Peroral endoscopy and laryngeal surgery . t thatdefeats its own object. To avoid this, the author sits on a stool in frontof the patient precisely as if he were about to use a tongue depressorto examine the pharynx. The position of the operator shown in is the highest that should be attained at the complete exposure ofthe larynx when the operator is looking directly into the trachea. Inbeginning to introduce the laryngoscope the operator should stoop muchlower, having his head about level with iliat of the patient. (Fig. 77).The introduction of the instrument should be considered in thr
Peroral endoscopy and laryngeal surgery . t thatdefeats its own object. To avoid this, the author sits on a stool in frontof the patient precisely as if he were about to use a tongue depressorto examine the pharynx. The position of the operator shown in is the highest that should be attained at the complete exposure ofthe larynx when the operator is looking directly into the trachea. Inbeginning to introduce the laryngoscope the operator should stoop muchlower, having his head about level with iliat of the patient. (Fig. 77).The introduction of the instrument should be considered in three stages. 1. Exposure and identification of the epiglottis. 2. Placing the spatular tip back of the epiglottis. 3. Anterior downward traction on the epiglottis and all the tis-sues attached to the hyoid bone. First stage. The patients head being covered with a sterile cap,the second assistant pushes llie patients head and neck forward as shownin Fig. 70. The operator holds the laryngoscope in his left hand (Fig. DIRliCT LARYNGOSCOPY. 97.
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectrespira, bookyear1915
