INSTRUMENTS AND APPLIANCES FOR OPERATIONS ABOUT THE HEAD AND NECK.
| Trephining the Skull. | Cleft Palate. |
| Operations on the Eye. | Excision of Tonsils. |
| Hare-Lip. | Laryngotomy. |
| Resection of the Jaw. | Tracheotomy. |
| Excision of the whole Tongue. |
TREPHINING THE SKULL.
| 1. Scalpel. | 8. Quill, cut like a tooth-pick, to clear the groove of bone-dust. |
| 2. Trephines—several crowns. | 9. Lenticular knife. |
| 3. Hey’s saw. | 10. Small polypus forceps. |
| 4. Elevator. | 11. Sponges. |
| 5. Stout dissecting forceps. | 12. Lint. |
| 6. Brush to clean away the bone-dust. | 13. Ice. |
| 7. Probe. |
OPERATIONS ON THE EYE.
Strabismus.
| 1. Chloroform, if used. | 5. Strabismus scissors and hooks. |
| 2. Laurence’s, or other head-fixer. | 6. Fine curved needles, and finest thread. |
| 3. Specula of different sizes. | 7. Lint. |
| 4. Toothed forceps. | 8. Ice, or cold water. |
Extirpation of the Eyeball.
| 1. Chloroform. | 9. Ice-cold water. |
| 2. Head-fixer. | 10. Perchloride of iron. |
| 3. Speculum. | 11. Fine curved needles, and finest silk thread. |
| 4. Toothed forceps. | 12. Lint. |
| 5. Curved scissors. | 13. Pulled lint. |
| 6. Strabismus hook. | 14. Basin. |
| 7. Small and large sponges. | 15. Bandage. |
| 8. Dissecting forceps. |
Cataract (Congenital).
| 1. Atropine drops. | 6. Toothed forceps, to fix eyeball. |
| 2. Chloroform. | 7. Lint. |
| 3. Head-fixer. | 8. Cold water. |
| 4. Speculum. | 9. Gelatine plaster. |
| 5. Lacerating needles. |
Cataract (Senile).
| 1. Atropine drops. | 8. Scoop. |
| 2. Chloroform. | 9. Platinum spatula, to adjust edges of wound. |
| 3. Head-fixer. | 10. Small sponges. |
| 4. Speculum. | 11. Basin and water. |
| 5. Lacerating needles. | 12. Gelatine plaster. |
| 6. Toothed forceps. | 13. Wool and bandage. |
| 7. Cataract knives. | 14. Lint. |
Iridectomy.
| 1. Chloroform, if used. | 9. Light curved scissors. |
| 2. Head-fixer. | 10. Lint. |
| 3. Specula. | 11. Gelatine plaster. |
| 4. Toothed forceps. | 12. Wool and bandage. |
| 5. Right-angled knives. | 13. Atropine drops. |
| 6. Iris forceps. | 14. Small sponges and basin. |
| 7. Iris hooks. | 15. Hot and cold water. |
| 8. Capsule scissors, if required. |
HARE-LIP.
| 1. Scalpel. | 10. Cheek compressor. |
| 2. Artery forceps, or sharp hook. | 11. Sponges. |
| 3. Hare-lip pins. | 12. Large towel to wrap the child in. |
| 4. Wire nippers. | 13. Chloroform and inhaler. |
| 5. Dentist’s silk twist. | When the bone has also to be bent back— |
| 6. Strapping plaster. | 14. Bone nippers. |
| 7. Silver suture. | 15. Sequestrum forceps. |
| 8. Collodion. | 16. A knitting needle; and |
| 9. Scissors. | 17. Spirit lamp to check deep hæmorrhage by the actual cautery. |
RESECTION OF THE JAW, AND TUMOURS CONNECTED WITH IT.
