Thudichum's nasal

Posterior Rhinoscopy Mirror

Avery Head Mirror Bull’s EYE LAMP Speculum Posterior Rhinoscopy – i.e. examination of
9cm outer mirror, 3cm inner mirror, 18 cm 100 W bulb, 45 cm FL, 30 cm distance behind Anterior Rhinoscopy – i.e. examination posterior part of nose.
focal length, bulls 30cm behind left ear of patient of anterior part of nose.

Pilcher Nasal Speculum Higginsons Syringe Bard Parker Handle Collin Tongue Holding
Antral wash, nasal douching in atrophic Used to attach blades of various numbers for Forceps
Used for nasal examination in children rhinitis surgical Incision
For holding tongue in oral surgeries
 St Clair Thompson Posterior Killian Nasal Speculum
Rhinoscopy mirror Self Retaining nasal speculum for anterior
nasal examination
2 bends. Used for visualization of posterior
part of nose

Killian Nasal Gouge

bayonet shaped used in septoplasty along with
St Clair Thompson Adenoid Hammer
Curette
To remove the adenoid tissues in
adenoidectomy. Available with or without cage

St Clair Thompson Adenoid Killian Elevator

Forcep to elevate mucoperichondrial flap in
submucous resection of nasal septum

St Clair Thompson Long

Bladed Nasal Speculum Killian Nasal Polypus
Self retaining for diagnostic and surgical Forcep
indications like Septoplasty. Used for polypectomy in nasal surgeries
 St Clair Thompson Quinsy Killian Curved suction
Forcep Nasal suction tip used in FESS surgery
To drain peritonsillar abscess

Tilley’s Nasal Packing

Forcep
Used for anterior nasal packing

Tilley’s Antral Harpoon

For intranasal antrostomy and as adjunct during
Tilley’s Antral Burr
Caldwell luc surgery.
To smoothen the margins of intranasal
antrostomy

Tilley Litchwitz Trocar and Tilley Henckel Nasal

Cannula Turbinate Forceps
Antral puncture for diagnostic or therapeutic
Used for turbinate surgeries
purposes (drain pus, instill medicine in
maxillary sinus)
 Jansen Middleton Bone Rose Eustachian Tube
Nibbler / Rongeur Catheter
Test patency of eustachian tube, inflate/instill
To nibble bony spicules and fragments during
medications in middle ear, remove foreign body
surgical procedures like maxillectomy
from nose, as suction cannula

Kerrison Bone Heymann Turbinectomy

Rongeur/nibbler/punch Scissors
To nibble bony spicules and fragments during Used during turbinate reduction surgeries. Also
surgical procedures like middle meatal used to cut cartilage pieces in septal surgeries
antrostomy

Asch Septum Straightening

Kerrison Double Action Bone Forcep
Rongeur/nibbler Angled blades, gap seen between prongs on
used to remove spicules of bone in surgeries approximation, used to elevate and straighten
like CaldwellLuc operation, Lynch-Howarth the septum, more stout and larger
operation, maxillectomy, etc

Walcham Septum Forcep

Straight blades, No gap seen between prongs on
approximation, used to refracture and align
nasal bones, smaller in size.
 Freer double ended muco Lempert Mastoid Curette
perichondrial elevator
Used to curette chunks of bone from mastoid
To elevate mucoperiosteal and and ear canal during ear surgeries like
mucoperichondrial flaps in septal surgeries tympanoplasty, mastoid exploration or
stapedotomy. Also be used to remove
granulation tissue and cholesteatoma

Ballinger Swivel Knife

360 degree rotating knife tip for submucous
resection of septum and also to harvest cartilage
for rhinoplasty and tympanoplasty

Jenkins Mastoid Gouge

To remove hard bone during mastoidectomy,
Caldwell Luc Surgery, excision of exostosis in
EAC.

Heath Mallet
Used along with gouge, chisel or osteotome
in septal surgery
 Janson Mastoid Retractor
Retract tissue and fascia above mastoid area in surgeries
like mastoidectomy, tympanoplasty etc

Plester Mastoid retractor

2x2 and 3x3 pronged
Retract tissue and fascia above mastoid
area in surgeries like mastoidectomy, Perkin Mastoid Retractor
tympanoplasty etc Retract tissue and fascia above mastoid area in surgeries
like mastoidectomy, tympanoplasty etc

Tablot Mastoid retractor

Retract tissue and fascia above mastoid area in
surgeries like mastoidectomy, tympanoplasty etc

Weitlaner Mastoid Retractor

Retract tissue and fascia above mastoid area in surgeries
like mastoidectomy, tympanoplasty etc
Mollison Mastoid retractor
Retract tissue and fascia above mastoid area in
surgeries like mastoidectomy, tympanoplasty etc
 Hartmann Tuning Fork Simpsons Aural Syringe
To detect type and degree of hearing loss Remove or soften wax and to remove non
hygroscopic foreign bodies from ear

