Abstract

To the Editor: —On the evening of February 14, 1890, Carl Blohm, aged 2 years, was brought to my office by his father, who stated that the boy had swallowed a key a few moments before. The patient was voiceless, dyspnœa was constant and alarming, and there was a frequent croupy cough. There was great retraction of the soft parts about the clavicles and in the inframammary regions in inspiration. It was very evident that the foreign body was somewhere in the air passages, and it seemed to me probable that it had not passed much below the larynx, as I could on no other theory account for the complete aphonia. However, neither with the finger nor with a pair of laryngeal forceps was I able to reach it through the mouth. It was plain that relief, to be of avail, must be speedy. Accordingly, after ineffectually trying a vigorous

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