3511 11 lye lye NNP 19261 3511 12 preparations preparation NNS 19261 3511 13 because because IN 19261 3511 14 they -PRON- PRP 19261 3511 15 go go VBP 19261 3511 16 into into IN 19261 3511 17 the the DT 19261 3511 18 kitchen kitchen NN 19261 3511 19 , , , 19261 3511 20 whereas whereas IN 19261 3511 21 the the DT 19261 3511 22 drugs drug NNS 19261 3511 23 go go VBP 19261 3511 24 to to IN 19261 3511 25 the the DT 19261 3511 26 medicine medicine NN 19261 3511 27 shelf shelf NN 19261 3511 28 , , , 19261 3511 29 out out IN 19261 3511 30 of of IN 19261 3511 31 the the DT 19261 3511 32 reach reach NN 19261 3511 33 of of IN 19261 3511 34 children child NNS 19261 3511 35 . . . 19261 3512 1 " " `` 19261 3512 2 Household household NN 19261 3512 3 ammonia ammonia NN 19261 3512 4 , , , 19261 3512 5 " " '' 19261 3512 6 " " `` 19261 3512 7 salts salt NNS 19261 3512 8 of of IN 19261 3512 9 tartar tartar NN 19261 3512 10 " " '' 19261 3512 11 ( ( -LRB- 19261 3512 12 potassium potassium NN 19261 3512 13 carbonate carbonate NN 19261 3512 14 ) ) -RRB- 19261 3512 15 , , , 19261 3512 16 " " `` 19261 3512 17 washing washing NN 19261 3512 18 soda soda NN 19261 3512 19 " " '' 19261 3512 20 ( ( -LRB- 19261 3512 21 sodium sodium NN 19261 3512 22 carbonate carbonate NN 19261 3512 23 ) ) -RRB- 19261 3512 24 , , , 19261 3512 25 mercuric mercuric NN 19261 3512 26 chloride chloride NN 19261 3512 27 , , , 19261 3512 28 and and CC 19261 3512 29 strong strong JJ 19261 3512 30 acids acid NNS 19261 3512 31 are be VBP 19261 3512 32 also also RB 19261 3512 33 , , , 19261 3512 34 though though IN 19261 3512 35 less less RBR 19261 3512 36 frequently frequently RB 19261 3512 37 , , , 19261 3512 38 the the DT 19261 3512 39 cause cause NN 19261 3512 40 of of IN 19261 3512 41 cicatricial cicatricial JJ 19261 3512 42 esophageal esophageal JJ 19261 3512 43 stricture stricture NN 19261 3512 44 . . . 19261 3513 1 Tuberculosis tuberculosis NN 19261 3513 2 , , , 19261 3513 3 lues lue NNS 19261 3513 4 , , , 19261 3513 5 scarlet scarlet JJ 19261 3513 6 fever fever NN 19261 3513 7 , , , 19261 3513 8 diphtheria diphtheria NN 19261 3513 9 , , , 19261 3513 10 enteric enteric JJ 19261 3513 11 fever fever NN 19261 3513 12 and and CC 19261 3513 13 pyogenic pyogenic NN 19261 3513 14 conditions condition NNS 19261 3513 15 may may MD 19261 3513 16 produce produce VB 19261 3513 17 ulceration ulceration NN 19261 3513 18 followed follow VBN 19261 3513 19 by by IN 19261 3513 20 cicatrices cicatrix NNS 19261 3513 21 of of IN 19261 3513 22 the the DT 19261 3513 23 esophagus esophagus NN 19261 3513 24 . . . 19261 3514 1 Spasmodic spasmodic JJ 19261 3514 2 stenosis stenosis NN 19261 3514 3 with with IN 19261 3514 4 its -PRON- PRP$ 19261 3514 5 consequent consequent JJ 19261 3514 6 esophagitis esophagitis NN 19261 3514 7 and and CC 19261 3514 8 erosions erosion NNS 19261 3514 9 , , , 19261 3514 10 and and CC 19261 3514 11 , , , 19261 3514 12 later later RB 19261 3514 13 , , , 19261 3514 14 secondary secondary JJ 19261 3514 15 pyogenic pyogenic JJ 19261 3514 16 infection infection NN 19261 3514 17 , , , 19261 3514 18 may may MD 19261 3514 19 result result VB 19261 3514 20 in in IN 19261 3514 21 serious serious JJ 19261 3514 22 cicatrices cicatrix NNS 19261 3514 23 . . . 19261 3515 1 Peptic peptic JJ 19261 3515 2 ulcer ulcer NN 19261 3515 3 of of IN 19261 3515 4 the the DT 19261 3515 5 lower low JJR 19261 3515 6 esophagus esophagus NN 19261 3515 7 may may MD 19261 3515 8 be be VB 19261 3515 9 a a DT 19261 3515 10 cause cause NN 19261 3515 11 . . . 19261 3516 1 The the DT 19261 3516 2 prolonged prolonged JJ 19261 3516 3 sojourn sojourn NN 19261 3516 4 of of IN 19261 3516 5 a a DT 19261 3516 6 foreign foreign JJ 19261 3516 7 body body NN 19261 3516 8 is be VBZ 19261 3516 9 likely likely JJ 19261 3516 10 to to TO 19261 3516 11 result result VB 19261 3516 12 in in IN 19261 3516 13 cicatricial cicatricial JJ 19261 3516 14 narrowing narrowing NN 19261 3516 15 . . . 19261 3517 1 [ [ -LRB- 19261 3517 2 FIG FIG NNP 19261 3517 3 . . . 19261 3518 1 97.--Schematic 97.--schematic CD 19261 3518 2 illustration illustration NN 19261 3518 3 of of IN 19261 3518 4 a a DT 19261 3518 5 series series NN 19261 3518 6 of of IN 19261 3518 7 eccentric eccentric JJ 19261 3518 8 strictures stricture NNS 19261 3518 9 with with IN 19261 3518 10 interstrictural interstrictural JJ 19261 3518 11 sacculations sacculation NNS 19261 3518 12 , , , 19261 3518 13 in in IN 19261 3518 14 the the DT 19261 3518 15 esophagus esophagus NN 19261 3518 16 of of IN 19261 3518 17 a a DT 19261 3518 18 boy boy NN 19261 3518 19 aged age VBN 19261 3518 20 four four CD 19261 3518 21 years year NNS 19261 3518 22 . . . 19261 3519 1 The the DT 19261 3519 2 strictures stricture NNS 19261 3519 3 were be VBD 19261 3519 4 divulsed divulse VBN 19261 3519 5 seriatim seriatim NN 19261 3519 6 from from IN 19261 3519 7 above above RB 19261 3519 8 downward downward RB 19261 3519 9 with with IN 19261 3519 10 the the DT 19261 3519 11 divulsor divulsor NN 19261 3519 12 , , , 19261 3519 13 the the DT 19261 3519 14 esophageal esophageal JJ 19261 3519 15 wall wall NN 19261 3519 16 , , , 19261 3519 17 D d NN 19261 3519 18 , , , 19261 3519 19 being be VBG 19261 3519 20 moved move VBN 19261 3519 21 sidewise sidewise RB 19261 3519 22 to to IN 19261 3519 23 the the DT 19261 3519 24 position position NN 19261 3519 25 of of IN 19261 3519 26 the the DT 19261 3519 27 dotted dotted JJ 19261 3519 28 line line NN 19261 3519 29 by by IN 19261 3519 30 means mean NNS 19261 3519 31 of of IN 19261 3519 32 a a DT 19261 3519 33 small small JJ 19261 3519 34 esophagoscope esophagoscope NN 19261 3519 35 inserted insert VBN 19261 3519 36 through through IN 19261 3519 37 the the DT 19261 3519 38 upper upper JJ 19261 3519 39 stricture stricture NN 19261 3519 40 , , , 19261 3519 41 A A NNP 19261 3519 42 , , , 19261 3519 43 after after IN 19261 3519 44 divulsion divulsion NN 19261 3519 45 of of IN 19261 3519 46 the the DT 19261 3519 47 latter latter JJ 19261 3519 48 . . . 19261 3519 49 ] ] -RRB- 19261 3520 1 _ _ NNP 19261 3520 2 Location Location NNP 19261 3520 3 of of IN 19261 3520 4 Cicatricial Cicatricial NNP 19261 3520 5 Esophageal Esophageal NNP 19261 3520 6 Strictures_.--The Strictures_.--The NNP 19261 3520 7 strictures stricture NNS 19261 3520 8 are be VBP 19261 3520 9 often often RB 19261 3520 10 multiple multiple JJ 19261 3520 11 and and CC 19261 3520 12 their -PRON- PRP$ 19261 3520 13 lumina lumina NNP 19261 3520 14 are be VBP 19261 3520 15 rarely rarely RB 19261 3520 16 either either CC 19261 3520 17 central central JJ 19261 3520 18 or or CC 19261 3520 19 concentric concentric JJ 19261 3520 20 ( ( -LRB- 19261 3520 21 Fig fig NN 19261 3520 22 . . . 19261 3521 1 97 97 CD 19261 3521 2 ) ) -RRB- 19261 3521 3 . . . 19261 3522 1 In in IN 19261 3522 2 order order NN 19261 3522 3 of of IN 19261 3522 4 frequency frequency NN 19261 3522 5 the the DT 19261 3522 6 sites site NNS 19261 3522 7 of of IN 19261 3522 8 cicatricial cicatricial JJ 19261 3522 9 stenosis stenosis NN 19261 3522 10 are be VBP 19261 3522 11 : : : 19261 3522 12 1 1 LS 19261 3522 13 . . . 19261 3523 1 At at IN 19261 3523 2 the the DT 19261 3523 3 crossing crossing NN 19261 3523 4 of of IN 19261 3523 5 the the DT 19261 3523 6 left left JJ 19261 3523 7 bronchus bronchu NNS 19261 3523 8 ; ; : 19261 3523 9 2 2 CD 19261 3523 10 . . . 19261 3524 1 In in IN 19261 3524 2 the the DT 19261 3524 3 region region NN 19261 3524 4 of of IN 19261 3524 5 the the DT 19261 3524 6 cricopharyngeus cricopharyngeus NN 19261 3524 7 ; ; : 19261 3524 8 3 3 CD 19261 3524 9 . . . 19261 3525 1 At at IN 19261 3525 2 the the DT 19261 3525 3 hiatal hiatal JJ 19261 3525 4 level level NN 19261 3525 5 . . . 19261 3526 1 Stricture stricture NN 19261 3526 2 at at IN 19261 3526 3 the the DT 19261 3526 4 cardia cardia NN 19261 3526 5 has have VBZ 19261 3526 6 rarely rarely RB 19261 3526 7 been be VBN 19261 3526 8 encountered encounter VBN 19261 3526 9 in in IN 19261 3526 10 the the DT 19261 3526 11 Bronchoscopic Bronchoscopic NNP 19261 3526 12 Clinic Clinic NNP 19261 3526 13 . . . 19261 3527 1 Stenosis stenosis NN 19261 3527 2 of of IN 19261 3527 3 the the DT 19261 3527 4 pylorus pylorus NN 19261 3527 5 has have VBZ 19261 3527 6 been be VBN 19261 3527 7 noted note VBN 19261 3527 8 , , , 19261 3527 9 but but CC 19261 3527 10 is be VBZ 19261 3527 11 rare rare JJ 19261 3527 12 . . . 19261 3528 1 _ _ NNP 19261 3528 2 Prognosis_.--Spontaneous prognosis_.--spontaneous JJ 19261 3528 3 recovery recovery NN 19261 3528 4 from from IN 19261 3528 5 cicatricial cicatricial JJ 19261 3528 6 stenosis stenosis NN 19261 3528 7 probably probably RB 19261 3528 8 never never RB 19261 3528 9 occurs occur VBZ 19261 3528 10 , , , 19261 3528 11 and and CC 19261 3528 12 the the DT 19261 3528 13 mortality mortality NN 19261 3528 14 of of IN 19261 3528 15 untreated untreated JJ 19261 3528 16 small small JJ 19261 3528 17 lumen luman NNS 19261 3528 18 strictures stricture NNS 19261 3528 19 is be VBZ 19261 3528 20 very very RB 19261 3528 21 high high JJ 19261 3528 22 . . . 19261 3529 1 Blind blind JJ 19261 3529 2 methods method NNS 19261 3529 3 of of IN 19261 3529 4 dilatation dilatation NN 19261 3529 5 are be VBP 19261 3529 6 almost almost RB 19261 3529 7 certain certain JJ 19261 3529 8 to to TO 19261 3529 9 result result VB 19261 3529 10 in in IN 19261 3529 11 death death NN 19261 3529 12 from from IN 19261 3529 13 perforation perforation NN 19261 3529 14 of of IN 19261 3529 15 the the DT 19261 3529 16 esophageal esophageal JJ 19261 3529 17 wall wall NN 19261 3529 18 , , , 19261 3529 19 because because IN 19261 3529 20 some some DT 19261 3529 21 pressure pressure NN 19261 3529 22 is be VBZ 19261 3529 23 necessary necessary JJ 19261 3529 24 to to TO 19261 3529 25 dilate dilate VB 19261 3529 26 a a DT 19261 3529 27 stricture stricture NN 19261 3529 28 , , , 19261 3529 29 and and CC 19261 3529 30 the the DT 19261 3529 31 point point NN 19261 3529 32 of of IN 19261 3529 33 the the DT 19261 3529 34 bougie bougie NN 19261 3529 35 , , , 19261 3529 36 not not RB 19261 3529 37 being be VBG 19261 3529 38 under under IN 19261 3529 39 guidance guidance NN 19261 3529 40 of of IN 19261 3529 41 the the DT 19261 3529 42 eye eye NN 19261 3529 43 , , , 19261 3529 44 is be VBZ 19261 3529 45 certain certain JJ 19261 3529 46 at at IN 19261 3529 47 sometime sometime JJ 19261 3529 48 or or CC 19261 3529 49 other other JJ 19261 3529 50 to to TO 19261 3529 51 be be VB 19261 3529 52 engaged engage VBN 19261 3529 53 in in IN 19261 3529 54 a a DT 19261 3529 55 pocket pocket NN 19261 3529 56 instead instead RB 19261 3529 57 of of IN 19261 3529 58 in in IN 19261 3529 59 the the DT 19261 3529 60 stricture stricture NN 19261 3529 61 . . . 19261 3530 1 Pressure pressure NN 19261 3530 2 then then RB 19261 3530 3 results result VBZ 19261 3530 4 in in IN 19261 3530 5 perforation perforation NN 19261 3530 6 of of IN 19261 3530 7 the the DT 19261 3530 8 bottom bottom NN 19261 3530 9 of of IN 19261 3530 10 the the DT 19261 3530 11 pocket pocket NN 19261 3530 12 ( ( -LRB- 19261 3530 13 Fig fig NN 19261 3530 14 . . . 19261 3531 1 98 98 CD 19261 3531 2 ) ) -RRB- 19261 3531 3 . . . 19261 3532 1 This this DT 19261 3532 2 accident accident NN 19261 3532 3 is be VBZ 19261 3532 4 contributed contribute VBN 19261 3532 5 to to IN 19261 3532 6 by by IN 19261 3532 7 dilatation dilatation NN 19261 3532 8 with with IN 19261 3532 9 the the DT 19261 3532 10 wrinkled wrinkled JJ 19261 3532 11 , , , 19261 3532 12 scarred scarred JJ 19261 3532 13 floor floor NN 19261 3532 14 which which WDT 19261 3532 15 usually usually RB 19261 3532 16 develops develop VBZ 19261 3532 17 above above IN 19261 3532 18 the the DT 19261 3532 19 stricture stricture NN 19261 3532 20 . . . 19261 3533 1 Rapid rapid JJ 19261 3533 2 divulsion divulsion NN 19261 3533 3 and and CC 19261 3533 4 internal internal JJ 19261 3533 5 esophagotomy esophagotomy NN 19261 3533 6 are be VBP 19261 3533 7 mechanically mechanically RB 19261 3533 8 very very RB 19261 3533 9 easily easily RB 19261 3533 10 and and CC 19261 3533 11 accurately accurately RB 19261 3533 12 done do VBN 19261 3533 13 through through IN 19261 3533 14 the the DT 19261 3533 15 esophagoscope esophagoscope NN 19261 3533 16 , , , 19261 3533 17 and and CC 19261 3533 18 would would MD 19261 3533 19 yield yield VB 19261 3533 20 a a DT 19261 3533 21 few few JJ 19261 3533 22 prompt prompt JJ 19261 3533 23 cures cure NNS 19261 3533 24 ; ; : 19261 3533 25 but but CC 19261 3533 26 the the DT 19261 3533 27 mortality mortality NN 19261 3533 28 would would MD 19261 3533 29 be be VB 19261 3533 30 very very RB 19261 3533 31 high high JJ 19261 3533 32 . . . 19261 3534 1 Under under IN 19261 3534 2 certain certain JJ 19261 3534 3 circumstances circumstance NNS 19261 3534 4 , , , 19261 3534 5 to to TO 19261 3534 6 be be VB 19261 3534 7 explained explain VBN 19261 3534 8 below below RB 19261 3534 9 , , , 19261 3534 10 gentle gentle JJ 19261 3534 11 divulsion divulsion NN 19261 3534 12 of of IN 19261 3534 13 the the DT 19261 3534 14 proximal proximal JJ 19261 3534 15 one one CD 19261 3534 16 of of IN 19261 3534 17 a a DT 19261 3534 18 series series NN 19261 3534 19 of of IN 19261 3534 20 strictures stricture NNS 19261 3534 21 has have VBZ 19261 3534 22 to to TO 19261 3534 23 be be VB 19261 3534 24 done do VBN 19261 3534 25 . . . 19261 3535 1 With with IN 19261 3535 2 proper proper JJ 19261 3535 3 precautions precaution NNS 19261 3535 4 and and CC 19261 3535 5 a a DT 19261 3535 6 gentle gentle JJ 19261 3535 7 hand hand NN 19261 3535 8 , , , 19261 3535 9 the the DT 19261 3535 10 risk risk NN 19261 3535 11 is be VBZ 19261 3535 12 slight slight JJ 19261 3535 13 . . . 19261 3536 1 Under under IN 19261 3536 2 esophagoscopic esophagoscopic NN 19261 3536 3 bouginage bouginage NN 19261 3536 4 the the DT 19261 3536 5 prognosis prognosis NN 19261 3536 6 is be VBZ 19261 3536 7 favorable favorable JJ 19261 3536 8 as as IN 19261 3536 9 to to TO 19261 3536 10 ultimate ultimate JJ 19261 3536 11 cure cure NN 19261 3536 12 , , , 19261 3536 13 the the DT 19261 3536 14 duration duration NN 19261 3536 15 of of IN 19261 3536 16 the the DT 19261 3536 17 treatment treatment NN 19261 3536 18 varying vary VBG 19261 3536 19 with with IN 19261 3536 20 the the DT 19261 3536 21 number number NN 19261 3536 22 of of IN 19261 3536 23 strictures stricture NNS 19261 3536 24 , , , 19261 3536 25 the the DT 19261 3536 26 tightness tightness NN 19261 3536 27 , , , 19261 3536 28 and and CC 19261 3536 29 the the DT 19261 3536 30 extent extent NN 19261 3536 31 of of IN 19261 3536 32 the the DT 19261 3536 33 fibrous fibrous JJ 19261 3536 34 tissue tissue NN 19261 3536 35 - - HYPH 19261 3536 36 changes change NNS 19261 3536 37 in in IN 19261 3536 38 the the DT 19261 3536 39 esophageal esophageal JJ 19261 3536 40 wall wall NN 19261 3536 41 . . . 19261 3537 1 Mortality mortality NN 19261 3537 2 from from IN 19261 3537 3 the the DT 19261 3537 4 endoscopic endoscopic JJ 19261 3537 5 procedure procedure NN 19261 3537 6 is be VBZ 19261 3537 7 almost almost RB 19261 3537 8 nil nil RB 19261 3537 9 , , , 19261 3537 10 and and CC 19261 3537 11 if if IN 19261 3537 12 gastrostomy gastrostomy NNP 19261 3537 13 is be VBZ 19261 3537 14 done do VBN 19261 3537 15 early early RB 19261 3537 16 in in IN 19261 3537 17 the the DT 19261 3537 18 tightly tightly RB 19261 3537 19 stenosed stenose VBN 19261 3537 20 cases case NNS 19261 3537 21 , , , 19261 3537 22 ultimate ultimate JJ 19261 3537 23 cure cure NN 19261 3537 24 may may MD 19261 3537 25 be be VB 19261 3537 26 confidently confidently RB 19261 3537 27 expected expect VBN 19261 3537 28 with with IN 19261 3537 29 careful careful JJ 19261 3537 30 though though IN 19261 3537 31 prolonged prolonged JJ 19261 3537 32 treatment treatment NN 19261 3537 33 . . . 19261 3538 1 [ [ -LRB- 19261 3538 2 FIG FIG NNP 19261 3538 3 . . . 19261 3539 1 98.--Schema 98.--schema LS 19261 3539 2 illustrating illustrate VBG 19261 3539 3 the the DT 19261 3539 4 mechanism mechanism NN 19261 3539 5 of of IN 19261 3539 6 perforation perforation NN 19261 3539 7 by by IN 19261 3539 8 blind blind JJ 19261 3539 9 bouginage bouginage NN 19261 3539 10 . . . 19261 3540 1 On on IN 19261 3540 2 encountering encounter VBG 19261 3540 3 resilient resilient JJ 19261 3540 4 resistance resistance NN 19261 3540 5 the the DT 19261 3540 6 operator operator NN 19261 3540 7 , , , 19261 3540 8 having have VBG 19261 3540 9 a a DT 19261 3540 10 false false JJ 19261 3540 11 conception conception NN 19261 3540 12 , , , 19261 3540 13 pushes push VBZ 19261 3540 14 on on IN 19261 3540 15 the the DT 19261 3540 16 bougie bougie NN 19261 3540 17 . . . 19261 3541 1 Perforation perforation NN 19261 3541 2 results result NNS 19261 3541 3 because because IN 19261 3541 4 in in IN 19261 3541 5 reality reality NN 19261 3541 6 the the DT 19261 3541 7 bougie bougie NN 19261 3541 8 is be VBZ 19261 3541 9 in in IN 19261 3541 10 a a DT 19261 3541 11 pocket pocket NN 19261 3541 12 of of IN 19261 3541 13 the the DT 19261 3541 14 suprastrictural suprastrictural JJ 19261 3541 15 eccentric eccentric JJ 19261 3541 16 dilatation dilatation NN 19261 3541 17 . . . 19261 3541 18 ] ] -RRB- 19261 3542 1 _ _ NNP 19261 3542 2 Symptoms_.--Dysphagia Symptoms_.--Dysphagia NNP 19261 3542 3 , , , 19261 3542 4 regurgitation regurgitation NN 19261 3542 5 , , , 19261 3542 6 distress distress NN 19261 3542 7 after after IN 19261 3542 8 eating eat VBG 19261 3542 9 , , , 19261 3542 10 and and CC 19261 3542 11 loss loss NN 19261 3542 12 of of IN 19261 3542 13 weight weight NN 19261 3542 14 , , , 19261 3542 15 vary vary VBP 19261 3542 16 with with IN 19261 3542 17 the the DT 19261 3542 18 degree degree NN 19261 3542 19 of of IN 19261 3542 20 the the DT 19261 3542 21 stenosis stenosis NN 19261 3542 22 . . . 19261 3543 1 The the DT 19261 3543 2 intermittency intermittency NN 19261 3543 3 of of IN 19261 3543 4 the the DT 19261 3543 5 symptoms symptom NNS 19261 3543 6 is be VBZ 19261 3543 7 sometimes sometimes RB 19261 3543 8 confusing confusing JJ 19261 3543 9 , , , 19261 3543 10 for for IN 19261 3543 11 the the DT 19261 3543 12 lodgment lodgment NN 19261 3543 13 of of IN 19261 3543 14 relatively relatively RB 19261 3543 15 large large JJ 19261 3543 16 particles particle NNS 19261 3543 17 of of IN 19261 3543 18 food food NN 19261 3543 19 often often RB 19261 3543 20 simulates simulate VBZ 19261 3543 21 a a DT 19261 3543 22 spasmodic spasmodic JJ 19261 3543 23 stenosis stenosis NN 19261 3543 24 , , , 19261 3543 25 and and CC 19261 3543 26 in in IN 19261 3543 27 fact fact NN 19261 3543 28 there there EX 19261 3543 29 is be VBZ 19261 3543 30 often often RB 19261 3543 31 an an DT 19261 3543 32 element element NN 19261 3543 33 of of IN 19261 3543 34 spasm spasm NN 19261 3543 35 which which WDT 19261 3543 36 holds hold VBZ 19261 3543 37 the the DT 19261 3543 38 foreign foreign JJ 19261 3543 39 body body NN 19261 3543 40 in in IN 19261 3543 41 the the DT 19261 3543 42 strictured strictured JJ 19261 3543 43 area area NN 19261 3543 44 until until IN 19261 3543 45 it -PRON- PRP 19261 3543 46 relaxes relax VBZ 19261 3543 47 . . . 19261 3544 1 Static static JJ 19261 3544 2 esophagitis esophagitis NN 19261 3544 3 results result VBZ 19261 3544 4 in in IN 19261 3544 5 a a DT 19261 3544 6 swelling swelling NN 19261 3544 7 of of IN 19261 3544 8 the the DT 19261 3544 9 esophageal esophageal JJ 19261 3544 10 walls wall NNS 19261 3544 11 and and CC 19261 3544 12 a a DT 19261 3544 13 narrowing narrowing NN 19261 3544 14 of of IN 19261 3544 15 the the DT 19261 3544 16 lumen luman NNS 19261 3544 17 , , , 19261 3544 18 so so IN 19261 3544 19 that that IN 19261 3544 20 swallowing swallow VBG 19261 3544 21 is be VBZ 19261 3544 22 more more RBR 19261 3544 23 or or CC 19261 3544 24 less less RBR 19261 3544 25 troublesome troublesome JJ 19261 3544 26 until until IN 19261 3544 27 the the DT 19261 3544 28 esophagitis esophagitis NN 19261 3544 29 subsides subside NNS 19261 3544 30 . . . 19261 3545 1 _ _ NNP 19261 3545 2 Esophagoscopic Esophagoscopic NNP 19261 3545 3 Appearances Appearances NNPS 19261 3545 4 of of IN 19261 3545 5 Cicatricial cicatricial JJ 19261 3545 6 Stenosis_.--The stenosis_.--the NN 19261 3545 7 color color NN 19261 3545 8 of of IN 19261 3545 9 the the DT 19261 3545 10 cicatricial cicatricial JJ 19261 3545 11 area area NN 19261 3545 12 is be VBZ 19261 3545 13 usually usually RB 19261 3545 14 paler paler NN 19261 3545 15 than than IN 19261 3545 16 the the DT 19261 3545 17 normal normal JJ 19261 3545 18 mucosa mucosa NNS 19261 3545 19 . . . 19261 3546 1 The the DT 19261 3546 2 scars scar NNS 19261 3546 3 may may MD 19261 3546 4 be be VB 19261 3546 5 very very RB 19261 3546 6 white white JJ 19261 3546 7 and and CC 19261 3546 8 elevated elevated JJ 19261 3546 9 , , , 19261 3546 10 or or CC 19261 3546 11 they -PRON- PRP 19261 3546 12 may may MD 19261 3546 13 be be VB 19261 3546 14 flush flush JJ 19261 3546 15 with with IN 19261 3546 16 the the DT 19261 3546 17 normal normal JJ 19261 3546 18 mucosa mucosa NNS 19261 3546 19 , , , 19261 3546 20 or or CC 19261 3546 21 even even RB 19261 3546 22 depressed depressed JJ 19261 3546 23 . . . 19261 3547 1 Occasionally occasionally RB 19261 3547 2 the the DT 19261 3547 3 cicatrix cicatrix NN 19261 3547 4 is be VBZ 19261 3547 5 annular annular NNP 19261 3547 6 , , , 19261 3547 7 but but CC 19261 3547 8 more more RBR 19261 3547 9 often often RB 19261 3547 10 it -PRON- PRP 19261 3547 11 is be VBZ 19261 3547 12 eccentric eccentric JJ 19261 3547 13 and and CC 19261 3547 14 involves involve VBZ 19261 3547 15 only only RB 19261 3547 16 a a DT 19261 3547 17 part part NN 19261 3547 18 of of IN 19261 3547 19 the the DT 19261 3547 20 circumference circumference NN 19261 3547 21 of of IN 19261 3547 22 the the DT 19261 3547 23 wall wall NN 19261 3547 24 . . . 19261 3548 1 If if IN 19261 3548 2 the the DT 19261 3548 3 amount amount NN 19261 3548 4 of of IN 19261 3548 5 scar scar JJ 19261 3548 6 tissue tissue NN 19261 3548 7 is be VBZ 19261 3548 8 small small JJ 19261 3548 9 , , , 19261 3548 10 the the DT 19261 3548 11 lumen luman NNS 19261 3548 12 maintains maintain VBZ 19261 3548 13 its -PRON- PRP$ 19261 3548 14 mobility mobility NN 19261 3548 15 ; ; : 19261 3548 16 opens open VBZ 19261 3548 17 and and CC 19261 3548 18 closes close VBZ 19261 3548 19 during during IN 19261 3548 20 respiration respiration NN 19261 3548 21 , , , 19261 3548 22 cough cough NN 19261 3548 23 , , , 19261 3548 24 and and CC 19261 3548 25 vomiturition vomiturition NN 19261 3548 26 . . . 19261 3549 1 Between between IN 19261 3549 2 two two CD 19261 3549 3 strictures stricture NNS 19261 3549 4 there there EX 19261 3549 5 is be VBZ 19261 3549 6 often often RB 19261 3549 7 a a DT 19261 3549 8 pouch pouch JJ 19261 3549 9 containing contain VBG 19261 3549 10 food food NN 19261 3549 11 remnants remnant NNS 19261 3549 12 . . . 19261 3550 1 It -PRON- PRP 19261 3550 2 is be VBZ 19261 3550 3 rarely rarely RB 19261 3550 4 possible possible JJ 19261 3550 5 to to TO 19261 3550 6 see see VB 19261 3550 7 the the DT 19261 3550 8 lumen luman NNS 19261 3550 9 of of IN 19261 3550 10 the the DT 19261 3550 11 second second JJ 19261 3550 12 stricture stricture NN 19261 3550 13 , , , 19261 3550 14 because because IN 19261 3550 15 it -PRON- PRP 19261 3550 16 is be VBZ 19261 3550 17 usually usually RB 19261 3550 18 eccentric eccentric JJ 19261 3550 19 to to IN 19261 3550 20 the the DT 19261 3550 21 first first JJ 19261 3550 22 . . . 19261 3551 1 Stagnation stagnation NN 19261 3551 2 of of IN 19261 3551 3 food food NN 19261 3551 4 results result NNS 19261 3551 5 in in IN 19261 3551 6 superjacent superjacent JJ 19261 3551 7 dilatation dilatation NN 19261 3551 8 and and CC 19261 3551 9 esophagitis esophagitis NN 19261 3551 10 . . . 19261 3552 1 Erosions erosion NNS 19261 3552 2 and and CC 19261 3552 3 ulcerations ulceration NNS 19261 3552 4 which which WDT 19261 3552 5 follow follow VBP 19261 3552 6 the the DT 19261 3552 7 stagnation stagnation NN 19261 3552 8 esophagitis esophagitis NN 19261 3552 9 increase increase VB 19261 3552 10 the the DT 19261 3552 11 cicatricial cicatricial JJ 19261 3552 12 stenosis stenosis NN 19261 3552 13 in in IN 19261 3552 14 their -PRON- PRP$ 19261 3552 15 healing healing NN 19261 3552 16 . . . 19261 3553 1 _ _ NNP 19261 3553 2 Differential Differential NNP 19261 3553 3 Diagnosis_.--When Diagnosis_.--When NNP 19261 3553 4 the the DT 19261 3553 5 underlying underlying JJ 19261 3553 6 condition condition NN 19261 3553 7 is be VBZ 19261 3553 8 masked mask VBN 19261 3553 9 by by IN 19261 3553 10 inflammation inflammation NN 19261 3553 11 and and CC 19261 3553 12 ulceration ulceration NN 19261 3553 13 , , , 19261 3553 14 these these DT 19261 3553 15 lesions lesion NNS 19261 3553 16 must must MD 19261 3553 17 be be VB 19261 3553 18 removed remove VBN 19261 3553 19 by by IN 19261 3553 20 frequent frequent JJ 19261 3553 21 lavage lavage NN 19261 3553 22 , , , 19261 3553 23 the the DT 19261 3553 24 administration administration NN 19261 3553 25 of of IN 19261 3553 26 bismuth bismuth NNP 19261 3553 27 subnitrate subnitrate NN 19261 3553 28 with with IN 19261 3553 29 the the DT 19261 3553 30 occasional occasional JJ 19261 3553 31 addition addition NN 19261 3553 32 of of IN 19261 3553 33 calomel calomel NNP 19261 3553 34 powder powder NN 19261 3553 35 , , , 19261 3553 36 and and CC 19261 3553 37 the the DT 19261 3553 38 limitation limitation NN 19261 3553 39 of of IN 19261 3553 40 the the DT 19261 3553 41 diet diet NN 19261 3553 42 to to IN 19261 3553 43 strained strained JJ 19261 3553 44 liquids liquid NNS 19261 3553 45 . . . 19261 3554 1 The the DT 19261 3554 2 cicatricial cicatricial JJ 19261 3554 3 nature nature NN 19261 3554 4 of of IN 19261 3554 5 the the DT 19261 3554 6 stenosis stenosis NN 19261 3554 7 can can MD 19261 3554 8 then then RB 19261 3554 9 be be VB 19261 3554 10 studied study VBN 19261 3554 11 to to IN 19261 3554 12 better well JJR 19261 3554 13 advantage advantage NN 19261 3554 14 . . . 19261 3555 1 In in IN 19261 3555 2 most most JJS 19261 3555 3 cases case NNS 19261 3555 4 the the DT 19261 3555 5 cicatrices cicatrix NNS 19261 3555 6 are be VBP 19261 3555 7 unmistakably unmistakably RB 19261 3555 8 conspicuous conspicuous JJ 19261 3555 9 . . . 19261 3556 1 Spasmodic spasmodic JJ 19261 3556 2 stenoses stenosis NNS 19261 3556 3 are be VBP 19261 3556 4 differentiated differentiate VBN 19261 3556 5 by by IN 19261 3556 6 the the DT 19261 3556 7 absence absence NN 19261 3556 8 of of IN 19261 3556 9 cicatrices cicatrix NNS 19261 3556 10 and and CC 19261 3556 11 the the DT 19261 3556 12 yielding yielding NN 19261 3556 13 of of IN 19261 3556 14 the the DT 19261 3556 15 stenosis stenosis NN 19261 3556 16 to to IN 19261 3556 17 gentle gentle JJ 19261 3556 18 but but CC 19261 3556 19 continuous continuous JJ 19261 3556 20 pressure pressure NN 19261 3556 21 of of IN 19261 3556 22 the the DT 19261 3556 23 esophagoscope esophagoscope NN 19261 3556 24 . . . 19261 3557 1 While while IN 19261 3557 2 it -PRON- PRP 19261 3557 3 is be VBZ 19261 3557 4 possible possible JJ 19261 3557 5 that that IN 19261 3557 6 spasmodic spasmodic JJ 19261 3557 7 stenosis stenosis NN 19261 3557 8 may may MD 19261 3557 9 supplement supplement VB 19261 3557 10 cicatricial cicatricial JJ 19261 3557 11 stenosis stenosis NN 19261 3557 12 , , , 19261 3557 13 it -PRON- PRP 19261 3557 14 is be VBZ 19261 3557 15 certainly certainly RB 19261 3557 16 exceedingly exceedingly RB 19261 3557 17 rare rare JJ 19261 3557 18 . . . 19261 3558 1 Nearly nearly RB 19261 3558 2 all all DT 19261 3558 3 of of IN 19261 3558 4 the the DT 19261 3558 5 occasions occasion NNS 19261 3558 6 in in IN 19261 3558 7 which which WDT 19261 3558 8 a a DT 19261 3558 9 temporary temporary JJ 19261 3558 10 increase increase NN 19261 3558 11 of of IN 19261 3558 12 the the DT 19261 3558 13 stenosis stenosis NN 19261 3558 14 in in IN 19261 3558 15 a a DT 19261 3558 16 cicatricial cicatricial JJ 19261 3558 17 case case NN 19261 3558 18 is be VBZ 19261 3558 19 attributed attribute VBN 19261 3558 20 to to IN 19261 3558 21 an an DT 19261 3558 22 element element NN 19261 3558 23 of of IN 19261 3558 24 spasm spasm NN 19261 3558 25 , , , 19261 3558 26 the the DT 19261 3558 27 real real JJ 19261 3558 28 cause cause NN 19261 3558 29 of of IN 19261 3558 30 the the DT 19261 3558 31 intermittency intermittency NN 19261 3558 32 is be VBZ 19261 3558 33 not not RB 19261 3558 34 spasm spasm NN 19261 3558 35 but but CC 19261 3558 36 obstruction obstruction NN 19261 3558 37 caused cause VBN 19261 3558 38 by by IN 19261 3558 39 food food NN 19261 3558 40 . . . 19261 3559 1 This this DT 19261 3559 2 occurs occur VBZ 19261 3559 3 in in IN 19261 3559 4 three three CD 19261 3559 5 ways way NNS 19261 3559 6 : : : 19261 3559 7 1 1 CD 19261 3559 8 . . . 19261 3560 1 Actual actual JJ 19261 3560 2 " " `` 19261 3560 3 corking cork VBG 19261 3560 4 " " '' 19261 3560 5 of of IN 19261 3560 6 the the DT 19261 3560 7 strictured strictured JJ 19261 3560 8 lumen luman NNS 19261 3560 9 by by IN 19261 3560 10 a a DT 19261 3560 11 fragment fragment NN 19261 3560 12 of of IN 19261 3560 13 food food NN 19261 3560 14 , , , 19261 3560 15 in in IN 19261 3560 16 which which WDT 19261 3560 17 case case NN 19261 3560 18 intermittency intermittency NN 19261 3560 19 may may MD 19261 3560 20 be be VB 19261 3560 21 due due IN 19261 3560 22 to to IN 19261 3560 23 partial partial JJ 19261 3560 24 regurgitation regurgitation NN 19261 3560 25 of of IN 19261 3560 26 the the DT 19261 3560 27 " " `` 19261 3560 28 corking cork VBG 19261 3560 29 " " '' 19261 3560 30 mass mass NN 19261 3560 31 with with IN 19261 3560 32 subsequent subsequent JJ 19261 3560 33 sinking sinking NN 19261 3560 34 tightly tightly RB 19261 3560 35 into into IN 19261 3560 36 the the DT 19261 3560 37 stricture stricture NN 19261 3560 38 . . . 19261 3561 1 2 2 LS 19261 3561 2 . . . 19261 3562 1 The the DT 19261 3562 2 " " `` 19261 3562 3 cork cork NN 19261 3562 4 " " '' 19261 3562 5 may may MD 19261 3562 6 dissolve dissolve VB 19261 3562 7 and and CC 19261 3562 8 pass pass VB 19261 3562 9 on on RP 19261 3562 10 through through RB 19261 3562 11 to to TO 19261 3562 12 be be VB 19261 3562 13 later later RB 19261 3562 14 replaced replace VBN 19261 3562 15 by by IN 19261 3562 16 another another DT 19261 3562 17 . . . 19261 3563 1 3 3 LS 19261 3563 2 . . . 19261 3564 1 Reactionary reactionary JJ 19261 3564 2 swelling swelling NN 19261 3564 3 of of IN 19261 3564 4 the the DT 19261 3564 5 esophageal esophageal JJ 19261 3564 6 mucosa mucosa NNS 19261 3564 7 due due JJ 19261 3564 8 to to IN 19261 3564 9 stagnation stagnation NN 19261 3564 10 . . . 19261 3565 1 Here here RB 19261 3565 2 again again RB 19261 3565 3 the the DT 19261 3565 4 obstruction obstruction NN 19261 3565 5 may may MD 19261 3565 6 be be VB 19261 3565 7 prolonged prolong VBN 19261 3565 8 , , , 19261 3565 9 or or CC 19261 3565 10 it -PRON- PRP 19261 3565 11 may may MD 19261 3565 12 be be VB 19261 3565 13 quite quite RB 19261 3565 14 intermittent intermittent JJ 19261 3565 15 , , , 19261 3565 16 due due IN 19261 3565 17 to to IN 19261 3565 18 a a DT 19261 3565 19 valve valve NN 19261 3565 20 - - HYPH 19261 3565 21 like like JJ 19261 3565 22 action action NN 19261 3565 23 of of IN 19261 3565 24 the the DT 19261 3565 25 swollen swollen JJ 19261 3565 26 mucosal mucosal NN 19261 3565 27 surfaces surface NNS 19261 3565 28 or or CC 19261 3565 29 folds fold NNS 19261 3565 30 intermittently intermittently RB 19261 3565 31 coming come VBG 19261 3565 32 in in IN 19261 3565 33 contact contact NN 19261 3565 34 . . . 19261 3566 1 Cancerous cancerous JJ 19261 3566 2 stenosis stenosis NN 19261 3566 3 is be VBZ 19261 3566 4 accompanied accompany VBN 19261 3566 5 by by IN 19261 3566 6 infiltration infiltration NN 19261 3566 7 of of IN 19261 3566 8 the the DT 19261 3566 9 periesophageal periesophageal JJ 19261 3566 10 tissue tissue NN 19261 3566 11 , , , 19261 3566 12 and and CC 19261 3566 13 usually usually RB 19261 3566 14 by by IN 19261 3566 15 projecting project VBG 19261 3566 16 bleeding bleeding NN 19261 3566 17 fungations fungation NNS 19261 3566 18 . . . 19261 3567 1 Cancer cancer NN 19261 3567 2 may may MD 19261 3567 3 , , , 19261 3567 4 however however RB 19261 3567 5 , , , 19261 3567 6 develop develop VB 19261 3567 7 on on IN 19261 3567 8 a a DT 19261 3567 9 cicatrix cicatrix NN 19261 3567 10 , , , 19261 3567 11 favored favor VBD 19261 3567 12 no no DT 19261 3567 13 doubt doubt NN 19261 3567 14 by by IN 19261 3567 15 chronic chronic JJ 19261 3567 16 inflammation inflammation NN 19261 3567 17 in in IN 19261 3567 18 tissue tissue NN 19261 3567 19 of of IN 19261 3567 20 low low JJ 19261 3567 21 resistance resistance NN 19261 3567 22 . . . 19261 3568 1 Compression compression NN 19261 3568 2 stenosis stenosis NN 19261 3568 3 of of IN 19261 3568 4 the the DT 19261 3568 5 esophagus esophagus NN 19261 3568 6 is be VBZ 19261 3568 7 characterized characterize VBN 19261 3568 8 by by IN 19261 3568 9 the the DT 19261 3568 10 sudden sudden JJ 19261 3568 11 transition transition NN 19261 3568 12 of of IN 19261 3568 13 the the DT 19261 3568 14 lumen luman NNS 19261 3568 15 to to IN 19261 3568 16 a a DT 19261 3568 17 linear linear JJ 19261 3568 18 or or CC 19261 3568 19 crescentic crescentic JJ 19261 3568 20 outline outline NN 19261 3568 21 , , , 19261 3568 22 while while IN 19261 3568 23 the the DT 19261 3568 24 covering covering NN 19261 3568 25 mucosa mucosa NNS 19261 3568 26 is be VBZ 19261 3568 27 normal normal JJ 19261 3568 28 unless unless IN 19261 3568 29 esophagitis esophagitis NN 19261 3568 30 be be VB 19261 3568 31 present present JJ 19261 3568 32 . . . 19261 3569 1 The the DT 19261 3569 2 compressive compressive JJ 19261 3569 3 mass mass NN 19261 3569 4 can can MD 19261 3569 5 be be VB 19261 3569 6 detected detect VBN 19261 3569 7 by by IN 19261 3569 8 the the DT 19261 3569 9 sensation sensation NN 19261 3569 10 transmitted transmit VBN 19261 3569 11 to to IN 19261 3569 12 the the DT 19261 3569 13 touch touch NN 19261 3569 14 by by IN 19261 3569 15 the the DT 19261 3569 16 esophagoscope esophagoscope NN 19261 3569 17 . . . 19261 3570 1 _ _ NNP 19261 3570 2 Treatment_.--Blind treatment_.--blind NN 19261 3570 3 bouginage bouginage NN 19261 3570 4 should should MD 19261 3570 5 be be VB 19261 3570 6 discarded discard VBN 19261 3570 7 as as IN 19261 3570 8 an an DT 19261 3570 9 obsolete obsolete JJ 19261 3570 10 and and CC 19261 3570 11 very very RB 19261 3570 12 dangerous dangerous JJ 19261 3570 13 procedure procedure NN 19261 3570 14 . . . 19261 3571 1 If if IN 19261 3571 2 the the DT 19261 3571 3 stenosis stenosis NN 19261 3571 4 be be VB 19261 3571 5 so so RB 19261 3571 6 great great JJ 19261 3571 7 as as IN 19261 3571 8 to to TO 19261 3571 9 interfere interfere VB 19261 3571 10 with with IN 19261 3571 11 the the DT 19261 3571 12 ingestion ingestion NN 19261 3571 13 of of IN 19261 3571 14 the the DT 19261 3571 15 required require VBN 19261 3571 16 amount amount NN 19261 3571 17 of of IN 19261 3571 18 liquids liquid NNS 19261 3571 19 , , , 19261 3571 20 gastrostomy gastrostomy NNP 19261 3571 21 should should MD 19261 3571 22 be be VB 19261 3571 23 done do VBN 19261 3571 24 at at IN 19261 3571 25 once once RB 19261 3571 26 and and CC 19261 3571 27 esophagoscopic esophagoscopic NN 19261 3571 28 treatment treatment NN 19261 3571 29 postponed postpone VBN 19261 3571 30 until until IN 19261 3571 31 water water NN 19261 3571 32 hunger hunger NN 19261 3571 33 has have VBZ 19261 3571 34 been be VBN 19261 3571 35 relieved relieve VBN 19261 3571 36 . . . 19261 3572 1 Gastrostomy Gastrostomy NNP 19261 3572 2 aids aids NNP 19261 3572 3 in in IN 19261 3572 4 the the DT 19261 3572 5 treatment treatment NN 19261 3572 6 by by IN 19261 3572 7 putting put VBG 19261 3572 8 the the DT 19261 3572 9 esophagus esophagus NN 19261 3572 10 at at IN 19261 3572 11 rest rest NN 19261 3572 12 , , , 19261 3572 13 and and CC 19261 3572 14 by by IN 19261 3572 15 affording afford VBG 19261 3572 16 the the DT 19261 3572 17 means mean NNS 19261 3572 18 of of IN 19261 3572 19 maintaining maintain VBG 19261 3572 20 a a DT 19261 3572 21 high high JJ 19261 3572 22 degree degree NN 19261 3572 23 of of IN 19261 3572 24 nutrition nutrition NN 19261 3572 25 unhampered unhampere VBN 19261 3572 26 by by IN 19261 3572 27 the the DT 19261 3572 28 variability variability NN 19261 3572 29 or or CC 19261 3572 30 efficiency efficiency NN 19261 3572 31 of of IN 19261 3572 32 the the DT 19261 3572 33 swallowing swallow VBG 19261 3572 34 function function NN 19261 3572 35 . . . 19261 3573 1 Careful careful JJ 19261 3573 2 diet diet NN 19261 3573 3 and and CC 19261 3573 4 gentle gentle JJ 19261 3573 5 treatment treatment NN 19261 3573 6 will will MD 19261 3573 7 , , , 19261 3573 8 however however RB 19261 3573 9 , , , 19261 3573 10 usually usually RB 19261 3573 11 avoid avoid VBP 19261 3573 12 gastrostomy gastrostomy NNP 19261 3573 13 . . . 19261 3574 1 The the DT 19261 3574 2 diet diet NN 19261 3574 3 in in IN 19261 3574 4 the the DT 19261 3574 5 gastrostomy gastrostomy NNP 19261 3574 6 - - HYPH 19261 3574 7 fed fed NNP 19261 3574 8 patients patient NNS 19261 3574 9 should should MD 19261 3574 10 be be VB 19261 3574 11 as as RB 19261 3574 12 varied varied JJ 19261 3574 13 as as IN 19261 3574 14 in in IN 19261 3574 15 oral oral JJ 19261 3574 16 alimentation alimentation NN 19261 3574 17 ; ; : 19261 3574 18 even even RB 19261 3574 19 solids solid NNS 19261 3574 20 of of IN 19261 3574 21 the the DT 19261 3574 22 consistency consistency NN 19261 3574 23 of of IN 19261 3574 24 mashed mashed JJ 19261 3574 25 potatoes potato NNS 19261 3574 26 , , , 19261 3574 27 if if IN 19261 3574 28 previously previously RB 19261 3574 29 forced force VBN 19261 3574 30 through through IN 19261 3574 31 a a DT 19261 3574 32 wire wire NN 19261 3574 33 gauze gauze NN 19261 3574 34 strainer strainer NN 19261 3574 35 , , , 19261 3574 36 may may MD 19261 3574 37 be be VB 19261 3574 38 forced force VBN 19261 3574 39 through through IN 19261 3574 40 the the DT 19261 3574 41 tube tube NN 19261 3574 42 with with IN 19261 3574 43 a a DT 19261 3574 44 glass glass NN 19261 3574 45 injector injector NN 19261 3574 46 . . . 19261 3575 1 Liquids liquid NNS 19261 3575 2 and and CC 19261 3575 3 readily readily RB 19261 3575 4 liquefiable liquefiable JJ 19261 3575 5 foods food NNS 19261 3575 6 are be VBP 19261 3575 7 to to TO 19261 3575 8 be be VB 19261 3575 9 given give VBN 19261 3575 10 the the DT 19261 3575 11 non non JJ 19261 3575 12 - - JJ 19261 3575 13 gastrostomized gastrostomized JJ 19261 3575 14 patient patient NN 19261 3575 15 , , , 19261 3575 16 solids solid NNS 19261 3575 17 being be VBG 19261 3575 18 added add VBN 19261 3575 19 when when WRB 19261 3575 20 demonstrated demonstrate VBN 19261 3575 21 that that IN 19261 3575 22 no no DT 19261 3575 23 stagnation stagnation NN 19261 3575 24 above above IN 19261 3575 25 the the DT 19261 3575 26 stricture stricture NN 19261 3575 27 occurs occur VBZ 19261 3575 28 . . . 19261 3576 1 Thorough thorough JJ 19261 3576 2 mastication mastication NN 19261 3576 3 and and CC 19261 3576 4 the the DT 19261 3576 5 slow slow JJ 19261 3576 6 partaking partaking NN 19261 3576 7 of of IN 19261 3576 8 small small JJ 19261 3576 9 quantities quantity NNS 19261 3576 10 at at IN 19261 3576 11 a a DT 19261 3576 12 time time NN 19261 3576 13 are be VBP 19261 3576 14 imperative imperative JJ 19261 3576 15 . . . 19261 3577 1 Should Should MD 19261 3577 2 food food NN 19261 3577 3 accumulation accumulation NN 19261 3577 4 occur occur VB 19261 3577 5 , , , 19261 3577 6 the the DT 19261 3577 7 esophagus esophagus NN 19261 3577 8 should should MD 19261 3577 9 be be VB 19261 3577 10 emptied empty VBN 19261 3577 11 by by IN 19261 3577 12 regurgitation regurgitation NN 19261 3577 13 , , , 19261 3577 14 following follow VBG 19261 3577 15 which which WDT 19261 3577 16 a a DT 19261 3577 17 glassful glassful JJ 19261 3577 18 of of IN 19261 3577 19 warm warm JJ 19261 3577 20 sodium sodium NN 19261 3577 21 bicarbonate bicarbonate NN 19261 3577 22 solution solution NN 19261 3577 23 is be VBZ 19261 3577 24 to to TO 19261 3577 25 be be VB 19261 3577 26 taken take VBN 19261 3577 27 , , , 19261 3577 28 and and CC 19261 3577 29 this this DT 19261 3577 30 also also RB 19261 3577 31 regurgitated regurgitate VBD 19261 3577 32 if if IN 19261 3577 33 it -PRON- PRP 19261 3577 34 does do VBZ 19261 3577 35 not not RB 19261 3577 36 go go VB 19261 3577 37 through through IN 19261 3577 38 promptly promptly RB 19261 3577 39 . . . 19261 3578 1 The the DT 19261 3578 2 esophagus esophagus NN 19261 3578 3 is be VBZ 19261 3578 4 thus thus RB 19261 3578 5 lavaged lavage VBN 19261 3578 6 and and CC 19261 3578 7 emptied empty VBD 19261 3578 8 . . . 19261 3579 1 In in IN 19261 3579 2 all all PDT 19261 3579 3 these these DT 19261 3579 4 cases case NNS 19261 3579 5 , , , 19261 3579 6 whether whether IN 19261 3579 7 being be VBG 19261 3579 8 fed feed VBN 19261 3579 9 through through IN 19261 3579 10 the the DT 19261 3579 11 mouth mouth NN 19261 3579 12 or or CC 19261 3579 13 the the DT 19261 3579 14 gastrostomic gastrostomic JJ 19261 3579 15 tube tube NN 19261 3579 16 , , , 19261 3579 17 it -PRON- PRP 19261 3579 18 is be VBZ 19261 3579 19 very very RB 19261 3579 20 important important JJ 19261 3579 21 to to TO 19261 3579 22 remember remember VB 19261 3579 23 that that IN 19261 3579 24 milk milk NN 19261 3579 25 and and CC 19261 3579 26 eggs egg NNS 19261 3579 27 are be VBP 19261 3579 28 not not RB 19261 3579 29 a a DT 19261 3579 30 complete complete JJ 19261 3579 31 dietary dietary NN 19261 3579 32 . . . 19261 3580 1 A a DT 19261 3580 2 pediatrist pediatrist NN 19261 3580 3 should should MD 19261 3580 4 be be VB 19261 3580 5 consulted consult VBN 19261 3580 6 . . . 19261 3581 1 Prof. Prof. NNP 19261 3581 2 Graham Graham NNP 19261 3581 3 has have VBZ 19261 3581 4 saved save VBN 19261 3581 5 the the DT 19261 3581 6 lives life NNS 19261 3581 7 of of IN 19261 3581 8 many many JJ 19261 3581 9 children child NNS 19261 3581 10 by by IN 19261 3581 11 solving solve VBG 19261 3581 12 the the DT 19261 3581 13 nutritive nutritive JJ 19261 3581 14 problems problem NNS 19261 3581 15 in in IN 19261 3581 16 the the DT 19261 3581 17 cases case NNS 19261 3581 18 at at IN 19261 3581 19 the the DT 19261 3581 20 Bronchoscopic Bronchoscopic NNP 19261 3581 21 Clinic Clinic NNP 19261 3581 22 . . . 19261 3582 1 Fruit fruit NN 19261 3582 2 and and CC 19261 3582 3 vegetable vegetable NN 19261 3582 4 juices juice NNS 19261 3582 5 are be VBP 19261 3582 6 necessary necessary JJ 19261 3582 7 . . . 19261 3583 1 Vegetable vegetable NN 19261 3583 2 soups soup NNS 19261 3583 3 and and CC 19261 3583 4 mashed mash VBN 19261 3583 5 fruits fruit NNS 19261 3583 6 should should MD 19261 3583 7 be be VB 19261 3583 8 strained strain VBN 19261 3583 9 through through IN 19261 3583 10 a a DT 19261 3583 11 wire wire NN 19261 3583 12 gauze gauze NN 19261 3583 13 coffee coffee NN 19261 3583 14 strainer strainer NN 19261 3583 15 . . . 19261 3584 1 If if IN 19261 3584 2 the the DT 19261 3584 3 saliva saliva NN 19261 3584 4 is be VBZ 19261 3584 5 spat spit VBN 19261 3584 6 out out RP 19261 3584 7 by by IN 19261 3584 8 the the DT 19261 3584 9 child child NN 19261 3584 10 because because IN 19261 3584 11 it -PRON- PRP 19261 3584 12 will will MD 19261 3584 13 not not RB 19261 3584 14 go go VB 19261 3584 15 through through IN 19261 3584 16 the the DT 19261 3584 17 stricture stricture NN 19261 3584 18 the the DT 19261 3584 19 child child NN 19261 3584 20 should should MD 19261 3584 21 be be VB 19261 3584 22 taught teach VBN 19261 3584 23 to to TO 19261 3584 24 spit spit VB 19261 3584 25 the the DT 19261 3584 26 saliva saliva NN 19261 3584 27 into into IN 19261 3584 28 the the DT 19261 3584 29 funnel funnel NN 19261 3584 30 of of IN 19261 3584 31 the the DT 19261 3584 32 abdominal abdominal JJ 19261 3584 33 tube tube NN 19261 3584 34 . . . 19261 3585 1 This this DT 19261 3585 2 method method NN 19261 3585 3 of of IN 19261 3585 4 improving improve VBG 19261 3585 5 nutrition nutrition NN 19261 3585 6 was be VBD 19261 3585 7 discovered discover VBN 19261 3585 8 by by IN 19261 3585 9 Miss Miss NNP 19261 3585 10 Groves Groves NNP 19261 3585 11 at at IN 19261 3585 12 the the DT 19261 3585 13 Bronchoscopic Bronchoscopic NNP 19261 3585 14 Clinic Clinic NNP 19261 3585 15 . . . 19261 3586 1 _ _ NNP 19261 3586 2 Esophagoscopic Esophagoscopic NNP 19261 3586 3 bouginage bouginage NN 19261 3586 4 _ _ NNP 19261 3586 5 with with IN 19261 3586 6 the the DT 19261 3586 7 author author NN 19261 3586 8 's 's POS 19261 3586 9 silk silk NN 19261 3586 10 - - HYPH 19261 3586 11 woven weave VBN 19261 3586 12 steel steel NN 19261 3586 13 - - HYPH 19261 3586 14 shank shank JJ 19261 3586 15 endoscopic endoscopic NN 19261 3586 16 bougies bougie NNS 19261 3586 17 ( ( -LRB- 19261 3586 18 Fig fig NN 19261 3586 19 . . . 19261 3587 1 40 40 CD 19261 3587 2 ) ) -RRB- 19261 3587 3 has have VBZ 19261 3587 4 proven prove VBN 19261 3587 5 the the DT 19261 3587 6 safest safe JJS 19261 3587 7 and and CC 19261 3587 8 most most RBS 19261 3587 9 successful successful JJ 19261 3587 10 method method NN 19261 3587 11 of of IN 19261 3587 12 treatment treatment NN 19261 3587 13 . . . 19261 3588 1 The the DT 19261 3588 2 strictured strictured JJ 19261 3588 3 lumen luman NNS 19261 3588 4 is be VBZ 19261 3588 5 to to TO 19261 3588 6 be be VB 19261 3588 7 centered center VBN 19261 3588 8 in in IN 19261 3588 9 the the DT 19261 3588 10 esophagoscopic esophagoscopic JJ 19261 3588 11 field field NN 19261 3588 12 , , , 19261 3588 13 and and CC 19261 3588 14 three three CD 19261 3588 15 successively successively RB 19261 3588 16 increasing increase VBG 19261 3588 17 sizes size NNS 19261 3588 18 of of IN 19261 3588 19 bougies bougie NNS 19261 3588 20 are be VBP 19261 3588 21 used use VBN 19261 3588 22 under under IN 19261 3588 23 direct direct JJ 19261 3588 24 vision vision NN 19261 3588 25 . . . 19261 3589 1 Larger large JJR 19261 3589 2 and and CC 19261 3589 3 larger large JJR 19261 3589 4 bougies bougie NNS 19261 3589 5 are be VBP 19261 3589 6 used use VBN 19261 3589 7 at at IN 19261 3589 8 the the DT 19261 3589 9 successive successive JJ 19261 3589 10 treatments treatment NNS 19261 3589 11 which which WDT 19261 3589 12 are be VBP 19261 3589 13 given give VBN 19261 3589 14 at at IN 19261 3589 15 intervals interval NNS 19261 3589 16 of of IN 19261 3589 17 from from IN 19261 3589 18 four four CD 19261 3589 19 to to TO 19261 3589 20 seven seven CD 19261 3589 21 days day NNS 19261 3589 22 . . . 19261 3590 1 No no DT 19261 3590 2 anesthesia anesthesia NNP 19261 3590 3 , , , 19261 3590 4 general general JJ 19261 3590 5 or or CC 19261 3590 6 local local JJ 19261 3590 7 , , , 19261 3590 8 is be VBZ 19261 3590 9 used use VBN 19261 3590 10 for for IN 19261 3590 11 esophagoscopic esophagoscopic NN 19261 3590 12 bouginage bouginage NN 19261 3590 13 . . . 19261 3591 1 The the DT 19261 3591 2 tightness tightness NN 19261 3591 3 of of IN 19261 3591 4 the the DT 19261 3591 5 grasping grasping NN 19261 3591 6 of of IN 19261 3591 7 the the DT 19261 3591 8 bougie bougie NN 19261 3591 9 by by IN 19261 3591 10 the the DT 19261 3591 11 stricture stricture NN 19261 3591 12 on on IN 19261 3591 13 withdrawal withdrawal NN 19261 3591 14 , , , 19261 3591 15 determines determine VBZ 19261 3591 16 the the DT 19261 3591 17 limitation limitation NN 19261 3591 18 of of IN 19261 3591 19 sizes size NNS 19261 3591 20 to to TO 19261 3591 21 be be VB 19261 3591 22 used use VBN 19261 3591 23 . . . 19261 3592 1 When when WRB 19261 3592 2 the the DT 19261 3592 3 upper upper JJ 19261 3592 4 stricture stricture NN 19261 3592 5 is be VBZ 19261 3592 6 dilated dilate VBN 19261 3592 7 , , , 19261 3592 8 lower low JJR 19261 3592 9 ones one NNS 19261 3592 10 in in IN 19261 3592 11 the the DT 19261 3592 12 series series NN 19261 3592 13 are be VBP 19261 3592 14 taken take VBN 19261 3592 15 seriatim seriatim NN 19261 3592 16 . . . 19261 3593 1 If if IN 19261 3593 2 concentric concentric NNP 19261 3593 3 , , , 19261 3593 4 two two CD 19261 3593 5 or or CC 19261 3593 6 more more RBR 19261 3593 7 closely closely RB 19261 3593 8 situated situate VBN 19261 3593 9 strictures stricture NNS 19261 3593 10 may may MD 19261 3593 11 be be VB 19261 3593 12 simultaneously simultaneously RB 19261 3593 13 dilated dilate VBN 19261 3593 14 . . . 19261 3594 1 For for IN 19261 3594 2 the the DT 19261 3594 3 use use NN 19261 3594 4 of of IN 19261 3594 5 bougies bougie NNS 19261 3594 6 of of IN 19261 3594 7 the the DT 19261 3594 8 larger large JJR 19261 3594 9 sizes size NNS 19261 3594 10 , , , 19261 3594 11 the the DT 19261 3594 12 special special JJ 19261 3594 13 esophagoscopes esophagoscope NNS 19261 3594 14 with with IN 19261 3594 15 both both CC 19261 3594 16 the the DT 19261 3594 17 light light JJ 19261 3594 18 - - HYPH 19261 3594 19 carrier carrier NN 19261 3594 20 canal canal NN 19261 3594 21 and and CC 19261 3594 22 the the DT 19261 3594 23 drainage drainage NN 19261 3594 24 canal canal NN 19261 3594 25 outside outside IN 19261 3594 26 the the DT 19261 3594 27 lumen luman NNS 19261 3594 28 of of IN 19261 3594 29 the the DT 19261 3594 30 tube tube NN 19261 3594 31 are be VBP 19261 3594 32 needed need VBN 19261 3594 33 . . . 19261 3595 1 Functional functional JJ 19261 3595 2 cure cure NN 19261 3595 3 is be VBZ 19261 3595 4 obtained obtain VBN 19261 3595 5 with with IN 19261 3595 6 a a DT 19261 3595 7 relatively relatively RB 19261 3595 8 small small JJ 19261 3595 9 lumen luman NNS 19261 3595 10 at at IN 19261 3595 11 the the DT 19261 3595 12 point point NN 19261 3595 13 of of IN 19261 3595 14 stenosis stenosis NN 19261 3595 15 . . . 19261 3596 1 A a DT 19261 3596 2 lumen luman NNS 19261 3596 3 of of IN 19261 3596 4 7 7 CD 19261 3596 5 mm mm NN 19261 3596 6 . . . 19261 3597 1 will will MD 19261 3597 2 allow allow VB 19261 3597 3 the the DT 19261 3597 4 passage passage NN 19261 3597 5 of of IN 19261 3597 6 any any DT 19261 3597 7 well well RB 19261 3597 8 masticated masticate VBN 19261 3597 9 food food NN 19261 3597 10 . . . 19261 3598 1 It -PRON- PRP 19261 3598 2 is be VBZ 19261 3598 3 unwise unwise JJ 19261 3598 4 and and CC 19261 3598 5 unsafe unsafe JJ 19261 3598 6 to to TO 19261 3598 7 attempt attempt VB 19261 3598 8 to to TO 19261 3598 9 restore restore VB 19261 3598 10 the the DT 19261 3598 11 lumen luman NNS 19261 3598 12 to to IN 19261 3598 13 its -PRON- PRP$ 19261 3598 14 normal normal JJ 19261 3598 15 anatomic anatomic JJ 19261 3598 16 size size NN 19261 3598 17 . . . 19261 3599 1 In in IN 19261 3599 2 cicatricial cicatricial JJ 19261 3599 3 stricture stricture NN 19261 3599 4 cases case NNS 19261 3599 5 it -PRON- PRP 19261 3599 6 is be VBZ 19261 3599 7 advisable advisable JJ 19261 3599 8 to to TO 19261 3599 9 examine examine VB 19261 3599 10 the the DT 19261 3599 11 esophagus esophagus NN 19261 3599 12 at at IN 19261 3599 13 monthly monthly JJ 19261 3599 14 periods period NNS 19261 3599 15 for for IN 19261 3599 16 a a DT 19261 3599 17 time time NN 19261 3599 18 after after IN 19261 3599 19 a a DT 19261 3599 20 functional functional JJ 19261 3599 21 cure cure NN 19261 3599 22 has have VBZ 19261 3599 23 been be VBN 19261 3599 24 obtained obtain VBN 19261 3599 25 , , , 19261 3599 26 in in IN 19261 3599 27 order order NN 19261 3599 28 that that IN 19261 3599 29 tendency tendency NN 19261 3599 30 to to TO 19261 3599 31 recurrence recurrence VB 19261 3599 32 may may MD 19261 3599 33 be be VB 19261 3599 34 early early RB 19261 3599 35 detected detect VBN 19261 3599 36 . . . 19261 3600 1 _ _ NNP 19261 3600 2 Divulsion Divulsion NNP 19261 3600 3 _ _ NNP 19261 3600 4 of of IN 19261 3600 5 an an DT 19261 3600 6 upper upper JJ 19261 3600 7 stricture stricture NN 19261 3600 8 may may MD 19261 3600 9 be be VB 19261 3600 10 deemed deem VBN 19261 3600 11 advisable advisable JJ 19261 3600 12 in in IN 19261 3600 13 order order NN 19261 3600 14 to to TO 19261 3600 15 reach reach VB 19261 3600 16 others other NNS 19261 3600 17 lower lower RBR 19261 3600 18 down down RB 19261 3600 19 , , , 19261 3600 20 especially especially RB 19261 3600 21 in in IN 19261 3600 22 cases case NNS 19261 3600 23 of of IN 19261 3600 24 multiple multiple JJ 19261 3600 25 eccentric eccentric JJ 19261 3600 26 strictures stricture NNS 19261 3600 27 ( ( -LRB- 19261 3600 28 Fig fig NN 19261 3600 29 . . . 19261 3601 1 97 97 CD 19261 3601 2 ) ) -RRB- 19261 3601 3 . . . 19261 3602 1 This this DT 19261 3602 2 procedure procedure NN 19261 3602 3 is be VBZ 19261 3602 4 best well RBS 19261 3602 5 done do VBN 19261 3602 6 with with IN 19261 3602 7 the the DT 19261 3602 8 author author NN 19261 3602 9 's 's POS 19261 3602 10 esophagoscopic esophagoscopic NN 19261 3602 11 divulser divulser NN 19261 3602 12 , , , 19261 3602 13 accurately accurately RB 19261 3602 14 placed place VBN 19261 3602 15 by by IN 19261 3602 16 means mean NNS 19261 3602 17 of of IN 19261 3602 18 the the DT 19261 3602 19 esophagoscope esophagoscope NN 19261 3602 20 ; ; : 19261 3602 21 but but CC 19261 3602 22 divulsion divulsion NN 19261 3602 23 requires require VBZ 19261 3602 24 the the DT 19261 3602 25 utmost utmost JJ 19261 3602 26 care care NN 19261 3602 27 , , , 19261 3602 28 and and CC 19261 3602 29 a a DT 19261 3602 30 gentle gentle JJ 19261 3602 31 hand hand NN 19261 3602 32 . . . 19261 3603 1 Even even RB 19261 3603 2 then then RB 19261 3603 3 it -PRON- PRP 19261 3603 4 is be VBZ 19261 3603 5 not not RB 19261 3603 6 so so RB 19261 3603 7 safe safe JJ 19261 3603 8 as as IN 19261 3603 9 esophagoscopic esophagoscopic NN 19261 3603 10 bouginage bouginage NN 19261 3603 11 . . . 19261 3604 1 _ _ NNP 19261 3604 2 Internal internal JJ 19261 3604 3 esophagotomy esophagotomy NN 19261 3604 4 _ _ NNP 19261 3604 5 by by IN 19261 3604 6 the the DT 19261 3604 7 string string NN 19261 3604 8 - - HYPH 19261 3604 9 cutting cut VBG 19261 3604 10 instruments instrument NNS 19261 3604 11 and and CC 19261 3604 12 esophagotome esophagotome NN 19261 3604 13 are be VBP 19261 3604 14 relatively relatively RB 19261 3604 15 dangerous dangerous JJ 19261 3604 16 methods method NNS 19261 3604 17 , , , 19261 3604 18 and and CC 19261 3604 19 perhaps perhaps RB 19261 3604 20 yield yield VB 19261 3604 21 in in IN 19261 3604 22 the the DT 19261 3604 23 end end NN 19261 3604 24 no no RB 19261 3604 25 quicker quick JJR 19261 3604 26 results result NNS 19261 3604 27 than than IN 19261 3604 28 the the DT 19261 3604 29 slower slow JJR 19261 3604 30 and and CC 19261 3604 31 safe safe JJ 19261 3604 32 bouginage bouginage NN 19261 3604 33 per per IN 19261 3604 34 tubam tubam NNP 19261 3604 35 . . . 19261 3605 1 _ _ NNP 19261 3605 2 Electrolysis Electrolysis NNP 19261 3605 3 _ _ NNP 19261 3605 4 has have VBZ 19261 3605 5 been be VBN 19261 3605 6 used use VBN 19261 3605 7 with with IN 19261 3605 8 varying varying NN 19261 3605 9 results result NNS 19261 3605 10 in in IN 19261 3605 11 the the DT 19261 3605 12 treatment treatment NN 19261 3605 13 of of IN 19261 3605 14 cicatricial cicatricial JJ 19261 3605 15 stenosis stenosis NN 19261 3605 16 . . . 19261 3606 1 _ _ NNP 19261 3606 2 Thermic Thermic NNP 19261 3606 3 bouginage bouginage NN 19261 3606 4 _ _ NNP 19261 3606 5 with with IN 19261 3606 6 electrically electrically RB 19261 3606 7 heated heat VBN 19261 3606 8 bougies bougie NNS 19261 3606 9 has have VBZ 19261 3606 10 been be VBN 19261 3606 11 found find VBN 19261 3606 12 useful useful JJ 19261 3606 13 in in IN 19261 3606 14 some some DT 19261 3606 15 cases case NNS 19261 3606 16 by by IN 19261 3606 17 Dean Dean NNP 19261 3606 18 and and CC 19261 3606 19 Imperatori Imperatori NNP 19261 3606 20 . . . 19261 3607 1 [ [ -LRB- 19261 3607 2 258 258 CD 19261 3607 3 ] ] -RRB- 19261 3607 4 _ _ NNP 19261 3607 5 String String NNP 19261 3607 6 - - HYPH 19261 3607 7 swallowing swallow VBG 19261 3607 8 _ _ NNP 19261 3607 9 , , , 19261 3607 10 with with IN 19261 3607 11 the the DT 19261 3607 12 passage passage NN 19261 3607 13 of of IN 19261 3607 14 olives olive NNS 19261 3607 15 threaded thread VBN 19261 3607 16 over over IN 19261 3607 17 the the DT 19261 3607 18 string string NN 19261 3607 19 has have VBZ 19261 3607 20 yielded yield VBN 19261 3607 21 good good JJ 19261 3607 22 results result NNS 19261 3607 23 in in IN 19261 3607 24 the the DT 19261 3607 25 hands hand NNS 19261 3607 26 of of IN 19261 3607 27 some some DT 19261 3607 28 operators operator NNS 19261 3607 29 . . . 19261 3608 1 The the DT 19261 3608 2 string string NN 19261 3608 3 may may MD 19261 3608 4 be be VB 19261 3608 5 used use VBN 19261 3608 6 to to TO 19261 3608 7 pull pull VB 19261 3608 8 up up RP 19261 3608 9 dilators dilator NNS 19261 3608 10 in in IN 19261 3608 11 increasing increase VBG 19261 3608 12 sizes size NNS 19261 3608 13 , , , 19261 3608 14 introduced introduce VBN 19261 3608 15 through through IN 19261 3608 16 a a DT 19261 3608 17 gastrostomic gastrostomic JJ 19261 3608 18 fistula fistula NN 19261 3608 19 . . . 19261 3609 1 The the DT 19261 3609 2 string string NN 19261 3609 3 stretched stretch VBD 19261 3609 4 across across IN 19261 3609 5 the the DT 19261 3609 6 stomach stomach NN 19261 3609 7 from from IN 19261 3609 8 the the DT 19261 3609 9 cardia cardia NN 19261 3609 10 to to IN 19261 3609 11 the the DT 19261 3609 12 pylorus pylorus NNP 19261 3609 13 , , , 19261 3609 14 is be VBZ 19261 3609 15 fished fish VBN 19261 3609 16 out out RP 19261 3609 17 with with IN 19261 3609 18 the the DT 19261 3609 19 author author NN 19261 3609 20 's 's POS 19261 3609 21 pillar pillar NN 19261 3609 22 retractor retractor NN 19261 3609 23 , , , 19261 3609 24 or or CC 19261 3609 25 is be VBZ 19261 3609 26 found find VBN 19261 3609 27 with with IN 19261 3609 28 the the DT 19261 3609 29 retrograde retrograde NN 19261 3609 30 esophagoscope esophagoscope NN 19261 3609 31 ( ( -LRB- 19261 3609 32 Fig fig NN 19261 3609 33 . . . 19261 3610 1 43 43 LS 19261 3610 2 ) ) -RRB- 19261 3610 3 . . . 19261 3611 1 The the DT 19261 3611 2 string string NN 19261 3611 3 is be VBZ 19261 3611 4 attached attach VBN 19261 3611 5 to to IN 19261 3611 6 a a DT 19261 3611 7 dilator dilator NN 19261 3611 8 ( ( -LRB- 19261 3611 9 Fig fig NN 19261 3611 10 . . . 19261 3612 1 35 35 CD 19261 3612 2 ) ) -RRB- 19261 3612 3 , , , 19261 3612 4 and and CC 19261 3612 5 a a DT 19261 3612 6 fresh fresh JJ 19261 3612 7 string string NN 19261 3612 8 is be VBZ 19261 3612 9 pulled pull VBN 19261 3612 10 in in RP 19261 3612 11 to to TO 19261 3612 12 replace replace VB 19261 3612 13 the the DT 19261 3612 14 one one NN 19261 3612 15 pulled pull VBN 19261 3612 16 out out RP 19261 3612 17 . . . 19261 3613 1 This this DT 19261 3613 2 is be VBZ 19261 3613 3 the the DT 19261 3613 4 safest safe JJS 19261 3613 5 of of IN 19261 3613 6 the the DT 19261 3613 7 blind blind JJ 19261 3613 8 methods method NNS 19261 3613 9 . . . 19261 3614 1 It -PRON- PRP 19261 3614 2 is be VBZ 19261 3614 3 rarely rarely RB 19261 3614 4 possible possible JJ 19261 3614 5 to to TO 19261 3614 6 get get VB 19261 3614 7 a a DT 19261 3614 8 child child NN 19261 3614 9 under under IN 19261 3614 10 two two CD 19261 3614 11 years year NNS 19261 3614 12 of of IN 19261 3614 13 age age NN 19261 3614 14 to to IN 19261 3614 15 swallow swallow VB 19261 3614 16 and and CC 19261 3614 17 tolerate tolerate VB 19261 3614 18 a a DT 19261 3614 19 string string NN 19261 3614 20 . . . 19261 3615 1 It -PRON- PRP 19261 3615 2 is be VBZ 19261 3615 3 better well JJR 19261 3615 4 after after IN 19261 3615 5 each each DT 19261 3615 6 treatment treatment NN 19261 3615 7 to to TO 19261 3615 8 draw draw VB 19261 3615 9 the the DT 19261 3615 10 upper upper JJ 19261 3615 11 end end NN 19261 3615 12 of of IN 19261 3615 13 the the DT 19261 3615 14 string string NN 19261 3615 15 through through IN 19261 3615 16 the the DT 19261 3615 17 nose nose NN 19261 3615 18 , , , 19261 3615 19 as as IN 19261 3615 20 it -PRON- PRP 19261 3615 21 is be VBZ 19261 3615 22 not not RB 19261 3615 23 so so RB 19261 3615 24 likely likely JJ 19261 3615 25 to to TO 19261 3615 26 be be VB 19261 3615 27 chewed chew VBN 19261 3615 28 off off RP 19261 3615 29 and and CC 19261 3615 30 is be VBZ 19261 3615 31 less less RBR 19261 3615 32 annoying annoying JJ 19261 3615 33 . . . 19261 3616 1 With with IN 19261 3616 2 the the DT 19261 3616 3 esophagoscope esophagoscope NN 19261 3616 4 , , , 19261 3616 5 the the DT 19261 3616 6 string string NN 19261 3616 7 is be VBZ 19261 3616 8 not not RB 19261 3616 9 necessary necessary JJ 19261 3616 10 , , , 19261 3616 11 because because IN 19261 3616 12 the the DT 19261 3616 13 lumen luman NNS 19261 3616 14 of of IN 19261 3616 15 the the DT 19261 3616 16 stricture stricture NN 19261 3616 17 can can MD 19261 3616 18 be be VB 19261 3616 19 exposed expose VBN 19261 3616 20 to to TO 19261 3616 21 view view VB 19261 3616 22 by by IN 19261 3616 23 the the DT 19261 3616 24 esophagoscope esophagoscope NN 19261 3616 25 . . . 19261 3617 1 _ _ NNP 19261 3617 2 Retrograde Retrograde NNP 19261 3617 3 esophagoscopy esophagoscopy RB 19261 3617 4 _ _ NNP 19261 3617 5 through through IN 19261 3617 6 a a DT 19261 3617 7 gastrostomy gastrostomy NN 19261 3617 8 wound wound NN 19261 3617 9 offers offer VBZ 19261 3617 10 some some DT 19261 3617 11 advantages advantage NNS 19261 3617 12 over over IN 19261 3617 13 peroral peroral JJ 19261 3617 14 treatment treatment NN 19261 3617 15 ; ; : 19261 3617 16 but but CC 19261 3617 17 unless unless IN 19261 3617 18 the the DT 19261 3617 19 gastrostomy gastrostomy NN 19261 3617 20 is be VBZ 19261 3617 21 high high JJ 19261 3617 22 , , , 19261 3617 23 the the DT 19261 3617 24 procedure procedure NN 19261 3617 25 is be VBZ 19261 3617 26 undoubtedly undoubtedly RB 19261 3617 27 more more RBR 19261 3617 28 difficult difficult JJ 19261 3617 29 . . . 19261 3618 1 The the DT 19261 3618 2 approach approach NN 19261 3618 3 to to IN 19261 3618 4 the the DT 19261 3618 5 lowest low JJS 19261 3618 6 stricture stricture NN 19261 3618 7 from from IN 19261 3618 8 below below RB 19261 3618 9 is be VBZ 19261 3618 10 usually usually RB 19261 3618 11 funnel funnel NN 19261 3618 12 shaped shaped JJ 19261 3618 13 and and CC 19261 3618 14 free free JJ 19261 3618 15 from from IN 19261 3618 16 dilatation dilatation NN 19261 3618 17 and and CC 19261 3618 18 redundancy redundancy NN 19261 3618 19 . . . 19261 3619 1 It -PRON- PRP 19261 3619 2 must must MD 19261 3619 3 be be VB 19261 3619 4 remembered remember VBN 19261 3619 5 the the DT 19261 3619 6 stricture stricture NN 19261 3619 7 seen see VBN 19261 3619 8 from from IN 19261 3619 9 below below IN 19261 3619 10 may may MD 19261 3619 11 not not RB 19261 3619 12 be be VB 19261 3619 13 the the DT 19261 3619 14 same same JJ 19261 3619 15 one one NN 19261 3619 16 seen see VBN 19261 3619 17 from from IN 19261 3619 18 above above RB 19261 3619 19 . . . 19261 3620 1 Roentgenray roentgenray JJ 19261 3620 2 examination examination NN 19261 3620 3 with with IN 19261 3620 4 barium barium NN 19261 3620 5 mixture mixture NN 19261 3620 6 or or CC 19261 3620 7 esophagoscopes esophagoscope NNS 19261 3620 8 simultaneously simultaneously RB 19261 3620 9 in in IN 19261 3620 10 situ situ NN 19261 3620 11 above above RB 19261 3620 12 and and CC 19261 3620 13 below below RB 19261 3620 14 are be VBP 19261 3620 15 useful useful JJ 19261 3620 16 in in IN 19261 3620 17 the the DT 19261 3620 18 study study NN 19261 3620 19 of of IN 19261 3620 20 such such JJ 19261 3620 21 cases case NNS 19261 3620 22 . . . 19261 3621 1 _ _ NNP 19261 3621 2 Impermeable Impermeable NNP 19261 3621 3 strictures stricture VBZ 19261 3621 4 _ _ NNP 19261 3621 5 of of IN 19261 3621 6 the the DT 19261 3621 7 cervical cervical JJ 19261 3621 8 esophagus esophagus NN 19261 3621 9 are be VBP 19261 3621 10 amenable amenable JJ 19261 3621 11 to to IN 19261 3621 12 external external JJ 19261 3621 13 esophagotomy esophagotomy NN 19261 3621 14 , , , 19261 3621 15 with with IN 19261 3621 16 plastic plastic JJ 19261 3621 17 reformation reformation NN 19261 3621 18 of of IN 19261 3621 19 the the DT 19261 3621 20 esophagus esophagus NN 19261 3621 21 . . . 19261 3622 1 Those those DT 19261 3622 2 in in IN 19261 3622 3 the the DT 19261 3622 4 middle middle JJ 19261 3622 5 third third RB 19261 3622 6 have have VBP 19261 3622 7 not not RB 19261 3622 8 been be VBN 19261 3622 9 successfully successfully RB 19261 3622 10 treated treat VBN 19261 3622 11 by by IN 19261 3622 12 surgical surgical JJ 19261 3622 13 methods method NNS 19261 3622 14 , , , 19261 3622 15 though though IN 19261 3622 16 various various JJ 19261 3622 17 ingenious ingenious JJ 19261 3622 18 operations operation NNS 19261 3622 19 for for IN 19261 3622 20 the the DT 19261 3622 21 formation formation NN 19261 3622 22 of of IN 19261 3622 23 an an DT 19261 3622 24 extrathoracic extrathoracic NN 19261 3622 25 esophagus esophagus NN 19261 3622 26 have have VBP 19261 3622 27 been be VBN 19261 3622 28 suggested suggest VBN 19261 3622 29 as as IN 19261 3622 30 means mean NNS 19261 3622 31 of of IN 19261 3622 32 securing secure VBG 19261 3622 33 relief relief NN 19261 3622 34 . . . 19261 3623 1 Impermeable impermeable JJ 19261 3623 2 strictures stricture NNS 19261 3623 3 of of IN 19261 3623 4 the the DT 19261 3623 5 lower low JJR 19261 3623 6 third third NN 19261 3623 7 can can MD 19261 3623 8 with with IN 19261 3623 9 reasonable reasonable JJ 19261 3623 10 safety safety NN 19261 3623 11 be be VB 19261 3623 12 treated treat VBN 19261 3623 13 by by IN 19261 3623 14 the the DT 19261 3623 15 Brenneman Brenneman NNP 19261 3623 16 method method NN 19261 3623 17 , , , 19261 3623 18 which which WDT 19261 3623 19 consists consist VBZ 19261 3623 20 in in IN 19261 3623 21 passing pass VBG 19261 3623 22 the the DT 19261 3623 23 esophagoscope esophagoscope NN 19261 3623 24 down down RP 19261 3623 25 to to IN 19261 3623 26 the the DT 19261 3623 27 stricture stricture NN 19261 3623 28 while while IN 19261 3623 29 the the DT 19261 3623 30 surgeon surgeon NN 19261 3623 31 , , , 19261 3623 32 inserting insert VBG 19261 3623 33 his -PRON- PRP$ 19261 3623 34 finger finger NN 19261 3623 35 up up RP 19261 3623 36 into into IN 19261 3623 37 the the DT 19261 3623 38 esophagus esophagus NN 19261 3623 39 from from IN 19261 3623 40 the the DT 19261 3623 41 stomach stomach NN 19261 3623 42 , , , 19261 3623 43 can can MD 19261 3623 44 feel feel VB 19261 3623 45 the the DT 19261 3623 46 end end NN 19261 3623 47 of of IN 19261 3623 48 the the DT 19261 3623 49 esophagoscope esophagoscope NN 19261 3623 50 . . . 19261 3624 1 An an DT 19261 3624 2 incision incision NN 19261 3624 3 through through IN 19261 3624 4 the the DT 19261 3624 5 tissue tissue NN 19261 3624 6 barrier barrier NN 19261 3624 7 is be VBZ 19261 3624 8 then then RB 19261 3624 9 made make VBN 19261 3624 10 from from IN 19261 3624 11 below below RB 19261 3624 12 , , , 19261 3624 13 passing pass VBG 19261 3624 14 the the DT 19261 3624 15 knife knife NN 19261 3624 16 along along IN 19261 3624 17 the the DT 19261 3624 18 finger finger NN 19261 3624 19 as as IN 19261 3624 20 a a DT 19261 3624 21 guide guide NN 19261 3624 22 . . . 