Notes on Practical Surgery

as a preliminary to laryngotomy, for the removal of warts from the larynx. The tube used was Fuller's, with a split or dilating outer canula. Bronchitis supervened ; but after a few days the child was apparently doing well. On the seventh day after the operation severe arterial haemorrhage occurred from the trachea, with fatal result. At the autopsy, the trachea and innominate artery opposite the lower end of the tracheotomy tube were found to be ulcerated. Mr. Pughe ascribes the ulceration to pressure, caused by too great curvature of the lower part of the tube. He recommends Mr. R. W. Parker's tube, which has the lower part straight and both canulas movable on the outside shield.?