Instruments in ENT

1) Bull's of middle ear secretions in

eye lamp- CS0Mpt.
v) Antibiotic application in ME(Powdered).
·
Planoconvex lens/Bull
-s lens 4) Otoscope-
eye
·100 Watt white-frosted ·
View of Car Canal &

bulb TM
·
Left side of patient
Camp-1), I foot
away from patient
:heat) at level of
shoulder pinna
5) car
·
aka Chiron lamp speculum-
0
for examination of Light focused on ·
Cone / funnel-shaped
Bar
TragUS attachment
for otoscope.
-

Anterior Columella Painted Black-as

rhinoscopy
a ·

it is metallic can

2) Head mirror-examination of S.N, reflect

light;absorbs
Head B and
Light.
L ·
Reflects the
light
N
from a source (Bull's Grubber's
Ear

eye lamp) to part speculum

examined.
being
Concave mirror-
Toynbee's Ear
·

Better Speculum
converging of

marginal lightrays. >

Tj--
- -

Hole lies infront of 6) Gardiner Brown Fork

R
Tuning
·

eye
- -

·
Hole in centre -

Binocular vision >Baseplate Footplate

·
Shaft
o
Diameter Head mirror-3.5inch/9cm/90mm
Clinically testhearing
· -

Central hole 2cm/20mm identify

type of Hearing
-

focal 25cm/250mm
length
· -
LOSS.

Other methods: Otoscope & Microscope (3UM) Prongs <

·
256, 512, 1029H2:Speech
f -

200 -
250mm frequency.
freq. -vibrations felt heard; freg.
·
more
- -

3)
Siegel's speculum overtones.: 512421
-

Pneumatic Rinne's, Weber's, Absolute Bone Conduction

Otoscopy
· ·

·
Convex lens (m 2.5) =
test, Bing's test, Stenger's & Geller's test
·>
aural speculum
After 7) Grommet-
fitting air tight
· -

Ventilation &
chamber
Drainage
·

of M2 in Sevous otitis
Advantages 1) Magni-
· -

fied ii) media.

view of eardrum
Mobility of TM-pressure
-

iii) Fistula, Gelle's, iv) Suction

changing. Browns test.
8) Anterior
Cutting & Diamond Burus-
rhinoscopy
·

Removal of Mastoid bone Mastoid antrum Anterior nasal

packing
· - ·

exposed Mastoid exploration Nasal

foreign body,
-> ·

·
Diamond Burr-Cut rhinolith removal
Bone
very slowly: ·septoplasty
Vital structures Functional endoscopic sinus
·
can
surgery.
be
approached Turbinate reduction
surgeries.
·

·Cutting Burr-sharp
& drills mastoid air 12) Flexible Fiberoptic Endoscope -

Evolution of nasal & sinus

cells
very fast.
·

passages.
9) Jobson Horne Double Ended Probe -

·
Wax hook
or Ring Gurette.

Ring end-hook out wax/foreign body

·

and
probing aural polyp/mass
-

other
end-sharp servated
·

mop ear
-

13) Endoscope
discharges rolling cotton to a wick it.
Rigid Nasal
- -

on

·
Diameters-2.7 -4 mm

Angles -0"30%,45", 70°

·

Indications for nasal

endoscopy-
·

i) Pt. sino-nasal
experiencing symptoms.
ii) Evaluation of to treatment.
pt. response
10) Nasal Speculum Thudicum Speculum iii) of
Obtaining culture purulent
-

a
-

Anterior
rhinoscopy
·
secretions.
iv) In
Foreign body removal performing Functional Endoscopy
·

per
operatively, nasal Sinus
Surgery.
·

packing 1) Evaluation after FESS.

Septal surgeries (SMR vil Evaluation &

biopsy of nasal lesion
·
or

&
septoplasty) while
making incision. vii) Evaluation of
nasopharynxfor lymphoid
Structures ant.rhinoscopy- hyperplasia, Eustachian tube problems.
·
seen on

i) Nasal
Septum, ii) Lat. Wall - Inf.+
mid. and nasal obstruction.
turbinates +
meatuses, iii) Floor viii) Evaluation of CSF leak
·
Vestibule obscured. ix) Evaluation & treatment
of
epistaxis
x) Evaluation of
hyposmia or anosmia

1
xi) Evaluation & treatment of nasal
3 2

fo

11) Killian Nasal Speculum

-

Several sizes -

small-long bladed.

Tighter Screw-Self Retaining useful

-
-

during septal surgery.

 Bull's
Eye 1) Tuning Fork, 2) Siegel's
Lamp speculum, 3) Otoscope, 4) Head
mirror, 5) Barany's Noise Box

1) Jobson -

Probe, 2) Vienna nasal

Horne's

Speculum, 3) Hartman's
packing forups
4) Wilde's
,
packing forceps, 5) Eustachian
tube catheter, 6) Thudicum nasal speculum

Laryngeal mirror, 8) Postnasal mirror

") Blunt
. probe, 10) Ear specula, II) Lack's
tongue depressor

-
19) St. Clair
Thompson Posterior Rhino- 15)
Self-retaining Hemostatic Mollison's
-

Scopy/postnasal mirror- Mastoid Refractor -

Posterior
chinoscopy Mastoidectomy
· ·

Shaft-Bent-Bayonet shape to Haemostatic Blades soft tissue

· ·

compress
-

differentiate from Indirect

laryngoscopy
mirror.

