list of instruments used in otorhinolaryngology, head and neck surgery 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: instrument list instrumentuses head mirror with head bandto 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 bandto focus light into the cavity under inspection chiron lampsource of light katz extractorto remove nasal foreign body bull's eye lampsource of light; exiting lens is convex and produces a divergent beam of light speculumto 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 speculumopen the ear canal •seigle's pneumatic speculumopen 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 speculumto fit in and straighten the external ear canal lack's tongue depressorto 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. forcepsto hold things •asch's septum forcepsused to work on the nasal septum •tilly's nasal dressing forcepsfor 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 forcepsfor use in the ear canal; larger than hartmann's •hartmann's aural forcepsfor use in the ear canal; smaller than tilly's and has a better "biting" action •hunter tod's forcepsfor use in the ear canal •fagge's aural forcepsfor use in the ear canal •waugh's long dissecting forcepsused for dissection like on the tonsils, also to catch bleeding points and putting in swabs •wilson's tonsil artery forcepsas a haemostat ( same as negus ) •negus tonsil artery forcepsas 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 forcepsto drain abscesses in the soft tissue adjacent to the palatine tonsils •denis brown's tonsil holding forcepsto hold the tonsil during dissection •luc's nasal forcepsused in caldwell-luc operation on the maxillary sinuses •walsham forcepsused to work on the nasal septum •citelli's punch forcepspunching out holes in bones or other tissues •henckle's punch forcepspunching out holes in bones or other tissues eustachian (tube) catheteron 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 mirrorstraight 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) bronchoscopehollow tube to see within the respiratory tract without obstructing respiration oesophagoscopehollow tube to see within the oesophagus laryngoscopeused in direct laryngoscopy; video link jobson horne's probe with ring curetteto access or clean the external ear tuning forksfor various clinical tests of hearing loss; vibration sense test pritchard's politzerization apparatusvideo link aural/ear syringeused to flush out anything like ear wax or foreign bodies from the external ear toynbee's auscultation tube otoscope/auriscopeto 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 gagto keep the mouth open, mostly operate the mouth •boyle davis mouth gagto 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 plateused to hold the boyle davis mouth gag fitted head in a particular place. guillotineused in guillotine method of tonsillectomy gwyenne evans tonsil dissector and anterior pillar retractorused in tonsillectomy snares- •eve's tonsil snareto remove tonsil - used at the end to minimize bleeding •krause's nasal snareused to remove nasal polyps •glegg's nasal polyp snareused to remove nasal polyps •aural snareused to remove aural polyps tonsil knifeused in tonsillectomy.incission of anterior pillar of tonsil in the beginning of operation yorke's tonsil haemostatic clamphaemostatic clamps negus' ligature slipper/knot tierused 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 forcepsas a haemostat; replace tonsil artery forceps; ligature will not slip due to curve tip. st. clair thompson adenoid curette with cage and guardused in adenoid surgery.held in dagger holding fashion and passed behind soft palate. yankauer's nasopharyngoscopefor a direct access or look at the nasopharynx yankauer suction tipdouble bent sucker; used as a sucker in operations of the mouth lichtwitz antrum-puncture trocar and canulaused 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 trocarto create an artificial passage into the maxillary sinus through the nose; puncture medial wall of inferior meatuses tilly's antral burto 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 elevatorseparation of the mucosa from the cartilage in nasal surgery like septomarginal resectiondisplacement of inferior turbinate farabuef's periosteal elevatorused in mastoid surgeries like mastoidectomy rose's sinus washing canulato irrigate the maxillary sinuses higginson's syringeirrigating the antrum,nasal douching for atrophic rhinitis ballenger's swivel knifecutting septal cartilage; smr operation nasal foreign body hookto remove nasal foreign bodies electric drillfor bone drilling mollison's self-retaining haemostatic mastoid retractorused in mastoid surgeries to retract overlying tissues staecke's guide and protectorused in mastoid surgeries chiselremoving parts of bones mastoid gougeremoving parts of mastoid bones macewen's cell seeker with curetteused to curette within the mastoid lempert's curette or scoopremoving parts of the nasal septum killian's nasal bone gougebayonet shaped; removing parts of the nasal septum myringotomeused to cut the ear drum grommet stapedectomy setused in surgeries of the ear drum tracheostomy tubeused in tracheostomy to bypass the airway above its point of insertion, due to any reason •fuller's bi-valve typemetal double tube; used in a new tracheostomy or during closing it for a few days •portex typeused in permanent tracheostomy •cuffed typein 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'smetal 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 retractorused in ear surgery •jansen's self retainingself retaining retractor used in mastoid surgery •mollison's self retaining haemostaticself retaining retractor used in mastoid surgery tracheal dilatorused in tracheostomy to dilate the cut edges of the trachea long gauze piecesfor anterior nasal packing image gallery aural or ear syringe bull's eye lamp foreign body hook head mirror aural/ear speculum hartmann's aural forceps hartmann's aural forceps jobson horne's probe with ring curette lack's tongue depressor laryngeal mirror otoscope or auriscope pritchard's politzerization apparatus posterior rhynoscopy mirror thudichum's nasal speculum tilly's nasal dressing forceps tilly's nasal dressing forceps fuller's bivalve metal tracheostomy tube plastic tracheostomy tube single hook retractor double hook retractor surgical sponge forceps fagge's aural forceps tonsil artery forceps