. Diseases of the throat and nasal passages; a guide to the diagnosis and treatment of affections of the pharynx, sophagus, trachea, larynx, and nares . most suitable appliance. Some individualsare able to expose the pharynx so well by voluntary depres-sion of the base of the tongue, that artificial aid is unnecessaryfor satisfactory inspection. Sets of false teeth should alwaysbe removed, in systematic examinationof the throat, in order that the palateshould be thoroughly exposed to unim-peded inspection, as well as to deter-mine the fact whether an otherwise un-accountable chronic sore throa
. Diseases of the throat and nasal passages; a guide to the diagnosis and treatment of affections of the pharynx, sophagus, trachea, larynx, and nares . most suitable appliance. Some individualsare able to expose the pharynx so well by voluntary depres-sion of the base of the tongue, that artificial aid is unnecessaryfor satisfactory inspection. Sets of false teeth should alwaysbe removed, in systematic examinationof the throat, in order that the palateshould be thoroughly exposed to unim-peded inspection, as well as to deter-mine the fact whether an otherwise un-accountable chronic sore throat maynot be due to irritation kept up by anill-litting plate. Tongue-Depressors.—An ordinary form oftongue-depressor, much used in the United States,is a metal or hard-rubber blade, roughened on itsinferior surface, and set in a stout, roughenedhandle. For convenience of carriage, the tongue- ° ° Fig. 1.—Folding tongue-depressors. piece is usually attached by hinge to the shank of the handle (Fig. 1). In some individuals, considerable force is requisite to keep a muscular tongue depressed, and in such instances it is often well to press one. 10 EXAMINATION OF THE THROAT AND NASAL PASSAGES. lateral half of the tongue down first, and the other afterwards; but usually, ifthe tongue-piece is lightly laid upon the tongue, and gently but firmly pressedupon the organ, the manipulation is effective in a few seconds. To gain a goodview of the pharynx, the tongue-piece should be long enough to reach well thebase of the tongue, and should be excavated on its under surface, or else bulgedinto a sort of pad, and roughened in order to maintain a good hold upon theorgan. Smooth-faced tongue-pieces are apt to slip forward. By gradually pressing the posterior portion of the tonguedownward and forward, and at the same time causing thepatient to lower the chin more and more upon the breast,the entire lower portion of the pharynx can almost alwaysbe exposed, and the free edge of the epiglott
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Keywords: ., bo, bookcentury1800, bookdecade1870, booksubjectnose, bookyear1879
