ENT INSTRUMENTS
Bull’s lamp
• 100 watt bulb
• Plano convex lens
• Lamp is placed 6 inches above
and behind the left shoulder of
patient
• Use – examiner focus light using
head mirror to illuminate the
patient
Head mirror
• Attached to head band
• Reflects light from light source
• Concave mirror
• Diameter – 9 cm
• Central hole – 2 cm
• Focal length – 25 cm
• Binocular vision
LED Head light
Otoscope
Aural / ear speculum
• Cone / funnel shaped
• Examine EAC , TM
• Myringotomy
• Intratympanic steroid injection
Aural syringe
• Metallic
• Nozzle for insertion into EAC
• Removal of wax , debri , foreign
body
Thudichum nasal speculum
• Anterior rhinoscopy
• For nasal packing
• Septoplasty / SMR surgery –
while making incision
• Close the flanges while inserting
• Open for examination
• Close flanges before withdrawal
Killian’s nasal speculum
• Several sizes – small to long
bladed
• Self retaining
• Septal surgery
• Turbinate surgery
• Foreign body removal
• Anterior nasal packing
Lach’s Tongue depressor
• Right angled
• Depresses tongue for examining
• Oral cavity
• Oropharynx
• Posterior rhinoscopy
• Oral surgeries
Indirect laryngoscopy Mirror
• Viewing larynx / hypopharynx
• Mirror is warmed
• Patient is asked to protrude his
tongue , held by examiner
• Mirror is introduced , base is
fixed against uvula
• Light is focused on the mirror
Posterior rhinoscopy Mirror
• Shaft is bayonet shaped
• Avoid contact with post 1/3 of
tongue
• Mirror is warmed
• Tongue is depressed
• Mirror is turned upwards and
introduced beyond uvula
I/L P/R
Jobson Horne probe
• One end – ring curette
• Hook out wax / foreign bodies
• Other end – sharp , serrated
• Ear wick is fashioned by rolling
cotton – mop ear discharge
Eustachian catheter
• Long thin metal cannula
• 5 inches
• Tip is curved downwards
• Other end bears a small ring
which serves as guide to the
direction of curve
• Eustachian tube catheterisation
• ET Tube patency
• Nasal foreign body removal
Tilley’s forceps
• Nasal packing
• Ear dressing
• Foreign body removal
Mollison’s mastoid retractor
• Self retaining
• Haemostatic
• Mastoidectomy – retract soft
tissues after incision and
elevation of flap
Freer’s elevator
• Elevation of mucoperichondrium
and mucoperiosteum
• Septoplasty and SMR
Luc’s Forceps
• Cup shaped tips
• Edges of tip is sharp for cutting
• Septoplasty
• Caldwell-Luc surgery
Tonsil( Dennis Brown)holding forceps
• Tips are cup shaped with holes
• Smooth tips to hold tissue
• Tonsillectomy surgery
• Tonsil is grasped gently and
pulled medially
Eve’s tonsil snare
• Removing the dissected tonsil
from its final attachment to
lower pole
• Cut and crush the pedicle –
reduce haemorrhage
Walsham’s forceps
• Reduction of fracture nasal
bones
Ash’s septum forceps
• Nasal septal fracture reduction
Boyle Davis mouth gag
• Used to keep patient’s mouth
open during oral surgery ,
leaving both hands of surgeon
free to operate
• Tonsillectomy
• Adenoidectomy
• Palate surgeries
Draffin’s bipod
• Assembled at varying height to
which Boyle-Davis mouth gag is
suspended
St Clair Thompson Adenoid curette with
guard
• Adenoidectomy
• Engages& shaves adenoid tissue
• Guard prevents tissue from
slipping and falling
• Curette is held like a dagger
• Sweeping movement of wrist
Tracheostomy tube
• Portex cuffed T tube
• Flexible
• Cuff prevents aspiration
Tunning fork – Gardener Brown
• Base / shaft / prongs
• 256 Hz ,512 Hz ,1024 Hz
• Rinne’s , Weber , ABC
• Schwabach , Bing , Stenger tests