Two uncommon esophageal cases / Anthony Bassler, M.D.

  • Bassler, Anthony, 1874-
Date:
1913
Catalogue details

Licence: In copyright

Credit: Two uncommon esophageal cases / Anthony Bassler, M.D. Source: Wellcome Collection.

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    described the tootli-plate as having one tooth fastened to it; it had a lower cutting edge and an upper edge which was flattened and sharp. He said that the plate was made of rub¬ ber, and originally had a clamp at both ends to hold it to certain teeth, but that one of these clamps had been broken off for some time. (The lower end of the plate as seen in Figure 1 shows this perfect enu to be pointed downward.) He said that the plate was a narrow one, was pointed at both ends, and had a sharp posterior edge. The two skiagrams (Figs. 1 and 2) show the shadow to be considerably wider than the description of the plate he gave and more irregular in outline than only such a plate would throw. My assumption Fig. 1.—Anteroposterior skiagram showing the plate lodged at the level of the third and fourth dorsal vertebrae, and the clavicles in front (Case 1). was that he probably had some ulceration in the esophagus around it accounting for this. While it would be an easy matter to pass an esopliagoscope and seize the plate with an esophagus clamp, it is evident that the plate would have to be seized at the point where the edge was noted through the esopliagoscope, there being little or no choice in the selection. The entire assemblage, that is, the esopliagoscope and the clamp with the plate fastened at its lower end, would then be delivered by simple direct trac¬ tion. Since the laryngopharyngeal junction is narrow, and a third skiagram showed that the tooth-plate was in the position