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    Instruments of Throat: Sparsh Goel 77

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    Sparsh Goel
    The document summarizes various instruments used in throat surgeries like tonsillectomy and adenoidectomy. The Boyle Davis mouth gag is used to keep the patient's mouth open during oral surgery. The Doyen's and Jenning's mouth gags are also used to keep the mouth open but for different procedures. Forceps like Denis Browne's and Waugh's are used to grasp and manipulate the tonsils. Suction tubes, dissectors, and artery forceps are employed to control bleeding. The Eve's tonsil snare crushes and cuts the tonsil pedicle to minimize bleeding. Curettes and tonsillotomes are instruments used to remove adenoid tissue and tonsils respectively.

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    Instruments of Throat: Sparsh Goel 77

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    Sparsh Goel
    68 views19 pages
    The document summarizes various instruments used in throat surgeries like tonsillectomy and adenoidectomy. The Boyle Davis mouth gag is used to keep the patient's mouth open during oral surgery. The Doyen's and Jenning's mouth gags are also used to keep the mouth open but for different procedures. Forceps like Denis Browne's and Waugh's are used to grasp and manipulate the tonsils. Suction tubes, dissectors, and artery forceps are employed to control bleeding. The Eve's tonsil snare crushes and cuts the tonsil pedicle to minimize bleeding. Curettes and tonsillotomes are instruments used to remove adenoid tissue and tonsils respectively.

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    The document summarizes various instruments used in throat surgeries like tonsillectomy and adenoidectomy. The Boyle Davis mouth gag is used to keep the patient's mouth open during oral surgery. The Doyen's and Jenning's mouth gags are also used to keep the mouth open but for different procedures. Forceps like Denis Browne's and Waugh's are used to grasp and manipulate the tonsils. Suction tubes, dissectors, and artery forceps are employed to control bleeding. The Eve's tonsil snare crushes and cuts the tonsil pedicle to minimize bleeding. Curettes and tonsillotomes are instruments used to remove adenoid tissue and tonsils respectively.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    68 views19 pages

    Instruments of Throat: Sparsh Goel 77

    Uploaded by

    Sparsh Goel
    The document summarizes various instruments used in throat surgeries like tonsillectomy and adenoidectomy. The Boyle Davis mouth gag is used to keep the patient's mouth open during oral surgery. The Doyen's and Jenning's mouth gags are also used to keep the mouth open but for different procedures. Forceps like Denis Browne's and Waugh's are used to grasp and manipulate the tonsils. Suction tubes, dissectors, and artery forceps are employed to control bleeding. The Eve's tonsil snare crushes and cuts the tonsil pedicle to minimize bleeding. Curettes and tonsillotomes are instruments used to remove adenoid tissue and tonsils respectively.

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    INSTRUMENTS

    OF THROAT
    SPARSH GOEL
    77
    Boyle Davis Mouth Gag
    • Mouth gags are used to keep the patient’s mouth open during oral
    surgery, leaving both hands of the surgeon free to operate.

    • The Boyle Davis mouth gag consists of the Davis gag, a frame
    that serves to hold the mouth open and the Boyle tongue
    depressor to hold the tongue down.
    • The tongue depressor comes in several sizes, from pediatric to
    adult.
    • The instrument is assembled by sliding the tongue blade into the
    frame.
    • The mouth gag is held in position using the Draffin’s bipod stand.
    Uses
    • Used in oral and
    oropharyngeal surgeries.
    • Adenoidectomy
    • Tonsillectomy
    • Uvulopalatopharyngoplasty
    and other procedures on the
    soft palate
    • Procedures on the hard
    palate like cyst or tumor
    excision.
    Doyen’s mouth Gag

    • Used to keep the mouth


    open for intraoral
    surgery when retraction
    of the tongue is not
    required or desirable.
    • Mostly used for tongue
    surgery.
    • It is applied on one side
    of the mouth on molar
    teeth.
    Jenning’s Mouth Gag
    • Use is similar to the previous one.
    • It is applied in the center of the mouth.
    Draffin’s Bipod
    • Each pod has four rings.
    • They can be assembled
    to vary the height at
    which the tongue blade
    of the Boyle Davis
    mouth gag can be
    suspended.
    Denis Browne’s Tonsil Holding Forceps
    • These forceps are used to grasp and hold the tonsils
    during surgery (tonsillectomy by dissection method).
    • The tonsil is grasped gently and then pulled medially.
    This step helps hold the tonsil away from its bed to
    facilitate dissection and prevent injury to structures in the
    bed of the tonsil.

    Identifying the instrument

    • Tonsil holding forceps are long and sturdy with the shaft
    bent at an angle to the handle. The tips are cup-shaped
    with holes.
    Waugh’s toothed forceps

    • Better known as tonsil


    dissection forceps with
    teeth.
    • For incision in mucous
    membrane and
    dissection of tonsil.
    • This pair of long forceps
    is used while packing
    the tonsillar fossa.
    Yankauer suction tube

    • This tube is ideal for


    suction blood and
    pharyngeal secretions
    during tonsillectomy.
    Tonsil dissector and anterior pillar
    retractor
    • One end is used to dissect the tonsil and the other to
    retract the anterior pillar to inspect the fossa for any
    bleeding point.
    Tonsil artery forceps ( straight and
    curved )
    • Straight forceps is used
    to catch the bleeding
    point
    • Curved one is used as a
    replacement forceps
    before tying with a
    ligature.
    Negus artery forceps

    • Its tip is sharply curved.


    • The forceps is used as replacement forceps to ligate
    the bleeding point.
    Negus Knot tier

    • Helps to carry the ligature


    knot up to the tip of artery
    forceps holding the vessel
    and tie it.
    Eve’s tonsil snare

    • Used for tonsillectomy


    • After the tonsil has been
    dissected till its lower pole,
    snare is passed round the
    tonsil to engage the pedicle
    and then firmly closed.
    • It crushes and cuts the
    pedicle minimizing
    bleeding
    • Wire used in snare no. 25
    SWG
    Peritonsillar abscess forceps
    • Used for drainage of
    peritonsillar abscess.
    St. Clair Thompson’s adenoid curette
    with guard
    • Used in adenoidectomy.
    • Curette shaves off the adenoid mass while the guard
    holes the tissue and prevents its slipping.
    Leighton tonsillotome (Guillotine)

    • The tonsillotome , was


    used during the
    nineteenth century to
    amputate an enlarged
    tonsil.
    • This tool was innovative
    in combining the
    multiple steps to a tonsil
    amputation into one
    step.

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