Abstract
The purpose of this article is to describe an instrument and a simplified system, which I have found repeatedly workable, of positioning the head for direct laryngoscopy. This method requires only three stacked sheets, which are placed under the patient's back and extended to the top edge of the shoulder. The patient's head is placed so that the vertex is resting on the operating table. This procedure dispenses with head holders, either mechanical or human. With this method I have used a detachable laryngoscope holder, which is attached to the handle of the standard Jackson laryngoscope. The instrument incorporates some of the characteristics of the laryngoscopes developed by Seiffert, Roberts, and Andrews, and of the Fig. 1.—Patient with instrument in position (no head holder). Andrews' instrument modified by Somers. Exposure of the anterior commissure is easily accomplished by hand-power driving through the worm. The sprocket gear lifts the laryngoscope tip
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