19261 3625 1 A a DT 19261 3625 2 soft soft JJ 19261 3625 3 rubber rubber NN 19261 3625 4 stomach stomach NN 19261 3625 5 - - HYPH 19261 3625 6 tube tube NN 19261 3625 7 is be VBZ 19261 3625 8 pulled pull VBN 19261 3625 9 up up RP 19261 3625 10 from from IN 19261 3625 11 below below RB 19261 3625 12 and and CC 19261 3625 13 left leave VBN 19261 3625 14 in in IN 19261 3625 15 situ situ NN 19261 3625 16 , , , 19261 3625 17 being be VBG 19261 3625 18 replaced replace VBN 19261 3625 19 at at IN 19261 3625 20 intervals interval NNS 19261 3625 21 by by IN 19261 3625 22 a a DT 19261 3625 23 fresh fresh JJ 19261 3625 24 one one NN 19261 3625 25 , , , 19261 3625 26 pulled pull VBD 19261 3625 27 up up RP 19261 3625 28 from from IN 19261 3625 29 the the DT 19261 3625 30 stomach stomach NN 19261 3625 31 , , , 19261 3625 32 until until IN 19261 3625 33 epithelialization epithelialization NN 19261 3625 34 of of IN 19261 3625 35 the the DT 19261 3625 36 new new JJ 19261 3625 37 lumen luman NNS 19261 3625 38 is be VBZ 19261 3625 39 complete complete JJ 19261 3625 40 . . . 19261 3626 1 Catheters catheter NNS 19261 3626 2 are be VBP 19261 3626 3 used use VBN 19261 3626 4 in in IN 19261 3626 5 children child NNS 19261 3626 6 . . . 19261 3627 1 In in IN 19261 3627 2 replacing replace VBG 19261 3627 3 the the DT 19261 3627 4 catheter catheter NN 19261 3627 5 or or CC 19261 3627 6 stomach stomach NN 19261 3627 7 tube tube NN 19261 3627 8 the the DT 19261 3627 9 fresh fresh JJ 19261 3627 10 one one NN 19261 3627 11 is be VBZ 19261 3627 12 attached attach VBN 19261 3627 13 to to IN 19261 3627 14 the the DT 19261 3627 15 old old JJ 19261 3627 16 one one CD 19261 3627 17 by by IN 19261 3627 18 stitching stitch VBG 19261 3627 19 in in IN 19261 3627 20 a a DT 19261 3627 21 loop loop NN 19261 3627 22 of of IN 19261 3627 23 braided braided JJ 19261 3627 24 silk silk NN 19261 3627 25 . . . 19261 3628 1 Frequent frequent JJ 19261 3628 2 esophagoscopic esophagoscopic NN 19261 3628 3 bouginage bouginage NN 19261 3628 4 will will MD 19261 3628 5 be be VB 19261 3628 6 required require VBN 19261 3628 7 to to TO 19261 3628 8 maintain maintain VB 19261 3628 9 the the DT 19261 3628 10 more more RBR 19261 3628 11 or or CC 19261 3628 12 less less RBR 19261 3628 13 fistulous fistulous JJ 19261 3628 14 lumen luman NNS 19261 3628 15 until until IN 19261 3628 16 it -PRON- PRP 19261 3628 17 is be VBZ 19261 3628 18 epithelialized epithelialize VBN 19261 3628 19 , , , 19261 3628 20 and and CC 19261 3628 21 in in IN 19261 3628 22 occasional occasional JJ 19261 3628 23 cases case NNS 19261 3628 24 , , , 19261 3628 25 for for IN 19261 3628 26 a a DT 19261 3628 27 long long JJ 19261 3628 28 time time NN 19261 3628 29 thereafter thereafter RB 19261 3628 30 . . . 19261 3629 1 In in IN 19261 3629 2 cases case NNS 19261 3629 3 of of IN 19261 3629 4 absolute absolute JJ 19261 3629 5 atresia atresia NNP 19261 3629 6 the the DT 19261 3629 7 saliva saliva NN 19261 3629 8 does do VBZ 19261 3629 9 not not RB 19261 3629 10 reach reach VB 19261 3629 11 the the DT 19261 3629 12 stomach stomach NN 19261 3629 13 . . . 19261 3630 1 No no DT 19261 3630 2 one one NN 19261 3630 3 realizes realize VBZ 19261 3630 4 the the DT 19261 3630 5 quantity quantity NN 19261 3630 6 of of IN 19261 3630 7 normal normal JJ 19261 3630 8 salivary salivary JJ 19261 3630 9 drainage drainage NN 19261 3630 10 , , , 19261 3630 11 nor nor CC 19261 3630 12 its -PRON- PRP$ 19261 3630 13 importance importance NN 19261 3630 14 in in IN 19261 3630 15 nutritive nutritive JJ 19261 3630 16 processes process NNS 19261 3630 17 . . . 19261 3631 1 Oral oral JJ 19261 3631 2 insalivation insalivation NN 19261 3631 3 is be VBZ 19261 3631 4 of of IN 19261 3631 5 little little JJ 19261 3631 6 consequence consequence NN 19261 3631 7 compared compare VBN 19261 3631 8 to to IN 19261 3631 9 esophagogastric esophagogastric JJ 19261 3631 10 drainage drainage NN 19261 3631 11 . . . 19261 3632 1 Gastrostomized gastrostomized JJ 19261 3632 2 children child NNS 19261 3632 3 with with IN 19261 3632 4 absolute absolute JJ 19261 3632 5 atresia atresia NN 19261 3632 6 of of IN 19261 3632 7 the the DT 19261 3632 8 esophagus esophagus NN 19261 3632 9 do do VBP 19261 3632 10 not not RB 19261 3632 11 thrive thrive VB 19261 3632 12 unless unless IN 19261 3632 13 they -PRON- PRP 19261 3632 14 regurgitate regurgitate VBP 19261 3632 15 the the DT 19261 3632 16 salivary salivary JJ 19261 3632 17 accumulations accumulation NNS 19261 3632 18 into into IN 19261 3632 19 the the DT 19261 3632 20 funnel funnel NN 19261 3632 21 of of IN 19261 3632 22 the the DT 19261 3632 23 gastrostomic gastrostomic JJ 19261 3632 24 feeding feeding NN 19261 3632 25 tube tube NN 19261 3632 26 . . . 19261 3633 1 This this DT 19261 3633 2 has have VBZ 19261 3633 3 been be VBN 19261 3633 4 abundantly abundantly RB 19261 3633 5 proven prove VBN 19261 3633 6 by by IN 19261 3633 7 observations observation NNS 19261 3633 8 at at IN 19261 3633 9 the the DT 19261 3633 10 Bronchoscopic Bronchoscopic NNP 19261 3633 11 Clinic Clinic NNP 19261 3633 12 . . . 19261 3634 1 My -PRON- PRP$ 19261 3634 2 attention attention NN 19261 3634 3 was be VBD 19261 3634 4 first first RB 19261 3634 5 called call VBN 19261 3634 6 to to IN 19261 3634 7 this this DT 19261 3634 8 clinical clinical JJ 19261 3634 9 fact fact NN 19261 3634 10 by by IN 19261 3634 11 Miss Miss NNP 19261 3634 12 Frances Frances NNP 19261 3634 13 Groves Groves NNPS 19261 3634 14 who who WP 19261 3634 15 has have VBZ 19261 3634 16 charge charge NN 19261 3634 17 of of IN 19261 3634 18 these these DT 19261 3634 19 cases case NNS 19261 3634 20 . . . 19261 3635 1 _ _ NNP 19261 3635 2 Intubation Intubation NNP 19261 3635 3 of of IN 19261 3635 4 the the DT 19261 3635 5 esophagus esophagus NN 19261 3635 6 _ _ NNP 19261 3635 7 with with IN 19261 3635 8 soft soft JJ 19261 3635 9 rubber rubber NN 19261 3635 10 tubes tube NNS 19261 3635 11 has have VBZ 19261 3635 12 occasionally occasionally RB 19261 3635 13 proven prove VBN 19261 3635 14 useful useful JJ 19261 3635 15 . . . 19261 3636 1 [ [ -LRB- 19261 3636 2 260 260 CD 19261 3636 3 ] ] -RRB- 19261 3636 4 CHAPTER chapter NN 19261 3636 5 XXXIII xxxiii NN 19261 3636 6 -- -- : 19261 3636 7 DISEASES diseases NN 19261 3636 8 OF of IN 19261 3636 9 THE the DT 19261 3636 10 ESOPHAGUS ESOPHAGUS NNP 19261 3636 11 ( ( -LRB- 19261 3636 12 _ _ NNP 19261 3636 13 Continued Continued NNP 19261 3636 14 _ _ NNP 19261 3636 15 ) ) -RRB- 19261 3636 16 DIVERTICULUM DIVERTICULUM NNP 19261 3636 17 OF of IN 19261 3636 18 THE the DT 19261 3636 19 ESOPHAGUS ESOPHAGUS NNP 19261 3636 20 Diverticula Diverticula NNP 19261 3636 21 may may MD 19261 3636 22 , , , 19261 3636 23 and and CC 19261 3636 24 usually usually RB 19261 3636 25 do do VBP 19261 3636 26 , , , 19261 3636 27 consist consist VB 19261 3636 28 in in IN 19261 3636 29 a a DT 19261 3636 30 pouching pouching NN 19261 3636 31 by by IN 19261 3636 32 herniation herniation NN 19261 3636 33 , , , 19261 3636 34 of of IN 19261 3636 35 the the DT 19261 3636 36 whole whole JJ 19261 3636 37 thickness thickness NN 19261 3636 38 of of IN 19261 3636 39 the the DT 19261 3636 40 esophageal esophageal JJ 19261 3636 41 wall wall NN 19261 3636 42 ; ; , 19261 3636 43 or or CC 19261 3636 44 they -PRON- PRP 19261 3636 45 may may MD 19261 3636 46 be be VB 19261 3636 47 herniations herniation NNS 19261 3636 48 of of IN 19261 3636 49 the the DT 19261 3636 50 mucosa mucosa NNS 19261 3636 51 between between IN 19261 3636 52 the the DT 19261 3636 53 muscular muscular JJ 19261 3636 54 layers layer NNS 19261 3636 55 . . . 19261 3637 1 They -PRON- PRP 19261 3637 2 are be VBP 19261 3637 3 classified classify VBN 19261 3637 4 according accord VBG 19261 3637 5 to to IN 19261 3637 6 their -PRON- PRP$ 19261 3637 7 etiology etiology NN 19261 3637 8 , , , 19261 3637 9 as as IN 19261 3637 10 traction traction NN 19261 3637 11 and and CC 19261 3637 12 pulsion pulsion NN 19261 3637 13 diverticula diverticula NNP 19261 3637 14 . . . 19261 3638 1 [ [ -LRB- 19261 3638 2 FIG FIG NNP 19261 3638 3 . . . 19261 3639 1 99.--Traction 99.--traction IN 19261 3639 2 diverticulum diverticulum RB 19261 3639 3 of of IN 19261 3639 4 the the DT 19261 3639 5 esophagus esophagus NN 19261 3639 6 rendered render VBN 19261 3639 7 visible visible JJ 19261 3639 8 in in IN 19261 3639 9 the the DT 19261 3639 10 roentgenogram roentgenogram NN 19261 3639 11 by by IN 19261 3639 12 a a DT 19261 3639 13 swallowed swallowed JJ 19261 3639 14 opaque opaque NN 19261 3639 15 mixture mixture NN 19261 3639 16 . . . 19261 3640 1 Case case NN 19261 3640 2 of of IN 19261 3640 3 H. H. NNP 19261 3640 4 W. W. NNP 19261 3640 5 Dachtler Dachtler NNP 19261 3640 6 , , , 19261 3640 7 Am Am NNP 19261 3640 8 . . . 19261 3641 1 Journ Journ NNP 19261 3641 2 . . . 19261 3642 1 Roentgenology roentgenology NN 19261 3642 2 . . . 19261 3642 3 ] ] -RRB- 19261 3643 1 _ _ NNP 19261 3643 2 Traction Traction NNP 19261 3643 3 diverticulum diverticulum RB 19261 3643 4 of of IN 19261 3643 5 the the DT 19261 3643 6 esophagus esophagus NN 19261 3643 7 _ _ NNP 19261 3643 8 ( ( -LRB- 19261 3643 9 Fig Fig NNP 19261 3643 10 . . . 19261 3644 1 99 99 CD 19261 3644 2 ) ) -RRB- 19261 3644 3 is be VBZ 19261 3644 4 a a DT 19261 3644 5 rare rare JJ 19261 3644 6 condition condition NN 19261 3644 7 , , , 19261 3644 8 usually usually RB 19261 3644 9 occurring occur VBG 19261 3644 10 in in IN 19261 3644 11 the the DT 19261 3644 12 thorax thorax NN 19261 3644 13 , , , 19261 3644 14 and and CC 19261 3644 15 as as IN 19261 3644 16 a a DT 19261 3644 17 rule rule NN 19261 3644 18 constituting constitute VBG 19261 3644 19 a a DT 19261 3644 20 one one CD 19261 3644 21 - - HYPH 19261 3644 22 sided sided JJ 19261 3644 23 enlargement enlargement NN 19261 3644 24 of of IN 19261 3644 25 the the DT 19261 3644 26 gullet gullet NN 19261 3644 27 rather rather RB 19261 3644 28 than than IN 19261 3644 29 a a DT 19261 3644 30 true true JJ 19261 3644 31 pouch pouch JJ 19261 3644 32 formation formation NN 19261 3644 33 . . . 19261 3645 1 It -PRON- PRP 19261 3645 2 is be VBZ 19261 3645 3 supposed suppose VBN 19261 3645 4 to to TO 19261 3645 5 be be VB 19261 3645 6 formed form VBN 19261 3645 7 by by IN 19261 3645 8 the the DT 19261 3645 9 pulling pulling NN 19261 3645 10 during during IN 19261 3645 11 cough cough NN 19261 3645 12 , , , 19261 3645 13 respiration respiration NN 19261 3645 14 , , , 19261 3645 15 and and CC 19261 3645 16 swallowing swallow VBG 19261 3645 17 , , , 19261 3645 18 on on IN 19261 3645 19 localized localized JJ 19261 3645 20 adhesions adhesion NNS 19261 3645 21 of of IN 19261 3645 22 the the DT 19261 3645 23 esophagus esophagus NN 19261 3645 24 to to TO 19261 3645 25 periesophageal periesophageal JJ 19261 3645 26 structures structure NNS 19261 3645 27 , , , 19261 3645 28 such such JJ 19261 3645 29 as as IN 19261 3645 30 inflammatory inflammatory JJ 19261 3645 31 peribronchial peribronchial JJ 19261 3645 32 glands gland NNS 19261 3645 33 . . . 19261 3646 1 _ _ NNP 19261 3646 2 Diagnosis Diagnosis NNP 19261 3646 3 _ _ NNP 19261 3646 4 is be VBZ 19261 3646 5 often often RB 19261 3646 6 incidental incidental JJ 19261 3646 7 to to IN 19261 3646 8 examination examination NN 19261 3646 9 of of IN 19261 3646 10 the the DT 19261 3646 11 gastrointestinal gastrointestinal JJ 19261 3646 12 tract tract NN 19261 3646 13 for for IN 19261 3646 14 other other JJ 19261 3646 15 conditions condition NNS 19261 3646 16 , , , 19261 3646 17 because because IN 19261 3646 18 traction traction NN 19261 3646 19 diverticula diverticula NNP 19261 3646 20 usually usually RB 19261 3646 21 cause cause VB 19261 3646 22 no no DT 19261 3646 23 symptoms symptom NNS 19261 3646 24 . . . 19261 3647 1 Unless unless IN 19261 3647 2 a a DT 19261 3647 3 very very RB 19261 3647 4 large large JJ 19261 3647 5 esophagoscope esophagoscope NN 19261 3647 6 be be VB 19261 3647 7 used use VBN 19261 3647 8 , , , 19261 3647 9 a a DT 19261 3647 10 traction traction NN 19261 3647 11 diverticulum diverticulum NN 19261 3647 12 may may MD 19261 3647 13 easily easily RB 19261 3647 14 be be VB 19261 3647 15 overlooked overlook VBN 19261 3647 16 in in IN 19261 3647 17 the the DT 19261 3647 18 mucosal mucosal NN 19261 3647 19 folds fold NNS 19261 3647 20 . . . 19261 3648 1 Careful careful JJ 19261 3648 2 lateral lateral JJ 19261 3648 3 search search NN 19261 3648 4 , , , 19261 3648 5 however however RB 19261 3648 6 , , , 19261 3648 7 will will MD 19261 3648 8 reveal reveal VB 19261 3648 9 the the DT 19261 3648 10 dilatation dilatation NN 19261 3648 11 , , , 19261 3648 12 and and CC 19261 3648 13 the the DT 19261 3648 14 localized localized JJ 19261 3648 15 periesophageal periesophageal JJ 19261 3648 16 fixation fixation NN 19261 3648 17 may may MD 19261 3648 18 be be VB 19261 3648 19 demonstrated demonstrate VBN 19261 3648 20 . . . 19261 3649 1 The the DT 19261 3649 2 subdiverticular subdiverticular JJ 19261 3649 3 esophagus esophagus NN 19261 3649 4 is be VBZ 19261 3649 5 readily readily RB 19261 3649 6 followed follow VBN 19261 3649 7 , , , 19261 3649 8 its -PRON- PRP$ 19261 3649 9 lumen luman NNS 19261 3649 10 opening open VBG 19261 3649 11 during during IN 19261 3649 12 inspiration inspiration NN 19261 3649 13 unless unless IN 19261 3649 14 very very RB 19261 3649 15 close close RB 19261 3649 16 to to IN 19261 3649 17 the the DT 19261 3649 18 diaphragm diaphragm NN 19261 3649 19 , , , 19261 3649 20 which which WDT 19261 3649 21 is be VBZ 19261 3649 22 very very RB 19261 3649 23 rare rare JJ 19261 3649 24 . . . 19261 3650 1 Perhaps perhaps RB 19261 3650 2 most most JJS 19261 3650 3 cases case NNS 19261 3650 4 will will MD 19261 3650 5 be be VB 19261 3650 6 discovered discover VBN 19261 3650 7 by by IN 19261 3650 8 the the DT 19261 3650 9 roentgenologist roentgenologist NN 19261 3650 10 . . . 19261 3651 1 It -PRON- PRP 19261 3651 2 has have VBZ 19261 3651 3 been be VBN 19261 3651 4 said say VBN 19261 3651 5 that that IN 19261 3651 6 traction traction NN 19261 3651 7 diverticula diverticula NNP 19261 3651 8 are be VBP 19261 3651 9 more more RBR 19261 3651 10 readily readily RB 19261 3651 11 demonstrated demonstrate VBN 19261 3651 12 in in IN 19261 3651 13 the the DT 19261 3651 14 roentgenologic roentgenologic JJ 19261 3651 15 examination examination NN 19261 3651 16 , , , 19261 3651 17 if if IN 19261 3651 18 the the DT 19261 3651 19 patient patient NN 19261 3651 20 be be VB 19261 3651 21 placed place VBN 19261 3651 22 with with IN 19261 3651 23 pelvis pelvi NNS 19261 3651 24 elevated elevate VBN 19261 3651 25 . . . 19261 3652 1 _ _ NNP 19261 3652 2 Pulsion Pulsion NNP 19261 3652 3 diverticulum diverticulum RB 19261 3652 4 of of IN 19261 3652 5 the the DT 19261 3652 6 esophagus esophagus NN 19261 3652 7 _ _ NNP 19261 3652 8 is be VBZ 19261 3652 9 an an DT 19261 3652 10 acquired acquire VBN 19261 3652 11 hernia hernia NN 19261 3652 12 of of IN 19261 3652 13 the the DT 19261 3652 14 mucosa mucosa NNS 19261 3652 15 between between IN 19261 3652 16 the the DT 19261 3652 17 circular circular JJ 19261 3652 18 and and CC 19261 3652 19 oblique oblique JJ 19261 3652 20 fibers fiber NNS 19261 3652 21 of of IN 19261 3652 22 the the DT 19261 3652 23 inferior inferior JJ 19261 3652 24 constrictor constrictor NN 19261 3652 25 muscle muscle NN 19261 3652 26 of of IN 19261 3652 27 the the DT 19261 3652 28 pharynx pharynx NN 19261 3652 29 . . . 19261 3653 1 A a DT 19261 3653 2 congenital congenital JJ 19261 3653 3 anatomic anatomic JJ 19261 3653 4 basic basic JJ 19261 3653 5 factor factor NN 19261 3653 6 in in IN 19261 3653 7 etiology etiology NN 19261 3653 8 probably probably RB 19261 3653 9 exists exist VBZ 19261 3653 10 . . . 19261 3654 1 The the DT 19261 3654 2 pouching pouching NN 19261 3654 3 develops develop VBZ 19261 3654 4 in in IN 19261 3654 5 the the DT 19261 3654 6 middle middle JJ 19261 3654 7 part part NN 19261 3654 8 of of IN 19261 3654 9 the the DT 19261 3654 10 posterior posterior NNP 19261 3654 11 wall wall NN 19261 3654 12 , , , 19261 3654 13 between between IN 19261 3654 14 the the DT 19261 3654 15 orbicular orbicular JJ 19261 3654 16 and and CC 19261 3654 17 oblique oblique JJ 19261 3654 18 fibers fiber NNS 19261 3654 19 of of IN 19261 3654 20 the the DT 19261 3654 21 cricopharyngeus cricopharyngeus NNP 19261 3654 22 muscle muscle NN 19261 3654 23 , , , 19261 3654 24 at at IN 19261 3654 25 which which WDT 19261 3654 26 point point NN 19261 3654 27 there there EX 19261 3654 28 is be VBZ 19261 3654 29 a a DT 19261 3654 30 gap gap NN 19261 3654 31 , , , 19261 3654 32 leaving leave VBG 19261 3654 33 the the DT 19261 3654 34 mucosa mucosa NNS 19261 3654 35 supported support VBN 19261 3654 36 only only RB 19261 3654 37 by by IN 19261 3654 38 a a DT 19261 3654 39 not not RB 19261 3654 40 very very RB 19261 3654 41 resistant resistant JJ 19261 3654 42 fascia fascia NN 19261 3654 43 ( ( -LRB- 19261 3654 44 Fig fig NN 19261 3654 45 . . . 19261 3655 1 100 100 CD 19261 3655 2 ) ) -RRB- 19261 3655 3 . . . 19261 3656 1 When when WRB 19261 3656 2 small small JJ 19261 3656 3 , , , 19261 3656 4 the the DT 19261 3656 5 sac sac NN 19261 3656 6 is be VBZ 19261 3656 7 in in IN 19261 3656 8 the the DT 19261 3656 9 midline midline NN 19261 3656 10 , , , 19261 3656 11 but but CC 19261 3656 12 with with IN 19261 3656 13 increase increase NN 19261 3656 14 in in IN 19261 3656 15 size size NN 19261 3656 16 , , , 19261 3656 17 it -PRON- PRP 19261 3656 18 presents present VBZ 19261 3656 19 either either RB 19261 3656 20 to to IN 19261 3656 21 the the DT 19261 3656 22 right right NN 19261 3656 23 or or CC 19261 3656 24 the the DT 19261 3656 25 left left JJ 19261 3656 26 side side NN 19261 3656 27 , , , 19261 3656 28 commonly commonly RB 19261 3656 29 the the DT 19261 3656 30 latter latter JJ 19261 3656 31 . . . 19261 3657 1 The the DT 19261 3657 2 sac sac NN 19261 3657 3 may may MD 19261 3657 4 be be VB 19261 3657 5 very very RB 19261 3657 6 small small JJ 19261 3657 7 , , , 19261 3657 8 or or CC 19261 3657 9 it -PRON- PRP 19261 3657 10 may may MD 19261 3657 11 be be VB 19261 3657 12 sufficiently sufficiently RB 19261 3657 13 large large JJ 19261 3657 14 to to TO 19261 3657 15 hold hold VB 19261 3657 16 a a DT 19261 3657 17 pint pint NN 19261 3657 18 or or CC 19261 3657 19 more more JJR 19261 3657 20 , , , 19261 3657 21 and and CC 19261 3657 22 to to TO 19261 3657 23 cause cause VB 19261 3657 24 the the DT 19261 3657 25 neck neck NN 19261 3657 26 to to IN 19261 3657 27 bulge bulge NNP 19261 3657 28 when when WRB 19261 3657 29 filled fill VBN 19261 3657 30 . . . 19261 3658 1 When when WRB 19261 3658 2 large large JJ 19261 3658 3 , , , 19261 3658 4 the the DT 19261 3658 5 pouch pouch JJ 19261 3658 6 extends extend VBZ 19261 3658 7 into into IN 19261 3658 8 the the DT 19261 3658 9 mediastinum mediastinum NN 19261 3658 10 . . . 19261 3659 1 It -PRON- PRP 19261 3659 2 will will MD 19261 3659 3 be be VB 19261 3659 4 seen see VBN 19261 3659 5 that that IN 19261 3659 6 anatomically anatomically RB 19261 3659 7 the the DT 19261 3659 8 pulsion pulsion NN 19261 3659 9 diverticulum diverticulum RB 19261 3659 10 has have VBZ 19261 3659 11 its -PRON- PRP$ 19261 3659 12 origin origin NN 19261 3659 13 in in IN 19261 3659 14 the the DT 19261 3659 15 pharynx pharynx NN 19261 3659 16 ; ; : 19261 3659 17 the the DT 19261 3659 18 symptoms symptom NNS 19261 3659 19 , , , 19261 3659 20 however however RB 19261 3659 21 , , , 19261 3659 22 are be VBP 19261 3659 23 referable referable JJ 19261 3659 24 to to IN 19261 3659 25 the the DT 19261 3659 26 esophagus esophagus NN 19261 3659 27 and and CC 19261 3659 28 the the DT 19261 3659 29 subdiverticular subdiverticular JJ 19261 3659 30 esophagus esophagus NN 19261 3659 31 is be VBZ 19261 3659 32 stenosed stenose VBN 19261 3659 33 by by IN 19261 3659 34 compression compression NN 19261 3659 35 of of IN 19261 3659 36 the the DT 19261 3659 37 pouch pouch NN 19261 3659 38 ; ; : 19261 3659 39 therefore therefore RB 19261 3659 40 , , , 19261 3659 41 it -PRON- PRP 19261 3659 42 is be VBZ 19261 3659 43 properly properly RB 19261 3659 44 classified classify VBN 19261 3659 45 as as IN 19261 3659 46 an an DT 19261 3659 47 esophageal esophageal JJ 19261 3659 48 disease disease NN 19261 3659 49 . . . 19261 3660 1 [ [ -LRB- 19261 3660 2 FIG FIG NNP 19261 3660 3 . . . 19261 3661 1 100.--Schema 100.--schema CD 19261 3661 2 illustrative illustrative JJ 19261 3661 3 of of IN 19261 3661 4 the the DT 19261 3661 5 etiology etiology NN 19261 3661 6 of of IN 19261 3661 7 pressure pressure NN 19261 3661 8 diverticula diverticula NNP 19261 3661 9 . . . 19261 3662 1 O o UH 19261 3662 2 , , , 19261 3662 3 oblique oblique JJ 19261 3662 4 fibers fiber NNS 19261 3662 5 of of IN 19261 3662 6 the the DT 19261 3662 7 cricopharyngeus cricopharyngeus NN 19261 3662 8 attached attach VBN 19261 3662 9 to to IN 19261 3662 10 the the DT 19261 3662 11 thyroid thyroid NN 19261 3662 12 cartilage cartilage NN 19261 3662 13 , , , 19261 3662 14 T. t. NN 19261 3662 15 The the DT 19261 3662 16 fundiform fundiform NN 19261 3662 17 fibers fiber NNS 19261 3662 18 , , , 19261 3662 19 F F NNP 19261 3662 20 , , , 19261 3662 21 encircle encircle VB 19261 3662 22 the the DT 19261 3662 23 mouth mouth NN 19261 3662 24 of of IN 19261 3662 25 the the DT 19261 3662 26 esophagus esophagus NN 19261 3662 27 . . . 19261 3663 1 Between between IN 19261 3663 2 the the DT 19261 3663 3 two two CD 19261 3663 4 sets set NNS 19261 3663 5 of of IN 19261 3663 6 fibers fiber NNS 19261 3663 7 is be VBZ 19261 3663 8 a a DT 19261 3663 9 gap gap NN 19261 3663 10 in in IN 19261 3663 11 the the DT 19261 3663 12 support support NN 19261 3663 13 of of IN 19261 3663 14 the the DT 19261 3663 15 esophageal esophageal JJ 19261 3663 16 wall wall NN 19261 3663 17 , , , 19261 3663 18 through through IN 19261 3663 19 which which WDT 19261 3663 20 the the DT 19261 3663 21 wall wall NN 19261 3663 22 herniates herniate VBZ 19261 3663 23 owing owe VBG 19261 3663 24 to to IN 19261 3663 25 the the DT 19261 3663 26 pressure pressure NN 19261 3663 27 of of IN 19261 3663 28 food food NN 19261 3663 29 propelled propel VBN 19261 3663 30 by by IN 19261 3663 31 the the DT 19261 3663 32 oblique oblique JJ 19261 3663 33 fibers fiber NNS 19261 3663 34 , , , 19261 3663 35 O o UH 19261 3663 36 , , , 19261 3663 37 advance advance NN 19261 3663 38 of of IN 19261 3663 39 the the DT 19261 3663 40 bolus bolus NN 19261 3663 41 being be VBG 19261 3663 42 resisted resist VBN 19261 3663 43 by by IN 19261 3663 44 spasmodic spasmodic JJ 19261 3663 45 contraction contraction NN 19261 3663 46 of of IN 19261 3663 47 the the DT 19261 3663 48 orbicular orbicular JJ 19261 3663 49 fibers fiber NNS 19261 3663 50 , , , 19261 3663 51 F. F. NNP 19261 3663 52 ] ] -RRB- 19261 3663 53 _ _ NNP 19261 3663 54 Etiology_.--Pressure etiology_.--pressure NN 19261 3663 55 diverticula diverticula NNP 19261 3663 56 occur occur VB 19261 3663 57 after after IN 19261 3663 58 middle middle JJ 19261 3663 59 life life NN 19261 3663 60 , , , 19261 3663 61 and and CC 19261 3663 62 more more RBR 19261 3663 63 often often RB 19261 3663 64 in in IN 19261 3663 65 men man NNS 19261 3663 66 than than IN 19261 3663 67 in in IN 19261 3663 68 women woman NNS 19261 3663 69 . . . 19261 3664 1 The the DT 19261 3664 2 hasty hasty NN 19261 3664 3 swallowing swallowing NN 19261 3664 4 of of IN 19261 3664 5 unmasticated unmasticated JJ 19261 3664 6 food food NN 19261 3664 7 , , , 19261 3664 8 too too RB 19261 3664 9 large large JJ 19261 3664 10 a a DT 19261 3664 11 bolus bolus NN 19261 3664 12 , , , 19261 3664 13 defective defective JJ 19261 3664 14 or or CC 19261 3664 15 artificial artificial JJ 19261 3664 16 teeth tooth NNS 19261 3664 17 , , , 19261 3664 18 flaccidity flaccidity NN 19261 3664 19 of of IN 19261 3664 20 tissues tissue NNS 19261 3664 21 , , , 19261 3664 22 and and CC 19261 3664 23 spasm spasm NN 19261 3664 24 of of IN 19261 3664 25 the the DT 19261 3664 26 cricopharyngeus cricopharyngeus NN 19261 3664 27 muscle muscle NN 19261 3664 28 , , , 19261 3664 29 are be VBP 19261 3664 30 etiologic etiologic JJ 19261 3664 31 factors factor NNS 19261 3664 32 . . . 19261 3665 1 Cicatricial cicatricial JJ 19261 3665 2 stenosis stenosis NN 19261 3665 3 below below IN 19261 3665 4 the the DT 19261 3665 5 level level NN 19261 3665 6 of of IN 19261 3665 7 the the DT 19261 3665 8 inferior inferior JJ 19261 3665 9 constrictor constrictor NN 19261 3665 10 is be VBZ 19261 3665 11 a a DT 19261 3665 12 contributory contributory JJ 19261 3665 13 cause cause NN 19261 3665 14 in in IN 19261 3665 15 some some DT 19261 3665 16 cases case NNS 19261 3665 17 . . . 19261 3666 1 _ _ NNP 19261 3666 2 Prognosis_.--After prognosis_.--after NN 19261 3666 3 the the DT 19261 3666 4 pouch pouch NN 19261 3666 5 is be VBZ 19261 3666 6 formed form VBN 19261 3666 7 , , , 19261 3666 8 it -PRON- PRP 19261 3666 9 steadily steadily RB 19261 3666 10 increases increase VBZ 19261 3666 11 in in IN 19261 3666 12 size size NN 19261 3666 13 , , , 19261 3666 14 since since IN 19261 3666 15 the the DT 19261 3666 16 swallowed swallowed JJ 19261 3666 17 food food NN 19261 3666 18 first first RB 19261 3666 19 fills fill VBZ 19261 3666 20 and and CC 19261 3666 21 distends distend VBZ 19261 3666 22 the the DT 19261 3666 23 sac sac NN 19261 3666 24 before before IN 19261 3666 25 the the DT 19261 3666 26 overflow overflow NN 19261 3666 27 passes pass VBZ 19261 3666 28 down down RP 19261 3666 29 the the DT 19261 3666 30 esophagus esophagus NN 19261 3666 31 . . . 19261 3667 1 When when WRB 19261 3667 2 a a DT 19261 3667 3 pendulous pendulous JJ 19261 3667 4 sac sac NN 19261 3667 5 becomes become VBZ 19261 3667 6 filled fill VBN 19261 3667 7 with with IN 19261 3667 8 food food NN 19261 3667 9 , , , 19261 3667 10 it -PRON- PRP 19261 3667 11 presses press VBZ 19261 3667 12 on on IN 19261 3667 13 the the DT 19261 3667 14 subdiverticular subdiverticular JJ 19261 3667 15 esophagus esophagus NN 19261 3667 16 , , , 19261 3667 17 and and CC 19261 3667 18 produces produce VBZ 19261 3667 19 compression compression NN 19261 3667 20 stenosis stenosis NN 19261 3667 21 ; ; : 19261 3667 22 so so IN 19261 3667 23 that that IN 19261 3667 24 there there EX 19261 3667 25 exists exist VBZ 19261 3667 26 a a DT 19261 3667 27 " " `` 19261 3667 28 vicious vicious JJ 19261 3667 29 circle circle NN 19261 3667 30 . . . 19261 3667 31 " " '' 19261 3668 1 The the DT 19261 3668 2 enlargement enlargement NN 19261 3668 3 of of IN 19261 3668 4 the the DT 19261 3668 5 sac sac NN 19261 3668 6 produces produce VBZ 19261 3668 7 increasing increase VBG 19261 3668 8 stenosis stenosis NN 19261 3668 9 with with IN 19261 3668 10 consequent consequent JJ 19261 3668 11 further further JJ 19261 3668 12 distension distension NN 19261 3668 13 of of IN 19261 3668 14 the the DT 19261 3668 15 pouch pouch NN 19261 3668 16 . . . 19261 3669 1 This this DT 19261 3669 2 explains explain VBZ 19261 3669 3 the the DT 19261 3669 4 clinically clinically RB 19261 3669 5 observed observe VBN 19261 3669 6 fact fact NN 19261 3669 7 , , , 19261 3669 8 that that IN 19261 3669 9 unless unless IN 19261 3669 10 treated treat VBN 19261 3669 11 , , , 19261 3669 12 pulsion pulsion NN 19261 3669 13 diverticula diverticula NNP 19261 3669 14 increase increase NN 19261 3669 15 progressively progressively RB 19261 3669 16 in in IN 19261 3669 17 size size NN 19261 3669 18 , , , 19261 3669 19 and and CC 19261 3669 20 consequently consequently RB 19261 3669 21 in in IN 19261 3669 22 distressing distress VBG 19261 3669 23 symptoms symptom NNS 19261 3669 24 . . . 19261 3670 1 The the DT 19261 3670 2 sac sac NN 19261 3670 3 becomes become VBZ 19261 3670 4 so so RB 19261 3670 5 large large JJ 19261 3670 6 in in IN 19261 3670 7 some some DT 19261 3670 8 cases case NNS 19261 3670 9 as as IN 19261 3670 10 to to TO 19261 3670 11 contribute contribute VB 19261 3670 12 to to IN 19261 3670 13 the the DT 19261 3670 14 occurrence occurrence NN 19261 3670 15 of of IN 19261 3670 16 cerebral cerebral NNP 19261 3670 17 apoplexy apoplexy NNP 19261 3670 18 by by IN 19261 3670 19 interference interference NN 19261 3670 20 with with IN 19261 3670 21 venous venous JJ 19261 3670 22 return return NN 19261 3670 23 . . . 19261 3671 1 Practically practically RB 19261 3671 2 all all DT 19261 3671 3 cases case NNS 19261 3671 4 can can MD 19261 3671 5 be be VB 19261 3671 6 cured cure VBN 19261 3671 7 by by IN 19261 3671 8 radical radical JJ 19261 3671 9 operation operation NN 19261 3671 10 . . . 19261 3672 1 The the DT 19261 3672 2 operative operative JJ 19261 3672 3 mortality mortality NN 19261 3672 4 varies vary VBZ 19261 3672 5 with with IN 19261 3672 6 the the DT 19261 3672 7 age age NN 19261 3672 8 , , , 19261 3672 9 state state NN 19261 3672 10 of of IN 19261 3672 11 nutrition nutrition NN 19261 3672 12 , , , 19261 3672 13 and and CC 19261 3672 14 general general JJ 19261 3672 15 health health NN 19261 3672 16 of of IN 19261 3672 17 the the DT 19261 3672 18 patient patient NN 19261 3672 19 . . . 19261 3673 1 In in IN 19261 3673 2 general general JJ 19261 3673 3 it -PRON- PRP 19261 3673 4 may may MD 19261 3673 5 be be VB 19261 3673 6 said say VBN 19261 3673 7 to to TO 19261 3673 8 have have VB 19261 3673 9 a a DT 19261 3673 10 mortality mortality NN 19261 3673 11 of of IN 19261 3673 12 at at RB 19261 3673 13 least least RBS 19261 3673 14 10 10 CD 19261 3673 15 per per NN 19261 3673 16 cent cent NN 19261 3673 17 , , , 19261 3673 18 largely largely RB 19261 3673 19 due due JJ 19261 3673 20 to to IN 19261 3673 21 the the DT 19261 3673 22 fact fact NN 19261 3673 23 that that IN 19261 3673 24 most most JJS 19261 3673 25 cases case NNS 19261 3673 26 are be VBP 19261 3673 27 poor poor JJ 19261 3673 28 surgical surgical JJ 19261 3673 29 subjects subject NNS 19261 3673 30 . . . 19261 3674 1 Recurrences recurrence NNS 19261 3674 2 after after IN 19261 3674 3 radical radical JJ 19261 3674 4 operation operation NN 19261 3674 5 are be VBP 19261 3674 6 due due JJ 19261 3674 7 to to IN 19261 3674 8 a a DT 19261 3674 9 persistence persistence NN 19261 3674 10 of of IN 19261 3674 11 the the DT 19261 3674 12 original original JJ 19261 3674 13 causes cause NNS 19261 3674 14 , , , 19261 3674 15 i.e. i.e. FW 19261 3674 16 , , , 19261 3674 17 bolting bolting NN 19261 3674 18 of of IN 19261 3674 19 food food NN 19261 3674 20 ; ; : 19261 3674 21 stenosis stenosis NN 19261 3674 22 , , , 19261 3674 23 spasmodic spasmodic JJ 19261 3674 24 or or CC 19261 3674 25 organic organic JJ 19261 3674 26 , , , 19261 3674 27 of of IN 19261 3674 28 the the DT 19261 3674 29 esophageal esophageal JJ 19261 3674 30 lumen luman NNS 19261 3674 31 ; ; : 19261 3674 32 and and CC 19261 3674 33 weakness weakness NN 19261 3674 34 in in IN 19261 3674 35 the the DT 19261 3674 36 support support NN 19261 3674 37 of of IN 19261 3674 38 the the DT 19261 3674 39 esophageal esophageal JJ 19261 3674 40 wall wall NN 19261 3674 41 , , , 19261 3674 42 which which WDT 19261 3674 43 , , , 19261 3674 44 unsupported unsupported JJ 19261 3674 45 , , , 19261 3674 46 has have VBZ 19261 3674 47 little little JJ 19261 3674 48 strength strength NN 19261 3674 49 of of IN 19261 3674 50 its -PRON- PRP$ 19261 3674 51 own own JJ 19261 3674 52 . . . 19261 3675 1 _ _ NNP 19261 3675 2 Symptoms_.--Dysphagia Symptoms_.--Dysphagia NNP 19261 3675 3 , , , 19261 3675 4 regurgitation regurgitation NN 19261 3675 5 , , , 19261 3675 6 a a DT 19261 3675 7 gurgling gurgling NN 19261 3675 8 sound sound NN 19261 3675 9 and and CC 19261 3675 10 subjective subjective JJ 19261 3675 11 bubbling bubble VBG 19261 3675 12 sensation sensation NN 19261 3675 13 on on IN 19261 3675 14 swallowing swallow VBG 19261 3675 15 , , , 19261 3675 16 sour sour JJ 19261 3675 17 odor odor NN 19261 3675 18 to to IN 19261 3675 19 the the DT 19261 3675 20 breath breath NN 19261 3675 21 , , , 19261 3675 22 and and CC 19261 3675 23 cough cough NN 19261 3675 24 , , , 19261 3675 25 are be VBP 19261 3675 26 the the DT 19261 3675 27 chief chief JJ 19261 3675 28 symptoms symptom NNS 19261 3675 29 . . . 19261 3676 1 With with IN 19261 3676 2 larger large JJR 19261 3676 3 pouches pouch NNS 19261 3676 4 , , , 19261 3676 5 emaciation emaciation NN 19261 3676 6 , , , 19261 3676 7 pressure pressure NN 19261 3676 8 sensation sensation NN 19261 3676 9 in in IN 19261 3676 10 the the DT 19261 3676 11 neck neck NN 19261 3676 12 and and CC 19261 3676 13 upper upper JJ 19261 3676 14 mediastinum mediastinum NN 19261 3676 15 , , , 19261 3676 16 and and CC 19261 3676 17 the the DT 19261 3676 18 presence presence NN 19261 3676 19 of of IN 19261 3676 20 a a DT 19261 3676 21 mass mass NN 19261 3676 22 in in IN 19261 3676 23 the the DT 19261 3676 24 neck neck NN 19261 3676 25 when when WRB 19261 3676 26 the the DT 19261 3676 27 sac sac NN 19261 3676 28 is be VBZ 19261 3676 29 filled fill VBN 19261 3676 30 , , , 19261 3676 31 are be VBP 19261 3676 32 present present JJ 19261 3676 33 . . . 19261 3677 1 Tracheal tracheal NN 19261 3677 2 compression compression NN 19261 3677 3 by by IN 19261 3677 4 the the DT 19261 3677 5 filled fill VBN 19261 3677 6 pouch pouch NNS 19261 3677 7 may may MD 19261 3677 8 produce produce VB 19261 3677 9 dyspnea dyspnea JJ 19261 3677 10 . . . 19261 3678 1 The the DT 19261 3678 2 sac sac NN 19261 3678 3 may may MD 19261 3678 4 be be VB 19261 3678 5 emptied empty VBN 19261 3678 6 by by IN 19261 3678 7 pressure pressure NN 19261 3678 8 on on IN 19261 3678 9 the the DT 19261 3678 10 neck neck NN 19261 3678 11 , , , 19261 3678 12 this this DT 19261 3678 13 means means NN 19261 3678 14 of of IN 19261 3678 15 relief relief NN 19261 3678 16 being be VBG 19261 3678 17 often often RB 19261 3678 18 discovered discover VBN 19261 3678 19 by by IN 19261 3678 20 the the DT 19261 3678 21 patient patient NN 19261 3678 22 . . . 19261 3679 1 The the DT 19261 3679 2 sac sac NN 19261 3679 3 sometimes sometimes RB 19261 3679 4 spontaneously spontaneously RB 19261 3679 5 empties empty VBZ 19261 3679 6 itself -PRON- PRP 19261 3679 7 by by IN 19261 3679 8 contraction contraction NN 19261 3679 9 of of IN 19261 3679 10 its -PRON- PRP$ 19261 3679 11 enveloping envelop VBG 19261 3679 12 muscular muscular JJ 19261 3679 13 layer layer NN 19261 3679 14 , , , 19261 3679 15 and and CC 19261 3679 16 one one CD 19261 3679 17 of of IN 19261 3679 18 the the DT 19261 3679 19 most most RBS 19261 3679 20 annoying annoying JJ 19261 3679 21 symptoms symptom NNS 19261 3679 22 is be VBZ 19261 3679 23 the the DT 19261 3679 24 paroxysm paroxysm NNS 19261 3679 25 of of IN 19261 3679 26 coughing coughing NN 19261 3679 27 , , , 19261 3679 28 waking wake VBG 19261 3679 29 the the DT 19261 3679 30 patient patient NN 19261 3679 31 , , , 19261 3679 32 when when WRB 19261 3679 33 during during IN 19261 3679 34 the the DT 19261 3679 35 relaxation relaxation NN 19261 3679 36 of of IN 19261 3679 37 sleep sleep NN 19261 3679 38 the the DT 19261 3679 39 sac sac NN 19261 3679 40 empties empty VBZ 19261 3679 41 itself -PRON- PRP 19261 3679 42 into into IN 19261 3679 43 the the DT 19261 3679 44 pharynx pharynx NN 19261 3679 45 and and CC 19261 3679 46 some some DT 19261 3679 47 of of IN 19261 3679 48 its -PRON- PRP$ 19261 3679 49 contents content NNS 19261 3679 50 are be VBP 19261 3679 51 aspirated aspirate VBN 19261 3679 52 into into IN 19261 3679 53 the the DT 19261 3679 54 larynx larynx NN 19261 3679 55 . . . 19261 3680 1 There there EX 19261 3680 2 are be VBP 19261 3680 3 no no DT 19261 3680 4 pathognomonic pathognomonic JJ 19261 3680 5 symptoms symptom NNS 19261 3680 6 . . . 19261 3681 1 Those those DT 19261 3681 2 recited recite VBN 19261 3681 3 are be VBP 19261 3681 4 common common JJ 19261 3681 5 to to IN 19261 3681 6 other other JJ 19261 3681 7 forms form NNS 19261 3681 8 of of IN 19261 3681 9 esophageal esophageal JJ 19261 3681 10 stenosis stenosis NN 19261 3681 11 , , , 19261 3681 12 and and CC 19261 3681 13 are be VBP 19261 3681 14 urgent urgent JJ 19261 3681 15 indications indication NNS 19261 3681 16 for for IN 19261 3681 17 diagnostic diagnostic JJ 19261 3681 18 esophagoscopy esophagoscopy NN 19261 3681 19 . . . 19261 3682 1 _ _ NNP 19261 3682 2 Diagnosis_.--Roentgenray Diagnosis_.--Roentgenray NNP 19261 3682 3 study study NN 19261 3682 4 with with IN 19261 3682 5 barium barium NN 19261 3682 6 mixtures mixture NNS 19261 3682 7 , , , 19261 3682 8 is be VBZ 19261 3682 9 the the DT 19261 3682 10 first first JJ 19261 3682 11 step step NN 19261 3682 12 in in IN 19261 3682 13 the the DT 19261 3682 14 diagnosis diagnosis NN 19261 3682 15 ( ( -LRB- 19261 3682 16 Fig fig NN 19261 3682 17 . . . 19261 3683 1 101 101 CD 19261 3683 2 ) ) -RRB- 19261 3683 3 . . . 19261 3684 1 This this DT 19261 3684 2 is be VBZ 19261 3684 3 to to TO 19261 3684 4 be be VB 19261 3684 5 followed follow VBN 19261 3684 6 by by IN 19261 3684 7 diagnostic diagnostic JJ 19261 3684 8 esophagoscopy esophagoscopy NN 19261 3684 9 . . . 19261 3685 1 Malignant malignant JJ 19261 3685 2 , , , 19261 3685 3 spasmodic spasmodic JJ 19261 3685 4 , , , 19261 3685 5 cicatricial cicatricial JJ 19261 3685 6 , , , 19261 3685 7 and and CC 19261 3685 8 compression compression NN 19261 3685 9 stenosis stenosis NN 19261 3685 10 are be VBP 19261 3685 11 to to TO 19261 3685 12 be be VB 19261 3685 13 excluded exclude VBN 19261 3685 14 by by IN 19261 3685 15 esophagoscopic esophagoscopic NN 19261 3685 16 appearances appearance NNS 19261 3685 17 . . . 19261 3686 1 Aneurysm Aneurysm NNS 19261 3686 2 is be VBZ 19261 3686 3 to to TO 19261 3686 4 be be VB 19261 3686 5 eliminated eliminate VBN 19261 3686 6 by by IN 19261 3686 7 the the DT 19261 3686 8 usual usual JJ 19261 3686 9 means mean NNS 19261 3686 10 . . . 19261 3687 1 The the DT 19261 3687 2 Boyce Boyce NNP 19261 3687 3 sign sign NN 19261 3687 4 is be VBZ 19261 3687 5 almost almost RB 19261 3687 6 invariably invariably RB 19261 3687 7 present present JJ 19261 3687 8 , , , 19261 3687 9 and and CC 19261 3687 10 is be VBZ 19261 3687 11 diagnostic diagnostic JJ 19261 3687 12 . . . 19261 3688 1 It -PRON- PRP 19261 3688 2 is be VBZ 19261 3688 3 elicited elicit VBN 19261 3688 4 by by IN 19261 3688 5 telling tell VBG 19261 3688 6 the the DT 19261 3688 7 patient patient NN 19261 3688 8 to to IN 19261 3688 9 swallow swallow NNP 19261 3688 10 , , , 19261 3688 11 which which WDT 19261 3688 12 action action NN 19261 3688 13 imprisons imprison NNS 19261 3688 14 air air NN 19261 3688 15 in in IN 19261 3688 16 the the DT 19261 3688 17 sac sac NN 19261 3688 18 . . . 19261 3689 1 The the DT 19261 3689 2 imprisoned imprison VBN 19261 3689 3 air air NN 19261 3689 4 is be VBZ 19261 3689 5 forced force VBN 19261 3689 6 out out RP 19261 3689 7 by by IN 19261 3689 8 finger finger NN 19261 3689 9 - - HYPH 19261 3689 10 pressure pressure NN 19261 3689 11 on on IN 19261 3689 12 the the DT 19261 3689 13 neck neck NN 19261 3689 14 , , , 19261 3689 15 over over IN 19261 3689 16 the the DT 19261 3689 17 sac sac NN 19261 3689 18 . . . 19261 3690 1 The the DT 19261 3690 2 exit exit NN 19261 3690 3 of of IN 19261 3690 4 the the DT 19261 3690 5 air air NN 19261 3690 6 bubble bubble NN 19261 3690 7 produces produce VBZ 19261 3690 8 a a DT 19261 3690 9 gurgling gurgling NN 19261 3690 10 sound sound NN 19261 3690 11 audible audible JJ 19261 3690 12 at at IN 19261 3690 13 the the DT 19261 3690 14 open open JJ 19261 3690 15 mouth mouth NN 19261 3690 16 of of IN 19261 3690 17 the the DT 19261 3690 18 patient patient NN 19261 3690 19 . . . 19261 3691 1 _ _ NNP 19261 3691 2 Esophagoscopic Esophagoscopic NNP 19261 3691 3 Appearances Appearances NNPS 19261 3691 4 in in IN 19261 3691 5 Pulsion Pulsion NNP 19261 3691 6 Diverticulum_.--The Diverticulum_.--The NNP 19261 3691 7 esophagoscope esophagoscope NN 19261 3691 8 will will MD 19261 3691 9 without without IN 19261 3691 10 difficulty difficulty NN 19261 3691 11 enter enter VB 19261 3691 12 the the DT 19261 3691 13 mouth mouth NN 19261 3691 14 of of IN 19261 3691 15 the the DT 19261 3691 16 sac sac NN 19261 3691 17 which which WDT 19261 3691 18 is be VBZ 19261 3691 19 really really RB 19261 3691 20 the the DT 19261 3691 21 whole whole JJ 19261 3691 22 bottom bottom NN 19261 3691 23 of of IN 19261 3691 24 the the DT 19261 3691 25 pharynx pharynx NN 19261 3691 26 , , , 19261 3691 27 and and CC 19261 3691 28 will will MD 19261 3691 29 be be VB 19261 3691 30 arrested arrest VBN 19261 3691 31 by by IN 19261 3691 32 the the DT 19261 3691 33 blind blind JJ 19261 3691 34 end end NN 19261 3691 35 of of IN 19261 3691 36 the the DT 19261 3691 37 pouch pouch NN 19261 3691 38 , , , 19261 3691 39 the the DT 19261 3691 40 depth depth NN 19261 3691 41 of of IN 19261 3691 42 which which WDT 19261 3691 43 may may MD 19261 3691 44 be be VB 19261 3691 45 from from IN 19261 3691 46 4 4 CD 19261 3691 47 to to TO 19261 3691 48 10 10 CD 19261 3691 49 cm cm NNS 19261 3691 50 . . . 19261 3692 1 In in IN 19261 3692 2 some some DT 19261 3692 3 cases case NNS 19261 3692 4 the the DT 19261 3692 5 bottom bottom NN 19261 3692 6 of of IN 19261 3692 7 the the DT 19261 3692 8 pouch pouch NN 19261 3692 9 is be VBZ 19261 3692 10 in in IN 19261 3692 11 the the DT 19261 3692 12 mediastinum mediastinum NN 19261 3692 13 . . . 19261 3693 1 The the DT 19261 3693 2 walls wall NNS 19261 3693 3 are be VBP 19261 3693 4 often often RB 19261 3693 5 pasty pasty JJ 19261 3693 6 , , , 19261 3693 7 and and CC 19261 3693 8 may may MD 19261 3693 9 be be VB 19261 3693 10 eroded erode VBN 19261 3693 11 , , , 19261 3693 12 or or CC 19261 3693 13 ulcerated ulcerated JJ 19261 3693 14 , , , 19261 3693 15 and and CC 19261 3693 16 they -PRON- PRP 19261 3693 17 may may MD 19261 3693 18 show show VB 19261 3693 19 vessels vessel NNS 19261 3693 20 or or CC 19261 3693 21 cicatrices cicatrix NNS 19261 3693 22 . . . 19261 3694 1 On on IN 19261 3694 2 withdrawing withdraw VBG 19261 3694 3 the the DT 19261 3694 4 tube tube NN 19261 3694 5 and and CC 19261 3694 6 searching search VBG 19261 3694 7 the the DT 19261 3694 8 anterior anterior NNP 19261 3694 9 wall wall NN 19261 3694 10 , , , 19261 3694 11 the the DT 19261 3694 12 subdiverticular subdiverticular JJ 19261 3694 13 slit slit NN 19261 3694 14 - - HYPH 19261 3694 15 like like JJ 19261 3694 16 opening opening NN 19261 3694 17 of of IN 19261 3694 18 the the DT 19261 3694 19 esophagus esophagus NN 19261 3694 20 will will MD 19261 3694 21 be be VB 19261 3694 22 found find VBN 19261 3694 23 , , , 19261 3694 24 though though IN 19261 3694 25 perhaps perhaps RB 19261 3694 26 not not RB 19261 3694 27 always always RB 19261 3694 28 easily easily RB 19261 3694 29 . . . 19261 3695 1 The the DT 19261 3695 2 esophageal esophageal JJ 19261 3695 3 speculum speculum NN 19261 3695 4 will will MD 19261 3695 5 be be VB 19261 3695 6 found find VBN 19261 3695 7 particularly particularly RB 19261 3695 8 useful useful JJ 19261 3695 9 in in IN 19261 3695 10 exposing expose VBG 19261 3695 11 the the DT 19261 3695 12 subdiverticular subdiverticular JJ 19261 3695 13 orifice orifice NN 19261 3695 14 , , , 19261 3695 15 and and CC 19261 3695 16 through through IN 19261 3695 17 this this DT 19261 3695 18 a a DT 19261 3695 19 small small JJ 19261 3695 20 esophagoscope esophagoscope NN 19261 3695 21 may may MD 19261 3695 22 be be VB 19261 3695 23 passed pass VBN 19261 3695 24 into into IN 19261 3695 25 the the DT 19261 3695 26 esophagus esophagus NN 19261 3695 27 , , , 19261 3695 28 thus thus RB 19261 3695 29 completing complete VBG 19261 3695 30 the the DT 19261 3695 31 diagnosis diagnosis NN 19261 3695 32 . . . 19261 3696 1 Care care NN 19261 3696 2 must must MD 19261 3696 3 be be VB 19261 3696 4 exercised exercise VBN 19261 3696 5 not not RB 19261 3696 6 to to TO 19261 3696 7 perforate perforate VB 19261 3696 8 the the DT 19261 3696 9 bottom bottom NN 19261 3696 10 of of IN 19261 3696 11 the the DT 19261 3696 12 diverticular diverticular JJ 19261 3696 13 pouch pouch JJ 19261 3696 14 by by IN 19261 3696 15 pressure pressure NN 19261 3696 16 with with IN 19261 3696 17 the the DT 19261 3696 18 esophagoscope esophagoscope NN 19261 3696 19 or or CC 19261 3696 20 esophageal esophageal JJ 19261 3696 21 speculum speculum NN 19261 3696 22 . . . 19261 3697 1 The the DT 19261 3697 2 walls wall NNS 19261 3697 3 of of IN 19261 3697 4 the the DT 19261 3697 5 sac sac NN 19261 3697 6 are be VBP 19261 3697 7 surprisingly surprisingly RB 19261 3697 8 thin thin JJ 19261 3697 9 . . . 19261 3698 1 [ [ -LRB- 19261 3698 2 FIG FIG NNP 19261 3698 3 . . . 19261 3699 1 101.--Pulsion 101.--pulsion CD 19261 3699 2 diverticulum diverticulum NNP 19261 3699 3 filled fill VBN 19261 3699 4 with with IN 19261 3699 5 bismuth bismuth NNP 19261 3699 6 mixture mixture NN 19261 3699 7 in in IN 19261 3699 8 a a DT 19261 3699 9 man man NN 19261 3699 10 of of IN 19261 3699 11 fifty fifty CD 19261 3699 12 years year NNS 19261 3699 13 . . . 19261 3699 14 ] ] -RRB- 19261 3700 1 _ _ NNP 19261 3700 2 Treatment Treatment NNP 19261 3700 3 of of IN 19261 3700 4 Pulsion Pulsion NNP 19261 3700 5 Diverticulum_.--If Diverticulum_.--If NNP 19261 3700 6 the the DT 19261 3700 7 pouch pouch NN 19261 3700 8 is be VBZ 19261 3700 9 small small JJ 19261 3700 10 , , , 19261 3700 11 the the DT 19261 3700 12 subdiverticular subdiverticular JJ 19261 3700 13 esophageal esophageal JJ 19261 3700 14 orifice orifice NN 19261 3700 15 may may MD 19261 3700 16 be be VB 19261 3700 17 dilated dilate VBN 19261 3700 18 with with IN 19261 3700 19 esophagoscopic esophagoscopic NN 19261 3700 20 bougies bougie NNS 19261 3700 21 , , , 19261 3700 22 thus thus RB 19261 3700 23 overcoming overcome VBG 19261 3700 24 the the DT 19261 3700 25 etiologic etiologic JJ 19261 3700 26 factor factor NN 19261 3700 27 of of IN 19261 3700 28 spastic spastic JJ 19261 3700 29 or or CC 19261 3700 30 organic organic JJ 19261 3700 31 stenosis stenosis NN 19261 3700 32 . . . 19261 3701 1 The the DT 19261 3701 2 redundancy redundancy NN 19261 3701 3 remains remain VBZ 19261 3701 4 , , , 19261 3701 5 however however RB 19261 3701 6 , , , 19261 3701 7 though though IN 19261 3701 8 the the DT 19261 3701 9 symptoms symptom NNS 19261 3701 10 may may MD 19261 3701 11 be be VB 19261 3701 12 relieved relieve VBN 19261 3701 13 . . . 19261 3702 1 Cutting cut VBG 19261 3702 2 the the DT 19261 3702 3 common common JJ 19261 3702 4 wall wall NN 19261 3702 5 between between IN 19261 3702 6 the the DT 19261 3702 7 esophagus esophagus NN 19261 3702 8 and and CC 19261 3702 9 the the DT 19261 3702 10 sac sac NN 19261 3702 11 by by IN 19261 3702 12 means mean NNS 19261 3702 13 of of IN 19261 3702 14 scissors scissor NNS 19261 3702 15 passed pass VBN 19261 3702 16 through through IN 19261 3702 17 the the DT 19261 3702 18 endoscopic endoscopic JJ 19261 3702 19 tube tube NN 19261 3702 20 , , , 19261 3702 21 has have VBZ 19261 3702 22 been be VBN 19261 3702 23 successfully successfully RB 19261 3702 24 done do VBN 19261 3702 25 by by IN 19261 3702 26 Mosher Mosher NNP 19261 3702 27 . . . 19261 3703 1 Various various JJ 19261 3703 2 methods method NNS 19261 3703 3 of of IN 19261 3703 4 external external JJ 19261 3703 5 operation operation NN 19261 3703 6 have have VBP 19261 3703 7 been be VBN 19261 3703 8 devised devise VBN 19261 3703 9 , , , 19261 3703 10 among among IN 19261 3703 11 which which WDT 19261 3703 12 are be VBP 19261 3703 13 : : : 19261 3703 14 ( ( -LRB- 19261 3703 15 1 1 LS 19261 3703 16 ) ) -RRB- 19261 3703 17 Freeing free VBG 19261 3703 18 the the DT 19261 3703 19 sac sac NN 19261 3703 20 through through IN 19261 3703 21 an an DT 19261 3703 22 external external JJ 19261 3703 23 cervical cervical JJ 19261 3703 24 incision incision NN 19261 3703 25 and and CC 19261 3703 26 suturing suture VBG 19261 3703 27 its -PRON- PRP$ 19261 3703 28 fundus fundus NN 19261 3703 29 upward upward RB 19261 3703 30 against against IN 19261 3703 31 the the DT 19261 3703 32 pharynx pharynx NN 19261 3703 33 , , , 19261 3703 34 which which WDT 19261 3703 35 has have VBZ 19261 3703 36 proved prove VBN 19261 3703 37 successful successful JJ 19261 3703 38 in in IN 19261 3703 39 some some DT 19261 3703 40 cases case NNS 19261 3703 41 . . . 19261 3704 1 ( ( -LRB- 19261 3704 2 2 2 LS 19261 3704 3 ) ) -RRB- 19261 3704 4 Inversion inversion NN 19261 3704 5 of of IN 19261 3704 6 the the DT 19261 3704 7 sac sac NN 19261 3704 8 into into IN 19261 3704 9 the the DT 19261 3704 10 pharynx pharynx NN 19261 3704 11 and and CC 19261 3704 12 suture suture NN 19261 3704 13 of of IN 19261 3704 14 the the DT 19261 3704 15 mouth mouth NN 19261 3704 16 of of IN 19261 3704 17 the the DT 19261 3704 18 pouch pouch NN 19261 3704 19 . . . 19261 3705 1 In in IN 19261 3705 2 a a DT 19261 3705 3 case case NN 19261 3705 4 so so RB 19261 3705 5 treated treat VBD 19261 3705 6 the the DT 19261 3705 7 pouch pouch NN 19261 3705 8 was be VBD 19261 3705 9 blown blow VBN 19261 3705 10 out out RP 19261 3705 11 again again RB 19261 3705 12 during during IN 19261 3705 13 a a DT 19261 3705 14 fit fit NN 19261 3705 15 of of IN 19261 3705 16 sneezing sneeze VBG 19261 3705 17 eight eight CD 19261 3705 18 months month NNS 19261 3705 19 after after IN 19261 3705 20 operation operation NN 19261 3705 21 . . . 19261 3706 1 ( ( -LRB- 19261 3706 2 3 3 LS 19261 3706 3 ) ) -RRB- 19261 3706 4 Plication plication NN 19261 3706 5 of of IN 19261 3706 6 the the DT 19261 3706 7 walls wall NNS 19261 3706 8 of of IN 19261 3706 9 the the DT 19261 3706 10 sac sac NN 19261 3706 11 by by IN 19261 3706 12 catgut catgut JJ 19261 3706 13 sutures suture NNS 19261 3706 14 , , , 19261 3706 15 as as IN 19261 3706 16 in in IN 19261 3706 17 the the DT 19261 3706 18 Matas Matas NNP 19261 3706 19 obliterative obliterative JJ 19261 3706 20 operation operation NN 19261 3706 21 for for IN 19261 3706 22 aneurysm aneurysm NNS 19261 3706 23 . . . 19261 3707 1 ( ( -LRB- 19261 3707 2 4 4 LS 19261 3707 3 ) ) -RRB- 19261 3707 4 Freeing free VBG 19261 3707 5 and and CC 19261 3707 6 removing remove VBG 19261 3707 7 the the DT 19261 3707 8 sac sac NN 19261 3707 9 , , , 19261 3707 10 with with IN 19261 3707 11 suture suture NN 19261 3707 12 of of IN 19261 3707 13 the the DT 19261 3707 14 esophageal esophageal JJ 19261 3707 15 wound wound NN 19261 3707 16 . . . 19261 3708 1 ( ( -LRB- 19261 3708 2 5 5 LS 19261 3708 3 ) ) -RRB- 19261 3708 4 Removal removal NN 19261 3708 5 of of IN 19261 3708 6 the the DT 19261 3708 7 sac sac NN 19261 3708 8 by by IN 19261 3708 9 a a DT 19261 3708 10 two two CD 19261 3708 11 - - HYPH 19261 3708 12 stage stage NN 19261 3708 13 operation operation NN 19261 3708 14 , , , 19261 3708 15 in in IN 19261 3708 16 which which WDT 19261 3708 17 method method NN 19261 3708 18 the the DT 19261 3708 19 initial initial JJ 19261 3708 20 step step NN 19261 3708 21 is be VBZ 19261 3708 22 the the DT 19261 3708 23 deliverance deliverance NN 19261 3708 24 of of IN 19261 3708 25 the the DT 19261 3708 26 sac sac NN 19261 3708 27 into into IN 19261 3708 28 the the DT 19261 3708 29 cervical cervical JJ 19261 3708 30 wound wound NN 19261 3708 31 , , , 19261 3708 32 where where WRB 19261 3708 33 it -PRON- PRP 19261 3708 34 remains remain VBZ 19261 3708 35 surrounded surround VBN 19261 3708 36 by by IN 19261 3708 37 gauze gauze NN 19261 3708 38 packing packing NN 19261 3708 39 until until IN 19261 3708 40 adhesions adhesion NNS 19261 3708 41 have have VBP 19261 3708 42 walled wall VBN 19261 3708 43 off off RP 19261 3708 44 the the DT 19261 3708 45 mediastinum mediastinum NN 19261 3708 46 . . . 19261 3709 1 The the DT 19261 3709 2 work work NN 19261 3709 3 is be VBZ 19261 3709 4 completed complete VBN 19261 3709 5 by by IN 19261 3709 6 cutting cut VBG 19261 3709 7 off off RP 19261 3709 8 the the DT 19261 3709 9 sac sac NN 19261 3709 10 and and CC 19261 3709 11 either either CC 19261 3709 12 suturing suture VBG 19261 3709 13 the the DT 19261 3709 14 esophageal esophageal JJ 19261 3709 15 wound wound NN 19261 3709 16 or or CC 19261 3709 17 touching touch VBG 19261 3709 18 it -PRON- PRP 19261 3709 19 with with IN 19261 3709 20 the the DT 19261 3709 21 cautery cautery NN 19261 3709 22 , , , 19261 3709 23 and and CC 19261 3709 24 allowing allow VBG 19261 3709 25 it -PRON- PRP 19261 3709 26 to to TO 19261 3709 27 heal heal VB 19261 3709 28 by by IN 19261 3709 29 granulation granulation NN 19261 3709 30 . . . 19261 3710 1 External external JJ 19261 3710 2 exposure exposure NN 19261 3710 3 and and CC 19261 3710 4 amputation amputation NN 19261 3710 5 of of IN 19261 3710 6 the the DT 19261 3710 7 sac sac NN 19261 3710 8 has have VBZ 19261 3710 9 been be VBN 19261 3710 10 more more RBR 19261 3710 11 frequently frequently RB 19261 3710 12 done do VBN 19261 3710 13 than than IN 19261 3710 14 any any DT 19261 3710 15 other other JJ 19261 3710 16 operation operation NN 19261 3710 17 . . . 19261 3711 1 Unless unless IN 19261 3711 2 the the DT 19261 3711 3 pouch pouch NN 19261 3711 4 is be VBZ 19261 3711 5 large large JJ 19261 3711 6 , , , 19261 3711 7 it -PRON- PRP 19261 3711 8 is be VBZ 19261 3711 9 extremely extremely RB 19261 3711 10 difficult difficult JJ 19261 3711 11 to to TO 19261 3711 12 find find VB 19261 3711 13 after after IN 19261 3711 14 the the DT 19261 3711 15 surgeon surgeon NN 19261 3711 16 has have VBZ 19261 3711 17 exposed expose VBN 19261 3711 18 the the DT 19261 3711 19 esophagus esophagus NN 19261 3711 20 , , , 19261 3711 21 for for IN 19261 3711 22 the the DT 19261 3711 23 reasons reason NNS 19261 3711 24 that that WDT 19261 3711 25 at at IN 19261 3711 26 operation operation NN 19261 3711 27 it -PRON- PRP 19261 3711 28 is be VBZ 19261 3711 29 empty empty JJ 19261 3711 30 and and CC 19261 3711 31 that that IN 19261 3711 32 when when WRB 19261 3711 33 the the DT 19261 3711 34 adhesions adhesion NNS 19261 3711 35 about about IN 19261 3711 36 it -PRON- PRP 19261 3711 37 are be VBP 19261 3711 38 removed remove VBN 19261 3711 39 the the DT 19261 3711 40 walls wall NNS 19261 3711 41 of of IN 19261 3711 42 the the DT 19261 3711 43 sac sac NN 19261 3711 44 contract contract NN 19261 3711 45 . . . 19261 3712 1 After after IN 19261 3712 2 removal removal NN 19261 3712 3 , , , 19261 3712 4 the the DT 19261 3712 5 sac sac NN 19261 3712 6 is be VBZ 19261 3712 7 disappointingly disappointingly RB 19261 3712 8 small small JJ 19261 3712 9 as as IN 19261 3712 10 compared compare VBN 19261 3712 11 with with IN 19261 3712 12 its -PRON- PRP$ 19261 3712 13 previous previous JJ 19261 3712 14 size size NN 19261 3712 15 in in IN 19261 3712 16 the the DT 19261 3712 17 roentgenogram roentgenogram NN 19261 3712 18 , , , 19261 3712 19 which which WDT 19261 3712 20 shows show VBZ 19261 3712 21 it -PRON- PRP 19261 3712 22 distended distend VBD 19261 3712 23 with with IN 19261 3712 24 opaque opaque JJ 19261 3712 25 material material NN 19261 3712 26 . . . 19261 3713 1 It -PRON- PRP 19261 3713 2 has have VBZ 19261 3713 3 been be VBN 19261 3713 4 the the DT 19261 3713 5 chagrin chagrin NN 19261 3713 6 of of IN 19261 3713 7 skilled skilled JJ 19261 3713 8 surgeons surgeon NNS 19261 3713 9 to to TO 19261 3713 10 find find VB 19261 3713 11 the the DT 19261 3713 12 diverticulum diverticulum JJ 19261 3713 13 present present NN 19261 3713 14 functionally functionally RB 19261 3713 15 and and CC 19261 3713 16 roentgenographically roentgenographically RB 19261 3713 17 precisely precisely RB 19261 3713 18 the the DT 19261 3713 19 same same JJ 19261 3713 20 as as IN 19261 3713 21 before before IN 19261 3713 22 the the DT 19261 3713 23 performance performance NN 19261 3713 24 of of IN 19261 3713 25 the the DT 19261 3713 26 very very RB 19261 3713 27 trying trying JJ 19261 3713 28 and and CC 19261 3713 29 difficult difficult JJ 19261 3713 30 operation operation NN 19261 3713 31 . . . 19261 3714 1 The the DT 19261 3714 2 time time NN 19261 3714 3 of of IN 19261 3714 4 operation operation NN 19261 3714 5 may may MD 19261 3714 6 be be VB 19261 3714 7 shortened shorten VBN 19261 3714 8 at at IN 19261 3714 9 least least JJS 19261 3714 10 by by IN 19261 3714 11 one one CD 19261 3714 12 - - HYPH 19261 3714 13 half half NN 19261 3714 14 by by IN 19261 3714 15 the the DT 19261 3714 16 aid aid NN 19261 3714 17 of of IN 19261 3714 18 the the DT 19261 3714 19 esophagoscopist esophagoscopist NN 19261 3714 20 in in IN 19261 3714 21 the the DT 19261 3714 22 Gaub Gaub NNP 19261 3714 23 - - HYPH 19261 3714 24 Jackson Jackson NNP 19261 3714 25 operation operation NN 19261 3714 26 . . . 19261 3715 1 Intratracheally intratracheally RB 19261 3715 2 insufflated insufflated JJ 19261 3715 3 ether ether NN 19261 3715 4 is be VBZ 19261 3715 5 the the DT 19261 3715 6 anesthesia anesthesia NNS 19261 3715 7 of of IN 19261 3715 8 choice choice NN 19261 3715 9 . . . 19261 3716 1 After after IN 19261 3716 2 the the DT 19261 3716 3 surgeon surgeon NN 19261 3716 4 has have VBZ 19261 3716 5 exposed expose VBN 19261 3716 6 the the DT 19261 3716 7 esophagus esophagus NN 19261 3716 8 by by IN 19261 3716 9 dissection dissection NN 19261 3716 10 , , , 19261 3716 11 the the DT 19261 3716 12 endoscopist endoscopist JJ 19261 3716 13 introduces introduce VBZ 19261 3716 14 the the DT 19261 3716 15 esophagoscope esophagoscope NN 19261 3716 16 into into IN 19261 3716 17 the the DT 19261 3716 18 sac sac NN 19261 3716 19 , , , 19261 3716 20 and and CC 19261 3716 21 delivers deliver VBZ 19261 3716 22 it -PRON- PRP 19261 3716 23 into into IN 19261 3716 24 the the DT 19261 3716 25 wound wound NN 19261 3716 26 , , , 19261 3716 27 while while IN 19261 3716 28 the the DT 19261 3716 29 surgeon surgeon NN 19261 3716 30 frees free VBZ 19261 3716 31 it -PRON- PRP 19261 3716 32 from from IN 19261 3716 33 adhesions adhesion NNS 19261 3716 34 . . . 19261 3717 1 The the DT 19261 3717 2 esophagoscope esophagoscope NN 19261 3717 3 is be VBZ 19261 3717 4 now now RB 19261 3717 5 withdrawn withdraw VBN 19261 3717 6 from from IN 19261 3717 7 the the DT 19261 3717 8 pouch pouch NN 19261 3717 9 and and CC 19261 3717 10 entered enter VBD 19261 3717 11 into into IN 19261 3717 12 the the DT 19261 3717 13 esophagus esophagus NN 19261 3717 14 proper proper JJ 19261 3717 15 , , , 19261 3717 16 below below IN 19261 3717 17 the the DT 19261 3717 18 diverticulum diverticulum NN 19261 3717 19 , , , 19261 3717 20 while while IN 19261 3717 21 the the DT 19261 3717 22 surgeon surgeon NN 19261 3717 23 cuts cut VBZ 19261 3717 24 off off RP 19261 3717 25 the the DT 19261 3717 26 hernial hernial JJ 19261 3717 27 sac sac NN 19261 3717 28 and and CC 19261 3717 29 sutures suture VBZ 19261 3717 30 the the DT 19261 3717 31 esophagopharyngeal esophagopharyngeal NN 19261 3717 32 wound wind VBN 19261 3717 33 over over IN 19261 3717 34 the the DT 19261 3717 35 esophagoscope esophagoscope NN 19261 3717 36 . . . 19261 3718 1 The the DT 19261 3718 2 presence presence NN 19261 3718 3 of of IN 19261 3718 4 the the DT 19261 3718 5 esophagoscope esophagoscope NN 19261 3718 6 prevents prevent NNS 19261 3718 7 too too RB 19261 3718 8 tight tight JJ 19261 3718 9 suture suture NN 19261 3718 10 and and CC 19261 3718 11 possible possible JJ 19261 3718 12 narrowing narrowing NN 19261 3718 13 of of IN 19261 3718 14 the the DT 19261 3718 15 lumen luman NNS 19261 3718 16 ( ( -LRB- 19261 3718 17 Fig fig NN 19261 3718 18 . . . 19261 3719 1 102 102 CD 19261 3719 2 ) ) -RRB- 19261 3719 3 . . . 19261 3720 1 [ [ -LRB- 19261 3720 2 FIG FIG NNP 19261 3720 3 . . . 19261 3721 1 102.--Schematic 102.--schematic CD 19261 3721 2 representation representation NN 19261 3721 3 of of IN 19261 3721 4 esophagoscopic esophagoscopic NNP 19261 3721 5 aid aid NN 19261 3721 6 in in IN 19261 3721 7 the the DT 19261 3721 8 excision excision NN 19261 3721 9 of of IN 19261 3721 10 a a DT 19261 3721 11 diverticulum diverticulum NN 19261 3721 12 in in IN 19261 3721 13 the the DT 19261 3721 14 Gaub Gaub NNP 19261 3721 15 - - HYPH 19261 3721 16 Jackson Jackson NNP 19261 3721 17 operation operation NN 19261 3721 18 . . . 19261 3722 1 At at IN 19261 3722 2 A a DT 19261 3722 3 the the DT 19261 3722 4 esophagoscope esophagoscope NN 19261 3722 5 is be VBZ 19261 3722 6 represented represent VBN 19261 3722 7 in in IN 19261 3722 8 the the DT 19261 3722 9 bottom bottom NN 19261 3722 10 of of IN 19261 3722 11 the the DT 19261 3722 12 pouch pouch NN 19261 3722 13 after after IN 19261 3722 14 the the DT 19261 3722 15 surgeon surgeon NN 19261 3722 16 has have VBZ 19261 3722 17 cut cut VBN 19261 3722 18 down down RP 19261 3722 19 to to IN 19261 3722 20 where where WRB 19261 3722 21 he -PRON- PRP 19261 3722 22 can can MD 19261 3722 23 feel feel VB 19261 3722 24 the the DT 19261 3722 25 esophagoscope esophagoscope NN 19261 3722 26 . . . 19261 3723 1 Then then RB 19261 3723 2 the the DT 19261 3723 3 esophagoscopist esophagoscopist NN 19261 3723 4 causes cause VBZ 19261 3723 5 the the DT 19261 3723 6 pouch pouch NN 19261 3723 7 to to TO 19261 3723 8 protrude protrude VB 19261 3723 9 as as IN 19261 3723 10 shown show VBN 19261 3723 11 by by IN 19261 3723 12 the the DT 19261 3723 13 dotted dotted JJ 19261 3723 14 line line NN 19261 3723 15 at at IN 19261 3723 16 B. B. NNP 19261 3724 1 After after IN 19261 3724 2 the the DT 19261 3724 3 surgeon surgeon NN 19261 3724 4 has have VBZ 19261 3724 5 dissected dissect VBN 19261 3724 6 the the DT 19261 3724 7 sac sac NN 19261 3724 8 entirely entirely RB 19261 3724 9 loose loose JJ 19261 3724 10 from from IN 19261 3724 11 its -PRON- PRP$ 19261 3724 12 surroundings surrounding NNS 19261 3724 13 , , , 19261 3724 14 traction traction NN 19261 3724 15 is be VBZ 19261 3724 16 made make VBN 19261 3724 17 upon upon IN 19261 3724 18 the the DT 19261 3724 19 sac sac NN 19261 3724 20 as as IN 19261 3724 21 shown show VBN 19261 3724 22 at at IN 19261 3724 23 H h NN 19261 3724 24 and and CC 19261 3724 25 the the DT 19261 3724 26 esophagoscope esophagoscope NN 19261 3724 27 is be VBZ 19261 3724 28 inserted insert VBN 19261 3724 29 down down RP 19261 3724 30 the the DT 19261 3724 31 lumen luman NNS 19261 3724 32 of of IN 19261 3724 33 the the DT 19261 3724 34 esophagus esophagus NN 19261 3724 35 as as IN 19261 3724 36 shown show VBN 19261 3724 37 at at IN 19261 3724 38 C. C. NNP 19261 3724 39 The the DT 19261 3724 40 esophagoscope esophagoscope NN 19261 3724 41 now now RB 19261 3724 42 occupies occupy VBZ 19261 3724 43 the the DT 19261 3724 44 lumen luman NNS 19261 3724 45 which which WDT 19261 3724 46 the the DT 19261 3724 47 patient patient NN 19261 3724 48 will will MD 19261 3724 49 need need VB 19261 3724 50 for for IN 19261 3724 51 swallowing swallow VBG 19261 3724 52 . . . 19261 3725 1 It -PRON- PRP 19261 3725 2 only only RB 19261 3725 3 remains remain VBZ 19261 3725 4 for for IN 19261 3725 5 the the DT 19261 3725 6 surgeon surgeon NN 19261 3725 7 to to TO 19261 3725 8 remove remove VB 19261 3725 9 the the DT 19261 3725 10 redundancy redundancy NN 19261 3725 11 , , , 19261 3725 12 without without IN 19261 3725 13 risk risk NN 19261 3725 14 of of IN 19261 3725 15 removing remove VBG 19261 3725 16 any any DT 19261 3725 17 of of IN 19261 3725 18 the the DT 19261 3725 19 normal normal JJ 19261 3725 20 wall wall NN 19261 3725 21 . . . 19261 3726 1 The the DT 19261 3726 2 esophagoscope esophagoscope NN 19261 3726 3 here here RB 19261 3726 4 shown show VBN 19261 3726 5 is be VBZ 19261 3726 6 of of IN 19261 3726 7 the the DT 19261 3726 8 form form NN 19261 3726 9 squarely squarely RB 19261 3726 10 cut cut VBD 19261 3726 11 off off RP 19261 3726 12 at at IN 19261 3726 13 the the DT 19261 3726 14 end end NN 19261 3726 15 . . . 19261 3727 1 The the DT 19261 3727 2 standard standard JJ 19261 3727 3 form form NN 19261 3727 4 of of IN 19261 3727 5 instrument instrument NN 19261 3727 6 with with IN 19261 3727 7 slanted slanted JJ 19261 3727 8 end end NN 19261 3727 9 will will MD 19261 3727 10 serve serve VB 19261 3727 11 as as RB 19261 3727 12 well well RB 19261 3727 13 . . . 19261 3727 14 ] ] -RRB- 19261 3728 1 _ _ NNP 19261 3728 2 After After NNP 19261 3728 3 - - HYPH 19261 3728 4 care_.--Feeding care_.--feeding NN 19261 3728 5 may may MD 19261 3728 6 be be VB 19261 3728 7 carried carry VBN 19261 3728 8 on on RP 19261 3728 9 by by IN 19261 3728 10 the the DT 19261 3728 11 placing placing NN 19261 3728 12 of of IN 19261 3728 13 a a DT 19261 3728 14 small small JJ 19261 3728 15 nasal nasal NN 19261 3728 16 feeding feed VBG 19261 3728 17 tube tube NN 19261 3728 18 into into IN 19261 3728 19 the the DT 19261 3728 20 stomach stomach NN 19261 3728 21 at at IN 19261 3728 22 the the DT 19261 3728 23 time time NN 19261 3728 24 of of IN 19261 3728 25 operation operation NN 19261 3728 26 . . . 19261 3729 1 Gastrostomy Gastrostomy NNP 19261 3729 2 for for IN 19261 3729 3 feeding feed VBG 19261 3729 4 as as IN 19261 3729 5 a a DT 19261 3729 6 preliminary preliminary NN 19261 3729 7 to to IN 19261 3729 8 the the DT 19261 3729 9 esophageal esophageal JJ 19261 3729 10 operation operation NN 19261 3729 11 has have VBZ 19261 3729 12 been be VBN 19261 3729 13 suggested suggest VBN 19261 3729 14 , , , 19261 3729 15 and and CC 19261 3729 16 is be VBZ 19261 3729 17 certainly certainly RB 19261 3729 18 ideal ideal JJ 19261 3729 19 from from IN 19261 3729 20 the the DT 19261 3729 21 viewpoint viewpoint NN 19261 3729 22 of of IN 19261 3729 23 nutrition nutrition NN 19261 3729 24 and and CC 19261 3729 25 esophageal esophageal JJ 19261 3729 26 rest rest NN 19261 3729 27 . . . 19261 3730 1 The the DT 19261 3730 2 decision decision NN 19261 3730 3 of of IN 19261 3730 4 its -PRON- PRP$ 19261 3730 5 performance performance NN 19261 3730 6 may may MD 19261 3730 7 perhaps perhaps RB 19261 3730 8 be be VB 19261 3730 9 best well RBS 19261 3730 10 made make VBN 19261 3730 11 by by IN 19261 3730 12 the the DT 19261 3730 13 patient patient NN 19261 3730 14 himself -PRON- PRP 19261 3730 15 . . . 19261 3731 1 Should Should MD 19261 3731 2 leakage leakage VB 19261 3731 3 through through IN 19261 3731 4 the the DT 19261 3731 5 neck neck NN 19261 3731 6 occur occur NN 19261 3731 7 , , , 19261 3731 8 the the DT 19261 3731 9 fistula fistula NNP 19261 3731 10 should should MD 19261 3731 11 be be VB 19261 3731 12 flushed flush VBN 19261 3731 13 by by IN 19261 3731 14 the the DT 19261 3731 15 intake intake NN 19261 3731 16 of of IN 19261 3731 17 sterile sterile JJ 19261 3731 18 water water NN 19261 3731 19 by by IN 19261 3731 20 mouth mouth NN 19261 3731 21 . . . 19261 3732 1 Oral oral JJ 19261 3732 2 sepsis sepsis NN 19261 3732 3 should should MD 19261 3732 4 , , , 19261 3732 5 of of IN 19261 3732 6 course course NN 19261 3732 7 , , , 19261 3732 8 be be VB 19261 3732 9 treated treat VBN 19261 3732 10 before before IN 19261 3732 11 operation operation NN 19261 3732 12 and and CC 19261 3732 13 combated combat VBD 19261 3732 14 after after IN 19261 3732 15 operation operation NN 19261 3732 16 by by IN 19261 3732 17 frequent frequent JJ 19261 3732 18 brushing brushing NN 19261 3732 19 of of IN 19261 3732 20 the the DT 19261 3732 21 teeth tooth NNS 19261 3732 22 and and CC 19261 3732 23 rinsing rinsing NN 19261 3732 24 of of IN 19261 3732 25 the the DT 19261 3732 26 mouth mouth NN 19261 3732 27 with with IN 19261 3732 28 Dakin Dakin NNP 19261 3732 29 's 's POS 19261 3732 30 solution solution NN 19261 3732 31 , , , 19261 3732 32 one one CD 19261 3732 33 part part NN 19261 3732 34 , , , 19261 3732 35 to to IN 19261 3732 36 ten ten CD 19261 3732 37 parts part NNS 19261 3732 38 of of IN 19261 3732 39 peppermint peppermint NN 19261 3732 40 water water NN 19261 3732 41 . . . 19261 3733 1 A a DT 19261 3733 2 postoperative postoperative JJ 19261 3733 3 barium barium NN 19261 3733 4 roentgenogram roentgenogram NN 19261 3733 5 should should MD 19261 3733 6 be be VB 19261 3733 7 made make VBN 19261 3733 8 in in IN 19261 3733 9 every every DT 19261 3733 10 case case NN 19261 3733 11 as as IN 19261 3733 12 a a DT 19261 3733 13 matter matter NN 19261 3733 14 of of IN 19261 3733 15 record record NN 19261 3733 16 and and CC 19261 3733 17 to to TO 19261 3733 18 make make VB 19261 3733 19 certain certain JJ 19261 3733 20 the the DT 19261 3733 21 proper proper JJ 19261 3733 22 functioning functioning NN 19261 3733 23 of of IN 19261 3733 24 the the DT 19261 3733 25 esophagus esophagus NN 19261 3733 26 . . . 