List of instruments used in otorhinolaryngology, head and neck surgery

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

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 (average diameter of mirror is 3 & 1/2" & that of hole is 1/4")
Head mounted lights with head band to focus light into the cavity under inspection
Chiron lamp source of light
Katz extractor to remove nasal foreign body
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 ( uses: anterior rhinoscopy - to see the Little's area, ant-inferior part of nasal septum, anterior part of inferior and middle turbinate and meatus, as well as any pathological lesion in the area; also used in certain nasal operations )
•St. Clair Thompson's long bladed nasal speculum -do-; long blades ( uses: in operations such as Submucous Resection of the nasal septum )
•Killian's long bladed nasal speculum -do-; long blades and with handles; used more operations like SMR & Septoplasty. ( advantage: blade can be adjusted and fixed with screws, to avoid strain due to holding )
•Lempert's endaural speculum open the ear canal
•Seigle's pneumatic speculum open the ear canal and give a magnification; test the mobility of tympanic membrane; see a magnified image of small perforations; introduce medicine into middle ear; perform Fistula test for vestibular function
•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 from all sides; examine oral cavity; posterior rhinoscopy; minor operations; foreign body removal; biopsy ;peritonsillar abscess drainage; retraction of cheek and lip.
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 Jmost importantly, anterior nasal packing; larger than Hartmann's, serrated tip & box joint ( uses: all nasal operations; nasal packing; removal of fish bone )
•Tilly's aural dressing forceps for use in the ear canal; larger than Hartmann's
•Hartmann's aural forceps for use in the ear canal; smaller than 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, also to catch bleeding points and putting in swabs
•Wilson's tonsil artery forceps as an a haemostat ( same as Negus )
•Negus tonsil artery forceps as a haemostat, replaces tonsil artery forceps; used to tie ligature at a depth and ligature won't slip due to its curve tip.
•Peritonsilar abscess forceps to drain abscesses in the soft tissue adjacent to the palatine 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 maxillary 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; inflate middle ear and clear eustachian tube blockade; removal of foreign body of the nose; as a suction cannula.
Mirrors
•Laryngeal mirror straight mirror for indirect laryngoscopy (seeing the larynx); structure seen are the base of tongue, vallecula, glossoepiglottic fold, epiglottis, pharyngo-epiglottic folds, aryepiglottic folds, epiglottis, interarytenoid region, pyriform sinus, inlet of larynx, supraglottic region, ventricular bands, vocal cord, subglottis and few rings of trachea; used for removal of fish bone, biopsy, anaesthesia of larynx, trachea, bronchi; removal of vocal nodule and papilloma.
•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 external ear
Tuning forks for various clinical tests of hearing loss; vibration sense test
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; used during aural toileting, removal of wax, myringotomy, stapedectomy and to dilate the stenosis of canal
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; operations in which it is used: tonsillectomy, operation of palate, pharynx, nasopharynx.
•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.incission of anterior pillar of tonsil in the beginning of operation
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; help to slip the ligature over the tip of Negus or Wilson forceps during ligation of vessels following tonsillectomy.
Negus' artery forceps as a haemostat; replace tonsil artery forceps; ligature will not slip due to curve tip.
St. Clair Thompson adenoid curette with cage and guard used in adenoid surgery.held in dagger holding fashion and passed behind soft palate.
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; conform presence of puss in maxillary sinus; cytological examination of antral wash out fluid; lavage of the maxillary sinus; introduction of medication and indwelling polythene tube into the sinus
Tilly's antral harpoon trocar to create an artificial passage into the maxillary sinus through the nose; puncture medial wall of inferior meati
Tilly's antral bur to enlarge the artificial passage into the maxillary sinus through the nose made by the harpoon trochar; dilate and smoothen the antrostomy opening
Freer's double-ended mucoperichondrium elevator separation of the mucosa from the cartilage in nasal surgery like Septomarginal resectiondisplacement of inferior turbinate
Farabuef's periosteal elevator used in mastoid surgeries like mastoidectomy
Rose's sinus washing canula to irrigate the maxillary sinuses
Higginson's syringe irrigating the antrum,nasal douching for atrophic rhinitis
Ballenger's swivel knife cutting septal cartilage; SMR operation
Nasal foreign body hook to remove nasal foreign bodies
Electric drill for bone drilling
Mollison's self-retaining haemostatic mastoid retractor used in mastoid 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
Lempert'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

Image gallery

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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