--- title: "Tonsillectomy & Adenoidectomy Instruments" description: "Comprehensive ENT notes on Tonsillectomy & Adenoidectomy Instruments - Identification, Uses, Advantages & Disadvantages - ideal for MBBS and ENT students." source: "The ENT Resident" canonical_url: "https://www.theentresident.com/ent-notes-lectures/tonsillectomy-instruments-adenoidectomy" categories: ["Instruments in ENT"] video: "https://www.youtube.com/watch?v=HD5yWaa3fe0" image: "https://media.theentresident.com/og-images/tonsillectomy-instruments-adenoidectomy.png" --- # Tonsillectomy & Adenoidectomy Instruments Comprehensive ENT notes on Tonsillectomy & Adenoidectomy Instruments - Identification, Uses, Advantages & Disadvantages - ideal for MBBS and ENT students. Watch the full video lecture on YouTube: https://www.youtube.com/watch?v=HD5yWaa3fe0 ## 🛠️ Instruments Used in Tonsillectomy and Adenoidectomy In this post, we’ll discuss the **important instruments used in tonsillectomy and adenoidectomy**, focusing on: - Identification - Appearance - Uses - Viva points and precautions This topic is **high yield for practical exams and instrument spotting**. --- ### 1️⃣ Boyle & Davis Mouth Gag #### Identification - A **self retaining mouth gag** - Consists of **two parts**: - **Boyle’s blade** (interchangeable sizes based on age) - **Davis’s gag** with ratchet mechanism > How is the Boyle & Davis mouth gag used in Tonsillectomy procedure? #### Uses - Tonsillectomy (Dissection and snare method) - Adenoidectomy - Oral and oropharyngeal surgeries - Palatal surgeries (cleft palate repair) - Craniovertebral junction surgeries > What are the Advantages of Boyle & Davis mouth gag? > What precautions should you take while using Boyle & Davis mouth gag? --- ### 2️⃣ Draffin’s Bipods and Magauren's Plate #### Identification - **Metallic bipod stand** with multiple rings - **Magauren's plate** used as base support #### Description - Bipods attach to Boyle & Davis mouth gag - Lower ends fixed into Magauren's plate - Maintains neck extension (Rose’s position) > What is Rose's position? #### Uses - Fixes mouth gag securely - Maintains exposure during: - Tonsillectomy - Adenoidectomy - Oral, oropharyngeal, nasopharyngeal surgeries --- ### 3️⃣ St. Clair Thompson Adenoid Curette #### Identification - Available in **two types**: - With cage - Without cage > Describe how you will use the St. Clair Thompson Adenoid Curette while performing Adenoidectomy? #### Uses - **Primary instrument for adenoidectomy** > When do you use the St. Clair Thompson Adenoid Curette with cage and without cage? What is the purpose of each? > What precautions should you take while using St. Clair Thompson Adenoid Curette? --- ### 4️⃣ Denis Browne Tonsil Holding Forceps #### Identification - Angular forceps - Atraumatic blunt jaws #### Description - Resembles Luc’s forceps but: - Jaws are blunt - No cutting edges #### Uses - Hold tonsil at upper pole & pull tonsil medially during dissection > What is the advantage of Denis Browne Tonsil Holding Forceps? --- ### 5️⃣ Waugh's Tonsil Dissecting Forceps #### Identification - Spring joint forceps - Interlocking dissecting tips #### Uses - Incision between tonsil and anterior pillar - Dissection from upper to lower pole - Can hold swab for pressure over bleeding points --- ### 6️⃣ Mollison Tonsillar Dissector and Pillar Retractor #### Identification - **Double ended instrument** #### Uses - **Dissector end (rounded)** - Blunt dissection of tonsil from tonsillar fossa - Define plane between tonsil and superior constrictor - **Retractor end (broad, curved)** - Retract anterior pillar - Check for bleeding points - Look for tonsillar tags or retained gauze --- ### 7️⃣ Eve’s Tonsillar Snare #### Identification - Long cylindrical instrument - Stainless steel wire loop - Sliding mechanism with finger rings > What is the size of the wire loop in Eve’s Tonsillar Snare? #### Uses - Snaring and removal of tonsil at **lower pole** > Describe how Eve's tonsillar snare is used during Tonsillectomy? > What is the mechanism by which Eve’s Tonsillar Snare works? > What amount of blood loss is normal during Tonsillectomy? --- ### 8️⃣ Negus Tonsil Artery Forceps #### Identification - Long, slender hemostatic forceps - Curved blunt jaws - Fine transverse serrations #### Uses - Clamps bleeding vessels in tonsillar fossa - Prevents slippage and tissue trauma --- ### 9️⃣ Negus Ligature Slipper and Knot Tier #### Identification - Long rod-like instrument - Forked distal end with central groove #### Uses - Guides ligature over artery forceps - Facilitates secure vessel ligation > Describe how Negus Ligature Slipper and Knot Tier is used during Tonsillectomy. --- ### 🔟 Yankauer Suction Cannula #### Identification - Curved metal tube - Rounded tip with: - One central opening - Multiple side holes #### Uses - Suction of blood and secretions during: - Tonsillectomy - Adenoidectomy - Palatal surgeries - Airway procedures #### Advantages - Rounded atraumatic tip - Curved shape avoids visual obstruction - Long length keeps surgeon’s hand away - Multiple holes prevent blockage --- ## 📌 Tonsillectomy and Adenoidectomy Instruments - Summary Table | Instrument | Primary Use | | --- | --- | | Boyle & Davis mouth gag | Oral cavity exposure | | Draffin’s bipods & Magauren's Plate | Fix mouth gag | | St. Clair Thompson curette | Adenoidectomy | | Denis Browne forceps | Hold tonsil | | Waugh's forceps | Incision & dissection | | Mollison Tonsillar Dissector and Pillar Retractor | Blunt dissection | | Eve’s Tonsillar snare | Lower pole removal | | Negus Tonsil Artery Forceps | Clamp vessels | | Negus Ligature Slipper and Knot Tier | Ligature placement | | Yankauer cannula | Suction | --- ## About This Note This note on Tonsillectomy & Adenoidectomy Instruments is one of the free ENT study notes published by The ENT Resident. 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Other contact options are on the contact page: https://www.theentresident.com/contact.md ## Related ENT Notes & Lectures #### Instruments in ENT - [Tracheostomy Instruments](https://www.theentresident.com/ent-notes-lectures/tracheostomy-instruments.md)