OBJECTIVES
Describe the instruments used in ENT examination and
their uses.
Head Mirror
1- Consists of concave mirror (3.5 inch) with central hole
(0.5 inch) and head band
2-Used in ENT examination to focus and reflect light
from light source onto the examined organ
Head light used in ENT examination
Tongue depressor
Uses
Inspection of oral cavity and oropharynx
In posterior rhinoscopy with posterior rhinoscopic
mirror
To evaluate nasal patency in cold spatula test
In removal of pharyngeal FB(fish bone)
In drainage of peritonsillar abscess
Posterior Rhinoscopic Mirror used
in posterior rhinoscopy to examine
postnasal space
Thudicum Nasal Speculum used in
anterior rhinoscopy
Killian Nasal Speculum
Self Retaining Nasal Speculum
Thudicum and KillianNasal Specula
Uses
Anterior rhinoscopy(examination of anterior half of
nasal cavity)
Nasal packing
May be used in the procedure of nasal foreign body
removal and nasal cautery
Dressing Forceps used to insert
wick in the ear canal or pledgets in
the nose
Tilley DressingForceps
Tilley Dressing Forceps
Has 1 box joint and serrated ends
Uses
Insertion and removalof anterior nasal pack
Insertion of pledgets soaked with drugs into the nose
Removal of non-rounded nasal foreign bodies(FB),
also may be used to remove aural FB
Removal of fish bone in the throat
Insertion of aural wick
Maybe used to remove wax
In drainage of peritonsillar abscess
Crocodile forceps
Crocodile Forceps
Has 2 joints
Only the upper jaw of the distal end is movable
Is more stable and allow better vision in limited spaces than
Tilley forceps
Uses
Removal of wax
Removal of non rounded aural FB
Insertion of aural wick
Removal of non rounded nasal FB
May be used in anterior nasal packing , insertion of pledgets
soaked with drug solution into the nose , in peritosillar abscess
drainage and removal of fish bone in the throat
Posterior Nasal Pack
Aural Speculum
Aural Speculum
Metallic speculum of different sizes
Used to examine the ear canal, to take rough idea of
TM, in removal of some aural foreign bodies and in
nasal cautary
Siegle Speculum
Siegle Speculum
Consists of rubber bag connected to tube and lens
Uses:
1-Examination of tympanic membrane(TM)
2-Asses TM mobility
3-Diffrentiate between TM perforation and retraction
pocket
4-To perform fistula test
5-Insuflation of drugs
Gardiner Brown Tuning Fork
Gardiner Brown Tuning Fork
Consists of foot, shoulder and 2 prongs
Set range is 128-4096 Hz
Used in Rinne and Weber tests
Detect the presence of hearing impairment
Detect type of hearing impairment
Give rough idia about the hearing threhsold
Detect tone decay
Laryngeal Mirror
Jobson Horn Probe
Jobson Horn Probe
Has 2 ends (ring and serrated ends)
The ring end used to remove hard wax and rounded FB
Cotton is raped around the serrated end and use for
mopping of ear canal, removal of soft wax, chemical
cautery and application of druges
Plastic Tracheostomy Tube
Plastic Trachiostomy Tube
Single tube
Cuffed
Used in tracheostomy
Advantages
1-More comfortable
2-Cuff prevent aspiration
3-Can be used with MRI, CT scan and with ventilator
Disadvantages
1-More difficult to clean
2-Can not be used with radiotherapy and laser surgery
Metallic Tracheostomy tube
Metallic Tracheostomy Tube
Consists of inner tube, outer tube and introducer
Uncuffed
Used in tracheostomy
Advantages
1-Easier cleaning
2-Can be used with radiotherapy and laser surgery
Disadvantages
1-Uncuffed
2-Less comfortable
3-Not used with MRI, CT scan and ventilator
