ENT INSTRUMENTS

BULLS EYE LAMP

 Used for illumination

 Has 100 watts white frosted bulb, 200 candle
power
 Fitted with bi-convex lense

 Placed 6inch above and behind the left

shoulder
 At a distance of 30cm from head mirror
 HEAD MIRROR
 Has a mirror and plastic head
band connected by a double
ball and scoket joint.
 Concave mirror with
aperture(allows binocular
vision) placed over right eye
 Diameter is 9cm, with
aperture diameter of 2cm
 Focal length of 18cm
 Uses: routine ENT examination
 Advantages:

binocular vision
part under vision is briliantly illuminated
both hands are free to carry out procedure
 Disadvantage:

head has to be kept fixed

LAC’S TONGUE DEPRESSOR
LAC’S TONGUE DEPRESSOR
 L Shaped instrument
 It has a broader end- used to depress tongue, on
the other side it is narrow with a bent- used for
gripping
 Uses:
• Used to examine oral cavity and oropharynx
• Testing gag reflux
• Doing cold spatula test
• To test spasm of massater muscle in suspected
case of tetanus
• To do erwin moor sign
• While performing posterior rhinoscopy
• Visualisation of nasopharynx under
anaesthesia using bent end.
• Oral cavity procedures:
1. Throat swab
2. Giving steroid injection over the pillars-Rx of
OSMF
3. Biopsy from oral cavity
4. Excision of cysts
5. Tonsillectomy under local anesthesia
6. Surgery of submandibular duct
7. Removal of foreign body
THUDICHUM’S NASAL SPECULUM
THUDICHUM’S NASAL SPECULUM
 U shaped instrument with blades/pronges at the end
 Avaliable in different sizes
 How to hold the insturment?
 Uses:
1. Diagnostic uses:
• For anterior rhinoscopy( lateral wall, floor, inferior and
middle turbinate, septum)
• Foreign body
• Rhinolith
• Polyps
• Spetal deviation, septal perforation
• Nasal masses
2. Therapetic uses:
• Removal of foreign body

• Nasal packing

• Cauterisation

• Application of medication

• Antral puncture

• Nasal surgery( septoplasty and SMR)-incision

and infiltration
JOBSON HORNE PROBE WITH RING CURETTE
JOBSON HORNE’S PROBE WITH RING CURETTE

 Also known as: wax hook/ ring curette

 One end has ring while the other end is sharp
and serrated
 Ring end:

• Used to hook out wax/ foreign body

• Used to probe an aural polyp/ mass in ear

canal
• Remove granulation from EAC
 Serrated end:
• Ear wick can be fashioned and used to mop
ear(aural toileting-clean ear discharge)
• To trace sinus tract
• To apply medications in EAC
• For probe test (probing polyp in ear and nose)
TUNNING FORK
TUNNING FORK

 Consist of 3 parts:
1. Pronge

2. Stem

3. Base

 Available in different frequency- 126Hz, 512Hz,

1024Hz
 Most commonly used is 512Hz
AURAL SPECULUM
 Complications:
• Otomycosis
• Syncope
• Improper use causes perforation
• Trauma to EAC
HARTMANS FORCEPS
TONSILLECTOMY INSTRUMENTS
• Another mouth gag is jenning’s mouth gag
DENNI’S BROWN TONSIL HOLDING FORCEP
TO READ

 Anatomy of tonsil, Cause of tonsillitis

 D/D of membrane over tonsil(diptheria in detail)

 Neck space infections

 Indications

 Contraindications

 Techniques of tonsillectomy

 Post operative care

 Complications
NASAL SURGERY INSTRUMENTS
ST CLAIR THOMPSON NASAL SPECULUM

• Nonself retaining
• Longer blades and concave
from inside
• Deeper view
• Used in nasal surgeries
SMR
Septoplasty
Removal of deeper foreign
body
polypectomy
TO READ

 Difference b/w SMR and septoplasty

 Difference b/w AC polyp and Ethamoidal polyp

 DNS

 Types of nasal bone fracture

 FESS
MASTOID SURGERY
TO READ

 MRM
 Radical mastoidectomy

 Cortical mastoidectomy

 tympanoplasty
SCOPES
BRONCHOSCOPE
OESOPHAGOSCOPE
SPECIMEN
TONSIL
RHINOLITH
ANTROCHOANAL POLYP
ETHAMOIDAL POLYP
INVERTED PAPILLOMA
EAR OSSICLES
X RAYS
CHEST X RAY-PA VIEW
FOREIGN BODY-COIN
FOREIGN BODY
FOREIGN BODY-COIN IN OESOPHAGUS
X RAY NASAL BONE-FRACTURE OF NASAL BONE
X RAY MASTOID
X RAY PNS
RIGHT FRONTAL AND MAXILLARY SINUSITIS
PRE VERTEBRAL ABSCESS
ACHALASIA CARDIA
CA OESOPHAGUS