Diseases of the nose and throat; a text-book for students and practitioners . Fig. 15.— Fhakkels Rhinoscopic Mirror. drying. Its temperature should be tested by placing its backagainst the palm of the hand. The mirror must not be warmenough to injure the delicate mucous lining, though sufficientlyheated to prevent its surface from becoming dimmed by the con-densation of moisture from the exhaled air. With the patientsmouth well opened, the light is directed to the back of thepharynx, where the warmed mirror is introduced with its reflect- 22 DISEASES OF THE NOSE AND THROAT. ing surface upward,
Diseases of the nose and throat; a text-book for students and practitioners . Fig. 15.— Fhakkels Rhinoscopic Mirror. drying. Its temperature should be tested by placing its backagainst the palm of the hand. The mirror must not be warmenough to injure the delicate mucous lining, though sufficientlyheated to prevent its surface from becoming dimmed by the con-densation of moisture from the exhaled air. With the patientsmouth well opened, the light is directed to the back of thepharynx, where the warmed mirror is introduced with its reflect- 22 DISEASES OF THE NOSE AND THROAT. ing surface upward, the stem of the mirror usually fulfillingthe requirements of a tongue-depressor. The mirror is graduallyslipped backward, until the reflecting surface is back of the softpalate and uvula and a little to one side of the latter; but care £-***). Fig. 16—Rhinoscopic Mirror in Position. (From a photograph.) must be exercised not to touch the pharyngeal wall, lest reac-tion follow. Much care and patience will sometimes be de-manded to get the mirror in its proper position. The patientshould be directed to breathe through the nose as quietly and RHINOSCOPY EXAMINATION OF THE NASAL PASSAGES. 23 naturally as possible, in order that the soft palate may fall for-ward away from the pharynx, thus permitting- a reflection of theparts back and above the curtain. If the soft palate do not fallforward, the patient should sound the syllable ang or ung,or be directed to sniff the air as in smelling. In difficultexaminations the patients face should be inclined downward,the examiner looking from below upward. Failing in the pre-ceding measures, the patient should rest a few minutes beforethe attempt is repeated, or he may be given iced water or piecesof ice to hold in his mouth for the purpose of reducing the reflexirritability. A spray of
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Keywords: ., bookcentury1800, bookdecade1890, bookpublisherph, booksubjectnose