19261 3734 1 [ [ -LRB- 19261 3734 2 268 268 CD 19261 3734 3 ] ] -RRB- 19261 3734 4 CHAPTER chapter NN 19261 3734 5 XXXIV xxxiv NN 19261 3734 6 -- -- : 19261 3734 7 DISEASES diseases NN 19261 3734 8 OF of IN 19261 3734 9 THE the DT 19261 3734 10 ESOPHAGUS ESOPHAGUS NNP 19261 3734 11 ( ( -LRB- 19261 3734 12 _ _ NNP 19261 3734 13 Continued Continued NNP 19261 3734 14 _ _ NNP 19261 3734 15 ) ) -RRB- 19261 3734 16 PARALYSIS PARALYSIS NNP 19261 3734 17 OF of IN 19261 3734 18 THE the DT 19261 3734 19 ESOPHAGUS esophagus NN 19261 3734 20 The the DT 19261 3734 21 passage passage NN 19261 3734 22 of of IN 19261 3734 23 liquids liquid NNS 19261 3734 24 and and CC 19261 3734 25 solids solid NNS 19261 3734 26 through through IN 19261 3734 27 the the DT 19261 3734 28 esophagus esophagus NN 19261 3734 29 is be VBZ 19261 3734 30 a a DT 19261 3734 31 purely purely RB 19261 3734 32 muscular muscular JJ 19261 3734 33 act act NN 19261 3734 34 , , , 19261 3734 35 controlled control VBN 19261 3734 36 , , , 19261 3734 37 after after IN 19261 3734 38 the the DT 19261 3734 39 propulsive propulsive NN 19261 3734 40 usually usually RB 19261 3734 41 voluntary voluntary JJ 19261 3734 42 start start NN 19261 3734 43 given give VBN 19261 3734 44 to to IN 19261 3734 45 the the DT 19261 3734 46 bolus bolus NN 19261 3734 47 by by IN 19261 3734 48 the the DT 19261 3734 49 inferior inferior JJ 19261 3734 50 constrictor constrictor NN 19261 3734 51 , , , 19261 3734 52 by by IN 19261 3734 53 a a DT 19261 3734 54 reflex reflex NN 19261 3734 55 arc arc NN 19261 3734 56 having have VBG 19261 3734 57 connection connection NN 19261 3734 58 with with IN 19261 3734 59 the the DT 19261 3734 60 central central JJ 19261 3734 61 nervous nervous JJ 19261 3734 62 system system NN 19261 3734 63 through through IN 19261 3734 64 the the DT 19261 3734 65 vagus vagus NNP 19261 3734 66 nerve nerve NN 19261 3734 67 . . . 19261 3735 1 Gravity gravity NN 19261 3735 2 plays play VBZ 19261 3735 3 little little JJ 19261 3735 4 or or CC 19261 3735 5 no no DT 19261 3735 6 part part NN 19261 3735 7 in in IN 19261 3735 8 the the DT 19261 3735 9 act act NN 19261 3735 10 of of IN 19261 3735 11 deglutition deglutition NN 19261 3735 12 , , , 19261 3735 13 and and CC 19261 3735 14 alone alone RB 19261 3735 15 will will MD 19261 3735 16 not not RB 19261 3735 17 carry carry VB 19261 3735 18 food food NN 19261 3735 19 or or CC 19261 3735 20 drink drink VB 19261 3735 21 to to IN 19261 3735 22 the the DT 19261 3735 23 stomach stomach NN 19261 3735 24 . . . 19261 3736 1 Paralysis paralysis NN 19261 3736 2 of of IN 19261 3736 3 the the DT 19261 3736 4 esophagus esophagus NN 19261 3736 5 may may MD 19261 3736 6 be be VB 19261 3736 7 said say VBN 19261 3736 8 to to TO 19261 3736 9 be be VB 19261 3736 10 motor motor NN 19261 3736 11 or or CC 19261 3736 12 sensory sensory JJ 19261 3736 13 . . . 19261 3737 1 It -PRON- PRP 19261 3737 2 is be VBZ 19261 3737 3 rarely rarely RB 19261 3737 4 if if IN 19261 3737 5 ever ever RB 19261 3737 6 unassociated unassociate VBD 19261 3737 7 with with IN 19261 3737 8 like like IN 19261 3737 9 lesions lesion NNS 19261 3737 10 of of IN 19261 3737 11 contiguous contiguous JJ 19261 3737 12 organs organ NNS 19261 3737 13 . . . 19261 3738 1 _ _ NNP 19261 3738 2 Motor Motor NNP 19261 3738 3 paralysis paralysis NN 19261 3738 4 of of IN 19261 3738 5 the the DT 19261 3738 6 esophagus esophagus NN 19261 3738 7 _ _ NNP 19261 3738 8 is be VBZ 19261 3738 9 first first RB 19261 3738 10 manifested manifest VBN 19261 3738 11 by by IN 19261 3738 12 inability inability NN 19261 3738 13 to to TO 19261 3738 14 swallow swallow VB 19261 3738 15 . . . 19261 3739 1 This this DT 19261 3739 2 is be VBZ 19261 3739 3 associated associate VBN 19261 3739 4 with with IN 19261 3739 5 the the DT 19261 3739 6 accumulation accumulation NN 19261 3739 7 of of IN 19261 3739 8 secretion secretion NN 19261 3739 9 in in IN 19261 3739 10 the the DT 19261 3739 11 pyriform pyriform NN 19261 3739 12 sinuses sinus NNS 19261 3739 13 ( ( -LRB- 19261 3739 14 the the DT 19261 3739 15 author author NN 19261 3739 16 's 's POS 19261 3739 17 sign sign NN 19261 3739 18 of of IN 19261 3739 19 esophageal esophageal JJ 19261 3739 20 stenosis stenosis NN 19261 3739 21 ) ) -RRB- 19261 3739 22 which which WDT 19261 3739 23 overflows overflow VBZ 19261 3739 24 into into IN 19261 3739 25 the the DT 19261 3739 26 larynx larynx NN 19261 3739 27 and and CC 19261 3739 28 incites incite VBZ 19261 3739 29 violent violent JJ 19261 3739 30 coughing coughing NN 19261 3739 31 . . . 19261 3740 1 Motor motor NN 19261 3740 2 paralysis paralysis NN 19261 3740 3 may may MD 19261 3740 4 affect affect VB 19261 3740 5 the the DT 19261 3740 6 constrictors constrictor NNS 19261 3740 7 or or CC 19261 3740 8 the the DT 19261 3740 9 esophageal esophageal JJ 19261 3740 10 muscular muscular JJ 19261 3740 11 fibers fiber NNS 19261 3740 12 or or CC 19261 3740 13 both both DT 19261 3740 14 . . . 19261 3741 1 _ _ NNP 19261 3741 2 Sensory sensory JJ 19261 3741 3 paralysis paralysis NN 19261 3741 4 of of IN 19261 3741 5 the the DT 19261 3741 6 esophagus esophagus NN 19261 3741 7 _ _ NNP 19261 3741 8 by by IN 19261 3741 9 breaking break VBG 19261 3741 10 the the DT 19261 3741 11 continuity continuity NN 19261 3741 12 of of IN 19261 3741 13 the the DT 19261 3741 14 reflex reflex NNP 19261 3741 15 arc arc NNP 19261 3741 16 , , , 19261 3741 17 may may MD 19261 3741 18 so so RB 19261 3741 19 impair impair VB 19261 3741 20 the the DT 19261 3741 21 peristaltic peristaltic JJ 19261 3741 22 movements movement NNS 19261 3741 23 as as IN 19261 3741 24 to to TO 19261 3741 25 produce produce VB 19261 3741 26 aphagia aphagia NN 19261 3741 27 . . . 19261 3742 1 The the DT 19261 3742 2 same same JJ 19261 3742 3 filling filling NN 19261 3742 4 of of IN 19261 3742 5 the the DT 19261 3742 6 pyriform pyriform NN 19261 3742 7 sinuses sinus NNS 19261 3742 8 will will MD 19261 3742 9 be be VB 19261 3742 10 noted note VBN 19261 3742 11 , , , 19261 3742 12 but but CC 19261 3742 13 as as IN 19261 3742 14 the the DT 19261 3742 15 larynx larynx NN 19261 3742 16 is be VBZ 19261 3742 17 usually usually RB 19261 3742 18 anesthetic anesthetic JJ 19261 3742 19 also also RB 19261 3742 20 , , , 19261 3742 21 it -PRON- PRP 19261 3742 22 may may MD 19261 3742 23 be be VB 19261 3742 24 that that IN 19261 3742 25 no no DT 19261 3742 26 cough cough NN 19261 3742 27 is be VBZ 19261 3742 28 produced produce VBN 19261 3742 29 when when WRB 19261 3742 30 secretions secretion NNS 19261 3742 31 overflow overflow VBP 19261 3742 32 into into IN 19261 3742 33 it -PRON- PRP 19261 3742 34 . . . 19261 3743 1 _ _ NNP 19261 3743 2 Etiology_.--1 Etiology_.--1 NNP 19261 3743 3 . . . 19261 3744 1 Toxic toxic JJ 19261 3744 2 paralysis paralysis NN 19261 3744 3 as as IN 19261 3744 4 in in IN 19261 3744 5 diphtheria diphtheria NN 19261 3744 6 . . . 19261 3745 1 2 2 LS 19261 3745 2 . . . 19261 3746 1 Functional functional JJ 19261 3746 2 paralysis paralysis NN 19261 3746 3 as as IN 19261 3746 4 in in IN 19261 3746 5 hysteria hysteria NN 19261 3746 6 . . . 19261 3747 1 3 3 LS 19261 3747 2 . . . 19261 3748 1 Peripheral peripheral JJ 19261 3748 2 paralysis paralysis NN 19261 3748 3 from from IN 19261 3748 4 neuritis neuritis NN 19261 3748 5 . . . 19261 3749 1 4 4 LS 19261 3749 2 . . . 19261 3750 1 Central central JJ 19261 3750 2 paralysis paralysis NN 19261 3750 3 , , , 19261 3750 4 usually usually RB 19261 3750 5 of of IN 19261 3750 6 bulbar bulbar NN 19261 3750 7 origin origin NN 19261 3750 8 . . . 19261 3751 1 Embolism embolism NN 19261 3751 2 or or CC 19261 3751 3 thrombosis thrombosis NN 19261 3751 4 of of IN 19261 3751 5 the the DT 19261 3751 6 posterior posterior JJ 19261 3751 7 cerebral cerebral JJ 19261 3751 8 artery artery NN 19261 3751 9 is be VBZ 19261 3751 10 a a DT 19261 3751 11 reported reported JJ 19261 3751 12 cause cause NN 19261 3751 13 in in IN 19261 3751 14 two two CD 19261 3751 15 cases case NNS 19261 3751 16 . . . 19261 3752 1 Lues Lues NNP 19261 3752 2 is be VBZ 19261 3752 3 always always RB 19261 3752 4 to to TO 19261 3752 5 be be VB 19261 3752 6 excluded exclude VBN 19261 3752 7 as as IN 19261 3752 8 the the DT 19261 3752 9 fundamental fundamental JJ 19261 3752 10 factor factor NN 19261 3752 11 in in IN 19261 3752 12 the the DT 19261 3752 13 groups group NNS 19261 3752 14 3 3 CD 19261 3752 15 and and CC 19261 3752 16 4 4 CD 19261 3752 17 . . . 19261 3753 1 Esophageal esophageal JJ 19261 3753 2 paralysis paralysis NN 19261 3753 3 is be VBZ 19261 3753 4 not not RB 19261 3753 5 uncommon uncommon JJ 19261 3753 6 in in IN 19261 3753 7 myasthenia myasthenia NN 19261 3753 8 gravis gravis NNP 19261 3753 9 . . . 19261 3754 1 _ _ NNP 19261 3754 2 Esophagoscopic Esophagoscopic NNP 19261 3754 3 findings finding NNS 19261 3754 4 _ _ NNP 19261 3754 5 are be VBP 19261 3754 6 those those DT 19261 3754 7 of of IN 19261 3754 8 absence absence NN 19261 3754 9 of of IN 19261 3754 10 the the DT 19261 3754 11 normal normal JJ 19261 3754 12 resistance resistance NN 19261 3754 13 at at IN 19261 3754 14 the the DT 19261 3754 15 cricopharyngeus cricopharyngeus NN 19261 3754 16 , , , 19261 3754 17 flaccidity flaccidity NN 19261 3754 18 and and CC 19261 3754 19 lack lack NN 19261 3754 20 of of IN 19261 3754 21 sensation sensation NN 19261 3754 22 of of IN 19261 3754 23 the the DT 19261 3754 24 esophageal esophageal JJ 19261 3754 25 walls wall NNS 19261 3754 26 , , , 19261 3754 27 and and CC 19261 3754 28 perhaps perhaps RB 19261 3754 29 adherence adherence NN 19261 3754 30 of of IN 19261 3754 31 particles particle NNS 19261 3754 32 of of IN 19261 3754 33 food food NN 19261 3754 34 to to IN 19261 3754 35 the the DT 19261 3754 36 folds fold NNS 19261 3754 37 . . . 19261 3755 1 The the DT 19261 3755 2 hiatal hiatal JJ 19261 3755 3 contraction contraction NN 19261 3755 4 is be VBZ 19261 3755 5 usually usually RB 19261 3755 6 that that WDT 19261 3755 7 normally normally RB 19261 3755 8 encountered encounter VBD 19261 3755 9 , , , 19261 3755 10 for for IN 19261 3755 11 this this DT 19261 3755 12 is be VBZ 19261 3755 13 accomplished accomplish VBN 19261 3755 14 by by IN 19261 3755 15 the the DT 19261 3755 16 diaphragmatic diaphragmatic JJ 19261 3755 17 musculature musculature NN 19261 3755 18 . . . 19261 3756 1 In in IN 19261 3756 2 paralysis paralysis NN 19261 3756 3 of of IN 19261 3756 4 sensation sensation NN 19261 3756 5 , , , 19261 3756 6 the the DT 19261 3756 7 reflexes reflex NNS 19261 3756 8 of of IN 19261 3756 9 coughing coughing NN 19261 3756 10 , , , 19261 3756 11 vomiturition vomiturition NN 19261 3756 12 and and CC 19261 3756 13 vomiting vomiting NN 19261 3756 14 are be VBP 19261 3756 15 obtunded obtunded JJ 19261 3756 16 . . . 19261 3757 1 _ _ NNP 19261 3757 2 Diagnosis_.--Hysteria Diagnosis_.--Hysteria NNS 19261 3757 3 must must MD 19261 3757 4 not not RB 19261 3757 5 be be VB 19261 3757 6 decided decide VBN 19261 3757 7 upon upon IN 19261 3757 8 as as IN 19261 3757 9 the the DT 19261 3757 10 cause cause NN 19261 3757 11 of of IN 19261 3757 12 dysphagia dysphagia NNP 19261 3757 13 , , , 19261 3757 14 until until IN 19261 3757 15 after after IN 19261 3757 16 esophagoscopy esophagoscopy NN 19261 3757 17 has have VBZ 19261 3757 18 eliminated eliminate VBN 19261 3757 19 paralysis paralysis NN 19261 3757 20 . . . 19261 3758 1 Dysphagia Dysphagia NNP 19261 3758 2 after after IN 19261 3758 3 recent recent JJ 19261 3758 4 diphtheria diphtheria NN 19261 3758 5 should should MD 19261 3758 6 suggest suggest VB 19261 3758 7 paralysis paralysis NN 19261 3758 8 of of IN 19261 3758 9 the the DT 19261 3758 10 esophagus esophagus NN 19261 3758 11 . . . 19261 3759 1 The the DT 19261 3759 2 larynx larynx NN 19261 3759 3 , , , 19261 3759 4 lips lip NNS 19261 3759 5 , , , 19261 3759 6 tongue tongue NN 19261 3759 7 , , , 19261 3759 8 and and CC 19261 3759 9 pharynx pharynx NNP 19261 3759 10 also also RB 19261 3759 11 , , , 19261 3759 12 are be VBP 19261 3759 13 usually usually RB 19261 3759 14 paralyzed paralyze VBN 19261 3759 15 in in IN 19261 3759 16 esophageal esophageal JJ 19261 3759 17 paralysis paralysis NN 19261 3759 18 of of IN 19261 3759 19 bulbar bulbar NN 19261 3759 20 origin origin NN 19261 3759 21 . . . 19261 3760 1 The the DT 19261 3760 2 absence absence NN 19261 3760 3 of of IN 19261 3760 4 the the DT 19261 3760 5 cricopharyngeal cricopharyngeal JJ 19261 3760 6 resistance resistance NN 19261 3760 7 to to IN 19261 3760 8 the the DT 19261 3760 9 esophagoscope esophagoscope NN 19261 3760 10 passed pass VBN 19261 3760 11 without without IN 19261 3760 12 anesthesia anesthesia NNP 19261 3760 13 , , , 19261 3760 14 general general JJ 19261 3760 15 or or CC 19261 3760 16 local local JJ 19261 3760 17 , , , 19261 3760 18 is be VBZ 19261 3760 19 diagnostic diagnostic JJ 19261 3760 20 . . . 19261 3761 1 _ _ NNP 19261 3761 2 Treatment_.--The Treatment_.--The NNP 19261 3761 3 internist internist NNP 19261 3761 4 and and CC 19261 3761 5 neurologist neurologist NN 19261 3761 6 should should MD 19261 3761 7 govern govern VB 19261 3761 8 the the DT 19261 3761 9 basic basic JJ 19261 3761 10 treatment treatment NN 19261 3761 11 . . . 19261 3762 1 Nutrition nutrition NN 19261 3762 2 can can MD 19261 3762 3 be be VB 19261 3762 4 maintained maintain VBN 19261 3762 5 by by IN 19261 3762 6 feeding feed VBG 19261 3762 7 with with IN 19261 3762 8 the the DT 19261 3762 9 stomach stomach NN 19261 3762 10 - - HYPH 19261 3762 11 tube tube NN 19261 3762 12 , , , 19261 3762 13 which which WDT 19261 3762 14 meets meet VBZ 19261 3762 15 no no DT 19261 3762 16 resistance resistance NN 19261 3762 17 to to IN 19261 3762 18 its -PRON- PRP$ 19261 3762 19 passage passage NN 19261 3762 20 . . . 19261 3763 1 Should Should MD 19261 3763 2 this this DT 19261 3763 3 be be VB 19261 3763 4 contraindicated contraindicate VBN 19261 3763 5 by by IN 19261 3763 6 ulceration ulceration NN 19261 3763 7 of of IN 19261 3763 8 the the DT 19261 3763 9 esophagus esophagus NNP 19261 3763 10 , , , 19261 3763 11 gastrostomy gastrostomy NNP 19261 3763 12 should should MD 19261 3763 13 be be VB 19261 3763 14 done do VBN 19261 3763 15 . . . 19261 3764 1 LUES lues NN 19261 3764 2 OF of IN 19261 3764 3 THE the DT 19261 3764 4 ESOPHAGUS ESOPHAGUS NNP 19261 3764 5 _ _ NNP 19261 3764 6 Esophageal Esophageal NNP 19261 3764 7 syphilis syphilis NNP 19261 3764 8 _ _ NNP 19261 3764 9 is be VBZ 19261 3764 10 a a DT 19261 3764 11 rather rather RB 19261 3764 12 rare rare JJ 19261 3764 13 affection affection NN 19261 3764 14 , , , 19261 3764 15 and and CC 19261 3764 16 may may MD 19261 3764 17 show show VB 19261 3764 18 itself -PRON- PRP 19261 3764 19 as as IN 19261 3764 20 a a DT 19261 3764 21 mucous mucous JJ 19261 3764 22 plaque plaque NN 19261 3764 23 , , , 19261 3764 24 a a DT 19261 3764 25 gumma gumma NN 19261 3764 26 , , , 19261 3764 27 an an DT 19261 3764 28 ulceration ulceration NN 19261 3764 29 , , , 19261 3764 30 or or CC 19261 3764 31 a a DT 19261 3764 32 cicatrix cicatrix NN 19261 3764 33 . . . 19261 3765 1 Cicatricial cicatricial JJ 19261 3765 2 stenosis stenosis NN 19261 3765 3 developing develop VBG 19261 3765 4 late late RB 19261 3765 5 in in IN 19261 3765 6 life life NN 19261 3765 7 without without IN 19261 3765 8 history history NN 19261 3765 9 of of IN 19261 3765 10 the the DT 19261 3765 11 swallowing swallowing NN 19261 3765 12 of of IN 19261 3765 13 escharotics escharotic NNS 19261 3765 14 or or CC 19261 3765 15 ulcerative ulcerative JJ 19261 3765 16 lesions lesion NNS 19261 3765 17 is be VBZ 19261 3765 18 strongly strongly RB 19261 3765 19 suggestive suggestive JJ 19261 3765 20 of of IN 19261 3765 21 syphilis syphilis NNP 19261 3765 22 , , , 19261 3765 23 though though IN 19261 3765 24 the the DT 19261 3765 25 late late JJ 19261 3765 26 manifestation manifestation NN 19261 3765 27 of of IN 19261 3765 28 a a DT 19261 3765 29 congenital congenital JJ 19261 3765 30 stenosis stenosis NN 19261 3765 31 is be VBZ 19261 3765 32 a a DT 19261 3765 33 possibility possibility NN 19261 3765 34 . . . 19261 3766 1 _ _ NNP 19261 3766 2 Esophagoscopic Esophagoscopic NNP 19261 3766 3 appearances appearance VBZ 19261 3766 4 _ _ NNP 19261 3766 5 of of IN 19261 3766 6 lues lue NNS 19261 3766 7 are be VBP 19261 3766 8 not not RB 19261 3766 9 always always RB 19261 3766 10 characteristic characteristic JJ 19261 3766 11 . . . 19261 3767 1 As as IN 19261 3767 2 in in IN 19261 3767 3 any any DT 19261 3767 4 ulcerative ulcerative JJ 19261 3767 5 lesion lesion NN 19261 3767 6 , , , 19261 3767 7 the the DT 19261 3767 8 inflammatory inflammatory JJ 19261 3767 9 changes change NNS 19261 3767 10 of of IN 19261 3767 11 mixed mixed JJ 19261 3767 12 infections infection NNS 19261 3767 13 mask mask VBP 19261 3767 14 the the DT 19261 3767 15 basic basic JJ 19261 3767 16 nature nature NN 19261 3767 17 . . . 19261 3768 1 The the DT 19261 3768 2 mucous mucous JJ 19261 3768 3 plaque plaque NN 19261 3768 4 has have VBZ 19261 3768 5 the the DT 19261 3768 6 same same JJ 19261 3768 7 appearance appearance NN 19261 3768 8 as as IN 19261 3768 9 one one CD 19261 3768 10 situated situate VBN 19261 3768 11 on on IN 19261 3768 12 the the DT 19261 3768 13 velum velum NN 19261 3768 14 , , , 19261 3768 15 and and CC 19261 3768 16 gummata gummata RB 19261 3768 17 resemble resemble VBP 19261 3768 18 those those DT 19261 3768 19 seen see VBN 19261 3768 20 in in IN 19261 3768 21 the the DT 19261 3768 22 mucosa mucosa NNS 19261 3768 23 elsewhere elsewhere RB 19261 3768 24 . . . 19261 3769 1 There there EX 19261 3769 2 is be VBZ 19261 3769 3 nothing nothing NN 19261 3769 4 characteristic characteristic JJ 19261 3769 5 in in IN 19261 3769 6 luetic luetic JJ 19261 3769 7 cicatrices cicatrix NNS 19261 3769 8 . . . 19261 3770 1 _ _ NNP 19261 3770 2 The the DT 19261 3770 3 diagnosis diagnosis NN 19261 3770 4 _ _ NNP 19261 3770 5 of of IN 19261 3770 6 luetic luetic JJ 19261 3770 7 lesions lesion NNS 19261 3770 8 of of IN 19261 3770 9 the the DT 19261 3770 10 esophagus esophagus NN 19261 3770 11 , , , 19261 3770 12 therefore therefore RB 19261 3770 13 , , , 19261 3770 14 depends depend VBZ 19261 3770 15 upon upon IN 19261 3770 16 the the DT 19261 3770 17 history history NN 19261 3770 18 , , , 19261 3770 19 presence presence NN 19261 3770 20 of of IN 19261 3770 21 luetic luetic JJ 19261 3770 22 lesions lesion NNS 19261 3770 23 elsewhere elsewhere RB 19261 3770 24 , , , 19261 3770 25 the the DT 19261 3770 26 serologic serologic JJ 19261 3770 27 reaction reaction NN 19261 3770 28 , , , 19261 3770 29 therapeutic therapeutic JJ 19261 3770 30 test test NN 19261 3770 31 , , , 19261 3770 32 examination examination NN 19261 3770 33 of of IN 19261 3770 34 tissue tissue NN 19261 3770 35 , , , 19261 3770 36 and and CC 19261 3770 37 the the DT 19261 3770 38 demonstration demonstration NN 19261 3770 39 of of IN 19261 3770 40 the the DT 19261 3770 41 treponema treponema JJ 19261 3770 42 pallidum pallidum NN 19261 3770 43 . . . 19261 3771 1 The the DT 19261 3771 2 therapeutic therapeutic JJ 19261 3771 3 test test NN 19261 3771 4 by by IN 19261 3771 5 prolonged prolonged JJ 19261 3771 6 saturation saturation NN 19261 3771 7 of of IN 19261 3771 8 the the DT 19261 3771 9 system system NN 19261 3771 10 with with IN 19261 3771 11 mercury mercury NN 19261 3771 12 is be VBZ 19261 3771 13 imperative imperative JJ 19261 3771 14 in in IN 19261 3771 15 all all DT 19261 3771 16 suspected suspect VBN 19261 3771 17 cases case NNS 19261 3771 18 and and CC 19261 3771 19 no no DT 19261 3771 20 other other JJ 19261 3771 21 negative negative JJ 19261 3771 22 result result NN 19261 3771 23 should should MD 19261 3771 24 be be VB 19261 3771 25 deemed deem VBN 19261 3771 26 sufficient sufficient JJ 19261 3771 27 . . . 19261 3772 1 _ _ NNP 19261 3772 2 The the DT 19261 3772 3 treatment treatment NN 19261 3772 4 _ _ XX 19261 3772 5 of of IN 19261 3772 6 luetic luetic JJ 19261 3772 7 esophagitis esophagitis NN 19261 3772 8 is be VBZ 19261 3772 9 systemic systemic JJ 19261 3772 10 , , , 19261 3772 11 not not RB 19261 3772 12 local local JJ 19261 3772 13 . . . 19261 3773 1 Luetic luetic JJ 19261 3773 2 cicatrices cicatrix NNS 19261 3773 3 contract contract VBP 19261 3773 4 strongly strongly RB 19261 3773 5 , , , 19261 3773 6 and and CC 19261 3773 7 are be VBP 19261 3773 8 very very RB 19261 3773 9 resistant resistant JJ 19261 3773 10 to to IN 19261 3773 11 treatment treatment NN 19261 3773 12 , , , 19261 3773 13 so so IN 19261 3773 14 that that IN 19261 3773 15 esophagoscopic esophagoscopic NN 19261 3773 16 bouginage bouginage NN 19261 3773 17 should should MD 19261 3773 18 be be VB 19261 3773 19 begun begin VBN 19261 3773 20 as as RB 19261 3773 21 early early RB 19261 3773 22 as as IN 19261 3773 23 possible possible JJ 19261 3773 24 after after IN 19261 3773 25 the the DT 19261 3773 26 healing healing NN 19261 3773 27 of of IN 19261 3773 28 a a DT 19261 3773 29 luetic luetic JJ 19261 3773 30 ulceration ulceration NN 19261 3773 31 , , , 19261 3773 32 in in IN 19261 3773 33 order order NN 19261 3773 34 to to TO 19261 3773 35 prevent prevent VB 19261 3773 36 stenosis stenosis NN 19261 3773 37 . . . 19261 3774 1 A a DT 19261 3774 2 silk silk NN 19261 3774 3 - - HYPH 19261 3774 4 woven weave VBN 19261 3774 5 endoscopic endoscopic NN 19261 3774 6 bougie bougie NN 19261 3774 7 placed place VBN 19261 3774 8 in in IN 19261 3774 9 position position NN 19261 3774 10 by by IN 19261 3774 11 ocular ocular NNP 19261 3774 12 guidance guidance NN 19261 3774 13 , , , 19261 3774 14 and and CC 19261 3774 15 left leave VBD 19261 3774 16 _ _ NNP 19261 3774 17 in in IN 19261 3774 18 situ situ VBN 19261 3774 19 _ _ NNP 19261 3774 20 for for IN 19261 3774 21 from from IN 19261 3774 22 half half NN 19261 3774 23 to to IN 19261 3774 24 one one CD 19261 3774 25 hour hour NN 19261 3774 26 daily daily RB 19261 3774 27 , , , 19261 3774 28 may may MD 19261 3774 29 prevent prevent VB 19261 3774 30 severe severe JJ 19261 3774 31 contraction contraction NN 19261 3774 32 , , , 19261 3774 33 if if IN 19261 3774 34 used use VBN 19261 3774 35 early early RB 19261 3774 36 in in IN 19261 3774 37 the the DT 19261 3774 38 stage stage NN 19261 3774 39 of of IN 19261 3774 40 cicatrization cicatrization NN 19261 3774 41 . . . 19261 3775 1 Prolonged prolonged JJ 19261 3775 2 treatment treatment NN 19261 3775 3 is be VBZ 19261 3775 4 required require VBN 19261 3775 5 for for IN 19261 3775 6 the the DT 19261 3775 7 cure cure NN 19261 3775 8 of of IN 19261 3775 9 established establish VBN 19261 3775 10 luetic luetic JJ 19261 3775 11 cicatricial cicatricial JJ 19261 3775 12 stenosis stenosis NN 19261 3775 13 . . . 19261 3776 1 If if IN 19261 3776 2 gastrostomy gastrostomy NNP 19261 3776 3 has have VBZ 19261 3776 4 been be VBN 19261 3776 5 done do VBN 19261 3776 6 retrograde retrograde NN 19261 3776 7 bouginage bouginage NN 19261 3776 8 ( ( -LRB- 19261 3776 9 Fig fig NN 19261 3776 10 . . . 19261 3777 1 35 35 CD 19261 3777 2 ) ) -RRB- 19261 3777 3 may may MD 19261 3777 4 be be VB 19261 3777 5 used use VBN 19261 3777 6 . . . 19261 3778 1 TUBERCULOSIS tuberculosis NN 19261 3778 2 OF of IN 19261 3778 3 THE the DT 19261 3778 4 ESOPHAGUS ESOPHAGUS NNP 19261 3778 5 _ _ NNP 19261 3778 6 Esophageal Esophageal NNP 19261 3778 7 tuberculosis tuberculosis NN 19261 3778 8 _ _ NNP 19261 3778 9 is be VBZ 19261 3778 10 not not RB 19261 3778 11 commonly commonly RB 19261 3778 12 met meet VBN 19261 3778 13 , , , 19261 3778 14 but but CC 19261 3778 15 is be VBZ 19261 3778 16 probably probably RB 19261 3778 17 not not RB 19261 3778 18 infrequently infrequently RB 19261 3778 19 associated associate VBN 19261 3778 20 with with IN 19261 3778 21 the the DT 19261 3778 22 dysphagia dysphagia NN 19261 3778 23 of of IN 19261 3778 24 tuberculous tuberculous JJ 19261 3778 25 laryngitis laryngitis NN 19261 3778 26 . . . 19261 3779 1 It -PRON- PRP 19261 3779 2 may may MD 19261 3779 3 rarely rarely RB 19261 3779 4 occur occur VB 19261 3779 5 as as IN 19261 3779 6 a a DT 19261 3779 7 primary primary JJ 19261 3779 8 infection infection NN 19261 3779 9 , , , 19261 3779 10 but but CC 19261 3779 11 usually usually RB 19261 3779 12 the the DT 19261 3779 13 esophagus esophagus NN 19261 3779 14 is be VBZ 19261 3779 15 involved involve VBN 19261 3779 16 in in IN 19261 3779 17 an an DT 19261 3779 18 extension extension NN 19261 3779 19 from from IN 19261 3779 20 a a DT 19261 3779 21 tuberculous tuberculous JJ 19261 3779 22 process process NN 19261 3779 23 in in IN 19261 3779 24 the the DT 19261 3779 25 larynx larynx NNP 19261 3779 26 , , , 19261 3779 27 mediastinal mediastinal NNP 19261 3779 28 lymphatics lymphatics NNP 19261 3779 29 , , , 19261 3779 30 pleura pleura NNP 19261 3779 31 , , , 19261 3779 32 bronchi bronchi NNP 19261 3779 33 , , , 19261 3779 34 or or CC 19261 3779 35 lungs lung NNS 19261 3779 36 . . . 19261 3780 1 Primary primary JJ 19261 3780 2 lesions lesion NNS 19261 3780 3 appear appear VBP 19261 3780 4 as as IN 19261 3780 5 superficial superficial JJ 19261 3780 6 erosions erosion NNS 19261 3780 7 or or CC 19261 3780 8 ulcerations ulceration NNS 19261 3780 9 , , , 19261 3780 10 with with IN 19261 3780 11 a a DT 19261 3780 12 surrounding surround VBG 19261 3780 13 yellowish yellowish JJ 19261 3780 14 granular granular JJ 19261 3780 15 zone zone NN 19261 3780 16 , , , 19261 3780 17 or or CC 19261 3780 18 the the DT 19261 3780 19 granules granule NNS 19261 3780 20 may may MD 19261 3780 21 alone alone RB 19261 3780 22 be be VB 19261 3780 23 present present JJ 19261 3780 24 . . . 19261 3781 1 The the DT 19261 3781 2 mucosa mucosa NNS 19261 3781 3 in in IN 19261 3781 4 tuberculous tuberculous JJ 19261 3781 5 lesions lesion NNS 19261 3781 6 is be VBZ 19261 3781 7 usually usually RB 19261 3781 8 pallid pallid JJ 19261 3781 9 , , , 19261 3781 10 the the DT 19261 3781 11 absence absence NN 19261 3781 12 of of IN 19261 3781 13 vascularity vascularity NN 19261 3781 14 being be VBG 19261 3781 15 marked mark VBN 19261 3781 16 . . . 19261 3782 1 Invasion invasion NN 19261 3782 2 from from IN 19261 3782 3 the the DT 19261 3782 4 periesophageal periesophageal JJ 19261 3782 5 organs organ NNS 19261 3782 6 produces produce VBZ 19261 3782 7 more more RBR 19261 3782 8 or or CC 19261 3782 9 less less RBR 19261 3782 10 localized localized JJ 19261 3782 11 compression compression NN 19261 3782 12 and and CC 19261 3782 13 fixation fixation NN 19261 3782 14 of of IN 19261 3782 15 the the DT 19261 3782 16 esophagus esophagus NN 19261 3782 17 . . . 19261 3783 1 The the DT 19261 3783 2 character character NN 19261 3783 3 of of IN 19261 3783 4 open open JJ 19261 3783 5 ulceration ulceration NN 19261 3783 6 is be VBZ 19261 3783 7 modified modify VBN 19261 3783 8 by by IN 19261 3783 9 the the DT 19261 3783 10 mixed mixed JJ 19261 3783 11 infections infection NNS 19261 3783 12 . . . 19261 3784 1 Healed heal VBN 19261 3784 2 tuberculous tuberculous JJ 19261 3784 3 lesions lesion NNS 19261 3784 4 , , , 19261 3784 5 sometimes sometimes RB 19261 3784 6 resulting result VBG 19261 3784 7 from from IN 19261 3784 8 the the DT 19261 3784 9 evacuation evacuation NN 19261 3784 10 of of IN 19261 3784 11 tuberculous tuberculous JJ 19261 3784 12 mediastinal mediastinal JJ 19261 3784 13 lymph lymph NN 19261 3784 14 nodes node NNS 19261 3784 15 into into IN 19261 3784 16 the the DT 19261 3784 17 esophagus esophagus NN 19261 3784 18 may may MD 19261 3784 19 be be VB 19261 3784 20 encountered encounter VBN 19261 3784 21 . . . 19261 3785 1 The the DT 19261 3785 2 local local JJ 19261 3785 3 fixation fixation NN 19261 3785 4 and and CC 19261 3785 5 cicatricial cicatricial JJ 19261 3785 6 contraction contraction NN 19261 3785 7 may may MD 19261 3785 8 be be VB 19261 3785 9 the the DT 19261 3785 10 site site NN 19261 3785 11 of of IN 19261 3785 12 a a DT 19261 3785 13 traction traction NN 19261 3785 14 diverticulum diverticulum NN 19261 3785 15 . . . 19261 3786 1 Tuberculous tuberculous JJ 19261 3786 2 esophago esophago JJ 19261 3786 3 - - HYPH 19261 3786 4 bronchial bronchial JJ 19261 3786 5 fistulae fistula NNS 19261 3786 6 are be VBP 19261 3786 7 occasionally occasionally RB 19261 3786 8 seen see VBN 19261 3786 9 . . . 19261 3787 1 _ _ NNP 19261 3787 2 Diagnosis Diagnosis NNP 19261 3787 3 _ _ NNP 19261 3787 4 , , , 19261 3787 5 to to TO 19261 3787 6 be be VB 19261 3787 7 certain certain JJ 19261 3787 8 , , , 19261 3787 9 requires require VBZ 19261 3787 10 the the DT 19261 3787 11 demonstration demonstration NN 19261 3787 12 of of IN 19261 3787 13 the the DT 19261 3787 14 tubercule tubercule NN 19261 3787 15 bacilli bacilli NNP 19261 3787 16 and and CC 19261 3787 17 the the DT 19261 3787 18 characteristic characteristic JJ 19261 3787 19 cell cell NN 19261 3787 20 accumulation accumulation NN 19261 3787 21 of of IN 19261 3787 22 the the DT 19261 3787 23 tubercle tubercle NN 19261 3787 24 in in IN 19261 3787 25 a a DT 19261 3787 26 specimen speciman NNS 19261 3787 27 of of IN 19261 3787 28 tissue tissue NN 19261 3787 29 removed remove VBN 19261 3787 30 from from IN 19261 3787 31 the the DT 19261 3787 32 lesion lesion NN 19261 3787 33 . . . 19261 3788 1 Actinomycosis actinomycosis NN 19261 3788 2 must must MD 19261 3788 3 be be VB 19261 3788 4 excluded exclude VBN 19261 3788 5 , , , 19261 3788 6 and and CC 19261 3788 7 the the DT 19261 3788 8 possibility possibility NN 19261 3788 9 of of IN 19261 3788 10 mixed mix VBN 19261 3788 11 luetic luetic JJ 19261 3788 12 and and CC 19261 3788 13 tuberculous tuberculous JJ 19261 3788 14 lesions lesion NNS 19261 3788 15 is be VBZ 19261 3788 16 to to TO 19261 3788 17 be be VB 19261 3788 18 kept keep VBN 19261 3788 19 in in IN 19261 3788 20 mind mind NN 19261 3788 21 . . . 19261 3789 1 Post post JJ 19261 3789 2 - - JJ 19261 3789 3 tuberculous tuberculous JJ 19261 3789 4 cicatrices cicatrix NNS 19261 3789 5 have have VBP 19261 3789 6 no no DT 19261 3789 7 recognizable recognizable JJ 19261 3789 8 characteristics characteristic NNS 19261 3789 9 . . . 19261 3790 1 _ _ NNP 19261 3790 2 Treatment_.--The Treatment_.--The NNP 19261 3790 3 maintenance maintenance NN 19261 3790 4 of of IN 19261 3790 5 nutrition nutrition NN 19261 3790 6 to to IN 19261 3790 7 the the DT 19261 3790 8 highest high JJS 19261 3790 9 degree degree NN 19261 3790 10 , , , 19261 3790 11 and and CC 19261 3790 12 the the DT 19261 3790 13 institution institution NN 19261 3790 14 of of IN 19261 3790 15 a a DT 19261 3790 16 strict strict JJ 19261 3790 17 antituberculous antituberculous JJ 19261 3790 18 regime regime NN 19261 3790 19 are be VBP 19261 3790 20 demanded demand VBN 19261 3790 21 . . . 19261 3791 1 Local local JJ 19261 3791 2 applications application NNS 19261 3791 3 are be VBP 19261 3791 4 of of IN 19261 3791 5 no no DT 19261 3791 6 avail avail NN 19261 3791 7 . . . 19261 3792 1 Gastrostomy Gastrostomy NNP 19261 3792 2 for for IN 19261 3792 3 feeding feeding NN 19261 3792 4 should should MD 19261 3792 5 be be VB 19261 3792 6 done do VBN 19261 3792 7 if if IN 19261 3792 8 dysphagia dysphagia NN 19261 3792 9 be be VB 19261 3792 10 severe severe JJ 19261 3792 11 , , , 19261 3792 12 and and CC 19261 3792 13 has have VBZ 19261 3792 14 the the DT 19261 3792 15 advantage advantage NN 19261 3792 16 of of IN 19261 3792 17 putting put VBG 19261 3792 18 the the DT 19261 3792 19 esophagus esophagus NN 19261 3792 20 at at IN 19261 3792 21 rest rest NN 19261 3792 22 . . . 19261 3793 1 The the DT 19261 3793 2 passage passage NN 19261 3793 3 of of IN 19261 3793 4 a a DT 19261 3793 5 stomach stomach NN 19261 3793 6 - - HYPH 19261 3793 7 tube tube NN 19261 3793 8 for for IN 19261 3793 9 feeding feeding NN 19261 3793 10 purposes purpose NNS 19261 3793 11 may may MD 19261 3793 12 be be VB 19261 3793 13 done do VBN 19261 3793 14 , , , 19261 3793 15 but but CC 19261 3793 16 it -PRON- PRP 19261 3793 17 is be VBZ 19261 3793 18 often often RB 19261 3793 19 painful painful JJ 19261 3793 20 , , , 19261 3793 21 and and CC 19261 3793 22 is be VBZ 19261 3793 23 dangerous dangerous JJ 19261 3793 24 in in IN 19261 3793 25 the the DT 19261 3793 26 presence presence NN 19261 3793 27 of of IN 19261 3793 28 ulceration ulceration NN 19261 3793 29 . . . 19261 3794 1 Pain pain NN 19261 3794 2 is be VBZ 19261 3794 3 not not RB 19261 3794 4 marked mark VBN 19261 3794 5 if if IN 19261 3794 6 the the DT 19261 3794 7 lesion lesion NN 19261 3794 8 be be VB 19261 3794 9 limited limit VBN 19261 3794 10 to to IN 19261 3794 11 the the DT 19261 3794 12 esophagus esophagus NN 19261 3794 13 , , , 19261 3794 14 though though IN 19261 3794 15 if if IN 19261 3794 16 it -PRON- PRP 19261 3794 17 is be VBZ 19261 3794 18 present present JJ 19261 3794 19 orthoform orthoform NN 19261 3794 20 , , , 19261 3794 21 anesthesin anesthesin VB 19261 3794 22 , , , 19261 3794 23 or or CC 19261 3794 24 apothesin apothesin NN 19261 3794 25 , , , 19261 3794 26 in in IN 19261 3794 27 powder powder NN 19261 3794 28 form form NN 19261 3794 29 , , , 19261 3794 30 swallowed swallow VBD 19261 3794 31 dry dry JJ 19261 3794 32 , , , 19261 3794 33 may may MD 19261 3794 34 prove prove VB 19261 3794 35 helpful helpful JJ 19261 3794 36 . . . 19261 3795 1 VARIX VARIX NNP 19261 3795 2 AND and CC 19261 3795 3 ANGIOMA angioma NN 19261 3795 4 OF of IN 19261 3795 5 THE the DT 19261 3795 6 ESOPHAGUS esophagus NN 19261 3795 7 These these DT 19261 3795 8 lesions lesion NNS 19261 3795 9 are be VBP 19261 3795 10 sometimes sometimes RB 19261 3795 11 the the DT 19261 3795 12 cause cause NN 19261 3795 13 of of IN 19261 3795 14 esophageal esophageal JJ 19261 3795 15 hemorrhage hemorrhage NN 19261 3795 16 , , , 19261 3795 17 the the DT 19261 3795 18 regurgitated regurgitated JJ 19261 3795 19 blood blood NN 19261 3795 20 being be VBG 19261 3795 21 bright bright JJ 19261 3795 22 red red JJ 19261 3795 23 , , , 19261 3795 24 and and CC 19261 3795 25 alkaline alkaline VB 19261 3795 26 in in IN 19261 3795 27 reaction reaction NN 19261 3795 28 , , , 19261 3795 29 in in IN 19261 3795 30 contradistinction contradistinction NN 19261 3795 31 to to IN 19261 3795 32 the the DT 19261 3795 33 acid acid NN 19261 3795 34 " " `` 19261 3795 35 coffee coffee NN 19261 3795 36 ground ground NN 19261 3795 37 " " '' 19261 3795 38 blood blood NN 19261 3795 39 of of IN 19261 3795 40 gastric gastric JJ 19261 3795 41 origin origin NN 19261 3795 42 . . . 19261 3796 1 Esophageal esophageal JJ 19261 3796 2 varices varix NNS 19261 3796 3 may may MD 19261 3796 4 coexist coexist VB 19261 3796 5 with with IN 19261 3796 6 the the DT 19261 3796 7 common common JJ 19261 3796 8 dilatation dilatation NN 19261 3796 9 of of IN 19261 3796 10 the the DT 19261 3796 11 venous venous JJ 19261 3796 12 system system NN 19261 3796 13 in in IN 19261 3796 14 which which WDT 19261 3796 15 the the DT 19261 3796 16 veins vein NNS 19261 3796 17 of of IN 19261 3796 18 the the DT 19261 3796 19 rectum rectum NN 19261 3796 20 , , , 19261 3796 21 scrotum scrotum NN 19261 3796 22 , , , 19261 3796 23 and and CC 19261 3796 24 legs leg NNS 19261 3796 25 are be VBP 19261 3796 26 most most RBS 19261 3796 27 conspicuously conspicuously RB 19261 3796 28 affected affected JJ 19261 3796 29 . . . 19261 3797 1 Cirrhosis cirrhosis NN 19261 3797 2 and and CC 19261 3797 3 cancer cancer NN 19261 3797 4 of of IN 19261 3797 5 the the DT 19261 3797 6 liver liver NN 19261 3797 7 may may MD 19261 3797 8 , , , 19261 3797 9 by by IN 19261 3797 10 interference interference NN 19261 3797 11 with with IN 19261 3797 12 the the DT 19261 3797 13 portal portal JJ 19261 3797 14 circulation circulation NN 19261 3797 15 , , , 19261 3797 16 produce produce VB 19261 3797 17 dilatation dilatation NN 19261 3797 18 of of IN 19261 3797 19 the the DT 19261 3797 20 veins vein NNS 19261 3797 21 in in IN 19261 3797 22 the the DT 19261 3797 23 lower low JJR 19261 3797 24 third third JJ 19261 3797 25 of of IN 19261 3797 26 the the DT 19261 3797 27 esophagus esophagus NN 19261 3797 28 . . . 19261 3798 1 Angioma Angioma NNP 19261 3798 2 of of IN 19261 3798 3 the the DT 19261 3798 4 esophagus esophagus NN 19261 3798 5 is be VBZ 19261 3798 6 amenable amenable JJ 19261 3798 7 to to IN 19261 3798 8 radium radium NN 19261 3798 9 treatment treatment NN 19261 3798 10 . . . 19261 3799 1 ACTINOMYCOSIS actinomycosis IN 19261 3799 2 OF of IN 19261 3799 3 THE the DT 19261 3799 4 ESOPHAGUS ESOPHAGUS NNP 19261 3799 5 _ _ NNP 19261 3799 6 Esophageal Esophageal NNP 19261 3799 7 actinomycosis actinomycosis NN 19261 3799 8 _ _ NNP 19261 3799 9 has have VBZ 19261 3799 10 been be VBN 19261 3799 11 autoptically autoptically RB 19261 3799 12 discovered discover VBN 19261 3799 13 . . . 19261 3800 1 Its -PRON- PRP$ 19261 3800 2 diagnosis diagnosis NN 19261 3800 3 , , , 19261 3800 4 and and CC 19261 3800 5 differentiation differentiation NN 19261 3800 6 from from IN 19261 3800 7 tuberculosis tuberculosis NN 19261 3800 8 , , , 19261 3800 9 would would MD 19261 3800 10 probably probably RB 19261 3800 11 rest rest VB 19261 3800 12 upon upon IN 19261 3800 13 the the DT 19261 3800 14 microscopic microscopic JJ 19261 3800 15 study study NN 19261 3800 16 of of IN 19261 3800 17 tissue tissue NN 19261 3800 18 removed remove VBN 19261 3800 19 esophagoscopically esophagoscopically RB 19261 3800 20 , , , 19261 3800 21 though though IN 19261 3800 22 as as IN 19261 3800 23 yet yet RB 19261 3800 24 no no DT 19261 3800 25 such such JJ 19261 3800 26 case case NN 19261 3800 27 has have VBZ 19261 3800 28 been be VBN 19261 3800 29 reported report VBN 19261 3800 30 . . . 19261 3801 1 ANGIONEUROTIC ANGIONEUROTIC NNP 19261 3801 2 EDEMA EDEMA NNP 19261 3801 3 _ _ NNP 19261 3801 4 Angioneurotic Angioneurotic NNP 19261 3801 5 edema edema NN 19261 3801 6 _ _ NNP 19261 3801 7 involving involve VBG 19261 3801 8 the the DT 19261 3801 9 esophagus esophagus NN 19261 3801 10 , , , 19261 3801 11 may may MD 19261 3801 12 produce produce VB 19261 3801 13 intermittent intermittent JJ 19261 3801 14 and and CC 19261 3801 15 transient transient JJ 19261 3801 16 dysphagia dysphagia NN 19261 3801 17 . . . 19261 3802 1 The the DT 19261 3802 2 lesions lesion NNS 19261 3802 3 are be VBP 19261 3802 4 rarely rarely RB 19261 3802 5 limited limited JJ 19261 3802 6 to to IN 19261 3802 7 the the DT 19261 3802 8 esophagus esophagus NN 19261 3802 9 alone alone RB 19261 3802 10 ; ; : 19261 3802 11 they -PRON- PRP 19261 3802 12 may may MD 19261 3802 13 occur occur VB 19261 3802 14 in in IN 19261 3802 15 any any DT 19261 3802 16 portion portion NN 19261 3802 17 of of IN 19261 3802 18 the the DT 19261 3802 19 gastrointestinal gastrointestinal JJ 19261 3802 20 , , , 19261 3802 21 genitourinary genitourinary JJ 19261 3802 22 , , , 19261 3802 23 or or CC 19261 3802 24 respiratory respiratory JJ 19261 3802 25 tracts tract NNS 19261 3802 26 , , , 19261 3802 27 and and CC 19261 3802 28 concomitant concomitant JJ 19261 3802 29 cutaneous cutaneous JJ 19261 3802 30 manifestations manifestation NNS 19261 3802 31 usually usually RB 19261 3802 32 render render VBP 19261 3802 33 the the DT 19261 3802 34 diagnosis diagnosis NN 19261 3802 35 clear clear JJ 19261 3802 36 . . . 19261 3803 1 The the DT 19261 3803 2 treatment treatment NN 19261 3803 3 is be VBZ 19261 3803 4 general general JJ 19261 3803 5 . . . 19261 3804 1 DEVIATION deviation NN 19261 3804 2 OF of IN 19261 3804 3 THE the DT 19261 3804 4 ESOPHAGUS ESOPHAGUS NNP 19261 3804 5 _ _ NNP 19261 3804 6 Deviation Deviation NNP 19261 3804 7 of of IN 19261 3804 8 the the DT 19261 3804 9 esophagus esophagus NN 19261 3804 10 _ _ NNP 19261 3804 11 may may MD 19261 3804 12 be be VB 19261 3804 13 marked mark VBN 19261 3804 14 in in IN 19261 3804 15 the the DT 19261 3804 16 presence presence NN 19261 3804 17 of of IN 19261 3804 18 a a DT 19261 3804 19 deformed deform VBN 19261 3804 20 vertebral vertebral JJ 19261 3804 21 column column NN 19261 3804 22 , , , 19261 3804 23 though though IN 19261 3804 24 dysphagia dysphagia NNP 19261 3804 25 is be VBZ 19261 3804 26 a a DT 19261 3804 27 very very RB 19261 3804 28 uncommon uncommon JJ 19261 3804 29 symptom symptom NN 19261 3804 30 . . . 19261 3805 1 The the DT 19261 3805 2 lack lack NN 19261 3805 3 of of IN 19261 3805 4 esophageal esophageal JJ 19261 3805 5 symptoms symptom NNS 19261 3805 6 in in IN 19261 3805 7 deviation deviation NN 19261 3805 8 of of IN 19261 3805 9 spinal spinal JJ 19261 3805 10 production production NN 19261 3805 11 is be VBZ 19261 3805 12 probably probably RB 19261 3805 13 explained explain VBN 19261 3805 14 by by IN 19261 3805 15 the the DT 19261 3805 16 longitudinal longitudinal JJ 19261 3805 17 shortening shortening NN 19261 3805 18 of of IN 19261 3805 19 the the DT 19261 3805 20 spine spine NN 19261 3805 21 which which WDT 19261 3805 22 accompanies accompany VBZ 19261 3805 23 the the DT 19261 3805 24 deflection deflection NN 19261 3805 25 . . . 19261 3806 1 Compression compression NN 19261 3806 2 stenosis stenosis NN 19261 3806 3 of of IN 19261 3806 4 the the DT 19261 3806 5 esophagus esophagus NN 19261 3806 6 is be VBZ 19261 3806 7 commonly commonly RB 19261 3806 8 associated associate VBN 19261 3806 9 with with IN 19261 3806 10 deviations deviation NNS 19261 3806 11 produced produce VBN 19261 3806 12 by by IN 19261 3806 13 a a DT 19261 3806 14 thoracic thoracic NNP 19261 3806 15 mass mass NN 19261 3806 16 . . . 19261 3807 1 [ [ -LRB- 19261 3807 2 PLATE PLATE NNP 19261 3807 3 IV IV NNP 19261 3807 4 A A NNP 19261 3807 5 , , , 19261 3807 6 Gastroscopic gastroscopic JJ 19261 3807 7 view view NN 19261 3807 8 of of IN 19261 3807 9 a a DT 19261 3807 10 gastrojejunostomy gastrojejunostomy NN 19261 3807 11 opening opening NN 19261 3807 12 drawn draw VBN 19261 3807 13 patulous patulous JJ 19261 3807 14 by by IN 19261 3807 15 the the DT 19261 3807 16 tube tube NN 19261 3807 17 mouth mouth NN 19261 3807 18 . . . 19261 3808 1 ( ( -LRB- 19261 3808 2 Gastrojejunostomy Gastrojejunostomy NNP 19261 3808 3 done do VBN 19261 3808 4 by by IN 19261 3808 5 Dr. Dr. NNP 19261 3808 6 George George NNP 19261 3808 7 L. L. NNP 19261 3809 1 Hays Hays NNP 19261 3809 2 . . . 19261 3809 3 ) ) -RRB- 19261 3810 1 B B NNP 19261 3810 2 , , , 19261 3810 3 Carcinoma Carcinoma NNP 19261 3810 4 of of IN 19261 3810 5 the the DT 19261 3810 6 lesser less JJR 19261 3810 7 curvature curvature NN 19261 3810 8 . . . 19261 3811 1 ( ( -LRB- 19261 3811 2 Patient patient RB 19261 3811 3 afterward afterward RB 19261 3811 4 surgically surgically RB 19261 3811 5 explored explore VBN 19261 3811 6 and and CC 19261 3811 7 diagnosis diagnosis NN 19261 3811 8 verified verify VBN 19261 3811 9 by by IN 19261 3811 10 Dr. Dr. NNP 19261 3811 11 John John NNP 19261 3811 12 J. J. NNP 19261 3812 1 Buchanan Buchanan NNP 19261 3812 2 . . . 19261 3812 3 ) ) -RRB- 19261 3813 1 C C NNP 19261 3813 2 , , , 19261 3813 3 Healed Healed NNP 19261 3813 4 perforated perforate VBD 19261 3813 5 ulcer ulcer NN 19261 3813 6 . . . 19261 3814 1 ( ( -LRB- 19261 3814 2 Patient patient RB 19261 3814 3 referred refer VBN 19261 3814 4 by by IN 19261 3814 5 Dr. Dr. NNP 19261 3814 6 John John NNP 19261 3814 7 W. W. NNP 19261 3815 1 Boyce Boyce NNP 19261 3815 2 . . . 19261 3815 3 ) ) -RRB- 19261 3816 1 Drawn draw VBN 19261 3816 2 from from IN 19261 3816 3 a a DT 19261 3816 4 case case NN 19261 3816 5 of of IN 19261 3816 6 postdiphtheric postdiphtheric JJ 19261 3816 7 subglottic subglottic JJ 19261 3816 8 stenosis stenosis NN 19261 3816 9 cured cure VBN 19261 3816 10 by by IN 19261 3816 11 the the DT 19261 3816 12 author author NN 19261 3816 13 's 's POS 19261 3816 14 method method NN 19261 3816 15 of of IN 19261 3816 16 direct direct JJ 19261 3816 17 galvanocauterization galvanocauterization NN 19261 3816 18 of of IN 19261 3816 19 the the DT 19261 3816 20 hypertrophies hypertrophy NNS 19261 3816 21 . . . 19261 3817 1 A a DT 19261 3817 2 , , , 19261 3817 3 Immediately immediately RB 19261 3817 4 after after IN 19261 3817 5 removal removal NN 19261 3817 6 of of IN 19261 3817 7 the the DT 19261 3817 8 intubation intubation NN 19261 3817 9 tube tube NN 19261 3817 10 ; ; : 19261 3817 11 hypertrophies hypertrophy NNS 19261 3817 12 like like IN 19261 3817 13 turbinals turbinal NNS 19261 3817 14 are be VBP 19261 3817 15 seen see VBN 19261 3817 16 projecting project VBG 19261 3817 17 into into IN 19261 3817 18 the the DT 19261 3817 19 subglottic subglottic JJ 19261 3817 20 lumen luman NNS 19261 3817 21 . . . 19261 3818 1 B b UH 19261 3818 2 , , , 19261 3818 3 Five five CD 19261 3818 4 minutes minute NNS 19261 3818 5 later later RB 19261 3818 6 ; ; : 19261 3818 7 the the DT 19261 3818 8 masses masse NNS 19261 3818 9 have have VBP 19261 3818 10 now now RB 19261 3818 11 closed close VBN 19261 3818 12 the the DT 19261 3818 13 lumen luman NNS 19261 3818 14 almost almost RB 19261 3818 15 completely completely RB 19261 3818 16 . . . 19261 3819 1 The the DT 19261 3819 2 patient patient NN 19261 3819 3 became become VBD 19261 3819 4 so so RB 19261 3819 5 cyanotic cyanotic JJ 19261 3819 6 that that IN 19261 3819 7 a a DT 19261 3819 8 bronchoscope bronchoscope NN 19261 3819 9 was be VBD 19261 3819 10 at at IN 19261 3819 11 once once RB 19261 3819 12 introduced introduce VBN 19261 3819 13 to to TO 19261 3819 14 prevent prevent VB 19261 3819 15 asphyxia asphyxia NN 19261 3819 16 . . . 19261 3820 1 C C NNP 19261 3820 2 , , , 19261 3820 3 The the DT 19261 3820 4 left left JJ 19261 3820 5 mass mass NN 19261 3820 6 has have VBZ 19261 3820 7 been be VBN 19261 3820 8 cauterized cauterize VBN 19261 3820 9 by by IN 19261 3820 10 a a DT 19261 3820 11 vertical vertical JJ 19261 3820 12 application application NN 19261 3820 13 of of IN 19261 3820 14 the the DT 19261 3820 15 incandescent incandescent NN 19261 3820 16 knife knife NN 19261 3820 17 . . . 19261 3821 1 D D NNP 19261 3821 2 , , , 19261 3821 3 Completely completely RB 19261 3821 4 and and CC 19261 3821 5 permanently permanently RB 19261 3821 6 cured cure VBN 19261 3821 7 after after IN 19261 3821 8 repeated repeat VBN 19261 3821 9 cauterizations cauterization NNS 19261 3821 10 . . . 19261 3822 1 Direct direct JJ 19261 3822 2 view view NN 19261 3822 3 ; ; : 19261 3822 4 recumbent recumbent JJ 19261 3822 5 patient patient NN 19261 3822 6 . . . 19261 3823 1 PHOTOPROCESS photoprocess NN 19261 3823 2 REPRODUCTIONS reproduction NNS 19261 3823 3 OF of IN 19261 3823 4 THE the DT 19261 3823 5 AUTHOR AUTHOR NNP 19261 3823 6 'S 's POS 19261 3823 7 OIL OIL NNP 19261 3823 8 - - HYPH 19261 3823 9 COLOR color NN 19261 3823 10 DRAWINGS DRAWINGS NNP 19261 3823 11 FROM from IN 19261 3823 12 LIFE life NN 19261 3823 13 ] ] -RRB- 19261 3823 14 [ [ -LRB- 19261 3823 15 273 273 CD 19261 3823 16 ] ] -RRB- 19261 3823 17 CHAPTER chapter NN 19261 3823 18 XXXV XXXV NNP 19261 3823 19 -- -- : 19261 3823 20 GASTROSCOPY GASTROSCOPY NNP 19261 3823 21 The the DT 19261 3823 22 stomach stomach NN 19261 3823 23 of of IN 19261 3823 24 any any DT 19261 3823 25 individual individual NN 19261 3823 26 having have VBG 19261 3823 27 a a DT 19261 3823 28 normal normal JJ 19261 3823 29 esophagus esophagus JJ 19261 3823 30 and and CC 19261 3823 31 normal normal JJ 19261 3823 32 spine spine NN 19261 3823 33 can can MD 19261 3823 34 be be VB 19261 3823 35 explored explore VBN 19261 3823 36 with with IN 19261 3823 37 an an DT 19261 3823 38 open open JJ 19261 3823 39 - - HYPH 19261 3823 40 tube tube NN 19261 3823 41 gastroscope gastroscope NN 19261 3823 42 . . . 19261 3824 1 The the DT 19261 3824 2 adult adult NN 19261 3824 3 size size NN 19261 3824 4 esophagoscope esophagoscope NN 19261 3824 5 being be VBG 19261 3824 6 53 53 CD 19261 3824 7 cm cm NNS 19261 3824 8 . . . 19261 3825 1 long long RB 19261 3825 2 will will MD 19261 3825 3 reach reach VB 19261 3825 4 the the DT 19261 3825 5 stomach stomach NN 19261 3825 6 of of IN 19261 3825 7 the the DT 19261 3825 8 average average JJ 19261 3825 9 individual individual NN 19261 3825 10 . . . 19261 3826 1 Longer long JJR 19261 3826 2 gastroscopes gastroscope NNS 19261 3826 3 are be VBP 19261 3826 4 used use VBN 19261 3826 5 , , , 19261 3826 6 when when WRB 19261 3826 7 necessary necessary JJ 19261 3826 8 , , , 19261 3826 9 to to TO 19261 3826 10 explore explore VB 19261 3826 11 a a DT 19261 3826 12 ptosed ptosed JJ 19261 3826 13 stomach stomach NN 19261 3826 14 . . . 19261 3827 1 Various various JJ 19261 3827 2 lens lens NN 19261 3827 3 - - HYPH 19261 3827 4 system system NN 19261 3827 5 gastroscopes gastroscope NNS 19261 3827 6 have have VBP 19261 3827 7 been be VBN 19261 3827 8 devised devise VBN 19261 3827 9 , , , 19261 3827 10 which which WDT 19261 3827 11 afford afford VBP 19261 3827 12 an an DT 19261 3827 13 excellent excellent JJ 19261 3827 14 view view NN 19261 3827 15 of of IN 19261 3827 16 the the DT 19261 3827 17 walls wall NNS 19261 3827 18 of of IN 19261 3827 19 the the DT 19261 3827 20 air air NN 19261 3827 21 - - HYPH 19261 3827 22 inflated inflate VBN 19261 3827 23 stomach stomach NN 19261 3827 24 . . . 19261 3828 1 The the DT 19261 3828 2 optical optical JJ 19261 3828 3 system system NN 19261 3828 4 , , , 19261 3828 5 however however RB 19261 3828 6 , , , 19261 3828 7 interferes interfere VBZ 19261 3828 8 with with IN 19261 3828 9 the the DT 19261 3828 10 insertion insertion NN 19261 3828 11 of of IN 19261 3828 12 instruments instrument NNS 19261 3828 13 , , , 19261 3828 14 so so IN 19261 3828 15 that that IN 19261 3828 16 the the DT 19261 3828 17 open open JJ 19261 3828 18 - - HYPH 19261 3828 19 tube tube NN 19261 3828 20 gastroscope gastroscope NN 19261 3828 21 is be VBZ 19261 3828 22 required require VBN 19261 3828 23 for for IN 19261 3828 24 the the DT 19261 3828 25 removal removal NN 19261 3828 26 of of IN 19261 3828 27 gastric gastric JJ 19261 3828 28 foreign foreign JJ 19261 3828 29 bodies body NNS 19261 3828 30 , , , 19261 3828 31 the the DT 19261 3828 32 palpation palpation NN 19261 3828 33 of of IN 19261 3828 34 , , , 19261 3828 35 or or CC 19261 3828 36 sponging sponge VBG 19261 3828 37 secretions secretion NNS 19261 3828 38 from from IN 19261 3828 39 , , , 19261 3828 40 gastric gastric JJ 19261 3828 41 lesions lesion NNS 19261 3828 42 . . . 19261 3829 1 The the DT 19261 3829 2 open open JJ 19261 3829 3 - - HYPH 19261 3829 4 tube tube NN 19261 3829 5 gastroscope gastroscope NN 19261 3829 6 may may MD 19261 3829 7 be be VB 19261 3829 8 closed close VBN 19261 3829 9 with with IN 19261 3829 10 a a DT 19261 3829 11 window window NN 19261 3829 12 plug plug NN 19261 3829 13 ( ( -LRB- 19261 3829 14 Fig fig NN 19261 3829 15 . . . 19261 3830 1 6 6 LS 19261 3830 2 ) ) -RRB- 19261 3830 3 having have VBG 19261 3830 4 a a DT 19261 3830 5 rubber rubber NN 19261 3830 6 diaphragm diaphragm VBN 19261 3830 7 with with IN 19261 3830 8 a a DT 19261 3830 9 central central JJ 19261 3830 10 perforation perforation NN 19261 3830 11 for for IN 19261 3830 12 forceps forceps NNP 19261 3830 13 , , , 19261 3830 14 when when WRB 19261 3830 15 it -PRON- PRP 19261 3830 16 is be VBZ 19261 3830 17 desired desire VBN 19261 3830 18 to to TO 19261 3830 19 inflate inflate VB 19261 3830 20 the the DT 19261 3830 21 stomach stomach NN 19261 3830 22 . . . 19261 3831 1 _ _ NNP 19261 3831 2 Technic_.--Relaxation technic_.--relaxation NN 19261 3831 3 by by IN 19261 3831 4 general general JJ 19261 3831 5 anesthesia anesthesia NNP 19261 3831 6 permits permit VBZ 19261 3831 7 lateral lateral JJ 19261 3831 8 displacement displacement NN 19261 3831 9 of of IN 19261 3831 10 the the DT 19261 3831 11 dome dome NN 19261 3831 12 of of IN 19261 3831 13 the the DT 19261 3831 14 diaphragm diaphragm NN 19261 3831 15 along along IN 19261 3831 16 with with IN 19261 3831 17 the the DT 19261 3831 18 esophagus esophagus NN 19261 3831 19 , , , 19261 3831 20 and and CC 19261 3831 21 thus thus RB 19261 3831 22 makes make VBZ 19261 3831 23 possible possible JJ 19261 3831 24 a a DT 19261 3831 25 wider wide JJR 19261 3831 26 range range NN 19261 3831 27 of of IN 19261 3831 28 motion motion NN 19261 3831 29 of of IN 19261 3831 30 the the DT 19261 3831 31 distal distal JJ 19261 3831 32 end end NN 19261 3831 33 of of IN 19261 3831 34 the the DT 19261 3831 35 gastroscope gastroscope NN 19261 3831 36 . . . 19261 3832 1 All all DT 19261 3832 2 of of IN 19261 3832 3 the the DT 19261 3832 4 recent recent JJ 19261 3832 5 gastroscopies gastroscopy NNS 19261 3832 6 in in IN 19261 3832 7 the the DT 19261 3832 8 Bronchoscopic Bronchoscopic NNP 19261 3832 9 Clinic Clinic NNP 19261 3832 10 , , , 19261 3832 11 however however RB 19261 3832 12 , , , 19261 3832 13 have have VBP 19261 3832 14 been be VBN 19261 3832 15 performed perform VBN 19261 3832 16 without without IN 19261 3832 17 anesthesia anesthesia NNP 19261 3832 18 . . . 19261 3833 1 The the DT 19261 3833 2 method method NN 19261 3833 3 of of IN 19261 3833 4 introduction introduction NN 19261 3833 5 of of IN 19261 3833 6 the the DT 19261 3833 7 gastroscope gastroscope NN 19261 3833 8 through through IN 19261 3833 9 the the DT 19261 3833 10 esophagus esophagus NN 19261 3833 11 is be VBZ 19261 3833 12 precisely precisely RB 19261 3833 13 the the DT 19261 3833 14 same same JJ 19261 3833 15 as as IN 19261 3833 16 the the DT 19261 3833 17 introduction introduction NN 19261 3833 18 of of IN 19261 3833 19 the the DT 19261 3833 20 esophagoscope esophagoscope NN 19261 3833 21 ( ( -LRB- 19261 3833 22 q.v q.v NNP 19261 3833 23 . . . 19261 3833 24 ) ) -RRB- 19261 3833 25 . . . 19261 3834 1 It -PRON- PRP 19261 3834 2 should should MD 19261 3834 3 be be VB 19261 3834 4 emphasized emphasize VBN 19261 3834 5 that that IN 19261 3834 6 with with IN 19261 3834 7 the the DT 19261 3834 8 lens lens NN 19261 3834 9 - - HYPH 19261 3834 10 system system NN 19261 3834 11 gastroscopes gastroscope NNS 19261 3834 12 , , , 19261 3834 13 the the DT 19261 3834 14 tube tube NN 19261 3834 15 should should MD 19261 3834 16 be be VB 19261 3834 17 introduced introduce VBN 19261 3834 18 into into IN 19261 3834 19 the the DT 19261 3834 20 stomach stomach NN 19261 3834 21 under under IN 19261 3834 22 direct direct JJ 19261 3834 23 ocular ocular JJ 19261 3834 24 guidance guidance NN 19261 3834 25 , , , 19261 3834 26 without without IN 19261 3834 27 a a DT 19261 3834 28 mandrin mandrin NN 19261 3834 29 , , , 19261 3834 30 and and CC 19261 3834 31 the the DT 19261 3834 32 optical optical JJ 19261 3834 33 apparatus apparatus NN 19261 3834 34 should should MD 19261 3834 35 be be VB 19261 3834 36 inserted insert VBN 19261 3834 37 through through IN 19261 3834 38 the the DT 19261 3834 39 tube tube NN 19261 3834 40 only only RB 19261 3834 41 after after IN 19261 3834 42 the the DT 19261 3834 43 stomach stomach NN 19261 3834 44 has have VBZ 19261 3834 45 been be VBN 19261 3834 46 entered enter VBN 19261 3834 47 . . . 19261 3835 1 Blind blind JJ 19261 3835 2 insertion insertion NN 19261 3835 3 of of IN 19261 3835 4 a a DT 19261 3835 5 rigid rigid JJ 19261 3835 6 metallic metallic JJ 19261 3835 7 tube tube NN 19261 3835 8 into into IN 19261 3835 9 the the DT 19261 3835 10 esophagus esophagus NN 19261 3835 11 is be VBZ 19261 3835 12 an an DT 19261 3835 13 extremely extremely RB 19261 3835 14 dangerous dangerous JJ 19261 3835 15 procedure procedure NN 19261 3835 16 . . . 19261 3836 1 The the DT 19261 3836 2 descriptions description NNS 19261 3836 3 and and CC 19261 3836 4 illustrations illustration NNS 19261 3836 5 of of IN 19261 3836 6 the the DT 19261 3836 7 stomach stomach NN 19261 3836 8 in in IN 19261 3836 9 anatomical anatomical JJ 19261 3836 10 works work NNS 19261 3836 11 must must MD 19261 3836 12 be be VB 19261 3836 13 disregarded disregard VBN 19261 3836 14 as as IN 19261 3836 15 cadaveric cadaveric JJ 19261 3836 16 . . . 19261 3837 1 In in IN 19261 3837 2 the the DT 19261 3837 3 living live VBG 19261 3837 4 body body NN 19261 3837 5 , , , 19261 3837 6 the the DT 19261 3837 7 empty empty JJ 19261 3837 8 stomach stomach NN 19261 3837 9 is be VBZ 19261 3837 10 usually usually RB 19261 3837 11 found find VBN 19261 3837 12 , , , 19261 3837 13 on on IN 19261 3837 14 endoscopic endoscopic JJ 19261 3837 15 inspection inspection NN 19261 3837 16 , , , 19261 3837 17 to to TO 19261 3837 18 be be VB 19261 3837 19 a a DT 19261 3837 20 collapsed collapsed JJ 19261 3837 21 tube tube NN 19261 3837 22 of of IN 19261 3837 23 such such JJ 19261 3837 24 shape shape NN 19261 3837 25 as as IN 19261 3837 26 to to TO 19261 3837 27 fit fit VB 19261 3837 28 whatever whatever WDT 19261 3837 29 space space NN 19261 3837 30 is be VBZ 19261 3837 31 available available JJ 19261 3837 32 at at IN 19261 3837 33 the the DT 19261 3837 34 particular particular JJ 19261 3837 35 moment moment NN 19261 3837 36 , , , 19261 3837 37 with with IN 19261 3837 38 folds fold NNS 19261 3837 39 and and CC 19261 3837 40 rugae rugae NN 19261 3837 41 running running NN 19261 3837 42 in in IN 19261 3837 43 all all DT 19261 3837 44 directions direction NNS 19261 3837 45 , , , 19261 3837 46 the the DT 19261 3837 47 impression impression NN 19261 3837 48 given give VBN 19261 3837 49 as as IN 19261 3837 50 to to TO 19261 3837 51 form form VB 19261 3837 52 being be VBG 19261 3837 53 strikingly strikingly RB 19261 3837 54 like like IN 19261 3837 55 searching search VBG 19261 3837 56 among among IN 19261 3837 57 a a DT 19261 3837 58 mass mass NN 19261 3837 59 of of IN 19261 3837 60 earth earth NN 19261 3837 61 worms worm NNS 19261 3837 62 or or CC 19261 3837 63 boiled boil VBN 19261 3837 64 spaghetti spaghetti NNS 19261 3837 65 . . . 19261 3838 1 The the DT 19261 3838 2 color color NN 19261 3838 3 is be VBZ 19261 3838 4 pink pink JJ 19261 3838 5 , , , 19261 3838 6 under under IN 19261 3838 7 proper proper JJ 19261 3838 8 illumination illumination NN 19261 3838 9 , , , 19261 3838 10 if if IN 19261 3838 11 no no DT 19261 3838 12 food food NN 19261 3838 13 is be VBZ 19261 3838 14 present present JJ 19261 3838 15 . . . 19261 3839 1 Poor poor JJ 19261 3839 2 illumination illumination NN 19261 3839 3 may may MD 19261 3839 4 make make VB 19261 3839 5 the the DT 19261 3839 6 color color NN 19261 3839 7 appear appear VB 19261 3839 8 deep deep JJ 19261 3839 9 crimson crimson NNP 19261 3839 10 . . . 19261 3840 1 If if IN 19261 3840 2 food food NN 19261 3840 3 is be VBZ 19261 3840 4 present present JJ 19261 3840 5 , , , 19261 3840 6 or or CC 19261 3840 7 has have VBZ 19261 3840 8 just just RB 19261 3840 9 been be VBN 19261 3840 10 regurgitated regurgitate VBN 19261 3840 11 , , , 19261 3840 12 the the DT 19261 3840 13 color color NN 19261 3840 14 is be VBZ 19261 3840 15 bright bright JJ 19261 3840 16 red red JJ 19261 3840 17 . . . 19261 3841 1 To to TO 19261 3841 2 appreciate appreciate VB 19261 3841 3 the the DT 19261 3841 4 appearance appearance NN 19261 3841 5 of of IN 19261 3841 6 gastritis gastritis NN 19261 3841 7 , , , 19261 3841 8 the the DT 19261 3841 9 eye eye NN 19261 3841 10 must must MD 19261 3841 11 have have VB 19261 3841 12 been be VBN 19261 3841 13 educated educate VBN 19261 3841 14 to to IN 19261 3841 15 the the DT 19261 3841 16 endoscopic endoscopic JJ 19261 3841 17 appearances appearance NNS 19261 3841 18 under under IN 19261 3841 19 a a DT 19261 3841 20 degree degree NN 19261 3841 21 of of IN 19261 3841 22 illumination illumination NN 19261 3841 23 always always RB 19261 3841 24 the the DT 19261 3841 25 same same JJ 19261 3841 26 . . . 19261 3842 1 The the DT 19261 3842 2 left left JJ 19261 3842 3 two two CD 19261 3842 4 - - HYPH 19261 3842 5 thirds third NNS 19261 3842 6 of of IN 19261 3842 7 the the DT 19261 3842 8 stomach stomach NN 19261 3842 9 is be VBZ 19261 3842 10 most most RBS 19261 3842 11 easily easily RB 19261 3842 12 examined examine VBN 19261 3842 13 . . . 19261 3843 1 The the DT 19261 3843 2 stomach stomach NN 19261 3843 3 wall wall NN 19261 3843 4 can can MD 19261 3843 5 be be VB 19261 3843 6 pushed push VBN 19261 3843 7 by by IN 19261 3843 8 the the DT 19261 3843 9 tube tube NN 19261 3843 10 into into IN 19261 3843 11 almost almost RB 19261 3843 12 any any DT 19261 3843 13 position position NN 19261 3843 14 , , , 19261 3843 15 and and CC 19261 3843 16 with with IN 19261 3843 17 the the DT 19261 3843 18 aid aid NN 19261 3843 19 of of IN 19261 3843 20 gentle gentle JJ 19261 3843 21 external external JJ 19261 3843 22 abdominal abdominal JJ 19261 3843 23 manipulation manipulation NN 19261 3843 24 to to TO 19261 3843 25 draw draw VB 19261 3843 26 over over IN 19261 3843 27 the the DT 19261 3843 28 pylorus pylorus NN 19261 3843 29 it -PRON- PRP 19261 3843 30 is be VBZ 19261 3843 31 possible possible JJ 19261 3843 32 to to TO 19261 3843 33 examine examine VB 19261 3843 34 directly directly RB 19261 3843 35 almost almost RB 19261 3843 36 all all DT 19261 3843 37 of of IN 19261 3843 38 the the DT 19261 3843 39 gastric gastric JJ 19261 3843 40 walls wall NNS 19261 3843 41 except except IN 19261 3843 42 the the DT 19261 3843 43 pyloric pyloric JJ 19261 3843 44 antrum antrum NN 19261 3843 45 , , , 19261 3843 46 which which WDT 19261 3843 47 is be VBZ 19261 3843 48 reachable reachable JJ 19261 3843 49 in in IN 19261 3843 50 relatively relatively RB 19261 3843 51 few few JJ 19261 3843 52 cases case NNS 19261 3843 53 . . . 19261 3844 1 A a DT 19261 3844 2 lateral lateral JJ 19261 3844 3 motion motion NN 19261 3844 4 of of IN 19261 3844 5 from from IN 19261 3844 6 10 10 CD 19261 3844 7 to to TO 19261 3844 8 17 17 CD 19261 3844 9 cm cm NNS 19261 3844 10 . . . 19261 3845 1 can can MD 19261 3845 2 be be VB 19261 3845 3 imparted impart VBN 19261 3845 4 to to IN 19261 3845 5 the the DT 19261 3845 6 gastroscope gastroscope NN 19261 3845 7 , , , 19261 3845 8 provided provide VBD 19261 3845 9 the the DT 19261 3845 10 diaphragmatic diaphragmatic JJ 19261 3845 11 musculature musculature NN 19261 3845 12 is be VBZ 19261 3845 13 relaxed relax VBN 19261 3845 14 by by IN 19261 3845 15 deep deep JJ 19261 3845 16 anesthesia anesthesia NNS 19261 3845 17 . . . 19261 3846 1 The the DT 19261 3846 2 stomach stomach NN 19261 3846 3 is be VBZ 19261 3846 4 explored explore VBN 19261 3846 5 by by IN 19261 3846 6 progressive progressive JJ 19261 3846 7 traverse traverse NN 19261 3846 8 . . . 19261 3847 1 That that RB 19261 3847 2 is is RB 19261 3847 3 , , , 19261 3847 4 after after IN 19261 3847 5 exploring explore VBG 19261 3847 6 down down RP 19261 3847 7 to to IN 19261 3847 8 the the DT 19261 3847 9 greater great JJR 19261 3847 10 curvature curvature NN 19261 3847 11 , , , 19261 3847 12 the the DT 19261 3847 13 tube tube NN 19261 3847 14 - - HYPH 19261 3847 15 mouth mouth NN 19261 3847 16 is be VBZ 19261 3847 17 moved move VBN 19261 3847 18 laterally laterally RB 19261 3847 19 about about RB 19261 3847 20 2 2 CD 19261 3847 21 centimeters centimeter NNS 19261 3847 22 , , , 19261 3847 23 and and CC 19261 3847 24 the the DT 19261 3847 25 withdrawing withdraw VBG 19261 3847 26 travel travel NN 19261 3847 27 explores explore VBZ 19261 3847 28 a a DT 19261 3847 29 new new JJ 19261 3847 30 field field NN 19261 3847 31 . . . 19261 3848 1 Then then RB 19261 3848 2 a a DT 19261 3848 3 lateral lateral JJ 19261 3848 4 movement movement NN 19261 3848 5 affords afford VBZ 19261 3848 6 a a DT 19261 3848 7 fresh fresh JJ 19261 3848 8 field field NN 19261 3848 9 during during IN 19261 3848 10 the the DT 19261 3848 11 next next JJ 19261 3848 12 insertion insertion NN 19261 3848 13 . . . 19261 3849 1 This this DT 19261 3849 2 is be VBZ 19261 3849 3 repeated repeat VBN 19261 3849 4 until until IN 19261 3849 5 the the DT 19261 3849 6 entire entire JJ 19261 3849 7 explorable explorable JJ 19261 3849 8 area area NN 19261 3849 9 has have VBZ 19261 3849 10 been be VBN 19261 3849 11 covered cover VBN 19261 3849 12 . . . 19261 3850 1 Ballooning balloon VBG 19261 3850 2 the the DT 19261 3850 3 stomach stomach NN 19261 3850 4 with with IN 19261 3850 5 air air NN 19261 3850 6 or or CC 19261 3850 7 oxygen oxygen NN 19261 3850 8 is be VBZ 19261 3850 9 sometimes sometimes RB 19261 3850 10 helpful helpful JJ 19261 3850 11 , , , 19261 3850 12 but but CC 19261 3850 13 the the DT 19261 3850 14 distension distension NN 19261 3850 15 fixes fix VBZ 19261 3850 16 the the DT 19261 3850 17 stomach stomach NN 19261 3850 18 , , , 19261 3850 19 lessens lessen VBZ 19261 3850 20 the the DT 19261 3850 21 mobility mobility NN 19261 3850 22 of of IN 19261 3850 23 the the DT 19261 3850 24 arch arch NN 19261 3850 25 of of IN 19261 3850 26 the the DT 19261 3850 27 diaphragm diaphragm NN 19261 3850 28 , , , 19261 3850 29 and and CC 19261 3850 30 thus thus RB 19261 3850 31 lessens lessen VBZ 19261 3850 32 the the DT 19261 3850 33 lateral lateral JJ 19261 3850 34 range range NN 19261 3850 35 of of IN 19261 3850 36 gastroscopic gastroscopic JJ 19261 3850 37 vision vision NN 19261 3850 38 . . . 19261 3851 1 Furthermore furthermore RB 19261 3851 2 , , , 19261 3851 3 ballooning ballooning NN 19261 3851 4 pushes push VBZ 19261 3851 5 the the DT 19261 3851 6 gastric gastric JJ 19261 3851 7 walls wall NNS 19261 3851 8 far far RB 19261 3851 9 away away RB 19261 3851 10 from from IN 19261 3851 11 the the DT 19261 3851 12 reach reach NN 19261 3851 13 of of IN 19261 3851 14 the the DT 19261 3851 15 tube tube NN 19261 3851 16 - - HYPH 19261 3851 17 mouth mouth NN 19261 3851 18 . . . 19261 3852 1 A a DT 19261 3852 2 window window NN 19261 3852 3 plug plug NN 19261 3852 4 ( ( -LRB- 19261 3852 5 Fig fig NN 19261 3852 6 . . . 19261 3853 1 6 6 LS 19261 3853 2 ) ) -RRB- 19261 3853 3 is be VBZ 19261 3853 4 inserted insert VBN 19261 3853 5 into into IN 19261 3853 6 the the DT 19261 3853 7 ocular ocular JJ 19261 3853 8 end end NN 19261 3853 9 of of IN 19261 3853 10 the the DT 19261 3853 11 gastroscope gastroscope NN 19261 3853 12 for for IN 19261 3853 13 the the DT 19261 3853 14 ballooning ballooning NN 19261 3853 15 procedure procedure NN 19261 3853 16 . . . 19261 3854 1 [ [ -LRB- 19261 3854 2 275 275 CD 19261 3854 3 ] ] -RRB- 19261 3854 4 Like like IN 19261 3854 5 many many JJ 19261 3854 6 other other JJ 19261 3854 7 valuable valuable JJ 19261 3854 8 diagnostic diagnostic JJ 19261 3854 9 means mean NNS 19261 3854 10 , , , 19261 3854 11 gastroscopy gastroscopy JJ 19261 3854 12 is be VBZ 19261 3854 13 very very RB 19261 3854 14 valuable valuable JJ 19261 3854 15 in in IN 19261 3854 16 its -PRON- PRP$ 19261 3854 17 positive positive JJ 19261 3854 18 findings finding NNS 19261 3854 19 . . . 19261 3855 1 Negative negative JJ 19261 3855 2 results result NNS 19261 3855 3 are be VBP 19261 3855 4 entitled entitle VBN 19261 3855 5 to to IN 19261 3855 6 little little JJ 19261 3855 7 weight weight NN 19261 3855 8 except except IN 19261 3855 9 as as IN 19261 3855 10 to to IN 19261 3855 11 the the DT 19261 3855 12 explorable explorable JJ 19261 3855 13 area area NN 19261 3855 14 . . . 19261 3856 1 The the DT 19261 3856 2 gastroscopist gastroscopist NN 19261 3856 3 working work VBG 19261 3856 4 in in IN 19261 3856 5 conjunction conjunction NN 19261 3856 6 with with IN 19261 3856 7 the the DT 19261 3856 8 abdominal abdominal JJ 19261 3856 9 surgeon surgeon NN 19261 3856 10 should should MD 19261 3856 11 be be VB 19261 3856 12 able able JJ 19261 3856 13 to to TO 19261 3856 14 render render VB 19261 3856 15 him -PRON- PRP 19261 3856 16 invaluable invaluable JJ 19261 3856 17 assistance assistance NN 19261 3856 18 in in IN 19261 3856 19 his -PRON- PRP$ 19261 3856 20 work work NN 19261 3856 21 on on IN 19261 3856 22 the the DT 19261 3856 23 stomach stomach NN 19261 3856 24 . . . 