Peroral endoscopy and laryngeal surgery . Figs. Ill to 116. 140 SUSPENSION LARYNGOSCOPY. Of late a series of details were added. The tongue-spatula must be asimple instrument which has a peculiarly formed handle for attachmentto the suspension-hook, (m) Fig. 107 ; the upper surface which is di-rected toward the tongue is rough (Fig. 107n), so that the spatula willnot slip off. Its anterior end is heart-shaped after the model of theReichert hook for raising the epiglottis (Fig. llJ). On the free sur-face of the tongue-spatula one observes a gutter (o). Into this gutter. is placed a second small
Peroral endoscopy and laryngeal surgery . Figs. Ill to 116. 140 SUSPENSION LARYNGOSCOPY. Of late a series of details were added. The tongue-spatula must be asimple instrument which has a peculiarly formed handle for attachmentto the suspension-hook, (m) Fig. 107 ; the upper surface which is di-rected toward the tongue is rough (Fig. 107n), so that the spatula willnot slip off. Its anterior end is heart-shaped after the model of theReichert hook for raising the epiglottis (Fig. llJ). On the free sur-face of the tongue-spatula one observes a gutter (o). Into this gutter. is placed a second smaller spatula, by means of which the epiglottis israised, the epiglottis-spatula (p) Fig. 108. It is inserted through agroove. Fig. 108. If the patients tongue wells up to the right and leftof the spatula, it hinders vision into the depths of the neck. I there-fore have recently had two movable lateral wings attached to the tongue-spatula (r) (Fig. 109 and Fig. 110). These wings may be turned bymeans of a key (Fig. 109r) and (Fig. 109 and Fig. 110) fixed in any SUSPENSION LARYNGOSCOPY. 141 position. The key (s) is removed after the of the plates. InFig. 108 we see the tongue-spatula in connection with the epiglottis-spatula. Tn Fig. Ill the tongue-spatula is attached to the suspension-hook. In Jig. 112 we see the tongue-spatula on the suspension-hookwith the epiglottis-spatula as seen from the side. Fig. 113 shows afroiU \iew of the same. 5 THK COUNTICR-PRESSOR. In order to hring the anterior portions of the larynx within the rangeof \ision it often hcco
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectrespira, bookyear1915
