Diseases of the nose and throat . asing quality. METHODS OF EXAMINATION. In laryngoscopy, or examination of the larynx, the position of thepatient, and the source of light are similar to those in examining thenose and pharynx. The only additional instrument needed is a large- EXAMINATION OF THE LARYNX. 315 sized mirror to be introduced into the fauces with its reflecting sur-face downwards. It is a good plan always to begin examinationsof the larynx with the tongue at rest in the floor of the mouth; then,to depress it by means of a tongue-spatula; and finally, to supportthe protruded tongue be
Diseases of the nose and throat . asing quality. METHODS OF EXAMINATION. In laryngoscopy, or examination of the larynx, the position of thepatient, and the source of light are similar to those in examining thenose and pharynx. The only additional instrument needed is a large- EXAMINATION OF THE LARYNX. 315 sized mirror to be introduced into the fauces with its reflecting sur-face downwards. It is a good plan always to begin examinationsof the larynx with the tongue at rest in the floor of the mouth; then,to depress it by means of a tongue-spatula; and finally, to supportthe protruded tongue between the thumb and finger. The laryngealmirror should be as large as the fauces will conveniently accommo-date in order to obtain a complete image (Fig. 112). The patientshould be directed to breathe quietly, to open the mouth withoutextraordinary effort, and care should be taken to avoid violent trac-tion upon the tongue as well as dragging it downward upon thelower incisor teeth. It is rather more satisfactory for the examiner. Laryngeal Mirrors. himself to hold the patients tongue except in the exercise of certainmanipulations in which both hands are required, the movements ofthe head being- thus under better control. ging and it is frequently impossible to obtain a satisfactory viewwithout the aid of cocaine, or some form of local anesthesia, or care-ful preliminary training of the patient. Sometimes it is a good planto direct him to close his eyes during the examination. If gaggingoccurs, panting respirations will sometimes overcome the intoler-ance; or a four per cent, solution of cocaine may intothe fauces. It is well to avoid the pharyngeal wall, if possible, butthe mirror should be introduced boldly, its back against the velum,which should be lifted firmly upwards. Timidity in this procedurefrequently will be more disastrous than firmness. In introducing themirror it is sometimes annoying to meet with considerable obstruc-tion from upward curvation of the d
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Keywords: ., bo, bookcentury1900, bookdecade1900, booksubjectnose, bookyear1903
