Abstract

The cases reported by Miles F. Porter, M.D., Fort Wayne, Ind., prompt me to report the following: Baby girl, aged 2½ years, referred to me by Dr. Quin, West Jefferson, Ohio, Feb. 18, 1898. The evening before the child had been playing with some corn and a grain lodged in the trachea. When she arrived at my office, having been conveyed in an open buggy eighteen miles, she was breathing easily, but she had a paroxysm of dyspnea while I was examining her. Low tracheotomy was immediately performed and the grain of corn presenting at the tracheal opening was removed without difficulty. I closed the wound throughout with fine catgut, beginning with the trachea. The recovery was prompt and without unfavorable incident. No drain was used. If surgical cleanliness is used there certainly can not be any good reason for using the open method in non-infectious cases of tracheotomy.

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