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Room for Maneuver in Peroral Laryngoscopy: Presentation of a New Multipurpose Laryngoscope

Room for Maneuver in Peroral Laryngoscopy: Presentation of a New Multipurpose Laryngoscope Abstract The physical restrictions imposed by the walls of the laryngoscope tube reduce visibility and freedom of access to many laryngeal lesions. The diameter of the mouth, unlike that of other body orifices, is large enough to permit solutions to this problem. Some such were developed years ago with only a modicum of success, which probably explains their virtual disappearance from the surgical scene. Prior to 1916, Bruening, Mosher, and Ingals1 all developed laryngoscopes with one side open to give more room for instrumentation. These were hand-supported, thus leaving one hand of the operator for surgical purposes. In addition, the surgeon's unbalanced crouch imposed a handicap. The suspension apparatus was pioneered by Killian and others, and finally securely established by Lynch.2 This created an open field which made extensive peroral surgery a practical reality. As Lynch's followers have proved,3 the use of this apparatus permitted accurate two-instrument dis References 1. Mueller, V.: Development of Instruments for Direct Laryngoscopy, Surgery of Larynx and Trachea , A. S. Trade A. J. 3:37 ( (March) ) 1916. 2. Lynch, R. C.: Technic of Suspension Laryngoscopy in Intralaryngeal Surgery , Laryngoscope 25:840 ( (Dec.) ) 1915. 3. Le Jeune, F. E.: The Value of Suspension Laryngoscopy in Intralaryngeal Surgery , A. M. A. Arch. Otolaryng. 64:30 ( (July) ) 1956.Crossref 4. Heinberg, C. J.: Modified Jackson Laryngoscope , A. M. A. Arch. Otolaryng. 65:607 ( (June) ) 1957.Crossref 5. Lewy, R. B.: Gear-Power Detachable Laryngoscope Holder and Simplified Position For Direct Laryngoscopy , A. M. A. Arch. Otolaryng. 58:444 ( (Oct.) ) 1953.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives of Otolaryngology American Medical Association

Room for Maneuver in Peroral Laryngoscopy: Presentation of a New Multipurpose Laryngoscope

A.M.A. Archives of Otolaryngology , Volume 68 (4) – Oct 1, 1958

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Publisher
American Medical Association
Copyright
Copyright © 1958 American Medical Association. All Rights Reserved.
ISSN
0096-6894
DOI
10.1001/archotol.1958.00730020521013
Publisher site
See Article on Publisher Site

Abstract

Abstract The physical restrictions imposed by the walls of the laryngoscope tube reduce visibility and freedom of access to many laryngeal lesions. The diameter of the mouth, unlike that of other body orifices, is large enough to permit solutions to this problem. Some such were developed years ago with only a modicum of success, which probably explains their virtual disappearance from the surgical scene. Prior to 1916, Bruening, Mosher, and Ingals1 all developed laryngoscopes with one side open to give more room for instrumentation. These were hand-supported, thus leaving one hand of the operator for surgical purposes. In addition, the surgeon's unbalanced crouch imposed a handicap. The suspension apparatus was pioneered by Killian and others, and finally securely established by Lynch.2 This created an open field which made extensive peroral surgery a practical reality. As Lynch's followers have proved,3 the use of this apparatus permitted accurate two-instrument dis References 1. Mueller, V.: Development of Instruments for Direct Laryngoscopy, Surgery of Larynx and Trachea , A. S. Trade A. J. 3:37 ( (March) ) 1916. 2. Lynch, R. C.: Technic of Suspension Laryngoscopy in Intralaryngeal Surgery , Laryngoscope 25:840 ( (Dec.) ) 1915. 3. Le Jeune, F. E.: The Value of Suspension Laryngoscopy in Intralaryngeal Surgery , A. M. A. Arch. Otolaryng. 64:30 ( (July) ) 1956.Crossref 4. Heinberg, C. J.: Modified Jackson Laryngoscope , A. M. A. Arch. Otolaryng. 65:607 ( (June) ) 1957.Crossref 5. Lewy, R. B.: Gear-Power Detachable Laryngoscope Holder and Simplified Position For Direct Laryngoscopy , A. M. A. Arch. Otolaryng. 58:444 ( (Oct.) ) 1953.Crossref

Journal

A.M.A. Archives of OtolaryngologyAmerican Medical Association

Published: Oct 1, 1958

References