Peroral endoscopy and laryngeal surgery . in the formof a hook. (Fig. 103 and 104). Compare my essay in Archiv fitrLaryngologie, Vol. 3G, 1912. According to Albrechts investigations,however, it was found necessary to put a joint in the rod (compare ). Within this joint a backward turning of the hook takes placeabout a horizontal axis (compare Fig. 106). This movement is accom- SUSPENSION 137 plished when one turns the thumb-screw clockwise. In this manner thehook may he turned almost to a horizontal ])Osition. The mechanism isbased upon the principle of the endless screw


Peroral endoscopy and laryngeal surgery . in the formof a hook. (Fig. 103 and 104). Compare my essay in Archiv fitrLaryngologie, Vol. 3G, 1912. According to Albrechts investigations,however, it was found necessary to put a joint in the rod (compare ). Within this joint a backward turning of the hook takes placeabout a horizontal axis (compare Fig. 106). This movement is accom- SUSPENSION 137 plished when one turns the thumb-screw clockwise. In this manner thehook may he turned almost to a horizontal ])Osition. The mechanism isbased upon the principle of the endless screw. The portion helowthe joint shows several peculiarities. The rectangular caxitv (e) con-tains the screw. (Fig. ). The tongue-spatulas are attached to thepegs (g). The screw (h) holds the epiglottis-spatula. attachmentwhich holds the mouth open, a sort of mouth-gag also is supplementaryto the suspension-hook (compare Fig. ). It is provided with a tooth-plate (k) which rests against the upper incisors. This tooth-plate is so. arranged, (). that it may be extended or shortened. Thisis accomplished by means of the screw (h). The screw-end of theliandle is inserted into the part (d) of the hook-si)atula, and is securelyfixed there by means of the screw (f) as shcjwn in hig. ]0(). By turn-ing the screw (f) the handle (!) may be variously placed. In this man-ner the patients mouth may be opened as wide as seems desirable. 4—Till- :-sp.\\. The tongue-spatula has in the course of lime undergniie many modi-fications, but we now possess a model which meets all demands. Inits construction 1 have adopted the alterations wliich Albrecht proposed. 138 SUSPEXSIOX LARVNGOSCOPV.


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Keywords: ., bookcentury1900, bookdecade1910, booksubjectrespira, bookyear1915