Instruments used in otolaryngology

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Instruments used specially in Otolaryngology (Otorhinolaryngology) i.e. ENT are as follows: [1] [2]


Contents

[edit] Instrument list

Instrument Uses
Head Mirror with head band to focus light into the cavity under inspection; mirror is concave and is used with a Chiron lamp to produce a parallel beam of light;doctor views through the hole
Head mounted lights with head band to focus light into the cavity under inspection
Chiron lamp source of light
Bull's eye lamp source of light; exiting lens is convex and produces a divergent beam of light
Speculum to dilate orifices and to see inside
•Thudichum's nasal speculum -do-; short blades
•St. Clair Thompson's long bladed nasal speculum -do-; long blades
•Killian's long bladed nasal speculum -do-; long blades and with handles; used more operations
•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
Lack's tongue depressor to depress or remove the tongue or other structures from the 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
•Tilly's nasal dressing forceps for use in the anterior part of the nasal cavity most importantly, anterior nasal packing; larger then Hartmann's
•Tilly's aural dressing forceps for use in the ear canal; larger then Hartmann's
•Hartmann's aural forceps for use in the ear canal; smaller then Tilly's and has a better "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 forceps used for dissection like on the tonsils
•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 the tonsils
•Denis Brown's tonsil holding forceps to hold the tonsil during dissection
•Luc's nasal forceps used in Caldwell-Luc operation operation on the nasal 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
Eustachian (tube) catheter on certain procedures of the eustachian tube or the middle ear like patency test
Mirrors
•Laryngeal mirror straight mirror for indirect laryngoscopy (seeing the larynx)
•Postnasal/Posterior rhinoscopy mirror (St. Clair Thompson's) for posterior rhinoscopy (seeing the inner parts of the nose like the choanae)
Bronchoscope hollow tube to see within the respiratory tract without obstructing respiration
Oesophagoscope hollow tube to see within the oesophagus
Laryngoscope used in direct laryngoscopy; vide link
Jobson Horne's probe with ring curette to access or clean the the external ear
Tuning forks for various clinical tests of deafness
Pritchard's politzerization apparatus vide link
Aural/Ear syringe used to flush out anything like ear wax or foreign bodies 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
•Boyle Davis mouth gag to keep the mouth open and depress the tongue to operate within or through the mouth
•Jenning's mouth gag -do-
Draffin's bipod metallic stand and Magauran's plate used to hold the Boyle Davis mouth gag fitted head in a particular place
Guillotine used in guillotine method of tonsillectomy
Gwyenne Evans Tonsil dissector and anterior pillar retractor used in tonsillectomy
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 clamp haemostatic clamps
Negus' ligature slipper/knot tier used with Negus's or Wilson's artery forceps to help tie sutures
Negus' artery forceps as a haemostat
St. Clair Thompson adenoid curette with cage and guard used in adenoid surgery
Yankauer's nasopharyngoscope for a direct access or look at the nasopharynx
Yankauer suction tip double bent sucker; used as a sucker in operations of the mouth
Lichtwitz antrum-puncture trocar and canula used in nasal sinus surgery
Tilly's antral harpoon trocar to create an artificial passage into the maxillary sinus through the nose
Tilly's antral bur to enlarge the artificial passage into the maxillary sinus through the nose made by the harpoon trochar
Freer's double-ended mucoperichondrium elevator separation of the mucosa from the cartilage in nasal surgery 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 haemostatic mastoid retractor used in mastiod surgeries to retract overlying tissues
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 curette used to curette within the mastoid
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 used in tracheostomy to bypass the airway above its point of insertion, due to any reason
•Fuller's bi-valve type metal double tube; used in a new tracheostomy or during closing it for a few days
•Portex type used in permanent tracheostomy
•Cuffed type 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
•Jackson's metal double tube and a pilot
Retractor's (single or double hook) to retract tissues
Tracheal hooks (blunt or sharp) used in tracheostomy
Lemart's endural retractor used in ear surgery
•Jansen's self retaining self retaining retractor used in mastoid surgery
•Mollison's self retaining haemostatic self retaining retractor used in mastoid surgery
Tracheal dilator used in tracheostomy to dilate the cut edges of the trachea
Long gauze pieces for anterior nasal packing

[edit] Image gallery

[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. ^ http://www.downs-surgical.co.uk/mydowns/productlist.asp?cat=l&offset=50

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