464 



LARYNGOTOMY. 



unnecessary to remove the tube and tampon after twenty-four hours, 

 as was formerly done ; both may remain in position three to four 

 days without bad consequences, provided no marked fever results. 

 This method, indeed, is to be preferred. Any discharge may be 

 soaked up with a piece of sponge, or some cotton wool, and the wound, 

 if dry, moistened with carbolic lotion. Drinking water should be 

 kept constantly in the box, and given in a pail placed rather low 



FlG. 372.— Spring hooks. 



Fig. 373.— Trendelenberg cannulas 



or on the ground. The diet should consist of hay and a small quantity 

 of oats mixed with bran. 



On the fourth day the surface of the wound is carefully cleansed, 

 and the stitches in the skin loosened. The tampon-cannula can 

 then be removed, and the larynx swabbed out with small sponges 

 wrung out of carbolic solution ; but the sponges must be nearly 

 dry to prevent fluid running down the trachea. If in drinking, 

 not more than a half-pint of water returns by the nose, the tube may 

 be discarded. On the other hand, if fluid flows freely from the 



