Autoscopy of the larynx and the trachea : (direct examination without mirror) . the air-passages ashitherto ; but it will continue to be thestandard method and the one to be used aboveall others for the purpose of diagnosis. 4. Autoscopy is an important addition tolaryngoscopy, especially for examining the pos-terior wall of the larynx and the trachea. 5. In the examination of children autoscopyis indispensable in some cases; especially withthe aid of chloroform anaBsthesia, it can be car-ried out without any great difficulty. 6 In endolanjngeal and endotracheal surgery (57) 58 AUTOSCOPY. auto
Autoscopy of the larynx and the trachea : (direct examination without mirror) . the air-passages ashitherto ; but it will continue to be thestandard method and the one to be used aboveall others for the purpose of diagnosis. 4. Autoscopy is an important addition tolaryngoscopy, especially for examining the pos-terior wall of the larynx and the trachea. 5. In the examination of children autoscopyis indispensable in some cases; especially withthe aid of chloroform anaBsthesia, it can be car-ried out without any great difficulty. 6 In endolanjngeal and endotracheal surgery (57) 58 AUTOSCOPY. autoscopy will take the front rank as the standardmethod; of course^ within its anatomical limits. 7. The technique of laryngoscopic oper-ations remains the same, and must continue tobe used in those patients who are ill-adapted toautoscopy. APPENDIX. THE FIRST AUTOSCOPIC OPERATION ON ATUMOR OF THE VOCAL CORD. Mrs. Willielmine Konig, set. 39, small,slender, ill-nourished; had been coughing forthree years; had hsemoptysis two years ago;had been hoarse since August, 1895. Dullness. Fig, 11.—Tumok of Vocal Cord. over the right apex down to the second rib;respiratory murmur weak; no rales. Sputumnot obtainable. Upper teeth carious and partlylost. Marked hoarseness. Examination withthe laryngoscope revealed a condition repro-duced in the illustration. (Fig. 11.) The rightarytenoid cartilage was tipped considerably (59) 60 AUTOSCOPY. forward; the right vocal cord was immovablein the cadaveric position and its free edge w^asconcave. The left vocal cord possessed normalmobility, and during phonation extended onlyto the median line. In its anterior portion,close to the anterior commissure, was a pink,round tumor, the size of a millet-seed, anddotted on its apex with a small, red point. Thetumor was attached to the edge of the vocalcord, and was movable. The patient could beexamined with the autoscope so well that thetumor, notwithstanding its unfavorable local-ity, could be readily seen a
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