Diseases of the nose and throat; a text-book for students and practitioners . Fig. or stands in front of the patient, who inclines his head slightlybackward. The tip and external surface of the nose having beeninspected, a closed nasal speculum is to be introduced. Theinstrument is held in the right hand for examination of the RHINOSCOPY EXAMINATION OF THE NASAL PASSAGES. 19 left nasal fossa, and in the left hand for the right fossa. Whenwell within the vestibule, the blades are separated or allowed toseparate according to the construction of the instrument. Caremust be ta
Diseases of the nose and throat; a text-book for students and practitioners . Fig. or stands in front of the patient, who inclines his head slightlybackward. The tip and external surface of the nose having beeninspected, a closed nasal speculum is to be introduced. Theinstrument is held in the right hand for examination of the RHINOSCOPY EXAMINATION OF THE NASAL PASSAGES. 19 left nasal fossa, and in the left hand for the right fossa. Whenwell within the vestibule, the blades are separated or allowed toseparate according to the construction of the instrument. Caremust be taken neither to introduce the speculum sufficiently farto press against the sensitive bony septum nor to dilate thenostril so forcibly as to cause pain. With the speculum in position, the anterior rhinoscopicappearances may be distinguished. In order to view all the. Fig. 13.—Position for Anterior Rhinoscopy. (From a photograph.) parts, it is necessary to slightly change the direction of thespeculum and the position of the head from time to time. Itmust be remembered that there are great variations within an-atomical and physiological limits; for instance, the septum isnearly always slightly deflected, one passage may be somewhatlarger than the other, both may be larger or smaller than theaverage, the turbinated bodies may have unusual or irregularforms, etc. The septum should claim our attention first. It should be 20 DISEASES OF THE NOSE AND THROAT. comparatively vertical and smooth, with the exception of thetubercle. Along the inferior meatus we should see almost tothe posterior pharyngeal wall. Opposite the septum (seeFrontispiece and Figs. 1 and 2), but separated from it, shouldappear the inferior turbinated body, below which is the inferiormeatus; above the inferior body and posterior to its anteriorextremity appear the middle meatus and t
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Keywords: ., bookcentury1800, bookdecade1890, bookpublisherph, booksubjectnose
