A manual of diseases of the throat and nose : including the pharynx, larynx, trachea, œsophagus, nose and naso-pharynx / by Morell Mackenzie.

  • Mackenzie, Morell, 1837-1892.
Date:
1884
Catalogue details

Licence: Public Domain Mark

Credit: A manual of diseases of the throat and nose : including the pharynx, larynx, trachea, œsophagus, nose and naso-pharynx / by Morell Mackenzie. Source: Wellcome Collection.

    27/610 (page 15)
    iiifitiTiment was exhibited and used on a jiatient by I’rofesso]' Stoerk, before the Society of Physicians of Vienna.^ Subsequently Stoerk employed an instrument resembling ■\Valdenburg’s, but consisting of three tubes. In February, 1881, Professor Stoerk'^ described a new oesopbagoscope, which consists of a lobster-jointed tulie, covered Avitb india-ruliber, with a small mirror attached to its upper extremity, and Avith a handle, consisting of a tAvo-pronged fork like that of 'Waldenburg. This tube is provideil Avitb a pilot, or director, consistmg of a 2'iece of elastic tubing, terminating m a small bag Avbich projects beyond the end of the oesopbagoscope, the diameter of the bag being a little larger than that of the tube. The liall being inflated, the instrument is passed into the gullet, Avben the air is alloAved to escape, and the pilot AvitbdraAvn. My OAvn attempts to examme the gullet Avitb an oesopba- goscope Avere first made in Feliruary, 1880. From the folloAV^- ing description it Avill be seen that the instrument Avbicb I have introducetP is altogether dilferent from those hitherto employed. It consists of tAvo parts—a stem and a skeleton tube. The stem is made up of a handle and a shank, betAveen Avbich there is a binge. The skeleton tube is only formed Avben the instrument has been introduced into the gullet; before that, it consists of tAvo flattened Avires placed anteriorly and posteriorly, connected above and beloAv, and at certain intervals betAveen the extremities, by rings. When the rings lie in the vertical position the Avires are separated from each other only by the thickness of the rings, but Avben the latter are tbroAvn into the horizontal position the tAvo Avires become separated, and, Avitb the rings, constitute a kiml of .skeleton speculum.'* At the top of the back Avire there is a slot into which the stem of a laryngeal mirror is fitted. In the uj>per figure (a) of the annexed cut it will lie .seen that the handle and .shank are almost in a line—a * Letter before (juoted. Tlie I’rofe.s.sor iloe.s not recolleet tlio e.xaet •late of the e.xhibition of the patient, but no iloul>t an aeeount of it would be founil in the “Transaction.s of the Imperial-Royal Society of l’hy.sicians of Vienna” in or about the year 1871. ■ Loe. cit. ^ Thi.s, as well a.s most of my other instruments described in tliis Avork, Avere made for me by Me.ssrs. Mayei' and .Meltzer, (Ircat I’ortlanil-street. ■* In the earlier imstrumcnt Avhieh I enqiloyed tlierc Avere a gicat number of rings, and the sj)eculiim Avas o])(!iUMi and closed by means of a movable sli<le on the up[)or part of the shank, the liaiidlo remaining fix<!il.