We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......


Willard W. Schuessler
JAMA. 1944;125(8):551-552. doi:10.1001/jama.1944.72850260001008.
Text Size: A A A
Published online


A patient was admitted to an army hospital on March 4, 1942 with a history of a self-inflicted wound to remove his "voice box." When admitted he had a transverse incision at the level of the hyoid bone from one sternomastoid muscle to the other, and he was cyanotic from hemorrhage and clots in his neck. In a paper bag, brought in by the ambulance attendant, was the specimen shown in figures 1 and 2. An incision was immediately made in the midline down to the junction of the trachea, which had been cut off. After the clots over the tracheal opening had been cleaned out the patient's cyanosis was relieved.

It was found that the patient had removed his hyoid bone, larynx, thyroid gland (including three parathyroids), trachea down to about the third ring, about 2 inches of the anterior part of the esophagus, and about ½ inch of


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.