. The Journal of laryngology and otology. rating table. obliged to squat upon a stool or even to kneel. I have often hadto cairy out most difficult manipulations in cramped positions,which made it extremely fatiguing and prejudicial to operating tables can be raised but little. They do not,as a rule, allow of the operator sitting upon a chair or standing,which is very convenient for demonstration. Kahler has had aspecial stool constructed, which may be screwed up as high as isnecessary. I have had a new table so arranged that it can beraised unusually high. This is done by mea
. The Journal of laryngology and otology. rating table. obliged to squat upon a stool or even to kneel. I have often hadto cairy out most difficult manipulations in cramped positions,which made it extremely fatiguing and prejudicial to operating tables can be raised but little. They do not,as a rule, allow of the operator sitting upon a chair or standing,which is very convenient for demonstration. Kahler has had aspecial stool constructed, which may be screwed up as high as isnecessary. I have had a new table so arranged that it can beraised unusually high. This is done by means of a crank-handle 352 The Journal of Laryngology, [July, 1914. manipulated by the operator himself. The top of the table canalso be lowered and the back-rest adjusted. For the head asupport adjusted by a handle has lately been introduced, so thatthe help of an assistant to hold the head is no longer necessary. All operations usually performed by laryngologists may be doneon this table, and in this respect it is not inferior to Fig. 15.—Operating table lowered. I am holding the crank-handle whichregulates the table top. Other Instruments. For the protection of the operator from expectoration, especiallyin tuberculosis, a sheet of glass has been fixed to the gallows,so as to come between the surgeon and the patient. Single anddouble curettes of suitable form and length are necessary forvarious operative procedures, and so also are galvanocauterypoints for deep puncture. For hasmorrhage, instruments are madeby the firm of Fischer, which permit the fastening and removal ofclips in a manner similar to those used for uniting skin wounds or July, 1914.] Rhinology, and Otology. 353 -controlling tonsil bleeding. Blnmenfeld first recommended the useof such clips in the larynx. III. using instruments in suspension laryngoscopy, good illumina-tion is, of course, required. It is possible, with a head-mirror and
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