19261 3857 1 The the DT 19261 3857 2 surgeon surgeon NN 19261 3857 3 with with IN 19261 3857 4 his -PRON- PRP$ 19261 3857 5 gloved gloved JJ 19261 3857 6 hand hand NN 19261 3857 7 in in IN 19261 3857 8 the the DT 19261 3857 9 abdomen abdoman NNS 19261 3857 10 , , , 19261 3857 11 by by IN 19261 3857 12 manipulating manipulate VBG 19261 3857 13 suspected suspect VBN 19261 3857 14 areas area NNS 19261 3857 15 of of IN 19261 3857 16 the the DT 19261 3857 17 stomach stomach NN 19261 3857 18 in in IN 19261 3857 19 front front NN 19261 3857 20 of of IN 19261 3857 21 the the DT 19261 3857 22 tube tube NN 19261 3857 23 - - HYPH 19261 3857 24 mouth mouth NN 19261 3857 25 can can MD 19261 3857 26 receive receive VB 19261 3857 27 immediately immediately RB 19261 3857 28 a a DT 19261 3857 29 report report NN 19261 3857 30 of of IN 19261 3857 31 its -PRON- PRP$ 19261 3857 32 interior interior JJ 19261 3857 33 appearance appearance NN 19261 3857 34 , , , 19261 3857 35 whether whether IN 19261 3857 36 cancerous cancerous JJ 19261 3857 37 , , , 19261 3857 38 ulcerated ulcerated JJ 19261 3857 39 , , , 19261 3857 40 hemorrhagic hemorrhagic JJ 19261 3857 41 , , , 19261 3857 42 etc etc FW 19261 3857 43 . . . 19261 3858 1 _ _ NNP 19261 3858 2 Lens Lens NNP 19261 3858 3 - - HYPH 19261 3858 4 system system NN 19261 3858 5 ballooning ballooning NN 19261 3858 6 gastroscopy gastroscopy JJ 19261 3858 7 _ _ NNP 19261 3858 8 may may MD 19261 3858 9 possibly possibly RB 19261 3858 10 afford afford VB 19261 3858 11 additional additional JJ 19261 3858 12 information information NN 19261 3858 13 after after RB 19261 3858 14 all all DT 19261 3858 15 possible possible JJ 19261 3858 16 data datum NNS 19261 3858 17 from from IN 19261 3858 18 open open JJ 19261 3858 19 - - HYPH 19261 3858 20 tube tube NN 19261 3858 21 gastroscopy gastroscopy NN 19261 3858 22 has have VBZ 19261 3858 23 been be VBN 19261 3858 24 obtained obtain VBN 19261 3858 25 . . . 19261 3859 1 Care care NN 19261 3859 2 must must MD 19261 3859 3 be be VB 19261 3859 4 exercised exercise VBN 19261 3859 5 not not RB 19261 3859 6 to to TO 19261 3859 7 exert exert VB 19261 3859 8 an an DT 19261 3859 9 injurious injurious JJ 19261 3859 10 degree degree NN 19261 3859 11 of of IN 19261 3859 12 air air NN 19261 3859 13 - - HYPH 19261 3859 14 pressure pressure NN 19261 3859 15 . . . 19261 3860 1 The the DT 19261 3860 2 distended distend VBN 19261 3860 3 portion portion NN 19261 3860 4 of of IN 19261 3860 5 the the DT 19261 3860 6 stomach stomach NN 19261 3860 7 assumes assume VBZ 19261 3860 8 a a DT 19261 3860 9 funnel funnel NN 19261 3860 10 - - HYPH 19261 3860 11 like like JJ 19261 3860 12 form form NN 19261 3860 13 ending end VBG 19261 3860 14 at at IN 19261 3860 15 the the DT 19261 3860 16 apex apex NN 19261 3860 17 in in IN 19261 3860 18 a a DT 19261 3860 19 depression depression NN 19261 3860 20 with with IN 19261 3860 21 radiating radiate VBG 19261 3860 22 folds fold NNS 19261 3860 23 , , , 19261 3860 24 that that WDT 19261 3860 25 leads lead VBZ 19261 3860 26 the the DT 19261 3860 27 observer observer NN 19261 3860 28 to to TO 19261 3860 29 think think VB 19261 3860 30 he -PRON- PRP 19261 3860 31 is be VBZ 19261 3860 32 looking look VBG 19261 3860 33 at at IN 19261 3860 34 the the DT 19261 3860 35 pylorus pylorus NNP 19261 3860 36 . . . 19261 3861 1 The the DT 19261 3861 2 foreshortening foreshortening NN 19261 3861 3 produced produce VBN 19261 3861 4 by by IN 19261 3861 5 the the DT 19261 3861 6 lens lens NN 19261 3861 7 system system NN 19261 3861 8 also also RB 19261 3861 9 contributes contribute VBZ 19261 3861 10 to to IN 19261 3861 11 this this DT 19261 3861 12 illusion illusion NN 19261 3861 13 . . . 19261 3862 1 The the DT 19261 3862 2 best good JJS 19261 3862 3 lens lens NN 19261 3862 4 - - HYPH 19261 3862 5 system system NN 19261 3862 6 gastroscope gastroscope NN 19261 3862 7 is be VBZ 19261 3862 8 that that DT 19261 3862 9 of of IN 19261 3862 10 Henry Henry NNP 19261 3862 11 Janeway Janeway NNP 19261 3862 12 , , , 19261 3862 13 which which WDT 19261 3862 14 combines combine VBZ 19261 3862 15 the the DT 19261 3862 16 open open JJ 19261 3862 17 - - HYPH 19261 3862 18 tube tube NN 19261 3862 19 and and CC 19261 3862 20 the the DT 19261 3862 21 lens lens NN 19261 3862 22 system system NN 19261 3862 23 . . . 19261 3863 1 _ _ NNP 19261 3863 2 Gastroscopy Gastroscopy NNP 19261 3863 3 for for IN 19261 3863 4 Foreign Foreign NNP 19261 3863 5 Bodies_.--The bodies_.--the CD 19261 3863 6 great great JJ 19261 3863 7 majority majority NN 19261 3863 8 of of IN 19261 3863 9 foreign foreign JJ 19261 3863 10 bodies body NNS 19261 3863 11 that that WDT 19261 3863 12 reach reach VBP 19261 3863 13 the the DT 19261 3863 14 stomach stomach NN 19261 3863 15 unassisted unassisted JJ 19261 3863 16 are be VBP 19261 3863 17 passed pass VBN 19261 3863 18 per per IN 19261 3863 19 rectum rectum NN 19261 3863 20 , , , 19261 3863 21 provided provide VBD 19261 3863 22 the the DT 19261 3863 23 natural natural JJ 19261 3863 24 protective protective JJ 19261 3863 25 means mean NNS 19261 3863 26 are be VBP 19261 3863 27 not not RB 19261 3863 28 impaired impair VBN 19261 3863 29 by by IN 19261 3863 30 the the DT 19261 3863 31 administration administration NN 19261 3863 32 of of IN 19261 3863 33 cathartics cathartic NNS 19261 3863 34 , , , 19261 3863 35 changes change NNS 19261 3863 36 in in IN 19261 3863 37 diet diet NNP 19261 3863 38 , , , 19261 3863 39 etcetera etcetera NN 19261 3863 40 . . . 19261 3864 1 This this DT 19261 3864 2 , , , 19261 3864 3 however however RB 19261 3864 4 , , , 19261 3864 5 does do VBZ 19261 3864 6 not not RB 19261 3864 7 mean mean VB 19261 3864 8 that that IN 19261 3864 9 esophageal esophageal JJ 19261 3864 10 foreign foreign JJ 19261 3864 11 bodies body NNS 19261 3864 12 should should MD 19261 3864 13 be be VB 19261 3864 14 pushed push VBN 19261 3864 15 into into IN 19261 3864 16 the the DT 19261 3864 17 stomach stomach NN 19261 3864 18 by by IN 19261 3864 19 blind blind JJ 19261 3864 20 methods method NNS 19261 3864 21 , , , 19261 3864 22 or or CC 19261 3864 23 by by IN 19261 3864 24 esophagoscopy esophagoscopy JJ 19261 3864 25 , , , 19261 3864 26 because because IN 19261 3864 27 a a DT 19261 3864 28 swallowed swallowed JJ 19261 3864 29 object object NN 19261 3864 30 lodged lodge VBN 19261 3864 31 in in IN 19261 3864 32 the the DT 19261 3864 33 esophagus esophagus NN 19261 3864 34 can can MD 19261 3864 35 always always RB 19261 3864 36 be be VB 19261 3864 37 returned return VBN 19261 3864 38 through through IN 19261 3864 39 the the DT 19261 3864 40 mouth mouth NN 19261 3864 41 . . . 19261 3865 1 Foreign foreign JJ 19261 3865 2 bodies body NNS 19261 3865 3 in in IN 19261 3865 4 the the DT 19261 3865 5 stomach stomach NN 19261 3865 6 and and CC 19261 3865 7 intestines intestine NNS 19261 3865 8 should should MD 19261 3865 9 be be VB 19261 3865 10 fluoroscopically fluoroscopically RB 19261 3865 11 watched watch VBN 19261 3865 12 each each DT 19261 3865 13 second second JJ 19261 3865 14 day day NN 19261 3865 15 . . . 19261 3866 1 If if IN 19261 3866 2 an an DT 19261 3866 3 object object NN 19261 3866 4 is be VBZ 19261 3866 5 seen see VBN 19261 3866 6 to to TO 19261 3866 7 lodge lodge VB 19261 3866 8 five five CD 19261 3866 9 days day NNS 19261 3866 10 in in IN 19261 3866 11 one one CD 19261 3866 12 location location NN 19261 3866 13 in in IN 19261 3866 14 the the DT 19261 3866 15 intestines intestine NNS 19261 3866 16 , , , 19261 3866 17 it -PRON- PRP 19261 3866 18 should should MD 19261 3866 19 be be VB 19261 3866 20 removed remove VBN 19261 3866 21 by by IN 19261 3866 22 laparotomy laparotomy NN 19261 3866 23 , , , 19261 3866 24 since since IN 19261 3866 25 it -PRON- PRP 19261 3866 26 will will MD 19261 3866 27 almost almost RB 19261 3866 28 certainly certainly RB 19261 3866 29 perforate perforate VB 19261 3866 30 . . . 19261 3867 1 Certain certain JJ 19261 3867 2 objects object NNS 19261 3867 3 reaching reach VBG 19261 3867 4 the the DT 19261 3867 5 stomach stomach NN 19261 3867 6 may may MD 19261 3867 7 be be VB 19261 3867 8 judged judge VBN 19261 3867 9 too too RB 19261 3867 10 large large JJ 19261 3867 11 to to TO 19261 3867 12 pass pass VB 19261 3867 13 the the DT 19261 3867 14 pylorus pylorus NNP 19261 3867 15 and and CC 19261 3867 16 intestinal intestinal JJ 19261 3867 17 angles angle NNS 19261 3867 18 . . . 19261 3868 1 These these DT 19261 3868 2 should should MD 19261 3868 3 be be VB 19261 3868 4 removed remove VBN 19261 3868 5 by by IN 19261 3868 6 gastroscopy gastroscopy JJ 19261 3868 7 when when WRB 19261 3868 8 such such JJ 19261 3868 9 decision decision NN 19261 3868 10 is be VBZ 19261 3868 11 made make VBN 19261 3868 12 . . . 19261 3869 1 It -PRON- PRP 19261 3869 2 is be VBZ 19261 3869 3 to to TO 19261 3869 4 be be VB 19261 3869 5 remembered remember VBN 19261 3869 6 that that IN 19261 3869 7 gastric gastric JJ 19261 3869 8 foreign foreign JJ 19261 3869 9 bodies body NNS 19261 3869 10 may may MD 19261 3869 11 be be VB 19261 3869 12 regurgitated regurgitate VBN 19261 3869 13 and and CC 19261 3869 14 may may MD 19261 3869 15 lodge lodge VB 19261 3869 16 in in IN 19261 3869 17 the the DT 19261 3869 18 esophagus esophagus NN 19261 3869 19 , , , 19261 3869 20 whence whence NN 19261 3869 21 they -PRON- PRP 19261 3869 22 are be VBP 19261 3869 23 easily easily RB 19261 3869 24 removed remove VBN 19261 3869 25 by by IN 19261 3869 26 esophagoscopy esophagoscopy NN 19261 3869 27 . . . 19261 3870 1 The the DT 19261 3870 2 double double RB 19261 3870 3 - - HYPH 19261 3870 4 planed planed JJ 19261 3870 5 fluoroscope fluoroscope NN 19261 3870 6 of of IN 19261 3870 7 Manges Manges NNP 19261 3870 8 is be VBZ 19261 3870 9 helpful helpful JJ 19261 3870 10 in in IN 19261 3870 11 the the DT 19261 3870 12 removal removal NN 19261 3870 13 of of IN 19261 3870 14 gastric gastric JJ 19261 3870 15 foreign foreign JJ 19261 3870 16 bodies body NNS 19261 3870 17 , , , 19261 3870 18 but but CC 19261 3870 19 there there EX 19261 3870 20 is be VBZ 19261 3870 21 great great JJ 19261 3870 22 danger danger NN 19261 3870 23 of of IN 19261 3870 24 injury injury NN 19261 3870 25 to to IN 19261 3870 26 the the DT 19261 3870 27 stomach stomach NN 19261 3870 28 walls wall NNS 19261 3870 29 , , , 19261 3870 30 and and CC 19261 3870 31 even even RB 19261 3870 32 the the DT 19261 3870 33 peritoneum peritoneum NN 19261 3870 34 , , , 19261 3870 35 unless unless IN 19261 3870 36 forceps forceps NNS 19261 3870 37 are be VBP 19261 3870 38 used use VBN 19261 3870 39 with with IN 19261 3870 40 the the DT 19261 3870 41 utmost utmost JJ 19261 3870 42 caution caution NN 19261 3870 43 . . . 19261 3871 1 [ [ -LRB- 19261 3871 2 277 277 CD 19261 3871 3 ] ] -RRB- 19261 3871 4 CHAPTER chapter NN 19261 3871 5 XXXVI xxxvi NN 19261 3871 6 -- -- : 19261 3871 7 ACUTE ACUTE NNP 19261 3871 8 STENOSIS STENOSIS NNP 19261 3871 9 OF of IN 19261 3871 10 THE the DT 19261 3871 11 LARYNX LARYNX NNP 19261 3871 12 _ _ NNP 19261 3871 13 Etiology_.--Causes etiology_.--cause VBZ 19261 3871 14 of of IN 19261 3871 15 a a DT 19261 3871 16 relatively relatively RB 19261 3871 17 sudden sudden JJ 19261 3871 18 narrowing narrowing NN 19261 3871 19 of of IN 19261 3871 20 the the DT 19261 3871 21 lumen luman NNS 19261 3871 22 of of IN 19261 3871 23 the the DT 19261 3871 24 larynx larynx NNP 19261 3871 25 and and CC 19261 3871 26 subjacent subjacent NNP 19261 3871 27 trachea trachea NN 19261 3871 28 are be VBP 19261 3871 29 included include VBN 19261 3871 30 in in IN 19261 3871 31 the the DT 19261 3871 32 following following JJ 19261 3871 33 list list NN 19261 3871 34 . . . 19261 3872 1 Two two CD 19261 3872 2 or or CC 19261 3872 3 more more JJR 19261 3872 4 may may MD 19261 3872 5 be be VB 19261 3872 6 combined combine VBN 19261 3872 7 . . . 19261 3873 1 1 1 LS 19261 3873 2 . . . 19261 3874 1 Foreign foreign JJ 19261 3874 2 body body NN 19261 3874 3 . . . 19261 3875 1 2 2 LS 19261 3875 2 . . . 19261 3876 1 Accumulation accumulation NN 19261 3876 2 of of IN 19261 3876 3 secretions secretion NNS 19261 3876 4 or or CC 19261 3876 5 exudate exudate VB 19261 3876 6 in in IN 19261 3876 7 the the DT 19261 3876 8 lumen luman NNS 19261 3876 9 . . . 19261 3877 1 3 3 LS 19261 3877 2 . . . 19261 3878 1 Distension distension NN 19261 3878 2 of of IN 19261 3878 3 the the DT 19261 3878 4 tissues tissue NNS 19261 3878 5 by by IN 19261 3878 6 air air NN 19261 3878 7 , , , 19261 3878 8 inflammatory inflammatory JJ 19261 3878 9 products product NNS 19261 3878 10 , , , 19261 3878 11 serum serum NN 19261 3878 12 , , , 19261 3878 13 pus pus NN 19261 3878 14 , , , 19261 3878 15 etc etc FW 19261 3878 16 . . . 19261 3879 1 4 4 LS 19261 3879 2 . . . 19261 3880 1 Displacement displacement NN 19261 3880 2 of of IN 19261 3880 3 relatively relatively RB 19261 3880 4 normal normal JJ 19261 3880 5 tissues tissue NNS 19261 3880 6 , , , 19261 3880 7 as as IN 19261 3880 8 in in IN 19261 3880 9 abductor abductor NN 19261 3880 10 paralysis paralysis NN 19261 3880 11 , , , 19261 3880 12 congenital congenital JJ 19261 3880 13 laryngeal laryngeal NN 19261 3880 14 stridor stridor NNP 19261 3880 15 , , , 19261 3880 16 etcetera etcetera NNP 19261 3880 17 . . . 19261 3881 1 5 5 CD 19261 3881 2 . . . 19261 3882 1 Neoplasms neoplasm NNS 19261 3882 2 . . . 19261 3883 1 6 6 CD 19261 3883 2 . . . 19261 3884 1 Granulomata Granulomata NNP 19261 3884 2 . . . 19261 3885 1 _ _ NNP 19261 3885 2 Edema Edema NNP 19261 3885 3 of of IN 19261 3885 4 the the DT 19261 3885 5 larynx larynx NN 19261 3885 6 _ _ NNP 19261 3885 7 may may MD 19261 3885 8 be be VB 19261 3885 9 at at IN 19261 3885 10 the the DT 19261 3885 11 glottic glottic JJ 19261 3885 12 level level NN 19261 3885 13 , , , 19261 3885 14 or or CC 19261 3885 15 in in IN 19261 3885 16 the the DT 19261 3885 17 supraglottic supraglottic JJ 19261 3885 18 or or CC 19261 3885 19 subglottic subglottic JJ 19261 3885 20 regions region NNS 19261 3885 21 . . . 19261 3886 1 The the DT 19261 3886 2 loose loose JJ 19261 3886 3 cellular cellular JJ 19261 3886 4 tissue tissue NN 19261 3886 5 is be VBZ 19261 3886 6 most most RBS 19261 3886 7 frequently frequently RB 19261 3886 8 concerned concern VBN 19261 3886 9 in in IN 19261 3886 10 the the DT 19261 3886 11 process process NN 19261 3886 12 rather rather RB 19261 3886 13 than than IN 19261 3886 14 the the DT 19261 3886 15 mucosal mucosal JJ 19261 3886 16 layer layer NN 19261 3886 17 alone alone RB 19261 3886 18 . . . 19261 3887 1 In in IN 19261 3887 2 children child NNS 19261 3887 3 the the DT 19261 3887 4 subglottic subglottic JJ 19261 3887 5 area area NN 19261 3887 6 is be VBZ 19261 3887 7 very very RB 19261 3887 8 vascular vascular JJ 19261 3887 9 , , , 19261 3887 10 and and CC 19261 3887 11 swelling swell VBG 19261 3887 12 quickly quickly RB 19261 3887 13 results result NNS 19261 3887 14 from from IN 19261 3887 15 trauma trauma NN 19261 3887 16 or or CC 19261 3887 17 inflammation inflammation NN 19261 3887 18 , , , 19261 3887 19 so so IN 19261 3887 20 that that DT 19261 3887 21 acute acute JJ 19261 3887 22 stenosis stenosis NN 19261 3887 23 of of IN 19261 3887 24 the the DT 19261 3887 25 larynx larynx NN 19261 3887 26 in in IN 19261 3887 27 children child NNS 19261 3887 28 commonly commonly RB 19261 3887 29 has have VBZ 19261 3887 30 its -PRON- PRP$ 19261 3887 31 point point NN 19261 3887 32 of of IN 19261 3887 33 narrowing narrowing NN 19261 3887 34 below below IN 19261 3887 35 the the DT 19261 3887 36 cords cord NNS 19261 3887 37 . . . 19261 3888 1 Dyspnea dyspnea RB 19261 3888 2 , , , 19261 3888 3 and and CC 19261 3888 4 croupy croupy NN 19261 3888 5 , , , 19261 3888 6 barking barking NN 19261 3888 7 , , , 19261 3888 8 cough cough NN 19261 3888 9 with with IN 19261 3888 10 no no DT 19261 3888 11 change change NN 19261 3888 12 in in IN 19261 3888 13 the the DT 19261 3888 14 tone tone NN 19261 3888 15 or or CC 19261 3888 16 pitch pitch NN 19261 3888 17 of of IN 19261 3888 18 the the DT 19261 3888 19 speaking speak VBG 19261 3888 20 voice voice NN 19261 3888 21 are be VBP 19261 3888 22 characteristic characteristic JJ 19261 3888 23 signs sign NNS 19261 3888 24 of of IN 19261 3888 25 subglottic subglottic JJ 19261 3888 26 stenosis stenosis NN 19261 3888 27 . . . 19261 3889 1 Edema Edema NNP 19261 3889 2 may may MD 19261 3889 3 accompany accompany VB 19261 3889 4 inflammation inflammation NN 19261 3889 5 of of IN 19261 3889 6 either either CC 19261 3889 7 the the DT 19261 3889 8 superficial superficial JJ 19261 3889 9 or or CC 19261 3889 10 deep deep JJ 19261 3889 11 structures structure NNS 19261 3889 12 of of IN 19261 3889 13 the the DT 19261 3889 14 larynx larynx NN 19261 3889 15 . . . 19261 3890 1 The the DT 19261 3890 2 laryngeal laryngeal JJ 19261 3890 3 lesion lesion NN 19261 3890 4 may may MD 19261 3890 5 be be VB 19261 3890 6 primary primary JJ 19261 3890 7 , , , 19261 3890 8 or or CC 19261 3890 9 may may MD 19261 3890 10 complicate complicate VB 19261 3890 11 general general JJ 19261 3890 12 diseases disease NNS 19261 3890 13 ; ; : 19261 3890 14 among among IN 19261 3890 15 the the DT 19261 3890 16 latter latter JJ 19261 3890 17 , , , 19261 3890 18 typhoid typhoid JJ 19261 3890 19 fever fever NN 19261 3890 20 deserves deserve VBZ 19261 3890 21 especial especial JJ 19261 3890 22 mention mention NN 19261 3890 23 . . . 19261 3891 1 _ _ NNP 19261 3891 2 Acute acute JJ 19261 3891 3 laryngeal laryngeal NN 19261 3891 4 stenosis stenosis NN 19261 3891 5 _ _ NNP 19261 3891 6 complicating complicate VBG 19261 3891 7 typhoid typhoid NN 19261 3891 8 fever fever NN 19261 3891 9 is be VBZ 19261 3891 10 frequently frequently RB 19261 3891 11 overlooked overlook VBN 19261 3891 12 and and CC 19261 3891 13 often often RB 19261 3891 14 fatal fatal JJ 19261 3891 15 , , , 19261 3891 16 for for IN 19261 3891 17 the the DT 19261 3891 18 asthenic asthenic JJ 19261 3891 19 patient patient NN 19261 3891 20 makes make VBZ 19261 3891 21 no no DT 19261 3891 22 fight fight NN 19261 3891 23 for for IN 19261 3891 24 air air NN 19261 3891 25 , , , 19261 3891 26 and and CC 19261 3891 27 hoarseness hoarseness JJ 19261 3891 28 , , , 19261 3891 29 if if IN 19261 3891 30 present present JJ 19261 3891 31 , , , 19261 3891 32 is be VBZ 19261 3891 33 very very RB 19261 3891 34 slight slight JJ 19261 3891 35 . . . 19261 3892 1 The the DT 19261 3892 2 laryngeal laryngeal JJ 19261 3892 3 lesion lesion NN 19261 3892 4 may may MD 19261 3892 5 be be VB 19261 3892 6 due due JJ 19261 3892 7 to to IN 19261 3892 8 cordal cordal JJ 19261 3892 9 immobility immobility NN 19261 3892 10 from from IN 19261 3892 11 either either CC 19261 3892 12 paralysis paralysis NN 19261 3892 13 or or CC 19261 3892 14 inflammatory inflammatory JJ 19261 3892 15 arytenoid arytenoid JJ 19261 3892 16 fixation fixation NN 19261 3892 17 , , , 19261 3892 18 in in IN 19261 3892 19 the the DT 19261 3892 20 absence absence NN 19261 3892 21 of of IN 19261 3892 22 edema edema NN 19261 3892 23 . . . 19261 3893 1 Perichondritis Perichondritis NNP 19261 3893 2 and and CC 19261 3893 3 chondritis chondritis NN 19261 3893 4 of of IN 19261 3893 5 the the DT 19261 3893 6 laryngeal laryngeal JJ 19261 3893 7 cartilages cartilage NNS 19261 3893 8 often often RB 19261 3893 9 follow follow VBP 19261 3893 10 typhoid typhoid NN 19261 3893 11 ulceration ulceration NN 19261 3893 12 of of IN 19261 3893 13 the the DT 19261 3893 14 larynx larynx NN 19261 3893 15 , , , 19261 3893 16 chronic chronic JJ 19261 3893 17 stenosis stenosis NN 19261 3893 18 resulting result VBG 19261 3893 19 . . . 19261 3894 1 _ _ NNP 19261 3894 2 Laryngeal Laryngeal NNP 19261 3894 3 stenosis stenosis NN 19261 3894 4 in in IN 19261 3894 5 the the DT 19261 3894 6 newborn newborn JJ 19261 3894 7 _ _ NNP 19261 3894 8 may may MD 19261 3894 9 be be VB 19261 3894 10 due due JJ 19261 3894 11 to to IN 19261 3894 12 various various JJ 19261 3894 13 anomalies anomaly NNS 19261 3894 14 of of IN 19261 3894 15 the the DT 19261 3894 16 larynx larynx NNP 19261 3894 17 or or CC 19261 3894 18 trachea trachea NN 19261 3894 19 , , , 19261 3894 20 or or CC 19261 3894 21 to to IN 19261 3894 22 traumatism traumatism NN 19261 3894 23 of of IN 19261 3894 24 these these DT 19261 3894 25 structures structure NNS 19261 3894 26 during during IN 19261 3894 27 delivery delivery NN 19261 3894 28 . . . 19261 3895 1 The the DT 19261 3895 2 normal normal JJ 19261 3895 3 glottis glottis NN 19261 3895 4 in in IN 19261 3895 5 the the DT 19261 3895 6 newborn newborn JJ 19261 3895 7 is be VBZ 19261 3895 8 relatively relatively RB 19261 3895 9 narrow narrow JJ 19261 3895 10 , , , 19261 3895 11 so so IN 19261 3895 12 that that IN 19261 3895 13 even even RB 19261 3895 14 slight slight JJ 19261 3895 15 encroachment encroachment NN 19261 3895 16 on on IN 19261 3895 17 its -PRON- PRP$ 19261 3895 18 lumen luman NNS 19261 3895 19 produces produce VBZ 19261 3895 20 a a DT 19261 3895 21 serious serious JJ 19261 3895 22 degree degree NN 19261 3895 23 of of IN 19261 3895 24 dyspnea dyspnea NN 19261 3895 25 . . . 19261 3896 1 The the DT 19261 3896 2 characteristic characteristic JJ 19261 3896 3 signs sign NNS 19261 3896 4 are be VBP 19261 3896 5 inspiratory inspiratory JJ 19261 3896 6 indrawing indrawing NN 19261 3896 7 of of IN 19261 3896 8 the the DT 19261 3896 9 supraclavicular supraclavicular JJ 19261 3896 10 fossae fossae NN 19261 3896 11 , , , 19261 3896 12 the the DT 19261 3896 13 suprasternal suprasternal JJ 19261 3896 14 notch notch NN 19261 3896 15 , , , 19261 3896 16 the the DT 19261 3896 17 epigastrium epigastrium NN 19261 3896 18 , , , 19261 3896 19 and and CC 19261 3896 20 the the DT 19261 3896 21 lower low JJR 19261 3896 22 sternum sternum NNP 19261 3896 23 and and CC 19261 3896 24 ribs ribs NNP 19261 3896 25 . . . 19261 3897 1 Cyanosis cyanosis NN 19261 3897 2 is be VBZ 19261 3897 3 seen see VBN 19261 3897 4 at at IN 19261 3897 5 first first RB 19261 3897 6 , , , 19261 3897 7 later later RB 19261 3897 8 giving give VBG 19261 3897 9 place place NN 19261 3897 10 to to IN 19261 3897 11 pallid pallid JJ 19261 3897 12 asphyxia asphyxia NN 19261 3897 13 when when WRB 19261 3897 14 cardiac cardiac JJ 19261 3897 15 failure failure NN 19261 3897 16 occurs occur VBZ 19261 3897 17 . . . 19261 3898 1 Little little JJ 19261 3898 2 air air NN 19261 3898 3 is be VBZ 19261 3898 4 heard hear VBN 19261 3898 5 to to TO 19261 3898 6 enter enter VB 19261 3898 7 the the DT 19261 3898 8 lungs lung NNS 19261 3898 9 , , , 19261 3898 10 during during IN 19261 3898 11 respiratory respiratory JJ 19261 3898 12 efforts effort NNS 19261 3898 13 and and CC 19261 3898 14 the the DT 19261 3898 15 infant infant NN 19261 3898 16 , , , 19261 3898 17 becoming become VBG 19261 3898 18 exhausted exhaust VBN 19261 3898 19 by by IN 19261 3898 20 the the DT 19261 3898 21 great great JJ 19261 3898 22 muscular muscular JJ 19261 3898 23 exertion exertion NN 19261 3898 24 , , , 19261 3898 25 soon soon RB 19261 3898 26 ceases cease VBZ 19261 3898 27 to to TO 19261 3898 28 breathe breathe VB 19261 3898 29 . . . 19261 3899 1 Paralytic paralytic JJ 19261 3899 2 stenosis stenosis NN 19261 3899 3 of of IN 19261 3899 4 the the DT 19261 3899 5 larynx larynx NN 19261 3899 6 sometimes sometimes RB 19261 3899 7 follows follow VBZ 19261 3899 8 difficult difficult JJ 19261 3899 9 forceps forceps NNP 19261 3899 10 deliveries delivery NNS 19261 3899 11 during during IN 19261 3899 12 which which WDT 19261 3899 13 stretching stretching NN 19261 3899 14 or or CC 19261 3899 15 compression compression NN 19261 3899 16 of of IN 19261 3899 17 the the DT 19261 3899 18 recurrent recurrent JJ 19261 3899 19 nerves nerve NNS 19261 3899 20 occur occur VBP 19261 3899 21 . . . 19261 3900 1 _ _ NNP 19261 3900 2 Acute acute JJ 19261 3900 3 laryngeal laryngeal NN 19261 3900 4 stenosis stenosis NN 19261 3900 5 in in IN 19261 3900 6 infants infant NNS 19261 3900 7 , , , 19261 3900 8 from from IN 19261 3900 9 laryngeal laryngeal JJ 19261 3900 10 perichondritis perichondritis NNP 19261 3900 11 _ _ NNP 19261 3900 12 , , , 19261 3900 13 may may MD 19261 3900 14 be be VB 19261 3900 15 a a DT 19261 3900 16 delayed delayed JJ 19261 3900 17 result result NN 19261 3900 18 of of IN 19261 3900 19 traumatism traumatism NN 19261 3900 20 to to IN 19261 3900 21 the the DT 19261 3900 22 laryngeal laryngeal JJ 19261 3900 23 cartilages cartilage NNS 19261 3900 24 during during IN 19261 3900 25 delivery delivery NN 19261 3900 26 . . . 19261 3901 1 The the DT 19261 3901 2 symptoms symptom NNS 19261 3901 3 usually usually RB 19261 3901 4 develop develop VBP 19261 3901 5 within within IN 19261 3901 6 four four CD 19261 3901 7 weeks week NNS 19261 3901 8 after after IN 19261 3901 9 birth birth NN 19261 3901 10 . . . 19261 3902 1 Lues lue NNS 19261 3902 2 and and CC 19261 3902 3 tuberculosis tuberculosis NN 19261 3902 4 are be VBP 19261 3902 5 possible possible JJ 19261 3902 6 factors factor NNS 19261 3902 7 to to TO 19261 3902 8 be be VB 19261 3902 9 eliminated eliminate VBN 19261 3902 10 by by IN 19261 3902 11 the the DT 19261 3902 12 usual usual JJ 19261 3902 13 methods method NNS 19261 3902 14 . . . 19261 3903 1 _ _ NNP 19261 3903 2 Surgical Surgical NNP 19261 3903 3 Treatment Treatment NNP 19261 3903 4 of of IN 19261 3903 5 Acute Acute NNP 19261 3903 6 Laryngeal Laryngeal NNP 19261 3903 7 Stenosis_.--Multiple stenosis_.--multiple NN 19261 3903 8 puncture puncture NN 19261 3903 9 of of IN 19261 3903 10 acute acute JJ 19261 3903 11 inflammatory inflammatory JJ 19261 3903 12 edema edema NN 19261 3903 13 , , , 19261 3903 14 while while IN 19261 3903 15 readily readily RB 19261 3903 16 performed perform VBN 19261 3903 17 with with IN 19261 3903 18 the the DT 19261 3903 19 laryngeal laryngeal NN 19261 3903 20 knife knife NN 19261 3903 21 used use VBN 19261 3903 22 through through IN 19261 3903 23 the the DT 19261 3903 24 direct direct JJ 19261 3903 25 laryngoscope laryngoscope NN 19261 3903 26 , , , 19261 3903 27 is be VBZ 19261 3903 28 an an DT 19261 3903 29 uncertain uncertain JJ 19261 3903 30 measure measure NN 19261 3903 31 of of IN 19261 3903 32 relief relief NN 19261 3903 33 . . . 19261 3904 1 Tracheotomy Tracheotomy NNP 19261 3904 2 , , , 19261 3904 3 if if IN 19261 3904 4 done do VBN 19261 3904 5 low low RB 19261 3904 6 in in IN 19261 3904 7 the the DT 19261 3904 8 neck neck NN 19261 3904 9 , , , 19261 3904 10 will will MD 19261 3904 11 completely completely RB 19261 3904 12 relieve relieve VB 19261 3904 13 the the DT 19261 3904 14 dyspnea dyspnea NN 19261 3904 15 . . . 19261 3905 1 By by IN 19261 3905 2 its -PRON- PRP$ 19261 3905 3 therapeutic therapeutic JJ 19261 3905 4 effect effect NN 19261 3905 5 of of IN 19261 3905 6 rest rest NN 19261 3905 7 , , , 19261 3905 8 it -PRON- PRP 19261 3905 9 favors favor VBZ 19261 3905 10 the the DT 19261 3905 11 rapid rapid JJ 19261 3905 12 subsidence subsidence NN 19261 3905 13 of of IN 19261 3905 14 the the DT 19261 3905 15 inflammation inflammation NN 19261 3905 16 in in IN 19261 3905 17 the the DT 19261 3905 18 larynx larynx NN 19261 3905 19 and and CC 19261 3905 20 is be VBZ 19261 3905 21 the the DT 19261 3905 22 treatment treatment NN 19261 3905 23 to to TO 19261 3905 24 be be VB 19261 3905 25 preferred prefer VBN 19261 3905 26 . . . 19261 3906 1 Intubation intubation NN 19261 3906 2 is be VBZ 19261 3906 3 treacherous treacherous JJ 19261 3906 4 and and CC 19261 3906 5 unreliable unreliable JJ 19261 3906 6 except except IN 19261 3906 7 in in IN 19261 3906 8 diphtheritic diphtheritic JJ 19261 3906 9 cases case NNS 19261 3906 10 ; ; : 19261 3906 11 but but CC 19261 3906 12 in in IN 19261 3906 13 the the DT 19261 3906 14 diphtheritic diphtheritic JJ 19261 3906 15 cases case NNS 19261 3906 16 it -PRON- PRP 19261 3906 17 is be VBZ 19261 3906 18 ideal ideal JJ 19261 3906 19 , , , 19261 3906 20 if if IN 19261 3906 21 constant constant JJ 19261 3906 22 skilled skilled JJ 19261 3906 23 watching watching NN 19261 3906 24 can can MD 19261 3906 25 be be VB 19261 3906 26 had have VBN 19261 3906 27 . . . 19261 3907 1 [ [ -LRB- 19261 3907 2 279 279 CD 19261 3907 3 ] ] -RRB- 19261 3907 4 CHAPTER chapter NN 19261 3907 5 XXXVII xxxvii NN 19261 3907 6 -- -- : 19261 3907 7 TRACHEOTOMY TRACHEOTOMY NNP 19261 3907 8 _ _ NNP 19261 3907 9 Indications_.--Tracheotomy indications_.--tracheotomy NN 19261 3907 10 is be VBZ 19261 3907 11 indicated indicate VBN 19261 3907 12 in in IN 19261 3907 13 dyspnea dyspnea NN 19261 3907 14 of of IN 19261 3907 15 laryngotracheal laryngotracheal NN 19261 3907 16 origin origin NN 19261 3907 17 . . . 19261 3908 1 The the DT 19261 3908 2 cardinal cardinal JJ 19261 3908 3 signs sign NNS 19261 3908 4 of of IN 19261 3908 5 this this DT 19261 3908 6 form form NN 19261 3908 7 of of IN 19261 3908 8 dyspnea dyspnea NN 19261 3908 9 are be VBP 19261 3908 10 : : : 19261 3908 11 1 1 CD 19261 3908 12 . . . 19261 3909 1 Indrawing indrawe VBG 19261 3909 2 at at IN 19261 3909 3 the the DT 19261 3909 4 suprasternal suprasternal JJ 19261 3909 5 notch notch NN 19261 3909 6 . . . 19261 3910 1 2 2 LS 19261 3910 2 . . . 19261 3911 1 Indrawing indrawe VBG 19261 3911 2 around around IN 19261 3911 3 the the DT 19261 3911 4 clavicles clavicle NNS 19261 3911 5 . . . 19261 3912 1 3 3 LS 19261 3912 2 . . . 19261 3913 1 Indrawing indrawing NN 19261 3913 2 of of IN 19261 3913 3 the the DT 19261 3913 4 intercostal intercostal JJ 19261 3913 5 spaces space NNS 19261 3913 6 . . . 19261 3914 1 4 4 LS 19261 3914 2 . . . 19261 3915 1 Restlessness Restlessness NNP 19261 3915 2 . . . 19261 3916 1 5 5 CD 19261 3916 2 . . . 19261 3917 1 Choking choke VBG 19261 3917 2 and and CC 19261 3917 3 waking wake VBG 19261 3917 4 as as RB 19261 3917 5 soon soon RB 19261 3917 6 as as IN 19261 3917 7 the the DT 19261 3917 8 aid aid NN 19261 3917 9 of of IN 19261 3917 10 the the DT 19261 3917 11 voluntary voluntary JJ 19261 3917 12 respiratory respiratory JJ 19261 3917 13 muscles muscle NNS 19261 3917 14 ceases cease VBZ 19261 3917 15 in in IN 19261 3917 16 falling fall VBG 19261 3917 17 to to TO 19261 3917 18 sleep sleep VB 19261 3917 19 . . . 19261 3918 1 6 6 CD 19261 3918 2 . . . 19261 3919 1 Cyanosis cyanosis NN 19261 3919 2 is be VBZ 19261 3919 3 a a DT 19261 3919 4 dangerously dangerously RB 19261 3919 5 late late JJ 19261 3919 6 symptom symptom NN 19261 3919 7 . . . 19261 3920 1 As as IN 19261 3920 2 a a DT 19261 3920 3 therapeutic therapeutic JJ 19261 3920 4 measure measure NN 19261 3920 5 in in IN 19261 3920 6 diseases disease NNS 19261 3920 7 of of IN 19261 3920 8 the the DT 19261 3920 9 larynx larynx NN 19261 3920 10 its -PRON- PRP$ 19261 3920 11 place place NN 19261 3920 12 has have VBZ 19261 3920 13 been be VBN 19261 3920 14 thoroughly thoroughly RB 19261 3920 15 established establish VBN 19261 3920 16 . . . 19261 3921 1 Marked marked JJ 19261 3921 2 improvement improvement NN 19261 3921 3 of of IN 19261 3921 4 the the DT 19261 3921 5 laryngeal laryngeal JJ 19261 3921 6 lesions lesion NNS 19261 3921 7 has have VBZ 19261 3921 8 been be VBN 19261 3921 9 observed observe VBN 19261 3921 10 to to TO 19261 3921 11 follow follow VB 19261 3921 12 tracheotomy tracheotomy NN 19261 3921 13 in in IN 19261 3921 14 advanced advanced JJ 19261 3921 15 laryngeal laryngeal NN 19261 3921 16 tuberculosis tuberculosis NN 19261 3921 17 , , , 19261 3921 18 and and CC 19261 3921 19 in in IN 19261 3921 20 cancer cancer NN 19261 3921 21 of of IN 19261 3921 22 the the DT 19261 3921 23 larynx larynx NN 19261 3921 24 . . . 19261 3922 1 It -PRON- PRP 19261 3922 2 has have VBZ 19261 3922 3 proven prove VBN 19261 3922 4 , , , 19261 3922 5 in in IN 19261 3922 6 some some DT 19261 3922 7 cases case NNS 19261 3922 8 , , , 19261 3922 9 a a DT 19261 3922 10 useful useful JJ 19261 3922 11 adjunct adjunct NN 19261 3922 12 in in IN 19261 3922 13 the the DT 19261 3922 14 treatment treatment NN 19261 3922 15 of of IN 19261 3922 16 luetic luetic JJ 19261 3922 17 laryngitis laryngitis NN 19261 3922 18 , , , 19261 3922 19 though though IN 19261 3922 20 it -PRON- PRP 19261 3922 21 can can MD 19261 3922 22 not not RB 19261 3922 23 be be VB 19261 3922 24 regarded regard VBN 19261 3922 25 as as IN 19261 3922 26 indicated indicate VBN 19261 3922 27 , , , 19261 3922 28 in in IN 19261 3922 29 the the DT 19261 3922 30 absence absence NN 19261 3922 31 of of IN 19261 3922 32 dyspnea dyspnea NN 19261 3922 33 . . . 19261 3923 1 Perichondritis Perichondritis NNP 19261 3923 2 and and CC 19261 3923 3 other other JJ 19261 3923 4 inflammations inflammation NNS 19261 3923 5 are be VBP 19261 3923 6 benefited benefit VBN 19261 3923 7 by by IN 19261 3923 8 tracheotomy tracheotomy NN 19261 3923 9 . . . 19261 3924 1 A a DT 19261 3924 2 marked marked JJ 19261 3924 3 therapeutic therapeutic JJ 19261 3924 4 effect effect NN 19261 3924 5 on on IN 19261 3924 6 multiple multiple JJ 19261 3924 7 laryngotracheal laryngotracheal NN 19261 3924 8 papillomata papillomata NN 19261 3924 9 in in IN 19261 3924 10 children child NNS 19261 3924 11 has have VBZ 19261 3924 12 been be VBN 19261 3924 13 noted note VBN 19261 3924 14 by by IN 19261 3924 15 the the DT 19261 3924 16 author author NN 19261 3924 17 in in IN 19261 3924 18 hundreds hundred NNS 19261 3924 19 of of IN 19261 3924 20 cases case NNS 19261 3924 21 . . . 19261 3925 1 _ _ NNP 19261 3925 2 Tracheotomy Tracheotomy NNP 19261 3925 3 for for IN 19261 3925 4 foreign foreign JJ 19261 3925 5 body body NN 19261 3925 6 _ _ NNP 19261 3925 7 is be VBZ 19261 3925 8 no no DT 19261 3925 9 longer long RBR 19261 3925 10 indicated indicate VBN 19261 3925 11 either either CC 19261 3925 12 for for IN 19261 3925 13 the the DT 19261 3925 14 removal removal NN 19261 3925 15 of of IN 19261 3925 16 the the DT 19261 3925 17 intruder intruder NN 19261 3925 18 , , , 19261 3925 19 or or CC 19261 3925 20 for for IN 19261 3925 21 the the DT 19261 3925 22 insertion insertion NN 19261 3925 23 of of IN 19261 3925 24 the the DT 19261 3925 25 bronchoscope bronchoscope NN 19261 3925 26 . . . 19261 3926 1 Tracheotomy Tracheotomy NNP 19261 3926 2 may may MD 19261 3926 3 be be VB 19261 3926 4 urgently urgently RB 19261 3926 5 indicated indicate VBN 19261 3926 6 for for IN 19261 3926 7 foreign foreign JJ 19261 3926 8 body body NN 19261 3926 9 dyspnea dyspnea NN 19261 3926 10 , , , 19261 3926 11 but but CC 19261 3926 12 not not RB 19261 3926 13 for for IN 19261 3926 14 foreign foreign JJ 19261 3926 15 body body NN 19261 3926 16 removal removal NN 19261 3926 17 . . . 19261 3927 1 _ _ NNP 19261 3927 2 Subcutaneous subcutaneous JJ 19261 3927 3 rupture rupture NN 19261 3927 4 of of IN 19261 3927 5 the the DT 19261 3927 6 trachea trachea NN 19261 3927 7 _ _ NNP 19261 3927 8 from from IN 19261 3927 9 external external JJ 19261 3927 10 trauma trauma NN 19261 3927 11 may may MD 19261 3927 12 produce produce VB 19261 3927 13 dyspnea dyspnea JJ 19261 3927 14 and and CC 19261 3927 15 generalized generalize VBN 19261 3927 16 emphysema emphysema NNP 19261 3927 17 , , , 19261 3927 18 both both DT 19261 3927 19 of of IN 19261 3927 20 which which WDT 19261 3927 21 will will MD 19261 3927 22 be be VB 19261 3927 23 relieved relieve VBN 19261 3927 24 by by IN 19261 3927 25 tracheotomy tracheotomy NN 19261 3927 26 . . . 19261 3928 1 [ [ -LRB- 19261 3928 2 280 280 CD 19261 3928 3 ] ] -RRB- 19261 3928 4 _ _ NNP 19261 3928 5 Acromegalic acromegalic JJ 19261 3928 6 stenosis stenosis NN 19261 3928 7 of of IN 19261 3928 8 the the DT 19261 3928 9 larynx larynx NN 19261 3928 10 _ _ NNP 19261 3928 11 is be VBZ 19261 3928 12 a a DT 19261 3928 13 rare rare JJ 19261 3928 14 but but CC 19261 3928 15 urgent urgent JJ 19261 3928 16 indication indication NN 19261 3928 17 for for IN 19261 3928 18 tracheotomy tracheotomy NN 19261 3928 19 . . . 19261 3929 1 _ _ NNP 19261 3929 2 Contraindications_.--There Contraindications_.--There NNP 19261 3929 3 are be VBP 19261 3929 4 no no DT 19261 3929 5 contraindications contraindication NNS 19261 3929 6 to to TO 19261 3929 7 tracheotomy tracheotomy VB 19261 3929 8 for for IN 19261 3929 9 dyspnea dyspnea NN 19261 3929 10 . . . 19261 3930 1 _ _ NNP 19261 3930 2 The the DT 19261 3930 3 instruments instrument NNS 19261 3930 4 _ _ NNP 19261 3930 5 required require VBN 19261 3930 6 for for IN 19261 3930 7 an an DT 19261 3930 8 orderly orderly JJ 19261 3930 9 tracheotomy tracheotomy NN 19261 3930 10 are be VBP 19261 3930 11 : : : 19261 3930 12 Headlight Headlight NNP 19261 3930 13 Scalpels Scalpels NNP 19261 3930 14 2 2 CD 19261 3930 15 Retractors Retractors NNPS 19261 3930 16 Trousseau Trousseau NNP 19261 3930 17 dilator dilator NN 19261 3930 18 6 6 CD 19261 3930 19 Hemostats Hemostats NNP 19261 3930 20 Scissors Scissors NNPS 19261 3930 21 ( ( -LRB- 19261 3930 22 dissecting dissecting NN 19261 3930 23 ) ) -RRB- 19261 3930 24 Tracheal tracheal NN 19261 3930 25 cannulae cannulae NNS 19261 3930 26 ( ( -LRB- 19261 3930 27 six six CD 19261 3930 28 sizes size NNS 19261 3930 29 ) ) -RRB- 19261 3930 30 Curved Curved NNP 19261 3930 31 needles needle NNS 19261 3930 32 Needle Needle NNP 19261 3930 33 holder holder NN 19261 3930 34 Hypodermic hypodermic JJ 19261 3930 35 syringe syringe NN 19261 3930 36 for for IN 19261 3930 37 local local JJ 19261 3930 38 anesthesia anesthesia NNS 19261 3930 39 No no UH 19261 3930 40 . . . 19261 3931 1 1 1 CD 19261 3931 2 plain plain JJ 19261 3931 3 catgut catgut JJ 19261 3931 4 ligatures ligature NNS 19261 3931 5 Linen Linen NNP 19261 3931 6 tape tape NN 19261 3931 7 Gauze Gauze NNP 19261 3931 8 sponges sponge NNS 19261 3931 9 These these DT 19261 3931 10 are be VBP 19261 3931 11 sterilized sterilize VBN 19261 3931 12 and and CC 19261 3931 13 kept keep VBN 19261 3931 14 in in IN 19261 3931 15 a a DT 19261 3931 16 sterile sterile JJ 19261 3931 17 copper copper NN 19261 3931 18 box box NN 19261 3931 19 ready ready JJ 19261 3931 20 for for IN 19261 3931 21 instant instant JJ 19261 3931 22 use use NN 19261 3931 23 . . . 19261 3932 1 Beside beside IN 19261 3932 2 the the DT 19261 3932 3 patient patient NN 19261 3932 4 's 's POS 19261 3932 5 bed bed NN 19261 3932 6 following follow VBG 19261 3932 7 the the DT 19261 3932 8 tracheotomy tracheotomy NN 19261 3932 9 the the DT 19261 3932 10 following follow VBG 19261 3932 11 sterile sterile JJ 19261 3932 12 materials material NNS 19261 3932 13 are be VBP 19261 3932 14 placed place VBN 19261 3932 15 : : : 19261 3932 16 Sterile sterile JJ 19261 3932 17 gloves glove NNS 19261 3932 18 1 1 CD 19261 3932 19 Hemostat Hemostat NNP 19261 3932 20 Sterile Sterile NNP 19261 3932 21 new new JJ 19261 3932 22 gauze gauze NN 19261 3932 23 Trousseau Trousseau NNP 19261 3932 24 dilator dilator NN 19261 3932 25 Scissors Scissors NNP 19261 3932 26 Duplicate Duplicate NNP 19261 3932 27 tracheotomy tracheotomy NN 19261 3932 28 tube tube NN 19261 3932 29 Silver Silver NNP 19261 3932 30 probe probe NN 19261 3932 31 Basin Basin NNP 19261 3932 32 of of IN 19261 3932 33 Bichloride Bichloride NNP 19261 3932 34 of of IN 19261 3932 35 mercury mercury NN 19261 3932 36 solution solution NN 19261 3932 37 , , , 19261 3932 38 1 1 CD 19261 3932 39 : : : 19261 3932 40 10,000 10,000 CD 19261 3932 41 Tracheotomy Tracheotomy NNP 19261 3932 42 is be VBZ 19261 3932 43 one one CD 19261 3932 44 of of IN 19261 3932 45 the the DT 19261 3932 46 oldest old JJS 19261 3932 47 operations operation NNS 19261 3932 48 known know VBN 19261 3932 49 to to IN 19261 3932 50 surgery surgery NN 19261 3932 51 , , , 19261 3932 52 yet yet CC 19261 3932 53 strange strange JJ 19261 3932 54 to to TO 19261 3932 55 say say VB 19261 3932 56 , , , 19261 3932 57 it -PRON- PRP 19261 3932 58 is be VBZ 19261 3932 59 probably probably RB 19261 3932 60 more more RBR 19261 3932 61 often often RB 19261 3932 62 improperly improperly RB 19261 3932 63 performed perform VBN 19261 3932 64 today today NN 19261 3932 65 , , , 19261 3932 66 and and CC 19261 3932 67 more more RBR 19261 3932 68 often often RB 19261 3932 69 followed follow VBN 19261 3932 70 by by IN 19261 3932 71 needless needless JJ 19261 3932 72 mortality mortality NN 19261 3932 73 , , , 19261 3932 74 than than IN 19261 3932 75 any any DT 19261 3932 76 other other JJ 19261 3932 77 operation operation NN 19261 3932 78 . . . 19261 3933 1 The the DT 19261 3933 2 two two CD 19261 3933 3 chief chief JJ 19261 3933 4 preventable preventable NN 19261 3933 5 sequelae sequelae NN 19261 3933 6 are be VBP 19261 3933 7 death death NN 19261 3933 8 from from IN 19261 3933 9 improper improper JJ 19261 3933 10 routine routine JJ 19261 3933 11 surgical surgical JJ 19261 3933 12 care care NN 19261 3933 13 and and CC 19261 3933 14 wrongly wrongly RB 19261 3933 15 fitted fitted JJ 19261 3933 16 tube tube NN 19261 3933 17 , , , 19261 3933 18 and and CC 19261 3933 19 stenosis stenosis VB 19261 3933 20 from from IN 19261 3933 21 too too RB 19261 3933 22 high high JJ 19261 3933 23 an an DT 19261 3933 24 operation operation NN 19261 3933 25 . . . 19261 3934 1 The the DT 19261 3934 2 classical classical JJ 19261 3934 3 descriptions description NNS 19261 3934 4 of of IN 19261 3934 5 crico crico NN 19261 3934 6 - - HYPH 19261 3934 7 thyroidotomy thyroidotomy NNP 19261 3934 8 and and CC 19261 3934 9 high high JJ 19261 3934 10 and and CC 19261 3934 11 low low JJ 19261 3934 12 tracheotomy tracheotomy NN 19261 3934 13 have have VBP 19261 3934 14 been be VBN 19261 3934 15 handed hand VBN 19261 3934 16 down down RP 19261 3934 17 to to IN 19261 3934 18 generations generation NNS 19261 3934 19 of of IN 19261 3934 20 medical medical JJ 19261 3934 21 students student NNS 19261 3934 22 without without IN 19261 3934 23 revision revision NN 19261 3934 24 . . . 19261 3935 1 Every every DT 19261 3935 2 medical medical JJ 19261 3935 3 graduate graduate NN 19261 3935 4 has have VBZ 19261 3935 5 been be VBN 19261 3935 6 taught teach VBN 19261 3935 7 that that IN 19261 3935 8 there there EX 19261 3935 9 are be VBP 19261 3935 10 two two CD 19261 3935 11 kinds kind NNS 19261 3935 12 of of IN 19261 3935 13 tracheotomy tracheotomy NN 19261 3935 14 , , , 19261 3935 15 high high JJ 19261 3935 16 and and CC 19261 3935 17 low low JJ 19261 3935 18 , , , 19261 3935 19 the the DT 19261 3935 20 low low JJ 19261 3935 21 operation operation NN 19261 3935 22 being be VBG 19261 3935 23 very very RB 19261 3935 24 difficult difficult JJ 19261 3935 25 , , , 19261 3935 26 the the DT 19261 3935 27 high high JJ 19261 3935 28 operation operation NN 19261 3935 29 very very RB 19261 3935 30 easy easy JJ 19261 3935 31 . . . 19261 3936 1 When when WRB 19261 3936 2 he -PRON- PRP 19261 3936 3 is be VBZ 19261 3936 4 suddenly suddenly RB 19261 3936 5 called call VBN 19261 3936 6 upon upon IN 19261 3936 7 to to TO 19261 3936 8 do do VB 19261 3936 9 an an DT 19261 3936 10 emergency emergency NN 19261 3936 11 tracheotomy tracheotomy NN 19261 3936 12 , , , 19261 3936 13 this this DT 19261 3936 14 erroneous erroneous JJ 19261 3936 15 teaching teaching NN 19261 3936 16 is be VBZ 19261 3936 17 about about IN 19261 3936 18 all all DT 19261 3936 19 that that WDT 19261 3936 20 remains remain VBZ 19261 3936 21 in in IN 19261 3936 22 the the DT 19261 3936 23 dim dim JJ 19261 3936 24 recesses recess NNS 19261 3936 25 of of IN 19261 3936 26 his -PRON- PRP$ 19261 3936 27 memory memory NN 19261 3936 28 ; ; : 19261 3936 29 consequently consequently RB 19261 3936 30 he -PRON- PRP 19261 3936 31 makes make VBZ 19261 3936 32 sure sure JJ 19261 3936 33 of of IN 19261 3936 34 doing do VBG 19261 3936 35 the the DT 19261 3936 36 operation operation NN 19261 3936 37 high high RB 19261 3936 38 enough enough RB 19261 3936 39 , , , 19261 3936 40 and and CC 19261 3936 41 goes go VBZ 19261 3936 42 in in RB 19261 3936 43 through through IN 19261 3936 44 the the DT 19261 3936 45 larynx larynx NN 19261 3936 46 , , , 19261 3936 47 usually usually RB 19261 3936 48 dividing divide VBG 19261 3936 49 the the DT 19261 3936 50 cricoid cricoid NN 19261 3936 51 cartilage cartilage NN 19261 3936 52 , , , 19261 3936 53 the the DT 19261 3936 54 only only JJ 19261 3936 55 complete complete JJ 19261 3936 56 ring ring NN 19261 3936 57 in in IN 19261 3936 58 the the DT 19261 3936 59 trachea trachea NN 19261 3936 60 . . . 19261 3937 1 As as IN 19261 3937 2 originally originally RB 19261 3937 3 made make VBD 19261 3937 4 the the DT 19261 3937 5 distinction distinction NN 19261 3937 6 between between IN 19261 3937 7 high high JJ 19261 3937 8 and and CC 19261 3937 9 low low JJ 19261 3937 10 as as IN 19261 3937 11 applied apply VBN 19261 3937 12 to to IN 19261 3937 13 tracheotomy tracheotomy NN 19261 3937 14 referred refer VBD 19261 3937 15 to to IN 19261 3937 16 operations operation NNS 19261 3937 17 above above IN 19261 3937 18 and and CC 19261 3937 19 below below IN 19261 3937 20 the the DT 19261 3937 21 isthmus isthmus NN 19261 3937 22 of of IN 19261 3937 23 the the DT 19261 3937 24 thyroid thyroid NNP 19261 3937 25 gland gland NNP 19261 3937 26 , , , 19261 3937 27 in in IN 19261 3937 28 a a DT 19261 3937 29 day day NN 19261 3937 30 when when WRB 19261 3937 31 primitive primitive JJ 19261 3937 32 surgery surgery NN 19261 3937 33 attached attach VBD 19261 3937 34 too too RB 19261 3937 35 much much JJ 19261 3937 36 importance importance NN 19261 3937 37 to to IN 19261 3937 38 operations operation NNS 19261 3937 39 upon upon IN 19261 3937 40 the the DT 19261 3937 41 thyroid thyroid NNP 19261 3937 42 gland gland NNP 19261 3937 43 . . . 19261 3938 1 The the DT 19261 3938 2 isthmus isthmus NN 19261 3938 3 is be VBZ 19261 3938 4 entitled entitle VBN 19261 3938 5 to to IN 19261 3938 6 absolutely absolutely RB 19261 3938 7 no no DT 19261 3938 8 consideration consideration NN 19261 3938 9 whatever whatever WDT 19261 3938 10 in in IN 19261 3938 11 deciding decide VBG 19261 3938 12 the the DT 19261 3938 13 location location NN 19261 3938 14 at at IN 19261 3938 15 which which WDT 19261 3938 16 to to TO 19261 3938 17 incise incise VB 19261 3938 18 so so RB 19261 3938 19 vital vital JJ 19261 3938 20 a a DT 19261 3938 21 structure structure NN 19261 3938 22 as as IN 19261 3938 23 the the DT 19261 3938 24 trachea trachea NN 19261 3938 25 . . . 19261 3939 1 Students student NNS 19261 3939 2 are be VBP 19261 3939 3 taught teach VBN 19261 3939 4 different different JJ 19261 3939 5 short short JJ 19261 3939 6 skin skin NN 19261 3939 7 incisions incision NNS 19261 3939 8 for for IN 19261 3939 9 these these DT 19261 3939 10 two two CD 19261 3939 11 operations operation NNS 19261 3939 12 , , , 19261 3939 13 and and CC 19261 3939 14 it -PRON- PRP 19261 3939 15 is be VBZ 19261 3939 16 no no DT 19261 3939 17 wonder wonder NN 19261 3939 18 that that IN 19261 3939 19 they -PRON- PRP 19261 3939 20 , , , 19261 3939 21 as as IN 19261 3939 22 did do VBD 19261 3939 23 their -PRON- PRP$ 19261 3939 24 predecessors predecessor NNS 19261 3939 25 , , , 19261 3939 26 find find VB 19261 3939 27 tracheotomy tracheotomy NN 19261 3939 28 a a DT 19261 3939 29 difficult difficult JJ 19261 3939 30 , , , 19261 3939 31 bloody bloody JJ 19261 3939 32 , , , 19261 3939 33 and and CC 19261 3939 34 often often RB 19261 3939 35 futile futile JJ 19261 3939 36 operation operation NN 19261 3939 37 . . . 19261 3940 1 The the DT 19261 3940 2 trachea trachea NN 19261 3940 3 is be VBZ 19261 3940 4 searched search VBN 19261 3940 5 for for IN 19261 3940 6 at at IN 19261 3940 7 the the DT 19261 3940 8 bottom bottom NN 19261 3940 9 of of IN 19261 3940 10 a a DT 19261 3940 11 short short JJ 19261 3940 12 , , , 19261 3940 13 deep deep JJ 19261 3940 14 wound wound NN 19261 3940 15 filled fill VBN 19261 3940 16 with with IN 19261 3940 17 blood blood NN 19261 3940 18 , , , 19261 3940 19 the the DT 19261 3940 20 source source NN 19261 3940 21 of of IN 19261 3940 22 which which WDT 19261 3940 23 is be VBZ 19261 3940 24 difficult difficult JJ 19261 3940 25 to to TO 19261 3940 26 find find VB 19261 3940 27 and and CC 19261 3940 28 impossible impossible JJ 19261 3940 29 to to TO 19261 3940 30 control control VB 19261 3940 31 . . . 19261 3941 1 _ _ NNP 19261 3941 2 Tracheotomic tracheotomic JJ 19261 3941 3 cannulae cannulae NNS 19261 3941 4 _ _ NNP 19261 3941 5 should should MD 19261 3941 6 be be VB 19261 3941 7 made make VBN 19261 3941 8 of of IN 19261 3941 9 sterling sterling JJ 19261 3941 10 silver silver NN 19261 3941 11 . . . 19261 3942 1 German german JJ 19261 3942 2 silver silver NN 19261 3942 3 plated plate VBD 19261 3942 4 with with IN 19261 3942 5 pure pure JJ 19261 3942 6 silver silver NN 19261 3942 7 is be VBZ 19261 3942 8 good good JJ 19261 3942 9 enough enough RB 19261 3942 10 for for IN 19261 3942 11 temporary temporary JJ 19261 3942 12 use use NN 19261 3942 13 , , , 19261 3942 14 but but CC 19261 3942 15 the the DT 19261 3942 16 plating plating NN 19261 3942 17 soon soon RB 19261 3942 18 wears wear VBZ 19261 3942 19 off off RP 19261 3942 20 under under IN 19261 3942 21 the the DT 19261 3942 22 galvanic galvanic JJ 19261 3942 23 action action NN 19261 3942 24 set set VBN 19261 3942 25 up up RP 19261 3942 26 between between IN 19261 3942 27 the the DT 19261 3942 28 two two CD 19261 3942 29 metals metal NNS 19261 3942 30 . . . 19261 3943 1 Aluminum aluminum NN 19261 3943 2 becomes become VBZ 19261 3943 3 roughened roughen VBN 19261 3943 4 by by IN 19261 3943 5 boiling boil VBG 19261 3943 6 and and CC 19261 3943 7 contact contact NN 19261 3943 8 with with IN 19261 3943 9 secretions secretion NNS 19261 3943 10 , , , 19261 3943 11 and and CC 19261 3943 12 causes cause VBZ 19261 3943 13 the the DT 19261 3943 14 formation formation NN 19261 3943 15 of of IN 19261 3943 16 granulations granulation NNS 19261 3943 17 which which WDT 19261 3943 18 in in IN 19261 3943 19 time time NN 19261 3943 20 lead lead NN 19261 3943 21 to to IN 19261 3943 22 stenosis stenosis NN 19261 3943 23 . . . 19261 3944 1 Hard hard JJ 19261 3944 2 rubber rubber NN 19261 3944 3 tubes tube NNS 19261 3944 4 can can MD 19261 3944 5 not not RB 19261 3944 6 be be VB 19261 3944 7 boiled boil VBN 19261 3944 8 , , , 19261 3944 9 the the DT 19261 3944 10 walls wall NNS 19261 3944 11 are be VBP 19261 3944 12 so so RB 19261 3944 13 thick thick JJ 19261 3944 14 as as IN 19261 3944 15 to to TO 19261 3944 16 leave leave VB 19261 3944 17 too too RB 19261 3944 18 little little JJ 19261 3944 19 lumen luman NNS 19261 3944 20 , , , 19261 3944 21 and and CC 19261 3944 22 the the DT 19261 3944 23 rubber rubber NN 19261 3944 24 is be VBZ 19261 3944 25 irritating irritate VBG 19261 3944 26 to to IN 19261 3944 27 the the DT 19261 3944 28 tissues tissue NNS 19261 3944 29 . . . 19261 3945 1 All all DT 19261 3945 2 tracheotomy tracheotomy NN 19261 3945 3 tubes tube NNS 19261 3945 4 should should MD 19261 3945 5 be be VB 19261 3945 6 fitted fit VBN 19261 3945 7 with with IN 19261 3945 8 pilots pilot NNS 19261 3945 9 . . . 19261 3946 1 Many many JJ 19261 3946 2 of of IN 19261 3946 3 the the DT 19261 3946 4 tubes tube NNS 19261 3946 5 furnished furnish VBN 19261 3946 6 to to IN 19261 3946 7 patients patient NNS 19261 3946 8 have have VBP 19261 3946 9 no no DT 19261 3946 10 pilots pilot NNS 19261 3946 11 to to TO 19261 3946 12 facilitate facilitate VB 19261 3946 13 the the DT 19261 3946 14 introduction introduction NN 19261 3946 15 , , , 19261 3946 16 and and CC 19261 3946 17 the the DT 19261 3946 18 tubes tube NNS 19261 3946 19 are be VBP 19261 3946 20 inserted insert VBN 19261 3946 21 with with IN 19261 3946 22 somewhat somewhat RB 19261 3946 23 the the DT 19261 3946 24 effect effect NN 19261 3946 25 of of IN 19261 3946 26 a a DT 19261 3946 27 cheese cheese NN 19261 3946 28 tester tester NN 19261 3946 29 , , , 19261 3946 30 and and CC 19261 3946 31 with with IN 19261 3946 32 great great JJ 19261 3946 33 pain pain NN 19261 3946 34 and and CC 19261 3946 35 suffering suffering NN 19261 3946 36 on on IN 19261 3946 37 the the DT 19261 3946 38 part part NN 19261 3946 39 of of IN 19261 3946 40 the the DT 19261 3946 41 patient patient NN 19261 3946 42 . . . 19261 3947 1 Most Most JJS 19261 3947 2 of of IN 19261 3947 3 the the DT 19261 3947 4 the the DT 19261 3947 5 tubes tube NNS 19261 3947 6 in in IN 19261 3947 7 the the DT 19261 3947 8 shops shop NNS 19261 3947 9 are be VBP 19261 3947 10 too too RB 19261 3947 11 short short JJ 19261 3947 12 to to TO 19261 3947 13 allow allow VB 19261 3947 14 for for IN 19261 3947 15 the the DT 19261 3947 16 swelling swelling NN 19261 3947 17 of of IN 19261 3947 18 the the DT 19261 3947 19 tissues tissue NNS 19261 3947 20 of of IN 19261 3947 21 the the DT 19261 3947 22 neck neck NN 19261 3947 23 following follow VBG 19261 3947 24 the the DT 19261 3947 25 operation operation NN 19261 3947 26 . . . 19261 3948 1 They -PRON- PRP 19261 3948 2 may may MD 19261 3948 3 reach reach VB 19261 3948 4 the the DT 19261 3948 5 trachea trachea NN 19261 3948 6 at at IN 19261 3948 7 the the DT 19261 3948 8 time time NN 19261 3948 9 of of IN 19261 3948 10 the the DT 19261 3948 11 operation operation NN 19261 3948 12 , , , 19261 3948 13 but but CC 19261 3948 14 as as RB 19261 3948 15 soon soon RB 19261 3948 16 as as IN 19261 3948 17 the the DT 19261 3948 18 reactionary reactionary JJ 19261 3948 19 swelling swelling NN 19261 3948 20 occurs occur VBZ 19261 3948 21 , , , 19261 3948 22 the the DT 19261 3948 23 end end NN 19261 3948 24 of of IN 19261 3948 25 the the DT 19261 3948 26 tube tube NN 19261 3948 27 is be VBZ 19261 3948 28 pulled pull VBN 19261 3948 29 out out RP 19261 3948 30 ( ( -LRB- 19261 3948 31 Fig fig NN 19261 3948 32 . . . 19261 3949 1 103 103 CD 19261 3949 2 ) ) -RRB- 19261 3949 3 of of IN 19261 3949 4 the the DT 19261 3949 5 tracheal tracheal NN 19261 3949 6 incision incision NN 19261 3949 7 ; ; : 19261 3949 8 the the DT 19261 3949 9 air air NN 19261 3949 10 hissing hiss VBG 19261 3949 11 along along IN 19261 3949 12 the the DT 19261 3949 13 tube tube NN 19261 3949 14 is be VBZ 19261 3949 15 considered consider VBN 19261 3949 16 by by IN 19261 3949 17 the the DT 19261 3949 18 attendant attendant NN 19261 3949 19 to to TO 19261 3949 20 indicate indicate VB 19261 3949 21 that that IN 19261 3949 22 the the DT 19261 3949 23 tube tube NN 19261 3949 24 is be VBZ 19261 3949 25 still still RB 19261 3949 26 in in IN 19261 3949 27 place place NN 19261 3949 28 , , , 19261 3949 29 and and CC 19261 3949 30 the the DT 19261 3949 31 increasing increase VBG 19261 3949 32 dyspnea dyspnea NN 19261 3949 33 and and CC 19261 3949 34 accelerated accelerate VBN 19261 3949 35 respiratory respiratory JJ 19261 3949 36 rate rate NN 19261 3949 37 are be VBP 19261 3949 38 attributed attribute VBN 19261 3949 39 to to IN 19261 3949 40 supposed suppose VBN 19261 3949 41 pneumonia pneumonia NN 19261 3949 42 or or CC 19261 3949 43 edema edema NN 19261 3949 44 of of IN 19261 3949 45 the the DT 19261 3949 46 lungs lung NNS 19261 3949 47 , , , 19261 3949 48 under under IN 19261 3949 49 which which WDT 19261 3949 50 erroneous erroneous JJ 19261 3949 51 diagnosis diagnosis NN 19261 3949 52 the the DT 19261 3949 53 patient patient NN 19261 3949 54 is be VBZ 19261 3949 55 buried bury VBN 19261 3949 56 . . . 19261 3950 1 In in IN 19261 3950 2 all all DT 19261 3950 3 cases case NNS 19261 3950 4 in in IN 19261 3950 5 which which WDT 19261 3950 6 it -PRON- PRP 19261 3950 7 is be VBZ 19261 3950 8 reported report VBN 19261 3950 9 that that IN 19261 3950 10 in in IN 19261 3950 11 spite spite NN 19261 3950 12 of of IN 19261 3950 13 tracheotomy tracheotomy NN 19261 3950 14 the the DT 19261 3950 15 dyspnea dyspnea NN 19261 3950 16 was be VBD 19261 3950 17 only only RB 19261 3950 18 temporarily temporarily RB 19261 3950 19 relieved relieve VBN 19261 3950 20 , , , 19261 3950 21 the the DT 19261 3950 22 fault fault NN 19261 3950 23 is be VBZ 19261 3950 24 the the DT 19261 3950 25 lack lack NN 19261 3950 26 of of IN 19261 3950 27 a a DT 19261 3950 28 " " `` 19261 3950 29 plumber plumber NN 19261 3950 30 . . . 19261 3950 31 " " '' 19261 3951 1 That that RB 19261 3951 2 is is RB 19261 3951 3 , , , 19261 3951 4 an an DT 19261 3951 5 attendant attendant NN 19261 3951 6 who who WP 19261 3951 7 will will MD 19261 3951 8 make make VB 19261 3951 9 sure sure JJ 19261 3951 10 that that IN 19261 3951 11 there there EX 19261 3951 12 is be VBZ 19261 3951 13 at at RB 19261 3951 14 all all DT 19261 3951 15 times time NNS 19261 3951 16 a a DT 19261 3951 17 clear clear JJ 19261 3951 18 airway airway NN 19261 3951 19 all all PDT 19261 3951 20 the the DT 19261 3951 21 way way NN 19261 3951 22 down down IN 19261 3951 23 to to IN 19261 3951 24 the the DT 19261 3951 25 lungs lung NNS 19261 3951 26 . . . 19261 3952 1 With with IN 19261 3952 2 a a DT 19261 3952 3 bronchoscope bronchoscope NN 19261 3952 4 and and CC 19261 3952 5 aspirator aspirator NN 19261 3952 6 he -PRON- PRP 19261 3952 7 will will MD 19261 3952 8 see see VB 19261 3952 9 that that IN 19261 3952 10 the the DT 19261 3952 11 airway airway NN 19261 3952 12 is be VBZ 19261 3952 13 clear clear JJ 19261 3952 14 . . . 19261 3953 1 To to TO 19261 3953 2 begin begin VB 19261 3953 3 with with IN 19261 3953 4 , , , 19261 3953 5 a a DT 19261 3953 6 proper proper JJ 19261 3953 7 sized sized JJ 19261 3953 8 cannula cannula NN 19261 3953 9 must must MD 19261 3953 10 be be VB 19261 3953 11 selected select VBN 19261 3953 12 . . . 19261 3954 1 The the DT 19261 3954 2 series series NN 19261 3954 3 of of IN 19261 3954 4 different different JJ 19261 3954 5 sized sized JJ 19261 3954 6 , , , 19261 3954 7 full full JJ 19261 3954 8 curved curved JJ 19261 3954 9 tubes tube NNS 19261 3954 10 , , , 19261 3954 11 one one CD 19261 3954 12 of of IN 19261 3954 13 which which WDT 19261 3954 14 is be VBZ 19261 3954 15 illustrated illustrate VBN 19261 3954 16 in in IN 19261 3954 17 Fig Fig NNP 19261 3954 18 . . . 19261 3955 1 104 104 CD 19261 3955 2 , , , 19261 3955 3 will will MD 19261 3955 4 under under IN 19261 3955 5 all all DT 19261 3955 6 conditions condition NNS 19261 3955 7 reach reach VBP 19261 3955 8 the the DT 19261 3955 9 trachea trachea NN 19261 3955 10 . . . 19261 3956 1 If if IN 19261 3956 2 the the DT 19261 3956 3 tube tube NN 19261 3956 4 seems seem VBZ 19261 3956 5 to to TO 19261 3956 6 be be VB 19261 3956 7 too too RB 19261 3956 8 long long RB 19261 3956 9 in in IN 19261 3956 10 any any DT 19261 3956 11 given give VBN 19261 3956 12 case case NN 19261 3956 13 , , , 19261 3956 14 it -PRON- PRP 19261 3956 15 will will MD 19261 3956 16 usually usually RB 19261 3956 17 be be VB 19261 3956 18 found find VBN 19261 3956 19 that that IN 19261 3956 20 the the DT 19261 3956 21 tracheotomy tracheotomy NN 19261 3956 22 has have VBZ 19261 3956 23 been be VBN 19261 3956 24 done do VBN 19261 3956 25 too too RB 19261 3956 26 high high JJ 19261 3956 27 , , , 19261 3956 28 and and CC 19261 3956 29 a a DT 19261 3956 30 lower low JJR 19261 3956 31 one one PRP 19261 3956 32 should should MD 19261 3956 33 be be VB 19261 3956 34 done do VBN 19261 3956 35 at at IN 19261 3956 36 once once RB 19261 3956 37 . . . 19261 3957 1 If if IN 19261 3957 2 the the DT 19261 3957 3 operation operation NN 19261 3957 4 has have VBZ 19261 3957 5 not not RB 19261 3957 6 been be VBN 19261 3957 7 done do VBN 19261 3957 8 too too RB 19261 3957 9 high high JJ 19261 3957 10 , , , 19261 3957 11 and and CC 19261 3957 12 the the DT 19261 3957 13 cannula cannula NN 19261 3957 14 is be VBZ 19261 3957 15 too too RB 19261 3957 16 long long JJ 19261 3957 17 , , , 19261 3957 18 a a DT 19261 3957 19 pad pad NN 19261 3957 20 of of IN 19261 3957 21 gauze gauze NN 19261 3957 22 under under IN 19261 3957 23 the the DT 19261 3957 24 shield shield NN 19261 3957 25 will will MD 19261 3957 26 take take VB 19261 3957 27 up up RP 19261 3957 28 the the DT 19261 3957 29 surplus surplus NN 19261 3957 30 length length NN 19261 3957 31 . . . 19261 3958 1 In in IN 19261 3958 2 cases case NNS 19261 3958 3 of of IN 19261 3958 4 tracheal tracheal NN 19261 3958 5 compression compression NN 19261 3958 6 from from IN 19261 3958 7 new new JJ 19261 3958 8 growth growth NN 19261 3958 9 , , , 19261 3958 10 thymus thymus NN 19261 3958 11 or or CC 19261 3958 12 other other JJ 19261 3958 13 such such JJ 19261 3958 14 cases case NNS 19261 3958 15 , , , 19261 3958 16 in in IN 19261 3958 17 which which WDT 19261 3958 18 the the DT 19261 3958 19 ordinary ordinary JJ 19261 3958 20 tube tube NN 19261 3958 21 will will MD 19261 3958 22 not not RB 19261 3958 23 pass pass VB 19261 3958 24 the the DT 19261 3958 25 obstruction obstruction NN 19261 3958 26 , , , 19261 3958 27 the the DT 19261 3958 28 author author NN 19261 3958 29 's 's POS 19261 3958 30 long long JJ 19261 3958 31 cane cane NN 19261 3958 32 - - HYPH 19261 3958 33 shaped shape VBN 19261 3958 34 cannula cannula NN 19261 3958 35 ( ( -LRB- 19261 3958 36 see see VB 19261 3958 37 Fig Fig NNP 19261 3958 38 . . . 19261 3959 1 104 104 LS 19261 3959 2 ) ) -RRB- 19261 3959 3 can can MD 19261 3959 4 be be VB 19261 3959 5 inserted insert VBN 19261 3959 6 past past IN 19261 3959 7 the the DT 19261 3959 8 obstruction obstruction NN 19261 3959 9 , , , 19261 3959 10 and and CC 19261 3959 11 if if IN 19261 3959 12 necessary necessary JJ 19261 3959 13 into into IN 19261 3959 14 either either DT 19261 3959 15 bronchus bronchu NNS 19261 3959 16 . . . 19261 3960 1 The the DT 19261 3960 2 fenestrum fenestrum NN 19261 3960 3 placed place VBN 19261 3960 4 in in IN 19261 3960 5 the the DT 19261 3960 6 cannula cannula NN 19261 3960 7 in in IN 19261 3960 8 many many JJ 19261 3960 9 of of IN 19261 3960 10 the the DT 19261 3960 11 older old JJR 19261 3960 12 tubes tube NNS 19261 3960 13 , , , 19261 3960 14 with with IN 19261 3960 15 the the DT 19261 3960 16 supposed suppose VBN 19261 3960 17 function function NN 19261 3960 18 of of IN 19261 3960 19 allowing allow VBG 19261 3960 20 partial partial JJ 19261 3960 21 breathing breathing NN 19261 3960 22 through through IN 19261 3960 23 the the DT 19261 3960 24 larynx larynx NN 19261 3960 25 , , , 19261 3960 26 is be VBZ 19261 3960 27 a a DT 19261 3960 28 most most RBS 19261 3960 29 pernicious pernicious JJ 19261 3960 30 thing thing NN 19261 3960 31 . . . 19261 3961 1 A a DT 19261 3961 2 properly properly RB 19261 3961 3 fitted fit VBN 19261 3961 4 tube tube NN 19261 3961 5 should should MD 19261 3961 6 not not RB 19261 3961 7 take take VB 19261 3961 8 up up RP 19261 3961 9 more more JJR 19261 3961 10 than than IN 19261 3961 11 half half NN 19261 3961 12 of of IN 19261 3961 13 the the DT 19261 3961 14 cross cross NN 19261 3961 15 section section NN 19261 3961 16 of of IN 19261 3961 17 the the DT 19261 3961 18 trachea trachea NN 19261 3961 19 , , , 19261 3961 20 and and CC 19261 3961 21 should should MD 19261 3961 22 allow allow VB 19261 3961 23 the the DT 19261 3961 24 passage passage NN 19261 3961 25 of of IN 19261 3961 26 sufficient sufficient JJ 19261 3961 27 air air NN 19261 3961 28 for for IN 19261 3961 29 free free JJ 19261 3961 30 laryngeal laryngeal NN 19261 3961 31 breathing breathing NN 19261 3961 32 when when WRB 19261 3961 33 it -PRON- PRP 19261 3961 34 is be VBZ 19261 3961 35 completely completely RB 19261 3961 36 corked cork VBN 19261 3961 37 . . . 19261 3962 1 The the DT 19261 3962 2 fenestrum fenestrum NN 19261 3962 3 is be VBZ 19261 3962 4 , , , 19261 3962 5 moreover moreover RB 19261 3962 6 , , , 19261 3962 7 rarely rarely RB 19261 3962 8 so so RB 19261 3962 9 situated situate VBD 19261 3962 10 that that IN 19261 3962 11 air air NN 19261 3962 12 can can MD 19261 3962 13 pass pass VB 19261 3962 14 through through IN 19261 3962 15 it -PRON- PRP 19261 3962 16 ; ; : 19261 3962 17 the the DT 19261 3962 18 fenestral fenestral JJ 19261 3962 19 edges edges NNP 19261 3962 20 act act VBP 19261 3962 21 as as IN 19261 3962 22 a a DT 19261 3962 23 constant constant JJ 19261 3962 24 irritant irritant NN 19261 3962 25 to to IN 19261 3962 26 the the DT 19261 3962 27 wound wound NN 19261 3962 28 , , , 19261 3962 29 producing produce VBG 19261 3962 30 bleeding bleeding NN 19261 3962 31 and and CC 19261 3962 32 granulation granulation NN 19261 3962 33 tissue tissue NN 19261 3962 34 . . . 19261 3963 1 [ [ -LRB- 19261 3963 2 FIG FIG NNP 19261 3963 3 . . . 19261 3964 1 103.--Schema 103.--schema CD 19261 3964 2 showing show VBG 19261 3964 3 thick thick JJ 19261 3964 4 pad pad NN 19261 3964 5 of of IN 19261 3964 6 gauze gauze NN 19261 3964 7 dressing dressing NN 19261 3964 8 , , , 19261 3964 9 filling fill VBG 19261 3964 10 the the DT 19261 3964 11 space space NN 19261 3964 12 , , , 19261 3964 13 A a NN 19261 3964 14 , , , 19261 3964 15 and and CC 19261 3964 16 used use VBN 19261 3964 17 to to TO 19261 3964 18 hold hold VB 19261 3964 19 out out RP 19261 3964 20 the the DT 19261 3964 21 author author NN 19261 3964 22 's 's POS 19261 3964 23 full full RB 19261 3964 24 - - HYPH 19261 3964 25 curved curved JJ 19261 3964 26 cannula cannula NN 19261 3964 27 when when WRB 19261 3964 28 too too RB 19261 3964 29 long long RB 19261 3964 30 , , , 19261 3964 31 prior prior RB 19261 3964 32 to to IN 19261 3964 33 reactionary reactionary JJ 19261 3964 34 swelling swelling NN 19261 3964 35 , , , 19261 3964 36 and and CC 19261 3964 37 after after IN 19261 3964 38 subsidence subsidence NN 19261 3964 39 of of IN 19261 3964 40 the the DT 19261 3964 41 latter latter JJ 19261 3964 42 . . . 19261 3965 1 At at IN 19261 3965 2 the the DT 19261 3965 3 right right NN 19261 3965 4 is be VBZ 19261 3965 5 shown show VBN 19261 3965 6 the the DT 19261 3965 7 manner manner NN 19261 3965 8 in in IN 19261 3965 9 which which WDT 19261 3965 10 the the DT 19261 3965 11 ordinary ordinary JJ 19261 3965 12 cannula cannula NN 19261 3965 13 of of IN 19261 3965 14 the the DT 19261 3965 15 shops shop NNS 19261 3965 16 permits permit VBZ 19261 3965 17 a a DT 19261 3965 18 patient patient NN 19261 3965 19 to to TO 19261 3965 20 asphyxiate asphyxiate VB 19261 3965 21 , , , 19261 3965 22 though though IN 19261 3965 23 some some DT 19261 3965 24 air air NN 19261 3965 25 is be VBZ 19261 3965 26 heard hear VBN 19261 3965 27 passing pass VBG 19261 3965 28 through through IN 19261 3965 29 the the DT 19261 3965 30 tracheal tracheal NN 19261 3965 31 opening opening NN 19261 3965 32 , , , 19261 3965 33 H h NN 19261 3965 34 , , , 19261 3965 35 after after IN 19261 3965 36 the the DT 19261 3965 37 cannula cannula NN 19261 3965 38 has have VBZ 19261 3965 39 been be VBN 19261 3965 40 partially partially RB 19261 3965 41 withdrawn withdraw VBN 19261 3965 42 by by IN 19261 3965 43 swelling swelling NN 19261 3965 44 of of IN 19261 3965 45 the the DT 19261 3965 46 tissues tissue NNS 19261 3965 47 , , , 19261 3965 48 T. t. NN 19261 3965 49 ] ] -RRB- 19261 3965 50 [ [ -LRB- 19261 3965 51 FIG fig NN 19261 3965 52 . . . 19261 3966 1 104.--The 104.--the CD 19261 3966 2 author author NN 19261 3966 3 's 's POS 19261 3966 4 tracheotomic tracheotomic JJ 19261 3966 5 cannulae cannulae NNS 19261 3966 6 . . . 19261 3967 1 A a DT 19261 3967 2 , , , 19261 3967 3 shows show VBZ 19261 3967 4 cane cane NN 19261 3967 5 - - HYPH 19261 3967 6 shaped shape VBN 19261 3967 7 cannula cannula NN 19261 3967 8 for for IN 19261 3967 9 use use NN 19261 3967 10 in in IN 19261 3967 11 intrathoracic intrathoracic NNP 19261 3967 12 compressive compressive NNP 19261 3967 13 or or CC 19261 3967 14 other other JJ 19261 3967 15 stenoses stenosis NNS 19261 3967 16 . . . 19261 3968 1 B b NN 19261 3968 2 , , , 19261 3968 3 shows show VBZ 19261 3968 4 full full JJ 19261 3968 5 curved curved JJ 19261 3968 6 cannula cannula NN 19261 3968 7 for for IN 19261 3968 8 regular regular JJ 19261 3968 9 use use NN 19261 3968 10 . . . 19261 3969 1 Pilots pilot NNS 19261 3969 2 are be VBP 19261 3969 3 made make VBN 19261 3969 4 to to TO 19261 3969 5 fit fit VB 19261 3969 6 the the DT 19261 3969 7 outer outer JJ 19261 3969 8 cannula cannula NN 19261 3969 9 ; ; : 19261 3969 10 the the DT 19261 3969 11 inner inner JJ 19261 3969 12 cannula cannula NN 19261 3969 13 not not RB 19261 3969 14 being be VBG 19261 3969 15 inserted insert VBN 19261 3969 16 until until IN 19261 3969 17 after after IN 19261 3969 18 withdrawal withdrawal NN 19261 3969 19 of of IN 19261 3969 20 the the DT 19261 3969 21 pilot pilot NN 19261 3969 22 . . . 