Let not the reader who tries laryngoscopic investigations be discouraged
if, at first, violent retching is the result. It does not so much arise
from sensitiveness of the parts touched, as from awkwardness in
introducing the mirror. If he perseveres he will soon be rewarded by a
view of the pearly white vocal ligaments, and a little repeated practice
upon himself will enable him also to operate upon others without causing
them discomfort.
I close this chapter by again reminding amateur laryngoscopists that in
the vast majority of cases where the touch of the mirror causes retching
and gagging, it is due less to the sensitiveness of the person operated
upon than to the want of skill on the part of the operator. He should in
that case renew his experiments upon himself, and continue them until he
has fully mastered the use of the instrument, as it is not fair to make
others suffer for his own clumsiness.
THE TEACHINGS OF THE LARYNGOSCOPE.
On introducing the mirror into the throat we first see the back part of
the tongue, which has a very uneven surface, and which is, as a rule,
covered with greyish phlegm. We next notice a hollow space between the
tongue and the lid, which is divided by an elastic band forming a little
bridge between the two. Next comes the upper free part of the lid, the
shape of which greatly varies in different individuals. It hangs over
the voicebox, which it almost completely hides from view; but during the
production of a high tone on the vowel A, as in "sad," it takes an
almost perpendicular position. When the lid is so raised (pl. XIV, L) we
can see right down to the bottom of it, where we observe that it bulges
out a little. Extending from either side of the lid to the pyramids are
two folds of mucous membrane, in the hinder part of either of which are
to be observed two little elevations representing the cartilages of
Santorini (pl. XIV, S S), and the upper points of the wedges, called
the cartilages of Wrisberg (pl. XIV, W W). Looking down the kind of tube
which is formed by the parts just enumerated, we next notice two
horizontal projections running from front to back, which are the pocket
ligaments (pl. XIV, P P). Everything we have seen so far is of a pinkish
colour. Below the pocket ligaments, right at the bottom of the tube
described above, we see the main object of our investigation, namely,
the vocal ligaments (pl. XIV, V V). These, being almost of a pearly
white, form a strong contrast to all their surroundings, and it is quite
impossible to mistake them.
* * * * *
Public-domain text, read in full here on John Shaqi.
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