Alligator / Crocodile Forceps

To hold graft material like temporalis fascia and
transfer from one place to other, to hold and
transfer foam and cotton pledgets, ossicles,
Gardiner Brown Tuning Fork grommet or TORP/PORP
To detect type and degree of hearing loss

Politzer Myringotome Waugh’s Tenaculum Forcep

To make incision on tympanic membrane for To make incision on tympanic membrane for
serous otitis media or unresolved acute otitis serous otitis media or unresolved acute otitis
media media

Eve’s Tonsillar Snare Krause Tonsillar Snare

Routinely used to cut lower pole of tonsil Routinely used to cut lower pole of tonsil
during tonsillectomy surgery during tonsillectomy surgery
 Cawthorne Micro ear straight Doyen Mouth Gag
pick
To clear granulation tissue and tympanosclerotic Self retaining mouth gag used during surgeries like
plaques in the mastoid and middle ear, to spread the glossectomy, tongue tie release, soft palate and floor
graft during the tympanoplasty of mouth surgeries, Caldwell Luc Surgeries etc

Cawthorne Micro ear curved pick

To clear granulation tissue and tympanosclerotic Plester Flag Knife
plaques in the mastoid and middle ear, to spread the
graft during the tympanoplasty Self retaining mouth gag similar to Doyen mouth gag

Plester Flag Knife

To make incision on external canal wall skin in
typmpanoplasty, myringoplasty or ossiculoplasty
surgeries Boyle Davis Mouth gag
Self retaining mouth gag used in surgeries like
Rosen micro ear round tonsillectomy. The Boyle Davis mouth gag consists of
the Davis gag, a frame that serves to hold the mouth
(circular knife) open and the Boyle tongue depressor to hold the
External canal skin incision for tympanomeatal flap, tongue down.
margin freshening during tympanoplasty, to break
middle ear adhesions etc

Shea micro ear Sickle Knife

To freshen the margins of tympanic membrane perforation,
For myringotomy incision, Skeletonization of the handle of Draffin Bipod stands
malleus, To break the middle ear adhesions, Dislocation of Consists of two rods with multiple rings in a row.
incudostapedial joint during stapedectomy Used to anchor and fix the Boyle Davis mouth gag for
and while drilling mastoid at the attic near ossicles, To incise numerous oropharyngeal surgeries including
the facial nerve sheath in facial nerve decompression adenotonsillectomy
 Colver Tonsillar Vulsellum Negus Knot Tier and Ligature
Forceps Pusher
used to hold the tonsil to pull it medially Used to push the ligature loop on the Negus second
prior to dissection in tonsillectomy but it is traumatic artery forceps to ligate the bleeding point

Yankauer suction tube

Mollison Tonsillar Dissector and Used to push the ligature loop on the Negus second
anterior pillar retractor artery forceps to ligate the bleeding point
Blunt end for initial nontraumatic dissection and other
curved end for anterior pillar retraction

Gwynne Evan tonsillar dissector Lister Sinus Forcep

Blunt end and a serrated end. Blunt end is used for the Resembles artery forceps but has no Ratchet. Inner
initial dissection of tonsil but the serrated end is used blades are serrated and tip is blunt. Used for draining
to cut the tissues from the upper pole, pillars abscess by breaking loculi inside after making an
and the tonsillar bed till the lower pole is reached incision.

Burkitt Straight First Artery

Forceps
Used to catch bleeding points in tonsillar fossa after Denis Browne Tonsil Holding
tonsillectomy.
Forcep
used to hold the tonsil atraumatically and to pull it
medially
Negus Second Artery Forceps prior to dissection in tonsillectomy
It has a curved tip and is used after the first artery
forceps for ligating blood vessels in a deep site. The
curve may be ‘t’ shaped or ‘J’ shaped
 Luc Forceps
Suitable for biopsy of various soft tissues and delicate
Portex uncuffed Tracheostomy
bone in surgeries like SMR or septoplasty for removal tube
of cartilage or bone. Used in radiation patient, Prevents crusting, air tight
seal prevents aspiration and aids positive pressure
ventilation, blue line all along helps in radiological
detection
Magill Forceps
To pass endotracheal tube, for difficult case of Ryle
tube insertion, to remove foreign body from pharynx,
for throat packing.

