A manual of diseases of the throat and nose : including the pharynx, larynx, trachea, oesophagus, nose and naso-pharynx . Fig. 5.—Fahnestocks Tonsillotome (as improved by French surgeons). fcient should sit facing the light, and the operator with his back to laryngoscopist, however, will always prefer to illuminate the throatwith the frontal mirror. The instrument being ready for use, the hilt isgrasped in the right hand, and the aperture in the shank is placed overthe tonsil. The surgeon, with the thumb or index finger of the left handplaced under the angle of the patients jaw, then pres
A manual of diseases of the throat and nose : including the pharynx, larynx, trachea, oesophagus, nose and naso-pharynx . Fig. 5.—Fahnestocks Tonsillotome (as improved by French surgeons). fcient should sit facing the light, and the operator with his back to laryngoscopist, however, will always prefer to illuminate the throatwith the frontal mirror. The instrument being ready for use, the hilt isgrasped in the right hand, and the aperture in the shank is placed overthe tonsil. The surgeon, with the thumb or index finger of the left handplaced under the angle of the patients jaw, then presses the tonsil in-ward, whilst at the same moment, with the thumb of his right hand, hedrives home the blade of the tonsillotome. Professor Lucae,1 of Berlin, has still further modified this instrumentby adding a cup-shaped cavity over the extremity—in order to preventthe excised tonsil falling down the throat—and by dispensing with the. Fig. 6.—The Authors Double Ton*illotome. When the instrument is introduced into the mouth theblades meet in the centre : but on grasping the two handles together, the blades are thrown out against thesides of the throat, and the tonsils received in the oval openings of the ton-illotomes. Amputation is theneffected by pressing on the ring at the proximal extremity of the instrument in the ordinary way. wooden handle. As, however, in using Physicks guillotine the tonsil isalways either caught in the instrument or brought forward into themouth, I do not see the use of Professor Lucaes suggestion for receivingthe tonsil. I may add that the wooden handle, dispensed with by Lucae,is one of the most important features in Physicks instrument, as it in-sures steadiness and gives power. Some years ago Messrs. Mayer &Meltzer made a double guillotine for me (Fig. 6), by means of which bothtonsils can be simultaneously excised. The only objection to its use is Deutsche Medic. Wochenschrift,
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Keywords: ., bookcentury1800, bookdecade1880, bookpublisherne, booksubjectnose