| 1. Scalpels. | 16. Wire nippers. |
| 2. Artery forceps. | 17. Actual cautery. |
| 3. Torsion forceps. | 18. Perchloride of iron. |
| 4. Ligatures. | 19. Ice. |
| 5. Retractors. | 20. Sutures, silk and wire. |
| 6. Tooth forceps. | 21. Solution of chloride of zinc. |
| 7. Narrow saw. | 22. Lint. |
| 8. Hey’s saw. | 23. Bandages. |
| 9. Bone-cutting forceps. | 24. Plaster. |
| 10. Lion’s-tooth forceps. | 25. Collodion. |
| 11. Sequestrum forceps. | 26. Mackintosh sheet. |
| 12. Gouges. | 27. Small sponges tied on sticks. |
| 13. Chisel. | 28. Larger sponges. |
| 14. Gag. | 29. Chloroform and inhaler. |
| 15. Hare-lip pins. |
EXCISION ON THE WHOLE TONGUE.
| 1. Scalpel. | 17. Needle for passing the chain. |
| 2. Torsion forceps. | 18. Sharp and blunt hooks. |
| 3. Artery forceps. | 19. Stout silk. |
| 4. Gag. | 20. Metallic sutures. |
| 5. Archimedian bone-drill. | 21. Ligatures. |
| 6. Cheek retractors. | 22. Ice. |
| 7. Incisor tooth forceps. | 23. Perchloride of iron. |
| 8. Narrow saw. | 24. Cautery iron. |
| 9. Nævus needle, and | 25. Solution of chloride of zinc. |
| 10. Half a yard of thick whipcord. | 26. Collodion. |
| 11. Stout copper wire. | 27. Small sponges mounted on sticks. |
| 12. Key for twisting the wire tight. | 28. Brandy. |
| 13. Wire cutters. | 29. Chloroform and inhaler. |
| 14. Stout acupressure needle. | 30. Lint. |
| 15. Hare-lip pins. | 31. Mackintosh sheet. |
| 16. Two ecraseurs. |
CLEFT PALATE.
| 1. Long-handled, narrow-bladed knife, for dividing the palatine muscles. | 8. Scissors. |
| 2. Long-handled curved scissors. | 9. Ice, ice-cold water. |
| 3. Slender hooked forceps, to seize soft palate. | 10. Mackintosh sheet. |
| 4. Long-handled small bistoury, for paring edges of fissure. | 11. Sponges set on sticks. |
| 5. Long-handled needles, with the eye at the point for passing sutures. | 12. Glass syringe for washing the mouth. |
| 6. Fine blue silk, or catgut. | 13. Smith’s gag. |
| 7. Blunt and sharp hooks. | 14. Chloroform and inhaler. |
EXCISION OF TONSILS.
| 1. Long vulsellum. | 3. Ice, ice-cold water. |
| 2. Tonsil guillotines; or, probe-pointed bistoury, the posterior two-thirds of the blade covered with lint or plaster; or, tonsil excisors of various kinds. |
To repress Hæmorrhage from the Tonsils.
| 1. A small lump of ice held in a long vulsellum against the tonsil. | 3. Long straight polypus or gullet forceps with padded ends, to compress the tonsil; one blade being passed within the mouth, the other outside against the neck. |
| 2. Small sponge on the end of a stick, dipped in ice-cold solution of perchloride of iron, or other styptic. |
LARYNGOTOMY IN THE CRICO-THYROID SPACE.
| 1. Scalpel. | 5. Tapes. |
| 2. Artery forceps and ligature silk. | 6. Sharp and blunt hooks. |
| 3. Torsion forceps. | 7. Two hooked forceps. |
| 4. Silver tube, curved on the flat. | 8. Sponges. |
TRACHEOTOMY.
| 1. Scalpel. | 9. Trachea-dilator, to assist introduction of tube. |
| 2. Dissecting forceps. | 10. Sponges. |
| 3. Blunt hooks for veins. | 11. Brandy. |
| 4. Sharp hook to draw forward trachea. | 12. Ammonia. |
| 5. Double silver tube and tapes. | 13. If a foreign body is lodged in the larynx, forceps of various kinds to extract with. |
| 6. Torsion forceps. | 14. Strapping plaister. |
| 7. Artery forceps. | 15. Silver suture. |
| 8. Ligatures. |