A manual of diseases of the throat and nose : including the pharynx, larynx, trachea, oesophagus, nose and naso-pharynx . count of his admirable speculum, hereafter described. In 1873 Michel8 stated that hewas often able, by means of Duplays speculum, to see the posterior half of the Eusta-chian orifice, and the whole of its cushion, and that he could perceive the movementsof the tube in phonation and swallowing. A new departure was given to rhinoscopy, carried out from the front, by Zaufal,9 who,in 1875, first recommended the use of a funnel-shaped speculum, long enough to passcompletely thro
A manual of diseases of the throat and nose : including the pharynx, larynx, trachea, oesophagus, nose and naso-pharynx . count of his admirable speculum, hereafter described. In 1873 Michel8 stated that hewas often able, by means of Duplays speculum, to see the posterior half of the Eusta-chian orifice, and the whole of its cushion, and that he could perceive the movementsof the tube in phonation and swallowing. A new departure was given to rhinoscopy, carried out from the front, by Zaufal,9 who,in 1875, first recommended the use of a funnel-shaped speculum, long enough to passcompletely through the nasal cavity. Notwithstanding that the merit of this method hasbeen contested by Weber-Liel, Gruber, Schrotter, and Voltolini, it is undoubtedly ofvalue, and Habermann, a pupil of Zaufals, has recorded a very large number of casesin which the funnel-speculum has been employed with much advantage. Nasal Specula.—For ordinary examination of the front part of the cavi-ties, Frankels speculum will be found most serviceable. This instrumentconsists, as may be seen in the annexed woodcut (Fig. 23), of two fenes-. Fig. 23.—Dr. Frankels Nasal Speculum. trated blades, made of German silver wire, 2J ctm. in length, and some-what resembling miniature obstetric forceps, but with shanks about 5ctm. in length. The proximal extremities of the shanks are connectedby a horizontal bar, through which there is a central screw acting on bothblades. Frankel recommends that one blade of the instrument should beintroduced into each nostril, but mentions that both blades may be passed 1 Cours dOperations de Chirurgie, Paris, 1714, 2e ed., p. 483 and Fig. 37 Wien. med. Wochenschrift, 1860, No. 17. 3 Die Rhinoscopie und Pharyngoscopie, Festschrift zur 50 jahrigen Jubelfeier derUniversitut Breslau zum 3. August, 1860. 4Monatsschr. fiir Ohrenheilkunde, No. 3, 1868. 5 Lancet. 1868, vol. ii., pp. 243, 244. 6 Bull, de la Soc. de Chir., 1868 2e serie, t. ix., p. 446. 7 Berlin, klin. Wochenschri
Size: 2795px × 894px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdecade1880, bookpublisherne, booksubjectnose