19261 3969 23 ] ] -RRB- 19261 3970 1 _ _ NNP 19261 3970 2 Anesthesia_.--No Anesthesia_.--No NNP 19261 3970 3 dyspneic dyspneic NN 19261 3970 4 patient patient NN 19261 3970 5 should should MD 19261 3970 6 be be VB 19261 3970 7 given give VBN 19261 3970 8 a a DT 19261 3970 9 general general JJ 19261 3970 10 anesthetic anesthetic NN 19261 3970 11 ; ; : 19261 3970 12 because because IN 19261 3970 13 any any DT 19261 3970 14 patient patient NN 19261 3970 15 dyspneic dyspneic NN 19261 3970 16 enough enough RB 19261 3970 17 to to TO 19261 3970 18 need need VB 19261 3970 19 a a DT 19261 3970 20 tracheotomy tracheotomy NN 19261 3970 21 for for IN 19261 3970 22 dyspnea dyspnea NN 19261 3970 23 is be VBZ 19261 3970 24 depending depend VBG 19261 3970 25 largely largely RB 19261 3970 26 upon upon IN 19261 3970 27 the the DT 19261 3970 28 action action NN 19261 3970 29 of of IN 19261 3970 30 the the DT 19261 3970 31 accessory accessory JJ 19261 3970 32 respiratory respiratory JJ 19261 3970 33 muscles muscle NNS 19261 3970 34 . . . 19261 3971 1 When when WRB 19261 3971 2 this this DT 19261 3971 3 action action NN 19261 3971 4 is be VBZ 19261 3971 5 stopped stop VBN 19261 3971 6 by by IN 19261 3971 7 beginning begin VBG 19261 3971 8 unconsciousness unconsciousness NN 19261 3971 9 , , , 19261 3971 10 respiration respiration NN 19261 3971 11 ceases cease NNS 19261 3971 12 . . . 19261 3972 1 If if IN 19261 3972 2 the the DT 19261 3972 3 trachea trachea NN 19261 3972 4 is be VBZ 19261 3972 5 not not RB 19261 3972 6 immediately immediately RB 19261 3972 7 opened open VBN 19261 3972 8 , , , 19261 3972 9 artificial artificial JJ 19261 3972 10 respiration respiration NN 19261 3972 11 instituted institute VBN 19261 3972 12 , , , 19261 3972 13 and and CC 19261 3972 14 oxygen oxygen NN 19261 3972 15 insufflated insufflate VBD 19261 3972 16 , , , 19261 3972 17 the the DT 19261 3972 18 patient patient NN 19261 3972 19 dies die VBZ 19261 3972 20 on on IN 19261 3972 21 the the DT 19261 3972 22 table table NN 19261 3972 23 . . . 19261 3973 1 Skin skin NN 19261 3973 2 infiltration infiltration NN 19261 3973 3 along along IN 19261 3973 4 the the DT 19261 3973 5 line line NN 19261 3973 6 of of IN 19261 3973 7 incision incision NN 19261 3973 8 with with IN 19261 3973 9 a a DT 19261 3973 10 very very RB 19261 3973 11 weak weak JJ 19261 3973 12 cocaine cocaine NN 19261 3973 13 solution solution NN 19261 3973 14 ( ( -LRB- 19261 3973 15 1/10 1/10 CD 19261 3973 16 of of IN 19261 3973 17 1 1 CD 19261 3973 18 per per NN 19261 3973 19 cent cent NN 19261 3973 20 ) ) -RRB- 19261 3973 21 , , , 19261 3973 22 apothesine apothesine NNP 19261 3973 23 ( ( -LRB- 19261 3973 24 2 2 CD 19261 3973 25 per per NN 19261 3973 26 cent cent NN 19261 3973 27 ) ) -RRB- 19261 3973 28 , , , 19261 3973 29 novocaine novocaine NNP 19261 3973 30 , , , 19261 3973 31 Schleich Schleich NNP 19261 3973 32 's 's POS 19261 3973 33 fluid fluid JJ 19261 3973 34 or or CC 19261 3973 35 other other JJ 19261 3973 36 local local JJ 19261 3973 37 anesthetic anesthetic NN 19261 3973 38 , , , 19261 3973 39 suffices suffice VBZ 19261 3973 40 to to TO 19261 3973 41 render render VB 19261 3973 42 the the DT 19261 3973 43 operation operation NN 19261 3973 44 painless painless NN 19261 3973 45 . . . 19261 3974 1 The the DT 19261 3974 2 deeper deep JJR 19261 3974 3 structures structure NNS 19261 3974 4 have have VBP 19261 3974 5 little little JJ 19261 3974 6 sensation sensation NN 19261 3974 7 and and CC 19261 3974 8 do do VBP 19261 3974 9 not not RB 19261 3974 10 require require VB 19261 3974 11 infiltration infiltration NN 19261 3974 12 . . . 19261 3975 1 It -PRON- PRP 19261 3975 2 has have VBZ 19261 3975 3 been be VBN 19261 3975 4 advocated advocate VBN 19261 3975 5 that that IN 19261 3975 6 an an DT 19261 3975 7 interannular interannular JJ 19261 3975 8 injection injection NN 19261 3975 9 of of IN 19261 3975 10 cocaine cocaine NN 19261 3975 11 solution solution NN 19261 3975 12 with with IN 19261 3975 13 a a DT 19261 3975 14 hypodermic hypodermic JJ 19261 3975 15 syringe syringe NN 19261 3975 16 be be VB 19261 3975 17 done do VBN 19261 3975 18 just just RB 19261 3975 19 prior prior RB 19261 3975 20 to to IN 19261 3975 21 incision incision NN 19261 3975 22 of of IN 19261 3975 23 the the DT 19261 3975 24 trachea trachea NN 19261 3975 25 for for IN 19261 3975 26 the the DT 19261 3975 27 purpose purpose NN 19261 3975 28 of of IN 19261 3975 29 preventing prevent VBG 19261 3975 30 cough cough NN 19261 3975 31 after after IN 19261 3975 32 the the DT 19261 3975 33 incision incision NN 19261 3975 34 of of IN 19261 3975 35 the the DT 19261 3975 36 trachea trachea NN 19261 3975 37 and and CC 19261 3975 38 the the DT 19261 3975 39 insertion insertion NN 19261 3975 40 of of IN 19261 3975 41 the the DT 19261 3975 42 cannula cannula NN 19261 3975 43 . . . 19261 3976 1 It -PRON- PRP 19261 3976 2 would would MD 19261 3976 3 seem seem VB 19261 3976 4 , , , 19261 3976 5 however however RB 19261 3976 6 , , , 19261 3976 7 that that IN 19261 3976 8 this this DT 19261 3976 9 introduces introduce VBZ 19261 3976 10 the the DT 19261 3976 11 risk risk NN 19261 3976 12 of of IN 19261 3976 13 aspiration aspiration NN 19261 3976 14 pneumonia pneumonia NN 19261 3976 15 and and CC 19261 3976 16 pulmonary pulmonary JJ 19261 3976 17 abscess abscess NN 19261 3976 18 , , , 19261 3976 19 by by IN 19261 3976 20 permitting permit VBG 19261 3976 21 the the DT 19261 3976 22 aspiration aspiration NN 19261 3976 23 and and CC 19261 3976 24 clotting clotting NN 19261 3976 25 of of IN 19261 3976 26 blood blood NN 19261 3976 27 in in IN 19261 3976 28 small small JJ 19261 3976 29 bronchi bronchi NNP 19261 3976 30 , , , 19261 3976 31 followed follow VBN 19261 3976 32 by by IN 19261 3976 33 subsequent subsequent JJ 19261 3976 34 breaking break VBG 19261 3976 35 down down RP 19261 3976 36 of of IN 19261 3976 37 the the DT 19261 3976 38 clots clot NNS 19261 3976 39 . . . 19261 3977 1 As as IN 19261 3977 2 the the DT 19261 3977 3 author author NN 19261 3977 4 has have VBZ 19261 3977 5 so so RB 19261 3977 6 often often RB 19261 3977 7 said say VBN 19261 3977 8 , , , 19261 3977 9 " " `` 19261 3977 10 The the DT 19261 3977 11 cough cough NN 19261 3977 12 reflex reflex NN 19261 3977 13 is be VBZ 19261 3977 14 the the DT 19261 3977 15 watch watch NN 19261 3977 16 dog dog NN 19261 3977 17 of of IN 19261 3977 18 the the DT 19261 3977 19 lungs lung NNS 19261 3977 20 , , , 19261 3977 21 " " '' 19261 3977 22 and and CC 19261 3977 23 if if IN 19261 3977 24 not not RB 19261 3977 25 drugged drug VBN 19261 3977 26 asleep asleep JJ 19261 3977 27 by by IN 19261 3977 28 local local JJ 19261 3977 29 or or CC 19261 3977 30 general general JJ 19261 3977 31 anesthesia anesthesia NNP 19261 3977 32 can can MD 19261 3977 33 safely safely RB 19261 3977 34 be be VB 19261 3977 35 relied rely VBN 19261 3977 36 upon upon IN 19261 3977 37 to to TO 19261 3977 38 prevent prevent VB 19261 3977 39 all all DT 19261 3977 40 possibility possibility NN 19261 3977 41 of of IN 19261 3977 42 the the DT 19261 3977 43 blood blood NN 19261 3977 44 or or CC 19261 3977 45 the the DT 19261 3977 46 pus pus NN 19261 3977 47 which which WDT 19261 3977 48 nearly nearly RB 19261 3977 49 always always RB 19261 3977 50 is be VBZ 19261 3977 51 present present JJ 19261 3977 52 in in IN 19261 3977 53 acute acute JJ 19261 3977 54 or or CC 19261 3977 55 chronic chronic JJ 19261 3977 56 conditions condition NNS 19261 3977 57 calling call VBG 19261 3977 58 for for IN 19261 3977 59 tracheotomy tracheotomy NN 19261 3977 60 , , , 19261 3977 61 being be VBG 19261 3977 62 aspirated aspirate VBN 19261 3977 63 into into IN 19261 3977 64 the the DT 19261 3977 65 deeper deep JJR 19261 3977 66 air air NN 19261 3977 67 - - HYPH 19261 3977 68 passages passage NNS 19261 3977 69 . . . 19261 3978 1 Cocaine cocaine NN 19261 3978 2 in in IN 19261 3978 3 any any DT 19261 3978 4 form form NN 19261 3978 5 , , , 19261 3978 6 by by IN 19261 3978 7 any any DT 19261 3978 8 method method NN 19261 3978 9 , , , 19261 3978 10 and and CC 19261 3978 11 in in IN 19261 3978 12 any any DT 19261 3978 13 dosage dosage NN 19261 3978 14 , , , 19261 3978 15 is be VBZ 19261 3978 16 dangerous dangerous JJ 19261 3978 17 in in IN 19261 3978 18 very very RB 19261 3978 19 young young JJ 19261 3978 20 children child NNS 19261 3978 21 . . . 19261 3979 1 _ _ NNP 19261 3979 2 Technic_.--The Technic_.--The NNP 19261 3979 3 patient patient NN 19261 3979 4 should should MD 19261 3979 5 be be VB 19261 3979 6 placed place VBN 19261 3979 7 in in IN 19261 3979 8 the the DT 19261 3979 9 recumbent recumbent JJ 19261 3979 10 position position NN 19261 3979 11 , , , 19261 3979 12 with with IN 19261 3979 13 the the DT 19261 3979 14 extended extended JJ 19261 3979 15 head head NN 19261 3979 16 held hold VBN 19261 3979 17 in in IN 19261 3979 18 the the DT 19261 3979 19 midline midline NN 19261 3979 20 by by IN 19261 3979 21 an an DT 19261 3979 22 assistant assistant NN 19261 3979 23 . . . 19261 3980 1 The the DT 19261 3980 2 shoulders shoulder NNS 19261 3980 3 , , , 19261 3980 4 not not RB 19261 3980 5 the the DT 19261 3980 6 neck neck NN 19261 3980 7 , , , 19261 3980 8 should should MD 19261 3980 9 be be VB 19261 3980 10 slightly slightly RB 19261 3980 11 raised raise VBN 19261 3980 12 with with IN 19261 3980 13 a a DT 19261 3980 14 sand sand NN 19261 3980 15 bag bag NN 19261 3980 16 . . . 19261 3981 1 The the DT 19261 3981 2 head head NN 19261 3981 3 should should MD 19261 3981 4 be be VB 19261 3981 5 somewhat somewhat RB 19261 3981 6 lower low JJR 19261 3981 7 than than IN 19261 3981 8 the the DT 19261 3981 9 feet foot NNS 19261 3981 10 , , , 19261 3981 11 to to TO 19261 3981 12 lessen lessen VB 19261 3981 13 the the DT 19261 3981 14 danger danger NN 19261 3981 15 of of IN 19261 3981 16 aspiration aspiration NN 19261 3981 17 of of IN 19261 3981 18 blood blood NN 19261 3981 19 . . . 19261 3982 1 A a DT 19261 3982 2 midline midline NN 19261 3982 3 incision incision NN 19261 3982 4 dividing divide VBG 19261 3982 5 the the DT 19261 3982 6 skin skin NN 19261 3982 7 and and CC 19261 3982 8 fascia fascia NN 19261 3982 9 is be VBZ 19261 3982 10 made make VBN 19261 3982 11 from from IN 19261 3982 12 the the DT 19261 3982 13 thyroid thyroid NN 19261 3982 14 notch notch NN 19261 3982 15 to to IN 19261 3982 16 just just RB 19261 3982 17 above above IN 19261 3982 18 the the DT 19261 3982 19 suprasternal suprasternal JJ 19261 3982 20 notch notch NN 19261 3982 21 . . . 19261 3983 1 The the DT 19261 3983 2 cricoid cricoid NN 19261 3983 3 is be VBZ 19261 3983 4 now now RB 19261 3983 5 located locate VBN 19261 3983 6 , , , 19261 3983 7 and and CC 19261 3983 8 the the DT 19261 3983 9 deeper deep JJR 19261 3983 10 dissection dissection NN 19261 3983 11 is be VBZ 19261 3983 12 continued continue VBN 19261 3983 13 from from IN 19261 3983 14 below below IN 19261 3983 15 this this DT 19261 3983 16 point point NN 19261 3983 17 . . . 19261 3984 1 The the DT 19261 3984 2 ribbon ribbon NN 19261 3984 3 muscles muscle NNS 19261 3984 4 are be VBP 19261 3984 5 separated separate VBN 19261 3984 6 with with IN 19261 3984 7 dissecting dissecting NN 19261 3984 8 scissors scissor NNS 19261 3984 9 or or CC 19261 3984 10 knife knife NN 19261 3984 11 , , , 19261 3984 12 and and CC 19261 3984 13 held hold VBD 19261 3984 14 apart apart RB 19261 3984 15 with with IN 19261 3984 16 retractors retractor NNS 19261 3984 17 . . . 19261 3985 1 If if IN 19261 3985 2 the the DT 19261 3985 3 isthmus isthmus NN 19261 3985 4 of of IN 19261 3985 5 the the DT 19261 3985 6 thyroid thyroid NNP 19261 3985 7 gland gland NNP 19261 3985 8 is be VBZ 19261 3985 9 in in IN 19261 3985 10 the the DT 19261 3985 11 way way NN 19261 3985 12 , , , 19261 3985 13 it -PRON- PRP 19261 3985 14 may may MD 19261 3985 15 be be VB 19261 3985 16 retracted retract VBN 19261 3985 17 upward upward RB 19261 3985 18 ; ; : 19261 3985 19 if if IN 19261 3985 20 large large JJ 19261 3985 21 , , , 19261 3985 22 however however RB 19261 3985 23 , , , 19261 3985 24 it -PRON- PRP 19261 3985 25 should should MD 19261 3985 26 be be VB 19261 3985 27 divided divide VBN 19261 3985 28 and and CC 19261 3985 29 ligated ligate VBN 19261 3985 30 , , , 19261 3985 31 for for IN 19261 3985 32 it -PRON- PRP 19261 3985 33 is be VBZ 19261 3985 34 apt apt JJ 19261 3985 35 to to TO 19261 3985 36 slip slip VB 19261 3985 37 over over IN 19261 3985 38 the the DT 19261 3985 39 tracheal tracheal NN 19261 3985 40 incision incision NN 19261 3985 41 afterward afterward RB 19261 3985 42 , , , 19261 3985 43 and and CC 19261 3985 44 render render VB 19261 3985 45 difficult difficult JJ 19261 3985 46 the the DT 19261 3985 47 quick quick JJ 19261 3985 48 finding finding NN 19261 3985 49 of of IN 19261 3985 50 the the DT 19261 3985 51 incision incision NN 19261 3985 52 during during IN 19261 3985 53 after after IN 19261 3985 54 - - HYPH 19261 3985 55 care care NN 19261 3985 56 . . . 19261 3986 1 This this DT 19261 3986 2 covering covering NN 19261 3986 3 of of IN 19261 3986 4 the the DT 19261 3986 5 tracheal tracheal NN 19261 3986 6 incision incision NN 19261 3986 7 by by IN 19261 3986 8 the the DT 19261 3986 9 slipping slipping NN 19261 3986 10 back back RB 19261 3986 11 of of IN 19261 3986 12 the the DT 19261 3986 13 drawn draw VBN 19261 3986 14 - - HYPH 19261 3986 15 aside aside RP 19261 3986 16 thyroidal thyroidal JJ 19261 3986 17 isthmus isthmus NN 19261 3986 18 is be VBZ 19261 3986 19 one one CD 19261 3986 20 of of IN 19261 3986 21 the the DT 19261 3986 22 most most RBS 19261 3986 23 frequent frequent JJ 19261 3986 24 avoidable avoidable JJ 19261 3986 25 causes cause NNS 19261 3986 26 of of IN 19261 3986 27 mortality mortality NN 19261 3986 28 , , , 19261 3986 29 because because IN 19261 3986 30 it -PRON- PRP 19261 3986 31 deflects deflect VBZ 19261 3986 32 the the DT 19261 3986 33 cannula cannula NN 19261 3986 34 off off RP 19261 3986 35 into into IN 19261 3986 36 the the DT 19261 3986 37 tissues tissue NNS 19261 3986 38 when when WRB 19261 3986 39 it -PRON- PRP 19261 3986 40 is be VBZ 19261 3986 41 replaced replace VBN 19261 3986 42 after after IN 19261 3986 43 cleaning clean VBG 19261 3986 44 during during IN 19261 3986 45 the the DT 19261 3986 46 early early JJ 19261 3986 47 postoperative postoperative JJ 19261 3986 48 period period NN 19261 3986 49 . . . 19261 3987 1 The the DT 19261 3987 2 corrugated corrugate VBN 19261 3987 3 surface surface NN 19261 3987 4 of of IN 19261 3987 5 the the DT 19261 3987 6 trachea trachea NN 19261 3987 7 can can MD 19261 3987 8 be be VB 19261 3987 9 felt feel VBN 19261 3987 10 , , , 19261 3987 11 and and CC 19261 3987 12 its -PRON- PRP$ 19261 3987 13 exact exact JJ 19261 3987 14 location location NN 19261 3987 15 can can MD 19261 3987 16 be be VB 19261 3987 17 determined determine VBN 19261 3987 18 by by IN 19261 3987 19 the the DT 19261 3987 20 index index NN 19261 3987 21 finger finger NN 19261 3987 22 . . . 19261 3988 1 If if IN 19261 3988 2 the the DT 19261 3988 3 tracheotomy tracheotomy NN 19261 3988 4 is be VBZ 19261 3988 5 proceeding proceed VBG 19261 3988 6 in in IN 19261 3988 7 an an DT 19261 3988 8 orderly orderly JJ 19261 3988 9 manner manner NN 19261 3988 10 , , , 19261 3988 11 all all DT 19261 3988 12 bleeding bleed VBG 19261 3988 13 points point NNS 19261 3988 14 should should MD 19261 3988 15 be be VB 19261 3988 16 caught catch VBN 19261 3988 17 and and CC 19261 3988 18 tied tie VBN 19261 3988 19 with with IN 19261 3988 20 plain plain JJ 19261 3988 21 catgut catgut NN 19261 3988 22 ( ( -LRB- 19261 3988 23 No no UH 19261 3988 24 . . . 19261 3989 1 1 1 LS 19261 3989 2 ) ) -RRB- 19261 3989 3 before before IN 19261 3989 4 the the DT 19261 3989 5 trachea trachea NN 19261 3989 6 is be VBZ 19261 3989 7 opened open VBN 19261 3989 8 . . . 19261 3990 1 Because because IN 19261 3990 2 of of IN 19261 3990 3 distension distension NN 19261 3990 4 of of IN 19261 3990 5 vessels vessel NNS 19261 3990 6 during during IN 19261 3990 7 cough cough NN 19261 3990 8 , , , 19261 3990 9 all all DT 19261 3990 10 but but IN 19261 3990 11 the the DT 19261 3990 12 tiniest tiny JJS 19261 3990 13 vessels vessel NNS 19261 3990 14 should should MD 19261 3990 15 be be VB 19261 3990 16 ligated ligate VBN 19261 3990 17 . . . 19261 3991 1 Side side NN 19261 3991 2 - - HYPH 19261 3991 3 cut cut NN 19261 3991 4 veins vein NNS 19261 3991 5 are be VBP 19261 3991 6 particularly particularly RB 19261 3991 7 treacherous treacherous JJ 19261 3991 8 . . . 19261 3992 1 They -PRON- PRP 19261 3992 2 should should MD 19261 3992 3 be be VB 19261 3992 4 freed free VBN 19261 3992 5 of of IN 19261 3992 6 tissue tissue NN 19261 3992 7 , , , 19261 3992 8 cut cut VBN 19261 3992 9 across across RP 19261 3992 10 and and CC 19261 3992 11 the the DT 19261 3992 12 divided divided JJ 19261 3992 13 ends end NNS 19261 3992 14 ligated ligate VBD 19261 3992 15 . . . 19261 3993 1 The the DT 19261 3993 2 _ _ NNP 19261 3993 3 incision incision NN 19261 3993 4 in in IN 19261 3993 5 the the DT 19261 3993 6 trachea trachea NN 19261 3993 7 _ _ NNP 19261 3993 8 should should MD 19261 3993 9 be be VB 19261 3993 10 as as RB 19261 3993 11 low low JJ 19261 3993 12 as as IN 19261 3993 13 possible possible JJ 19261 3993 14 , , , 19261 3993 15 and and CC 19261 3993 16 should should MD 19261 3993 17 never never RB 19261 3993 18 be be VB 19261 3993 19 made make VBN 19261 3993 20 through through IN 19261 3993 21 the the DT 19261 3993 22 first first JJ 19261 3993 23 ring ring NN 19261 3993 24 . . . 19261 3994 1 The the DT 19261 3994 2 incision incision NN 19261 3994 3 should should MD 19261 3994 4 be be VB 19261 3994 5 through through IN 19261 3994 6 the the DT 19261 3994 7 third third JJ 19261 3994 8 , , , 19261 3994 9 fourth fourth JJ 19261 3994 10 and and CC 19261 3994 11 fifth fifth JJ 19261 3994 12 rings ring NNS 19261 3994 13 . . . 19261 3995 1 Only only RB 19261 3995 2 in in IN 19261 3995 3 cases case NNS 19261 3995 4 of of IN 19261 3995 5 laryngoptosis laryngoptosis NN 19261 3995 6 will will MD 19261 3995 7 it -PRON- PRP 19261 3995 8 be be VB 19261 3995 9 necessary necessary JJ 19261 3995 10 to to TO 19261 3995 11 incise incise VB 19261 3995 12 the the DT 19261 3995 13 trachea trachea NN 19261 3995 14 higher high JJR 19261 3995 15 than than IN 19261 3995 16 this this DT 19261 3995 17 . . . 19261 3996 1 The the DT 19261 3996 2 incision incision NN 19261 3996 3 must must MD 19261 3996 4 be be VB 19261 3996 5 made make VBN 19261 3996 6 in in IN 19261 3996 7 the the DT 19261 3996 8 midline midline NN 19261 3996 9 , , , 19261 3996 10 and and CC 19261 3996 11 in in IN 19261 3996 12 the the DT 19261 3996 13 long long JJ 19261 3996 14 axis axis NN 19261 3996 15 of of IN 19261 3996 16 the the DT 19261 3996 17 trachea trachea NN 19261 3996 18 , , , 19261 3996 19 and and CC 19261 3996 20 care care NN 19261 3996 21 must must MD 19261 3996 22 be be VB 19261 3996 23 exercised exercise VBN 19261 3996 24 that that IN 19261 3996 25 the the DT 19261 3996 26 point point NN 19261 3996 27 of of IN 19261 3996 28 the the DT 19261 3996 29 knife knife NN 19261 3996 30 does do VBZ 19261 3996 31 not not RB 19261 3996 32 perforate perforate VB 19261 3996 33 the the DT 19261 3996 34 posterior posterior JJ 19261 3996 35 tracheal tracheal NN 19261 3996 36 wall wall NN 19261 3996 37 . . . 19261 3997 1 Stab stab NN 19261 3997 2 incisions incision NNS 19261 3997 3 are be VBP 19261 3997 4 always always RB 19261 3997 5 to to TO 19261 3997 6 be be VB 19261 3997 7 avoided avoid VBN 19261 3997 8 . . . 19261 3998 1 If if IN 19261 3998 2 the the DT 19261 3998 3 incision incision NN 19261 3998 4 in in IN 19261 3998 5 the the DT 19261 3998 6 trachea trachea NN 19261 3998 7 is be VBZ 19261 3998 8 found find VBN 19261 3998 9 to to TO 19261 3998 10 be be VB 19261 3998 11 of of IN 19261 3998 12 insufficient insufficient JJ 19261 3998 13 length length NN 19261 3998 14 , , , 19261 3998 15 the the DT 19261 3998 16 original original JJ 19261 3998 17 incision incision NN 19261 3998 18 must must MD 19261 3998 19 be be VB 19261 3998 20 found find VBN 19261 3998 21 and and CC 19261 3998 22 elongated elongate VBN 19261 3998 23 . . . 19261 3999 1 A a DT 19261 3999 2 second second JJ 19261 3999 3 incision incision NN 19261 3999 4 must must MD 19261 3999 5 not not RB 19261 3999 6 be be VB 19261 3999 7 made make VBN 19261 3999 8 , , , 19261 3999 9 for for IN 19261 3999 10 the the DT 19261 3999 11 portion portion NN 19261 3999 12 of of IN 19261 3999 13 cartilage cartilage NN 19261 3999 14 between between IN 19261 3999 15 the the DT 19261 3999 16 two two CD 19261 3999 17 incisions incision NNS 19261 3999 18 will will MD 19261 3999 19 die die VB 19261 3999 20 and and CC 19261 3999 21 will will MD 19261 3999 22 almost almost RB 19261 3999 23 certainly certainly RB 19261 3999 24 make make VB 19261 3999 25 a a DT 19261 3999 26 site site NN 19261 3999 27 of of IN 19261 3999 28 future future JJ 19261 3999 29 tracheal tracheal NN 19261 3999 30 stenosis stenosis NN 19261 3999 31 . . . 19261 4000 1 The the DT 19261 4000 2 cricoid cricoid NN 19261 4000 3 should should MD 19261 4000 4 never never RB 19261 4000 5 be be VB 19261 4000 6 cut cut VBN 19261 4000 7 , , , 19261 4000 8 for for IN 19261 4000 9 stenosis stenosis NN 19261 4000 10 is be VBZ 19261 4000 11 almost almost RB 19261 4000 12 sure sure JJ 19261 4000 13 to to TO 19261 4000 14 follow follow VB 19261 4000 15 the the DT 19261 4000 16 wearing wear VBG 19261 4000 17 of of IN 19261 4000 18 a a DT 19261 4000 19 cannula cannula NN 19261 4000 20 in in IN 19261 4000 21 this this DT 19261 4000 22 position position NN 19261 4000 23 . . . 19261 4001 1 A a DT 19261 4001 2 Trousseau Trousseau NNP 19261 4001 3 dilator dilator NN 19261 4001 4 should should MD 19261 4001 5 now now RB 19261 4001 6 be be VB 19261 4001 7 inserted insert VBN 19261 4001 8 in in IN 19261 4001 9 the the DT 19261 4001 10 tracheal tracheal NN 19261 4001 11 incision incision NN 19261 4001 12 , , , 19261 4001 13 its -PRON- PRP$ 19261 4001 14 blades blade NNS 19261 4001 15 gently gently RB 19261 4001 16 separated separate VBD 19261 4001 17 . . . 19261 4002 1 With with IN 19261 4002 2 the the DT 19261 4002 3 tracheal tracheal NN 19261 4002 4 lumen luman NNS 19261 4002 5 thus thus RB 19261 4002 6 opened open VBD 19261 4002 7 , , , 19261 4002 8 a a DT 19261 4002 9 cannula cannula NN 19261 4002 10 of of IN 19261 4002 11 proper proper JJ 19261 4002 12 size size NN 19261 4002 13 is be VBZ 19261 4002 14 introduced introduce VBN 19261 4002 15 with with IN 19261 4002 16 absolute absolute JJ 19261 4002 17 certainty certainty NN 19261 4002 18 of of IN 19261 4002 19 its -PRON- PRP$ 19261 4002 20 having have VBG 19261 4002 21 entered enter VBN 19261 4002 22 the the DT 19261 4002 23 trachea trachea NN 19261 4002 24 . . . 19261 4003 1 A a DT 19261 4003 2 quadruple quadruple NN 19261 4003 3 - - HYPH 19261 4003 4 folded fold VBN 19261 4003 5 square square NN 19261 4003 6 of of IN 19261 4003 7 gauze gauze NN 19261 4003 8 in in IN 19261 4003 9 the the DT 19261 4003 10 form form NN 19261 4003 11 of of IN 19261 4003 12 a a DT 19261 4003 13 pad pad NN 19261 4003 14 about about RB 19261 4003 15 four four CD 19261 4003 16 inches inch NNS 19261 4003 17 square square NNP 19261 4003 18 is be VBZ 19261 4003 19 moistened moisten VBN 19261 4003 20 with with IN 19261 4003 21 mercuric mercuric JJ 19261 4003 22 chloride chloride NN 19261 4003 23 solution solution NN 19261 4003 24 ( ( -LRB- 19261 4003 25 1:10,000 1:10,000 CD 19261 4003 26 ) ) -RRB- 19261 4003 27 and and CC 19261 4003 28 is be VBZ 19261 4003 29 slit slit VBN 19261 4003 30 from from IN 19261 4003 31 the the DT 19261 4003 32 lower low JJR 19261 4003 33 border border NN 19261 4003 34 to to IN 19261 4003 35 its -PRON- PRP$ 19261 4003 36 midpoint midpoint NN 19261 4003 37 . . . 19261 4004 1 This this DT 19261 4004 2 pad pad NN 19261 4004 3 is be VBZ 19261 4004 4 slipped slip VBN 19261 4004 5 from from IN 19261 4004 6 above above RB 19261 4004 7 downward downward RB 19261 4004 8 under under IN 19261 4004 9 the the DT 19261 4004 10 tape tape NN 19261 4004 11 holder holder NN 19261 4004 12 of of IN 19261 4004 13 the the DT 19261 4004 14 cannula cannula NN 19261 4004 15 , , , 19261 4004 16 the the DT 19261 4004 17 slit slit NN 19261 4004 18 permitting permit VBG 19261 4004 19 the the DT 19261 4004 20 tubal tubal JJ 19261 4004 21 part part NN 19261 4004 22 of of IN 19261 4004 23 the the DT 19261 4004 24 cannula cannula NN 19261 4004 25 to to TO 19261 4004 26 reach reach VB 19261 4004 27 the the DT 19261 4004 28 central central JJ 19261 4004 29 part part NN 19261 4004 30 of of IN 19261 4004 31 the the DT 19261 4004 32 pad pad NN 19261 4004 33 ( ( -LRB- 19261 4004 34 Fig fig NN 19261 4004 35 . . . 19261 4005 1 108 108 CD 19261 4005 2 ) ) -RRB- 19261 4005 3 , , , 19261 4005 4 and and CC 19261 4005 5 completely completely RB 19261 4005 6 covers cover VBZ 19261 4005 7 the the DT 19261 4005 8 wound wound NN 19261 4005 9 . . . 19261 4006 1 No no DT 19261 4006 2 attempt attempt NN 19261 4006 3 should should MD 19261 4006 4 be be VB 19261 4006 5 made make VBN 19261 4006 6 to to TO 19261 4006 7 suture suture VB 19261 4006 8 the the DT 19261 4006 9 skin skin NN 19261 4006 10 wound wound NN 19261 4006 11 , , , 19261 4006 12 for for IN 19261 4006 13 this this DT 19261 4006 14 tends tend VBZ 19261 4006 15 to to TO 19261 4006 16 form form VB 19261 4006 17 a a DT 19261 4006 18 pocket pocket NN 19261 4006 19 in in IN 19261 4006 20 which which WDT 19261 4006 21 lodge lodge VBP 19261 4006 22 the the DT 19261 4006 23 bronchial bronchial JJ 19261 4006 24 secretions secretion NNS 19261 4006 25 that that WDT 19261 4006 26 escape escape VBP 19261 4006 27 alongside alongside IN 19261 4006 28 the the DT 19261 4006 29 tube tube NN 19261 4006 30 , , , 19261 4006 31 resulting result VBG 19261 4006 32 in in IN 19261 4006 33 infection infection NN 19261 4006 34 of of IN 19261 4006 35 the the DT 19261 4006 36 wound wound NN 19261 4006 37 . . . 19261 4007 1 Furthermore furthermore RB 19261 4007 2 it -PRON- PRP 19261 4007 3 renders render VBZ 19261 4007 4 the the DT 19261 4007 5 daily daily JJ 19261 4007 6 changing changing NN 19261 4007 7 of of IN 19261 4007 8 the the DT 19261 4007 9 tube tube NN 19261 4007 10 much much RB 19261 4007 11 more more RBR 19261 4007 12 difficult difficult JJ 19261 4007 13 . . . 19261 4008 1 In in IN 19261 4008 2 fact fact NN 19261 4008 3 it -PRON- PRP 19261 4008 4 prevents prevent VBZ 19261 4008 5 the the DT 19261 4008 6 attendant attendant NN 19261 4008 7 from from IN 19261 4008 8 being be VBG 19261 4008 9 certain certain JJ 19261 4008 10 that that IN 19261 4008 11 the the DT 19261 4008 12 tube tube NN 19261 4008 13 is be VBZ 19261 4008 14 actually actually RB 19261 4008 15 placed place VBN 19261 4008 16 in in IN 19261 4008 17 the the DT 19261 4008 18 trachea trachea NN 19261 4008 19 . . . 19261 4009 1 Suturing suture VBG 19261 4009 2 of of IN 19261 4009 3 the the DT 19261 4009 4 skin skin NN 19261 4009 5 to to IN 19261 4009 6 the the DT 19261 4009 7 trachea trachea NN 19261 4009 8 should should MD 19261 4009 9 never never RB 19261 4009 10 be be VB 19261 4009 11 done do VBN 19261 4009 12 , , , 19261 4009 13 for for IN 19261 4009 14 the the DT 19261 4009 15 sutures suture NNS 19261 4009 16 soon soon RB 19261 4009 17 tear tear VBP 19261 4009 18 out out RP 19261 4009 19 and and CC 19261 4009 20 often often RB 19261 4009 21 set set VB 19261 4009 22 up up RP 19261 4009 23 a a DT 19261 4009 24 perichondritis perichondritis NN 19261 4009 25 of of IN 19261 4009 26 the the DT 19261 4009 27 tracheal tracheal NN 19261 4009 28 cartilages cartilage NNS 19261 4009 29 , , , 19261 4009 30 with with IN 19261 4009 31 resulting result VBG 19261 4009 32 difficult difficult JJ 19261 4009 33 decannulation decannulation NN 19261 4009 34 . . . 19261 4010 1 [ [ -LRB- 19261 4010 2 FIG FIG NNP 19261 4010 3 . . . 19261 4011 1 105.--Schema 105.--schema CD 19261 4011 2 of of IN 19261 4011 3 practical practical JJ 19261 4011 4 gross gross JJ 19261 4011 5 anatomy anatomy NN 19261 4011 6 to to TO 19261 4011 7 be be VB 19261 4011 8 memorized memorize VBN 19261 4011 9 for for IN 19261 4011 10 emergency emergency NN 19261 4011 11 tracheotomy tracheotomy NN 19261 4011 12 . . . 19261 4012 1 The the DT 19261 4012 2 middle middle JJ 19261 4012 3 line line NN 19261 4012 4 is be VBZ 19261 4012 5 the the DT 19261 4012 6 safety safety NN 19261 4012 7 line line NN 19261 4012 8 , , , 19261 4012 9 the the DT 19261 4012 10 higher high JJR 19261 4012 11 the the DT 19261 4012 12 wider wide JJR 19261 4012 13 . . . 19261 4013 1 Below below RB 19261 4013 2 , , , 19261 4013 3 the the DT 19261 4013 4 safety safety NN 19261 4013 5 line line NN 19261 4013 6 narrows narrow VBZ 19261 4013 7 to to IN 19261 4013 8 the the DT 19261 4013 9 vanishing vanish VBG 19261 4013 10 point point NN 19261 4013 11 VP VP NNP 19261 4013 12 . . . 19261 4014 1 The the DT 19261 4014 2 upper upper JJ 19261 4014 3 limit limit NN 19261 4014 4 of of IN 19261 4014 5 the the DT 19261 4014 6 safety safety NN 19261 4014 7 line line NN 19261 4014 8 is be VBZ 19261 4014 9 the the DT 19261 4014 10 thyroid thyroid NN 19261 4014 11 notch notch NN 19261 4014 12 until until IN 19261 4014 13 the the DT 19261 4014 14 trachea trachea NN 19261 4014 15 is be VBZ 19261 4014 16 bared bare VBN 19261 4014 17 , , , 19261 4014 18 when when WRB 19261 4014 19 the the DT 19261 4014 20 limit limit NN 19261 4014 21 falls fall VBZ 19261 4014 22 below below IN 19261 4014 23 the the DT 19261 4014 24 first first JJ 19261 4014 25 tracheal tracheal NN 19261 4014 26 ring ring NN 19261 4014 27 . . . 19261 4015 1 In in IN 19261 4015 2 practice practice NN 19261 4015 3 the the DT 19261 4015 4 two two CD 19261 4015 5 - - HYPH 19261 4015 6 dark dark NN 19261 4015 7 danger danger NN 19261 4015 8 lines line NNS 19261 4015 9 are be VBP 19261 4015 10 pushed push VBN 19261 4015 11 back back RB 19261 4015 12 with with IN 19261 4015 13 the the DT 19261 4015 14 left left JJ 19261 4015 15 thumb thumb NN 19261 4015 16 and and CC 19261 4015 17 middle middle JJ 19261 4015 18 finger finger NN 19261 4015 19 as as IN 19261 4015 20 shown show VBN 19261 4015 21 in in IN 19261 4015 22 Fig Fig NNP 19261 4015 23 . . . 19261 4016 1 106 106 CD 19261 4016 2 , , , 19261 4016 3 thus thus RB 19261 4016 4 throwing throw VBG 19261 4016 5 the the DT 19261 4016 6 safety safety NN 19261 4016 7 line line NN 19261 4016 8 into into IN 19261 4016 9 prominence prominence NN 19261 4016 10 . . . 19261 4017 1 This this DT 19261 4017 2 is be VBZ 19261 4017 3 generally generally RB 19261 4017 4 known know VBN 19261 4017 5 as as IN 19261 4017 6 Jackson Jackson NNP 19261 4017 7 's 's POS 19261 4017 8 tracheotomic tracheotomic JJ 19261 4017 9 triangle triangle NN 19261 4017 10 . . . 19261 4017 11 ] ] -RRB- 19261 4018 1 [ [ -LRB- 19261 4018 2 FIG FIG NNP 19261 4018 3 . . . 19261 4019 1 106.--Schema 106.--schema CD 19261 4019 2 showing show VBG 19261 4019 3 the the DT 19261 4019 4 author author NN 19261 4019 5 's 's POS 19261 4019 6 method method NN 19261 4019 7 of of IN 19261 4019 8 rapid rapid JJ 19261 4019 9 tracheotomy tracheotomy NN 19261 4019 10 . . . 19261 4020 1 First first JJ 19261 4020 2 stage stage NN 19261 4020 3 . . . 19261 4021 1 The the DT 19261 4021 2 hands hand NNS 19261 4021 3 are be VBP 19261 4021 4 drawn draw VBN 19261 4021 5 ungloved ungloved JJ 19261 4021 6 for for IN 19261 4021 7 the the DT 19261 4021 8 sake sake NN 19261 4021 9 of of IN 19261 4021 10 clearness clearness NN 19261 4021 11 . . . 19261 4022 1 The the DT 19261 4022 2 upper upper JJ 19261 4022 3 hand hand NN 19261 4022 4 is be VBZ 19261 4022 5 the the DT 19261 4022 6 left left JJ 19261 4022 7 , , , 19261 4022 8 of of IN 19261 4022 9 which which WDT 19261 4022 10 the the DT 19261 4022 11 middle middle JJ 19261 4022 12 finger finger NN 19261 4022 13 ( ( -LRB- 19261 4022 14 M M NNP 19261 4022 15 ) ) -RRB- 19261 4022 16 and and CC 19261 4022 17 the the DT 19261 4022 18 thumb thumb NN 19261 4022 19 are be VBP 19261 4022 20 used use VBN 19261 4022 21 to to TO 19261 4022 22 repress repress VB 19261 4022 23 the the DT 19261 4022 24 sterno sterno NNP 19261 4022 25 - - HYPH 19261 4022 26 cleido cleido NN 19261 4022 27 - - HYPH 19261 4022 28 mastoid mastoid NN 19261 4022 29 muscles muscle NNS 19261 4022 30 , , , 19261 4022 31 the the DT 19261 4022 32 finger finger NN 19261 4022 33 and and CC 19261 4022 34 thumb thumb NN 19261 4022 35 being be VBG 19261 4022 36 close close JJ 19261 4022 37 to to IN 19261 4022 38 the the DT 19261 4022 39 trachea trachea NN 19261 4022 40 in in IN 19261 4022 41 order order NN 19261 4022 42 to to TO 19261 4022 43 press press VB 19261 4022 44 backward backward RB 19261 4022 45 out out IN 19261 4022 46 of of IN 19261 4022 47 the the DT 19261 4022 48 way way NN 19261 4022 49 the the DT 19261 4022 50 carotid carotid JJ 19261 4022 51 arteries artery NNS 19261 4022 52 and and CC 19261 4022 53 the the DT 19261 4022 54 jugular jugular NNP 19261 4022 55 vein vein NN 19261 4022 56 . . . 19261 4023 1 This this DT 19261 4023 2 throws throw VBZ 19261 4023 3 the the DT 19261 4023 4 trachea trachea NN 19261 4023 5 forward forward RB 19261 4023 6 into into IN 19261 4023 7 prominence prominence NN 19261 4023 8 , , , 19261 4023 9 and and CC 19261 4023 10 one one CD 19261 4023 11 deep deep RB 19261 4023 12 slashing slash VBG 19261 4023 13 cut cut NN 19261 4023 14 will will MD 19261 4023 15 incise incise VB 19261 4023 16 all all DT 19261 4023 17 of of IN 19261 4023 18 the the DT 19261 4023 19 soft soft JJ 19261 4023 20 tissues tissue NNS 19261 4023 21 down down RP 19261 4023 22 to to IN 19261 4023 23 the the DT 19261 4023 24 trachea trachea NN 19261 4023 25 . . . 19261 4023 26 ] ] -RRB- 19261 4024 1 _ _ NNP 19261 4024 2 Emergency emergency NN 19261 4024 3 Tracheotomy_.--Stabbing tracheotomy_.--stabbe VBG 19261 4024 4 of of IN 19261 4024 5 the the DT 19261 4024 6 cricothyroid cricothyroid NN 19261 4024 7 membrane membrane NN 19261 4024 8 , , , 19261 4024 9 or or CC 19261 4024 10 an an DT 19261 4024 11 attempted attempt VBN 19261 4024 12 stabbing stabbing NN 19261 4024 13 of of IN 19261 4024 14 the the DT 19261 4024 15 trachea trachea NN 19261 4024 16 , , , 19261 4024 17 so so RB 19261 4024 18 long long RB 19261 4024 19 taught teach VBN 19261 4024 20 as as IN 19261 4024 21 an an DT 19261 4024 22 emergency emergency NN 19261 4024 23 tracheotomy tracheotomy NN 19261 4024 24 , , , 19261 4024 25 is be VBZ 19261 4024 26 a a DT 19261 4024 27 mistake mistake NN 19261 4024 28 . . . 19261 4025 1 The the DT 19261 4025 2 author author NN 19261 4025 3 's 's POS 19261 4025 4 " " `` 19261 4025 5 two two CD 19261 4025 6 stage stage NN 19261 4025 7 , , , 19261 4025 8 finger finger NN 19261 4025 9 guided guide VBN 19261 4025 10 " " `` 19261 4025 11 method method NN 19261 4025 12 is be VBZ 19261 4025 13 safer safe JJR 19261 4025 14 , , , 19261 4025 15 quicker quick JJR 19261 4025 16 , , , 19261 4025 17 more more RBR 19261 4025 18 efficient efficient JJ 19261 4025 19 , , , 19261 4025 20 and and CC 19261 4025 21 not not RB 19261 4025 22 likely likely JJ 19261 4025 23 to to TO 19261 4025 24 be be VB 19261 4025 25 followed follow VBN 19261 4025 26 by by IN 19261 4025 27 stenosis stenosis NN 19261 4025 28 . . . 19261 4026 1 To to TO 19261 4026 2 execute execute VB 19261 4026 3 this this DT 19261 4026 4 promptly promptly RB 19261 4026 5 , , , 19261 4026 6 the the DT 19261 4026 7 operator operator NN 19261 4026 8 is be VBZ 19261 4026 9 required require VBN 19261 4026 10 to to TO 19261 4026 11 forget forget VB 19261 4026 12 his -PRON- PRP$ 19261 4026 13 textbook textbook NN 19261 4026 14 anatomy anatomy NN 19261 4026 15 and and CC 19261 4026 16 memorize memorize VB 19261 4026 17 the the DT 19261 4026 18 schema schema NN 19261 4026 19 ( ( -LRB- 19261 4026 20 Fig fig NN 19261 4026 21 . . . 19261 4027 1 105 105 CD 19261 4027 2 ) ) -RRB- 19261 4027 3 . . . 19261 4028 1 The the DT 19261 4028 2 larynx larynx NN 19261 4028 3 and and CC 19261 4028 4 trachea trachea NNP 19261 4028 5 are be VBP 19261 4028 6 steadied steady VBN 19261 4028 7 by by IN 19261 4028 8 the the DT 19261 4028 9 thumb thumb NN 19261 4028 10 and and CC 19261 4028 11 middle middle JJ 19261 4028 12 finger finger NN 19261 4028 13 of of IN 19261 4028 14 the the DT 19261 4028 15 left left JJ 19261 4028 16 hand hand NN 19261 4028 17 , , , 19261 4028 18 which which WDT 19261 4028 19 at at IN 19261 4028 20 the the DT 19261 4028 21 same same JJ 19261 4028 22 time time NN 19261 4028 23 push push VB 19261 4028 24 back back RB 19261 4028 25 the the DT 19261 4028 26 important important JJ 19261 4028 27 nerves nerve NNS 19261 4028 28 and and CC 19261 4028 29 vessels vessel NNS 19261 4028 30 which which WDT 19261 4028 31 parallel parallel VBP 19261 4028 32 the the DT 19261 4028 33 trachea trachea NN 19261 4028 34 , , , 19261 4028 35 and and CC 19261 4028 36 render render VB 19261 4028 37 the the DT 19261 4028 38 central central JJ 19261 4028 39 safety safety NN 19261 4028 40 line line NN 19261 4028 41 more more RBR 19261 4028 42 prominent prominent JJ 19261 4028 43 ( ( -LRB- 19261 4028 44 Fig fig NN 19261 4028 45 . . . 19261 4029 1 106 106 CD 19261 4029 2 ) ) -RRB- 19261 4029 3 . . . 19261 4030 1 A a DT 19261 4030 2 long long JJ 19261 4030 3 incision incision NN 19261 4030 4 is be VBZ 19261 4030 5 now now RB 19261 4030 6 made make VBN 19261 4030 7 from from IN 19261 4030 8 the the DT 19261 4030 9 thyroid thyroid NN 19261 4030 10 notch notch NN 19261 4030 11 almost almost RB 19261 4030 12 to to IN 19261 4030 13 the the DT 19261 4030 14 suprasternal suprasternal JJ 19261 4030 15 notch notch NN 19261 4030 16 , , , 19261 4030 17 and and CC 19261 4030 18 deep deep RB 19261 4030 19 enough enough RB 19261 4030 20 to to TO 19261 4030 21 reach reach VB 19261 4030 22 the the DT 19261 4030 23 trachea trachea NN 19261 4030 24 . . . 19261 4031 1 This this DT 19261 4031 2 completes complete VBZ 19261 4031 3 the the DT 19261 4031 4 first first JJ 19261 4031 5 stage stage NN 19261 4031 6 . . . 19261 4032 1 [ [ -LRB- 19261 4032 2 FIG FIG NNP 19261 4032 3 . . . 19261 4033 1 107.--Illustrating 107.--illustrating CD 19261 4033 2 the the DT 19261 4033 3 author author NN 19261 4033 4 's 's POS 19261 4033 5 method method NN 19261 4033 6 of of IN 19261 4033 7 quick quick JJ 19261 4033 8 tracheotomy tracheotomy NN 19261 4033 9 . . . 19261 4034 1 Second second JJ 19261 4034 2 stage stage NN 19261 4034 3 . . . 19261 4035 1 The the DT 19261 4035 2 fingers finger NNS 19261 4035 3 are be VBP 19261 4035 4 drawn draw VBN 19261 4035 5 ungloved ungloved JJ 19261 4035 6 for for IN 19261 4035 7 the the DT 19261 4035 8 sake sake NN 19261 4035 9 of of IN 19261 4035 10 clearness clearness NN 19261 4035 11 . . . 19261 4036 1 In in IN 19261 4036 2 operating operate VBG 19261 4036 3 the the DT 19261 4036 4 whole whole JJ 19261 4036 5 wound wound NN 19261 4036 6 is be VBZ 19261 4036 7 full full JJ 19261 4036 8 of of IN 19261 4036 9 blood blood NN 19261 4036 10 , , , 19261 4036 11 and and CC 19261 4036 12 the the DT 19261 4036 13 rings ring NNS 19261 4036 14 of of IN 19261 4036 15 the the DT 19261 4036 16 trachea trachea NN 19261 4036 17 are be VBP 19261 4036 18 felt feel VBN 19261 4036 19 with with IN 19261 4036 20 the the DT 19261 4036 21 left left JJ 19261 4036 22 index index NN 19261 4036 23 which which WDT 19261 4036 24 is be VBZ 19261 4036 25 then then RB 19261 4036 26 moved move VBN 19261 4036 27 slightly slightly RB 19261 4036 28 to to IN 19261 4036 29 the the DT 19261 4036 30 patient patient NN 19261 4036 31 's 's POS 19261 4036 32 left left NN 19261 4036 33 , , , 19261 4036 34 while while IN 19261 4036 35 the the DT 19261 4036 36 knife knife NN 19261 4036 37 is be VBZ 19261 4036 38 slid slide VBN 19261 4036 39 down down RP 19261 4036 40 along along IN 19261 4036 41 the the DT 19261 4036 42 left left JJ 19261 4036 43 index index NN 19261 4036 44 to to IN 19261 4036 45 exactly exactly RB 19261 4036 46 the the DT 19261 4036 47 middle middle JJ 19261 4036 48 line line NN 19261 4036 49 when when WRB 19261 4036 50 the the DT 19261 4036 51 trachea trachea NN 19261 4036 52 is be VBZ 19261 4036 53 incised incise VBN 19261 4036 54 . . . 19261 4036 55 ] ] -RRB- 19261 4037 1 Second second JJ 19261 4037 2 stage stage NN 19261 4037 3 . . . 19261 4038 1 The the DT 19261 4038 2 entire entire JJ 19261 4038 3 wound wound NN 19261 4038 4 is be VBZ 19261 4038 5 full full JJ 19261 4038 6 of of IN 19261 4038 7 blood blood NN 19261 4038 8 and and CC 19261 4038 9 the the DT 19261 4038 10 trachea trachea NN 19261 4038 11 can can MD 19261 4038 12 not not RB 19261 4038 13 be be VB 19261 4038 14 seen see VBN 19261 4038 15 , , , 19261 4038 16 but but CC 19261 4038 17 its -PRON- PRP$ 19261 4038 18 corrugations corrugation NNS 19261 4038 19 can can MD 19261 4038 20 be be VB 19261 4038 21 very very RB 19261 4038 22 readily readily RB 19261 4038 23 felt feel VBN 19261 4038 24 by by IN 19261 4038 25 the the DT 19261 4038 26 tip tip NN 19261 4038 27 of of IN 19261 4038 28 the the DT 19261 4038 29 free free JJ 19261 4038 30 left left JJ 19261 4038 31 index index NN 19261 4038 32 finger finger NN 19261 4038 33 . . . 19261 4039 1 The the DT 19261 4039 2 left left JJ 19261 4039 3 index index NN 19261 4039 4 finger finger NN 19261 4039 5 is be VBZ 19261 4039 6 now now RB 19261 4039 7 moved move VBN 19261 4039 8 a a DT 19261 4039 9 little little JJ 19261 4039 10 to to IN 19261 4039 11 the the DT 19261 4039 12 patient patient NN 19261 4039 13 's 's POS 19261 4039 14 left leave VBN 19261 4039 15 in in IN 19261 4039 16 order order NN 19261 4039 17 that that IN 19261 4039 18 the the DT 19261 4039 19 knife knife NN 19261 4039 20 shall shall MD 19261 4039 21 come come VB 19261 4039 22 precisely precisely RB 19261 4039 23 in in IN 19261 4039 24 the the DT 19261 4039 25 midline midline NN 19261 4039 26 of of IN 19261 4039 27 the the DT 19261 4039 28 trachea trachea NN 19261 4039 29 , , , 19261 4039 30 and and CC 19261 4039 31 three three CD 19261 4039 32 rings ring NNS 19261 4039 33 of of IN 19261 4039 34 the the DT 19261 4039 35 trachea trachea NN 19261 4039 36 are be VBP 19261 4039 37 divided divide VBN 19261 4039 38 from from IN 19261 4039 39 above above IN 19261 4039 40 downward downward RB 19261 4039 41 ( ( -LRB- 19261 4039 42 Fig fig NN 19261 4039 43 . . . 19261 4040 1 107 107 LS 19261 4040 2 ) ) -RRB- 19261 4040 3 . . . 19261 4041 1 The the DT 19261 4041 2 Trousseau Trousseau NNP 19261 4041 3 dilator dilator NN 19261 4041 4 should should MD 19261 4041 5 now now RB 19261 4041 6 be be VB 19261 4041 7 inserted insert VBN 19261 4041 8 , , , 19261 4041 9 the the DT 19261 4041 10 head head NN 19261 4041 11 of of IN 19261 4041 12 the the DT 19261 4041 13 table table NN 19261 4041 14 should should MD 19261 4041 15 be be VB 19261 4041 16 lowered lower VBN 19261 4041 17 , , , 19261 4041 18 and and CC 19261 4041 19 the the DT 19261 4041 20 patient patient NN 19261 4041 21 should should MD 19261 4041 22 be be VB 19261 4041 23 turned turn VBN 19261 4041 24 on on RP 19261 4041 25 the the DT 19261 4041 26 side side NN 19261 4041 27 to to TO 19261 4041 28 allow allow VB 19261 4041 29 the the DT 19261 4041 30 blood blood NN 19261 4041 31 to to TO 19261 4041 32 run run VB 19261 4041 33 away away RB 19261 4041 34 from from IN 19261 4041 35 the the DT 19261 4041 36 wound wound NN 19261 4041 37 . . . 19261 4042 1 If if IN 19261 4042 2 respiration respiration NN 19261 4042 3 has have VBZ 19261 4042 4 ceased cease VBN 19261 4042 5 , , , 19261 4042 6 a a DT 19261 4042 7 cannula cannula NN 19261 4042 8 is be VBZ 19261 4042 9 slipped slip VBN 19261 4042 10 in in RP 19261 4042 11 , , , 19261 4042 12 and and CC 19261 4042 13 artificial artificial JJ 19261 4042 14 respiration respiration NN 19261 4042 15 is be VBZ 19261 4042 16 begun begin VBN 19261 4042 17 . . . 19261 4043 1 Oxygen oxygen NN 19261 4043 2 insufflation insufflation NN 19261 4043 3 will will MD 19261 4043 4 aid aid VB 19261 4043 5 in in IN 19261 4043 6 the the DT 19261 4043 7 restoration restoration NN 19261 4043 8 of of IN 19261 4043 9 respiration respiration NN 19261 4043 10 , , , 19261 4043 11 and and CC 19261 4043 12 a a DT 19261 4043 13 pearl pearl NN 19261 4043 14 of of IN 19261 4043 15 amyl amyl NN 19261 4043 16 nitrite nitrite NNP 19261 4043 17 should should MD 19261 4043 18 be be VB 19261 4043 19 crushed crush VBN 19261 4043 20 in in IN 19261 4043 21 gauze gauze NN 19261 4043 22 and and CC 19261 4043 23 blown blow VBN 19261 4043 24 in in RP 19261 4043 25 with with IN 19261 4043 26 the the DT 19261 4043 27 oxygen oxygen NN 19261 4043 28 . . . 19261 4044 1 In in IN 19261 4044 2 all all DT 19261 4044 3 such such JJ 19261 4044 4 cases case NNS 19261 4044 5 , , , 19261 4044 6 excessive excessive JJ 19261 4044 7 pressure pressure NN 19261 4044 8 of of IN 19261 4044 9 oxygen oxygen NN 19261 4044 10 should should MD 19261 4044 11 be be VB 19261 4044 12 avoided avoid VBN 19261 4044 13 because because IN 19261 4044 14 of of IN 19261 4044 15 the the DT 19261 4044 16 danger danger NN 19261 4044 17 of of IN 19261 4044 18 producing produce VBG 19261 4044 19 ischemia ischemia NN 19261 4044 20 of of IN 19261 4044 21 the the DT 19261 4044 22 lungs lung NNS 19261 4044 23 . . . 19261 4045 1 Hope hope NN 19261 4045 2 of of IN 19261 4045 3 restoring restore VBG 19261 4045 4 respiration respiration NN 19261 4045 5 should should MD 19261 4045 6 not not RB 19261 4045 7 be be VB 19261 4045 8 abandoned abandon VBN 19261 4045 9 for for IN 19261 4045 10 half half PDT 19261 4045 11 an an DT 19261 4045 12 hour hour NN 19261 4045 13 at at IN 19261 4045 14 least least JJS 19261 4045 15 . . . 19261 4046 1 One one CD 19261 4046 2 of of IN 19261 4046 3 the the DT 19261 4046 4 author author NN 19261 4046 5 's 's POS 19261 4046 6 assistants assistant NNS 19261 4046 7 , , , 19261 4046 8 Dr. Dr. NNP 19261 4046 9 Phillip Phillip NNP 19261 4046 10 Stout Stout NNP 19261 4046 11 , , , 19261 4046 12 saved save VBD 19261 4046 13 a a DT 19261 4046 14 patient patient NN 19261 4046 15 's 's POS 19261 4046 16 life life NN 19261 4046 17 by by IN 19261 4046 18 keeping keep VBG 19261 4046 19 up up RP 19261 4046 20 artificial artificial JJ 19261 4046 21 respiration respiration NN 19261 4046 22 for for IN 19261 4046 23 twenty twenty CD 19261 4046 24 minutes minute NNS 19261 4046 25 before before IN 19261 4046 26 the the DT 19261 4046 27 patient patient NN 19261 4046 28 could could MD 19261 4046 29 do do VB 19261 4046 30 his -PRON- PRP$ 19261 4046 31 own own JJ 19261 4046 32 breathing breathing NN 19261 4046 33 . . . 19261 4047 1 The the DT 19261 4047 2 _ _ NNP 19261 4047 3 after after IN 19261 4047 4 - - HYPH 19261 4047 5 care care NN 19261 4047 6 _ _ NNP 19261 4047 7 of of IN 19261 4047 8 the the DT 19261 4047 9 tracheotomic tracheotomic JJ 19261 4047 10 wound wound NN 19261 4047 11 is be VBZ 19261 4047 12 of of IN 19261 4047 13 the the DT 19261 4047 14 utmost utmost JJ 19261 4047 15 importance importance NN 19261 4047 16 . . . 19261 4048 1 A a DT 19261 4048 2 special special JJ 19261 4048 3 day day NN 19261 4048 4 and and CC 19261 4048 5 night night NN 19261 4048 6 nurse nurse NN 19261 4048 7 are be VBP 19261 4048 8 required require VBN 19261 4048 9 . . . 19261 4049 1 The the DT 19261 4049 2 inner inner JJ 19261 4049 3 tube tube NN 19261 4049 4 of of IN 19261 4049 5 the the DT 19261 4049 6 cannula cannula NN 19261 4049 7 must must MD 19261 4049 8 be be VB 19261 4049 9 removed remove VBN 19261 4049 10 and and CC 19261 4049 11 cleaned clean VBN 19261 4049 12 as as RB 19261 4049 13 soon soon RB 19261 4049 14 as as IN 19261 4049 15 it -PRON- PRP 19261 4049 16 contains contain VBZ 19261 4049 17 secretion secretion NN 19261 4049 18 . . . 19261 4050 1 Secretion secretion NN 19261 4050 2 coughed cough VBD 19261 4050 3 out out RP 19261 4050 4 must must MD 19261 4050 5 be be VB 19261 4050 6 wiped wipe VBN 19261 4050 7 away away RP 19261 4050 8 quickly quickly RB 19261 4050 9 , , , 19261 4050 10 but but CC 19261 4050 11 gently gently RB 19261 4050 12 , , , 19261 4050 13 before before IN 19261 4050 14 it -PRON- PRP 19261 4050 15 is be VBZ 19261 4050 16 again again RB 19261 4050 17 aspirated aspirate VBN 19261 4050 18 . . . 19261 4051 1 The the DT 19261 4051 2 gauze gauze NN 19261 4051 3 dressing dressing NN 19261 4051 4 covering cover VBG 19261 4051 5 the the DT 19261 4051 6 wound wound NN 19261 4051 7 must must MD 19261 4051 8 be be VB 19261 4051 9 changed change VBN 19261 4051 10 as as RB 19261 4051 11 soon soon RB 19261 4051 12 as as IN 19261 4051 13 soiled soil VBN 19261 4051 14 with with IN 19261 4051 15 secretions secretion NNS 19261 4051 16 from from IN 19261 4051 17 the the DT 19261 4051 18 wound wound NN 19261 4051 19 and and CC 19261 4051 20 the the DT 19261 4051 21 air air NN 19261 4051 22 - - HYPH 19261 4051 23 passages passage NNS 19261 4051 24 . . . 19261 4052 1 Each each DT 19261 4052 2 fresh fresh JJ 19261 4052 3 pad pad NN 19261 4052 4 should should MD 19261 4052 5 be be VB 19261 4052 6 moistened moisten VBN 19261 4052 7 with with IN 19261 4052 8 very very RB 19261 4052 9 weak weak JJ 19261 4052 10 bichloride bichloride NN 19261 4052 11 of of IN 19261 4052 12 mercury mercury NN 19261 4052 13 solution solution NN 19261 4052 14 ( ( -LRB- 19261 4052 15 1:10,000 1:10,000 CD 19261 4052 16 ) ) -RRB- 19261 4052 17 . . . 19261 4053 1 The the DT 19261 4053 2 outer outer JJ 19261 4053 3 tube tube NN 19261 4053 4 must must MD 19261 4053 5 be be VB 19261 4053 6 changed change VBN 19261 4053 7 every every DT 19261 4053 8 twenty twenty CD 19261 4053 9 - - HYPH 19261 4053 10 four four CD 19261 4053 11 hours hour NNS 19261 4053 12 , , , 19261 4053 13 and and CC 19261 4053 14 oftener oftener RB 19261 4053 15 if if IN 19261 4053 16 the the DT 19261 4053 17 bronchial bronchial JJ 19261 4053 18 secretion secretion NN 19261 4053 19 is be VBZ 19261 4053 20 abundant abundant JJ 19261 4053 21 . . . 19261 4054 1 Student student NN 19261 4054 2 - - HYPH 19261 4054 3 physicians physician NNS 19261 4054 4 who who WP 19261 4054 5 have have VBP 19261 4054 6 been be VBN 19261 4054 7 taught teach VBN 19261 4054 8 my -PRON- PRP$ 19261 4054 9 methods method NNS 19261 4054 10 and and CC 19261 4054 11 who who WP 19261 4054 12 have have VBP 19261 4054 13 seen see VBN 19261 4054 14 the the DT 19261 4054 15 cases case NNS 19261 4054 16 in in IN 19261 4054 17 care care NN 19261 4054 18 of of IN 19261 4054 19 our -PRON- PRP$ 19261 4054 20 nurses nurse NNS 19261 4054 21 have have VBP 19261 4054 22 often often RB 19261 4054 23 expressed express VBN 19261 4054 24 amazement amazement NN 19261 4054 25 at at IN 19261 4054 26 the the DT 19261 4054 27 neglect neglect NN 19261 4054 28 unknowingly unknowingly RB 19261 4054 29 inflicted inflict VBN 19261 4054 30 on on IN 19261 4054 31 such such JJ 19261 4054 32 cases case NNS 19261 4054 33 elsewhere elsewhere RB 19261 4054 34 , , , 19261 4054 35 in in IN 19261 4054 36 the the DT 19261 4054 37 course course NN 19261 4054 38 of of IN 19261 4054 39 ordinary ordinary JJ 19261 4054 40 routine routine JJ 19261 4054 41 surgery surgery NN 19261 4054 42 . . . 19261 4055 1 It -PRON- PRP 19261 4055 2 is be VBZ 19261 4055 3 not not RB 19261 4055 4 unusual unusual JJ 19261 4055 5 for for IN 19261 4055 6 a a DT 19261 4055 7 patient patient NN 19261 4055 8 to to TO 19261 4055 9 be be VB 19261 4055 10 sent send VBN 19261 4055 11 to to IN 19261 4055 12 the the DT 19261 4055 13 Bronchoscopic Bronchoscopic NNP 19261 4055 14 Clinic Clinic NNP 19261 4055 15 who who WP 19261 4055 16 has have VBZ 19261 4055 17 worn wear VBN 19261 4055 18 his -PRON- PRP$ 19261 4055 19 cannula cannula NN 19261 4055 20 without without IN 19261 4055 21 a a DT 19261 4055 22 single single JJ 19261 4055 23 changing changing NN 19261 4055 24 for for IN 19261 4055 25 one one CD 19261 4055 26 or or CC 19261 4055 27 two two CD 19261 4055 28 years year NNS 19261 4055 29 . . . 19261 4056 1 In in IN 19261 4056 2 some some DT 19261 4056 3 cases case NNS 19261 4056 4 the the DT 19261 4056 5 tube tube NN 19261 4056 6 had have VBD 19261 4056 7 broken break VBN 19261 4056 8 and and CC 19261 4056 9 a a DT 19261 4056 10 portion portion NN 19261 4056 11 had have VBD 19261 4056 12 been be VBN 19261 4056 13 aspirated aspirate VBN 19261 4056 14 into into IN 19261 4056 15 the the DT 19261 4056 16 trachea trachea NN 19261 4056 17 . . . 19261 4057 1 [ [ -LRB- 19261 4057 2 FIG FIG NNP 19261 4057 3 . . . 19261 4058 1 108.--Method 108.--method CD 19261 4058 2 of of IN 19261 4058 3 dressing dress VBG 19261 4058 4 a a DT 19261 4058 5 tracheotomic tracheotomic JJ 19261 4058 6 wound wound NN 19261 4058 7 . . . 19261 4059 1 A a DT 19261 4059 2 broad broad JJ 19261 4059 3 quadruple quadruple NN 19261 4059 4 , , , 19261 4059 5 in in RB 19261 4059 6 - - HYPH 19261 4059 7 folded fold VBN 19261 4059 8 pad pad NN 19261 4059 9 of of IN 19261 4059 10 gauze gauze NN 19261 4059 11 is be VBZ 19261 4059 12 cut cut VBN 19261 4059 13 to to IN 19261 4059 14 its -PRON- PRP$ 19261 4059 15 centre centre NN 19261 4059 16 so so IN 19261 4059 17 that that IN 19261 4059 18 it -PRON- PRP 19261 4059 19 can can MD 19261 4059 20 be be VB 19261 4059 21 slipped slip VBN 19261 4059 22 astride astride RB 19261 4059 23 of of IN 19261 4059 24 the the DT 19261 4059 25 tube tube NN 19261 4059 26 of of IN 19261 4059 27 the the DT 19261 4059 28 cannula cannula NN 19261 4059 29 back back RB 19261 4059 30 of of IN 19261 4059 31 the the DT 19261 4059 32 shield shield NN 19261 4059 33 . . . 19261 4060 1 No no DT 19261 4060 2 strings string NNS 19261 4060 3 , , , 19261 4060 4 ravellings ravelling NNS 19261 4060 5 or or CC 19261 4060 6 strips strip NNS 19261 4060 7 of of IN 19261 4060 8 gauze gauze NN 19261 4060 9 are be VBP 19261 4060 10 permissible permissible JJ 19261 4060 11 because because IN 19261 4060 12 of of IN 19261 4060 13 the the DT 19261 4060 14 risk risk NN 19261 4060 15 of of IN 19261 4060 16 their -PRON- PRP$ 19261 4060 17 getting get VBG 19261 4060 18 down down RP 19261 4060 19 into into IN 19261 4060 20 the the DT 19261 4060 21 trachea trachea NN 19261 4060 22 . . . 19261 4060 23 ] ] -RRB- 19261 4061 1 If if IN 19261 4061 2 the the DT 19261 4061 3 respiratory respiratory JJ 19261 4061 4 rate rate NN 19261 4061 5 increases increase NNS 19261 4061 6 , , , 19261 4061 7 instead instead RB 19261 4061 8 of of IN 19261 4061 9 attributing attribute VBG 19261 4061 10 it -PRON- PRP 19261 4061 11 to to IN 19261 4061 12 pulmonary pulmonary JJ 19261 4061 13 complications complication NNS 19261 4061 14 , , , 19261 4061 15 the the DT 19261 4061 16 entire entire JJ 19261 4061 17 cannula cannula NN 19261 4061 18 should should MD 19261 4061 19 be be VB 19261 4061 20 removed remove VBN 19261 4061 21 , , , 19261 4061 22 the the DT 19261 4061 23 wound wound NN 19261 4061 24 dilated dilate VBN 19261 4061 25 with with IN 19261 4061 26 the the DT 19261 4061 27 Trousseau Trousseau NNP 19261 4061 28 forceps forceps NNP 19261 4061 29 , , , 19261 4061 30 the the DT 19261 4061 31 interior interior NN 19261 4061 32 of of IN 19261 4061 33 the the DT 19261 4061 34 trachea trachea NN 19261 4061 35 inspected inspect VBN 19261 4061 36 , , , 19261 4061 37 and and CC 19261 4061 38 all all DT 19261 4061 39 secretions secretion NNS 19261 4061 40 cleaned clean VBD 19261 4061 41 away away RB 19261 4061 42 . . . 19261 4062 1 Then then RB 19261 4062 2 the the DT 19261 4062 3 tracheal tracheal NN 19261 4062 4 mucosa mucosa NNS 19261 4062 5 below below IN 19261 4062 6 the the DT 19261 4062 7 wound wound NN 19261 4062 8 should should MD 19261 4062 9 be be VB 19261 4062 10 gently gently RB 19261 4062 11 touched touch VBN 19261 4062 12 with with IN 19261 4062 13 a a DT 19261 4062 14 sterile sterile JJ 19261 4062 15 bent bent JJ 19261 4062 16 probe probe NN 19261 4062 17 , , , 19261 4062 18 to to TO 19261 4062 19 induce induce VB 19261 4062 20 cough cough NN 19261 4062 21 to to TO 19261 4062 22 rid rid VB 19261 4062 23 the the DT 19261 4062 24 lower low JJR 19261 4062 25 air air NN 19261 4062 26 passages passage NNS 19261 4062 27 of of IN 19261 4062 28 accumulated accumulate VBN 19261 4062 29 secretions secretion NNS 19261 4062 30 . . . 19261 4063 1 In in IN 19261 4063 2 many many JJ 19261 4063 3 cases case NNS 19261 4063 4 it -PRON- PRP 19261 4063 5 is be VBZ 19261 4063 6 a a DT 19261 4063 7 life life NN 19261 4063 8 - - HYPH 19261 4063 9 saving save VBG 19261 4063 10 procedure procedure NN 19261 4063 11 to to TO 19261 4063 12 insert insert VB 19261 4063 13 a a DT 19261 4063 14 sterile sterile JJ 19261 4063 15 long long JJ 19261 4063 16 malleable malleable JJ 19261 4063 17 aspirating aspirating NN 19261 4063 18 tube tube NN 19261 4063 19 to to TO 19261 4063 20 remove remove VB 19261 4063 21 secretions secretion NNS 19261 4063 22 from from IN 19261 4063 23 the the DT 19261 4063 24 lower low JJR 19261 4063 25 air air NN 19261 4063 26 - - HYPH 19261 4063 27 passages passage NNS 19261 4063 28 . . . 19261 4064 1 When when WRB 19261 4064 2 all all DT 19261 4064 3 is be VBZ 19261 4064 4 clear clear JJ 19261 4064 5 , , , 19261 4064 6 a a DT 19261 4064 7 fresh fresh JJ 19261 4064 8 sterile sterile JJ 19261 4064 9 cannula cannula NN 19261 4064 10 which which WDT 19261 4064 11 has have VBZ 19261 4064 12 been be VBN 19261 4064 13 carefully carefully RB 19261 4064 14 inspected inspect VBN 19261 4064 15 to to TO 19261 4064 16 see see VB 19261 4064 17 that that IN 19261 4064 18 its -PRON- PRP$ 19261 4064 19 lumen luman NNS 19261 4064 20 has have VBZ 19261 4064 21 been be VBN 19261 4064 22 thoroughly thoroughly RB 19261 4064 23 cleaned clean VBN 19261 4064 24 , , , 19261 4064 25 is be VBZ 19261 4064 26 inserted insert VBN 19261 4064 27 , , , 19261 4064 28 and and CC 19261 4064 29 its -PRON- PRP$ 19261 4064 30 tapes tape NNS 19261 4064 31 tied tie VBD 19261 4064 32 . . . 19261 4065 1 Good good JJ 19261 4065 2 " " '' 19261 4065 3 plumbing plumbing NN 19261 4065 4 , , , 19261 4065 5 " " '' 19261 4065 6 that that RB 19261 4065 7 is is RB 19261 4065 8 , , , 19261 4065 9 the the DT 19261 4065 10 maintenance maintenance NN 19261 4065 11 at at IN 19261 4065 12 all all DT 19261 4065 13 times time NNS 19261 4065 14 of of IN 19261 4065 15 a a DT 19261 4065 16 clear clear JJ 19261 4065 17 , , , 19261 4065 18 clean clean JJ 19261 4065 19 passage passage NN 19261 4065 20 in in IN 19261 4065 21 all all PDT 19261 4065 22 the the DT 19261 4065 23 " " `` 19261 4065 24 pipes pipe NNS 19261 4065 25 , , , 19261 4065 26 " " '' 19261 4065 27 natural natural JJ 19261 4065 28 and and CC 19261 4065 29 artificial artificial JJ 19261 4065 30 , , , 19261 4065 31 is be VBZ 19261 4065 32 the the DT 19261 4065 33 reason reason NN 19261 4065 34 why why WRB 19261 4065 35 the the DT 19261 4065 36 mortality mortality NN 19261 4065 37 in in IN 19261 4065 38 the the DT 19261 4065 39 Bronchoscopic Bronchoscopic NNP 19261 4065 40 Clinic Clinic NNP 19261 4065 41 has have VBZ 19261 4065 42 been be VBN 19261 4065 43 less less JJR 19261 4065 44 than than IN 19261 4065 45 half half NN 19261 4065 46 of of IN 19261 4065 47 one one CD 19261 4065 48 per per IN 19261 4065 49 cent cent NN 19261 4065 50 , , , 19261 4065 51 while while IN 19261 4065 52 in in IN 19261 4065 53 ordinary ordinary JJ 19261 4065 54 routine routine JJ 19261 4065 55 surgical surgical JJ 19261 4065 56 care care NN 19261 4065 57 in in IN 19261 4065 58 all all DT 19261 4065 59 hospitals hospital NNS 19261 4065 60 collectively collectively RB 19261 4065 61 it -PRON- PRP 19261 4065 62 ranges range VBZ 19261 4065 63 from from IN 19261 4065 64 10 10 CD 19261 4065 65 to to TO 19261 4065 66 20 20 CD 19261 4065 67 per per NN 19261 4065 68 cent cent NN 19261 4065 69 . . . 19261 4066 1 _ _ NNP 19261 4066 2 Bronchial Bronchial NNP 19261 4066 3 Aspiration_.--As Aspiration_.--As NNP 19261 4066 4 mentioned mention VBN 19261 4066 5 above above RB 19261 4066 6 , , , 19261 4066 7 bronchial bronchial JJ 19261 4066 8 aspiration aspiration NN 19261 4066 9 is be VBZ 19261 4066 10 often often RB 19261 4066 11 necessary necessary JJ 19261 4066 12 . . . 19261 4067 1 When when WRB 19261 4067 2 the the DT 19261 4067 3 patient patient NN 19261 4067 4 is be VBZ 19261 4067 5 unable unable JJ 19261 4067 6 to to TO 19261 4067 7 get get VB 19261 4067 8 up up RP 19261 4067 9 secretions secretion NNS 19261 4067 10 , , , 19261 4067 11 he -PRON- PRP 19261 4067 12 will will MD 19261 4067 13 , , , 19261 4067 14 as as IN 19261 4067 15 demonstrated demonstrate VBN 19261 4067 16 by by IN 19261 4067 17 the the DT 19261 4067 18 author author NN 19261 4067 19 many many JJ 19261 4067 20 years year NNS 19261 4067 21 ago ago RB 19261 4067 22 , , , 19261 4067 23 " " `` 19261 4067 24 drown drown VB 19261 4067 25 in in IN 19261 4067 26 his -PRON- PRP$ 19261 4067 27 own own JJ 19261 4067 28 secretions secretion NNS 19261 4067 29 . . . 19261 4067 30 " " '' 19261 4068 1 In in IN 19261 4068 2 some some DT 19261 4068 3 cases case NNS 19261 4068 4 bronchoscopic bronchoscopic JJ 19261 4068 5 aspiration aspiration NN 19261 4068 6 is be VBZ 19261 4068 7 required require VBN 19261 4068 8 ( ( -LRB- 19261 4068 9 Peroral Peroral NNP 19261 4068 10 Endoscopy Endoscopy NNP 19261 4068 11 , , , 19261 4068 12 p. p. NN 19261 4068 13 483 483 CD 19261 4068 14 ) ) -RRB- 19261 4068 15 . . . 19261 4069 1 Occasionally occasionally RB 19261 4069 2 , , , 19261 4069 3 very very RB 19261 4069 4 thick thick JJ 19261 4069 5 secretions secretion NNS 19261 4069 6 will will MD 19261 4069 7 require require VB 19261 4069 8 removal removal NN 19261 4069 9 with with IN 19261 4069 10 forceps forceps NNP 19261 4069 11 . . . 19261 4070 1 Pus Pus NNP 19261 4070 2 may may MD 19261 4070 3 become become VB 19261 4070 4 very very RB 19261 4070 5 thick thick JJ 19261 4070 6 and and CC 19261 4070 7 gummy gummy JJ 19261 4070 8 from from IN 19261 4070 9 the the DT 19261 4070 10 administration administration NN 19261 4070 11 of of IN 19261 4070 12 morphin morphin NNP 19261 4070 13 . . . 19261 4071 1 Opiates opiate NNS 19261 4071 2 do do VBP 19261 4071 3 not not RB 19261 4071 4 lessen lessen VB 19261 4071 5 pus pus NNP 19261 4071 6 formation formation NN 19261 4071 7 , , , 19261 4071 8 but but CC 19261 4071 9 they -PRON- PRP 19261 4071 10 do do VBP 19261 4071 11 lessen lessen VB 19261 4071 12 the the DT 19261 4071 13 normal normal JJ 19261 4071 14 secretions secretion NNS 19261 4071 15 that that WDT 19261 4071 16 ordinarily ordinarily RB 19261 4071 17 increase increase VBP 19261 4071 18 the the DT 19261 4071 19 quantity quantity NN 19261 4071 20 and and CC 19261 4071 21 fluidity fluidity NN 19261 4071 22 of of IN 19261 4071 23 the the DT 19261 4071 24 pus pus NN 19261 4071 25 . . . 19261 4072 1 When when WRB 19261 4072 2 to to IN 19261 4072 3 this this DT 19261 4072 4 is be VBZ 19261 4072 5 added add VBN 19261 4072 6 the the DT 19261 4072 7 dessicating dessicate VBG 19261 4072 8 effect effect NN 19261 4072 9 of of IN 19261 4072 10 the the DT 19261 4072 11 air air NN 19261 4072 12 inhaled inhale VBD 19261 4072 13 through through IN 19261 4072 14 the the DT 19261 4072 15 cannula cannula NN 19261 4072 16 , , , 19261 4072 17 unmoistened unmoistene VBN 19261 4072 18 by by IN 19261 4072 19 the the DT 19261 4072 20 upper upper JJ 19261 4072 21 air air NN 19261 4072 22 - - HYPH 19261 4072 23 passages passage NNS 19261 4072 24 , , , 19261 4072 25 the the DT 19261 4072 26 secretions secretion NNS 19261 4072 27 may may MD 19261 4072 28 be be VB 19261 4072 29 so so RB 19261 4072 30 thick thick JJ 19261 4072 31 as as IN 19261 4072 32 to to TO 19261 4072 33 form form VB 19261 4072 34 crusts crust NNS 19261 4072 35 and and CC 19261 4072 36 plugs plug NNS 19261 4072 37 that that WDT 19261 4072 38 are be VBP 19261 4072 39 equivalent equivalent JJ 19261 4072 40 to to IN 19261 4072 41 foreign foreign JJ 19261 4072 42 bodies body NNS 19261 4072 43 and and CC 19261 4072 44 require require VBP 19261 4072 45 removal removal NN 19261 4072 46 with with IN 19261 4072 47 forceps forceps NNP 19261 4072 48 . . . 19261 4073 1 Diphtheritic diphtheritic JJ 19261 4073 2 membrane membrane NN 19261 4073 3 in in IN 19261 4073 4 the the DT 19261 4073 5 trachea trachea NN 19261 4073 6 may may MD 19261 4073 7 require require VB 19261 4073 8 removal removal NN 19261 4073 9 with with IN 19261 4073 10 bronchoscope bronchoscope NNP 19261 4073 11 and and CC 19261 4073 12 forceps forceps NNP 19261 4073 13 . . . 19261 4074 1 Thinner thinner NN 19261 4074 2 secretions secretion NNS 19261 4074 3 may may MD 19261 4074 4 be be VB 19261 4074 5 removed remove VBN 19261 4074 6 by by IN 19261 4074 7 sponge sponge NN 19261 4074 8 - - HYPH 19261 4074 9 pumping pumping NN 19261 4074 10 . . . 19261 4075 1 In in IN 19261 4075 2 most most JJS 19261 4075 3 cases case NNS 19261 4075 4 , , , 19261 4075 5 however however RB 19261 4075 6 , , , 19261 4075 7 secretions secretion NNS 19261 4075 8 can can MD 19261 4075 9 be be VB 19261 4075 10 brought bring VBN 19261 4075 11 up up RP 19261 4075 12 through through IN 19261 4075 13 an an DT 19261 4075 14 aspirating aspirating NN 19261 4075 15 tube tube NN 19261 4075 16 , , , 19261 4075 17 connected connect VBN 19261 4075 18 to to IN 19261 4075 19 a a DT 19261 4075 20 bronchoscopic bronchoscopic JJ 19261 4075 21 aspirating aspirating NN 19261 4075 22 syringe syringe NN 19261 4075 23 ( ( -LRB- 19261 4075 24 Fig fig NN 19261 4075 25 . . . 19261 4076 1 11 11 CD 19261 4076 2 ) ) -RRB- 19261 4076 3 , , , 19261 4076 4 an an DT 19261 4076 5 ordinary ordinary JJ 19261 4076 6 aspirating aspirating NN 19261 4076 7 bottle bottle NN 19261 4076 8 , , , 19261 4076 9 or or CC 19261 4076 10 preferably preferably RB 19261 4076 11 , , , 19261 4076 12 a a DT 19261 4076 13 mechanical mechanical JJ 19261 4076 14 aspirator aspirator NN 19261 4076 15 such such JJ 19261 4076 16 as as IN 19261 4076 17 that that DT 19261 4076 18 shown show VBN 19261 4076 19 in in IN 19261 4076 20 Fig Fig NNP 19261 4076 21 . . . 19261 4077 1 12 12 CD 19261 4077 2 . . . 19261 4078 1 In in IN 19261 4078 2 this this DT 19261 4078 3 , , , 19261 4078 4 combined combine VBN 19261 4078 5 with with IN 19261 4078 6 bronchoscopic bronchoscopic NNP 19261 4078 7 oxygen oxygen NNP 19261 4078 8 insuflation insuflation NNP 19261 4078 9 ( ( -LRB- 19261 4078 10 q.v q.v NNP 19261 4078 11 . . . 19261 4079 1 ) ) -RRB- 19261 4079 2 , , , 19261 4079 3 we -PRON- PRP 19261 4079 4 have have VBP 19261 4079 5 a a DT 19261 4079 6 life life NN 19261 4079 7 - - HYPH 19261 4079 8 saving save VBG 19261 4079 9 measure measure NN 19261 4079 10 of of IN 19261 4079 11 the the DT 19261 4079 12 highest high JJS 19261 4079 13 efficiency efficiency NN 19261 4079 14 in in IN 19261 4079 15 cases case NNS 19261 4079 16 of of IN 19261 4079 17 poisoning poisoning NN 19261 4079 18 by by IN 19261 4079 19 chlorine chlorine NN 19261 4079 20 and and CC 19261 4079 21 other other JJ 19261 4079 22 irritant irritant NN 19261 4079 23 and and CC 19261 4079 24 asphyxiating asphyxiate VBG 19261 4079 25 gases gas NNS 19261 4079 26 . . . 