Peroral endoscopy and laryngeal surgery . ad is raised al)ove the level of the table. to have repealed endoscopies they soon learn that the procedure is notpainful and submit without being held. The author often has children of ?> and 1 years lie down on thetable, open their mouths and wait for a speculum to be inserted andpapillomata removed, time after time, without any holding whatever ex-cept the supjiort of the head iiy the second assistant. As in the sitting position of the patient, of the most inipuriantthings is strongly to im|)ress upon the mind of the assistant who holdsthe h
Peroral endoscopy and laryngeal surgery . ad is raised al)ove the level of the table. to have repealed endoscopies they soon learn that the procedure is notpainful and submit without being held. The author often has children of ?> and 1 years lie down on thetable, open their mouths and wait for a speculum to be inserted andpapillomata removed, time after time, without any holding whatever ex-cept the supjiort of the head iiy the second assistant. As in the sitting position of the patient, of the most inipuriantthings is strongly to im|)ress upon the mind of the assistant who holdsthe head that nc\er, under any circumstances is he tn iiermit the head tn 88 POSITION OF THE PATIENT FOR PERORAL ENDOSCOPY. rotate. Tlie head must yield freely and follow the operator in thelateral or vertical plane, but it must never rotate on the axial bone orthe cervical spine. Such rotation distorts the endo-anatomical land-marks and renders difficult the otherwise easy task of tinding the larynxor ])yriform sinuses, as the case may U \- -Authors position of the patient for tlie removal of foreign hodiesfrom the larynx or from any of the upper air or food passages. If dislodged, theintnidir will not he aided by gravity to reacli a deeper lodgement. For the use of the esophageal speculum the patient may be placedcither in the sitting position as for laryngoscopy (Fig. 70), or in therecumbent positinn as for starting the introduction of the esoi)hagoscopef Fig. ;?>). The author prefers the latter. CHAPTER VII. Direct Laryngoscopy. General considerations. Enthusiastic as he is in regard to the use-fulness of the direct method, for both diagnosis and treatment, the au-thor wishes to state at the outset that he examines every case by theindirect method first, if it is possible to make such an examination. Theexceptions arc in infants and small children who cannot be examined bythe mirror imless they are under a general anesthetic, and also an occa-sional case of great nrg
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectrespira, bookyear1915
