Catalogue of Sharp & Smith : importers, manufacturers, wholesale and retail dealers in surgical instruments, deformity apparatus, artificial limbs, artificial eyes, elastic stockings, trusses, crutches, supporters, galvanic and faradic batteries, etc., surgeons' appliances of every description . age of the operation a five per cent, solution of cocaine,with which the pharyngeal and laryngeal surfaces are to be thoroughly sprayed,or without any use of cocaine, as I often do when the examination is of shortduration, the operator passes the tractor down, and secures the base of thetongue, guided


Catalogue of Sharp & Smith : importers, manufacturers, wholesale and retail dealers in surgical instruments, deformity apparatus, artificial limbs, artificial eyes, elastic stockings, trusses, crutches, supporters, galvanic and faradic batteries, etc., surgeons' appliances of every description . age of the operation a five per cent, solution of cocaine,with which the pharyngeal and laryngeal surfaces are to be thoroughly sprayed,or without any use of cocaine, as I often do when the examination is of shortduration, the operator passes the tractor down, and secures the base of thetongue, guided upon the forefinger of his left hand. Then drawing upon thebase of the tongue, which favors partial elevation of the larynx, the tractor isto be passed upward, outward and downward. Enforced laryngoscopic examination in children is performed in the abovedescribed manner, and there is no doubt that many advantages are therebygained. Often a very common difficulty is met with in the position of theepiglottis, as more or less depressed, overhanging the larynx, or compressedand rolled together at its sides. By forcing and steadying the epiglottisagainst the base of the tongue this difficulty is nearly obviated, and a thoroughview of the larynx and neighboring parts may be viewed and 516 SHARP & SMITH, CHICAGO.


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