LARYNGOTOMY ARYTENECTOMY. 



475 



FiG. 417.— Sd Step, d. Excision of the Cartilage with the Curved Scissors. 



together with two or three interrupted catgut sutiu-es, made with 

 «, special needle (Fig. 418). Three of these are generally re- 

 quired (Fig. 419). 



After cleansing the larynx of the blood, it is di'essed with wad- 

 ding or iodoformed gauze. The edges of the external wound are 

 brought together by two interrupted sutures, one upon the mus- 

 cular coat, the other on the skin, the latter being so placed as to 

 prevent the displacement of the canula. 



The care of the wound, aside from the matters of cleanhness 

 and the application of antiseptic measures, varies according to the 

 two modes of operation. But they agree in advising the early 

 removal of the canula at a period not later than the day following 

 that of the operation. 



Careful diet is indicated, but Fleming advises strict fasting 

 from both food and water for two or three days, while Cadiot per- 

 mits the animal to have his ordinary diet without interruption. 



