476 OPERATIONS ON THE RESPIRATORY APPARATUS. 



Pig. i\8.—Uth Step. How to Apply the Sutures. 



There is no serious febrile reaction, and after three or four weeks 

 the cicatrization is complete. 



The result of the operation cannot be fully ascertained until 

 about three months after the operation, when the animal can be 

 tested. 



The application of the sutures constitutes an improvement, we 

 believe, on Fleming's oj)erations for assisting the cicatrization of 

 the laryngeal wound, which, however, can be more easily watched 

 if the external sutures recommended by Cadiot are dispensed 

 with. Excessive granulations, when detected, must be cauterized 

 with chloride of zinc or nitrate of silver. 



Among the accidents and complications that may follow ary- 

 tenectomy, and which are mentioned by Fleming and Cadiot, are 

 wounds of the mucous membrane and of the arytenoid left in the 

 larynx, incomplete deglution of the dressing, pneumonia from 



