Electrical otoscope

ses
)To exumin minute perforaiion in
v21paniC nnembrane.
fn otosclerosis, to see honeyconbing
a n i c memhrane.
 Tonsill holding forceps
(Denis brown's)_

For holding the ti e

tonsilaciony by disseain
method.

uc's forcep-
7
Luc'sforceps

Uses
)ln SMR
2)For taking hiopsy from

oralcavity and oropharyn

3)For nasal polypectomy
tonsil
4)As asubstitute for
holding forceps
 Ballenger
swivel knife

This is a knife that can

rotate 360 degrees withi
its two prongs. Hence, it
can be positioned witho
rotating the instrument
and the direction can be|
changed. This instrumen
is used in submucous
resection of septum and|
also to harvest cartilage
for rhinoplasty and
tympanoplasty.

Compiled by Sauradeep Dey (deysaur ad [Link]

Killian's long-bladed nasal speculum

Uses;
)Used in SMR or septoplasty to
keep mucoperiosteal Jlups away
 Indirect laryngoscope

Uses:
fo see base of tongue,
allecula,
epiglottis,
ocal cards,
pvriform fossa
nd other parts of larynx.
 Mastoid retractor

U'ses:
I t is used inmastoidectomy
or retracting skin,subeutanious
 Thudicam's nasal speculum

Uses;
It is used to see
)Floor of nasal cavity
2)Nasal septum
3)Lateral wall of nasal cavity
(middle and inferiour turbinates
and mcati)
Lack's spatula(Tongue depresser)
ses;
1) To examin the palantine tonsil
and pillers-posteriour phuryngeal
walluvula and sofi palate.
2)To depress the tongue during peritonsillar
abscess drainage.
ST. Clair Thompson adenoid
Cureie wilh cage

This instrument is used to curette the adenoids by a blind technique. The

curette is introduced behind the soft palate with the blade facing down.
It is heid like a dagger and the adenoid is curetted from the
nasopharyngeal wall in the midline by sweeping movement. The cage is
used to prevent slipping of the excised tissue into the throat. During the
procedure, the neck of the patient should not be in too much extension
as it might injure the atlanto-occipital joint.

Another vioty without cage is called Beckman adenoid curette.

Comoiled hr Sauradeen denaatunbamaicom
 BoyleDavis moulh gag wilh fongue blade
it has two
components Boyie
blade and Davis gag that are
used simultaneously. It
helps to
keep the mouth open and push
the tongue up and away from the
operation site. Upper tooth plate
has small holes to which a
rubber tube is sutured to
prevent trauma to the incisor
tooth. The mouth gag is
introduced in the closed position
after opening the mouth with the
head extended. The mouth gag
is gradually opened and the
ratchet lock makes it self-
Tonsilecton retaining. The whole assembly
can be lifted up and maintained
Adenoidectomy
Surgeries ofpalate and nasopharynx inthat position using Draflin
bipods.
on of choanal polyp

Comoied Sugadro O ded wade

 Boyle Davis nmoulh gag wilh tongue blade
It has two conponents Boyle
blade and Davis 9ag that are
used simultaneously It helps to
keep the mouth open and push
the tongue up and away from the
operation site. Upper tooth plate
has small holes to which aa
rubber tube is sutured to
prevent trauma to the incisor
tooth. The mouth gag is
introduced in the closed position
after opening the mouth with the
head extended. The mouth gag
is gradually opened and the
ratchet lock makes it self-
avorn5
retaining. The whole ass embly
Tonsilledctomy can be lifted up and maintained
Adenoidectomy in that position using Dralfin
Surgeriesof palate and nasopharynx
bipods.
Cision of choanal polyp

Comoiled bx Sauradeo Or (drat_ondomn

 TUngor
The tuning fork is struck at the
junction of upper one-third and
lower two-third of the prongs. Th
vibrating tuning fork with the
prongs In the acoustic axis is
placed at a distance of 2.5 cm
Fig Hartmann tuning fork from the auricle for air conductio
The vibrating tuning fork is then
placed with the base touching the
mastoid process for bonne
conduction. It is available in
various frequencies-128, 256.
512 and 1024. The 512 Hz tuning
fork is commonly used for the
Fig Gardiner tuning fork
following reasons.
ARTS: a. It is present in the mid speech
Two prongs frequencyrange
Shoulder aing less b. Overtones are minimal
Stem g v t an c. Sound is more auditory than
tactlle in nature
Base d. Tone decay is optimal.

TYPES Hatmann TE Gardiner TE

 Jenkin mastoid gouge

Fig Jenkin mastoid gouge

gouge is an instrument with a curved rounded tip that has smooth
lence, it cuts bone in a circular beveling.
pattern.
It is held at an acute
angle to the bone
pr cutting it and a mallet is used for hitting on it. The
y the electrical drill in the present day. gouge has been replace
USES
a. Remove hard bone during mastoidectomy
b. Caldwell-Luc operation
c. Excision of exostosis in external
auditory canal.
Compiled by Sauradeep Dey (deysauradeep gmail com
 Colver tonsillar vulsellum forceps

This instrument is also used to hold the (upper pole of) tonsil to pull it
medially prior to dissection. It is especially useful where the tonsil is friable
and the grip cannot be changed repeatedly.

Comoies by Suzadeen D Ldeneatueanu

 Birkett straight first artery
forceps

Fig Birket straight firat artery forceps

This is used to catch bleeding points in the tonsillar fossa after
tonsillectomy. It is replaced by Negus second artery forceps
underneath the first artery forceps before ligation.

TRANSVERSE SERRATIONS

Comand Sundem Der Ldeaeade mulon

 Needle holder

Fig :Needleholder
It has wo blades and a long handle with finger grip and a ratchet.
The ratio of length of handle to blade is 4 1. The blade has criss-
cross serrations (or groove) on the inner aspect to grip the needle
 Direct laryngoscop
USES
a. For examinatlon of
larynx, hypopharynx,
cricopharynx and uppe
esophagus
b. Removal of foreign
Fig Direct laryngoscope
bodies from the above
his is a 'U' shaped instrument made up of German regions
lver. It uses a rigid fiber-optic light carrier for C. For biopsy from
lumination. The pos ition of the structures is not tumors5
hanged unlike indirect laryngoscopy and there is no d. For excision of
nagnification. Based on the type of illumination tumors or nodules from
nere are two types-Jackson and Negus. the glottis or
No Feature Jackson Nogus supraglottis
e. To assess the extent
Site of illumination Distal Proximal of laryngeal growth
Number of illuminations Single Double before laryngectomy.
Brightness Less bright More bright
Fogging of light carier Posaible Unlikely
Proximalsize Narrower Broader
 Jackson Tracheostomy tub
Parts
a. Inner tube
b. Outer tube Contains collar
a locking mechanism
a an
cPilot obturator
Disadvantages:
a. Phonation is not possible
b. The patency of the natural air
passage cannot be checked
by blocking the tube
aRure uler hrocheostomy Jackson tocheo C. There Is a risk of granulation
Jockson Irocheo tissue formatlon.
ube fomy fuibe There is a pilot for introducing the
tube into the trachea so that injur
uter tube Bilanged No flonges
is not caused to the posterior wall
afor innerhube Aboent Preent The French gauge (FG or FR) is
three times the outer diameter
nt for breothing and Present Aboent (millimeters) of the tube. This FG
onofion on inner tube system is commonly followed for
of metal
Precent identlfylng the number
t forintoduchon Absent tncheostamv tube
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