Scribd
Upload
14 views79 pages

Ent Instruments

The document describes various ENT instruments and their specific uses, including the Gelles test for bone conduction and the Killian baynot shaped nasal gouge for visualizing the nasal cavity. It also outlines potential pitfalls during procedures, conditions associated with unilateral enlarged tonsils, and details on instruments like the Mollison tonsillar dissector and micromotor drill handpiece. Each instrument is highlighted for its function in surgical procedures related to the ear, nose, and throat.

Uploaded by

pritammeher768
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
14 views79 pages

Ent Instruments

The document describes various ENT instruments and their specific uses, including the Gelles test for bone conduction and the Killian baynot shaped nasal gouge for visualizing the nasal cavity. It also outlines potential pitfalls during procedures, conditions associated with unilateral enlarged tonsils, and details on instruments like the Mollison tonsillar dissector and micromotor drill handpiece. Each instrument is highlighted for its function in surgical procedures related to the ear, nose, and throat.

Uploaded by

pritammeher768
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

ENT INSTRUMENTS

Gelles test
• Test for bone conduction.
• Examines the effect of increased air pressure in ear canal.
• Performed by vibrating fork over mastoid.
• By increasing the presssure in the EAC with a siegels speculum.it
pushes the TM and ossicles inward,raises the intralabrynthine
pressure and causes immobility of bassilar membrane and decreased
hearing but no change in hearing when ossicles are fixed.
Killian baynot shaped nasal gouge
• baynot shaped for adequate
visualization of the nasal cavity
during procedure
• The tip of the instrument has a
rounded smooth bevelling for a
better grip of bone
• It always used with a mallet
• Removal of maxillary creast or spur
• Opening of bone in canine fossa in
Caldwell luc surgery
pitfalls
• There is anterior and posterior reversal of structure in mirror image
• Overhanging of epiglottis may obscure the vision
• The procedure difficult in children and short neck person
• Depth perception is poor
• The vocal cord appear short and flat
Unilateral enlarged tonsil
• Tb
• Syphilis
• Actinomycosis
• Chronic tonsillitis
• Angioma
• Myxoma
• Lipoma
• Fibroma
• Sq cell ca
• Lymphoma
• Hodgkin disease
• Epidermoid ca
MOLLISON Tonsillar dissector and anterior pillar
retractor

• Blunt dissection of tonsils by its


blunt end
• retracting the anterior pillar
• To visualize bleeders in tonsillar
fossa
• For retracting soft palate and
uvula
isthmus hook
• Used to retract the isthmus of the thyroid and
other soft tissue during tracheostomy
• The sharp tracheal hook is used to retract the
cricoid cartilage superiorly and stabilize the
trachea prior to the tracheal incision during
tracheostomy
Micromotor drill handpiece with burr
• This is a detachable portion of the
micromotor used to anchor the burrs.
• The burr is inserted by unlocking the
thread of the handpiece
• The burr is pushed inside the handpiece
and then locked to secure it.
• It is held like a pen
1. Uses-for drilling mastoid and ear canal
2. Caldwell luc operation
3. Dental and maxilla facial surgeries
4. Frontal sinus wall drilling
5. Drilling bone in choanal atresia, endo
dcr, Sistrunk operation

You might also like