Instruments Used in

Ear Surgery
 Myringotome
• It is a lancet-type angled instrument used for
myringotomy. Alternatively, a sickle knife used in
myringoplasty can also be used to perform
myringotomy.
 Mollison's mastoid retractor

• Used in mastoidectomy to retract soft tissues

after incision and elevation of flaps. It is self-
retaining and hemostatic.
 Jansen's self-retaining mastoid retractor

• Used in mastoidectomy, similar to Mollison's

retractor.
 Lempert's endaural retractor
• Used for endaural approach to ear surgery. It has two
lateral blades which retract the flaps and a third central
blade with holes. The central blade retracts the temporalis
muscle. The central blade can be fixed to the body of the
retractor by its hole.
 Lempert's endaural speculum.








It is like the Vienna model nasal speculum but
curved. It is used to spread open the meatus when
giving local injection or making an endaural incision.

 Mastoid gouge

• Used to remove bone in mastoid surgery. Various

sizes are available. However, it is not used now. A
drill is preferred to gauges.
 Lempert’s curette (scoop)

• Used for removal of bony septa and granulations

in mastoid surgery.
 MacEwen’s curette and cell seeker

• Used in mastoid surgery to explore the air cells

with one end, and to curette the intervening septa
and granulations with the other.
 Farabeuf’s Periosteal Elevator

• Used for elevation of periosteum from the mastoid

cortex in mastoidectomy.
 NOSE
INSTRUMENTS
LICHTWITZ TROCHAR AND CANNULA

USED PROOF PUNCTURE.

PUNCTURE IS DONE IN THE INFERIOR
MEATUS AS THIS SITE IS EASILY
ACCESSIBLE AND SAFE
ROSE’S SINUS DOUCHING CANNULA

USED IN IRRIGATION OF MAXILLARY SINUS .

DIRECTION OF THE TIP IS INDICATED BY
THE HOOK OUTSIDE
LUC’S FORCEPS
USED IN CALDWELL - LUC
OPERATION ( TO REMOVE
MUCOSA ), SMR OPERATION ( TO
REMOVE BONE OR CARTILAGE ),
POLYPECTOMY ( TO GRASP AND
AVULSE POLYP ) AND TO TAKE
BIOPSY FROM THE NOSE OR
THROAT
 NASAL SNARE

USED FOR REMOVAL OF NASAL POLYPI . POLYP

IS ENGAGED IN THE WIRE LOOP AND AVULSED
THUDICUM NASAL SPECULUM

USED IN ANTERIOR RHINOSCOPY ,

FOREIGN BODY REMOVAL IN NOSE , SMR
AND SEPTOPLASTY
 KILLIAN’S LONG BLADED NASAL SPECULUM

USED IN SMR , SEPTOPLASTY TO KEEP

MUCOPERIOSTEAL FLAPS AWAY
 Tilley’s dressing
forceps
Used for nasal
packing, ear
dressing, removal
of foreign bodies
from the nose. It
has a box joint
 Hartmann’s dressing forceps

Similar to TILLEYS
dressing forceps It has a
screw joint. The jaw is
serrated and grooved.
Used to apply dressings.
Can also be used to
remove foreign bodies .
 Wilde’s dressing forceps

Used for packing

the nasal cavity
or ear canal. It
acts on spring
action.
Ballenger swivel
knife. Used in removal of
septal cartilage in SMR
operation. The blade of knife
revolves automatically and
changes direction when cutting
the cartilage Antero posteriorly
downwards, and posteroinferiorly.
Can be used to harvest septal
cartilage as a graft for
reconstruction.
Killian’s nasal
gouge
(bayonet-
shaped). Used
for removal of
septal spurs or
bony crests and
ridges in SMR
operation.
Frere's double-
ended elevator.
Used for
elevation of
mucoperichondri
al or periosteum
in SMR or
septoplasty
Walsham’s
forceps. Used
for
disimpacting
and reducing
fractures of
nasal bone.
Asch’s
septum
forcep
s .