19261 4080 1 An an DT 19261 4080 2 aspirating aspirate VBG 19261 4080 3 tube tube NN 19261 4080 4 for for IN 19261 4080 5 insertion insertion NN 19261 4080 6 into into IN 19261 4080 7 the the DT 19261 4080 8 deeper deep JJR 19261 4080 9 air air NN 19261 4080 10 passages passage NNS 19261 4080 11 should should MD 19261 4080 12 be be VB 19261 4080 13 of of IN 19261 4080 14 copper copper NN 19261 4080 15 , , , 19261 4080 16 so so IN 19261 4080 17 that that IN 19261 4080 18 it -PRON- PRP 19261 4080 19 can can MD 19261 4080 20 be be VB 19261 4080 21 bent bent JJ 19261 4080 22 to to IN 19261 4080 23 the the DT 19261 4080 24 proper proper JJ 19261 4080 25 curve curve NN 19261 4080 26 to to TO 19261 4080 27 reach reach VB 19261 4080 28 into into IN 19261 4080 29 the the DT 19261 4080 30 various various JJ 19261 4080 31 parts part NNS 19261 4080 32 of of IN 19261 4080 33 the the DT 19261 4080 34 tracheobronchial tracheobronchial JJ 19261 4080 35 tree tree NN 19261 4080 36 , , , 19261 4080 37 and and CC 19261 4080 38 it -PRON- PRP 19261 4080 39 should should MD 19261 4080 40 have have VB 19261 4080 41 a a DT 19261 4080 42 removable removable JJ 19261 4080 43 copper copper NN 19261 4080 44 - - HYPH 19261 4080 45 wire wire NN 19261 4080 46 core core NN 19261 4080 47 to to TO 19261 4080 48 prevent prevent VB 19261 4080 49 kinking kinking NN 19261 4080 50 , , , 19261 4080 51 and and CC 19261 4080 52 collapse collapse NN 19261 4080 53 of of IN 19261 4080 54 the the DT 19261 4080 55 lumen luman NNS 19261 4080 56 . . . 19261 4081 1 The the DT 19261 4081 2 distal distal JJ 19261 4081 3 end end NN 19261 4081 4 should should MD 19261 4081 5 be be VB 19261 4081 6 thickened thicken VBN 19261 4081 7 , , , 19261 4081 8 and and CC 19261 4081 9 also also RB 19261 4081 10 perforated perforate VBD 19261 4081 11 at at IN 19261 4081 12 the the DT 19261 4081 13 sides side NNS 19261 4081 14 , , , 19261 4081 15 to to TO 19261 4081 16 prevent prevent VB 19261 4081 17 drawing drawing NN 19261 4081 18 - - : 19261 4081 19 in in IN 19261 4081 20 of of IN 19261 4081 21 the the DT 19261 4081 22 mucosa mucosa NNS 19261 4081 23 and and CC 19261 4081 24 trauma trauma NN 19261 4081 25 thereto thereto NN 19261 4081 26 . . . 19261 4082 1 A a DT 19261 4082 2 rubber rubber NN 19261 4082 3 tube tube NN 19261 4082 4 may may MD 19261 4082 5 be be VB 19261 4082 6 used use VBN 19261 4082 7 , , , 19261 4082 8 but but CC 19261 4082 9 is be VBZ 19261 4082 10 not not RB 19261 4082 11 so so RB 19261 4082 12 satisfactory satisfactory JJ 19261 4082 13 . . . 19261 4083 1 The the DT 19261 4083 2 one one CD 19261 4083 3 shown show VBN 19261 4083 4 in in IN 19261 4083 5 Fig Fig NNP 19261 4083 6 . . . 19261 4084 1 10 10 CD 19261 4084 2 I -PRON- PRP 19261 4084 3 had have VBD 19261 4084 4 made make VBN 19261 4084 5 by by IN 19261 4084 6 Mr. Mr. NNP 19261 4084 7 Pilling Pilling NNP 19261 4084 8 , , , 19261 4084 9 and and CC 19261 4084 10 it -PRON- PRP 19261 4084 11 has have VBZ 19261 4084 12 proved prove VBN 19261 4084 13 very very RB 19261 4084 14 satisfactory satisfactory JJ 19261 4084 15 . . . 19261 4085 1 _ _ NNP 19261 4085 2 Decannulation_.--When Decannulation_.--When NNP 19261 4085 3 the the DT 19261 4085 4 tracheal tracheal NN 19261 4085 5 incision incision NN 19261 4085 6 is be VBZ 19261 4085 7 placed place VBN 19261 4085 8 below below IN 19261 4085 9 the the DT 19261 4085 10 first first JJ 19261 4085 11 ring ring NN 19261 4085 12 , , , 19261 4085 13 no no DT 19261 4085 14 difficulty difficulty NN 19261 4085 15 in in IN 19261 4085 16 decannulation decannulation NN 19261 4085 17 should should MD 19261 4085 18 result result VB 19261 4085 19 from from IN 19261 4085 20 the the DT 19261 4085 21 operation operation NN 19261 4085 22 per per FW 19261 4085 23 se se FW 19261 4085 24 . . . 19261 4086 1 When when WRB 19261 4086 2 by by IN 19261 4086 3 temporarily temporarily RB 19261 4086 4 occluding occlude VBG 19261 4086 5 the the DT 19261 4086 6 cannula cannula NN 19261 4086 7 with with IN 19261 4086 8 the the DT 19261 4086 9 finger finger NN 19261 4086 10 it -PRON- PRP 19261 4086 11 is be VBZ 19261 4086 12 evident evident JJ 19261 4086 13 that that IN 19261 4086 14 the the DT 19261 4086 15 laryngeal laryngeal NN 19261 4086 16 aperture aperture NN 19261 4086 17 has have VBZ 19261 4086 18 regained regain VBN 19261 4086 19 sufficient sufficient JJ 19261 4086 20 size size NN 19261 4086 21 to to TO 19261 4086 22 allow allow VB 19261 4086 23 free free JJ 19261 4086 24 breathing breathing NN 19261 4086 25 , , , 19261 4086 26 a a DT 19261 4086 27 smaller small JJR 19261 4086 28 - - HYPH 19261 4086 29 sized sized JJ 19261 4086 30 tracheotomic tracheotomic JJ 19261 4086 31 tube tube NN 19261 4086 32 should should MD 19261 4086 33 be be VB 19261 4086 34 substituted substitute VBN 19261 4086 35 to to TO 19261 4086 36 allow allow VB 19261 4086 37 free free JJ 19261 4086 38 passage passage NN 19261 4086 39 of of IN 19261 4086 40 air air NN 19261 4086 41 around around IN 19261 4086 42 the the DT 19261 4086 43 cannula cannula NN 19261 4086 44 in in IN 19261 4086 45 the the DT 19261 4086 46 trachea trachea NN 19261 4086 47 . . . 19261 4087 1 In in IN 19261 4087 2 doing do VBG 19261 4087 3 this this DT 19261 4087 4 , , , 19261 4087 5 the the DT 19261 4087 6 amount amount NN 19261 4087 7 of of IN 19261 4087 8 secretion secretion NN 19261 4087 9 and and CC 19261 4087 10 the the DT 19261 4087 11 handicap handicap NN 19261 4087 12 of of IN 19261 4087 13 impaired impaired JJ 19261 4087 14 glottic glottic JJ 19261 4087 15 mobility mobility NN 19261 4087 16 in in IN 19261 4087 17 the the DT 19261 4087 18 expulsion expulsion NN 19261 4087 19 of of IN 19261 4087 20 thick thick JJ 19261 4087 21 secretions secretion NNS 19261 4087 22 must must MD 19261 4087 23 be be VB 19261 4087 24 borne bear VBN 19261 4087 25 in in IN 19261 4087 26 mind mind NN 19261 4087 27 . . . 19261 4088 1 Babies baby NNS 19261 4088 2 labor labor NN 19261 4088 3 under under IN 19261 4088 4 a a DT 19261 4088 5 special special JJ 19261 4088 6 handicap handicap NN 19261 4088 7 in in IN 19261 4088 8 their -PRON- PRP$ 19261 4088 9 inefficient inefficient JJ 19261 4088 10 bechic bechic JJ 19261 4088 11 expulsion expulsion NN 19261 4088 12 and and CC 19261 4088 13 especially especially RB 19261 4088 14 in in IN 19261 4088 15 their -PRON- PRP$ 19261 4088 16 small small JJ 19261 4088 17 cannulae cannulae NNS 19261 4088 18 which which WDT 19261 4088 19 are be VBP 19261 4088 20 so so RB 19261 4088 21 readily readily RB 19261 4088 22 occluded occluded JJ 19261 4088 23 . . . 19261 4089 1 If if IN 19261 4089 2 breathing breathing NN 19261 4089 3 is be VBZ 19261 4089 4 not not RB 19261 4089 5 free free JJ 19261 4089 6 and and CC 19261 4089 7 quiet quiet JJ 19261 4089 8 with with IN 19261 4089 9 the the DT 19261 4089 10 smaller small JJR 19261 4089 11 tube tube NN 19261 4089 12 ; ; : 19261 4089 13 the the DT 19261 4089 14 larger large JJR 19261 4089 15 one one PRP 19261 4089 16 must must MD 19261 4089 17 be be VB 19261 4089 18 replaced replace VBN 19261 4089 19 . . . 19261 4090 1 If if IN 19261 4090 2 , , , 19261 4090 3 however however RB 19261 4090 4 , , , 19261 4090 5 there there EX 19261 4090 6 is be VBZ 19261 4090 7 no no DT 19261 4090 8 trouble trouble NN 19261 4090 9 with with IN 19261 4090 10 secretions secretion NNS 19261 4090 11 , , , 19261 4090 12 and and CC 19261 4090 13 the the DT 19261 4090 14 breathing breathing NN 19261 4090 15 is be VBZ 19261 4090 16 free free JJ 19261 4090 17 and and CC 19261 4090 18 quiet quiet JJ 19261 4090 19 , , , 19261 4090 20 the the DT 19261 4090 21 inner inner JJ 19261 4090 22 cannula cannula NN 19261 4090 23 should should MD 19261 4090 24 be be VB 19261 4090 25 removed remove VBN 19261 4090 26 , , , 19261 4090 27 and and CC 19261 4090 28 the the DT 19261 4090 29 external external JJ 19261 4090 30 orifice orifice NN 19261 4090 31 of of IN 19261 4090 32 the the DT 19261 4090 33 outer outer NNP 19261 4090 34 cannula cannula NN 19261 4090 35 firmly firmly RB 19261 4090 36 closed close VBD 19261 4090 37 with with IN 19261 4090 38 a a DT 19261 4090 39 rubber rubber NN 19261 4090 40 cork cork NN 19261 4090 41 . . . 19261 4091 1 If if IN 19261 4091 2 the the DT 19261 4091 3 laryngeal laryngeal NN 19261 4091 4 condition condition NN 19261 4091 5 has have VBZ 19261 4091 6 been be VBN 19261 4091 7 acute acute JJ 19261 4091 8 , , , 19261 4091 9 decannulation decannulation NN 19261 4091 10 can can MD 19261 4091 11 usually usually RB 19261 4091 12 be be VB 19261 4091 13 safely safely RB 19261 4091 14 done do VBN 19261 4091 15 after after IN 19261 4091 16 the the DT 19261 4091 17 patient patient NN 19261 4091 18 has have VBZ 19261 4091 19 been be VBN 19261 4091 20 able able JJ 19261 4091 21 to to TO 19261 4091 22 sleep sleep VB 19261 4091 23 quietly quietly RB 19261 4091 24 for for IN 19261 4091 25 three three CD 19261 4091 26 nights night NNS 19261 4091 27 with with IN 19261 4091 28 a a DT 19261 4091 29 corked cork VBN 19261 4091 30 cannula cannula NN 19261 4091 31 . . . 19261 4092 1 If if IN 19261 4092 2 free free JJ 19261 4092 3 breathing breathing NN 19261 4092 4 can can MD 19261 4092 5 not not RB 19261 4092 6 be be VB 19261 4092 7 obtained obtain VBN 19261 4092 8 when when WRB 19261 4092 9 the the DT 19261 4092 10 cannula cannula NN 19261 4092 11 is be VBZ 19261 4092 12 corked cork VBN 19261 4092 13 , , , 19261 4092 14 the the DT 19261 4092 15 larynx larynx NN 19261 4092 16 is be VBZ 19261 4092 17 stenosed stenose VBN 19261 4092 18 , , , 19261 4092 19 and and CC 19261 4092 20 special special JJ 19261 4092 21 work work NN 19261 4092 22 will will MD 19261 4092 23 be be VB 19261 4092 24 required require VBN 19261 4092 25 to to TO 19261 4092 26 remove remove VB 19261 4092 27 the the DT 19261 4092 28 tube tube NN 19261 4092 29 . . . 19261 4093 1 Children child NNS 19261 4093 2 sometimes sometimes RB 19261 4093 3 become become VBP 19261 4093 4 panic panic NN 19261 4093 5 stricken stricken VBN 19261 4093 6 when when WRB 19261 4093 7 the the DT 19261 4093 8 cannula cannula NN 19261 4093 9 is be VBZ 19261 4093 10 completely completely RB 19261 4093 11 corked cork VBN 19261 4093 12 at at IN 19261 4093 13 once once RB 19261 4093 14 and and CC 19261 4093 15 they -PRON- PRP 19261 4093 16 are be VBP 19261 4093 17 forced force VBN 19261 4093 18 to to TO 19261 4093 19 breathe breathe VB 19261 4093 20 through through IN 19261 4093 21 the the DT 19261 4093 22 larynx larynx NN 19261 4093 23 instead instead RB 19261 4093 24 of of IN 19261 4093 25 the the DT 19261 4093 26 easier easy JJR 19261 4093 27 shortcut shortcut NN 19261 4093 28 through through IN 19261 4093 29 the the DT 19261 4093 30 neck neck NN 19261 4093 31 . . . 19261 4094 1 In in IN 19261 4094 2 such such PDT 19261 4094 3 a a DT 19261 4094 4 case case NN 19261 4094 5 , , , 19261 4094 6 the the DT 19261 4094 7 first first JJ 19261 4094 8 step step NN 19261 4094 9 is be VBZ 19261 4094 10 partially partially RB 19261 4094 11 to to TO 19261 4094 12 cork cork VB 19261 4094 13 the the DT 19261 4094 14 cannula cannula NN 19261 4094 15 with with IN 19261 4094 16 a a DT 19261 4094 17 half half NN 19261 4094 18 or or CC 19261 4094 19 two two CD 19261 4094 20 - - HYPH 19261 4094 21 thirds third NNS 19261 4094 22 plug plug NN 19261 4094 23 made make VBN 19261 4094 24 from from IN 19261 4094 25 a a DT 19261 4094 26 pure pure JJ 19261 4094 27 rubber rubber NN 19261 4094 28 cord cord NN 19261 4094 29 fashioned fashion VBN 19261 4094 30 in in IN 19261 4094 31 the the DT 19261 4094 32 desired desire VBN 19261 4094 33 shape shape NN 19261 4094 34 by by IN 19261 4094 35 grinding grind VBG 19261 4094 36 with with IN 19261 4094 37 an an DT 19261 4094 38 emery emery NN 19261 4094 39 wheel wheel NN 19261 4094 40 ( ( -LRB- 19261 4094 41 Fig fig NN 19261 4094 42 . . . 19261 4095 1 112 112 CD 19261 4095 2 ) ) -RRB- 19261 4095 3 . . . 19261 4096 1 Thus thus RB 19261 4096 2 the the DT 19261 4096 3 patient patient NN 19261 4096 4 is be VBZ 19261 4096 5 gradually gradually RB 19261 4096 6 taught teach VBN 19261 4096 7 to to TO 19261 4096 8 use use VB 19261 4096 9 the the DT 19261 4096 10 natural natural JJ 19261 4096 11 air air NN 19261 4096 12 - - HYPH 19261 4096 13 way way NN 19261 4096 14 , , , 19261 4096 15 still still RB 19261 4096 16 feeling feel VBG 19261 4096 17 that that IN 19261 4096 18 he -PRON- PRP 19261 4096 19 has have VBZ 19261 4096 20 an an DT 19261 4096 21 " " `` 19261 4096 22 anchor anchor NN 19261 4096 23 to to TO 19261 4096 24 windward windward NN 19261 4096 25 " " `` 19261 4096 26 in in IN 19261 4096 27 the the DT 19261 4096 28 opening opening NN 19261 4096 29 in in IN 19261 4096 30 the the DT 19261 4096 31 cannula cannula NN 19261 4096 32 . . . 19261 4097 1 When when WRB 19261 4097 2 some some DT 19261 4097 3 swelling swelling NN 19261 4097 4 of of IN 19261 4097 5 the the DT 19261 4097 6 laryngeal laryngeal NN 19261 4097 7 structures structure NNS 19261 4097 8 still still RB 19261 4097 9 exists exist VBZ 19261 4097 10 , , , 19261 4097 11 this this DT 19261 4097 12 gradual gradual JJ 19261 4097 13 corking corking NN 19261 4097 14 has have VBZ 19261 4097 15 a a DT 19261 4097 16 therapeutic therapeutic JJ 19261 4097 17 effect effect NN 19261 4097 18 in in IN 19261 4097 19 lessening lessen VBG 19261 4097 20 the the DT 19261 4097 21 stenosis stenosis NN 19261 4097 22 by by IN 19261 4097 23 exercising exercise VBG 19261 4097 24 the the DT 19261 4097 25 muscles muscle NNS 19261 4097 26 of of IN 19261 4097 27 abduction abduction NN 19261 4097 28 of of IN 19261 4097 29 the the DT 19261 4097 30 cords cord NNS 19261 4097 31 and and CC 19261 4097 32 mobilizing mobilize VBG 19261 4097 33 the the DT 19261 4097 34 cricoarytenoid cricoarytenoid JJ 19261 4097 35 articulation articulation NN 19261 4097 36 during during IN 19261 4097 37 the the DT 19261 4097 38 inspiratory inspiratory JJ 19261 4097 39 effort effort NN 19261 4097 40 . . . 19261 4098 1 The the DT 19261 4098 2 forced force VBN 19261 4098 3 respiration respiration NN 19261 4098 4 keeps keep VBZ 19261 4098 5 the the DT 19261 4098 6 larynx larynx NN 19261 4098 7 freed free VBN 19261 4098 8 from from IN 19261 4098 9 secretions secretion NNS 19261 4098 10 , , , 19261 4098 11 which which WDT 19261 4098 12 are be VBP 19261 4098 13 more more RBR 19261 4098 14 or or CC 19261 4098 15 less less RBR 19261 4098 16 purulent purulent JJ 19261 4098 17 and and CC 19261 4098 18 hence hence RB 19261 4098 19 irritating irritate VBG 19261 4098 20 . . . 19261 4099 1 After after IN 19261 4099 2 removing remove VBG 19261 4099 3 the the DT 19261 4099 4 cannula cannula NN 19261 4099 5 , , , 19261 4099 6 in in IN 19261 4099 7 order order NN 19261 4099 8 that that IN 19261 4099 9 healing healing NN 19261 4099 10 may may MD 19261 4099 11 proceed proceed VB 19261 4099 12 from from IN 19261 4099 13 the the DT 19261 4099 14 bottom bottom NN 19261 4099 15 upward upward RB 19261 4099 16 , , , 19261 4099 17 the the DT 19261 4099 18 wound wound NN 19261 4099 19 should should MD 19261 4099 20 be be VB 19261 4099 21 dressed dress VBN 19261 4099 22 in in IN 19261 4099 23 the the DT 19261 4099 24 following following JJ 19261 4099 25 manner manner NN 19261 4099 26 : : : 19261 4099 27 A a DT 19261 4099 28 single single JJ 19261 4099 29 thickness thickness NN 19261 4099 30 of of IN 19261 4099 31 gauze gauze NN 19261 4099 32 should should MD 19261 4099 33 be be VB 19261 4099 34 placed place VBN 19261 4099 35 over over IN 19261 4099 36 the the DT 19261 4099 37 wound wound NN 19261 4099 38 and and CC 19261 4099 39 the the DT 19261 4099 40 front front NN 19261 4099 41 of of IN 19261 4099 42 the the DT 19261 4099 43 neck neck NN 19261 4099 44 , , , 19261 4099 45 and and CC 19261 4099 46 a a DT 19261 4099 47 gauze gauze NN 19261 4099 48 wedge wedge NN 19261 4099 49 firmly firmly RB 19261 4099 50 inserted insert VBD 19261 4099 51 over over IN 19261 4099 52 this this DT 19261 4099 53 to to IN 19261 4099 54 the the DT 19261 4099 55 depths depth NNS 19261 4099 56 of of IN 19261 4099 57 the the DT 19261 4099 58 tracheotomic tracheotomic JJ 19261 4099 59 wound wound NN 19261 4099 60 , , , 19261 4099 61 all all DT 19261 4099 62 of of IN 19261 4099 63 this this DT 19261 4099 64 dressing dressing NN 19261 4099 65 being be VBG 19261 4099 66 held hold VBN 19261 4099 67 in in IN 19261 4099 68 place place NN 19261 4099 69 by by IN 19261 4099 70 a a DT 19261 4099 71 bandage bandage NN 19261 4099 72 . . . 19261 4100 1 If if IN 19261 4100 2 the the DT 19261 4100 3 skin skin NN 19261 4100 4 - - HYPH 19261 4100 5 wound wind VBN 19261 4100 6 heals heal NNS 19261 4100 7 before before IN 19261 4100 8 the the DT 19261 4100 9 fibrous fibrous JJ 19261 4100 10 union union NN 19261 4100 11 of of IN 19261 4100 12 the the DT 19261 4100 13 tracheal tracheal NN 19261 4100 14 cartilages cartilage NNS 19261 4100 15 is be VBZ 19261 4100 16 complete complete JJ 19261 4100 17 , , , 19261 4100 18 exuberant exuberant JJ 19261 4100 19 granulations granulation NNS 19261 4100 20 are be VBP 19261 4100 21 apt apt JJ 19261 4100 22 to to TO 19261 4100 23 form form VB 19261 4100 24 and and CC 19261 4100 25 occlude occlude VB 19261 4100 26 the the DT 19261 4100 27 trachea trachea NN 19261 4100 28 , , , 19261 4100 29 perhaps perhaps RB 19261 4100 30 necessitating necessitate VBG 19261 4100 31 a a DT 19261 4100 32 new new JJ 19261 4100 33 tracheotomy tracheotomy NN 19261 4100 34 for for IN 19261 4100 35 dyspnea dyspnea NN 19261 4100 36 . . . 19261 4101 1 It -PRON- PRP 19261 4101 2 is be VBZ 19261 4101 3 so so RB 19261 4101 4 important important JJ 19261 4101 5 to to TO 19261 4101 6 fix fix VB 19261 4101 7 indelibly indelibly RB 19261 4101 8 in in IN 19261 4101 9 the the DT 19261 4101 10 mind mind NN 19261 4101 11 the the DT 19261 4101 12 cardinal cardinal JJ 19261 4101 13 points point NNS 19261 4101 14 concerning concern VBG 19261 4101 15 tracheotomy tracheotomy NN 19261 4101 16 that that IN 19261 4101 17 I -PRON- PRP 19261 4101 18 have have VBP 19261 4101 19 appended append VBN 19261 4101 20 to to IN 19261 4101 21 this this DT 19261 4101 22 chapter chapter NN 19261 4101 23 the the DT 19261 4101 24 teaching teaching NN 19261 4101 25 notes note NNS 19261 4101 26 that that IN 19261 4101 27 I -PRON- PRP 19261 4101 28 have have VBP 19261 4101 29 been be VBN 19261 4101 30 for for IN 19261 4101 31 years year NNS 19261 4101 32 giving give VBG 19261 4101 33 my -PRON- PRP$ 19261 4101 34 classes class NNS 19261 4101 35 of of IN 19261 4101 36 students student NNS 19261 4101 37 and and CC 19261 4101 38 practitioners practitioner NNS 19261 4101 39 , , , 19261 4101 40 hundreds hundred NNS 19261 4101 41 of of IN 19261 4101 42 whom whom WP 19261 4101 43 have have VBP 19261 4101 44 thanked thank VBN 19261 4101 45 me -PRON- PRP 19261 4101 46 for for IN 19261 4101 47 giving give VBG 19261 4101 48 them -PRON- PRP 19261 4101 49 the the DT 19261 4101 50 clear clear RB 19261 4101 51 - - HYPH 19261 4101 52 cut cut VBN 19261 4101 53 conception conception NN 19261 4101 54 of of IN 19261 4101 55 tracheotomy tracheotomy NN 19261 4101 56 that that WDT 19261 4101 57 enabled enable VBD 19261 4101 58 them -PRON- PRP 19261 4101 59 , , , 19261 4101 60 when when WRB 19261 4101 61 their -PRON- PRP$ 19261 4101 62 turn turn NN 19261 4101 63 came come VBD 19261 4101 64 to to TO 19261 4101 65 do do VB 19261 4101 66 an an DT 19261 4101 67 emergency emergency NN 19261 4101 68 tracheotomy tracheotomy NN 19261 4101 69 , , , 19261 4101 70 to to TO 19261 4101 71 save save VB 19261 4101 72 human human JJ 19261 4101 73 life life NN 19261 4101 74 . . . 19261 4102 1 RESUME resume NN 19261 4102 2 OF of IN 19261 4102 3 TRACHEOTOMY TRACHEOTOMY NNP 19261 4102 4 _ _ NNP 19261 4102 5 Instruments Instruments NNP 19261 4102 6 _ _ NNP 19261 4102 7 . . . 19261 4103 1 Headlight headlight JJ 19261 4103 2 Sandbag sandbag NN 19261 4103 3 Scalpel Scalpel NNP 19261 4103 4 Hemostats Hemostats NNP 19261 4103 5 Small small JJ 19261 4103 6 retractors retractor NNS 19261 4103 7 Tenaculum tenaculum VBP 19261 4103 8 Tracheotomic tracheotomic JJ 19261 4103 9 cannulae cannulae NNS 19261 4103 10 ( ( -LRB- 19261 4103 11 proper proper JJ 19261 4103 12 kind kind NN 19261 4103 13 ) ) -RRB- 19261 4103 14 Long long RB 19261 4103 15 . . . 19261 4104 1 Half half JJ 19261 4104 2 area area NN 19261 4104 3 cross cross JJ 19261 4104 4 - - JJ 19261 4104 5 section section JJ 19261 4104 6 trachea trachea NN 19261 4104 7 . . . 19261 4105 1 Proper proper JJ 19261 4105 2 curve curve NN 19261 4105 3 : : : 19261 4105 4 Radius radius NN 19261 4105 5 too too RB 19261 4105 6 short short JJ 19261 4105 7 will will MD 19261 4105 8 press press VB 19261 4105 9 ant ant NN 19261 4105 10 . . . 19261 4106 1 tracheal tracheal NN 19261 4106 2 wall wall NN 19261 4106 3 ; ; : 19261 4106 4 too too RB 19261 4106 5 long long RB 19261 4106 6 , , , 19261 4106 7 post post NN 19261 4106 8 . . . 19261 4107 1 wall wall NNP 19261 4107 2 . . . 19261 4108 1 Sterling Sterling NNP 19261 4108 2 Silver Silver NNP 19261 4108 3 Tracheobronchial Tracheobronchial NNP 19261 4108 4 aspirator aspirator NN 19261 4108 5 . . . 19261 4109 1 Probe Probe NNP 19261 4109 2 . . . 19261 4110 1 Tapes tape NNS 19261 4110 2 for for IN 19261 4110 3 cannulae cannulae NNS 19261 4110 4 Trousseau Trousseau NNP 19261 4110 5 dilator dilator NN 19261 4110 6 Sponges sponge NNS 19261 4110 7 Infiltration infiltration NN 19261 4110 8 syringe syringe NN 19261 4110 9 and and CC 19261 4110 10 solution solution VB 19261 4110 11 Oxygen oxygen NN 19261 4110 12 tank tank NN 19261 4110 13 . . . 19261 4111 1 _ _ NNP 19261 4111 2 Indications Indications NNPS 19261 4111 3 _ _ NNP 19261 4111 4 : : : 19261 4111 5 Laryngeal Laryngeal NNP 19261 4111 6 dyspnea dyspnea RB 19261 4111 7 . . . 19261 4112 1 ( ( -LRB- 19261 4112 2 Indrawing indrawe VBG 19261 4112 3 guttural guttural JJ 19261 4112 4 and and CC 19261 4112 5 clavicular clavicular JJ 19261 4112 6 fossae fossae NN 19261 4112 7 and and CC 19261 4112 8 at at IN 19261 4112 9 epigastrium epigastrium NN 19261 4112 10 . . . 19261 4113 1 Pallor Pallor NNP 19261 4113 2 . . . 19261 4114 1 Restlessness Restlessness NNP 19261 4114 2 . . . 19261 4115 1 Drowning drown VBG 19261 4115 2 in in IN 19261 4115 3 his -PRON- PRP$ 19261 4115 4 own own JJ 19261 4115 5 secretions secretion NNS 19261 4115 6 . . . 19261 4115 7 ) ) -RRB- 19261 4116 1 Do do VBP 19261 4116 2 it -PRON- PRP 19261 4116 3 early early RB 19261 4116 4 . . . 19261 4117 1 Do do VB 19261 4117 2 n't not RB 19261 4117 3 wait wait VB 19261 4117 4 for for IN 19261 4117 5 cyanosis cyanosis NN 19261 4117 6 . . . 19261 4118 1 [ [ -LRB- 19261 4118 2 294 294 CD 19261 4118 3 ] ] -RRB- 19261 4118 4 Never never RB 19261 4118 5 use use VB 19261 4118 6 general general JJ 19261 4118 7 anesthesia anesthesia NNS 19261 4118 8 on on IN 19261 4118 9 dyspneic dyspneic NNP 19261 4118 10 patient patient NN 19261 4118 11 . . . 19261 4119 1 Forget forget VB 19261 4119 2 about about IN 19261 4119 3 " " `` 19261 4119 4 high high JJ 19261 4119 5 " " '' 19261 4119 6 and and CC 19261 4119 7 " " `` 19261 4119 8 low low JJ 19261 4119 9 " " '' 19261 4119 10 distinctions distinction NNS 19261 4119 11 until until IN 19261 4119 12 trachea trachea NNP 19261 4119 13 is be VBZ 19261 4119 14 exposed expose VBN 19261 4119 15 . . . 19261 4120 1 Memorize Memorize NNP 19261 4120 2 Jackson Jackson NNP 19261 4120 3 's 's POS 19261 4120 4 tracheotomic tracheotomic JJ 19261 4120 5 triangle triangle NN 19261 4120 6 . . . 19261 4121 1 Patient patient JJ 19261 4121 2 recumbent recumbent NN 19261 4121 3 , , , 19261 4121 4 sand sand NN 19261 4121 5 bag bag NN 19261 4121 6 under under IN 19261 4121 7 shoulders shoulder NNS 19261 4121 8 or or CC 19261 4121 9 neck neck NN 19261 4121 10 . . . 19261 4122 1 Nose nose NN 19261 4122 2 to to IN 19261 4122 3 zenith zenith NNP 19261 4122 4 . . . 19261 4123 1 Infiltration infiltration NN 19261 4123 2 , , , 19261 4123 3 _ _ NNP 19261 4123 4 Intra_dermatic Intra_dermatic NNP 19261 4123 5 . . . 19261 4124 1 Incise incise NN 19261 4124 2 from from IN 19261 4124 3 Adam Adam NNP 19261 4124 4 's 's POS 19261 4124 5 apple apple NN 19261 4124 6 to to IN 19261 4124 7 guttural guttural JJ 19261 4124 8 fossa fossa NNP 19261 4124 9 . . . 19261 4125 1 Hemostasis Hemostasis NNP 19261 4125 2 . . . 19261 4126 1 Keep keep VB 19261 4126 2 in in IN 19261 4126 3 middle middle JJ 19261 4126 4 line line NN 19261 4126 5 . . . 19261 4127 1 Feel feel VB 19261 4127 2 for for IN 19261 4127 3 trachea trachea NN 19261 4127 4 . . . 19261 4128 1 Expose expose NN 19261 4128 2 isthmus isthmus NN 19261 4128 3 of of IN 19261 4128 4 thyroid thyroid NNP 19261 4128 5 gland gland NNP 19261 4128 6 . . . 19261 4129 1 Draw draw VB 19261 4129 2 it -PRON- PRP 19261 4129 3 upward upward RB 19261 4129 4 or or CC 19261 4129 5 downward downward RB 19261 4129 6 or or CC 19261 4129 7 cut cut VB 19261 4129 8 it -PRON- PRP 19261 4129 9 . . . 19261 4130 1 Ligature ligature NN 19261 4130 2 , , , 19261 4130 3 torsion torsion NN 19261 4130 4 , , , 19261 4130 5 etc etc FW 19261 4130 6 . . . 19261 4131 1 before before IN 19261 4131 2 incising incise VBG 19261 4131 3 trachea trachea NN 19261 4131 4 . . . 19261 4132 1 Hold hold VB 19261 4132 2 trachea trachea NN 19261 4132 3 with with IN 19261 4132 4 tenaculum tenaculum NN 19261 4132 5 . . . 19261 4133 1 Incise incise NN 19261 4133 2 trachea trachea NN 19261 4133 3 below below IN 19261 4133 4 first first JJ 19261 4133 5 ring ring NN 19261 4133 6 . . . 19261 4134 1 Avoid avoid VB 19261 4134 2 cutting cut VBG 19261 4134 3 cricoid cricoid NN 19261 4134 4 or or CC 19261 4134 5 first first JJ 19261 4134 6 ring ring NN 19261 4134 7 . . . 19261 4135 1 Cut cut NN 19261 4135 2 3 3 CD 19261 4135 3 rings ring NNS 19261 4135 4 vertically vertically RB 19261 4135 5 . . . 19261 4136 1 Do do VB 19261 4136 2 n't not RB 19261 4136 3 hack hack VB 19261 4136 4 . . . 19261 4137 1 Do do VB 19261 4137 2 n't not RB 19261 4137 3 cut cut VB 19261 4137 4 posterior posterior NN 19261 4137 5 wall wall NN 19261 4137 6 which which WDT 19261 4137 7 almost almost RB 19261 4137 8 touches touch VBZ 19261 4137 9 the the DT 19261 4137 10 anterior anterior NNP 19261 4137 11 wall wall NN 19261 4137 12 during during IN 19261 4137 13 cough cough NN 19261 4137 14 . . . 19261 4138 1 Spread Spread VBN 19261 4138 2 carefully carefully RB 19261 4138 3 , , , 19261 4138 4 with with IN 19261 4138 5 Trousseau Trousseau NNP 19261 4138 6 dilator dilator NN 19261 4138 7 . . . 19261 4139 1 Insert Insert NNP 19261 4139 2 cannula cannula NN 19261 4139 3 ; ; : 19261 4139 4 _ _ NNP 19261 4139 5 see see UH 19261 4139 6 _ _ NNP 19261 4139 7 it -PRON- PRP 19261 4139 8 enter enter VBP 19261 4139 9 tracheal tracheal JJ 19261 4139 10 lumen luman NNS 19261 4139 11 ; ; : 19261 4139 12 remove remove VB 19261 4139 13 pilot pilot NN 19261 4139 14 ; ; : 19261 4139 15 tie tie VB 19261 4139 16 tapes tape NNS 19261 4139 17 . . . 19261 4140 1 Do do VB 19261 4140 2 n't not RB 19261 4140 3 suture suture VB 19261 4140 4 wound wind VBN 19261 4140 5 . . . 19261 4141 1 Dress dress VB 19261 4141 2 with with IN 19261 4141 3 large large JJ 19261 4141 4 squares square NNS 19261 4141 5 . . . 19261 4142 1 Do do VB 19261 4142 2 n't not RB 19261 4142 3 give give VB 19261 4142 4 morphine morphine NN 19261 4142 5 . . . 19261 4143 1 Decannulation decannulation NN 19261 4143 2 by by IN 19261 4143 3 corking cork VBG 19261 4143 4 partially partially RB 19261 4143 5 , , , 19261 4143 6 after after IN 19261 4143 7 changing change VBG 19261 4143 8 to to IN 19261 4143 9 smaller small JJR 19261 4143 10 cannula cannula NN 19261 4143 11 . . . 19261 4144 1 Do do VB 19261 4144 2 not not RB 19261 4144 3 remove remove VB 19261 4144 4 cannula cannula NN 19261 4144 5 permanently permanently RB 19261 4144 6 until until IN 19261 4144 7 patient patient JJ 19261 4144 8 sleeps sleep NNS 19261 4144 9 without without IN 19261 4144 10 indrawing indrawe VBG 19261 4144 11 with with IN 19261 4144 12 corked cork VBN 19261 4144 13 cannula cannula NN 19261 4144 14 . . . 19261 4145 1 RESUME resume NN 19261 4145 2 OF of IN 19261 4145 3 EMERGENCY emergency NN 19261 4145 4 TRACHEOTOMY tracheotomy NN 19261 4145 5 The the DT 19261 4145 6 following follow VBG 19261 4145 7 notes note NNS 19261 4145 8 should should MD 19261 4145 9 be be VB 19261 4145 10 memorized memorize VBN 19261 4145 11 . . . 19261 4146 1 1 1 LS 19261 4146 2 . . . 19261 4147 1 Essentials essential NNS 19261 4147 2 : : : 19261 4147 3 Knife knife NN 19261 4147 4 and and CC 19261 4147 5 pair pair NN 19261 4147 6 of of IN 19261 4147 7 hands hand NNS 19261 4147 8 ( ( -LRB- 19261 4147 9 but but CC 19261 4147 10 full full JJ 19261 4147 11 equipment equipment NN 19261 4147 12 better well RBR 19261 4147 13 ) ) -RRB- 19261 4147 14 . . . 19261 4148 1 [ [ -LRB- 19261 4148 2 295 295 CD 19261 4148 3 ] ] -RRB- 19261 4148 4 2 2 CD 19261 4148 5 . . . 19261 4149 1 Do do VB 19261 4149 2 n't not RB 19261 4149 3 do do VB 19261 4149 4 a a DT 19261 4149 5 laryngotomy laryngotomy NN 19261 4149 6 , , , 19261 4149 7 or or CC 19261 4149 8 stabbing stab VBG 19261 4149 9 . . . 19261 4150 1 3 3 LS 19261 4150 2 . . . 19261 4151 1 " " `` 19261 4151 2 Two two CD 19261 4151 3 stage stage NN 19261 4151 4 , , , 19261 4151 5 finger finger NN 19261 4151 6 guided guide VBD 19261 4151 7 " " `` 19261 4151 8 operation operation NN 19261 4151 9 better well RBR 19261 4151 10 . . . 19261 4152 1 4 4 LS 19261 4152 2 . . . 19261 4153 1 Sand sand NN 19261 4153 2 bag bag NN 19261 4153 3 or or CC 19261 4153 4 substitute substitute NN 19261 4153 5 . . . 19261 4154 1 5 5 CD 19261 4154 2 . . . 19261 4155 1 Press press VB 19261 4155 2 back back RP 19261 4155 3 danger danger NN 19261 4155 4 lines line NNS 19261 4155 5 with with IN 19261 4155 6 left left JJ 19261 4155 7 thumb thumb NN 19261 4155 8 and and CC 19261 4155 9 middle middle JJ 19261 4155 10 finger finger NN 19261 4155 11 , , , 19261 4155 12 making make VBG 19261 4155 13 safety safety NN 19261 4155 14 line line NN 19261 4155 15 and and CC 19261 4155 16 trachea trachea NN 19261 4155 17 prominent prominent JJ 19261 4155 18 . . . 19261 4156 1 6 6 CD 19261 4156 2 . . . 19261 4157 1 Memorize Memorize NNP 19261 4157 2 Jackson Jackson NNP 19261 4157 3 's 's POS 19261 4157 4 tracheotomic tracheotomic JJ 19261 4157 5 triangle triangle NN 19261 4157 6 . . . 19261 4158 1 7 7 LS 19261 4158 2 . . . 19261 4159 1 Incise incise VB 19261 4159 2 exactly exactly RB 19261 4159 3 in in IN 19261 4159 4 middle middle JJ 19261 4159 5 line line NN 19261 4159 6 from from IN 19261 4159 7 Adam Adam NNP 19261 4159 8 's 's POS 19261 4159 9 apple apple NN 19261 4159 10 to to IN 19261 4159 11 sternum sternum NNP 19261 4159 12 . . . 19261 4160 1 8 8 LS 19261 4160 2 . . . 19261 4161 1 Feel feel VB 19261 4161 2 for for IN 19261 4161 3 tracheal tracheal NN 19261 4161 4 corrugations corrugation NNS 19261 4161 5 with with IN 19261 4161 6 left leave VBN 19261 4161 7 index index NN 19261 4161 8 in in IN 19261 4161 9 pool pool NN 19261 4161 10 of of IN 19261 4161 11 blood blood NN 19261 4161 12 , , , 19261 4161 13 following follow VBG 19261 4161 14 trachea trachea NN 19261 4161 15 with with IN 19261 4161 16 finger finger NN 19261 4161 17 downward downward RB 19261 4161 18 from from IN 19261 4161 19 superficial superficial JJ 19261 4161 20 Adam Adam NNP 19261 4161 21 's 's POS 19261 4161 22 apple apple NN 19261 4161 23 . . . 19261 4162 1 9 9 CD 19261 4162 2 . . . 19261 4163 1 Pass pass VB 19261 4163 2 knife knife NN 19261 4163 3 along along IN 19261 4163 4 index index NN 19261 4163 5 and and CC 19261 4163 6 incise incise NN 19261 4163 7 trachea trachea NN 19261 4163 8 ( ( -LRB- 19261 4163 9 not not RB 19261 4163 10 too too RB 19261 4163 11 deeply deeply RB 19261 4163 12 , , , 19261 4163 13 may may MD 19261 4163 14 cut cut VB 19261 4163 15 posterior posterior NNP 19261 4163 16 wall wall NN 19261 4163 17 ) ) -RRB- 19261 4163 18 . . . 19261 4164 1 10 10 CD 19261 4164 2 . . . 19261 4165 1 Do do VB 19261 4165 2 n't not RB 19261 4165 3 mind mind VB 19261 4165 4 bleeding bleed VBG 19261 4165 5 ; ; : 19261 4165 6 but but CC 19261 4165 7 keep keep VB 19261 4165 8 middle middle JJ 19261 4165 9 line line NN 19261 4165 10 and and CC 19261 4165 11 keep keep VB 19261 4165 12 head head NN 19261 4165 13 straight straight RB 19261 4165 14 ; ; : 19261 4165 15 keep keep VB 19261 4165 16 head head NN 19261 4165 17 low low JJ 19261 4165 18 ; ; : 19261 4165 19 do do VB 19261 4165 20 n't not RB 19261 4165 21 bother bother VB 19261 4165 22 about about IN 19261 4165 23 thyroid thyroid NNP 19261 4165 24 gland gland NNP 19261 4165 25 . . . 19261 4166 1 11 11 CD 19261 4166 2 . . . 19261 4167 1 Do do VB 19261 4167 2 n't not RB 19261 4167 3 expect expect VB 19261 4167 4 hiss hiss JJ 19261 4167 5 when when WRB 19261 4167 6 trachea trachea NNP 19261 4167 7 is be VBZ 19261 4167 8 cut cut VBN 19261 4167 9 if if IN 19261 4167 10 patient patient NN 19261 4167 11 has have VBZ 19261 4167 12 stopped stop VBN 19261 4167 13 breathing breathe VBG 19261 4167 14 . . . 19261 4168 1 12 12 CD 19261 4168 2 . . . 19261 4169 1 Start start VB 19261 4169 2 artificial artificial JJ 19261 4169 3 respiration respiration NN 19261 4169 4 . . . 19261 4170 1 13 13 CD 19261 4170 2 . . . 19261 4171 1 Amyl Amyl NNP 19261 4171 2 nitrite nitrite NN 19261 4171 3 . . . 19261 4172 1 Oxygen oxygen NN 19261 4172 2 . . . 19261 4173 1 14 14 CD 19261 4173 2 . . . 19261 4174 1 Practice practice NN 19261 4174 2 palpation palpation NN 19261 4174 3 of of IN 19261 4174 4 the the DT 19261 4174 5 neck neck NN 19261 4174 6 until until IN 19261 4174 7 the the DT 19261 4174 8 tracheal tracheal NN 19261 4174 9 landmarks landmark NNS 19261 4174 10 are be VBP 19261 4174 11 familiar familiar JJ 19261 4174 12 . . . 19261 4175 1 15 15 CD 19261 4175 2 . . . 19261 4176 1 Practice practice NN 19261 4176 2 above above IN 19261 4176 3 technic technic NN 19261 4176 4 , , , 19261 4176 5 up up IN 19261 4176 6 to to IN 19261 4176 7 point point NN 19261 4176 8 of of IN 19261 4176 9 incision incision NN 19261 4176 10 , , , 19261 4176 11 at at IN 19261 4176 12 every every DT 19261 4176 13 opportunity opportunity NN 19261 4176 14 . . . 19261 4177 1 16 16 CD 19261 4177 2 . . . 19261 4178 1 _ _ NNP 19261 4178 2 Jackson Jackson NNP 19261 4178 3 's 's POS 19261 4178 4 tracheotomic tracheotomic JJ 19261 4178 5 triangle triangle NN 19261 4178 6 _ _ NNP 19261 4178 7 : : : 19261 4178 8 A a DT 19261 4178 9 triangulation triangulation NN 19261 4178 10 of of IN 19261 4178 11 the the DT 19261 4178 12 front front NN 19261 4178 13 of of IN 19261 4178 14 the the DT 19261 4178 15 neck neck NN 19261 4178 16 intended intend VBN 19261 4178 17 to to TO 19261 4178 18 facilitate facilitate VB 19261 4178 19 a a DT 19261 4178 20 proper proper JJ 19261 4178 21 emergency emergency NN 19261 4178 22 tracheotomy tracheotomy NN 19261 4178 23 . . . 19261 4179 1 Apex Apex NNP 19261 4179 2 at at IN 19261 4179 3 suprasternal suprasternal JJ 19261 4179 4 notch notch NN 19261 4179 5 . . . 19261 4180 1 Sides side NNS 19261 4180 2 anterior anterior JJ 19261 4180 3 edge edge NN 19261 4180 4 sternomastoids sternomastoid NNS 19261 4180 5 . . . 19261 4181 1 Base base JJ 19261 4181 2 horizontal horizontal JJ 19261 4181 3 line line NN 19261 4181 4 lower low JJR 19261 4181 5 edge edge NN 19261 4181 6 cricoid cricoid NN 19261 4181 7 . . . 19261 4182 1 RESUME resume NN 19261 4182 2 OF of IN 19261 4182 3 AFTER AFTER NNP 19261 4182 4 - - HYPH 19261 4182 5 CARE care NN 19261 4182 6 OF of IN 19261 4182 7 A a DT 19261 4182 8 TRACHEOTOMIC TRACHEOTOMIC NNP 19261 4182 9 CASE case NN 19261 4182 10 1 1 CD 19261 4182 11 . . . 19261 4183 1 Always always RB 19261 4183 2 bear bear VB 19261 4183 3 in in IN 19261 4183 4 mind mind NN 19261 4183 5 that that IN 19261 4183 6 tracheotomy tracheotomy NN 19261 4183 7 is be VBZ 19261 4183 8 not not RB 19261 4183 9 an an DT 19261 4183 10 ultimate ultimate JJ 19261 4183 11 object object NN 19261 4183 12 . . . 19261 4184 1 The the DT 19261 4184 2 ultimate ultimate JJ 19261 4184 3 object object NN 19261 4184 4 is be VBZ 19261 4184 5 to to TO 19261 4184 6 pipe pipe VB 19261 4184 7 air air NN 19261 4184 8 down down RP 19261 4184 9 into into IN 19261 4184 10 the the DT 19261 4184 11 lungs lung NNS 19261 4184 12 . . . 19261 4185 1 Tracheotomy Tracheotomy NNP 19261 4185 2 is be VBZ 19261 4185 3 only only RB 19261 4185 4 a a DT 19261 4185 5 means means NN 19261 4185 6 to to IN 19261 4185 7 that that DT 19261 4185 8 end end NN 19261 4185 9 . . . 19261 4186 1 2 2 LS 19261 4186 2 . . . 19261 4187 1 Sterile sterile JJ 19261 4187 2 tray tray NN 19261 4187 3 beside beside IN 19261 4187 4 bed bed NN 19261 4187 5 should should MD 19261 4187 6 contain contain VB 19261 4187 7 duplicate duplicate JJ 19261 4187 8 ( ( -LRB- 19261 4187 9 exact exact JJ 19261 4187 10 ) ) -RRB- 19261 4187 11 tracheotomy tracheotomy NN 19261 4187 12 tube tube NN 19261 4187 13 , , , 19261 4187 14 Trousseau Trousseau NNP 19261 4187 15 dilator dilator NN 19261 4187 16 , , , 19261 4187 17 hemostat hemostat NNP 19261 4187 18 , , , 19261 4187 19 thumb thumb NN 19261 4187 20 forceps forceps NNS 19261 4187 21 , , , 19261 4187 22 silver silver NN 19261 4187 23 probe probe NN 19261 4187 24 , , , 19261 4187 25 scissors scissor NNS 19261 4187 26 , , , 19261 4187 27 scalpel scalpel NNP 19261 4187 28 , , , 19261 4187 29 probe probe NN 19261 4187 30 - - HYPH 19261 4187 31 pointed point VBN 19261 4187 32 curved curved JJ 19261 4187 33 bistoury bistoury NN 19261 4187 34 . . . 19261 4188 1 Sterile sterile JJ 19261 4188 2 gloves glove NNS 19261 4188 3 ready ready JJ 19261 4188 4 . . . 19261 4189 1 3 3 LS 19261 4189 2 . . . 19261 4190 1 Special special JJ 19261 4190 2 nursing nursing NN 19261 4190 3 necessary necessary JJ 19261 4190 4 for for IN 19261 4190 5 safety safety NN 19261 4190 6 . . . 19261 4191 1 4 4 LS 19261 4191 2 . . . 19261 4192 1 Laxative Laxative NNP 19261 4192 2 . . . 19261 4193 1 5 5 CD 19261 4193 2 . . . 19261 4194 1 Sponge sponge VB 19261 4194 2 away away RP 19261 4194 3 secretions secretion NNS 19261 4194 4 before before IN 19261 4194 5 they -PRON- PRP 19261 4194 6 are be VBP 19261 4194 7 drawn draw VBN 19261 4194 8 in in RB 19261 4194 9 . . . 19261 4195 1 6 6 CD 19261 4195 2 . . . 19261 4196 1 Cover cover NN 19261 4196 2 wound wind VBD 19261 4196 3 with with IN 19261 4196 4 wide wide JJ 19261 4196 5 large large JJ 19261 4196 6 gauze gauze NN 19261 4196 7 square square JJ 19261 4196 8 slit slit NN 19261 4196 9 so so IN 19261 4196 10 it -PRON- PRP 19261 4196 11 fits fit VBZ 19261 4196 12 around around IN 19261 4196 13 cannula cannula NN 19261 4196 14 under under IN 19261 4196 15 the the DT 19261 4196 16 tape tape NN 19261 4196 17 holder holder NN 19261 4196 18 . . . 19261 4197 1 Pull pull VB 19261 4197 2 off off RP 19261 4197 3 ravelings raveling NNS 19261 4197 4 . . . 19261 4198 1 Keep keep VB 19261 4198 2 wet wet JJ 19261 4198 3 with with IN 19261 4198 4 1 1 CD 19261 4198 5 : : SYM 19261 4198 6 10,000 10,000 CD 19261 4198 7 Bichloride Bichloride NNP 19261 4198 8 solution solution NN 19261 4198 9 . . . 19261 4199 1 7 7 LS 19261 4199 2 . . . 19261 4200 1 Change change VB 19261 4200 2 dressing dress VBG 19261 4200 3 every every DT 19261 4200 4 hour hour NN 19261 4200 5 or or CC 19261 4200 6 oftener oftener NN 19261 4200 7 . . . 19261 4201 1 8 8 LS 19261 4201 2 . . . 19261 4202 1 Abundance abundance NN 19261 4202 2 of of IN 19261 4202 3 fresh fresh JJ 19261 4202 4 air air NN 19261 4202 5 , , , 19261 4202 6 temperature temperature NN 19261 4202 7 preferably preferably RB 19261 4202 8 about about IN 19261 4202 9 70 70 CD 19261 4202 10 degrees degree NNS 19261 4202 11 . . . 19261 4203 1 9 9 CD 19261 4203 2 . . . 19261 4204 1 _ _ NNP 19261 4204 2 Nurse Nurse NNP 19261 4204 3 should should MD 19261 4204 4 remove remove VB 19261 4204 5 inner inner JJ 19261 4204 6 cannula cannula NN 19261 4204 7 as as RB 19261 4204 8 often often RB 19261 4204 9 as as IN 19261 4204 10 needed need VBN 19261 4204 11 and and CC 19261 4204 12 clean clean VB 19261 4204 13 it -PRON- PRP 19261 4204 14 with with IN 19261 4204 15 pipe pipe NN 19261 4204 16 cleaner clean JJR 19261 4204 17 before before IN 19261 4204 18 boiling boil VBG 19261 4204 19 . . . 19261 4204 20 _ _ NNP 19261 4204 21 10 10 CD 19261 4204 22 . . . 19261 4205 1 Outer outer JJ 19261 4205 2 cannula cannula NN 19261 4205 3 should should MD 19261 4205 4 be be VB 19261 4205 5 changed change VBN 19261 4205 6 every every DT 19261 4205 7 day day NN 19261 4205 8 by by IN 19261 4205 9 the the DT 19261 4205 10 surgeon surgeon NN 19261 4205 11 or or CC 19261 4205 12 long long RB 19261 4205 13 - - HYPH 19261 4205 14 experienced experienced JJ 19261 4205 15 tracheotomy tracheotomy NN 19261 4205 16 nurse nurse NN 19261 4205 17 . . . 19261 4206 1 A a DT 19261 4206 2 pilot pilot NN 19261 4206 3 should should MD 19261 4206 4 be be VB 19261 4206 5 used use VBN 19261 4206 6 and and CC 19261 4206 7 care care VB 19261 4206 8 should should MD 19261 4206 9 be be VB 19261 4206 10 taken take VBN 19261 4206 11 not not RB 19261 4206 12 to to TO 19261 4206 13 injure injure VB 19261 4206 14 the the DT 19261 4206 15 cut cut NN 19261 4206 16 ends end NNS 19261 4206 17 of of IN 19261 4206 18 the the DT 19261 4206 19 tracheal tracheal NN 19261 4206 20 cartilage cartilage NN 19261 4206 21 . . . 19261 4207 1 11 11 CD 19261 4207 2 . . . 19261 4208 1 A a DT 19261 4208 2 sterile sterile JJ 19261 4208 3 , , , 19261 4208 4 bent bent JJ 19261 4208 5 probe probe NN 19261 4208 6 may may MD 19261 4208 7 be be VB 19261 4208 8 inserted insert VBN 19261 4208 9 downward downward RB 19261 4208 10 in in IN 19261 4208 11 the the DT 19261 4208 12 trachea trachea NN 19261 4208 13 with with IN 19261 4208 14 both both DT 19261 4208 15 cannulae cannulae VBD 19261 4208 16 out out RP 19261 4208 17 to to TO 19261 4208 18 excite excite VB 19261 4208 19 cough cough NN 19261 4208 20 if if IN 19261 4208 21 necessary necessary JJ 19261 4208 22 to to TO 19261 4208 23 expel expel VB 19261 4208 24 secretions secretion NNS 19261 4208 25 . . . 19261 4209 1 An an DT 19261 4209 2 aspirating aspirate VBG 19261 4209 3 tube tube NN 19261 4209 4 should should MD 19261 4209 5 be be VB 19261 4209 6 used use VBN 19261 4209 7 , , , 19261 4209 8 when when WRB 19261 4209 9 necessary necessary JJ 19261 4209 10 . . . 19261 4210 1 12 12 CD 19261 4210 2 . . . 19261 4211 1 A a DT 19261 4211 2 patient patient NN 19261 4211 3 with with IN 19261 4211 4 a a DT 19261 4211 5 properly properly RB 19261 4211 6 fitted fit VBN 19261 4211 7 cannula cannula NN 19261 4211 8 free free JJ 19261 4211 9 of of IN 19261 4211 10 secretions secretion NNS 19261 4211 11 breathes breathe VBZ 19261 4211 12 noiselessly noiselessly RB 19261 4211 13 . . . 19261 4212 1 Any any DT 19261 4212 2 sound sound NN 19261 4212 3 demands demand VBZ 19261 4212 4 immediate immediate JJ 19261 4212 5 attention attention NN 19261 4212 6 . . . 19261 4213 1 13 13 CD 19261 4213 2 . . . 19261 4214 1 If if IN 19261 4214 2 the the DT 19261 4214 3 respiratory respiratory JJ 19261 4214 4 rate rate NN 19261 4214 5 increase increase NN 19261 4214 6 it -PRON- PRP 19261 4214 7 is be VBZ 19261 4214 8 much much RB 19261 4214 9 more more RBR 19261 4214 10 likely likely JJ 19261 4214 11 to to TO 19261 4214 12 be be VB 19261 4214 13 due due IN 19261 4214 14 to to IN 19261 4214 15 obstruction obstruction NN 19261 4214 16 in in IN 19261 4214 17 , , , 19261 4214 18 malposition malposition NN 19261 4214 19 of of IN 19261 4214 20 , , , 19261 4214 21 or or CC 19261 4214 22 shortness shortness JJ 19261 4214 23 of of IN 19261 4214 24 the the DT 19261 4214 25 cannula cannula NN 19261 4214 26 than than IN 19261 4214 27 to to IN 19261 4214 28 lung lung NN 19261 4214 29 complications complication NNS 19261 4214 30 . . . 19261 4215 1 14 14 CD 19261 4215 2 . . . 19261 4216 1 Be be VB 19261 4216 2 sure sure JJ 19261 4216 3 that that DT 19261 4216 4 : : : 19261 4216 5 ( ( -LRB- 19261 4216 6 a a LS 19261 4216 7 ) ) -RRB- 19261 4216 8 The the DT 19261 4216 9 cannula cannula NN 19261 4216 10 is be VBZ 19261 4216 11 clear clear JJ 19261 4216 12 and and CC 19261 4216 13 clean clean JJ 19261 4216 14 . . . 19261 4217 1 ( ( -LRB- 19261 4217 2 b b LS 19261 4217 3 ) ) -RRB- 19261 4217 4 The the DT 19261 4217 5 cannula cannula NN 19261 4217 6 is be VBZ 19261 4217 7 long long JJ 19261 4217 8 enough enough RB 19261 4217 9 to to TO 19261 4217 10 reach reach VB 19261 4217 11 well well RB 19261 4217 12 down down RB 19261 4217 13 into into IN 19261 4217 14 the the DT 19261 4217 15 trachea trachea NN 19261 4217 16 . . . 19261 4218 1 A a DT 19261 4218 2 cannula cannula NN 19261 4218 3 that that WDT 19261 4218 4 was be VBD 19261 4218 5 long long RB 19261 4218 6 enough enough RB 19261 4218 7 when when WRB 19261 4218 8 the the DT 19261 4218 9 operation operation NN 19261 4218 10 was be VBD 19261 4218 11 done do VBN 19261 4218 12 may may MD 19261 4218 13 be be VB 19261 4218 14 too too RB 19261 4218 15 short short JJ 19261 4218 16 after after IN 19261 4218 17 the the DT 19261 4218 18 cervical cervical JJ 19261 4218 19 tissues tissue NNS 19261 4218 20 swell swell VBP 19261 4218 21 . . . 19261 4219 1 ( ( -LRB- 19261 4219 2 c c NN 19261 4219 3 ) ) -RRB- 19261 4219 4 The the DT 19261 4219 5 distal distal JJ 19261 4219 6 end end NN 19261 4219 7 of of IN 19261 4219 8 the the DT 19261 4219 9 cannula cannula NN 19261 4219 10 actually actually RB 19261 4219 11 is be VBZ 19261 4219 12 deeply deeply RB 19261 4219 13 in in IN 19261 4219 14 the the DT 19261 4219 15 trachea trachea NN 19261 4219 16 . . . 19261 4220 1 The the DT 19261 4220 2 only only JJ 19261 4220 3 way way NN 19261 4220 4 to to TO 19261 4220 5 be be VB 19261 4220 6 sure sure JJ 19261 4220 7 is be VBZ 19261 4220 8 , , , 19261 4220 9 when when WRB 19261 4220 10 inserting insert VBG 19261 4220 11 the the DT 19261 4220 12 cannula cannula NN 19261 4220 13 , , , 19261 4220 14 to to TO 19261 4220 15 spread spread VB 19261 4220 16 the the DT 19261 4220 17 wound wound NN 19261 4220 18 and and CC 19261 4220 19 the the DT 19261 4220 20 tracheal tracheal JJ 19261 4220 21 incision incision NN 19261 4220 22 with with IN 19261 4220 23 a a DT 19261 4220 24 Trousseau Trousseau NNP 19261 4220 25 dilator dilator NN 19261 4220 26 , , , 19261 4220 27 then then RB 19261 4220 28 _ _ NNP 19261 4220 29 see see VBP 19261 4220 30 _ _ NNP 19261 4220 31 the the DT 19261 4220 32 interior interior NN 19261 4220 33 of of IN 19261 4220 34 the the DT 19261 4220 35 tracheal tracheal NN 19261 4220 36 lumen luman NNS 19261 4220 37 and and CC 19261 4220 38 _ _ NNP 19261 4220 39 see see VBP 19261 4220 40 _ _ NNP 19261 4220 41 the the DT 19261 4220 42 cannula cannula NN 19261 4220 43 enter enter VB 19261 4220 44 therein therein RB 19261 4220 45 . . . 19261 4221 1 15 15 CD 19261 4221 2 . . . 19261 4222 1 If if IN 19261 4222 2 after after IN 19261 4222 3 attending attend VBG 19261 4222 4 to to IN 19261 4222 5 the the DT 19261 4222 6 above above RB 19261 4222 7 mentioned mention VBN 19261 4222 8 details detail NNS 19261 4222 9 there there EX 19261 4222 10 are be VBP 19261 4222 11 still still RB 19261 4222 12 signs sign NNS 19261 4222 13 of of IN 19261 4222 14 obstructive obstructive JJ 19261 4222 15 dyspnea dyspnea NN 19261 4222 16 , , , 19261 4222 17 a a DT 19261 4222 18 bronchoscopy bronchoscopy NN 19261 4222 19 should should MD 19261 4222 20 be be VB 19261 4222 21 done do VBN 19261 4222 22 for for IN 19261 4222 23 finding finding NN 19261 4222 24 and and CC 19261 4222 25 removal removal NN 19261 4222 26 of of IN 19261 4222 27 the the DT 19261 4222 28 obstruction obstruction NN 19261 4222 29 in in IN 19261 4222 30 the the DT 19261 4222 31 trachea trachea NN 19261 4222 32 or or CC 19261 4222 33 main main JJ 19261 4222 34 bronchi bronchi NN 19261 4222 35 . . . 19261 4223 1 16 16 CD 19261 4223 2 . . . 19261 4224 1 If if IN 19261 4224 2 all all PDT 19261 4224 3 the the DT 19261 4224 4 " " `` 19261 4224 5 pipes pipe NNS 19261 4224 6 , , , 19261 4224 7 " " '' 19261 4224 8 natural natural JJ 19261 4224 9 and and CC 19261 4224 10 instrumental instrumental JJ 19261 4224 11 , , , 19261 4224 12 are be VBP 19261 4224 13 clear clear JJ 19261 4224 14 there there EX 19261 4224 15 can can MD 19261 4224 16 be be VB 19261 4224 17 no no DT 19261 4224 18 such such JJ 19261 4224 19 thing thing NN 19261 4224 20 as as IN 19261 4224 21 obstructive obstructive JJ 19261 4224 22 dyspnea dyspnea NN 19261 4224 23 . . . 19261 4225 1 17 17 CD 19261 4225 2 . . . 19261 4226 1 Pneumonia pneumonia NN 19261 4226 2 and and CC 19261 4226 3 pulmonary pulmonary JJ 19261 4226 4 edema edema NN 19261 4226 5 may may MD 19261 4226 6 exist exist VB 19261 4226 7 before before IN 19261 4226 8 tracheotomy tracheotomy NN 19261 4226 9 , , , 19261 4226 10 but but CC 19261 4226 11 they -PRON- PRP 19261 4226 12 are be VBP 19261 4226 13 rare rare JJ 19261 4226 14 sequelae sequelae NNP 19261 4226 15 . . . 19261 4227 1 18 18 CD 19261 4227 2 . . . 19261 4228 1 Decannulation decannulation NN 19261 4228 2 , , , 19261 4228 3 in in IN 19261 4228 4 cases case NNS 19261 4228 5 of of IN 19261 4228 6 tracheotomy tracheotomy NN 19261 4228 7 done do VBN 19261 4228 8 for for IN 19261 4228 9 temporary temporary JJ 19261 4228 10 conditions condition NNS 19261 4228 11 should should MD 19261 4228 12 not not RB 19261 4228 13 be be VB 19261 4228 14 attempted attempt VBN 19261 4228 15 until until IN 19261 4228 16 the the DT 19261 4228 17 patient patient NN 19261 4228 18 has have VBZ 19261 4228 19 slept sleep VBN 19261 4228 20 at at IN 19261 4228 21 least least JJS 19261 4228 22 3 3 CD 19261 4228 23 nights night NNS 19261 4228 24 with with IN 19261 4228 25 his -PRON- PRP$ 19261 4228 26 cannula cannula NN 19261 4228 27 tightly tightly RB 19261 4228 28 corked cork VBN 19261 4228 29 . . . 19261 4229 1 A a DT 19261 4229 2 properly properly RB 19261 4229 3 fitted fit VBN 19261 4229 4 cannula cannula NN 19261 4229 5 ( ( -LRB- 19261 4229 6 i.e. i.e. FW 19261 4230 1 one one CD 19261 4230 2 not not RB 19261 4230 3 larger large JJR 19261 4230 4 than than IN 19261 4230 5 half half PDT 19261 4230 6 the the DT 19261 4230 7 area area NN 19261 4230 8 of of IN 19261 4230 9 cross cross NN 19261 4230 10 section section NN 19261 4230 11 of of IN 19261 4230 12 the the DT 19261 4230 13 trachea trachea NN 19261 4230 14 ) ) -RRB- 19261 4230 15 permits permit VBZ 19261 4230 16 the the DT 19261 4230 17 by by IN 19261 4230 18 - - HYPH 19261 4230 19 passage passage NN 19261 4230 20 of of IN 19261 4230 21 plenty plenty NN 19261 4230 22 of of IN 19261 4230 23 air air NN 19261 4230 24 . . . 19261 4231 1 A a DT 19261 4231 2 partial partial JJ 19261 4231 3 cork cork NN 19261 4231 4 should should MD 19261 4231 5 be be VB 19261 4231 6 worn wear VBN 19261 4231 7 for for IN 19261 4231 8 a a DT 19261 4231 9 few few JJ 19261 4231 10 days day NNS 19261 4231 11 first first RB 19261 4231 12 for for IN 19261 4231 13 testing testing NN 19261 4231 14 and and CC 19261 4231 15 " " `` 19261 4231 16 weaning wean VBG 19261 4231 17 " " '' 19261 4231 18 a a DT 19261 4231 19 child child NN 19261 4231 20 away away RB 19261 4231 21 from from IN 19261 4231 22 the the DT 19261 4231 23 easier easy JJR 19261 4231 24 breathing breathing NN 19261 4231 25 through through IN 19261 4231 26 the the DT 19261 4231 27 neck neck NN 19261 4231 28 . . . 19261 4232 1 In in IN 19261 4232 2 cases case NNS 19261 4232 3 of of IN 19261 4232 4 chronic chronic JJ 19261 4232 5 laryngeal laryngeal NN 19261 4232 6 stenosis stenosis NN 19261 4232 7 a a DT 19261 4232 8 prolonged prolonged JJ 19261 4232 9 test test NN 19261 4232 10 is be VBZ 19261 4232 11 necessary necessary JJ 19261 4232 12 before before IN 19261 4232 13 attempting attempt VBG 19261 4232 14 decannulation decannulation NN 19261 4232 15 . . . 19261 4233 1 19 19 CD 19261 4233 2 . . . 19261 4234 1 A a DT 19261 4234 2 tracheotomic tracheotomic JJ 19261 4234 3 case case NN 19261 4234 4 may may MD 19261 4234 5 be be VB 19261 4234 6 aphonic aphonic JJ 19261 4234 7 , , , 19261 4234 8 hence hence RB 19261 4234 9 unable unable JJ 19261 4234 10 to to TO 19261 4234 11 call call VB 19261 4234 12 for for IN 19261 4234 13 help help NN 19261 4234 14 . . . 19261 4235 1 20 20 CD 19261 4235 2 . . . 19261 4236 1 The the DT 19261 4236 2 foregoing foregoing NN 19261 4236 3 rules rule NNS 19261 4236 4 apply apply VBP 19261 4236 5 to to IN 19261 4236 6 the the DT 19261 4236 7 post post JJ 19261 4236 8 - - JJ 19261 4236 9 operative operative JJ 19261 4236 10 periods period NNS 19261 4236 11 . . . 19261 4237 1 After after IN 19261 4237 2 the the DT 19261 4237 3 wound wound NN 19261 4237 4 has have VBZ 19261 4237 5 healed heal VBN 19261 4237 6 and and CC 19261 4237 7 a a DT 19261 4237 8 fistula fistula NN 19261 4237 9 is be VBZ 19261 4237 10 established establish VBN 19261 4237 11 , , , 19261 4237 12 the the DT 19261 4237 13 patient patient NN 19261 4237 14 , , , 19261 4237 15 if if IN 19261 4237 16 not not RB 19261 4237 17 a a DT 19261 4237 18 child child NN 19261 4237 19 , , , 19261 4237 20 may may MD 19261 4237 21 learn learn VB 19261 4237 22 to to TO 19261 4237 23 care care VB 19261 4237 24 for for IN 19261 4237 25 his -PRON- PRP$ 19261 4237 26 own own JJ 19261 4237 27 cannula cannula NN 19261 4237 28 . . . 19261 4238 1 [ [ -LRB- 19261 4238 2 298 298 CD 19261 4238 3 ] ] -RRB- 19261 4238 4 21 21 CD 19261 4238 5 . . . 19261 4239 1 Do do VB 19261 4239 2 not not RB 19261 4239 3 give give VB 19261 4239 4 cough cough NN 19261 4239 5 - - HYPH 19261 4239 6 sedatives sedative NNS 19261 4239 7 or or CC 19261 4239 8 narcotics narcotic NNS 19261 4239 9 . . . 19261 4240 1 The the DT 19261 4240 2 cough cough NN 19261 4240 3 reflex reflex NN 19261 4240 4 is be VBZ 19261 4240 5 the the DT 19261 4240 6 watch watch NN 19261 4240 7 dog dog NN 19261 4240 8 of of IN 19261 4240 9 the the DT 19261 4240 10 lungs lung NNS 19261 4240 11 . . . 19261 4241 1 NOTES note NNS 19261 4241 2 ON on IN 19261 4241 3 NURSING nursing NN 19261 4241 4 TRACHEOTOMIZED tracheotomized NN 19261 4241 5 PATIENTS patient NNS 19261 4241 6 Bedside Bedside NNP 19261 4241 7 tray tray NN 19261 4241 8 should should MD 19261 4241 9 contain contain VB 19261 4241 10 : : : 19261 4241 11 Duplicate duplicate JJ 19261 4241 12 cannula cannula NN 19261 4241 13 Scalpel Scalpel NNP 19261 4241 14 Trousseau Trousseau NNP 19261 4241 15 dilator dilator NN 19261 4241 16 Hemostat Hemostat NNP 19261 4241 17 Dressing Dressing NNP 19261 4241 18 forceps forceps JJ 19261 4241 19 Sterile sterile JJ 19261 4241 20 vaseline vaseline NN 19261 4241 21 Scissors scissor NNS 19261 4241 22 Tape Tape NNP 19261 4241 23 Probe Probe NNP 19261 4241 24 Gauze Gauze NNP 19261 4241 25 sponges sponge VBZ 19261 4241 26 Gauze Gauze NNP 19261 4241 27 squares square NNS 19261 4241 28 Probe Probe NNP 19261 4241 29 - - HYPH 19261 4241 30 pointed point VBN 19261 4241 31 curved curved JJ 19261 4241 32 bistoury bistoury NN 19261 4241 33 . . . 19261 4242 1 1 1 LS 19261 4242 2 . . . 19261 4243 1 Room room NN 19261 4243 2 should should MD 19261 4243 3 be be VB 19261 4243 4 abundantly abundantly RB 19261 4243 5 ventilated ventilate VBN 19261 4243 6 , , , 19261 4243 7 as as RB 19261 4243 8 free free JJ 19261 4243 9 from from IN 19261 4243 10 dust dust NN 19261 4243 11 and and CC 19261 4243 12 lint lint NN 19261 4243 13 as as IN 19261 4243 14 possible possible JJ 19261 4243 15 , , , 19261 4243 16 and and CC 19261 4243 17 the the DT 19261 4243 18 air air NN 19261 4243 19 should should MD 19261 4243 20 be be VB 19261 4243 21 moistened moisten VBN 19261 4243 22 by by IN 19261 4243 23 steam steam NN 19261 4243 24 in in IN 19261 4243 25 winter winter NN 19261 4243 26 . . . 19261 4244 1 2 2 LS 19261 4244 2 . . . 19261 4245 1 Keep keep VB 19261 4245 2 mouth mouth NN 19261 4245 3 clean clean JJ 19261 4245 4 . . . 19261 4246 1 Tooth tooth JJ 19261 4246 2 brush brush NN 19261 4246 3 . . . 19261 4247 1 Rinse Rinse NNP 19261 4247 2 alcohol alcohol NNP 19261 4247 3 1:10 1:10 CD 19261 4247 4 . . . 19261 4248 1 3 3 LS 19261 4248 2 . . . 19261 4249 1 Sponge sponge VB 19261 4249 2 away away RB 19261 4249 3 secretion secretion NN 19261 4249 4 after after IN 19261 4249 5 the the DT 19261 4249 6 cough cough NN 19261 4249 7 before before IN 19261 4249 8 drawn draw VBN 19261 4249 9 in in RB 19261 4249 10 . . . 19261 4250 1 4 4 LS 19261 4250 2 . . . 19261 4251 1 Remove remove VB 19261 4251 2 inner inner JJ 19261 4251 3 cannula cannula NN 19261 4251 4 ( ( -LRB- 19261 4251 5 not not RB 19261 4251 6 outer outer JJ 19261 4251 7 ) ) -RRB- 19261 4251 8 as as RB 19261 4251 9 often often RB 19261 4251 10 as as IN 19261 4251 11 needed need VBN 19261 4251 12 . . . 19261 4252 1 Not not RB 19261 4252 2 less less RBR 19261 4252 3 often often RB 19261 4252 4 than than IN 19261 4252 5 every every DT 19261 4252 6 hour hour NN 19261 4252 7 . . . 19261 4253 1 Replace replace VB 19261 4253 2 immediately immediately RB 19261 4253 3 . . . 19261 4254 1 Never never RB 19261 4254 2 boil boil VB 19261 4254 3 a a DT 19261 4254 4 cannula cannula NN 19261 4254 5 until until IN 19261 4254 6 you -PRON- PRP 19261 4254 7 have have VBP 19261 4254 8 thoroughly thoroughly RB 19261 4254 9 cleaned clean VBN 19261 4254 10 it -PRON- PRP 19261 4254 11 . . . 19261 4255 1 5 5 CD 19261 4255 2 . . . 19261 4256 1 Obstruction obstruction NN 19261 4256 2 of of IN 19261 4256 3 cannula cannula NN 19261 4256 4 calling call VBG 19261 4256 5 for for IN 19261 4256 6 cleaning cleaning NN 19261 4256 7 indicated indicate VBN 19261 4256 8 by by IN 19261 4256 9 : : : 19261 4256 10 Blue blue JJ 19261 4256 11 or or CC 19261 4256 12 ashy ashy JJ 19261 4256 13 color color NN 19261 4256 14 . . . 19261 4257 1 Indrawing indrawe VBG 19261 4257 2 at at IN 19261 4257 3 clavicles clavicle NNS 19261 4257 4 , , , 19261 4257 5 sternal sternal JJ 19261 4257 6 notch notch NN 19261 4257 7 , , , 19261 4257 8 epigastrium epigastrium NN 19261 4257 9 . . . 19261 4258 1 Noisy noisy JJ 19261 4258 2 breathing breathing NN 19261 4258 3 . . . 19261 4259 1 ( ( -LRB- 19261 4259 2 Learn learn VB 19261 4259 3 sound sound NN 19261 4259 4 . . . 19261 4259 5 ) ) -RRB- 19261 4260 1 6 6 CD 19261 4260 2 . . . 19261 4261 1 Surgeon Surgeon NNP 19261 4261 2 ( ( -LRB- 19261 4261 3 in in IN 19261 4261 4 our -PRON- PRP$ 19261 4261 5 cases case NNS 19261 4261 6 ) ) -RRB- 19261 4261 7 will will MD 19261 4261 8 change change VB 19261 4261 9 outer outer JJ 19261 4261 10 cannula cannula NN 19261 4261 11 once once RB 19261 4261 12 daily daily RB 19261 4261 13 or or CC 19261 4261 14 oftener oftener RB 19261 4261 15 . . . 19261 4262 1 7 7 LS 19261 4262 2 . . . 19261 4263 1 Duplicate duplicate JJ 19261 4263 2 cannulae cannulae NNS 19261 4263 3 . . . 19261 4264 1 8 8 LS 19261 4264 2 . . . 19261 4265 1 Be be VB 19261 4265 2 careful careful JJ 19261 4265 3 in in IN 19261 4265 4 cleaning clean VBG 19261 4265 5 cannulae cannulae NNS 19261 4265 6 not not RB 19261 4265 7 to to TO 19261 4265 8 damage damage VB 19261 4265 9 . . . 19261 4266 1 9 9 CD 19261 4266 2 . . . 19261 4267 1 Watch watch VB 19261 4267 2 for for IN 19261 4267 3 loose loose JJ 19261 4267 4 parts part NNS 19261 4267 5 on on IN 19261 4267 6 cannula cannula NN 19261 4267 7 . . . 19261 4268 1 10 10 CD 19261 4268 2 . . . 19261 4269 1 Change change NN 19261 4269 2 dressing dressing NN 19261 4269 3 ( ( -LRB- 19261 4269 4 in in IN 19261 4269 5 our -PRON- PRP$ 19261 4269 6 cases case NNS 19261 4269 7 ) ) -RRB- 19261 4269 8 as as RB 19261 4269 9 often often RB 19261 4269 10 as as IN 19261 4269 11 soiled soil VBN 19261 4269 12 . . . 19261 4270 1 Not not RB 19261 4270 2 less less RBR 19261 4270 3 often often RB 19261 4270 4 than than IN 19261 4270 5 every every DT 19261 4270 6 hour hour NN 19261 4270 7 . . . 19261 4271 1 Large large JJ 19261 4271 2 squares square NNS 19261 4271 3 . . . 19261 4272 1 Never never RB 19261 4272 2 narrow narrow JJ 19261 4272 3 strips strip NNS 19261 4272 4 . . . 19261 4273 1 11 11 CD 19261 4273 2 . . . 19261 4274 1 Watch watch VB 19261 4274 2 color color NN 19261 4274 3 of of IN 19261 4274 4 lips lip NNS 19261 4274 5 and and CC 19261 4274 6 ears ear NNS 19261 4274 7 and and CC 19261 4274 8 face face NN 19261 4274 9 . . . 19261 4275 1 [ [ -LRB- 19261 4275 2 299 299 CD 19261 4275 3 ] ] -RRB- 19261 4275 4 12 12 CD 19261 4275 5 . . . 19261 4276 1 Report report NN 19261 4276 2 at at IN 19261 4276 3 once once RB 19261 4276 4 if if IN 19261 4276 5 food food NN 19261 4276 6 or or CC 19261 4276 7 water water NN 19261 4276 8 leaks leak NNS 19261 4276 9 through through IN 19261 4276 10 wound wound NN 19261 4276 11 . . . 19261 4277 1 ( ( -LRB- 19261 4277 2 Coughing cough VBG 19261 4277 3 and and CC 19261 4277 4 choking choking NN 19261 4277 5 ) ) -RRB- 19261 4277 6 . . . 19261 4278 1 13 13 CD 19261 4278 2 . . . 19261 4279 1 Never never RB 19261 4279 2 leave leave VB 19261 4279 3 a a DT 19261 4279 4 tracheotomized tracheotomized JJ 19261 4279 5 patient patient NN 19261 4279 6 unwatched unwatche VBN 19261 4279 7 during during IN 19261 4279 8 the the DT 19261 4279 9 first first JJ 19261 4279 10 days day NNS 19261 4279 11 or or CC 19261 4279 12 weeks week NNS 19261 4279 13 , , , 19261 4279 14 according accord VBG 19261 4279 15 to to IN 19261 4279 16 case case NN 19261 4279 17 . . . 19261 4280 1 14 14 CD 19261 4280 2 . . . 19261 4281 1 Remember remember VB 19261 4281 2 Trousseau Trousseau NNP 19261 4281 3 dilator dilator NN 19261 4281 4 or or CC 19261 4281 5 hemostat hemostat NNP 19261 4281 6 will will MD 19261 4281 7 spread spread VB 19261 4281 8 the the DT 19261 4281 9 tracheal tracheal NN 19261 4281 10 wound wound NN 19261 4281 11 or or CC 19261 4281 12 fistula fistula NNP 19261 4281 13 when when WRB 19261 4281 14 cannula cannula NN 19261 4281 15 is be VBZ 19261 4281 16 out out RB 19261 4281 17 . . . 19261 4282 1 15 15 CD 19261 4282 2 . . . 19261 4283 1 Remember remember VB 19261 4283 2 life life NN 19261 4283 3 depends depend VBZ 19261 4283 4 on on IN 19261 4283 5 a a DT 19261 4283 6 clear clear JJ 19261 4283 7 cannula cannula NN 19261 4283 8 if if IN 19261 4283 9 the the DT 19261 4283 10 patient patient NN 19261 4283 11 gets get VBZ 19261 4283 12 no no DT 19261 4283 13 air air NN 19261 4283 14 through through IN 19261 4283 15 the the DT 19261 4283 16 mouth mouth NN 19261 4283 17 . . . 19261 4284 1 16 16 CD 19261 4284 2 . . . 19261 4285 1 Remember remember VB 19261 4285 2 it -PRON- PRP 19261 4285 3 takes take VBZ 19261 4285 4 very very RB 19261 4285 5 little little JJ 19261 4285 6 to to TO 19261 4285 7 clog clog VB 19261 4285 8 the the DT 19261 4285 9 small small JJ 19261 4285 10 cannula cannula NN 19261 4285 11 of of IN 19261 4285 12 a a DT 19261 4285 13 child child NN 19261 4285 14 . . . 19261 4286 1 17 17 CD 19261 4286 2 . . . 19261 4287 1 Remember remember VB 19261 4287 2 a a DT 19261 4287 3 tracheotomized tracheotomized JJ 19261 4287 4 patient patient NN 19261 4287 5 can can MD 19261 4287 6 not not RB 19261 4287 7 call call VB 19261 4287 8 for for IN 19261 4287 9 help help NN 19261 4287 10 . . . 19261 4288 1 18 18 CD 19261 4288 2 . . . 19261 4289 1 Decannulation decannulation NN 19261 4289 2 . . . 19261 4290 1 Testing testing NN 19261 4290 2 by by IN 19261 4290 3 corking cork VBG 19261 4290 4 partially partially RB 19261 4290 5 . . . 19261 4291 1 Watch watch NN 19261 4291 2 corks cork NNS 19261 4291 3 not not RB 19261 4291 4 too too RB 19261 4291 5 small small JJ 19261 4291 6 , , , 19261 4291 7 or or CC 19261 4291 8 broken break VBN 19261 4291 9 . . . 19261 4292 1 Attach attach VB 19261 4292 2 them -PRON- PRP 19261 4292 3 by by IN 19261 4292 4 braided braided JJ 19261 4292 5 silk silk NN 19261 4292 6 thread thread NN 19261 4292 7 . . . 19261 4293 1 Pure pure JJ 19261 4293 2 rubber rubber NN 19261 4293 3 cord cord NN 19261 4293 4 ground grind VBD 19261 4293 5 down down RB 19261 4293 6 makes make VBZ 19261 4293 7 best good JJS 19261 4293 8 cork cork NN 19261 4293 9 . . . 19261 4294 1 [ [ -LRB- 19261 4294 2 300 300 CD 19261 4294 3 ] ] -RRB- 19261 4294 4 CHAPTER chapter NN 19261 4294 5 XXXVIII xxxviii NN 19261 4294 6 -- -- : 19261 4294 7 CHRONIC chronic NN 19261 4294 8 STENOSIS STENOSIS NNP 19261 4294 9 OF of IN 19261 4294 10 THE the DT 19261 4294 11 LARYNX LARYNX NNP 19261 4294 12 AND and CC 19261 4294 13 TRACHEA TRACHEA NNP 19261 4294 14 The the DT 19261 4294 15 various various JJ 19261 4294 16 forms form NNS 19261 4294 17 of of IN 19261 4294 18 laryngeal laryngeal JJ 19261 4294 19 stenosis stenosis NN 19261 4294 20 for for IN 19261 4294 21 which which WDT 19261 4294 22 tracheotomy tracheotomy NN 19261 4294 23 or or CC 19261 4294 24 intubation intubation NN 19261 4294 25 has have VBZ 19261 4294 26 been be VBN 19261 4294 27 performed perform VBN 19261 4294 28 , , , 19261 4294 29 and and CC 19261 4294 30 the the DT 19261 4294 31 difficulties difficulty NNS 19261 4294 32 encountered encounter VBN 19261 4294 33 in in IN 19261 4294 34 restoring restore VBG 19261 4294 35 the the DT 19261 4294 36 natural natural JJ 19261 4294 37 breathing breathing NN 19261 4294 38 , , , 19261 4294 39 may may MD 19261 4294 40 be be VB 19261 4294 41 classified classify VBN 19261 4294 42 into into IN 19261 4294 43 the the DT 19261 4294 44 following follow VBG 19261 4294 45 types type NNS 19261 4294 46 : : : 19261 4294 47 1 1 CD 19261 4294 48 . . . 19261 4295 1 Panic panic NN 19261 4295 2 2 2 CD 19261 4295 3 . . . 19261 4296 1 Spasmodic spasmodic JJ 19261 4296 2 3 3 CD 19261 4296 3 . . . 19261 4297 1 Paralytic paralytic JJ 19261 4297 2 4 4 CD 19261 4297 3 . . . 19261 4298 1 Ankylotic Ankylotic NNP 19261 4298 2 ( ( -LRB- 19261 4298 3 arytenoid arytenoid NNP 19261 4298 4 ) ) -RRB- 19261 4298 5 5 5 CD 19261 4298 6 . . . 19261 4299 1 Neoplastic neoplastic JJ 19261 4299 2 6 6 CD 19261 4299 3 . . . 19261 4300 1 Hyperplastic hyperplastic JJ 19261 4300 2 7 7 CD 19261 4300 3 . . . 19261 4301 1 Cicatricial cicatricial NN 19261 4301 2 ( ( -LRB- 19261 4301 3 a a LS 19261 4301 4 ) ) -RRB- 19261 4301 5 Loss loss NN 19261 4301 6 of of IN 19261 4301 7 cartilage cartilage NN 19261 4301 8 ( ( -LRB- 19261 4301 9 b b LS 19261 4301 10 ) ) -RRB- 19261 4301 11 Loss Loss NNP 19261 4301 12 of of IN 19261 4301 13 muscular muscular JJ 19261 4301 14 tissue tissue NN 19261 4301 15 ( ( -LRB- 19261 4301 16 c c NN 19261 4301 17 ) ) -RRB- 19261 4301 18 Fibrous Fibrous NNP 19261 4301 19 _ _ NNP 19261 4301 20 Panic_.--Nothing panic_.--nothe VBG 19261 4301 21 so so RB 19261 4301 22 terrifies terrify VBZ 19261 4301 23 a a DT 19261 4301 24 child child NN 19261 4301 25 as as IN 19261 4301 26 severe severe JJ 19261 4301 27 dyspnea dyspnea JJ 19261 4301 28 ; ; : 19261 4301 29 and and CC 19261 4301 30 the the DT 19261 4301 31 memory memory NN 19261 4301 32 of of IN 19261 4301 33 previous previous JJ 19261 4301 34 struggles struggle NNS 19261 4301 35 for for IN 19261 4301 36 air air NN 19261 4301 37 , , , 19261 4301 38 together together RB 19261 4301 39 with with IN 19261 4301 40 the the DT 19261 4301 41 greater great JJR 19261 4301 42 ease ease NN 19261 4301 43 of of IN 19261 4301 44 breathing breathe VBG 19261 4301 45 through through IN 19261 4301 46 the the DT 19261 4301 47 tracheotomic tracheotomic JJ 19261 4301 48 cannula cannula NN 19261 4301 49 than than IN 19261 4301 50 through through IN 19261 4301 51 even even RB 19261 4301 52 a a DT 19261 4301 53 normal normal JJ 19261 4301 54 larynx larynx NN 19261 4301 55 , , , 19261 4301 56 incites incite NNS 19261 4301 57 in in IN 19261 4301 58 some some DT 19261 4301 59 cases case NNS 19261 4301 60 so so RB 19261 4301 61 great great JJ 19261 4301 62 a a DT 19261 4301 63 degree degree NN 19261 4301 64 of of IN 19261 4301 65 fear fear NN 19261 4301 66 that that IN 19261 4301 67 it -PRON- PRP 19261 4301 68 may may MD 19261 4301 69 properly properly RB 19261 4301 70 be be VB 19261 4301 71 called call VBN 19261 4301 72 panic panic NN 19261 4301 73 , , , 19261 4301 74 when when WRB 19261 4301 75 attempts attempt VBZ 19261 4301 76 at at IN 19261 4301 77 decannulation decannulation NN 19261 4301 78 are be VBP 19261 4301 79 made make VBN 19261 4301 80 . . . 19261 4302 1 Crying cry VBG 19261 4302 2 and and CC 19261 4302 3 possibly possibly RB 19261 4302 4 glottic glottic JJ 19261 4302 5 spasm spasm NN 19261 4302 6 increase increase VB 19261 4302 7 the the DT 19261 4302 8 difficulties difficulty NNS 19261 4302 9 . . . 