INSTRUMENTS USED IN EAR,NOSE, THROAT,HEAD AND NECK SURGERY

Microscope and telescopes

Laryngoscopes
Microforceps and scissors
Right and left turn cupped forceps
Biopsy forceps
Fibre optic light carrier and light source
Tympanoplasty and mastoidectomy sets
Basic ENT out patient set up
Maxillectomy and rhinotomy set
Complete FESS set
Stroboscopy set with monitor
Tonsilectomy set

Instrument Uses
to focus light into the cavity under inspection; mirror is
Head Mirror with head band concave and is used with a Chiron lamp to produce a
parallel beam of light; doctor views through the hole
Head mounted lights with
to focus light into the cavity under inspection
head band
Chiron lamp source of light
source of light; exiting lens is convex and produces a
Bull's eye lamp
divergent beam of light
Speculum to dilate orifices and to see inside
•Thudichum's nasal speculum -do-; short blades
•St. Clair Thompson's long
-do-; long blades
bladed nasal speculum
•Killian's long bladed nasal
-do-; long blades and with handles; used more operations
speculum
•Lemart's endural speculum open the ear canal
•Seigle's pneumatic speculum open the ear canal and give a magnification
•Aural/Ear speculum to fit in and straighten the external ear canal
to depress or remove the tongue or other structures from the
Lack's tongue depressor
field of inspection or to view them in from all sides
Forceps to hold things [3]
•Asch's septum forceps used to work on the nasal septum
for use in the anterior part of the nasal cavity most
•Tilly's nasal dressing forceps
importantly, anterior nasal packing; larger then Hartmann's
•Tilly's aural dressing forceps for use in the ear canal; larger then Hartmann's
for use in the ear canal; smaller then Tilly's and has a better
•Hartmann's aural forceps
"biting" action
•Hunter Tod's forceps for use in the ear canal
•Fagge's aural forceps for use in the ear canal
•Waugh's long dissecting
used for dissection like on the tonsils
forceps
•Wilson's tonsil artery forceps as an a haemostat
•Negus tonsil artery forceps as an a haemostat
•Peritonsilar abscess forceps to drain abscesses behind the tonsils
•Denis Brown's tonsil holding
to hold the tonsil during dissection
forceps
used in Caldwell-Luc operation operation on the nasal
•Luc's nasal forceps
sinuses
•Walsham forceps used to work on the nasal septum
•Citelli's punch forceps punching out holes in bones or other tissues
•Henckle's punch forceps punching out holes in bones or other tissues
on certain procedures of the eustachian tube or the middle
Eustachian (tube) catheter
ear like patency test
Mirrors
•Laryngeal mirror straight mirror for indirect laryngoscopy (seeing the larynx)
•Postnasal/Posterior
for posterior rhinoscopy (seeing the inner parts of the nose
rhinoscopy mirror (St. Clair
like the choanae)
Thompson's)
hollow tube to see within the respiratory tract without
Bronchoscope
obstructing respiration
Oesophagoscope hollow tube to see within the oesophagus
Laryngoscope used in direct laryngoscopy; vide link
Jobson Horne's probe with
to access or clean the external ear
ring curette
Tuning forks for various clinical tests of deafness
Pritchard's politzerization
vide link
apparatus
used to flush out anything like ear wax or foreign bodies
Aural/Ear syringe
from the external ear
Toynbee's auscultation tube
Otoscope/Auriscope to examine the external auditory canal and ear drum; self lit
Mouth gag -
•Doyen's mouth gag to keep the mouth open, mostly operate the mouth
to keep the mouth open and depress the tongue to operate
•Boyle Davis mouth gag
within or through the mouth
•Jenning's mouth gag -do-
Draffin's bipod metallic stand used to hold the Boyle Davis mouth gag fitted head in a
and Magauran's plate particular place
Guillotine used in guillotine method of tonsillectomy
Gwyenne Evans Tonsil used in tonsillectomy
dissector and anterior pillar
retractor
Snares -
•Eve's tonsil snare to remove tonsil - used at the end to minimize bleeding
•Krause's nasal snare used to remove nasal polyps
•Glegg's nasal polyp snare used to remove nasal polyps
•Aural snare used to remove aural polyps
Tonsil knife used in tonsillectomy
Yorke's tonsil haemostatic
haemostatic clamps
clamp
Negus' ligature slipper/knot used with Negus's or Wilson's artery forceps to help tie
tier sutures
Negus' artery forceps as a haemostat
St. Clair Thompson adenoid
used in adenoid surgery
curette with cage and guard
Yankauer's
for a direct access or look at the nasopharynx
nasopharyngoscope
double bent sucker; used as a sucker in operations of the
Yankauer suction tip
mouth
Lichtwitz antrum-puncture
used in nasal sinus surgery
trocar and canula
to create an artificial passage into the maxillary sinus
Tilly's antral harpoon trocar
through the nose
to enlarge the artificial passage into the maxillary sinus
Tilly's antral bur
through the nose made by the harpoon trochar
Freer's double-ended separation of the mucosa from the cartilage in nasal surgery
mucoperichondrium elevator like Septomarginal resection
Farabuef's periosteal elevator used in mastoid surgeries like mastiodectomy
Rose's sinus washing canula to irrigate the maxillary sinuses
Higginson's syringe irrigating the antrum
Ballenger's swivel knife cutting septal cartilage
Nasal foreign body hook to remove nasal foreign bodies
Electric drill for bone drilling
Mollison's self-retaining
used in mastiod surgeries to retract overlying tissues
haemostatic mastoid retractor
Staecke's guide and protector used in mastoid surgeries
Chisel removing parts of bones
Mastoid gouge removing parts of mastoid bones
MacEwen's cell seeker with
used to curette within the mastoid
curette
Lempert's curette or scoop removing parts of the nasal septum
Killian's nasal bone gouge bayonet shaped; removing parts of the nasal septum
Myringotome used to cut the ear drum
Grommet stapedectomy set used in surgeries of the ear drum

