A system of practical medicine. By American authors. Vol. 3 : $b Diseases of the respiratory, circulatory, and hæmatopoietic systems — John Shaqi
A system of practical medicine. By American authors. Vol. 3 : $b Diseases of the respiratory, circulatory, and hæmatopoietic systems
Science
A system of practical medicine. By American authors. Vol. 3 : $b Diseases of the respiratory, circulatory, and hæmatopoietic systems
Medicine -- Practice
{20} Senn of Geneva in 1827 endeavored to examine the larynx of a
little girl suffering from an affection of the throat by means of a
small mirror which he had made and which he inserted into the pharynx,
but he failed to see the glottis, because, as he says, the mirror was
too small, and because he used neither direct nor reflected light to
illuminate the cavity below the mirror.[4]
[Footnote 4: _Journal de Progrès des Sciences, etc._, 1829.]
In the year 1829, Benjamin Guy Babington published[5] an account of
what he called the glottiscope, an apparatus which consisted mainly of
two mirrors. One of these was small and attached to a slender stem, and
was used to receive the image, while the other, an ordinary hand-glass,
was used to reflect the rays of the sun or ordinary daylight upon the
smaller mirror in the fauces. This combination was essentially the same
as is used at the present day in the laryngoscope, with the difference
that we now use artificial light in most instances, and a concave
mirror instead of a plane one for reflecting the light.
[Footnote 5: _Lond. Med. Gazette_, 1829, vol. iii.]
While Babington was still engaged in perfecting his instruments, a
mechanic named Selligue, who suffered from an affection of the throat,
in 1832 invented a speculum for his physician, Bennati of Paris, with
which the latter was able, as he asserted,[6] to see the vocal cords.
This instrument was similar to the one invented by Bozzini, and
consisted of a double speculum bent at right angles and carrying two
mirrors--one for illuminating the cavity, and the other for reflecting
the image. Selligue was rewarded for his efforts by a complete cure of
his affection.
[Footnote 6: _Recherches sur le Mécanisme de la Voix humane_.]
A number of others worked in the same direction, and endeavored to see
the interior of the larynx in the living subject by employing different
apparatus and methods of illumination. Thus, in 1838, Baumès of Lyons
described a mirror the size of a two-franc piece (1-1/8 inches in
diameter) as useful in examining the larynx and posterior nares.[7]
Then Liston in 1840 used a dentist's mirror,[8] and Warden of Edinburgh
employed a prism of flint glass attached to a long stem as a laryngeal
mirror.[9] In the latter part of the same year Avery of London employed
a speculum with a mirror in its end for examining the larynx, using as
an illuminator a concave reflector with a central opening, which was
supported by a frame to be worn on the head of the operator.[10]
[Footnote 7: _Compte Rendu des Travaux de la Société de Médecine de
Lyons_, 1836-38.]
[Footnote 8: _Practical Surgery_, 1840.]
[Footnote 9: _Lond. Med. Gazette_, vol. xxiv. p. 256.]
[Footnote 10: _Med. Circ._, June, 1862.]
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