ENT Instruments
By: Aya Elrgeig
• Head Mirror
- examination of ear, nose and throat
- reflection of light from area under examination
• killian Nose speculum
USES: CPX:
- assess the nasal cavity - epistaxis ( little's area injury )
- procedure of anterior rhinoscopy - infection
- can use to remove foreign body and
polyps
- septal surgery
• Ear Speculum Otoscopy
USES
- look into the ear
CPX
- external ear injury
- tympanic membrane perforation
- infection
• Wooden And Metalic Tongue Depressor
- look all sides of the mouth
- in quinsy cases, use the metalic type
- wooden type is easily fracture
• Forceps
- accessory instrument in different procedures
- removal of foreign body
- removal or insertion of dressings
• Crocodile Forceps
• Curette
- curette adenoid tissues ( adenoidectomy )
• Dissector / Retractor
- in tonsillectomy
• Hooks
- removal of external foreign body
• Mouth Gag
- open the mouth widely
- oral and other surgery
• Fiberoptic Illumination
- flexible fiber
- transmit light from a light source to a remote location
• Laryngeal Mirror
- dysphagia evaluation
- provides thermal-tactile stimulation during swallowing therapy
• Direct Laryngoscopy
- examine the throat, larynx and visualization of vocal cord
- induction of endotracheal tube
- removal of the foreign body
- diagnostic and therapeutic
• Direct Bronchoscopy
USES
■ Emergency situation
- examine the bronchus
■ done under general anesthesia - removal of the foreign body
■ there's opening for anesthesia gas - diagnostic and therapeutic
and ventilation
• Esophagoscopy
■ there's no opening for ventilation
- examine the bronchus
- removal of the foreign body
- diagnostic and therapeutic
• Tracheostomy Tube
INDICATIONS CPX
- following laryngectomy - failed to secure airway
- hemorrhage
- airway obstruction
- structure injury
- laryngeal injury - infection
- retropharyngeal abcess
• T ventilation tube / grommet tube (Tympanostomy tube)
- treat fluid of middle ear ( glue ear )
- to keep the middle ear aerated for a prolonged period of time
- prevent the accumulation of fluid in the middle ear ( drainge the fluid )
• Ear Suction Cannula
- to clear the surgical site to ease in operation
- in aural microsuction to remove impacted earwax.