Head mirror

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Instruments used in otolaryngology

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

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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
•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 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 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