Trousseu Tracheal Dilator Portex cuffed Tracheostomy tube

To dilate the tracheostoma during or after Prevents crusting, air tight seal prevents aspiration
tracheostomy to insert tracheostomy tube. and aids positive pressure ventilation

Fuller Tracheostomy Tube Jackson’s Tracheostomy Tube

Biflanged outer tube (O), collar present to tie ropes, (O) – Outer tube, (I) – Inner tube (P) – Pilot obturator
inner tube (I) has 2 circular rings to grasp, remove Lock present for inner tube unlike fuller, no vent for
and insert tube phonation or ventilation like in fullers tube.
Disadvantages – tip can be traumatic to trachea, Disadvantages – Phonation not possible, patency of
flange can break and lodge as foreign body, risk of natural air passage cannot be checked, risk of
granulation tissue formation granulation tissue formation.
 Farabeuf Periosteal Elevator Chevalair Jackson Direct
To elevate mastoid periosteum during surgeries like Laryngoscope
tympanoplasty.
When indirect laryngoscopy is not possible. For
laryngeal biopsy, benign lesions (vocal nodules,
papilloma), dilation of strictures, removal of foreign
bodies.

Lempert’s Curette / Scoop Jackson Rigid Oesophagoscope

It is a long rigid hollow tube of 40 to 45 cm length and 16 to
One end is a curved probe while the other end is a curette. The probe end
20 mm diameter. It is available as Negus and Jackson type. The
is used to determine the direction of aditus ad antrum and other air cells.
Negus type generally has double proximal illumination, tapers
The curette is used to remove diseased air cells, bony overhangs and
distally and has markings on it. The Jackson type has single distal
spicules in mastoid surgeries
illumination and has no markings and does not taper distally

MacEwan Curette and cell seeker

Rigid Bronchoscope
One end is a curved probe while the other end is a curette. The probe end hollow rigid tube with a beveled end. The adult bronchoscope
is used to determine the direction of aditus ad antrum and other air cells. is about 40 to 45 cm long. It has vents on the side for
The curette is used to remove diseased air cells, bony overhangs and ventilation of the other bronchus when they remain above the
spicules in mastoid surgeries level of carina when inserted into the major bronchus and
hence differs from esophagoscope.
 Tracheal Hook Nasal Rigid endoscope/Sinuscope
Single and double. Blunt and sharp. Used to
manipulate trachea during tracheostomy or tracheal
2.7mm
surgeries

Nasal Rigid endoscope/Sinuscope

Jobson Horne Probe 4mm
Curette loop at one end and threaded section at the
other end for holding cotton wool, for wax removal, Color code for endoscopes:
foreign body removal, dry mopping with cotton. 1. 0 degree : Green
2. 30 degree: Red
3. 45 degree: Black
4. 70 degree: Yellow
Types:
a. Adult: Outer diameter is 4 mm
b. Pediatric: Outer diameter is 2.7 mm

Otoscope with pneumatic Siegel Pneumatic Speculum with

attachment Bulb
To visualize tympanic membrane along with Uses:
diagnosis of diseases like OME, COM etc. a. Siegelization
b. Fistula test
c. Examination of external ear canal and tympanic
membrane.
d. Instillation of medications.
 Blakesley Weil straight and Ostrum backbiting forceps
upturned cupped forceps (upward)
STRAIGHT – Single action forceps used to remove This is available as through cut upward and
the bulla ethmoidalis and other ethmoidal air cells. downward backbiting forceps.
This is also used to remove polyps and other nasal Uses:
masses. a. Uncinectomy
THROUGH CUT – The upper jaw in a through cut b. Widening the maxillary sinus ostium—care is taken
forceps cuts cleanly through tissue to help avoid not to widen the ostium anterior to the anterior end of
tearing middle turbinate as it could result in the injury to the
45/90 degree UPTURNED – more suitable to reach nasolacrimal duct.
the structures that are
higher up in the nasal cavity and the lateral wall of
the nose

Stammberger mushroom punch

Tip resembling a mushroom with a circular cutting
mechanism. The blunt tip avoids mucosal injuries as
the forceps is introduced inside. The tip is available in
different angles.
Uses:
a. The straight forceps is used to remove the anterior
wall of sphenoid sinus for sphenoidotomy and
removal of
ethmoidal septae.
b. The upward turned forceps is used for frontal
recess surgery
 MICRODEBRIDER
Microdebrider [Hummer] console
facility to select the mode of the function required—
microdebrider or micromotor. It can also adjust the speed of the COBLATOR
blade, the amount of irrigation and oscillation. The footswitch is
used for controlling blade direction and speed. Oscillation speed Coblation—controlled ablation or radio frequency electrosurgical
can go upto 30,000 rpm and rotation speed can go upto 70,000 ablation.
rpm. It can be used in the rotatory or oscillatory modes Quicker, very less blood loss / blood less operative field, lesser post
Microdebrider handpiece operative pain, rapid recovery.
The handpiece consists of the rotating blade, irrigation channel and
suction channel
Microdebrider detachable blade and its tip
The blade is available as straight or curved tips