Lessons in laryngoscopy and rhinoscopy : including the diagnosis and treatment of diseases of the throat and nose / by Prosser James.

  • James, Prosser, 1836-1918.
Date:
1879
Catalogue details

Licence: Public Domain Mark

Credit: Lessons in laryngoscopy and rhinoscopy : including the diagnosis and treatment of diseases of the throat and nose / by Prosser James. Source: Wellcome Collection.

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    elevation of the hand. If too near the centre and in the way of the light, the hand must at the same moment pass nearer to the corner of the mouth. This movement is seldom required with my rectangular- handled mirrors, hence they are often found easier to use by learners. Whatever movement he necessary should be made deliberately and continuously, not in jerks. It can then be arrested the moment the laryngeal image is brought into view. There can be no objection to resting one or two fingers on the patient's cheek in order to steady the hand ; but with practice many will find this unnecessary. Fig. 20 The mirror should not be kept too long at a time in the patient's mouth, nor should it be moved about too : much. Eetching is not so likely to be produced by :two or three separate introductions. In fact, timid ; patients gain confidence as they find the mirror can be L introduced without inconveniencing them. This retching—the dread of patients who have never rbeen examined by the laryngoscope, and the bugbear of : those who are learning to use the instrument—is most ! likely to be excited by touching the tongue with the nmirror. Bearing this in mind, the error will mostly be easily avoided. Another reason for care in this respect,