19261 4303 1 _ _ NNP 19261 4303 2 Spasmodic spasmodic JJ 19261 4303 3 stenosis stenosis NN 19261 4303 4 _ _ NNP 19261 4303 5 may may MD 19261 4303 6 be be VB 19261 4303 7 associated associate VBN 19261 4303 8 with with IN 19261 4303 9 panic panic NN 19261 4303 10 , , , 19261 4303 11 or or CC 19261 4303 12 may may MD 19261 4303 13 be be VB 19261 4303 14 excited excite VBN 19261 4303 15 by by IN 19261 4303 16 subglottic subglottic JJ 19261 4303 17 inflammation inflammation NN 19261 4303 18 . . . 19261 4304 1 Prolonged prolonged JJ 19261 4304 2 wearing wear VBG 19261 4304 3 of of IN 19261 4304 4 an an DT 19261 4304 5 intubation intubation NN 19261 4304 6 tube tube NN 19261 4304 7 , , , 19261 4304 8 by by IN 19261 4304 9 disturbing disturb VBG 19261 4304 10 the the DT 19261 4304 11 normal normal JJ 19261 4304 12 reciprocal reciprocal JJ 19261 4304 13 equilibrium equilibrium NN 19261 4304 14 of of IN 19261 4304 15 the the DT 19261 4304 16 abductors abductor NNS 19261 4304 17 and and CC 19261 4304 18 adductors adductor NNS 19261 4304 19 , , , 19261 4304 20 is be VBZ 19261 4304 21 one one CD 19261 4304 22 of of IN 19261 4304 23 the the DT 19261 4304 24 chief chief JJ 19261 4304 25 causes cause NNS 19261 4304 26 . . . 19261 4305 1 The the DT 19261 4305 2 treatment treatment NN 19261 4305 3 for for IN 19261 4305 4 spasmodic spasmodic JJ 19261 4305 5 stenosis stenosis NN 19261 4305 6 and and CC 19261 4305 7 panic panic NN 19261 4305 8 is be VBZ 19261 4305 9 similar similar JJ 19261 4305 10 . . . 19261 4306 1 The the DT 19261 4306 2 use use NN 19261 4306 3 of of IN 19261 4306 4 a a DT 19261 4306 5 special special JJ 19261 4306 6 intubation intubation NN 19261 4306 7 tube tube NN 19261 4306 8 having have VBG 19261 4306 9 a a DT 19261 4306 10 long long JJ 19261 4306 11 antero antero NNP 19261 4306 12 - - HYPH 19261 4306 13 posterior posterior NNP 19261 4306 14 lumen luman NNS 19261 4306 15 and and CC 19261 4306 16 a a DT 19261 4306 17 narrow narrow JJ 19261 4306 18 neck neck NN 19261 4306 19 , , , 19261 4306 20 which which WDT 19261 4306 21 form form NN 19261 4306 22 allows allow VBZ 19261 4306 23 greater great JJR 19261 4306 24 action action NN 19261 4306 25 of of IN 19261 4306 26 the the DT 19261 4306 27 musculature musculature NN 19261 4306 28 , , , 19261 4306 29 has have VBZ 19261 4306 30 been be VBN 19261 4306 31 successful successful JJ 19261 4306 32 in in IN 19261 4306 33 some some DT 19261 4306 34 cases case NNS 19261 4306 35 . . . 19261 4307 1 Repeated repeat VBN 19261 4307 2 removal removal NN 19261 4307 3 and and CC 19261 4307 4 replacement replacement NN 19261 4307 5 of of IN 19261 4307 6 the the DT 19261 4307 7 intubation intubation NN 19261 4307 8 tube tube NN 19261 4307 9 when when WRB 19261 4307 10 dyspnea dyspnea NNP 19261 4307 11 requires require VBZ 19261 4307 12 it -PRON- PRP 19261 4307 13 may may MD 19261 4307 14 prove prove VB 19261 4307 15 sufficient sufficient JJ 19261 4307 16 in in IN 19261 4307 17 the the DT 19261 4307 18 milder milder NN 19261 4307 19 cases case NNS 19261 4307 20 . . . 19261 4308 1 Very very RB 19261 4308 2 rarely rarely RB 19261 4308 3 a a DT 19261 4308 4 tracheotomy tracheotomy NN 19261 4308 5 may may MD 19261 4308 6 be be VB 19261 4308 7 required require VBN 19261 4308 8 ; ; : 19261 4308 9 if if IN 19261 4308 10 so so RB 19261 4308 11 , , , 19261 4308 12 it -PRON- PRP 19261 4308 13 should should MD 19261 4308 14 be be VB 19261 4308 15 done do VBN 19261 4308 16 low low RB 19261 4308 17 . . . 19261 4309 1 The the DT 19261 4309 2 wearing wear VBG 19261 4309 3 of of IN 19261 4309 4 a a DT 19261 4309 5 tracheotomic tracheotomic JJ 19261 4309 6 cannula cannula NN 19261 4309 7 permits permit VBZ 19261 4309 8 a a DT 19261 4309 9 restoration restoration NN 19261 4309 10 of of IN 19261 4309 11 the the DT 19261 4309 12 muscle muscle NN 19261 4309 13 balance balance NN 19261 4309 14 and and CC 19261 4309 15 a a DT 19261 4309 16 subsidence subsidence NN 19261 4309 17 of of IN 19261 4309 18 the the DT 19261 4309 19 subglottic subglottic JJ 19261 4309 20 inflammation inflammation NN 19261 4309 21 . . . 19261 4310 1 Corking cork VBG 19261 4310 2 the the DT 19261 4310 3 cannula cannula NN 19261 4310 4 with with IN 19261 4310 5 a a DT 19261 4310 6 slotted slotted JJ 19261 4310 7 cork cork NN 19261 4310 8 ( ( -LRB- 19261 4310 9 Fig fig NN 19261 4310 10 . . . 19261 4311 1 111 111 LS 19261 4311 2 ) ) -RRB- 19261 4311 3 will will MD 19261 4311 4 now now RB 19261 4311 5 restore restore VB 19261 4311 6 laryngeal laryngeal NN 19261 4311 7 breathing breathing NN 19261 4311 8 , , , 19261 4311 9 after after IN 19261 4311 10 which which WDT 19261 4311 11 the the DT 19261 4311 12 tracheotomic tracheotomic JJ 19261 4311 13 cannula cannula NN 19261 4311 14 may may MD 19261 4311 15 be be VB 19261 4311 16 removed remove VBN 19261 4311 17 . . . 19261 4312 1 [ [ -LRB- 19261 4312 2 PLATE PLATE NNP 19261 4312 3 V v NN 19261 4312 4 -- -- : 19261 4312 5 PHOTOPROCESS photoprocess NN 19261 4312 6 REPRODUCTIONS reproduction NNS 19261 4312 7 OF of IN 19261 4312 8 THE the DT 19261 4312 9 AUTHOR AUTHOR NNP 19261 4312 10 'S 's POS 19261 4312 11 OIL OIL NNP 19261 4312 12 - - HYPH 19261 4312 13 COLOR color NN 19261 4312 14 DRAWINGS drawings NN 19261 4312 15 FROM from IN 19261 4312 16 LIFE life NN 19261 4312 17 -- -- : 19261 4312 18 LARYNGEAL LARYNGEAL NNP 19261 4312 19 AND and CC 19261 4312 20 TRACHEAL tracheal NN 19261 4312 21 STENOSES stenosis NNS 19261 4312 22 : : : 19261 4312 23 1 1 CD 19261 4312 24 , , , 19261 4312 25 Indirect indirect JJ 19261 4312 26 view view NN 19261 4312 27 , , , 19261 4312 28 sitting sit VBG 19261 4312 29 position position NN 19261 4312 30 ; ; : 19261 4312 31 postdiphtheric postdiphtheric JJ 19261 4312 32 cicatricial cicatricial JJ 19261 4312 33 stenosis stenosis NN 19261 4312 34 permanently permanently RB 19261 4312 35 cured cure VBN 19261 4312 36 by by IN 19261 4312 37 endoscopic endoscopic NNP 19261 4312 38 evisceration evisceration NN 19261 4312 39 . . . 19261 4313 1 ( ( -LRB- 19261 4313 2 See see VB 19261 4313 3 Fig fig NN 19261 4313 4 . . . 19261 4314 1 5 5 CD 19261 4314 2 . . . 19261 4314 3 ) ) -RRB- 19261 4315 1 2 2 LS 19261 4315 2 , , , 19261 4315 3 Indirect indirect JJ 19261 4315 4 view view NN 19261 4315 5 , , , 19261 4315 6 sitting sit VBG 19261 4315 7 position position NN 19261 4315 8 ; ; : 19261 4315 9 posttyphoid posttyphoid NN 19261 4315 10 cicatricial cicatricial JJ 19261 4315 11 stenosis stenosis NN 19261 4315 12 . . . 19261 4316 1 Mucosa Mucosa NNP 19261 4316 2 was be VBD 19261 4316 3 very very RB 19261 4316 4 cyanotic cyanotic JJ 19261 4316 5 because because IN 19261 4316 6 cannula cannula NN 19261 4316 7 was be VBD 19261 4316 8 re re VBN 19261 4316 9 - - VBN 19261 4316 10 moved move VBN 19261 4316 11 for for IN 19261 4316 12 laryngoscopy laryngoscopy NN 19261 4316 13 and and CC 19261 4316 14 bronchoscopy bronchoscopy NN 19261 4316 15 . . . 19261 4317 1 Cured cure VBN 19261 4317 2 by by IN 19261 4317 3 laryngostomy laryngostomy NN 19261 4317 4 . . . 19261 4318 1 ( ( -LRB- 19261 4318 2 See see VB 19261 4318 3 Fig fig NN 19261 4318 4 . . . 19261 4319 1 6 6 CD 19261 4319 2 . . . 19261 4319 3 ) ) -RRB- 19261 4320 1 3 3 LS 19261 4320 2 , , , 19261 4320 3 Indirect indirect JJ 19261 4320 4 view view NN 19261 4320 5 , , , 19261 4320 6 sitting sit VBG 19261 4320 7 position position NN 19261 4320 8 ; ; : 19261 4320 9 posttyphoid posttyphoid VB 19261 4320 10 infiltrative infiltrative JJ 19261 4320 11 stenosis stenosis NN 19261 4320 12 , , , 19261 4320 13 left leave VBN 19261 4320 14 arytenoid arytenoid RB 19261 4320 15 destroyed destroy VBN 19261 4320 16 by by IN 19261 4320 17 necrosis necrosis NN 19261 4320 18 . . . 19261 4321 1 Cured cure VBN 19261 4321 2 by by IN 19261 4321 3 laryngostomy laryngostomy NN 19261 4321 4 ; ; : 19261 4321 5 failure failure NN 19261 4321 6 to to TO 19261 4321 7 form form VB 19261 4321 8 adventitious adventitious JJ 19261 4321 9 band band NN 19261 4321 10 ( ( -LRB- 19261 4321 11 Fig fig NN 19261 4321 12 . . . 19261 4322 1 7 7 LS 19261 4322 2 ) ) -RRB- 19261 4322 3 because because IN 19261 4322 4 of of IN 19261 4322 5 lack lack NN 19261 4322 6 of of IN 19261 4322 7 arytenoid arytenoid JJ 19261 4322 8 activity activity NN 19261 4322 9 . . . 19261 4323 1 4 4 LS 19261 4323 2 , , , 19261 4323 3 Indirect indirect JJ 19261 4323 4 view view NN 19261 4323 5 , , , 19261 4323 6 recumbent recumbent JJ 19261 4323 7 position position NN 19261 4323 8 ; ; : 19261 4323 9 posttyphoid posttyphoid NN 19261 4323 10 cicatricial cicatricial JJ 19261 4323 11 stenosis stenosis NN 19261 4323 12 . . . 19261 4324 1 Cured cure VBN 19261 4324 2 of of IN 19261 4324 3 stenosis stenosis NN 19261 4324 4 by by IN 19261 4324 5 endoscopic endoscopic JJ 19261 4324 6 evisceration evisceration NN 19261 4324 7 with with IN 19261 4324 8 sliding slide VBG 19261 4324 9 punch punch NNP 19261 4324 10 forceps forceps NNP 19261 4324 11 . . . 19261 4325 1 Anterior Anterior NNP 19261 4325 2 commissure commissure NN 19261 4325 3 twice twice RB 19261 4325 4 afterward afterward RB 19261 4325 5 cleared clear VBN 19261 4325 6 of of IN 19261 4325 7 cicatricial cicatricial JJ 19261 4325 8 tissue tissue NN 19261 4325 9 as as IN 19261 4325 10 in in IN 19261 4325 11 the the DT 19261 4325 12 other other JJ 19261 4325 13 case case NN 19261 4325 14 shown show VBN 19261 4325 15 in in IN 19261 4325 16 Fig Fig NNP 19261 4325 17 . . . 19261 4326 1 15 15 CD 19261 4326 2 . . . 19261 4327 1 Ultimate ultimate JJ 19261 4327 2 result result NN 19261 4327 3 shown show VBN 19261 4327 4 in in IN 19261 4327 5 Fig Fig NNP 19261 4327 6 . . . 19261 4328 1 8 8 LS 19261 4328 2 . . . 19261 4329 1 5 5 CD 19261 4329 2 , , , 19261 4329 3 Same same JJ 19261 4329 4 patient patient NN 19261 4329 5 as as IN 19261 4329 6 Fig Fig NNP 19261 4329 7 . . . 19261 4330 1 1 1 LS 19261 4330 2 ; ; : 19261 4330 3 sketch sketch NNP 19261 4330 4 made make VBD 19261 4330 5 two two CD 19261 4330 6 years year NNS 19261 4330 7 after after IN 19261 4330 8 decannulation decannulation NN 19261 4330 9 and and CC 19261 4330 10 plastic plastic NN 19261 4330 11 . . . 19261 4331 1 6 6 CD 19261 4331 2 , , , 19261 4331 3 Same same JJ 19261 4331 4 patient patient NN 19261 4331 5 as as IN 19261 4331 6 Fig Fig NNP 19261 4331 7 . . . 19261 4332 1 2 2 LS 19261 4332 2 ; ; : 19261 4332 3 sketch sketch NNP 19261 4332 4 made make VBD 19261 4332 5 four four CD 19261 4332 6 years year NNS 19261 4332 7 after after IN 19261 4332 8 decannulation decannulation NN 19261 4332 9 and and CC 19261 4332 10 plastic plastic NN 19261 4332 11 . . . 19261 4333 1 7 7 LS 19261 4333 2 , , , 19261 4333 3 Same same JJ 19261 4333 4 patient patient NN 19261 4333 5 as as IN 19261 4333 6 Fig Fig NNP 19261 4333 7 . . . 19261 4334 1 3 3 LS 19261 4334 2 ; ; : 19261 4334 3 sketch sketch NNP 19261 4334 4 made make VBD 19261 4334 5 three three CD 19261 4334 6 years year NNS 19261 4334 7 after after IN 19261 4334 8 decannulation decannulation NN 19261 4334 9 and and CC 19261 4334 10 plastic plastic NN 19261 4334 11 . . . 19261 4335 1 8 8 LS 19261 4335 2 , , , 19261 4335 3 Same same JJ 19261 4335 4 patient patient NN 19261 4335 5 as as IN 19261 4335 6 Fig Fig NNP 19261 4335 7 . . . 19261 4336 1 4 4 LS 19261 4336 2 ; ; : 19261 4336 3 sketch sketch NNP 19261 4336 4 made make VBD 19261 4336 5 one one CD 19261 4336 6 year year NN 19261 4336 7 after after IN 19261 4336 8 decannulation decannulation NN 19261 4336 9 , , , 19261 4336 10 fourteen fourteen CD 19261 4336 11 months month NNS 19261 4336 12 after after IN 19261 4336 13 clearing clear VBG 19261 4336 14 of of IN 19261 4336 15 the the DT 19261 4336 16 anterior anterior NNP 19261 4336 17 commissure commissure NN 19261 4336 18 to to TO 19261 4336 19 form form VB 19261 4336 20 adventitious adventitious JJ 19261 4336 21 cords cord NNS 19261 4336 22 . . . 19261 4337 1 9 9 LS 19261 4337 2 , , , 19261 4337 3 Direct direct JJ 19261 4337 4 view view NN 19261 4337 5 , , , 19261 4337 6 recumbent recumbent JJ 19261 4337 7 patient patient NN 19261 4337 8 ; ; : 19261 4337 9 web web NN 19261 4337 10 postdiphtheric postdiphtheric NN 19261 4337 11 ( ( -LRB- 19261 4337 12 ? ? . 19261 4337 13 ) ) -RRB- 19261 4338 1 or or CC 19261 4338 2 congenital congenital JJ 19261 4338 3 ( ( -LRB- 19261 4338 4 ? ? . 19261 4338 5 ) ) -RRB- 19261 4338 6 . . . 19261 4339 1 " " `` 19261 4339 2 Rough rough JJ 19261 4339 3 voice voice NN 19261 4339 4 " " '' 19261 4339 5 since since IN 19261 4339 6 birth birth NN 19261 4339 7 , , , 19261 4339 8 but but CC 19261 4339 9 larynx larynx NNP 19261 4339 10 never never RB 19261 4339 11 examined examine VBD 19261 4339 12 until until IN 19261 4339 13 stenosed stenose VBN 19261 4339 14 after after IN 19261 4339 15 diphtheria diphtheria NN 19261 4339 16 . . . 19261 4340 1 Web web NN 19261 4340 2 removed remove VBN 19261 4340 3 and and CC 19261 4340 4 larynx larynx NNP 19261 4340 5 eviscerated eviscerate VBN 19261 4340 6 with with IN 19261 4340 7 punch punch NNP 19261 4340 8 forceps forceps NNP 19261 4340 9 ; ; : 19261 4340 10 recurrence recurrence NN 19261 4340 11 of of IN 19261 4340 12 stenosis stenosis NN 19261 4340 13 ( ( -LRB- 19261 4340 14 not not RB 19261 4340 15 of of IN 19261 4340 16 web web NN 19261 4340 17 ) ) -RRB- 19261 4340 18 . . . 19261 4341 1 Cure cure NN 19261 4341 2 by by IN 19261 4341 3 laryngostomy laryngostomy NN 19261 4341 4 . . . 19261 4342 1 This this DT 19261 4342 2 view view NN 19261 4342 3 also also RB 19261 4342 4 illustrates illustrate VBZ 19261 4342 5 the the DT 19261 4342 6 true true JJ 19261 4342 7 depth depth NN 19261 4342 8 of of IN 19261 4342 9 the the DT 19261 4342 10 larynx larynx NN 19261 4342 11 which which WDT 19261 4342 12 is be VBZ 19261 4342 13 often often RB 19261 4342 14 overlooked overlook VBN 19261 4342 15 because because IN 19261 4342 16 of of IN 19261 4342 17 the the DT 19261 4342 18 misleading misleading JJ 19261 4342 19 flatness flatness NN 19261 4342 20 of of IN 19261 4342 21 laryngeal laryngeal JJ 19261 4342 22 illustrations illustration NNS 19261 4342 23 . . . 19261 4343 1 10 10 CD 19261 4343 2 , , , 19261 4343 3 Direct direct JJ 19261 4343 4 laryngoscopic laryngoscopic JJ 19261 4343 5 view view NN 19261 4343 6 ; ; , 19261 4343 7 postdiphtheric postdiphtheric JJ 19261 4343 8 hypertrophic hypertrophic JJ 19261 4343 9 subglottic subglottic JJ 19261 4343 10 stenosis stenosis NN 19261 4343 11 . . . 19261 4344 1 Cured cure VBN 19261 4344 2 by by IN 19261 4344 3 galvanocauterization galvanocauterization NN 19261 4344 4 . . . 19261 4345 1 11 11 CD 19261 4345 2 , , , 19261 4345 3 Direct direct JJ 19261 4345 4 laryngoscopic laryngoscopic JJ 19261 4345 5 view view NN 19261 4345 6 ; ; , 19261 4345 7 postdiphtheric postdiphtheric JJ 19261 4345 8 hypertrophic hypertrophic JJ 19261 4345 9 supraglottic supraglottic JJ 19261 4345 10 stenosis stenosis NN 19261 4345 11 . . . 19261 4346 1 Forceps forceps JJ 19261 4346 2 excision excision NN 19261 4346 3 ; ; : 19261 4346 4 extubation extubation NN 19261 4346 5 one one CD 19261 4346 6 month month NN 19261 4346 7 later later RB 19261 4346 8 ; ; : 19261 4346 9 still still RB 19261 4346 10 well well RB 19261 4346 11 after after IN 19261 4346 12 four four CD 19261 4346 13 years year NNS 19261 4346 14 . . . 19261 4347 1 12 12 CD 19261 4347 2 , , , 19261 4347 3 Bronchoscopic bronchoscopic JJ 19261 4347 4 view view NN 19261 4347 5 of of IN 19261 4347 6 posttracheotomic posttracheotomic JJ 19261 4347 7 stenosis stenosis NN 19261 4347 8 following follow VBG 19261 4347 9 a a DT 19261 4347 10 " " `` 19261 4347 11 plastic plastic JJ 19261 4347 12 flap flap NN 19261 4347 13 " " '' 19261 4347 14 tracheotomy tracheotomy NN 19261 4347 15 done do VBN 19261 4347 16 for for IN 19261 4347 17 acute acute JJ 19261 4347 18 edema edema NNP 19261 4347 19 . . . 19261 4348 1 13 13 CD 19261 4348 2 , , , 19261 4348 3 Direct direct JJ 19261 4348 4 laryngoscopic laryngoscopic JJ 19261 4348 5 view view NN 19261 4348 6 ; ; , 19261 4348 7 anterolateral anterolateral JJ 19261 4348 8 thymic thymic JJ 19261 4348 9 compression compression NN 19261 4348 10 stenosis stenosis NN 19261 4348 11 in in IN 19261 4348 12 a a DT 19261 4348 13 child child NN 19261 4348 14 of of IN 19261 4348 15 eighteen eighteen CD 19261 4348 16 months month NNS 19261 4348 17 . . . 19261 4349 1 Cured cure VBN 19261 4349 2 by by IN 19261 4349 3 thymopexy thymopexy NN 19261 4349 4 . . . 19261 4350 1 14 14 CD 19261 4350 2 , , , 19261 4350 3 Indirect indirect JJ 19261 4350 4 laryngoscopic laryngoscopic NN 19261 4350 5 ( ( -LRB- 19261 4350 6 mirror mirror NN 19261 4350 7 ) ) -RRB- 19261 4350 8 view view NN 19261 4350 9 ; ; : 19261 4350 10 laryngostomy laryngostomy NN 19261 4350 11 rubber rubber NN 19261 4350 12 tube tube NN 19261 4350 13 in in IN 19261 4350 14 position position NN 19261 4350 15 in in IN 19261 4350 16 treatment treatment NN 19261 4350 17 of of IN 19261 4350 18 post post JJ 19261 4350 19 - - JJ 19261 4350 20 typhoid typhoid JJ 19261 4350 21 stenosis stenosis NN 19261 4350 22 . . . 19261 4351 1 15 15 CD 19261 4351 2 , , , 19261 4351 3 Direct direct JJ 19261 4351 4 view view NN 19261 4351 5 ; ; : 19261 4351 6 posttyphoid posttyphoid NN 19261 4351 7 stenosis stenosis NN 19261 4351 8 after after IN 19261 4351 9 cure cure NN 19261 4351 10 by by IN 19261 4351 11 laryngostomy laryngostomy NN 19261 4351 12 . . . 19261 4352 1 Dotted dotted JJ 19261 4352 2 line line NN 19261 4352 3 shows show VBZ 19261 4352 4 place place NN 19261 4352 5 of of IN 19261 4352 6 excision excision NN 19261 4352 7 for for IN 19261 4352 8 clearing clear VBG 19261 4352 9 out out RP 19261 4352 10 the the DT 19261 4352 11 anterior anterior JJ 19261 4352 12 commissure commissure NN 19261 4352 13 to to TO 19261 4352 14 restore restore VB 19261 4352 15 the the DT 19261 4352 16 voice voice NN 19261 4352 17 . . . 19261 4353 1 16 16 CD 19261 4353 2 , , , 19261 4353 3 Endoscopic endoscopic JJ 19261 4353 4 view view NN 19261 4353 5 of of IN 19261 4353 6 posttracheotomic posttracheotomic JJ 19261 4353 7 tracheal tracheal NN 19261 4353 8 stenosis stenosis NN 19261 4353 9 from from IN 19261 4353 10 badly badly RB 19261 4353 11 placed place VBN 19261 4353 12 incision incision NN 19261 4353 13 and and CC 19261 4353 14 chondrial chondrial JJ 19261 4353 15 necrosis necrosis NN 19261 4353 16 . . . 19261 4354 1 Tracheotomy tracheotomy NN 19261 4354 2 originally originally RB 19261 4354 3 done do VBN 19261 4354 4 for for IN 19261 4354 5 influenzal influenzal NN 19261 4354 6 tracheitis tracheitis RB 19261 4354 7 . . . 19261 4355 1 Cured cure VBN 19261 4355 2 by by IN 19261 4355 3 tracheostomy tracheostomy NN 19261 4355 4 . . . 19261 4355 5 ] ] -RRB- 19261 4356 1 _ _ NNP 19261 4356 2 Paralysis_.--Bilateral Paralysis_.--Bilateral NNP 19261 4356 3 abductor abductor NN 19261 4356 4 laryngeal laryngeal NN 19261 4356 5 paralysis paralysis NN 19261 4356 6 causes cause VBZ 19261 4356 7 severe severe JJ 19261 4356 8 stenosis stenosis NN 19261 4356 9 , , , 19261 4356 10 and and CC 19261 4356 11 usually usually RB 19261 4356 12 tracheotomy tracheotomy NN 19261 4356 13 is be VBZ 19261 4356 14 urgently urgently RB 19261 4356 15 required require VBN 19261 4356 16 . . . 19261 4357 1 In in IN 19261 4357 2 cadaveric cadaveric JJ 19261 4357 3 paralysis paralysis NN 19261 4357 4 both both DT 19261 4357 5 cords cord NNS 19261 4357 6 are be VBP 19261 4357 7 in in IN 19261 4357 8 a a DT 19261 4357 9 position position NN 19261 4357 10 midway midway NN 19261 4357 11 between between IN 19261 4357 12 abduction abduction NN 19261 4357 13 and and CC 19261 4357 14 adduction adduction NN 19261 4357 15 , , , 19261 4357 16 and and CC 19261 4357 17 their -PRON- PRP$ 19261 4357 18 margins margin NNS 19261 4357 19 are be VBP 19261 4357 20 crescentic crescentic JJ 19261 4357 21 , , , 19261 4357 22 so so IN 19261 4357 23 that that IN 19261 4357 24 sufficient sufficient JJ 19261 4357 25 airway airway NN 19261 4357 26 remains remain VBZ 19261 4357 27 . . . 19261 4358 1 Efforts effort NNS 19261 4358 2 to to TO 19261 4358 3 produce produce VB 19261 4358 4 the the DT 19261 4358 5 cadaveric cadaveric JJ 19261 4358 6 position position NN 19261 4358 7 of of IN 19261 4358 8 the the DT 19261 4358 9 cords cord NNS 19261 4358 10 by by IN 19261 4358 11 division division NN 19261 4358 12 or or CC 19261 4358 13 excision excision NN 19261 4358 14 of of IN 19261 4358 15 a a DT 19261 4358 16 portion portion NN 19261 4358 17 of of IN 19261 4358 18 the the DT 19261 4358 19 recurrent recurrent JJ 19261 4358 20 laryngeal laryngeal NN 19261 4358 21 nerves nerve NNS 19261 4358 22 , , , 19261 4358 23 have have VBP 19261 4358 24 been be VBN 19261 4358 25 failures failure NNS 19261 4358 26 . . . 19261 4359 1 The the DT 19261 4359 2 operation operation NN 19261 4359 3 of of IN 19261 4359 4 _ _ NNP 19261 4359 5 ventriculocordectomy ventriculocordectomy NN 19261 4359 6 _ _ NNP 19261 4359 7 consists consist VBZ 19261 4359 8 in in IN 19261 4359 9 removing remove VBG 19261 4359 10 a a DT 19261 4359 11 vocal vocal JJ 19261 4359 12 cord cord NN 19261 4359 13 and and CC 19261 4359 14 the the DT 19261 4359 15 portion portion NN 19261 4359 16 or or CC 19261 4359 17 all all DT 19261 4359 18 of of IN 19261 4359 19 the the DT 19261 4359 20 ventricular ventricular JJ 19261 4359 21 floor floor NN 19261 4359 22 by by IN 19261 4359 23 means mean NNS 19261 4359 24 of of IN 19261 4359 25 a a DT 19261 4359 26 punch punch NN 19261 4359 27 forceps forceps NNS 19261 4359 28 introduced introduce VBD 19261 4359 29 through through IN 19261 4359 30 the the DT 19261 4359 31 direct direct JJ 19261 4359 32 laryngoscope laryngoscope NN 19261 4359 33 . . . 19261 4360 1 Usually usually RB 19261 4360 2 it -PRON- PRP 19261 4360 3 is be VBZ 19261 4360 4 better well JJR 19261 4360 5 to to TO 19261 4360 6 remove remove VB 19261 4360 7 only only RB 19261 4360 8 the the DT 19261 4360 9 portion portion NN 19261 4360 10 of of IN 19261 4360 11 the the DT 19261 4360 12 floor floor NN 19261 4360 13 anterior anterior NN 19261 4360 14 to to IN 19261 4360 15 the the DT 19261 4360 16 vocal vocal JJ 19261 4360 17 process process NN 19261 4360 18 of of IN 19261 4360 19 the the DT 19261 4360 20 arytenoid arytenoid NN 19261 4360 21 . . . 19261 4361 1 In in IN 19261 4361 2 some some DT 19261 4361 3 cases case NNS 19261 4361 4 monolateral monolateral JJ 19261 4361 5 ventriculocordectomy ventriculocordectomy NN 19261 4361 6 is be VBZ 19261 4361 7 sufficient sufficient JJ 19261 4361 8 ; ; : 19261 4361 9 in in IN 19261 4361 10 most most JJS 19261 4361 11 cases case NNS 19261 4361 12 , , , 19261 4361 13 however however RB 19261 4361 14 , , , 19261 4361 15 operation operation NN 19261 4361 16 on on IN 19261 4361 17 both both DT 19261 4361 18 sides side NNS 19261 4361 19 is be VBZ 19261 4361 20 needed need VBN 19261 4361 21 . . . 19261 4362 1 An an DT 19261 4362 2 interval interval NN 19261 4362 3 of of IN 19261 4362 4 two two CD 19261 4362 5 months month NNS 19261 4362 6 between between IN 19261 4362 7 operations operation NNS 19261 4362 8 is be VBZ 19261 4362 9 advisable advisable JJ 19261 4362 10 to to TO 19261 4362 11 avoid avoid VB 19261 4362 12 adhesions adhesion NNS 19261 4362 13 . . . 19261 4363 1 In in IN 19261 4363 2 almost almost RB 19261 4363 3 all all DT 19261 4363 4 cases case NNS 19261 4363 5 , , , 19261 4363 6 ventriculocordectomy ventriculocordectomy NN 19261 4363 7 will will MD 19261 4363 8 result result VB 19261 4363 9 in in IN 19261 4363 10 a a DT 19261 4363 11 sufficient sufficient JJ 19261 4363 12 increase increase NN 19261 4363 13 in in IN 19261 4363 14 the the DT 19261 4363 15 glottic glottic JJ 19261 4363 16 chink chink NN 19261 4363 17 for for IN 19261 4363 18 normal normal JJ 19261 4363 19 respiration respiration NN 19261 4363 20 . . . 19261 4364 1 The the DT 19261 4364 2 ultimate ultimate JJ 19261 4364 3 vocal vocal JJ 19261 4364 4 results result NNS 19261 4364 5 are be VBP 19261 4364 6 good good JJ 19261 4364 7 . . . 19261 4365 1 Evisceration evisceration NN 19261 4365 2 of of IN 19261 4365 3 the the DT 19261 4365 4 larynx larynx NN 19261 4365 5 , , , 19261 4365 6 either either CC 19261 4365 7 by by IN 19261 4365 8 the the DT 19261 4365 9 endoscopic endoscopic NNS 19261 4365 10 or or CC 19261 4365 11 thyrotomic thyrotomic JJ 19261 4365 12 method method NN 19261 4365 13 , , , 19261 4365 14 usually usually RB 19261 4365 15 yields yield VBZ 19261 4365 16 excellent excellent JJ 19261 4365 17 results result NNS 19261 4365 18 when when WRB 19261 4365 19 no no DT 19261 4365 20 lesion lesion NN 19261 4365 21 other other JJ 19261 4365 22 than than IN 19261 4365 23 paralysis paralysis NN 19261 4365 24 exists exist VBZ 19261 4365 25 . . . 19261 4366 1 Only only RB 19261 4366 2 too too RB 19261 4366 3 often often RB 19261 4366 4 , , , 19261 4366 5 however however RB 19261 4366 6 , , , 19261 4366 7 the the DT 19261 4366 8 condition condition NN 19261 4366 9 is be VBZ 19261 4366 10 complicated complicate VBN 19261 4366 11 by by IN 19261 4366 12 the the DT 19261 4366 13 results result NNS 19261 4366 14 of of IN 19261 4366 15 a a DT 19261 4366 16 faultily faultily RB 19261 4366 17 high high JJ 19261 4366 18 tracheotomy tracheotomy NN 19261 4366 19 . . . 19261 4367 1 A a DT 19261 4367 2 rough rough JJ 19261 4367 3 , , , 19261 4367 4 inflexible inflexible JJ 19261 4367 5 voice voice NN 19261 4367 6 is be VBZ 19261 4367 7 ultimately ultimately RB 19261 4367 8 obtained obtain VBN 19261 4367 9 after after IN 19261 4367 10 this this DT 19261 4367 11 operation operation NN 19261 4367 12 , , , 19261 4367 13 especially especially RB 19261 4367 14 if if IN 19261 4367 15 the the DT 19261 4367 16 arytenoid arytenoid JJ 19261 4367 17 cartilage cartilage NN 19261 4367 18 is be VBZ 19261 4367 19 unharmed unharmed JJ 19261 4367 20 . . . 19261 4368 1 In in IN 19261 4368 2 recent recent JJ 19261 4368 3 bilateral bilateral JJ 19261 4368 4 recurrent recurrent JJ 19261 4368 5 paralysis paralysis NN 19261 4368 6 , , , 19261 4368 7 it -PRON- PRP 19261 4368 8 may may MD 19261 4368 9 be be VB 19261 4368 10 worthy worthy JJ 19261 4368 11 of of IN 19261 4368 12 trial trial NN 19261 4368 13 to to TO 19261 4368 14 suture suture VB 19261 4368 15 the the DT 19261 4368 16 recurrent recurrent NN 19261 4368 17 to to IN 19261 4368 18 the the DT 19261 4368 19 pneumogastric pneumogastric NN 19261 4368 20 . . . 19261 4369 1 Operations operation NNS 19261 4369 2 on on IN 19261 4369 3 the the DT 19261 4369 4 larynx larynx NN 19261 4369 5 for for IN 19261 4369 6 paralytic paralytic JJ 19261 4369 7 stenosis stenosis NN 19261 4369 8 should should MD 19261 4369 9 not not RB 19261 4369 10 be be VB 19261 4369 11 undertaken undertake VBN 19261 4369 12 earlier early RBR 19261 4369 13 than than IN 19261 4369 14 twelve twelve CD 19261 4369 15 months month NNS 19261 4369 16 from from IN 19261 4369 17 the the DT 19261 4369 18 inception inception NN 19261 4369 19 of of IN 19261 4369 20 the the DT 19261 4369 21 condition condition NN 19261 4369 22 , , , 19261 4369 23 this this DT 19261 4369 24 time time NN 19261 4369 25 being be VBG 19261 4369 26 allowed allow VBN 19261 4369 27 for for IN 19261 4369 28 possible possible JJ 19261 4369 29 nerve nerve NN 19261 4369 30 regeneration regeneration NN 19261 4369 31 , , , 19261 4369 32 the the DT 19261 4369 33 patient patient NN 19261 4369 34 being be VBG 19261 4369 35 made make VBN 19261 4369 36 safe safe JJ 19261 4369 37 and and CC 19261 4369 38 comfortable comfortable JJ 19261 4369 39 , , , 19261 4369 40 meanwhile meanwhile RB 19261 4369 41 , , , 19261 4369 42 by by IN 19261 4369 43 a a DT 19261 4369 44 low low JJ 19261 4369 45 tracheotomy tracheotomy NN 19261 4369 46 . . . 19261 4370 1 _ _ NNP 19261 4370 2 Ankylosis_.--Fixation Ankylosis_.--Fixation NNP 19261 4370 3 of of IN 19261 4370 4 the the DT 19261 4370 5 crico crico NNP 19261 4370 6 - - HYPH 19261 4370 7 arytenoid arytenoid NN 19261 4370 8 joints joint NNS 19261 4370 9 with with IN 19261 4370 10 an an DT 19261 4370 11 approximation approximation NN 19261 4370 12 of of IN 19261 4370 13 the the DT 19261 4370 14 cords cord NNS 19261 4370 15 may may MD 19261 4370 16 require require VB 19261 4370 17 evisceration evisceration NN 19261 4370 18 of of IN 19261 4370 19 the the DT 19261 4370 20 larynx larynx NN 19261 4370 21 . . . 19261 4371 1 This this DT 19261 4371 2 , , , 19261 4371 3 however however RB 19261 4371 4 , , , 19261 4371 5 should should MD 19261 4371 6 not not RB 19261 4371 7 be be VB 19261 4371 8 attempted attempt VBN 19261 4371 9 until until IN 19261 4371 10 after after IN 19261 4371 11 a a DT 19261 4371 12 year year NN 19261 4371 13 's 's POS 19261 4371 14 lapse lapse NN 19261 4371 15 , , , 19261 4371 16 and and CC 19261 4371 17 should should MD 19261 4371 18 be be VB 19261 4371 19 preceded precede VBN 19261 4371 20 by by IN 19261 4371 21 attempts attempt NNS 19261 4371 22 to to TO 19261 4371 23 improve improve VB 19261 4371 24 the the DT 19261 4371 25 condition condition NN 19261 4371 26 by by IN 19261 4371 27 endoscopic endoscopic JJ 19261 4371 28 bouginage bouginage NNP 19261 4371 29 , , , 19261 4371 30 and and CC 19261 4371 31 by by IN 19261 4371 32 partial partial JJ 19261 4371 33 corking corking NN 19261 4371 34 of of IN 19261 4371 35 the the DT 19261 4371 36 tracheotomic tracheotomic JJ 19261 4371 37 cannula cannula NN 19261 4371 38 . . . 19261 4372 1 _ _ NNP 19261 4372 2 Neoplasms_.--Decannulation Neoplasms_.--Decannulation NNP 19261 4372 3 in in IN 19261 4372 4 neoplastic neoplastic JJ 19261 4372 5 cases case NNS 19261 4372 6 depends depend VBZ 19261 4372 7 upon upon IN 19261 4372 8 the the DT 19261 4372 9 nature nature NN 19261 4372 10 of of IN 19261 4372 11 the the DT 19261 4372 12 growth growth NN 19261 4372 13 , , , 19261 4372 14 and and CC 19261 4372 15 its -PRON- PRP$ 19261 4372 16 curability curability NN 19261 4372 17 . . . 19261 4373 1 Cicatricial cicatricial JJ 19261 4373 2 contraction contraction NN 19261 4373 3 following follow VBG 19261 4373 4 operative operative JJ 19261 4373 5 removal removal NN 19261 4373 6 of of IN 19261 4373 7 malignant malignant JJ 19261 4373 8 growths growth NNS 19261 4373 9 is be VBZ 19261 4373 10 best well RBS 19261 4373 11 treated treat VBN 19261 4373 12 by by IN 19261 4373 13 intubational intubational JJ 19261 4373 14 dilatation dilatation NN 19261 4373 15 , , , 19261 4373 16 provided provide VBN 19261 4373 17 recurrence recurrence NN 19261 4373 18 has have VBZ 19261 4373 19 been be VBN 19261 4373 20 ruled rule VBN 19261 4373 21 out out RP 19261 4373 22 . . . 19261 4374 1 The the DT 19261 4374 2 stenosis stenosis NN 19261 4374 3 produced produce VBN 19261 4374 4 by by IN 19261 4374 5 benign benign JJ 19261 4374 6 tumors tumor NNS 19261 4374 7 is be VBZ 19261 4374 8 usually usually RB 19261 4374 9 relieved relieve VBN 19261 4374 10 by by IN 19261 4374 11 their -PRON- PRP$ 19261 4374 12 removal removal NN 19261 4374 13 . . . 19261 4375 1 _ _ NNP 19261 4375 2 Papillomata_.--Decannulation papillomata_.--decannulation NN 19261 4375 3 after after IN 19261 4375 4 tracheotomy tracheotomy NN 19261 4375 5 done do VBN 19261 4375 6 for for IN 19261 4375 7 papillomata papillomata NN 19261 4375 8 should should MD 19261 4375 9 be be VB 19261 4375 10 deferred defer VBN 19261 4375 11 at at IN 19261 4375 12 least least JJS 19261 4375 13 6 6 CD 19261 4375 14 months month NNS 19261 4375 15 after after IN 19261 4375 16 the the DT 19261 4375 17 discontinuance discontinuance NN 19261 4375 18 of of IN 19261 4375 19 recurrence recurrence NN 19261 4375 20 . . . 19261 4376 1 Not not RB 19261 4376 2 uncommonly uncommonly RB 19261 4376 3 the the DT 19261 4376 4 operative operative JJ 19261 4376 5 treatment treatment NN 19261 4376 6 of of IN 19261 4376 7 the the DT 19261 4376 8 growths growth NNS 19261 4376 9 has have VBZ 19261 4376 10 been be VBN 19261 4376 11 so so RB 19261 4376 12 mistakenly mistakenly RB 19261 4376 13 radical radical JJ 19261 4376 14 as as IN 19261 4376 15 to to TO 19261 4376 16 result result VB 19261 4376 17 in in IN 19261 4376 18 cicatricial cicatricial JJ 19261 4376 19 or or CC 19261 4376 20 ankylotic ankylotic JJ 19261 4376 21 stenoses stenosis NNS 19261 4376 22 which which WDT 19261 4376 23 require require VBP 19261 4376 24 their -PRON- PRP$ 19261 4376 25 appropriate appropriate JJ 19261 4376 26 treatments treatment NNS 19261 4376 27 . . . 19261 4377 1 It -PRON- PRP 19261 4377 2 is be VBZ 19261 4377 3 the the DT 19261 4377 4 author author NN 19261 4377 5 's 's POS 19261 4377 6 opinion opinion NN 19261 4377 7 that that IN 19261 4377 8 recurrent recurrent JJ 19261 4377 9 papillomata papillomata NN 19261 4377 10 constitute constitute VBP 19261 4377 11 a a DT 19261 4377 12 benign benign JJ 19261 4377 13 self self NN 19261 4377 14 - - HYPH 19261 4377 15 limited limited JJ 19261 4377 16 disease disease NN 19261 4377 17 and and CC 19261 4377 18 are be VBP 19261 4377 19 best best RB 19261 4377 20 treated treat VBN 19261 4377 21 by by IN 19261 4377 22 repeated repeat VBN 19261 4377 23 superficial superficial JJ 19261 4377 24 removals removal NNS 19261 4377 25 , , , 19261 4377 26 leaving leave VBG 19261 4377 27 the the DT 19261 4377 28 underlying underlying JJ 19261 4377 29 normal normal JJ 19261 4377 30 structures structure NNS 19261 4377 31 uninjured uninjured JJ 19261 4377 32 . . . 19261 4378 1 This this DT 19261 4378 2 method method NN 19261 4378 3 will will MD 19261 4378 4 yield yield VB 19261 4378 5 ultimately ultimately RB 19261 4378 6 a a DT 19261 4378 7 perfect perfect JJ 19261 4378 8 voice voice NN 19261 4378 9 and and CC 19261 4378 10 will will MD 19261 4378 11 avoid avoid VB 19261 4378 12 the the DT 19261 4378 13 unfortunate unfortunate JJ 19261 4378 14 complications complication NNS 19261 4378 15 of of IN 19261 4378 16 cicatricial cicatricial JJ 19261 4378 17 hypertrophic hypertrophic JJ 19261 4378 18 and and CC 19261 4378 19 ankylotic ankylotic JJ 19261 4378 20 stenosis stenosis NN 19261 4378 21 . . . 19261 4379 1 _ _ NNP 19261 4379 2 Compression Compression NNP 19261 4379 3 Stenosis Stenosis NNP 19261 4379 4 of of IN 19261 4379 5 the the DT 19261 4379 6 Trachea_.--Decannulation trachea_.--decannulation NN 19261 4379 7 in in IN 19261 4379 8 these these DT 19261 4379 9 cases case NNS 19261 4379 10 can can MD 19261 4379 11 only only RB 19261 4379 12 follow follow VB 19261 4379 13 the the DT 19261 4379 14 removal removal NN 19261 4379 15 of of IN 19261 4379 16 the the DT 19261 4379 17 compressive compressive JJ 19261 4379 18 mass mass NN 19261 4379 19 , , , 19261 4379 20 which which WDT 19261 4379 21 may may MD 19261 4379 22 be be VB 19261 4379 23 thymic thymic JJ 19261 4379 24 , , , 19261 4379 25 neoplastic neoplastic JJ 19261 4379 26 , , , 19261 4379 27 hypertrophic hypertrophic JJ 19261 4379 28 or or CC 19261 4379 29 inflammatory inflammatory JJ 19261 4379 30 . . . 19261 4380 1 Glandular glandular JJ 19261 4380 2 disease disease NN 19261 4380 3 may may MD 19261 4380 4 be be VB 19261 4380 5 of of IN 19261 4380 6 the the DT 19261 4380 7 Hodgkins Hodgkins NNP 19261 4380 8 ' ' POS 19261 4380 9 type type NN 19261 4380 10 . . . 19261 4381 1 Thymic thymic JJ 19261 4381 2 compression compression NN 19261 4381 3 yields yield NNS 19261 4381 4 readily readily RB 19261 4381 5 to to IN 19261 4381 6 radium radium NN 19261 4381 7 and and CC 19261 4381 8 the the DT 19261 4381 9 roentgenray roentgenray NN 19261 4381 10 , , , 19261 4381 11 and and CC 19261 4381 12 the the DT 19261 4381 13 tuberculous tuberculous JJ 19261 4381 14 and and CC 19261 4381 15 leukemic leukemic JJ 19261 4381 16 adenitides adenitide NNS 19261 4381 17 are be VBP 19261 4381 18 sometimes sometimes RB 19261 4381 19 favorably favorably RB 19261 4381 20 influenced influence VBN 19261 4381 21 by by IN 19261 4381 22 the the DT 19261 4381 23 same same JJ 19261 4381 24 agents agent NNS 19261 4381 25 . . . 19261 4382 1 Surgery surgery NN 19261 4382 2 will will MD 19261 4382 3 relieve relieve VB 19261 4382 4 the the DT 19261 4382 5 compression compression NN 19261 4382 6 of of IN 19261 4382 7 struma struma NNP 19261 4382 8 and and CC 19261 4382 9 benign benign JJ 19261 4382 10 neoplasms neoplasm NNS 19261 4382 11 , , , 19261 4382 12 and and CC 19261 4382 13 may may MD 19261 4382 14 be be VB 19261 4382 15 indicated indicate VBN 19261 4382 16 in in IN 19261 4382 17 certain certain JJ 19261 4382 18 neoplasms neoplasm NNS 19261 4382 19 of of IN 19261 4382 20 malignant malignant JJ 19261 4382 21 origin origin NN 19261 4382 22 . . . 19261 4383 1 The the DT 19261 4383 2 possible possible JJ 19261 4383 3 coexistence coexistence NN 19261 4383 4 of of IN 19261 4383 5 laryngeal laryngeal JJ 19261 4383 6 paralysis paralysis NN 19261 4383 7 with with IN 19261 4383 8 tracheal tracheal NN 19261 4383 9 compression compression NN 19261 4383 10 is be VBZ 19261 4383 11 frequently frequently RB 19261 4383 12 overlooked overlook VBN 19261 4383 13 by by IN 19261 4383 14 the the DT 19261 4383 15 surgeon surgeon NN 19261 4383 16 . . . 19261 4384 1 Monolateral monolateral JJ 19261 4384 2 or or CC 19261 4384 3 bilateral bilateral JJ 19261 4384 4 paralysis paralysis NN 19261 4384 5 of of IN 19261 4384 6 the the DT 19261 4384 7 larynx larynx NN 19261 4384 8 is be VBZ 19261 4384 9 by by IN 19261 4384 10 no no DT 19261 4384 11 means means NN 19261 4384 12 an an DT 19261 4384 13 uncommon uncommon JJ 19261 4384 14 postoperative postoperative JJ 19261 4384 15 sequel sequel NN 19261 4384 16 to to TO 19261 4384 17 thyroidectomy thyroidectomy NN 19261 4384 18 , , , 19261 4384 19 even even RB 19261 4384 20 though though IN 19261 4384 21 the the DT 19261 4384 22 recurrent recurrent JJ 19261 4384 23 nerves nerve NNS 19261 4384 24 have have VBP 19261 4384 25 been be VBN 19261 4384 26 in in IN 19261 4384 27 no no DT 19261 4384 28 way way NN 19261 4384 29 injured injure VBN 19261 4384 30 at at IN 19261 4384 31 operation operation NN 19261 4384 32 . . . 19261 4385 1 Probably probably RB 19261 4385 2 a a DT 19261 4385 3 localized localized JJ 19261 4385 4 neuritis neuritis NN 19261 4385 5 , , , 19261 4385 6 a a DT 19261 4385 7 cicatricial cicatricial JJ 19261 4385 8 traction traction NN 19261 4385 9 , , , 19261 4385 10 or or CC 19261 4385 11 inclusion inclusion NN 19261 4385 12 of of IN 19261 4385 13 a a DT 19261 4385 14 nerve nerve NN 19261 4385 15 trunk trunk NN 19261 4385 16 accounts account VBZ 19261 4385 17 for for IN 19261 4385 18 most most JJS 19261 4385 19 of of IN 19261 4385 20 these these DT 19261 4385 21 cases case NNS 19261 4385 22 . . . 19261 4386 1 _ _ NNP 19261 4386 2 Hyperplastic Hyperplastic NNP 19261 4386 3 and and CC 19261 4386 4 cicatricial cicatricial JJ 19261 4386 5 chronic chronic JJ 19261 4386 6 stenoses stenosis NNS 19261 4386 7 _ _ NNP 19261 4386 8 preventing prevent VBG 19261 4386 9 decannulation decannulation NN 19261 4386 10 may may MD 19261 4386 11 be be VB 19261 4386 12 classified classify VBN 19261 4386 13 etiologically etiologically RB 19261 4386 14 as as IN 19261 4386 15 follows follow VBZ 19261 4386 16 : : : 19261 4386 17 1 1 CD 19261 4386 18 . . . 19261 4387 1 Tuberculosis Tuberculosis NNP 19261 4387 2 2 2 CD 19261 4387 3 . . . 19261 4388 1 Lues Lues NNP 19261 4388 2 3 3 CD 19261 4388 3 . . . 19261 4389 1 Scleroma Scleroma NNP 19261 4389 2 4 4 CD 19261 4389 3 . . . 19261 4390 1 Acute acute JJ 19261 4390 2 infectious infectious JJ 19261 4390 3 diseases disease NNS 19261 4390 4 ( ( -LRB- 19261 4390 5 a a DT 19261 4390 6 ) ) -RRB- 19261 4390 7 Diphtheria Diphtheria NNP 19261 4390 8 ( ( -LRB- 19261 4390 9 b b NN 19261 4390 10 ) ) -RRB- 19261 4390 11 Typhoid Typhoid NNP 19261 4390 12 fever fever NN 19261 4390 13 ( ( -LRB- 19261 4390 14 c c NN 19261 4390 15 ) ) -RRB- 19261 4390 16 Scarlet scarlet JJ 19261 4390 17 fever fever NN 19261 4390 18 ( ( -LRB- 19261 4390 19 d d NN 19261 4390 20 ) ) -RRB- 19261 4390 21 Measles Measles NNP 19261 4390 22 ( ( -LRB- 19261 4390 23 e e LS 19261 4390 24 ) ) -RRB- 19261 4390 25 Pertussis pertussis NN 19261 4390 26 5 5 CD 19261 4390 27 . . . 19261 4391 1 Decubitus Decubitus NNP 19261 4391 2 ( ( -LRB- 19261 4391 3 a a LS 19261 4391 4 ) ) -RRB- 19261 4391 5 Cannular Cannular NNP 19261 4391 6 ( ( -LRB- 19261 4391 7 b b NN 19261 4391 8 ) ) -RRB- 19261 4391 9 Tubal Tubal NNP 19261 4391 10 6 6 CD 19261 4391 11 . . . 19261 4392 1 Trauma Trauma NNP 19261 4392 2 ( ( -LRB- 19261 4392 3 a a LS 19261 4392 4 ) ) -RRB- 19261 4392 5 Tracheotomic tracheotomic NN 19261 4392 6 ( ( -LRB- 19261 4392 7 b b NN 19261 4392 8 ) ) -RRB- 19261 4392 9 Intubational intubational JJ 19261 4392 10 ( ( -LRB- 19261 4392 11 c c NN 19261 4392 12 ) ) -RRB- 19261 4392 13 Operative Operative NNP 19261 4392 14 ( ( -LRB- 19261 4392 15 d d NN 19261 4392 16 ) ) -RRB- 19261 4392 17 Suicidal Suicidal NNP 19261 4392 18 and and CC 19261 4392 19 homicidal homicidal NN 19261 4392 20 ( ( -LRB- 19261 4392 21 e e LS 19261 4392 22 ) ) -RRB- 19261 4392 23 Accidental Accidental NNP 19261 4392 24 ( ( -LRB- 19261 4392 25 by by IN 19261 4392 26 foreign foreign JJ 19261 4392 27 bodies body NNS 19261 4392 28 , , , 19261 4392 29 external external JJ 19261 4392 30 violence violence NN 19261 4392 31 , , , 19261 4392 32 bullets bullet NNS 19261 4392 33 , , , 19261 4392 34 etc etc FW 19261 4392 35 . . . 19261 4392 36 ) ) -RRB- 19261 4393 1 Most Most JJS 19261 4393 2 of of IN 19261 4393 3 the the DT 19261 4393 4 organic organic JJ 19261 4393 5 stenoses stenosis NNS 19261 4393 6 , , , 19261 4393 7 other other JJ 19261 4393 8 than than IN 19261 4393 9 the the DT 19261 4393 10 paralytic paralytic JJ 19261 4393 11 and and CC 19261 4393 12 neoplastic neoplastic JJ 19261 4393 13 forms form NNS 19261 4393 14 , , , 19261 4393 15 are be VBP 19261 4393 16 the the DT 19261 4393 17 result result NN 19261 4393 18 of of IN 19261 4393 19 inflammation inflammation NN 19261 4393 20 , , , 19261 4393 21 often often RB 19261 4393 22 with with IN 19261 4393 23 ulceration ulceration NN 19261 4393 24 and and CC 19261 4393 25 secondary secondary JJ 19261 4393 26 changes change NNS 19261 4393 27 in in IN 19261 4393 28 the the DT 19261 4393 29 cartilages cartilage NNS 19261 4393 30 or or CC 19261 4393 31 the the DT 19261 4393 32 soft soft JJ 19261 4393 33 tissues tissue NNS 19261 4393 34 . . . 19261 4394 1 [ [ -LRB- 19261 4394 2 304 304 CD 19261 4394 3 ] ] -RRB- 19261 4394 4 _ _ NNP 19261 4394 5 Tuberculosis_.--In Tuberculosis_.--In NNP 19261 4394 6 the the DT 19261 4394 7 non non JJ 19261 4394 8 - - JJ 19261 4394 9 cicatricial cicatricial JJ 19261 4394 10 forms form NNS 19261 4394 11 , , , 19261 4394 12 galvanocaustic galvanocaustic JJ 19261 4394 13 puncture puncture NN 19261 4394 14 applied apply VBD 19261 4394 15 through through IN 19261 4394 16 the the DT 19261 4394 17 direct direct JJ 19261 4394 18 laryngoscope laryngoscope NN 19261 4394 19 will will MD 19261 4394 20 usually usually RB 19261 4394 21 reduce reduce VB 19261 4394 22 the the DT 19261 4394 23 infiltrations infiltration NNS 19261 4394 24 sufficiently sufficiently RB 19261 4394 25 to to TO 19261 4394 26 provide provide VB 19261 4394 27 a a DT 19261 4394 28 free free JJ 19261 4394 29 airway airway NN 19261 4394 30 . . . 19261 4395 1 Should Should MD 19261 4395 2 the the DT 19261 4395 3 pulmonary pulmonary NN 19261 4395 4 and and CC 19261 4395 5 laryngeal laryngeal VB 19261 4395 6 tuberculosis tuberculosis NN 19261 4395 7 be be VB 19261 4395 8 fortunately fortunately RB 19261 4395 9 cured cure VBN 19261 4395 10 , , , 19261 4395 11 leaving leave VBG 19261 4395 12 , , , 19261 4395 13 however however RB 19261 4395 14 , , , 19261 4395 15 a a DT 19261 4395 16 cicatricial cicatricial JJ 19261 4395 17 stenosis stenosis NN 19261 4395 18 of of IN 19261 4395 19 the the DT 19261 4395 20 larynx larynx NN 19261 4395 21 , , , 19261 4395 22 decannulation decannulation NN 19261 4395 23 may may MD 19261 4395 24 be be VB 19261 4395 25 accomplished accomplish VBN 19261 4395 26 by by IN 19261 4395 27 laryngostomy laryngostomy NN 19261 4395 28 . . . 19261 4396 1 _ _ NNP 19261 4396 2 Lues_.--Active Lues_.--Active NNP 19261 4396 3 and and CC 19261 4396 4 persistent persistent JJ 19261 4396 5 antiluetic antiluetic JJ 19261 4396 6 medication medication NN 19261 4396 7 must must MD 19261 4396 8 precede precede VB 19261 4396 9 and and CC 19261 4396 10 accompany accompany VB 19261 4396 11 any any DT 19261 4396 12 local local JJ 19261 4396 13 treatment treatment NN 19261 4396 14 of of IN 19261 4396 15 luetic luetic JJ 19261 4396 16 laryngeal laryngeal NN 19261 4396 17 stenosis stenosis NN 19261 4396 18 . . . 19261 4397 1 Prolonged prolonged JJ 19261 4397 2 stretching stretch VBG 19261 4397 3 with with IN 19261 4397 4 oversized oversized JJ 19261 4397 5 intubation intubation NN 19261 4397 6 tubes tube NNS 19261 4397 7 following follow VBG 19261 4397 8 excision excision NN 19261 4397 9 or or CC 19261 4397 10 cauterization cauterization NN 19261 4397 11 may may MD 19261 4397 12 sometimes sometimes RB 19261 4397 13 be be VB 19261 4397 14 successful successful JJ 19261 4397 15 , , , 19261 4397 16 but but CC 19261 4397 17 laryngostomy laryngostomy NN 19261 4397 18 is be VBZ 19261 4397 19 usually usually RB 19261 4397 20 required require VBN 19261 4397 21 to to TO 19261 4397 22 combat combat VB 19261 4397 23 the the DT 19261 4397 24 vicious vicious JJ 19261 4397 25 contraction contraction NN 19261 4397 26 of of IN 19261 4397 27 luetic luetic JJ 19261 4397 28 cicatrices cicatrix NNS 19261 4397 29 . . . 19261 4398 1 _ _ NNP 19261 4398 2 Scleroma Scleroma NNP 19261 4398 3 _ _ NNP 19261 4398 4 is be VBZ 19261 4398 5 rarely rarely RB 19261 4398 6 encountered encounter VBN 19261 4398 7 in in IN 19261 4398 8 America America NNP 19261 4398 9 . . . 19261 4399 1 Radiotherapy radiotherapy NN 19261 4399 2 has have VBZ 19261 4399 3 been be VBN 19261 4399 4 advocated advocate VBN 19261 4399 5 and and CC 19261 4399 6 good good JJ 19261 4399 7 results result NNS 19261 4399 8 have have VBP 19261 4399 9 been be VBN 19261 4399 10 reported report VBN 19261 4399 11 from from IN 19261 4399 12 the the DT 19261 4399 13 intravenous intravenous JJ 19261 4399 14 injection injection NN 19261 4399 15 of of IN 19261 4399 16 salvarsan salvarsan NNP 19261 4399 17 . . . 19261 4400 1 Radium Radium NNP 19261 4400 2 may may MD 19261 4400 3 be be VB 19261 4400 4 tried try VBN 19261 4400 5 , , , 19261 4400 6 and and CC 19261 4400 7 its -PRON- PRP$ 19261 4400 8 application application NN 19261 4400 9 is be VBZ 19261 4400 10 readily readily RB 19261 4400 11 made make VBN 19261 4400 12 through through IN 19261 4400 13 the the DT 19261 4400 14 direct direct JJ 19261 4400 15 laryngoscope laryngoscope NN 19261 4400 16 . . . 19261 4401 1 _ _ NNP 19261 4401 2 Diphtheria_.--Chronic diphtheria_.--chronic JJ 19261 4401 3 postdiphtheritic postdiphtheritic JJ 19261 4401 4 stenosis stenosis NN 19261 4401 5 may may MD 19261 4401 6 be be VB 19261 4401 7 of of IN 19261 4401 8 the the DT 19261 4401 9 panic panic NN 19261 4401 10 , , , 19261 4401 11 spasmodic spasmodic JJ 19261 4401 12 or or CC 19261 4401 13 , , , 19261 4401 14 rarely rarely RB 19261 4401 15 , , , 19261 4401 16 the the DT 19261 4401 17 paralytic paralytic JJ 19261 4401 18 types type NNS 19261 4401 19 ; ; : 19261 4401 20 but but CC 19261 4401 21 more more RBR 19261 4401 22 often often RB 19261 4401 23 it -PRON- PRP 19261 4401 24 is be VBZ 19261 4401 25 of of IN 19261 4401 26 either either CC 19261 4401 27 the the DT 19261 4401 28 hypertrophic hypertrophic JJ 19261 4401 29 or or CC 19261 4401 30 cicatricial cicatricial JJ 19261 4401 31 forms form NNS 19261 4401 32 . . . 19261 4402 1 Only only RB 19261 4402 2 too too RB 19261 4402 3 frequently frequently RB 19261 4402 4 the the DT 19261 4402 5 stenosis stenosis NN 19261 4402 6 should should MD 19261 4402 7 be be VB 19261 4402 8 called call VBN 19261 4402 9 posttracheotomic posttracheotomic JJ 19261 4402 10 rather rather RB 19261 4402 11 than than IN 19261 4402 12 postdiphtheritic postdiphtheritic JJ 19261 4402 13 , , , 19261 4402 14 since since IN 19261 4402 15 decannulation decannulation NN 19261 4402 16 after after IN 19261 4402 17 the the DT 19261 4402 18 subsidence subsidence NN 19261 4402 19 of of IN 19261 4402 20 the the DT 19261 4402 21 acute acute JJ 19261 4402 22 stenosis stenosis NN 19261 4402 23 would would MD 19261 4402 24 have have VB 19261 4402 25 been be VBN 19261 4402 26 easy easy JJ 19261 4402 27 had have VBN 19261 4402 28 it -PRON- PRP 19261 4402 29 not not RB 19261 4402 30 been be VBN 19261 4402 31 for for IN 19261 4402 32 the the DT 19261 4402 33 sequelae sequelae NN 19261 4402 34 of of IN 19261 4402 35 the the DT 19261 4402 36 faulty faulty JJ 19261 4402 37 tracheotomy tracheotomy NN 19261 4402 38 . . . 19261 4403 1 Prolonged prolonged JJ 19261 4403 2 intubation intubation NN 19261 4403 3 may may MD 19261 4403 4 induce induce VB 19261 4403 5 either either CC 19261 4403 6 a a DT 19261 4403 7 supraglottic supraglottic JJ 19261 4403 8 or or CC 19261 4403 9 subglottic subglottic JJ 19261 4403 10 tissue tissue NN 19261 4403 11 hyperplasia hyperplasia NNP 19261 4403 12 . . . 19261 4404 1 _ _ NNP 19261 4404 2 The the DT 19261 4404 3 supraglottic supraglottic JJ 19261 4404 4 type type NN 19261 4404 5 _ _ NNP 19261 4404 6 consists consist VBZ 19261 4404 7 in in IN 19261 4404 8 an an DT 19261 4404 9 edematous edematous JJ 19261 4404 10 thickening thickening NN 19261 4404 11 around around IN 19261 4404 12 the the DT 19261 4404 13 base base NN 19261 4404 14 of of IN 19261 4404 15 the the DT 19261 4404 16 epiglottis epiglottis NN 19261 4404 17 , , , 19261 4404 18 sometimes sometimes RB 19261 4404 19 involving involve VBG 19261 4404 20 also also RB 19261 4404 21 the the DT 19261 4404 22 glossoepiglottic glossoepiglottic JJ 19261 4404 23 folds fold NNS 19261 4404 24 and and CC 19261 4404 25 the the DT 19261 4404 26 ventricular ventricular JJ 19261 4404 27 bands band NNS 19261 4404 28 . . . 19261 4405 1 An an DT 19261 4405 2 improperly improperly RB 19261 4405 3 shaped shape VBN 19261 4405 4 or or CC 19261 4405 5 fitted fitted JJ 19261 4405 6 tube tube NN 19261 4405 7 is be VBZ 19261 4405 8 the the DT 19261 4405 9 usual usual JJ 19261 4405 10 cause cause NN 19261 4405 11 of of IN 19261 4405 12 this this DT 19261 4405 13 condition condition NN 19261 4405 14 , , , 19261 4405 15 and and CC 19261 4405 16 a a DT 19261 4405 17 change change NN 19261 4405 18 to to IN 19261 4405 19 a a DT 19261 4405 20 correct correct JJ 19261 4405 21 form form NN 19261 4405 22 of of IN 19261 4405 23 intubation intubation NN 19261 4405 24 tube tube NN 19261 4405 25 may may MD 19261 4405 26 be be VB 19261 4405 27 all all DT 19261 4405 28 that that WDT 19261 4405 29 is be VBZ 19261 4405 30 required require VBN 19261 4405 31 . . . 19261 4406 1 Excessive excessive JJ 19261 4406 2 polypoid polypoid NN 19261 4406 3 tissue tissue NN 19261 4406 4 hypertrophy hypertrophy NN 19261 4406 5 should should MD 19261 4406 6 be be VB 19261 4406 7 excised excise VBN 19261 4406 8 . . . 19261 4407 1 The the DT 19261 4407 2 less less RBR 19261 4407 3 redundant redundant JJ 19261 4407 4 cases case NNS 19261 4407 5 subside subside VBP 19261 4407 6 under under IN 19261 4407 7 galvanocaustic galvanocaustic JJ 19261 4407 8 treatment treatment NN 19261 4407 9 , , , 19261 4407 10 which which WDT 19261 4407 11 may may MD 19261 4407 12 be be VB 19261 4407 13 preceded precede VBN 19261 4407 14 by by IN 19261 4407 15 tracheotomy tracheotomy NN 19261 4407 16 and and CC 19261 4407 17 extubation extubation NN 19261 4407 18 , , , 19261 4407 19 or or CC 19261 4407 20 the the DT 19261 4407 21 intubation intubation NN 19261 4407 22 tube tube NN 19261 4407 23 may may MD 19261 4407 24 be be VB 19261 4407 25 replaced replace VBN 19261 4407 26 after after IN 19261 4407 27 the the DT 19261 4407 28 application application NN 19261 4407 29 of of IN 19261 4407 30 the the DT 19261 4407 31 cautery cautery NN 19261 4407 32 . . . 19261 4408 1 The the DT 19261 4408 2 former former JJ 19261 4408 3 method method NN 19261 4408 4 is be VBZ 19261 4408 5 preferable preferable JJ 19261 4408 6 since since IN 19261 4408 7 the the DT 19261 4408 8 patient patient NN 19261 4408 9 is be VBZ 19261 4408 10 far far RB 19261 4408 11 safer safe JJR 19261 4408 12 with with IN 19261 4408 13 a a DT 19261 4408 14 tracheotomic tracheotomic JJ 19261 4408 15 cannula cannula NN 19261 4408 16 and and CC 19261 4408 17 , , , 19261 4408 18 further further RB 19261 4408 19 , , , 19261 4408 20 the the DT 19261 4408 21 constant constant JJ 19261 4408 22 irritation irritation NN 19261 4408 23 of of IN 19261 4408 24 the the DT 19261 4408 25 intubation intubation NN 19261 4408 26 tube tube NN 19261 4408 27 is be VBZ 19261 4408 28 avoided avoid VBN 19261 4408 29 . . . 19261 4409 1 _ _ NNP 19261 4409 2 Subglottic subglottic JJ 19261 4409 3 hypertrophic hypertrophic JJ 19261 4409 4 stenosis stenosis NN 19261 4409 5 _ _ NNP 19261 4409 6 consists consist VBZ 19261 4409 7 in in IN 19261 4409 8 symmetrical symmetrical JJ 19261 4409 9 turbinal turbinal JJ 19261 4409 10 - - HYPH 19261 4409 11 like like JJ 19261 4409 12 swellings swelling NNS 19261 4409 13 encroaching encroach VBG 19261 4409 14 on on IN 19261 4409 15 the the DT 19261 4409 16 lumen luman NNS 19261 4409 17 from from IN 19261 4409 18 either either DT 19261 4409 19 side side NN 19261 4409 20 . . . 19261 4410 1 Cautious cautious JJ 19261 4410 2 galvanocauterant galvanocauterant NN 19261 4410 3 treatment treatment NN 19261 4410 4 accurately accurately RB 19261 4410 5 applied apply VBN 19261 4410 6 by by IN 19261 4410 7 the the DT 19261 4410 8 direct direct JJ 19261 4410 9 method method NN 19261 4410 10 will will MD 19261 4410 11 practically practically RB 19261 4410 12 always always RB 19261 4410 13 cure cure VB 19261 4410 14 this this DT 19261 4410 15 condition condition NN 19261 4410 16 . . . 19261 4411 1 Preliminary preliminary JJ 19261 4411 2 tracheotomy tracheotomy NN 19261 4411 3 is be VBZ 19261 4411 4 required require VBN 19261 4411 5 in in IN 19261 4411 6 those those DT 19261 4411 7 cases case NNS 19261 4411 8 in in IN 19261 4411 9 which which WDT 19261 4411 10 it -PRON- PRP 19261 4411 11 has have VBZ 19261 4411 12 not not RB 19261 4411 13 already already RB 19261 4411 14 been be VBN 19261 4411 15 done do VBN 19261 4411 16 , , , 19261 4411 17 and and CC 19261 4411 18 in in IN 19261 4411 19 the the DT 19261 4411 20 cases case NNS 19261 4411 21 in in IN 19261 4411 22 which which WDT 19261 4411 23 a a DT 19261 4411 24 high high JJ 19261 4411 25 tracheotomy tracheotomy NN 19261 4411 26 has have VBZ 19261 4411 27 been be VBN 19261 4411 28 done do VBN 19261 4411 29 , , , 19261 4411 30 a a DT 19261 4411 31 low low JJ 19261 4411 32 tracheotomy tracheotomy NN 19261 4411 33 must must MD 19261 4411 34 be be VB 19261 4411 35 the the DT 19261 4411 36 first first JJ 19261 4411 37 step step NN 19261 4411 38 in in IN 19261 4411 39 the the DT 19261 4411 40 cure cure NN 19261 4411 41 . . . 19261 4412 1 Cicatricial cicatricial JJ 19261 4412 2 types type NNS 19261 4412 3 of of IN 19261 4412 4 postdiphtheritic postdiphtheritic JJ 19261 4412 5 stenosis stenosis NN 19261 4412 6 may may MD 19261 4412 7 be be VB 19261 4412 8 seen see VBN 19261 4412 9 as as IN 19261 4412 10 webs webs NN 19261 4412 11 , , , 19261 4412 12 annular annular JJ 19261 4412 13 cicatrices cicatrix NNS 19261 4412 14 of of IN 19261 4412 15 funnel funnel NN 19261 4412 16 shape shape NN 19261 4412 17 , , , 19261 4412 18 or or CC 19261 4412 19 masses masse NNS 19261 4412 20 of of IN 19261 4412 21 fibrous fibrous JJ 19261 4412 22 tissue tissue NN 19261 4412 23 causing cause VBG 19261 4412 24 fixation fixation NN 19261 4412 25 of of IN 19261 4412 26 the the DT 19261 4412 27 arytenoids arytenoid NNS 19261 4412 28 as as RB 19261 4412 29 well well RB 19261 4412 30 as as IN 19261 4412 31 encroachment encroachment JJ 19261 4412 32 on on IN 19261 4412 33 the the DT 19261 4412 34 glottic glottic JJ 19261 4412 35 lumen luman NNS 19261 4412 36 . . . 19261 4413 1 ( ( -LRB- 19261 4413 2 See see VB 19261 4413 3 color color NN 19261 4413 4 plates plate NNS 19261 4413 5 . . . 19261 4413 6 ) ) -RRB- 19261 4414 1 As as IN 19261 4414 2 a a DT 19261 4414 3 rule rule NN 19261 4414 4 , , , 19261 4414 5 when when WRB 19261 4414 6 a a DT 19261 4414 7 convalescent convalescent NN 19261 4414 8 diphtheritic diphtheritic JJ 19261 4414 9 patient patient NN 19261 4414 10 can can MD 19261 4414 11 not not RB 19261 4414 12 be be VB 19261 4414 13 extubated extubate VBN 19261 4414 14 two two CD 19261 4414 15 weeks week NNS 19261 4414 16 after after IN 19261 4414 17 three three CD 19261 4414 18 negative negative JJ 19261 4414 19 cultures culture NNS 19261 4414 20 have have VBP 19261 4414 21 been be VBN 19261 4414 22 obtained obtain VBN 19261 4414 23 the the DT 19261 4414 24 advisability advisability NN 19261 4414 25 of of IN 19261 4414 26 a a DT 19261 4414 27 low low JJ 19261 4414 28 tracheotomy tracheotomy NN 19261 4414 29 should should MD 19261 4414 30 be be VB 19261 4414 31 considered consider VBN 19261 4414 32 . . . 19261 4415 1 If if IN 19261 4415 2 a a DT 19261 4415 3 convalescent convalescent NN 19261 4415 4 intubated intubate VBN 19261 4415 5 patient patient JJ 19261 4415 6 cough cough NN 19261 4415 7 up up IN 19261 4415 8 a a DT 19261 4415 9 tube tube NN 19261 4415 10 and and CC 19261 4415 11 become become VB 19261 4415 12 dyspneic dyspneic VBZ 19261 4415 13 a a DT 19261 4415 14 low low JJ 19261 4415 15 tracheotomy tracheotomy NN 19261 4415 16 is be VBZ 19261 4415 17 usually usually RB 19261 4415 18 preferable preferable JJ 19261 4415 19 to to IN 19261 4415 20 forcing force VBG 19261 4415 21 in in IN 19261 4415 22 an an DT 19261 4415 23 oversized oversized JJ 19261 4415 24 intubation intubation NN 19261 4415 25 tube tube NN 19261 4415 26 . . . 19261 4416 1 _ _ NNP 19261 4416 2 Typhoid Typhoid NNP 19261 4416 3 Fever_.--Ulcerative fever_.--ulcerative NN 19261 4416 4 lesions lesion NNS 19261 4416 5 in in IN 19261 4416 6 the the DT 19261 4416 7 larynx larynx NN 19261 4416 8 during during IN 19261 4416 9 typhoid typhoid NN 19261 4416 10 fever fever NN 19261 4416 11 are be VBP 19261 4416 12 almost almost RB 19261 4416 13 always always RB 19261 4416 14 the the DT 19261 4416 15 result result NN 19261 4416 16 of of IN 19261 4416 17 mixed mixed JJ 19261 4416 18 infection infection NN 19261 4416 19 , , , 19261 4416 20 though though IN 19261 4416 21 thrombosis thrombosis NN 19261 4416 22 of of IN 19261 4416 23 a a DT 19261 4416 24 small small JJ 19261 4416 25 vessel vessel NN 19261 4416 26 , , , 19261 4416 27 with with IN 19261 4416 28 subsequent subsequent JJ 19261 4416 29 necrosis necrosis NN 19261 4416 30 is be VBZ 19261 4416 31 also also RB 19261 4416 32 seen see VBN 19261 4416 33 . . . 19261 4417 1 If if IN 19261 4417 2 the the DT 19261 4417 3 ulceration ulceration NN 19261 4417 4 reaches reach VBZ 19261 4417 5 the the DT 19261 4417 6 cartilage cartilage NN 19261 4417 7 , , , 19261 4417 8 cicatricial cicatricial JJ 19261 4417 9 stenosis stenosis NN 19261 4417 10 is be VBZ 19261 4417 11 almost almost RB 19261 4417 12 certain certain JJ 19261 4417 13 to to TO 19261 4417 14 follow follow VB 19261 4417 15 . . . 19261 4418 1 _ _ NNP 19261 4418 2 Trauma_.--The Trauma_.--The NNP 19261 4418 3 chief chief JJ 19261 4418 4 traumatic traumatic JJ 19261 4418 5 factors factor NNS 19261 4418 6 in in IN 19261 4418 7 chronic chronic JJ 19261 4418 8 laryngeal laryngeal NN 19261 4418 9 stenosis stenosis NN 19261 4418 10 are be VBP 19261 4418 11 : : : 19261 4418 12 ( ( -LRB- 19261 4418 13 a a LS 19261 4418 14 ) ) -RRB- 19261 4418 15 prolonged prolonged JJ 19261 4418 16 presence presence NN 19261 4418 17 of of IN 19261 4418 18 a a DT 19261 4418 19 foreign foreign JJ 19261 4418 20 body body NN 19261 4418 21 in in IN 19261 4418 22 the the DT 19261 4418 23 larynx larynx NN 19261 4418 24 ( ( -LRB- 19261 4418 25 b b NN 19261 4418 26 ) ) -RRB- 19261 4418 27 unskilled unskilled JJ 19261 4418 28 attempts attempt NNS 19261 4418 29 at at IN 19261 4418 30 intubation intubation NN 19261 4418 31 and and CC 19261 4418 32 the the DT 19261 4418 33 wearing wear VBG 19261 4418 34 of of IN 19261 4418 35 poorly poorly RB 19261 4418 36 fitting fitting JJ 19261 4418 37 intubation intubation NN 19261 4418 38 tubes tube NNS 19261 4418 39 ; ; , 19261 4418 40 ( ( -LRB- 19261 4418 41 c c NN 19261 4418 42 ) ) -RRB- 19261 4418 43 a a DT 19261 4418 44 faulty faulty JJ 19261 4418 45 tracheotomy tracheotomy NN 19261 4418 46 ; ; , 19261 4418 47 ( ( -LRB- 19261 4418 48 d d LS 19261 4418 49 ) ) -RRB- 19261 4418 50 a a DT 19261 4418 51 badly badly RB 19261 4418 52 fitting fitting JJ 19261 4418 53 cannula cannula NN 19261 4418 54 ; ; : 19261 4418 55 ( ( -LRB- 19261 4418 56 e e NNP 19261 4418 57 ) ) -RRB- 19261 4418 58 war war NN 19261 4418 59 injuries injury NNS 19261 4418 60 ; ; : 19261 4418 61 ( ( -LRB- 19261 4418 62 f f NNP 19261 4418 63 ) ) -RRB- 19261 4418 64 attempted attempt VBD 19261 4418 65 suicide suicide NN 19261 4418 66 ; ; , 19261 4418 67 ( ( -LRB- 19261 4418 68 g g NN 19261 4418 69 ) ) -RRB- 19261 4418 70 attempted attempt VBN 19261 4418 71 homicide homicide NN 19261 4418 72 ; ; : 19261 4418 73 ( ( -LRB- 19261 4418 74 h h NN 19261 4418 75 ) ) -RRB- 19261 4418 76 neglect neglect NN 19261 4418 77 of of IN 19261 4418 78 cleanliness cleanliness NN 19261 4418 79 and and CC 19261 4418 80 care care NN 19261 4418 81 of of IN 19261 4418 82 either either DT 19261 4418 83 intubation intubation NN 19261 4418 84 tubes tube NNS 19261 4418 85 or or CC 19261 4418 86 tracheotomic tracheotomic JJ 19261 4418 87 cannulae cannulae NNS 19261 4418 88 allowing allow VBG 19261 4418 89 incrustation incrustation NN 19261 4418 90 and and CC 19261 4418 91 roughening roughening NN 19261 4418 92 which which WDT 19261 4418 93 traumatize traumatize VBP 19261 4418 94 the the DT 19261 4418 95 tissues tissue NNS 19261 4418 96 at at IN 19261 4418 97 each each DT 19261 4418 98 movement movement NN 19261 4418 99 of of IN 19261 4418 100 the the DT 19261 4418 101 ever ever RB 19261 4418 102 - - HYPH 19261 4418 103 moving move VBG 19261 4418 104 larynx larynx NN 19261 4418 105 and and CC 19261 4418 106 trachea trachea NN 19261 4418 107 . . . 19261 4419 1 _ _ NNP 19261 4419 2 Treatment Treatment NNP 19261 4419 3 of of IN 19261 4419 4 Cicatricial Cicatricial NNP 19261 4419 5 Stenosis_.--A Stenosis_.--A NNP 19261 4419 6 careful careful JJ 19261 4419 7 direct direct JJ 19261 4419 8 endoscopic endoscopic JJ 19261 4419 9 examination examination NN 19261 4419 10 is be VBZ 19261 4419 11 essential essential JJ 19261 4419 12 before before IN 19261 4419 13 deciding decide VBG 19261 4419 14 on on IN 19261 4419 15 the the DT 19261 4419 16 method method NN 19261 4419 17 of of IN 19261 4419 18 treatment treatment NN 19261 4419 19 for for IN 19261 4419 20 each each DT 19261 4419 21 particular particular JJ 19261 4419 22 case case NN 19261 4419 23 . . . 19261 4420 1 Granulations granulation NNS 19261 4420 2 should should MD 19261 4420 3 be be VB 19261 4420 4 removed remove VBN 19261 4420 5 . . . 19261 4421 1 Intubated intubated JJ 19261 4421 2 cases case NNS 19261 4421 3 are be VBP 19261 4421 4 usually usually RB 19261 4421 5 best well RBS 19261 4421 6 treated treat VBN 19261 4421 7 by by IN 19261 4421 8 tracheotomy tracheotomy NN 19261 4421 9 and and CC 19261 4421 10 extubation extubation NN 19261 4421 11 before before IN 19261 4421 12 further further JJ 19261 4421 13 endoscopic endoscopic JJ 19261 4421 14 treatment treatment NN 19261 4421 15 is be VBZ 19261 4421 16 undertaken undertake VBN 19261 4421 17 . . . 19261 4422 1 A a DT 19261 4422 2 certain certain JJ 19261 4422 3 diagnosis diagnosis NN 19261 4422 4 as as IN 19261 4422 5 to to IN 19261 4422 6 the the DT 19261 4422 7 cause cause NN 19261 4422 8 of of IN 19261 4422 9 the the DT 19261 4422 10 condition condition NN 19261 4422 11 must must MD 19261 4422 12 be be VB 19261 4422 13 made make VBN 19261 4422 14 by by IN 19261 4422 15 laboratory laboratory NN 19261 4422 16 and and CC 19261 4422 17 therapeutic therapeutic JJ 19261 4422 18 tests test NNS 19261 4422 19 , , , 19261 4422 20 supplemented supplement VBN 19261 4422 21 by by IN 19261 4422 22 biopsy biopsy NN 19261 4422 23 if if IN 19261 4422 24 necessary necessary JJ 19261 4422 25 . . . 19261 4423 1 Vigorous vigorous JJ 19261 4423 2 antiluetic antiluetic JJ 19261 4423 3 treatment treatment NN 19261 4423 4 , , , 19261 4423 5 especially especially RB 19261 4423 6 with with IN 19261 4423 7 protiodide protiodide NN 19261 4423 8 of of IN 19261 4423 9 mercury mercury NN 19261 4423 10 , , , 19261 4423 11 must must MD 19261 4423 12 precede precede VB 19261 4423 13 operation operation NN 19261 4423 14 in in IN 19261 4423 15 all all DT 19261 4423 16 luetic luetic JJ 19261 4423 17 cases case NNS 19261 4423 18 . . . 19261 4424 1 Necrotic necrotic JJ 19261 4424 2 cartilage cartilage NN 19261 4424 3 is be VBZ 19261 4424 4 best well RBS 19261 4424 5 treated treat VBN 19261 4424 6 by by IN 19261 4424 7 laryngostomy laryngostomy NN 19261 4424 8 . . . 19261 4425 1 Intubational intubational JJ 19261 4425 2 dilatation dilatation NN 19261 4425 3 will will MD 19261 4425 4 succeed succeed VB 19261 4425 5 in in IN 19261 4425 6 some some DT 19261 4425 7 cases case NNS 19261 4425 8 . . . 19261 4426 1 [ [ -LRB- 19261 4426 2 FIG FIG NNP 19261 4426 3 . . . 19261 4427 1 109.--Schema 109.--schema CD 19261 4427 2 showing show VBG 19261 4427 3 the the DT 19261 4427 4 author author NN 19261 4427 5 's 's POS 19261 4427 6 method method NN 19261 4427 7 of of IN 19261 4427 8 laryngostomy laryngostomy NN 19261 4427 9 . . . 19261 4428 1 The the DT 19261 4428 2 hollow hollow JJ 19261 4428 3 upward upward JJ 19261 4428 4 metallic metallic JJ 19261 4428 5 branch branch NN 19261 4428 6 ( ( -LRB- 19261 4428 7 N n NN 19261 4428 8 ) ) -RRB- 19261 4428 9 of of IN 19261 4428 10 the the DT 19261 4428 11 cannula cannula NN 19261 4428 12 ( ( -LRB- 19261 4428 13 C c NN 19261 4428 14 ) ) -RRB- 19261 4428 15 holds hold VBZ 19261 4428 16 the the DT 19261 4428 17 rubber rubber NN 19261 4428 18 tube tube NN 19261 4428 19 ( ( -LRB- 19261 4428 20 R r NN 19261 4428 21 ) ) -RRB- 19261 4428 22 back back RB 19261 4428 23 firmly firmly RB 19261 4428 24 against against IN 19261 4428 25 the the DT 19261 4428 26 spur spur NN 19261 4428 27 usually usually RB 19261 4428 28 found find VBN 19261 4428 29 on on IN 19261 4428 30 the the DT 19261 4428 31 back back JJ 19261 4428 32 wall wall NN 19261 4428 33 of of IN 19261 4428 34 the the DT 19261 4428 35 trachea trachea NN 19261 4428 36 . . . 19261 4429 1 Moreover moreover RB 19261 4429 2 , , , 19261 4429 3 the the DT 19261 4429 4 air air NN 19261 4429 5 passing pass VBG 19261 4429 6 up up RP 19261 4429 7 through through IN 19261 4429 8 the the DT 19261 4429 9 rubber rubber NN 19261 4429 10 tube tube NN 19261 4429 11 ( ( -LRB- 19261 4429 12 R r NN 19261 4429 13 ) ) -RRB- 19261 4429 14 permits permit VBZ 19261 4429 15 the the DT 19261 4429 16 patient patient NN 19261 4429 17 to to TO 19261 4429 18 talk talk VB 19261 4429 19 in in IN 19261 4429 20 a a DT 19261 4429 21 loud loud JJ 19261 4429 22 whisper whisper NN 19261 4429 23 , , , 19261 4429 24 the the DT 19261 4429 25 external external JJ 19261 4429 26 orifice orifice NN 19261 4429 27 of of IN 19261 4429 28 the the DT 19261 4429 29 cannula cannula NN 19261 4429 30 being be VBG 19261 4429 31 occluded occlude VBN 19261 4429 32 most most JJS 19261 4429 33 of of IN 19261 4429 34 the the DT 19261 4429 35 time time NN 19261 4429 36 with with IN 19261 4429 37 the the DT 19261 4429 38 cork cork NN 19261 4429 39 ( ( -LRB- 19261 4429 40 K K NNP 19261 4429 41 ) ) -RRB- 19261 4429 42 . . . 