Abstract: A medical device for exposing and holding open an operating area in the region of the oral cavity of a patient, preferably a laryngo-pharyngoscope retractor, the device having a holding structure that is fixable in the head region of the patient for mounting medical instruments and tools and a spatula that is insertable into the oral cavity for fixing the tongue or other parts in the operating area and that includes a spatula blade and a handle region, characterized in that the spatula includes two or more mutually adjacent adjustment elements that are movable relative to one another.