Tracheostomy tube
•Fuller's bi-valve type
•Portex type
•Cuffed type
•Jackson's
Retractor's (single or double
hook)
Tracheal hooks (blunt or
sharp)
Lemart's endural retractor
•Jansen's self retaining
•Mollison's self retaining
haemostatic
Tracheal dilator
Long gauze pieces
[edit] Image gallery
Aural or ear syringe
Bull's eye lame
Hartmann's aural
Aural/Ear speculum
forceps
used in tracheostomy to bypass the airway above its point
of insertion, due to any reason
metal double tube; used in a new tracheostomy or during
closing it for a few days
used in permanent tracheostomy
in unconscious patient (single cuff is sufficient); used in
permanent tracheostomy (with two cuffs); has a balloon
(cuff) that is inflated to occlude the airway around the tube
to prevent aspiration of fluids into the lungs
metal double tube and a pilot
to retract tissues
used in tracheostomy
used in ear surgery
self retaining retractor used in mastoid surgery
self retaining retractor used in mastoid surgery
used in tracheostomy to dilate the cut edges of the trachea
for anterior nasal packing
Foreign body hook Head Mirror
Hartmann's aural Jobson Horne's probe
forceps with ring curette
 Pritchard's
Lack's tongue Otoscope or
Laryngeal mirror politzerization
depressor Auriscope
apparatus

Posterior rhynoscopy Thudichum's nasal Tilly's nasal dressing Tilly's nasal dressing
mirror speculum forceps forceps

Fuller's bivalve metal Single hook retractor Double hook retractor

tracheostomy tube Plastic tracheostomy
tube

Fagge's aural forceps

Surgical sponge forceps Tonsil artery forceps

[edit] References
1. ^ ENT and head neck surgery by Dr. S K. De, ISBN 81-87447-16-8
2. ^ Diseases of the ear, nose and throat by Dr. P. L. Dhingra, 4th Edition, ISBN 81-
312-0327-1
3. ^ DOWNS Surgical

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