Used for
reducing
fractures of
nasal
septum.
THROAT INSTRUMENTS
 Boyle-Davis mouth gag
• It has two components: Boyle blade and Davis gag
that are used simultaneously.
• Opening the mouth and retracting the tongue
anteriorly.
• Tongue blades of various sizes can be
interchanged according to the age of the
patient.
• Used for various operations on the oral cavity
(palate surgery), oropharynx (tonsillectomy,
surgery of soft palate, pharyngoplasty), and
nasopharynx (adenoidectomy, excision of
angiofibroma).
 Doyen’s mouth gag & Jenning’s mouth
gag

• Used to keep the mouth open for intraoral

surgery, retraction of the tongue is not
required.
• Mostly used for tongue surgery.
• It is applied on one side of the mouth on
molar teeth.
 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.
• Lower end of each pod can be placed in
one of the several depressions in
Magauran’s plate.
Video demonstration of draffin’s bipod.
 Denis browne tonsil holding forceps
• Used to hold the tonsil and pull it
medially during the process of
dissection.
Waugh’s tonsil dissection forceps
• For incision in mucous membrane
and dissection of tonsil.
• Single tooth of the forceps is
used to incise the anterior pillar.
• There is a stud in one of the
arms that can be felt through a
vent in the opposite arm. This is
useful to note the pressure
exerted at the tip
 Yankauer suction tube
• Used for suction in tonsillectomy and other oral or oropharyngeal operations.
 Mollison Tonsil dissector and anterior
pillar retractor
• Blunt end is used to dissect the tonsil and,
• Other to retract the anterior pillar to inspect the fossa for any
bleeding point.
 Birkett straight artery forceps
• Used to catch bleeding points in the tonsillar fossa after
tonsillectomy, has transverse serrations.
• It is replaced by Negus second artery forceps underneath
the first artery forceps before ligation.
Negus second curved artery forceps
• It has a curved tip and is used after the first artery
forceps for ligating blood vessels in a deep site.
Negus knot tier and ligature pusher
• It is used to push the ligature loop on the Negus
second artery forceps to ligate the bleeding point.
 Eve’s tonsillar 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 thereby minimizing bleeding.
• Wire used in snare is 25 gauge thick.
 St. Clair Thompson’s adenoid
curette with guard
• This instrument is used to curette
the adenoids by a blind technique.
• Curette is introduced behind the
soft palate with the blade facing
down. It is held like a dagger and
the adenoid is curetted from the
nasopharyngeal wall in the midline by
sweeping movement.
 Tonsil and adenoid microdebrider
• Electronic device, helps in easy and quick
debridement of adenoid or tonsillar tissue.
• Has a sharp blade rotating high rpm, sloughs off
and removes tissue by suction action.
Larynx and trachea
instruments
Tracheal hook {blunt
and sharp}
Used in tracheostomy .
Blunt tracheal hook:- is
used to retract thyroid
isthmus upward and
downward to expose the
trachea.
Sharp tracheal hook :- is
applied to lower border of
cricoid cartilage to stabilize
the trachea and to prevent
its movements during
respiration when making
incision in the tracheal wall.
Tracheal
dilator
• Used to keep the cut tracheal
edges open after incision in the
trachea so that tracheostomy tube
can be easily inserted . A curved
artery forceps can be easily used in
place of a tracheal dilator.
laryngoscope
o Used for direct
laryngoscopy.
o It has single or twin light
carrier which can be
connected to a cold light
source through a flexible
cable.
o Older models have a single
electric bulb which works on
batteries or a transformer.
o Size of laryngoscope used will
vary with the age of the
patient.
Laryngeal mirror.

Use:-
Laryngeal mirror is used
in examination of larynx
(indirect laryngoscopy)
 Allis clamp
Use:-
The Allis clamp is a surgical
instrument with sharp teeth,
Used to hold or grasp heavy
tissue. It is also used to grasp
Fascia and soft issues such as
breast or bowl tissue
Kocher Hemostatic Forceps

Use:-
Kocher Hemostatic Forceps are
used to clamp massive tissues
and avoid slippage when
surgeons try to grip arteries.
Mosquito forceps

Use:-
Mosquito forceps is use for
handling blood vessels
and controlling bleeding
during surgical procedure
Non toothed forceps

Use:-
Non toothed forceps is
used in tracheostomy to
hold delicate structures
and superficial tissues.
Toothed forceps
Use:-
Toothed forceps is used
in tracheostomy to hold
skin/dense structures(grip)
Tissue retractor
Use:-
Tissue retractor is instrument
used in tracheostomy to provide
a traumatic way to expose deep
spaces of the operating sites.
Tracheostomy tub
Use:-
Tracheostomy tube is used to
deliver oxygen to the lungs if
you’re unable to breathe normally
after an injury or accident or
because of muscle weakness.
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