19261 4430 1 The the DT 19261 4430 2 rubber rubber NN 19261 4430 3 tubing tubing NN 19261 4430 4 , , , 19261 4430 5 when when WRB 19261 4430 6 large large JJ 19261 4430 7 sizes size NNS 19261 4430 8 are be VBP 19261 4430 9 reached reach VBN 19261 4430 10 may may MD 19261 4430 11 extend extend VB 19261 4430 12 down down RP 19261 4430 13 to to IN 19261 4430 14 the the DT 19261 4430 15 lower low JJR 19261 4430 16 end end NN 19261 4430 17 of of IN 19261 4430 18 the the DT 19261 4430 19 cannula cannula NN 19261 4430 20 , , , 19261 4430 21 the the DT 19261 4430 22 part part NN 19261 4430 23 C C NNP 19261 4430 24 coming come VBG 19261 4430 25 out out RP 19261 4430 26 through through IN 19261 4430 27 a a DT 19261 4430 28 large large JJ 19261 4430 29 hole hole NN 19261 4430 30 cut cut VBN 19261 4430 31 in in IN 19261 4430 32 the the DT 19261 4430 33 tubing tubing NN 19261 4430 34 at at IN 19261 4430 35 the the DT 19261 4430 36 proper proper JJ 19261 4430 37 distance distance NN 19261 4430 38 from from IN 19261 4430 39 the the DT 19261 4430 40 lower low JJR 19261 4430 41 end end NN 19261 4430 42 . . . 19261 4430 43 ] ] -RRB- 19261 4431 1 _ _ NNP 19261 4431 2 Laryngoscopic Laryngoscopic NNP 19261 4431 3 bouginage bouginage NN 19261 4431 4 _ _ NNP 19261 4431 5 once once RB 19261 4431 6 weekly weekly JJ 19261 4431 7 with with IN 19261 4431 8 the the DT 19261 4431 9 laryngeal laryngeal NN 19261 4431 10 bougies bougie NNS 19261 4431 11 ( ( -LRB- 19261 4431 12 Fig fig NN 19261 4431 13 . . . 19261 4432 1 42 42 CD 19261 4432 2 ) ) -RRB- 19261 4432 3 will will MD 19261 4432 4 cure cure VB 19261 4432 5 most most JJS 19261 4432 6 cases case NNS 19261 4432 7 of of IN 19261 4432 8 laryngeal laryngeal JJ 19261 4432 9 stenosis stenosis NN 19261 4432 10 . . . 19261 4433 1 For for IN 19261 4433 2 the the DT 19261 4433 3 trachea trachea NN 19261 4433 4 , , , 19261 4433 5 round round JJ 19261 4433 6 , , , 19261 4433 7 silk silk NN 19261 4433 8 - - HYPH 19261 4433 9 woven weave VBN 19261 4433 10 , , , 19261 4433 11 or or CC 19261 4433 12 metallic metallic JJ 19261 4433 13 bougies bougie NNS 19261 4433 14 ( ( -LRB- 19261 4433 15 Fig fig NN 19261 4433 16 . . . 19261 4434 1 40 40 CD 19261 4434 2 ) ) -RRB- 19261 4434 3 are be VBP 19261 4434 4 better well JJR 19261 4434 5 . . . 19261 4435 1 [ [ -LRB- 19261 4435 2 307 307 CD 19261 4435 3 ] ] -RRB- 19261 4435 4 _ _ NNP 19261 4435 5 Laryngostomy Laryngostomy NNP 19261 4435 6 _ _ NNP 19261 4435 7 consists consist VBZ 19261 4435 8 in in IN 19261 4435 9 a a DT 19261 4435 10 midline midline NN 19261 4435 11 division division NN 19261 4435 12 of of IN 19261 4435 13 the the DT 19261 4435 14 laryngeal laryngeal NN 19261 4435 15 and and CC 19261 4435 16 tracheal tracheal NN 19261 4435 17 cartilages cartilage NNS 19261 4435 18 as as RB 19261 4435 19 low low JJ 19261 4435 20 as as IN 19261 4435 21 the the DT 19261 4435 22 tracheotomic tracheotomic NNP 19261 4435 23 fistula fistula NNP 19261 4435 24 , , , 19261 4435 25 excision excision NN 19261 4435 26 of of IN 19261 4435 27 thick thick JJ 19261 4435 28 cicatricial cicatricial JJ 19261 4435 29 tissue tissue NN 19261 4435 30 , , , 19261 4435 31 very very RB 19261 4435 32 cautious cautious JJ 19261 4435 33 incision incision NN 19261 4435 34 of of IN 19261 4435 35 the the DT 19261 4435 36 scar scar JJ 19261 4435 37 tissue tissue NN 19261 4435 38 on on IN 19261 4435 39 the the DT 19261 4435 40 posterior posterior NN 19261 4435 41 wall wall NN 19261 4435 42 , , , 19261 4435 43 if if IN 19261 4435 44 necessary necessary JJ 19261 4435 45 , , , 19261 4435 46 and and CC 19261 4435 47 the the DT 19261 4435 48 placing placing NN 19261 4435 49 of of IN 19261 4435 50 the the DT 19261 4435 51 author author NN 19261 4435 52 's 's POS 19261 4435 53 laryngostomy laryngostomy NN 19261 4435 54 tube tube NN 19261 4435 55 for for IN 19261 4435 56 dilatation dilatation NN 19261 4435 57 ( ( -LRB- 19261 4435 58 Fig fig NN 19261 4435 59 . . . 19261 4436 1 109 109 CD 19261 4436 2 ) ) -RRB- 19261 4436 3 . . . 19261 4437 1 Over over IN 19261 4437 2 the the DT 19261 4437 3 upward upward JJ 19261 4437 4 branch branch NN 19261 4437 5 of of IN 19261 4437 6 the the DT 19261 4437 7 laryngostomy laryngostomy NN 19261 4437 8 tube tube NN 19261 4437 9 is be VBZ 19261 4437 10 slipped slip VBN 19261 4437 11 a a DT 19261 4437 12 piece piece NN 19261 4437 13 of of IN 19261 4437 14 rubber rubber NN 19261 4437 15 tubing tubing NN 19261 4437 16 which which WDT 19261 4437 17 is be VBZ 19261 4437 18 in in IN 19261 4437 19 turn turn NN 19261 4437 20 anchored anchor VBN 19261 4437 21 to to IN 19261 4437 22 the the DT 19261 4437 23 tape tape NN 19261 4437 24 carrier carrier NN 19261 4437 25 by by IN 19261 4437 26 braided braided JJ 19261 4437 27 silk silk NN 19261 4437 28 thread thread NN 19261 4437 29 . . . 19261 4438 1 Progressively progressively RB 19261 4438 2 larger large JJR 19261 4438 3 sizes size NNS 19261 4438 4 of of IN 19261 4438 5 rubber rubber NN 19261 4438 6 tubing tubing NN 19261 4438 7 are be VBP 19261 4438 8 used use VBN 19261 4438 9 as as IN 19261 4438 10 the the DT 19261 4438 11 laryngeal laryngeal NN 19261 4438 12 lumen luman NNS 19261 4438 13 increases increase VBZ 19261 4438 14 in in IN 19261 4438 15 size size NN 19261 4438 16 under under IN 19261 4438 17 the the DT 19261 4438 18 absorptive absorptive JJ 19261 4438 19 influence influence NN 19261 4438 20 of of IN 19261 4438 21 the the DT 19261 4438 22 continuous continuous JJ 19261 4438 23 elastic elastic JJ 19261 4438 24 pressure pressure NN 19261 4438 25 of of IN 19261 4438 26 the the DT 19261 4438 27 rubber rubber NN 19261 4438 28 . . . 19261 4439 1 Several several JJ 19261 4439 2 months month NNS 19261 4439 3 of of IN 19261 4439 4 wearing wear VBG 19261 4439 5 the the DT 19261 4439 6 tube tube NN 19261 4439 7 are be VBP 19261 4439 8 required require VBN 19261 4439 9 until until IN 19261 4439 10 dilatation dilatation NN 19261 4439 11 and and CC 19261 4439 12 epithelialization epithelialization NN 19261 4439 13 of of IN 19261 4439 14 the the DT 19261 4439 15 open open JJ 19261 4439 16 trough trough NN 19261 4439 17 thus thus RB 19261 4439 18 formed form VBN 19261 4439 19 are be VBP 19261 4439 20 completed complete VBN 19261 4439 21 . . . 19261 4440 1 Painstaking painstaking JJ 19261 4440 2 after after IN 19261 4440 3 - - HYPH 19261 4440 4 care care NN 19261 4440 5 is be VBZ 19261 4440 6 essential essential JJ 19261 4440 7 to to IN 19261 4440 8 success success NN 19261 4440 9 . . . 19261 4441 1 When when WRB 19261 4441 2 dilatation dilatation NN 19261 4441 3 and and CC 19261 4441 4 healing healing NN 19261 4441 5 have have VBP 19261 4441 6 taken take VBN 19261 4441 7 place place NN 19261 4441 8 , , , 19261 4441 9 the the DT 19261 4441 10 laryngostomy laryngostomy NN 19261 4441 11 wound wind VBD 19261 4441 12 in in IN 19261 4441 13 the the DT 19261 4441 14 neck neck NN 19261 4441 15 is be VBZ 19261 4441 16 closed close VBN 19261 4441 17 by by IN 19261 4441 18 a a DT 19261 4441 19 plastic plastic JJ 19261 4441 20 operation operation NN 19261 4441 21 to to TO 19261 4441 22 convert convert VB 19261 4441 23 the the DT 19261 4441 24 trough trough NN 19261 4441 25 into into IN 19261 4441 26 a a DT 19261 4441 27 trachea trachea NN 19261 4441 28 by by IN 19261 4441 29 supplying supply VBG 19261 4441 30 an an DT 19261 4441 31 anterior anterior JJ 19261 4441 32 wall wall NN 19261 4441 33 . . . 19261 4442 1 _ _ NNP 19261 4442 2 Intubational intubational JJ 19261 4442 3 treatment treatment NN 19261 4442 4 of of IN 19261 4442 5 chronic chronic JJ 19261 4442 6 laryngeal laryngeal NN 19261 4442 7 stenosis stenosis NN 19261 4442 8 _ _ NNP 19261 4442 9 may may MD 19261 4442 10 be be VB 19261 4442 11 tried try VBN 19261 4442 12 in in IN 19261 4442 13 certain certain JJ 19261 4442 14 forms form NNS 19261 4442 15 of of IN 19261 4442 16 stenosis stenosis NN 19261 4442 17 in in IN 19261 4442 18 which which WDT 19261 4442 19 the the DT 19261 4442 20 cicatrices cicatrix NNS 19261 4442 21 do do VBP 19261 4442 22 not not RB 19261 4442 23 seem seem VB 19261 4442 24 very very RB 19261 4442 25 thick thick JJ 19261 4442 26 . . . 19261 4443 1 The the DT 19261 4443 2 tube tube NN 19261 4443 3 is be VBZ 19261 4443 4 a a DT 19261 4443 5 silver silver NN 19261 4443 6 - - HYPH 19261 4443 7 plated plate VBN 19261 4443 8 brass brass NN 19261 4443 9 one one CD 19261 4443 10 of of IN 19261 4443 11 large large JJ 19261 4443 12 size size NN 19261 4443 13 ( ( -LRB- 19261 4443 14 Fig fig NN 19261 4443 15 . . . 19261 4444 1 110 110 CD 19261 4444 2 ) ) -RRB- 19261 4444 3 . . . 19261 4445 1 A a DT 19261 4445 2 post post NN 19261 4445 3 which which WDT 19261 4445 4 screws screw VBZ 19261 4445 5 into into IN 19261 4445 6 the the DT 19261 4445 7 anterior anterior JJ 19261 4445 8 surface surface NN 19261 4445 9 of of IN 19261 4445 10 the the DT 19261 4445 11 tube tube NN 19261 4445 12 prevents prevent VBZ 19261 4445 13 its -PRON- PRP$ 19261 4445 14 expulsion expulsion NN 19261 4445 15 . . . 19261 4446 1 Over over IN 19261 4446 2 the the DT 19261 4446 3 post post NN 19261 4446 4 is be VBZ 19261 4446 5 slipped slip VBN 19261 4446 6 a a DT 19261 4446 7 block block NN 19261 4446 8 which which WDT 19261 4446 9 serves serve VBZ 19261 4446 10 to to TO 19261 4446 11 keep keep VB 19261 4446 12 open open JJ 19261 4446 13 the the DT 19261 4446 14 tracheal tracheal NN 19261 4446 15 fistula fistula NN 19261 4446 16 . . . 19261 4447 1 Detailed detailed JJ 19261 4447 2 discussion discussion NN 19261 4447 3 of of IN 19261 4447 4 these these DT 19261 4447 5 operative operative JJ 19261 4447 6 treatments treatment NNS 19261 4447 7 is be VBZ 19261 4447 8 outside outside IN 19261 4447 9 the the DT 19261 4447 10 scope scope NN 19261 4447 11 of of IN 19261 4447 12 this this DT 19261 4447 13 work work NN 19261 4447 14 , , , 19261 4447 15 but but CC 19261 4447 16 mention mention NN 19261 4447 17 is be VBZ 19261 4447 18 made make VBN 19261 4447 19 for for IN 19261 4447 20 the the DT 19261 4447 21 sake sake NN 19261 4447 22 of of IN 19261 4447 23 completeness completeness NN 19261 4447 24 . . . 19261 4448 1 Before before IN 19261 4448 2 undertaking undertake VBG 19261 4448 3 any any DT 19261 4448 4 of of IN 19261 4448 5 the the DT 19261 4448 6 foregoing foregoing JJ 19261 4448 7 procedures procedure NNS 19261 4448 8 , , , 19261 4448 9 a a DT 19261 4448 10 careful careful JJ 19261 4448 11 study study NN 19261 4448 12 of of IN 19261 4448 13 the the DT 19261 4448 14 complete complete JJ 19261 4448 15 descriptions description NNS 19261 4448 16 in in IN 19261 4448 17 Peroral Peroral NNP 19261 4448 18 Endoscopy Endoscopy NNP 19261 4448 19 is be VBZ 19261 4448 20 necessary necessary JJ 19261 4448 21 , , , 19261 4448 22 and and CC 19261 4448 23 a a DT 19261 4448 24 practical practical JJ 19261 4448 25 course course NN 19261 4448 26 of of IN 19261 4448 27 training training NN 19261 4448 28 is be VBZ 19261 4448 29 advisable advisable JJ 19261 4448 30 . . . 19261 4449 1 [ [ -LRB- 19261 4449 2 FIG FIG NNP 19261 4449 3 . . . 19261 4450 1 110.--The 110.--the CD 19261 4450 2 author author NN 19261 4450 3 's 's POS 19261 4450 4 retaining retain VBG 19261 4450 5 intubation intubation NN 19261 4450 6 tube tube NN 19261 4450 7 for for IN 19261 4450 8 treatment treatment NN 19261 4450 9 of of IN 19261 4450 10 chronic chronic JJ 19261 4450 11 laryngeal laryngeal NN 19261 4450 12 stenosis stenosis NN 19261 4450 13 . . . 19261 4451 1 The the DT 19261 4451 2 tube tube NN 19261 4451 3 ( ( -LRB- 19261 4451 4 A a NN 19261 4451 5 ) ) -RRB- 19261 4451 6 is be VBZ 19261 4451 7 introduced introduce VBN 19261 4451 8 through through IN 19261 4451 9 the the DT 19261 4451 10 mouth mouth NN 19261 4451 11 , , , 19261 4451 12 then then RB 19261 4451 13 the the DT 19261 4451 14 post post NN 19261 4451 15 ( ( -LRB- 19261 4451 16 B b NN 19261 4451 17 ) ) -RRB- 19261 4451 18 is be VBZ 19261 4451 19 screwed screw VBN 19261 4451 20 in in RP 19261 4451 21 through through IN 19261 4451 22 the the DT 19261 4451 23 tracheal tracheal NN 19261 4451 24 wound wound NN 19261 4451 25 . . . 19261 4452 1 Then then RB 19261 4452 2 the the DT 19261 4452 3 block block NN 19261 4452 4 ( ( -LRB- 19261 4452 5 C C NNP 19261 4452 6 ) ) -RRB- 19261 4452 7 is be VBZ 19261 4452 8 slid slide VBN 19261 4452 9 into into IN 19261 4452 10 the the DT 19261 4452 11 wound wound NN 19261 4452 12 , , , 19261 4452 13 the the DT 19261 4452 14 square square JJ 19261 4452 15 hole hole NN 19261 4452 16 in in IN 19261 4452 17 the the DT 19261 4452 18 block block NN 19261 4452 19 guarding guard VBG 19261 4452 20 the the DT 19261 4452 21 post post NN 19261 4452 22 against against IN 19261 4452 23 all all DT 19261 4452 24 possibility possibility NN 19261 4452 25 of of IN 19261 4452 26 unscrewing unscrew VBG 19261 4452 27 . . . 19261 4453 1 If if IN 19261 4453 2 the the DT 19261 4453 3 threads thread NNS 19261 4453 4 of of IN 19261 4453 5 the the DT 19261 4453 6 post post NN 19261 4453 7 are be VBP 19261 4453 8 properly properly RB 19261 4453 9 fitted fit VBN 19261 4453 10 and and CC 19261 4453 11 tightly tightly RB 19261 4453 12 screwed screw VBD 19261 4453 13 up up RP 19261 4453 14 with with IN 19261 4453 15 a a DT 19261 4453 16 hemostat hemostat NN 19261 4453 17 , , , 19261 4453 18 however however RB 19261 4453 19 , , , 19261 4453 20 there there EX 19261 4453 21 is be VBZ 19261 4453 22 no no DT 19261 4453 23 chance chance NN 19261 4453 24 of of IN 19261 4453 25 unscrewing unscrew VBG 19261 4453 26 and and CC 19261 4453 27 gauze gauze NN 19261 4453 28 packing packing NN 19261 4453 29 is be VBZ 19261 4453 30 used use VBN 19261 4453 31 instead instead RB 19261 4453 32 of of IN 19261 4453 33 the the DT 19261 4453 34 block block NN 19261 4453 35 to to TO 19261 4453 36 maintain maintain VB 19261 4453 37 a a DT 19261 4453 38 large large JJ 19261 4453 39 fistula fistula NN 19261 4453 40 . . . 19261 4454 1 The the DT 19261 4454 2 shape shape NN 19261 4454 3 of of IN 19261 4454 4 the the DT 19261 4454 5 intubation intubation NN 19261 4454 6 tube tube NN 19261 4454 7 has have VBZ 19261 4454 8 been be VBN 19261 4454 9 arrived arrive VBN 19261 4454 10 at at IN 19261 4454 11 after after IN 19261 4454 12 long long JJ 19261 4454 13 clinical clinical JJ 19261 4454 14 study study NN 19261 4454 15 and and CC 19261 4454 16 trials trial NNS 19261 4454 17 , , , 19261 4454 18 and and CC 19261 4454 19 can can MD 19261 4454 20 not not RB 19261 4454 21 be be VB 19261 4454 22 altered alter VBN 19261 4454 23 without without IN 19261 4454 24 risk risk NN 19261 4454 25 of of IN 19261 4454 26 falling fall VBG 19261 4454 27 into into IN 19261 4454 28 errors error NNS 19261 4454 29 that that WDT 19261 4454 30 have have VBP 19261 4454 31 been be VBN 19261 4454 32 made make VBN 19261 4454 33 and and CC 19261 4454 34 eliminated eliminate VBN 19261 4454 35 in in IN 19261 4454 36 the the DT 19261 4454 37 development development NN 19261 4454 38 of of IN 19261 4454 39 this this DT 19261 4454 40 shape shape NN 19261 4454 41 . . . 19261 4454 42 ] ] -RRB- 19261 4455 1 [ [ -LRB- 19261 4455 2 309 309 CD 19261 4455 3 ] ] -RRB- 19261 4455 4 CHAPTER chapter NN 19261 4455 5 XXXIX xxxix NN 19261 4455 6 -- -- : 19261 4455 7 DECANNULATION decannulation NN 19261 4455 8 AFTER after IN 19261 4455 9 CURE CURE NNP 19261 4455 10 OF of IN 19261 4455 11 LARYNGEAL LARYNGEAL NNP 19261 4455 12 STENOSIS STENOSIS NNP 19261 4455 13 In in IN 19261 4455 14 order order NN 19261 4455 15 to to TO 19261 4455 16 train train VB 19261 4455 17 the the DT 19261 4455 18 patient patient NN 19261 4455 19 to to TO 19261 4455 20 breathe breathe VB 19261 4455 21 again again RB 19261 4455 22 through through IN 19261 4455 23 the the DT 19261 4455 24 larynx larynx NN 19261 4455 25 it -PRON- PRP 19261 4455 26 is be VBZ 19261 4455 27 necessary necessary JJ 19261 4455 28 to to TO 19261 4455 29 occlude occlude VB 19261 4455 30 the the DT 19261 4455 31 cannula cannula NN 19261 4455 32 . . . 19261 4456 1 This this DT 19261 4456 2 is be VBZ 19261 4456 3 best well RBS 19261 4456 4 done do VBN 19261 4456 5 by by IN 19261 4456 6 inserting insert VBG 19261 4456 7 a a DT 19261 4456 8 rubber rubber NN 19261 4456 9 cork cork NN 19261 4456 10 in in IN 19261 4456 11 the the DT 19261 4456 12 inner inner JJ 19261 4456 13 cannula cannula NN 19261 4456 14 . . . 19261 4457 1 At at IN 19261 4457 2 first first RB 19261 4457 3 it -PRON- PRP 19261 4457 4 may may MD 19261 4457 5 be be VB 19261 4457 6 necessary necessary JJ 19261 4457 7 to to TO 19261 4457 8 make make VB 19261 4457 9 a a DT 19261 4457 10 slot slot NN 19261 4457 11 in in IN 19261 4457 12 the the DT 19261 4457 13 cork cork NN 19261 4457 14 so so IN 19261 4457 15 as as IN 19261 4457 16 to to TO 19261 4457 17 permit permit VB 19261 4457 18 some some DT 19261 4457 19 air air NN 19261 4457 20 to to TO 19261 4457 21 enter enter VB 19261 4457 22 through through IN 19261 4457 23 the the DT 19261 4457 24 tube tube NN 19261 4457 25 to to TO 19261 4457 26 supplement supplement VB 19261 4457 27 the the DT 19261 4457 28 insufficient insufficient JJ 19261 4457 29 supply supply NN 19261 4457 30 obtainable obtainable JJ 19261 4457 31 through through IN 19261 4457 32 the the DT 19261 4457 33 insufficiently insufficiently RB 19261 4457 34 patulous patulous JJ 19261 4457 35 glottis glottis NN 19261 4457 36 , , , 19261 4457 37 new new JJ 19261 4457 38 corks cork NNS 19261 4457 39 with with IN 19261 4457 40 smaller small JJR 19261 4457 41 grooves groove NNS 19261 4457 42 being be VBG 19261 4457 43 substituted substitute VBN 19261 4457 44 as as IN 19261 4457 45 laryngeal laryngeal NN 19261 4457 46 breathing breathing NN 19261 4457 47 becomes become VBZ 19261 4457 48 easier easy JJR 19261 4457 49 . . . 19261 4458 1 Corking cork VBG 19261 4458 2 the the DT 19261 4458 3 cannula cannula NN 19261 4458 4 is be VBZ 19261 4458 5 an an DT 19261 4458 6 excellent excellent JJ 19261 4458 7 orthopedic orthopedic JJ 19261 4458 8 treatment treatment NN 19261 4458 9 in in IN 19261 4458 10 certain certain JJ 19261 4458 11 cases case NNS 19261 4458 12 where where WRB 19261 4458 13 muscle muscle NN 19261 4458 14 atrophy atrophy NN 19261 4458 15 and and CC 19261 4458 16 partial partial JJ 19261 4458 17 inflammatory inflammatory JJ 19261 4458 18 fixation fixation NN 19261 4458 19 of of IN 19261 4458 20 the the DT 19261 4458 21 cricoarytenoid cricoarytenoid JJ 19261 4458 22 joints joint NNS 19261 4458 23 are be VBP 19261 4458 24 etiological etiological JJ 19261 4458 25 factors factor NNS 19261 4458 26 in in IN 19261 4458 27 the the DT 19261 4458 28 stenosis stenosis NN 19261 4458 29 . . . 19261 4459 1 The the DT 19261 4459 2 added add VBN 19261 4459 3 pull pull NN 19261 4459 4 of of IN 19261 4459 5 the the DT 19261 4459 6 posterior posterior NN 19261 4459 7 cricoarytenoid cricoarytenoid NN 19261 4459 8 muscles muscle NNS 19261 4459 9 during during IN 19261 4459 10 the the DT 19261 4459 11 slight slight JJ 19261 4459 12 effort effort NN 19261 4459 13 at at IN 19261 4459 14 inspiration inspiration NN 19261 4459 15 restores restore VBZ 19261 4459 16 their -PRON- PRP$ 19261 4459 17 tone tone NN 19261 4459 18 and and CC 19261 4459 19 increases increase VBZ 19261 4459 20 the the DT 19261 4459 21 mobility mobility NN 19261 4459 22 of of IN 19261 4459 23 all all PDT 19261 4459 24 the the DT 19261 4459 25 attached attach VBN 19261 4459 26 structures structure NNS 19261 4459 27 . . . 19261 4460 1 By by IN 19261 4460 2 no no DT 19261 4460 3 other other JJ 19261 4460 4 method method NN 19261 4460 5 can can MD 19261 4460 6 panic panic VB 19261 4460 7 and and CC 19261 4460 8 spasmodic spasmodic JJ 19261 4460 9 stenosis stenosis NN 19261 4460 10 be be VB 19261 4460 11 so so RB 19261 4460 12 efficiently efficiently RB 19261 4460 13 cured cure VBN 19261 4460 14 . . . 19261 4461 1 [ [ -LRB- 19261 4461 2 FIG FIG NNP 19261 4461 3 . . . 19261 4462 1 111.--Illustration 111.--illustration CD 19261 4462 2 of of IN 19261 4462 3 corks cork NNS 19261 4462 4 used use VBN 19261 4462 5 to to TO 19261 4462 6 occlude occlude VB 19261 4462 7 the the DT 19261 4462 8 cannula cannula NN 19261 4462 9 in in IN 19261 4462 10 training train VBG 19261 4462 11 patients patient NNS 19261 4462 12 to to TO 19261 4462 13 breathe breathe VB 19261 4462 14 through through IN 19261 4462 15 the the DT 19261 4462 16 mouth mouth NN 19261 4462 17 again again RB 19261 4462 18 , , , 19261 4462 19 before before IN 19261 4462 20 decannulation decannulation NN 19261 4462 21 . . . 19261 4463 1 The the DT 19261 4463 2 corks cork NNS 19261 4463 3 allow allow VBP 19261 4463 4 air air NN 19261 4463 5 leakage leakage NN 19261 4463 6 , , , 19261 4463 7 the the DT 19261 4463 8 amount amount NN 19261 4463 9 of of IN 19261 4463 10 which which WDT 19261 4463 11 is be VBZ 19261 4463 12 regulated regulate VBN 19261 4463 13 by by IN 19261 4463 14 the the DT 19261 4463 15 use use NN 19261 4463 16 of of IN 19261 4463 17 different different JJ 19261 4463 18 shapes shape NNS 19261 4463 19 . . . 19261 4464 1 A a DT 19261 4464 2 smaller small JJR 19261 4464 3 and and CC 19261 4464 4 still still RB 19261 4464 5 smaller small JJR 19261 4464 6 air air NN 19261 4464 7 leak leak NN 19261 4464 8 is be VBZ 19261 4464 9 permitted permit VBN 19261 4464 10 until until IN 19261 4464 11 finally finally RB 19261 4464 12 an an DT 19261 4464 13 ungrooved ungrooved JJ 19261 4464 14 cork cork NN 19261 4464 15 is be VBZ 19261 4464 16 tolerated tolerate VBN 19261 4464 17 . . . 19261 4465 1 A a DT 19261 4465 2 central central JJ 19261 4465 3 hole hole NN 19261 4465 4 is be VBZ 19261 4465 5 sometimes sometimes RB 19261 4465 6 used use VBN 19261 4465 7 instead instead RB 19261 4465 8 of of IN 19261 4465 9 a a DT 19261 4465 10 slot slot NN 19261 4465 11 . . . 19261 4466 1 A a DT 19261 4466 2 , , , 19261 4466 3 one one CD 19261 4466 4 - - HYPH 19261 4466 5 third third NN 19261 4466 6 cork cork NN 19261 4466 7 ; ; : 19261 4466 8 B b NN 19261 4466 9 , , , 19261 4466 10 half half NN 19261 4466 11 cork cork NN 19261 4466 12 ; ; : 19261 4466 13 C C NNP 19261 4466 14 , , , 19261 4466 15 three three CD 19261 4466 16 - - HYPH 19261 4466 17 quarter quarter NN 19261 4466 18 cork cork NN 19261 4466 19 ; ; : 19261 4466 20 D d NN 19261 4466 21 , , , 19261 4466 22 whole whole JJ 19261 4466 23 cork cork NN 19261 4466 24 . . . 19261 4466 25 ] ] -RRB- 19261 4467 1 Following follow VBG 19261 4467 2 the the DT 19261 4467 3 subsidence subsidence NN 19261 4467 4 of of IN 19261 4467 5 an an DT 19261 4467 6 acute acute JJ 19261 4467 7 laryngeal laryngeal NN 19261 4467 8 stenosis stenosis NN 19261 4467 9 , , , 19261 4467 10 it -PRON- PRP 19261 4467 11 is be VBZ 19261 4467 12 my -PRON- PRP$ 19261 4467 13 rule rule NN 19261 4467 14 to to TO 19261 4467 15 decannulate decannulate VB 19261 4467 16 after after IN 19261 4467 17 the the DT 19261 4467 18 patient patient NN 19261 4467 19 has have VBZ 19261 4467 20 been be VBN 19261 4467 21 able able JJ 19261 4467 22 to to TO 19261 4467 23 breathe breathe VB 19261 4467 24 through through IN 19261 4467 25 the the DT 19261 4467 26 larynx larynx NN 19261 4467 27 with with IN 19261 4467 28 the the DT 19261 4467 29 cannula cannula NN 19261 4467 30 tightly tightly RB 19261 4467 31 corked cork VBN 19261 4467 32 for for IN 19261 4467 33 3 3 CD 19261 4467 34 days day NNS 19261 4467 35 and and CC 19261 4467 36 nights night NNS 19261 4467 37 . . . 19261 4468 1 This this DT 19261 4468 2 rule rule NN 19261 4468 3 does do VBZ 19261 4468 4 not not RB 19261 4468 5 apply apply VB 19261 4468 6 to to IN 19261 4468 7 chronic chronic JJ 19261 4468 8 laryngeal laryngeal NN 19261 4468 9 stenosis stenosis NN 19261 4468 10 , , , 19261 4468 11 for for IN 19261 4468 12 while while IN 19261 4468 13 the the DT 19261 4468 14 lumen luman NNS 19261 4468 15 under under IN 19261 4468 16 ordinary ordinary JJ 19261 4468 17 conditions condition NNS 19261 4468 18 might may MD 19261 4468 19 be be VB 19261 4468 20 ample ample JJ 19261 4468 21 , , , 19261 4468 22 a a DT 19261 4468 23 slight slight JJ 19261 4468 24 degree degree NN 19261 4468 25 of of IN 19261 4468 26 inflammation inflammation NN 19261 4468 27 might may MD 19261 4468 28 render render VB 19261 4468 29 it -PRON- PRP 19261 4468 30 dangerously dangerously RB 19261 4468 31 small small JJ 19261 4468 32 . . . 19261 4469 1 In in IN 19261 4469 2 these these DT 19261 4469 3 cases case NNS 19261 4469 4 , , , 19261 4469 5 many many JJ 19261 4469 6 weeks week NNS 19261 4469 7 are be VBP 19261 4469 8 sometimes sometimes RB 19261 4469 9 required require VBN 19261 4469 10 to to TO 19261 4469 11 determine determine VB 19261 4469 12 when when WRB 19261 4469 13 decannulation decannulation NN 19261 4469 14 is be VBZ 19261 4469 15 safe safe JJ 19261 4469 16 . . . 19261 4470 1 A a DT 19261 4470 2 test test NN 19261 4470 3 period period NN 19261 4470 4 of of IN 19261 4470 5 a a DT 19261 4470 6 few few JJ 19261 4470 7 months month NNS 19261 4470 8 is be VBZ 19261 4470 9 advisable advisable JJ 19261 4470 10 in in IN 19261 4470 11 most most JJS 19261 4470 12 cases case NNS 19261 4470 13 of of IN 19261 4470 14 chronic chronic JJ 19261 4470 15 laryngeal laryngeal NN 19261 4470 16 stenosis stenosis NN 19261 4470 17 . . . 19261 4471 1 Recurrent recurrent JJ 19261 4471 2 contractions contraction NNS 19261 4471 3 after after IN 19261 4471 4 closure closure NN 19261 4471 5 of of IN 19261 4471 6 the the DT 19261 4471 7 wound wound NN 19261 4471 8 are be VBP 19261 4471 9 best best RB 19261 4471 10 treated treat VBN 19261 4471 11 by by IN 19261 4471 12 endoscopic endoscopic JJ 19261 4471 13 bouginage bouginage NNP 19261 4471 14 . . . 19261 4472 1 The the DT 19261 4472 2 corks cork NNS 19261 4472 3 are be VBP 19261 4472 4 best best RB 19261 4472 5 made make VBN 19261 4472 6 of of IN 19261 4472 7 pure pure JJ 19261 4472 8 rubber rubber NN 19261 4472 9 cord cord NN 19261 4472 10 , , , 19261 4472 11 cut cut NN 19261 4472 12 and and CC 19261 4472 13 ground grind VBN 19261 4472 14 to to TO 19261 4472 15 shape shape NN 19261 4472 16 , , , 19261 4472 17 and and CC 19261 4472 18 grooved groove VBN 19261 4472 19 , , , 19261 4472 20 if if IN 19261 4472 21 desired desire VBN 19261 4472 22 , , , 19261 4472 23 on on IN 19261 4472 24 a a DT 19261 4472 25 small small JJ 19261 4472 26 emery emery NN 19261 4472 27 wheel wheel NN 19261 4472 28 ( ( -LRB- 19261 4472 29 Fig fig NN 19261 4472 30 . . . 19261 4473 1 112 112 CD 19261 4473 2 ) ) -RRB- 19261 4473 3 . . . 19261 4474 1 The the DT 19261 4474 2 ordinary ordinary JJ 19261 4474 3 rubber rubber NN 19261 4474 4 corks cork NNS 19261 4474 5 and and CC 19261 4474 6 those those DT 19261 4474 7 made make VBN 19261 4474 8 of of IN 19261 4474 9 cork cork NN 19261 4474 10 - - HYPH 19261 4474 11 bark bark NN 19261 4474 12 should should MD 19261 4474 13 not not RB 19261 4474 14 be be VB 19261 4474 15 used use VBN 19261 4474 16 because because IN 19261 4474 17 of of IN 19261 4474 18 their -PRON- PRP$ 19261 4474 19 friability friability NN 19261 4474 20 , , , 19261 4474 21 and and CC 19261 4474 22 the the DT 19261 4474 23 possible possible JJ 19261 4474 24 aspiration aspiration NN 19261 4474 25 of of IN 19261 4474 26 a a DT 19261 4474 27 fragment fragment NN 19261 4474 28 into into IN 19261 4474 29 the the DT 19261 4474 30 bronchus bronchus NN 19261 4474 31 , , , 19261 4474 32 where where WRB 19261 4474 33 rubber rubber NN 19261 4474 34 particles particle NNS 19261 4474 35 form form VBP 19261 4474 36 very very RB 19261 4474 37 irritant irritant JJ 19261 4474 38 foreign foreign JJ 19261 4474 39 bodies body NNS 19261 4474 40 . . . 19261 4475 1 [ [ -LRB- 19261 4475 2 FIG FIG NNP 19261 4475 3 . . . 19261 4476 1 112.--This 112.--this CD 19261 4476 2 illustration illustration NN 19261 4476 3 shows show VBZ 19261 4476 4 the the DT 19261 4476 5 method method NN 19261 4476 6 of of IN 19261 4476 7 making make VBG 19261 4476 8 safe safe JJ 19261 4476 9 corks cork NNS 19261 4476 10 for for IN 19261 4476 11 tracheotomic tracheotomic JJ 19261 4476 12 cannulae cannulae NNS 19261 4476 13 by by IN 19261 4476 14 grinding grind VBG 19261 4476 15 pure pure JJ 19261 4476 16 rubber rubber NN 19261 4476 17 cord cord NN 19261 4476 18 to to TO 19261 4476 19 shape shape VB 19261 4476 20 on on IN 19261 4476 21 an an DT 19261 4476 22 emery emery NN 19261 4476 23 wheel wheel NN 19261 4476 24 . . . 19261 4477 1 After after IN 19261 4477 2 grinding grind VBG 19261 4477 3 the the DT 19261 4477 4 taper taper NN 19261 4477 5 , , , 19261 4477 6 if if IN 19261 4477 7 a a DT 19261 4477 8 partial partial JJ 19261 4477 9 cork cork NN 19261 4477 10 is be VBZ 19261 4477 11 desired desire VBN 19261 4477 12 , , , 19261 4477 13 a a DT 19261 4477 14 groove groove NN 19261 4477 15 is be VBZ 19261 4477 16 ground ground NN 19261 4477 17 on on IN 19261 4477 18 the the DT 19261 4477 19 angle angle NN 19261 4477 20 of of IN 19261 4477 21 the the DT 19261 4477 22 wheel wheel NN 19261 4477 23 . . . 19261 4478 1 If if IN 19261 4478 2 a a DT 19261 4478 3 half half JJ 19261 4478 4 - - HYPH 19261 4478 5 cork cork NN 19261 4478 6 is be VBZ 19261 4478 7 desired desire VBN 19261 4478 8 half half NN 19261 4478 9 of of IN 19261 4478 10 the the DT 19261 4478 11 cork cork NN 19261 4478 12 is be VBZ 19261 4478 13 ground grind VBN 19261 4478 14 away away RB 19261 4478 15 on on IN 19261 4478 16 the the DT 19261 4478 17 side side NN 19261 4478 18 of of IN 19261 4478 19 the the DT 19261 4478 20 wheel wheel NN 19261 4478 21 . . . 19261 4479 1 Reliable reliable JJ 19261 4479 2 corks cork NNS 19261 4479 3 made make VBN 19261 4479 4 in in IN 19261 4479 5 this this DT 19261 4479 6 way way NN 19261 4479 7 are be VBP 19261 4479 8 now now RB 19261 4479 9 obtainable obtainable JJ 19261 4479 10 from from IN 19261 4479 11 Messers Messers NNP 19261 4479 12 Charles Charles NNP 19261 4479 13 J. J. NNP 19261 4479 14 Pilling Pilling NNP 19261 4479 15 and and CC 19261 4479 16 Son Son NNP 19261 4479 17 . . . 19261 4479 18 ] ] -RRB- 19261 4480 1 BIBLIOGRAPHY BIBLIOGRAPHY NNP 19261 4480 2 The the DT 19261 4480 3 following following JJ 19261 4480 4 list list NN 19261 4480 5 of of IN 19261 4480 6 publications publication NNS 19261 4480 7 of of IN 19261 4480 8 the the DT 19261 4480 9 author author NN 19261 4480 10 may may MD 19261 4480 11 be be VB 19261 4480 12 useful useful JJ 19261 4480 13 for for IN 19261 4480 14 reference reference NN 19261 4480 15 : : : 19261 4480 16 1 1 CD 19261 4480 17 . . . 19261 4481 1 Peroral Peroral NNP 19261 4481 2 Endoscopy Endoscopy NNP 19261 4481 3 and and CC 19261 4481 4 Laryngeal Laryngeal NNP 19261 4481 5 Surgery Surgery NNP 19261 4481 6 , , , 19261 4481 7 Textbook Textbook NNP 19261 4481 8 , , , 19261 4481 9 1914 1914 CD 19261 4481 10 . . . 19261 4482 1 ( ( -LRB- 19261 4482 2 Contains contain NNS 19261 4482 3 full full JJ 19261 4482 4 bibliography bibliography NN 19261 4482 5 to to IN 19261 4482 6 date date NN 19261 4482 7 of of IN 19261 4482 8 publication publication NN 19261 4482 9 . . . 19261 4482 10 ) ) -RRB- 19261 4483 1 2 2 LS 19261 4483 2 . . . 19261 4484 1 Acromegaly Acromegaly NNP 19261 4484 2 of of IN 19261 4484 3 the the DT 19261 4484 4 Larynx Larynx NNP 19261 4484 5 . . . 19261 4485 1 Journ Journ NNP 19261 4485 2 . . . 19261 4486 1 Amer amer NN 19261 4486 2 . . . 19261 4487 1 Med Med NNP 19261 4487 2 . . . 19261 4488 1 Asso Asso NNP 19261 4488 2 . . . 19261 4488 3 , , , 19261 4488 4 Nov. November NNP 19261 4488 5 30 30 CD 19261 4488 6 , , , 19261 4488 7 1918 1918 CD 19261 4488 8 , , , 19261 4488 9 Vol Vol NNP 19261 4488 10 . . . 19261 4489 1 LXXI LXXI NNP 19261 4489 2 , , , 19261 4489 3 pp pp NNP 19261 4489 4 . . . 19261 4490 1 1787 1787 CD 19261 4490 2 - - SYM 19261 4490 3 1789 1789 CD 19261 4490 4 . . . 19261 4491 1 3 3 LS 19261 4491 2 . . . 19261 4492 1 A a DT 19261 4492 2 Fence Fence NNP 19261 4492 3 Staple staple NN 19261 4492 4 in in IN 19261 4492 5 the the DT 19261 4492 6 Lung Lung NNP 19261 4492 7 . . . 19261 4493 1 A a DT 19261 4493 2 New new JJ 19261 4493 3 Method Method NNP 19261 4493 4 of of IN 19261 4493 5 Bronchoscopic Bronchoscopic NNP 19261 4493 6 Removal Removal NNP 19261 4493 7 . . . 19261 4494 1 Journ Journ NNP 19261 4494 2 . . . 19261 4495 1 Amer amer NN 19261 4495 2 . . . 19261 4496 1 Med Med NNP 19261 4496 2 . . . 19261 4497 1 Asso Asso NNP 19261 4497 2 . . . 19261 4497 3 , , , 19261 4497 4 Vol Vol NNP 19261 4497 5 . . . 19261 4498 1 LXIV LXIV NNP 19261 4498 2 , , , 19261 4498 3 June June NNP 19261 4498 4 5 5 CD 19261 4498 5 , , , 19261 4498 6 1917 1917 CD 19261 4498 7 , , , 19261 4498 8 pp pp NNP 19261 4498 9 . . . 19261 4499 1 1906 1906 CD 19261 4499 2 - - SYM 19261 4499 3 7 7 CD 19261 4499 4 . . . 19261 4500 1 4 4 LS 19261 4500 2 . . . 19261 4501 1 Amalgam Amalgam NNP 19261 4501 2 Tooth Tooth NNP 19261 4501 3 - - HYPH 19261 4501 4 filling filling NNP 19261 4501 5 Aspirated Aspirated NNP 19261 4501 6 into into IN 19261 4501 7 Lung Lung NNP 19261 4501 8 During during IN 19261 4501 9 Extraction Extraction NNP 19261 4501 10 . . . 19261 4502 1 Dental Dental NNP 19261 4502 2 Cosmos Cosmos NNP 19261 4502 3 , , , 19261 4502 4 Vol Vol NNP 19261 4502 5 . . . 19261 4503 1 LIX LIX NNP 19261 4503 2 , , , 19261 4503 3 May May NNP 19261 4503 4 , , , 19261 4503 5 1917 1917 CD 19261 4503 6 , , , 19261 4503 7 pp pp NNP 19261 4503 8 . . . 19261 4504 1 500 500 CD 19261 4504 2 - - SYM 19261 4504 3 502 502 CD 19261 4504 4 . . . 19261 4505 1 5 5 CD 19261 4505 2 . . . 19261 4506 1 Amalgam Amalgam NNP 19261 4506 2 Filling Filling NNP 19261 4506 3 Removed Removed NNP 19261 4506 4 from from IN 19261 4506 5 Lung Lung NNP 19261 4506 6 after after IN 19261 4506 7 a a DT 19261 4506 8 Seven seven CD 19261 4506 9 Months Months NNPS 19261 4506 10 ' ' POS 19261 4506 11 Sojourn sojourn NN 19261 4506 12 : : : 19261 4506 13 Case Case NNP 19261 4506 14 Report Report NNP 19261 4506 15 . . . 19261 4507 1 Dental Dental NNP 19261 4507 2 Cosmos Cosmos NNP 19261 4507 3 , , , 19261 4507 4 April April NNP 19261 4507 5 , , , 19261 4507 6 1920 1920 CD 19261 4507 7 . . . 19261 4508 1 6 6 CD 19261 4508 2 . . . 19261 4509 1 A a DT 19261 4509 2 Mechanical Mechanical NNP 19261 4509 3 Spoon Spoon NNP 19261 4509 4 for for IN 19261 4509 5 Esophagoscopic Esophagoscopic NNP 19261 4509 6 Use Use NNP 19261 4509 7 . . . 19261 4510 1 The the DT 19261 4510 2 Laryngoscope Laryngoscope NNP 19261 4510 3 , , , 19261 4510 4 January January NNP 19261 4510 5 , , , 19261 4510 6 1918 1918 CD 19261 4510 7 , , , 19261 4510 8 PP PP NNP 19261 4510 9 . . . 19261 4511 1 47 47 CD 19261 4511 2 - - SYM 19261 4511 3 48 48 CD 19261 4511 4 . . . 19261 4512 1 7 7 LS 19261 4512 2 . . . 19261 4513 1 An an DT 19261 4513 2 Anterior Anterior NNP 19261 4513 3 Commissure Commissure NNP 19261 4513 4 Laryngoscope Laryngoscope NNP 19261 4513 5 . . . 19261 4514 1 The the DT 19261 4514 2 Laryngoscope Laryngoscope NNP 19261 4514 3 , , , 19261 4514 4 Vol Vol NNP 19261 4514 5 . . . 19261 4515 1 XXV XXV NNP 19261 4515 2 , , , 19261 4515 3 Aug. August NNP 19261 4515 4 , , , 19261 4515 5 1915 1915 CD 19261 4515 6 , , , 19261 4515 7 P. P. NNP 19261 4515 8 589 589 CD 19261 4515 9 . . . 19261 4516 1 8 8 LS 19261 4516 2 . . . 19261 4517 1 Ancient ancient JJ 19261 4517 2 Foreign Foreign NNP 19261 4517 3 Body Body NNP 19261 4517 4 Cases Cases NNPS 19261 4517 5 . . . 19261 4518 1 Editorial editorial NN 19261 4518 2 . . . 19261 4519 1 The the DT 19261 4519 2 Laryngoscope Laryngoscope NNP 19261 4519 3 , , , 19261 4519 4 Vol Vol NNP 19261 4519 5 . . . 19261 4520 1 XXVII XXVII NNP 19261 4520 2 , , , 19261 4520 3 July July NNP 19261 4520 4 , , , 19261 4520 5 1917 1917 CD 19261 4520 6 , , , 19261 4520 7 PP PP NNP 19261 4520 8 . . . 19261 4521 1 583 583 CD 19261 4521 2 - - SYM 19261 4521 3 584 584 CD 19261 4521 4 . . . 19261 4522 1 9 9 CD 19261 4522 2 . . . 19261 4523 1 An an DT 19261 4523 2 Esophagoscopic Esophagoscopic NNP 19261 4523 3 Forceps Forceps NNP 19261 4523 4 . . . 19261 4524 1 The the DT 19261 4524 2 Laryngoscope Laryngoscope NNP 19261 4524 3 , , , 19261 4524 4 Jan. January NNP 19261 4524 5 , , , 19261 4524 6 1918 1918 CD 19261 4524 7 , , , 19261 4524 8 p. p. NN 19261 4524 9 49 49 CD 19261 4524 10 . . . 19261 4525 1 10 10 CD 19261 4525 2 . . . 19261 4526 1 A a DT 19261 4526 2 New New NNP 19261 4526 3 Diagnostic Diagnostic NNP 19261 4526 4 Sign Sign NNP 19261 4526 5 of of IN 19261 4526 6 Foreign Foreign NNP 19261 4526 7 Body Body NNP 19261 4526 8 in in IN 19261 4526 9 Trachea Trachea NNP 19261 4526 10 or or CC 19261 4526 11 Bronchi Bronchi NNP 19261 4526 12 , , , 19261 4526 13 the the DT 19261 4526 14 " " `` 19261 4526 15 Asthmatoid Asthmatoid NNP 19261 4526 16 Wheeze Wheeze NNP 19261 4526 17 . . . 19261 4526 18 " " '' 19261 4527 1 Amer amer NN 19261 4527 2 . . . 19261 4528 1 Journ Journ NNP 19261 4528 2 . . . 19261 4529 1 Med Med NNP 19261 4529 2 . . . 19261 4530 1 Sciences Sciences NNPS 19261 4530 2 , , , 19261 4530 3 Vol Vol NNP 19261 4530 4 . . . 19261 4531 1 CLVI CLVI NNP 19261 4531 2 , , , 19261 4531 3 No no UH 19261 4531 4 . . . 19261 4532 1 5 5 CD 19261 4532 2 , , , 19261 4532 3 Nov. November NNP 19261 4532 4 , , , 19261 4532 5 1918 1918 CD 19261 4532 6 , , , 19261 4532 7 p. p. NN 19261 4532 8 625 625 CD 19261 4532 9 . . . 19261 4533 1 11 11 CD 19261 4533 2 . . . 19261 4534 1 A a DT 19261 4534 2 New new JJ 19261 4534 3 Method method NN 19261 4534 4 of of IN 19261 4534 5 Working work VBG 19261 4534 6 Out out RP 19261 4534 7 Difficult Difficult NNP 19261 4534 8 Mechanical Mechanical NNP 19261 4534 9 Problems Problems NNPS 19261 4534 10 of of IN 19261 4534 11 Bronchoscopic Bronchoscopic NNP 19261 4534 12 Foreign foreign JJ 19261 4534 13 - - HYPH 19261 4534 14 body body NN 19261 4534 15 Extraction extraction NN 19261 4534 16 . . . 19261 4535 1 The the DT 19261 4535 2 Laryngoscope Laryngoscope NNP 19261 4535 3 , , , 19261 4535 4 Vol Vol NNP 19261 4535 5 . . . 19261 4536 1 XXVII XXVII NNP 19261 4536 2 , , , 19261 4536 3 Oct. October NNP 19261 4536 4 , , , 19261 4536 5 1917 1917 CD 19261 4536 6 , , , 19261 4536 7 p. p. NN 19261 4536 8 725 725 CD 19261 4536 9 . . . 19261 4537 1 12 12 CD 19261 4537 2 . . . 19261 4538 1 Arachidic Arachidic NNP 19261 4538 2 Bronchitis Bronchitis NNP 19261 4538 3 . . . 19261 4539 1 Journ Journ NNP 19261 4539 2 . . . 19261 4540 1 Amer amer NN 19261 4540 2 . . . 19261 4541 1 Med Med NNP 19261 4541 2 . . . 19261 4542 1 Asso Asso NNP 19261 4542 2 . . . 19261 4542 3 , , , 19261 4542 4 Aug. August NNP 19261 4542 5 30 30 CD 19261 4542 6 , , , 19261 4542 7 1919 1919 CD 19261 4542 8 , , , 19261 4542 9 Vol Vol NNP 19261 4542 10 . . . 19261 4543 1 LXXIII LXXIII NNP 19261 4543 2 , , , 19261 4543 3 pp pp NNP 19261 4543 4 . . . 19261 4544 1 672 672 CD 19261 4544 2 - - SYM 19261 4544 3 677 677 CD 19261 4544 4 . . . 19261 4545 1 13 13 CD 19261 4545 2 . . . 19261 4546 1 Band band NN 19261 4546 2 of of IN 19261 4546 3 a a DT 19261 4546 4 Gold Gold NNP 19261 4546 5 Crown Crown NNP 19261 4546 6 in in IN 19261 4546 7 the the DT 19261 4546 8 Bronchus Bronchus NNP 19261 4546 9 : : : 19261 4546 10 Report report NN 19261 4546 11 of of IN 19261 4546 12 a a DT 19261 4546 13 Case Case NNP 19261 4546 14 . . . 19261 4547 1 Dental Dental NNP 19261 4547 2 Cosmos Cosmos NNP 19261 4547 3 . . . 19261 4548 1 Vol Vol NNP 19261 4548 2 . . . 19261 4549 1 LX LX NNP 19261 4549 2 , , , 19261 4549 3 Oct. October NNP 19261 4549 4 , , , 19261 4549 5 1918 1918 CD 19261 4549 6 , , , 19261 4549 7 p. p. NN 19261 4549 8 905 905 CD 19261 4549 9 . . . 19261 4550 1 14 14 CD 19261 4550 2 . . . 19261 4551 1 Bronchiectasis bronchiectasis NN 19261 4551 2 and and CC 19261 4551 3 Bronchiectatic bronchiectatic JJ 19261 4551 4 Symptoms symptom NNS 19261 4551 5 Due due IN 19261 4551 6 to to IN 19261 4551 7 Foreign Foreign NNP 19261 4551 8 Bodies Bodies NNPS 19261 4551 9 . . . 19261 4552 1 Penn Penn NNP 19261 4552 2 . . . 19261 4553 1 Med Med NNP 19261 4553 2 . . . 19261 4554 1 Journ Journ NNP 19261 4554 2 . . . 19261 4554 3 , , , 19261 4554 4 Vol Vol NNP 19261 4554 5 . . . 19261 4555 1 XIX XIX NNP 19261 4555 2 , , , 19261 4555 3 Aug. August NNP 19261 4555 4 , , , 19261 4555 5 1916 1916 CD 19261 4555 6 , , , 19261 4555 7 pp pp NNP 19261 4555 8 . . . 19261 4556 1 807 807 CD 19261 4556 2 - - SYM 19261 4556 3 814 814 CD 19261 4556 4 . . . 19261 4557 1 15 15 CD 19261 4557 2 . . . 19261 4558 1 Bronchoscopic Bronchoscopic NNP 19261 4558 2 and and CC 19261 4558 3 Esophagoscopic Esophagoscopic NNP 19261 4558 4 Postulates Postulates NNPS 19261 4558 5 . . . 19261 4559 1 Annals Annals NNP 19261 4559 2 of of IN 19261 4559 3 Otology Otology NNP 19261 4559 4 , , , 19261 4559 5 Rhinology Rhinology NNP 19261 4559 6 and and CC 19261 4559 7 Laryngology Laryngology NNP 19261 4559 8 , , , 19261 4559 9 June June NNP 19261 4559 10 , , , 19261 4559 11 1916 1916 CD 19261 4559 12 , , , 19261 4559 13 pp pp NNP 19261 4559 14 . . . 19261 4560 1 414 414 CD 19261 4560 2 - - SYM 19261 4560 3 416 416 CD 19261 4560 4 . . . 19261 4561 1 16 16 CD 19261 4561 2 . . . 19261 4562 1 Bronchoscopic Bronchoscopic NNP 19261 4562 2 Removal Removal NNP 19261 4562 3 of of IN 19261 4562 4 a a DT 19261 4562 5 Collar Collar NNP 19261 4562 6 Button Button NNP 19261 4562 7 after after IN 19261 4562 8 Twenty twenty CD 19261 4562 9 - - HYPH 19261 4562 10 six six CD 19261 4562 11 Years year NNS 19261 4562 12 Sojourn sojourn VBP 19261 4562 13 in in IN 19261 4562 14 the the DT 19261 4562 15 Lung Lung NNP 19261 4562 16 . . . 19261 4563 1 Annals Annals NNP 19261 4563 2 of of IN 19261 4563 3 Otology Otology NNP 19261 4563 4 , , , 19261 4563 5 Rhinology Rhinology NNP 19261 4563 6 and and CC 19261 4563 7 Laryngology Laryngology NNP 19261 4563 8 , , , 19261 4563 9 June June NNP 19261 4563 10 , , , 19261 4563 11 1913 1913 CD 19261 4563 12 . . . 19261 4564 1 17 17 CD 19261 4564 2 . . . 19261 4565 1 Bronchoscopy bronchoscopy RB 19261 4565 2 . . . 19261 4566 1 Keen Keen NNP 19261 4566 2 's 's POS 19261 4566 3 Surgery Surgery NNP 19261 4566 4 , , , 19261 4566 5 1921 1921 CD 19261 4566 6 , , , 19261 4566 7 Vol Vol NNP 19261 4566 8 . . . 19261 4567 1 VIII VIII NNP 19261 4567 2 . . . 19261 4568 1 18 18 CD 19261 4568 2 . . . 19261 4569 1 Caisson Caisson NNP 19261 4569 2 Bronchoscopy Bronchoscopy NNP 19261 4569 3 in in IN 19261 4569 4 Lung Lung NNP 19261 4569 5 - - HYPH 19261 4569 6 abscess abscess NN 19261 4569 7 Due due IN 19261 4569 8 to to IN 19261 4569 9 Foreign Foreign NNP 19261 4569 10 Body Body NNP 19261 4569 11 . . . 19261 4570 1 Surg Surg NNP 19261 4570 2 . . . 19261 4570 3 , , , 19261 4570 4 Gyn Gyn NNP 19261 4570 5 . . . 19261 4571 1 and and CC 19261 4571 2 Obstet Obstet NNP 19261 4571 3 . . . 19261 4571 4 , , , 19261 4571 5 Oct. October NNP 19261 4571 6 , , , 19261 4571 7 1917 1917 CD 19261 4571 8 , , , 19261 4571 9 pp pp NNP 19261 4571 10 . . . 19261 4572 1 424 424 CD 19261 4572 2 - - SYM 19261 4572 3 428 428 CD 19261 4572 4 . . . 19261 4573 1 19 19 CD 19261 4573 2 . . . 19261 4574 1 Cancer cancer NN 19261 4574 2 of of IN 19261 4574 3 the the DT 19261 4574 4 Larynx Larynx NNP 19261 4574 5 . . . 19261 4575 1 Is be VBZ 19261 4575 2 it -PRON- PRP 19261 4575 3 Preceded precede VBN 19261 4575 4 by by IN 19261 4575 5 a a DT 19261 4575 6 Recognizable recognizable JJ 19261 4575 7 Precancerous Precancerous NNP 19261 4575 8 Condition Condition NNP 19261 4575 9 ? ? . 19261 4576 1 Proceedings Proceedings NNP 19261 4576 2 Amer Amer NNP 19261 4576 3 . . . 19261 4577 1 Laryngol laryngol VB 19261 4577 2 . . . 19261 4578 1 Soc Soc NNP 19261 4578 2 . . NNP 19261 4578 3 , , , 19261 4578 4 1922 1922 CD 19261 4578 5 . . . 19261 4579 1 20 20 CD 19261 4579 2 . . . 19261 4580 1 Din din NN 19261 4580 2 . . . 19261 4581 1 Editorial editorial NN 19261 4581 2 . . . 19261 4582 1 The the DT 19261 4582 2 Laryngoscope Laryngoscope NNP 19261 4582 3 , , , 19261 4582 4 Vol Vol NNP 19261 4582 5 . . . 19261 4583 1 XXVI XXVI NNP 19261 4583 2 , , , 19261 4583 3 Dec. December NNP 19261 4583 4 , , , 19261 4583 5 1916 1916 CD 19261 4583 6 , , , 19261 4583 7 pp pp NNP 19261 4583 8 . . . 19261 4584 1 1385 1385 CD 19261 4584 2 - - SYM 19261 4584 3 1387 1387 CD 19261 4584 4 . . . 19261 4585 1 23 23 CD 19261 4585 2 . . . 19261 4586 1 Endoscopie Endoscopie NNP 19261 4586 2 Perorale Perorale NNP 19261 4586 3 et et NNP 19261 4586 4 Chirurgie Chirurgie NNP 19261 4586 5 Laryngienne Laryngienne NNP 19261 4586 6 . . . 19261 4587 1 Arch arch UH 19261 4587 2 . . . 19261 4588 1 de de NNP 19261 4588 2 Laryngol Laryngol NNP 19261 4588 3 . . NNP 19261 4588 4 , , , 19261 4588 5 T. t. DT 19261 4588 6 XXXVII XXXVII NNP 19261 4588 7 , , , 19261 4588 8 No no UH 19261 4588 9 . . . 19261 4589 1 3 3 CD 19261 4589 2 , , , 19261 4589 3 1914 1914 CD 19261 4589 4 , , , 19261 4589 5 pp pp NNP 19261 4589 6 . . . 19261 4590 1 649 649 CD 19261 4590 2 - - SYM 19261 4590 3 680 680 CD 19261 4590 4 . . . 19261 4591 1 24 24 CD 19261 4591 2 . . . 19261 4592 1 Endoscopy endoscopy VB 19261 4592 2 and and CC 19261 4592 3 the the DT 19261 4592 4 War war NN 19261 4592 5 . . . 19261 4593 1 Editorial editorial NN 19261 4593 2 . . . 19261 4594 1 The the DT 19261 4594 2 Laryngoscope Laryngoscope NNP 19261 4594 3 , , , 19261 4594 4 Vol Vol NNP 19261 4594 5 . . . 19261 4595 1 XXVI XXVI NNP 19261 4595 2 , , , 19261 4595 3 June June NNP 19261 4595 4 , , , 19261 4595 5 1916 1916 CD 19261 4595 6 , , , 19261 4595 7 p. p. NN 19261 4595 8 992 992 CD 19261 4595 9 . . . 19261 4596 1 25 25 CD 19261 4596 2 . . . 19261 4597 1 Endothelioma Endothelioma NNP 19261 4597 2 of of IN 19261 4597 3 the the DT 19261 4597 4 Right Right NNP 19261 4597 5 Bronchus Bronchus NNP 19261 4597 6 Removed remove VBN 19261 4597 7 by by IN 19261 4597 8 Peroral Peroral NNP 19261 4597 9 Bronchoscopy Bronchoscopy NNP 19261 4597 10 . . . 19261 4598 1 Amer amer NN 19261 4598 2 . . . 19261 4599 1 Journ Journ NNP 19261 4599 2 . . . 19261 4600 1 of of IN 19261 4600 2 Med Med NNP 19261 4600 3 . . . 19261 4601 1 Sci Sci NNP 19261 4601 2 . . NNP 19261 4601 3 , , , 19261 4601 4 No no UH 19261 4601 5 . . . 19261 4602 1 3 3 LS 19261 4602 2 , , , 19261 4602 3 Vol Vol NNP 19261 4602 4 . . . 19261 4603 1 CLII CLII NNP 19261 4603 2 , , , 19261 4603 3 March March NNP 19261 4603 4 , , , 19261 4603 5 1917 1917 CD 19261 4603 6 , , , 19261 4603 7 p. p. NN 19261 4603 8 371 371 CD 19261 4603 9 . . . 19261 4604 1 26 26 CD 19261 4604 2 . . . 19261 4605 1 Esophageal esophageal JJ 19261 4605 2 Stenosis stenosis NN 19261 4605 3 Following follow VBG 19261 4605 4 the the DT 19261 4605 5 Swallowing swallowing NN 19261 4605 6 of of IN 19261 4605 7 Caustic Caustic NNP 19261 4605 8 Alkalies Alkalies NNPS 19261 4605 9 , , , 19261 4605 10 Journ Journ NNP 19261 4605 11 . . . 19261 4606 1 Amer amer NN 19261 4606 2 . . . 19261 4607 1 Med Med NNP 19261 4607 2 . . . 19261 4608 1 Asso Asso NNP 19261 4608 2 . . . 19261 4608 3 , , , 19261 4608 4 July July NNP 19261 4608 5 2 2 CD 19261 4608 6 , , , 19261 4608 7 1921 1921 CD 19261 4608 8 , , , 19261 4608 9 Vol Vol NNP 19261 4608 10 . . . 19261 4609 1 LXXVII LXXVII NNP 19261 4609 2 , , , 19261 4609 3 pp pp NNP 19261 4609 4 . . . 19261 4610 1 22 22 CD 19261 4610 2 - - SYM 19261 4610 3 23 23 CD 19261 4610 4 . . . 19261 4611 1 27 27 CD 19261 4611 2 . . . 19261 4612 1 Esophagoscopic Esophagoscopic NNP 19261 4612 2 Radium Radium NNP 19261 4612 3 Screens Screens NNP 19261 4612 4 . . . 19261 4613 1 The the DT 19261 4613 2 Laryngoscope Laryngoscope NNP 19261 4613 3 , , , 19261 4613 4 Feb. February NNP 19261 4613 5 , , , 19261 4613 6 1914 1914 CD 19261 4613 7 . . . 19261 4614 1 28 28 CD 19261 4614 2 . . . 19261 4615 1 Foreign Foreign NNP 19261 4615 2 Bodies Bodies NNPS 19261 4615 3 in in IN 19261 4615 4 the the DT 19261 4615 5 Insane Insane NNP 19261 4615 6 . . . 19261 4616 1 Editorial editorial NN 19261 4616 2 . . . 19261 4617 1 The the DT 19261 4617 2 Laryngoscope Laryngoscope NNP 19261 4617 3 , , , 19261 4617 4 Vol Vol NNP 19261 4617 5 . . . 19261 4618 1 XXVII XXVII NNP 19261 4618 2 , , , 19261 4618 3 June June NNP 19261 4618 4 , , , 19261 4618 5 1917 1917 CD 19261 4618 6 , , , 19261 4618 7 pp pp NNP 19261 4618 8 . . . 19261 4619 1 513 513 CD 19261 4619 2 - - SYM 19261 4619 3 515 515 CD 19261 4619 4 . . . 19261 4620 1 29 29 CD 19261 4620 2 . . . 19261 4621 1 Foreign Foreign NNP 19261 4621 2 Bodies Bodies NNPS 19261 4621 3 in in IN 19261 4621 4 the the DT 19261 4621 5 Larynx Larynx NNP 19261 4621 6 , , , 19261 4621 7 Trachea Trachea NNP 19261 4621 8 , , , 19261 4621 9 Bronchi Bronchi NNP 19261 4621 10 and and CC 19261 4621 11 Esophagus Esophagus NNP 19261 4621 12 Etiologically etiologically RB 19261 4621 13 Considered consider VBN 19261 4621 14 . . . 19261 4622 1 Trans tran NNS 19261 4622 2 . . . 19261 4623 1 Sec Sec NNP 19261 4623 2 . . . 19261 4624 1 Laryn Laryn NNP 19261 4624 2 . . . 19261 4624 3 , , , 19261 4624 4 Otol Otol NNP 19261 4624 5 . . . 19261 4625 1 and and CC 19261 4625 2 Rhin Rhin NNP 19261 4625 3 . . NNP 19261 4625 4 , , , 19261 4625 5 Amer Amer NNP 19261 4625 6 . . . 19261 4626 1 Med Med NNP 19261 4626 2 . . . 19261 4627 1 Asso Asso NNP 19261 4627 2 . . . 19261 4627 3 , , , 19261 4627 4 1917 1917 CD 19261 4627 5 , , , 19261 4627 6 pp pp NNP 19261 4627 7 . . . 19261 4628 1 36 36 CD 19261 4628 2 - - SYM 19261 4628 3 56 56 CD 19261 4628 4 . . . 19261 4629 1 30 30 CD 19261 4629 2 . . . 19261 4630 1 Gold Gold NNP 19261 4630 2 Three Three NNP 19261 4630 3 - - HYPH 19261 4630 4 tooth tooth NNP 19261 4630 5 Molar Molar NNP 19261 4630 6 Bridge Bridge NNP 19261 4630 7 Removal Removal NNP 19261 4630 8 from from IN 19261 4630 9 the the DT 19261 4630 10 Right Right NNP 19261 4630 11 Bronchus Bronchus NNP 19261 4630 12 : : : 19261 4630 13 Case Case NNP 19261 4630 14 Report Report NNP 19261 4630 15 . . . 19261 4631 1 Dental Dental NNP 19261 4631 2 Cosmos Cosmos NNP 19261 4631 3 , , , 19261 4631 4 Oct. October NNP 19261 4631 5 , , , 19261 4631 6 1919 1919 CD 19261 4631 7 . . . 19261 4632 1 31 31 CD 19261 4632 2 . . . 19261 4633 1 High high JJ 19261 4633 2 Tracheotomy Tracheotomy NNP 19261 4633 3 and and CC 19261 4633 4 Other other JJ 19261 4633 5 Errors Errors NNPS 19261 4633 6 the the DT 19261 4633 7 Chief Chief NNP 19261 4633 8 Causes Causes NNPS 19261 4633 9 of of IN 19261 4633 10 Chronic Chronic NNP 19261 4633 11 Laryngeal Laryngeal NNP 19261 4633 12 Stenosis Stenosis NNP 19261 4633 13 . . . 19261 4634 1 Surg Surg NNP 19261 4634 2 . . . 19261 4634 3 , , , 19261 4634 4 Gyn Gyn NNP 19261 4634 5 . . . 19261 4635 1 and and CC 19261 4635 2 Obstet Obstet NNP 19261 4635 3 . . . 19261 4635 4 , , , 19261 4635 5 May May NNP 19261 4635 6 , , , 19261 4635 7 1921 1921 CD 19261 4635 8 , , , 19261 4635 9 pp pp NNP 19261 4635 10 . . . 19261 4636 1 392 392 CD 19261 4636 2 - - SYM 19261 4636 3 398 398 CD 19261 4636 4 . . . 19261 4637 1 32 32 CD 19261 4637 2 . . . 19261 4638 1 Inducing induce VBG 19261 4638 2 a a DT 19261 4638 3 Child child NN 19261 4638 4 to to TO 19261 4638 5 Open open VB 19261 4638 6 Its -PRON- PRP$ 19261 4638 7 Mouth Mouth NNP 19261 4638 8 . . . 19261 4639 1 Editorial editorial NN 19261 4639 2 . . . 19261 4640 1 The the DT 19261 4640 2 Laryngoscope Laryngoscope NNP 19261 4640 3 , , , 19261 4640 4 Vol Vol NNP 19261 4640 5 . . . 19261 4641 1 XXVI XXVI NNP 19261 4641 2 , , , 19261 4641 3 Nov. November NNP 19261 4641 4 , , , 19261 4641 5 1917 1917 CD 19261 4641 6 , , , 19261 4641 7 p. p. NN 19261 4641 8 795 795 CD 19261 4641 9 . . . 19261 4642 1 33 33 CD 19261 4642 2 . . . 19261 4643 1 Intestinal intestinal JJ 19261 4643 2 Foreign Foreign NNP 19261 4643 3 Bodies Bodies NNPS 19261 4643 4 . . . 19261 4644 1 Editorial editorial NN 19261 4644 2 . . . 19261 4645 1 The the DT 19261 4645 2 Laryngoscope Laryngoscope NNP 19261 4645 3 , , , 19261 4645 4 Vol Vol NNP 19261 4645 5 . . . 19261 4646 1 XXVI XXVI NNP 19261 4646 2 , , , 19261 4646 3 May May NNP 19261 4646 4 , , , 19261 4646 5 1916 1916 CD 19261 4646 6 , , , 19261 4646 7 p. p. NN 19261 4646 8 929 929 CD 19261 4646 9 . . . 19261 4647 1 34 34 CD 19261 4647 2 . . . 19261 4648 1 Laryngoscopic Laryngoscopic NNP 19261 4648 2 , , , 19261 4648 3 Esophagoscopic Esophagoscopic NNP 19261 4648 4 and and CC 19261 4648 5 Bronchoscopic Bronchoscopic NNP 19261 4648 6 Clinic Clinic NNP 19261 4648 7 . . . 19261 4649 1 International International NNP 19261 4649 2 Clinics Clinics NNP 19261 4649 3 , , , 19261 4649 4 Vol Vol NNP 19261 4649 5 . . . 19261 4650 1 IV IV NNP 19261 4650 2 , , , 19261 4650 3 1918 1918 CD 19261 4650 4 . . . 19261 4651 1 J. J. NNP 19261 4652 1 B. B. NNP 19261 4652 2 Lippincott Lippincott NNP 19261 4652 3 Co. Co. NNP 19261 4652 4 35 35 CD 19261 4652 5 . . . 19261 4653 1 Local Local NNP 19261 4653 2 Application Application NNP 19261 4653 3 of of IN 19261 4653 4 Radium Radium NNP 19261 4653 5 Supplemented supplement VBN 19261 4653 6 by by IN 19261 4653 7 Roentgen Roentgen NNP 19261 4653 8 Therapy Therapy NNP 19261 4653 9 ( ( -LRB- 19261 4653 10 Discussion Discussion NNP 19261 4653 11 ) ) -RRB- 19261 4653 12 . . . 19261 4654 1 Amer amer NN 19261 4654 2 . . . 19261 4655 1 Journ Journ NNP 19261 4655 2 . . . 19261 4656 1 of of IN 19261 4656 2 Roentgenology Roentgenology NNP 19261 4656 3 . . . 19261 4657 1 36 36 CD 19261 4657 2 . . . 19261 4658 1 Localization localization NN 19261 4658 2 of of IN 19261 4658 3 the the DT 19261 4658 4 Lobes Lobes NNPS 19261 4658 5 of of IN 19261 4658 6 the the DT 19261 4658 7 Lungs lung NNS 19261 4658 8 by by IN 19261 4658 9 Means mean NNS 19261 4658 10 of of IN 19261 4658 11 Transparent Transparent NNP 19261 4658 12 Outline Outline NNP 19261 4658 13 Films Films NNPS 19261 4658 14 . . . 19261 4659 1 Amer amer NN 19261 4659 2 . . . 19261 4660 1 Journ Journ NNP 19261 4660 2 . . . 19261 4661 1 Roent Roent NNP 19261 4661 2 . . . 19261 4661 3 , , , 19261 4661 4 Vol Vol NNP 19261 4661 5 . . . 19261 4662 1 V V NNP 19261 4662 2 , , , 19261 4662 3 Oct. October NNP 19261 4662 4 , , , 19261 4662 5 1918 1918 CD 19261 4662 6 , , , 19261 4662 7 p. p. NN 19261 4662 8 456 456 CD 19261 4662 9 . . . 19261 4663 1 Also also RB 19261 4663 2 Proc Proc NNP 19261 4663 3 . . . 19261 4664 1 Amer amer NN 19261 4664 2 . . . 19261 4665 1 Laryn Laryn NNP 19261 4665 2 . . . 19261 4665 3 , , , 19261 4665 4 Rhin Rhin NNP 19261 4665 5 . . . 19261 4666 1 and and CC 19261 4666 2 Otol Otol NNP 19261 4666 3 . . . 19261 4667 1 Soc Soc NNP 19261 4667 2 . . NNP 19261 4667 3 , , , 19261 4667 4 1918 1918 CD 19261 4667 5 . . . 19261 4668 1 37 37 CD 19261 4668 2 . . . 19261 4669 1 Mechanical Mechanical NNP 19261 4669 2 Problems Problems NNPS 19261 4669 3 of of IN 19261 4669 4 Bronchoscopic Bronchoscopic NNP 19261 4669 5 and and CC 19261 4669 6 Esophagoscopic Esophagoscopic NNP 19261 4669 7 Foreign Foreign NNP 19261 4669 8 Body Body NNP 19261 4669 9 Extraction Extraction NNP 19261 4669 10 , , , 19261 4669 11 Journ Journ NNP 19261 4669 12 . . . 19261 4670 1 Am Am NNP 19261 4670 2 . . . 19261 4671 1 Med Med NNP 19261 4671 2 . . . 19261 4672 1 Assn assn UH 19261 4672 2 . . . 19261 4672 3 , , , 19261 4672 4 Jan. January NNP 19261 4672 5 27 27 CD 19261 4672 6 , , , 19261 4672 7 1917 1917 CD 19261 4672 8 . . . 19261 4673 1 38 38 CD 19261 4673 2 . . . 19261 4674 1 Observation observation NN 19261 4674 2 on on IN 19261 4674 3 the the DT 19261 4674 4 Pathology Pathology NNP 19261 4674 5 of of IN 19261 4674 6 Foreign Foreign NNP 19261 4674 7 Bodies Bodies NNPS 19261 4674 8 in in IN 19261 4674 9 the the DT 19261 4674 10 Air Air NNP 19261 4674 11 and and CC 19261 4674 12 Food Food NNP 19261 4674 13 Passages Passages NNPS 19261 4674 14 Based base VBN 19261 4674 15 on on IN 19261 4674 16 the the DT 19261 4674 17 Analysis Analysis NNP 19261 4674 18 of of IN 19261 4674 19 628 628 CD 19261 4674 20 Cases case NNS 19261 4674 21 . . . 19261 4675 1 Mutter Mutter NNP 19261 4675 2 Lecture Lecture NNP 19261 4675 3 , , , 19261 4675 4 1917 1917 CD 19261 4675 5 , , , 19261 4675 6 Surg Surg NNP 19261 4675 7 . . . 19261 4676 1 Gyn Gyn NNP 19261 4676 2 . . . 19261 4677 1 and and CC 19261 4677 2 Obstet Obstet NNP 19261 4677 3 . . . 19261 4677 4 , , , 19261 4677 5 Mar. March NNP 19261 4677 6 , , , 19261 4677 7 1919 1919 CD 19261 4677 8 , , , 19261 4677 9 pp pp NNP 19261 4677 10 . . . 19261 4678 1 201 201 CD 19261 4678 2 - - SYM 19261 4678 3 261 261 CD 19261 4678 4 . . . 19261 4679 1 39 39 CD 19261 4679 2 . . . 19261 4680 1 Orthopedic orthopedic JJ 19261 4680 2 Treatment Treatment NNP 19261 4680 3 by by IN 19261 4680 4 Corking cork VBG 19261 4680 5 . . . 19261 4681 1 Journ Journ NNP 19261 4681 2 . . . 19261 4682 1 of of IN 19261 4682 2 Laryn Laryn NNP 19261 4682 3 . . . 19261 4683 1 and and CC 19261 4683 2 Otol Otol NNP 19261 4683 3 . . NNP 19261 4683 4 , , , 19261 4683 5 London London NNP 19261 4683 6 , , , 19261 4683 7 Vol Vol NNP 19261 4683 8 . . . 19261 4684 1 XXXII XXXII NNP 19261 4684 2 , , , 19261 4684 3 Feb. February NNP 19261 4684 4 , , , 19261 4684 5 1917 1917 CD 19261 4684 6 . . . 19261 4685 1 40 40 CD 19261 4685 2 . . . 19261 4686 1 Peroral Peroral NNP 19261 4686 2 Endoscopy Endoscopy NNP 19261 4686 3 . . . 19261 4687 1 Journ Journ NNP 19261 4687 2 . . . 19261 4688 1 of of IN 19261 4688 2 Laryn Laryn NNP 19261 4688 3 . . . 19261 4689 1 and and CC 19261 4689 2 Otol Otol NNP 19261 4689 3 . . NNP 19261 4689 4 , , , 19261 4689 5 Edinburgh Edinburgh NNP 19261 4689 6 , , , 19261 4689 7 Nov. November NNP 19261 4689 8 , , , 19261 4689 9 1921 1921 CD 19261 4689 10 . . . 19261 4690 1 41 41 CD 19261 4690 2 . . . 19261 4691 1 Peroral Peroral NNP 19261 4691 2 Endoscopy Endoscopy NNP 19261 4691 3 and and CC 19261 4691 4 Laryngeal Laryngeal NNP 19261 4691 5 Surgery Surgery NNP 19261 4691 6 . . . 19261 4692 1 The the DT 19261 4692 2 Laryngoscope Laryngoscope NNP 19261 4692 3 , , , 19261 4692 4 Feb. February NNP 19261 4692 5 , , , 19261 4692 6 1919 1919 CD 19261 4692 7 . . . 19261 4693 1 42 42 CD 19261 4693 2 . . . 19261 4694 1 Postulates postulate NNS 19261 4694 2 on on IN 19261 4694 3 the the DT 19261 4694 4 Cough Cough NNP 19261 4694 5 Reflex Reflex NNP 19261 4694 6 in in IN 19261 4694 7 Some some DT 19261 4694 8 of of IN 19261 4694 9 its -PRON- PRP$ 19261 4694 10 Medical medical JJ 19261 4694 11 and and CC 19261 4694 12 Surgical Surgical NNP 19261 4694 13 Phases Phases NNPS 19261 4694 14 . . . 19261 4695 1 Therapeutic Therapeutic NNP 19261 4695 2 Gazette Gazette NNP 19261 4695 3 , , , 19261 4695 4 Sept. September NNP 19261 4695 5 15 15 CD 19261 4695 6 , , , 19261 4695 7 1920 1920 CD 19261 4695 8 . . . 19261 4696 1 43 43 CD 19261 4696 2 . . . 19261 4697 1 Prognosis prognosis NN 19261 4697 2 of of IN 19261 4697 3 Foreign Foreign NNP 19261 4697 4 Body Body NNP 19261 4697 5 in in IN 19261 4697 6 the the DT 19261 4697 7 Lung Lung NNP 19261 4697 8 . . . 19261 4698 1 Journ Journ NNP 19261 4698 2 . . NNP 19261 4698 3 , , , 19261 4698 4 Amer Amer NNP 19261 4698 5 . . . 19261 4699 1 Med Med NNP 19261 4699 2 . . . 19261 4700 1 Asso Asso NNP 19261 4700 2 . . . 19261 4700 3 , , , 19261 4700 4 Oct. October NNP 19261 4700 5 8 8 CD 19261 4700 6 , , , 19261 4700 7 1921 1921 CD 19261 4700 8 , , , 19261 4700 9 Vol Vol NNP 19261 4700 10 . . . 19261 4701 1 LXXVII LXXVII NNP 19261 4701 2 , , , 19261 4701 3 pp pp NNP 19261 4701 4 . . . 19261 4702 1 1178 1178 CD 19261 4702 2 - - SYM 19261 4702 3 1181 1181 CD 19261 4702 4 . . . 19261 4703 1 44 44 CD 19261 4703 2 . . . 19261 4704 1 Pulsion pulsion NN 19261 4704 2 Diverticulum Diverticulum NNP 19261 4704 3 of of IN 19261 4704 4 the the DT 19261 4704 5 Esophagus Esophagus NNP 19261 4704 6 . . . 19261 4705 1 Surg Surg NNP 19261 4705 2 . . . 19261 4705 3 , , , 19261 4705 4 Gyn Gyn NNP 19261 4705 5 . . . 19261 4706 1 and and CC 19261 4706 2 Obstet Obstet NNP 19261 4706 3 . . . 19261 4706 4 , , , 19261 4706 5 Vol Vol NNP 19261 4706 6 . . . 19261 4707 1 XXI XXI NNP 19261 4707 2 , , , 19261 4707 3 July July NNP 19261 4707 4 , , , 19261 4707 5 1915 1915 CD 19261 4707 6 , , , 19261 4707 7 PP PP NNP 19261 4707 8 . . . 19261 4708 1 52 52 CD 19261 4708 2 - - SYM 19261 4708 3 55 55 CD 19261 4708 4 . . . 19261 4709 1 45 45 CD 19261 4709 2 . . . 19261 4710 1 Radium Radium NNP 19261 4710 2 . . . 19261 4711 1 Editorial editorial NN 19261 4711 2 . . . 19261 4712 1 The the DT 19261 4712 2 Laryngoscope Laryngoscope NNP 19261 4712 3 , , , 19261 4712 4 Vol Vol NNP 19261 4712 5 . . . 19261 4713 1 XXVI XXVI NNP 19261 4713 2 , , , 19261 4713 3 Aug. August NNP 19261 4713 4 , , , 19261 4713 5 1916 1916 CD 19261 4713 6 , , , 19261 4713 7 pp pp NNP 19261 4713 8 . . . 19261 4714 1 1111 1111 CD 19261 4714 2 - - SYM 19261 4714 3 1113 1113 CD 19261 4714 4 . . . 19261 4715 1 46 46 CD 19261 4715 2 . . . 19261 4716 1 Reaction reaction NN 19261 4716 2 after after IN 19261 4716 3 Bronchoscopy Bronchoscopy NNP 19261 4716 4 . . . 19261 4717 1 Penn Penn NNP 19261 4717 2 . . . 19261 4718 1 Med Med NNP 19261 4718 2 . . . 19261 4719 1 Journ Journ NNP 19261 4719 2 . . NNP 19261 4719 3 , , , 19261 4719 4 April April NNP 19261 4719 5 , , , 19261 4719 6 1919 1919 CD 19261 4719 7 . . . 19261 4720 1 Vol Vol NNP 19261 4720 2 . . . 19261 4721 1 XXII XXII NNP 19261 4721 2 P. P. NNP 19261 4721 3 434 434 CD 19261 4721 4 . . . 19261 4722 1 47 47 CD 19261 4722 2 . . . 19261 4723 1 Root root NN 19261 4723 2 - - HYPH 19261 4723 3 canal canal NN 19261 4723 4 Broach Broach NNP 19261 4723 5 Removed remove VBN 19261 4723 6 from from IN 19261 4723 7 the the DT 19261 4723 8 Lung Lung NNP 19261 4723 9 by by IN 19261 4723 10 Bronchoscopy Bronchoscopy NNP 19261 4723 11 . . . 19261 4724 1 The the DT 19261 4724 2 Dental Dental NNP 19261 4724 3 Cosmos Cosmos NNP 19261 4724 4 , , , 19261 4724 5 Vol Vol NNP 19261 4724 6 . . . 19261 4725 1 LVII LVII NNP 19261 4725 2 , , , 19261 4725 3 March March NNP 19261 4725 4 , , , 19261 4725 5 1915 1915 CD 19261 4725 6 , , , 19261 4725 7 p. p. NN 19261 4725 8 247 247 CD 19261 4725 9 . . . 19261 4726 1 48 48 CD 19261 4726 2 . . . 19261 4727 1 Safety Safety NNP 19261 4727 2 Pins Pins NNPS 19261 4727 3 in in IN 19261 4727 4 Stomach Stomach NNP 19261 4727 5 , , , 19261 4727 6 Peroral Peroral NNP 19261 4727 7 Gastroscopic Gastroscopic NNP 19261 4727 8 Removal Removal NNP 19261 4727 9 without without IN 19261 4727 10 Anesthesia Anesthesia NNP 19261 4727 11 . . . 19261 4728 1 Journ Journ NNP 19261 4728 2 . . . 19261 4729 1 Amer amer NN 19261 4729 2 . . . 19261 4730 1 Med Med NNP 19261 4730 2 . . . 19261 4731 1 Asso Asso NNP 19261 4731 2 . . . 19261 4731 3 , , , 19261 4731 4 Feb. February NNP 19261 4731 5 26 26 CD 19261 4731 6 , , , 19261 4731 7 1921 1921 CD 19261 4731 8 , , , 19261 4731 9 Vol Vol NNP 19261 4731 10 . . . 19261 4732 1 LXXVI LXXVI NNP 19261 4732 2 , , , 19261 4732 3 pp pp NNP 19261 4732 4 . . . 19261 4733 1 577 577 CD 19261 4733 2 - - SYM 19261 4733 3 579 579 CD 19261 4733 4 . . . 19261 4734 1 49 49 CD 19261 4734 2 . . . 19261 4735 1 Symptomatology symptomatology NN 19261 4735 2 and and CC 19261 4735 3 Diagnosis Diagnosis NNP 19261 4735 4 of of IN 19261 4735 5 Foreign Foreign NNP 19261 4735 6 Bodies Bodies NNPS 19261 4735 7 in in IN 19261 4735 8 the the DT 19261 4735 9 Air Air NNP 19261 4735 10 and and CC 19261 4735 11 Food Food NNP 19261 4735 12 Passages Passages NNPS 19261 4735 13 . . . 19261 4736 1 Am Am NNP 19261 4736 2 . . . 19261 4737 1 Journ Journ NNP 19261 4737 2 . . . 19261 4738 1 Med Med NNP 19261 4738 2 . . . 19261 4739 1 Sci Sci NNP 19261 4739 2 . . NNP 19261 4739 3 , , , 19261 4739 4 May May NNP 19261 4739 5 , , , 19261 4739 6 1921 1921 CD 19261 4739 7 , , , 19261 4739 8 Vol Vol NNP 19261 4739 9 . . . 19261 4740 1 CLXI CLXI NNP 19261 4740 2 , , , 19261 4740 3 No no UH 19261 4740 4 . . . 19261 4741 1 5 5 CD 19261 4741 2 , , , 19261 4741 3 p. p. NN 19261 4741 4 625 625 CD 19261 4741 5 . . . 19261 4742 1 50 50 CD 19261 4742 2 . . . 19261 4743 1 The the DT 19261 4743 2 Bronchial Bronchial NNP 19261 4743 3 Tree Tree NNP 19261 4743 4 , , , 19261 4743 5 Its -PRON- PRP$ 19261 4743 6 Study Study NNP 19261 4743 7 by by IN 19261 4743 8 Insufllation insufllation NN 19261 4743 9 of of IN 19261 4743 10 Opaque Opaque NNP 19261 4743 11 Substances Substances NNP 19261 4743 12 in in IN 19261 4743 13 the the DT 19261 4743 14 Living living NN 19261 4743 15 . . . 19261 4744 1 Amer amer NN 19261 4744 2 . . . 19261 4745 1 Journ Journ NNP 19261 4745 2 . . . 19261 4746 1 Roentgenology roentgenology NN 19261 4746 2 , , , 19261 4746 3 Vol Vol NNP 19261 4746 4 . . . 19261 4747 1 5 5 CD 19261 4747 2 , , , 19261 4747 3 Oct. October NNP 19261 4747 4 , , , 19261 4747 5 1918 1918 CD 19261 4747 6 , , , 19261 4747 7 p. p. NN 19261 4747 8 454 454 CD 19261 4747 9 . . . 19261 4748 1 Also also RB 19261 4748 2 Proc Proc NNP 19261 4748 3 . . . 19261 4749 1 Amer amer NN 19261 4749 2 . . . 19261 4750 1 Laryn Laryn NNP 19261 4750 2 . . . 19261 4750 3 , , , 19261 4750 4 Rhinol Rhinol NNP 19261 4750 5 . . . 19261 4751 1 and and CC 19261 4751 2 Otol Otol NNP 19261 4751 3 . . . 19261 4752 1 Soc Soc NNP 19261 4752 2 . . NNP 19261 4752 3 , , , 19261 4752 4 1918 1918 CD 19261 4752 5 . . . 19261 4753 1 51 51 CD 19261 4753 2 . . . 19261 4754 1 Thymic thymic JJ 19261 4754 2 Death death NN 19261 4754 3 . . . 19261 4755 1 Editorial editorial NN 19261 4755 2 . . . 19261 4756 1 The the DT 19261 4756 2 Laryngoscope Laryngoscope NNP 19261 4756 3 , , , 19261 4756 4 Vol Vol NNP 19261 4756 5 . . . 19261 4757 1 XXVI XXVI NNP 19261 4757 2 , , , 19261 4757 3 May May NNP 19261 4757 4 , , , 19261 4757 5 1916 1916 CD 19261 4757 6 , , , 19261 4757 7 p. p. NN 19261 4757 8 929 929 CD 19261 4757 9 . . . 19261 4758 1 52 52 CD 19261 4758 2 . . . 19261 4759 1 Tracheobronchitis tracheobronchitis NN 19261 4759 2 Due due IN 19261 4759 3 to to IN 19261 4759 4 Nitric Nitric NNP 19261 4759 5 Acid Acid NNP 19261 4759 6 Fumes Fumes NNPS 19261 4759 7 . . . 19261 4760 1 New New NNP 19261 4760 2 York York NNP 19261 4760 3 Med Med NNP 19261 4760 4 . . . 19261 4761 1 Journ Journ NNP 19261 4761 2 . . NNP 19261 4761 3 , , , 19261 4761 4 Nov. November NNP 19261 4761 5 4 4 CD 19261 4761 6 , , , 19261 4761 7 1916 1916 CD 19261 4761 8 , , , 19261 4761 9 PP PP NNP 19261 4761 10 . . . 19261 4762 1 898 898 CD 19261 4762 2 - - SYM 19261 4762 3 899 899 CD 19261 4762 4 . . . 19261 4763 1 53 53 CD 19261 4763 2 . . . 19261 4764 1 Treatment treatment NN 19261 4764 2 of of IN 19261 4764 3 Laryngeal Laryngeal NNP 19261 4764 4 Stenosis Stenosis NNP 19261 4764 5 by by IN 19261 4764 6 Corking cork VBG 19261 4764 7 the the DT 19261 4764 8 Tracheotomic Tracheotomic NNP 19261 4764 9 Cannula Cannula NNP 19261 4764 10 , , , 19261 4764 11 The the DT 19261 4764 12 Laryngoscope Laryngoscope NNP 19261 4764 13 , , , 19261 4764 14 Jan. January NNP 19261 4764 15 , , , 19261 4764 16 1919 1919 CD 19261 4764 17 . . . 19261 4765 1 54 54 CD 19261 4765 2 . . . 19261 4766 1 Ventriculocordectomy ventriculocordectomy NN 19261 4766 2 . . . 19261 4767 1 Proceedings Proceedings NNP 19261 4767 2 Amer Amer NNP 19261 4767 3 . . . 19261 4768 1 Laryngol laryngol VB 19261 4768 2 . . . 19261 4769 1 Soc Soc NNP 19261 4769 2 . . NNP 19261 4769 3 , , , 19261 4769 4 1921 1921 CD 19261 4769 5 . . . 19261 4770 1 55 55 CD 19261 4770 2 . . . 19261 4771 1 New New NNP 19261 4771 2 Mechanical Mechanical NNP 19261 4771 3 Problems Problems NNPS 19261 4771 4 in in IN 19261 4771 5 the the DT 19261 4771 6 Bronchoscopic Bronchoscopic NNP 19261 4771 7 Extraction Extraction NNP 19261 4771 8 of of IN 19261 4771 9 Foreign Foreign NNP 19261 4771 10 Bodies Bodies NNPS 19261 4771 11 from from IN 19261 4771 12 the the DT 19261 4771 13 Lungs Lungs NNPS 19261 4771 14 and and CC 19261 4771 15 Esophagus Esophagus NNP 19261 4771 16 . . . 19261 4772 1 Annals Annals NNP 19261 4772 2 of of IN 19261 4772 3 Surgery Surgery NNP 19261 4772 4 , , , 19261 4772 5 Jan. January NNP 19261 4772 6 , , , 19261 4772 7 1922 1922 CD 19261 4772 8 . . . 19261 4773 1 56 56 CD 19261 4773 2 . . . 19261 4774 1 The the DT 19261 4774 2 Diaphragmatic Diaphragmatic NNP 19261 4774 3 Pinchcock Pinchcock NNP 19261 4774 4 in in IN 19261 4774 5 So so RB 19261 4774 6 - - HYPH 19261 4774 7 called call VBN 19261 4774 8 Cardiospasm Cardiospasm NNP 19261 4774 9 . . . 19261 4775 1 Laryngoscope Laryngoscope NNP 19261 4775 2 , , , 19261 4775 3 Jan. January NNP 19261 4775 4 , , , 19261 4775 5 1922 1922 CD 19261 4775 6 . . .