The Patient must be dress'd three Days after; and it is requisite at the first time only to untwist half the Needle, loosening the middle Thread if there be three; to which purpose a Servant is to thrust the Cheeks somewhat forward. On the eighth Day the middle Needle may be taken off, if it be a young Infant; nevertheless the Needles must not be remov'd till it appears that the sides are well join'd; neither must they be left too long, because the Holes wou'd scarce be brought to close. * * * * * {222} CHAP. VI. _Of the Operation of _Bronchotomy_._ This Operation becomes necessary, when the Inflammation that happens in the _Larynx_ hinders Respiration, and is perform'd after this manner: The Wind-Pipe is open'd between the third and fourth Ring, above the Muscle _Cricoides_, or else in the middle of the Wind-Pipe; but in separating the Muscles call'd _Sternohyodei_, care must be had to avoid cutting the recurrent Nerves, lest the Voice shou'd be lost; as also the Glandules nam'd _Thyroides_. The Space between the Rings is to be open'd with a streight Lancet, kept steady with a little Band, and a transverse Incision is to be made between 'em: Before the Lancet is taken out, a Stilet is put into the Opening, thro' which passeth a little Pipe, short, flat, and somewhat crooked at the end, which must not be thrust in too far, for fear of exciting a Cough. This Pipe hath two small Rings for the fastening of Ribbans, which are ty'd round about the Neck; and it must be left in the Wound till the Symptoms cease. Afterward it is taken away, and the Wound is dress'd, the Lips of it being drawn together again with the uniting Bandage, which hath been already describ'd. * * * * * {223} CHAP. VII. _Of the Operation of the _Uvula_._ When the _Uvula_ or Palate of the Mouth is swell'd so as to hinder Respiration or Swallowing, or else is fallen into a Gangrene, it may be extirpated thus: The Tongue being first depress'd with an Instrument call'd _Speculum Oris_, the Palate is held with a _Forceps_, or cut with a Pair of Sizzers; or else a Ligature may be made before it is cut; and the Mouth may be afterward gargl'd with Astringent Liquors. * * * * * CHAP. VIII. _Of the Operation of a Cancer in the Breast._