ABSTRACT Objective The head mirror was invented by Friedrich Hoffmann in 1841 and popularized by Anton von Troeltsch in 1855, whose design is still used today. Though it was primarily used by otolaryngologists, it is used ubiquitously as a symbol to represent doctors in the popular press and media. This investigation examines how the role of the head mirror throughout history has influenced medical symbolism in popular culture. Data Sources Literature review was conducted including primary references exploring the history and development of the head mirror, followed by a secondary search of references cited by retrieved articles. Review Methods The National Library of Medicine was used to search for historical texts. A Boolean search using “head mirror” AND “manual” was conducted. Primary sources such as cartoons and newspapers with depictions of the head mirror were also utilized. Results Doctors wearing head mirrors appear in a wide range of comic strips, television shows, paper and digital advertisements, as well as children's media and video games from the early 20th century up through the current day. Conclusion While history often leads us to understand how symbols arise, we can only postulate the cultural reasons why certain symbols persist. Perhaps it is the striking appearance, the visual humor, or the nostalgic aspect of the head mirror in combination with its historical significance that has been permanently etched into the image of the physician. While the everyday use of the head mirror has declined, its use in mainstream media is as pervasive as ever.
Xu et al. (Wed,) studied this question.