. Diseases of the throat and nasal passages; a guide to the diagnosis and treatment of affections of the pharynx, sophagus, trachea, larynx, and nares . Mouth-distender. represent-ed with the lower plate removed from theupper one by action of the screw, and inthe position required during- operation. 230 SPECIAL AFFECTIONS OF THE TOXSILS. of the jaws is produced by the action of a screw attached tothe movable lower plate in the middle line and below. To avoid the difficulty encountered in excising an hyper-trophied tonsil, especially in cases of children, a special tonsilguillotine or amygdalat


. Diseases of the throat and nasal passages; a guide to the diagnosis and treatment of affections of the pharynx, sophagus, trachea, larynx, and nares . Mouth-distender. represent-ed with the lower plate removed from theupper one by action of the screw, and inthe position required during- operation. 230 SPECIAL AFFECTIONS OF THE TOXSILS. of the jaws is produced by the action of a screw attached tothe movable lower plate in the middle line and below. To avoid the difficulty encountered in excising an hyper-trophied tonsil, especially in cases of children, a special tonsilguillotine or amygdalatome was invented by the late Dr. Phy-sick,1 of Philadelphia, consisting (Fig. 63) of a broad double. Fig. 63.—Physicks amygdalatome, or tonsil guillotine. bevelled blade, which is pushed forward through a split ringin which the tonsil is first engaged; and it cuts from beforebackward, a method less likely to drag the tonsil from its bedthan many of its modifications. It can be used with one excellent modification of the handle of this instrument hasbeen devised by Dr. Morell Mackenzie, of London, which en-ables the operator to use the same hand with either instrument, in its various modifications, has had a moreextended use, perhaps, than any other special instrument insurgery. Dr. Fahnestocks2 amygdalatome (Fig. 64) consistsof a circular knife concealed within a split ring. It is placedaround the enlarged tonsil, which is then transfixed by beingpierced by a sharp pointed prong which slides on the shank of


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Keywords: ., bo, bookcentury1800, bookdecade1870, booksubjectnose, bookyear1879