Diseases of the larynx / by Dr. J. Gottstein ... trans. and added to by P. M'Bride.

  • Gottstein, Jacob, 1832-1895.
Date:
[1883]
Catalogue details

Licence: Public Domain Mark

Credit: Diseases of the larynx / by Dr. J. Gottstein ... trans. and added to by P. M'Bride. Source: Wellcome Collection.

Provider: This material has been provided by the Harvey Cushing/John Hay Whitney Medical Library at Yale University, through the Medical Heritage Library. The original may be consulted at the Harvey Cushing/John Hay Whitney Medical Library at Yale University.

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    with a probe, such as has been described, is sufficient as a preparation—if not for all endo-laryngeal operations, still for the most necessary local treatment. It is, of course, essential that all laryngeal instruments should be strong and of good quality and, if possible, made of one piece. It is also necessary to test them before use, more especially in the case of sponges and brushes. The application of fluids may be made by brushes, sponges, or syringes. The laryngeal brush consists of a stem, supplied with a handle, to which is attached a brush of fine camels' or squirrels' hair. The stem is made of aluminium or German silver, but must not be too flexible, lest it bend when used; the brush is either pointed at its extremity or cut straight across. It is desirable for the brush to be surrounded at its attachment by a layer of hard rubl >er. The laryngeal sponge is similarly constructed, with the exception that a sponge the size of a bean is substituted for the brush. Brush and sponge may be used in the same way for the introduction of fluid remedies, and both have advantages and disadvantages. The sponge, on account of its rough surface, cannot be introduced into the cavity of the larynx, but can only be placed at its entrance and then squeezed; a local- ised action upon a particular part can consequently not be attained. The brush, on the other hand, absorbs less fluid, but can be introduced into the interior of the larynx and especially, if pointed at its extremity, can be made to touch definite parts. Whether brush or sponge be used, it is necessary that each patient should have his own instrument. For G ]■'[... 10. a, b. c. Laryngeal Sponges and Brushes. this purpose special sponge-holders have been invented, which consist of forceps whose branches are firmly closed by means of a catch, in order to prevent the sponge IV..m falling into the larynx. Not only for each