16) Favabeut's Mastoid Periosteum Elevator -

17) Jenkin's Mastoid

Gouge-
& Mastoidectomy
·

D ·
Exenterate mastoid air cells and expose
mastoid autrum.

18) Jenkin's Mastoid Chisel -

·
Mastoidectomy
p · Removal of Bridge

19) Godlee's Mallot -

Mastoidectomy
·

·
With
Gouge and chisel to remove

bone.

#
-
 24)
20) MacEwer's Curette and Cell Seeker
Tilley's Dressing Forups
-
-

Mastoidectomy Nasal Ear

Dressing, Foreign
· ·

packing,
curette end removal from
intervening
curette the
body
· -
nose.

septa and ·Box joint

granulations.
·
Seeker end-explore mastoid air cells.

21) Rose's Sinus Cannula

Douching
-

·Irrigation of
Maxillary Sinus (having
a nasocntral window due to intranasal (5) Freer's Double-ended elevator -

antrostomy or Caldwell-luc operation).

·
Elevation mucoperichondrium or
of

periosteum in SMR or septoplasty

(2) Luc's forceps

-

·
Caldwell-Luc's Operation -

remove mucosa.
·
Sub-mucosal resection (SMR) operation -
26) Boyle Davis mouth gag-
-

remove
bone/cartilage. ·
Opening mouth & depressing tongue
Polypectomy grasp&avulse polyp and take Tongue blades of various size use.
· - a

biopsy from the throat. to

nose or
age.
Tonsillectomy, Operation of pallet &
·

Davis'Mouth
Gag
↓

↑
Boyle's
Tongue
Blade

23) Nasal (Krause's)

share
nasopharynx.
-

·
Nasal polyp removal
·
Wire -
30 SWG 27) Draffin's Bipod & Magauran's
↑late -
·
Each
pod-4 rings-assembling at 29) Waugh's Tonsil Dissection forceps
with teeth-
varying height + Boyle-Davis mouth
Incision in membrane &
gag suspended.
·
mucous
·
Lower end ofeach
pod-> depressions in Dissection of tonsil
Magauran's plate.
28) Denis Brown' Tonsil Holding forceps -

30) Yankaver's
pharyngeal suction
Tube -

31) Mollison's
Tonsil Dissector &
Anterior Pillar Retractor -

↑ *Flat ·
One end -
Dissect
the tonsil
Flat (Denis's
(Denis') ·
Other other hook-like broadened
end -
Retract the anterior pillar
to inspect the tonsillar fossa for

any bleeding point.

Holding tonsil
during tonsillectomy/
·

removing Antrochoanal (AC) polyp/

removing thick mucosa.

Dissector Retractor

Denis'->
·
Anterior Pillar Retractor is also used
A
Luc's
to retract uvula & palate during
is
removal of AP
polyp prevally.
Denis
32) Eve's Tonsilar snare -

Tonsillectomy
·

Lower pole of Tonsil (Pedide) Crushed

· -

& Cut-> Muscles crushed

->llotting
factors -> Less Bleeding.

cupped
Cupped 3 swG
↓ -

(Luc's)
(Luc's)
·Wire: 25 SWG
33) Burkitt's Tonsil 1st Artery Forceps
-
36) St. Clair Thompson adenoid curette

straight forceps to find & hold bleeder with

guard-
·

from tonsil bed.

Adenoidectomy
·

curette shaves offadenoid mass

·

·Guard holds this tissue & prevents

slippage
Ist time-with
guard, subsequently
· -

guard
without

34) Burkitt's Tonsil <2nd>

Artery Forups
-

·
curved forceps used as
replacement
forups before
tying with a
ligature.
3) Direct
laryngoscope
-

=°@-

>
#>
-
⑰
Light be inserted.
·
source can

35) Negus Artery forceps -

·
Tip-sharply curved 38) Oesophagoscope -

Replacement forcep for ligation of

·

bleeding point.

39) Bronchoscope
-

at distal end-Ventilation
·
Openings
of contralateral side bronchi
lung or

curved?-
Ligature does not slip.
·

35) Peritonsillar abscess

(Quincy)
forceps -

Drainage of
peritonsillar abscess
·
40) Fuller's
Tracheostomy Tube
-

Silver (Metallic
Alloy -Ag, c,p) tube
·

· Outer
(longer) & Inner tube
·Outer 2 blades pressed together
- -

introduction.
during
·
Innertube -

Opening
-
chance of

breathing from larynx -if tube blocked.

41) Cuffed Tracheostomy tube -

·
Inflatable cuff-

prevents aspiration
of
pharyngeal
secretions into
trachea
·
Prevents air-leak
· Deflated 24 for 5 min.
every
42) lufted suction-and
tracheostomy
tube -

cuffed
tracheostomy tube suction
· +

tube
Suction
always before
deflating
·

the cuff.