Tonsillectomy
     
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Boyle Davis mouth gag with doughtys tongue blade

this is suspended on a Draffins bipod stand which is secured on the table using the McGauran Plate

Mollisons tonsillar dissector and anterior pillor retractor

One end is to dissect the tonsil out from its bed...the other end is to retract the anterior pillor to view the tonsillar fossa.The anterior pillor overlaps the tonsillar fossa and this must be retracted in order to see bleeding points within the fossa

Dennis Brown tonsil holding forceps

This has got large fenestrated rings whose edges are blunt so that it dosent traumatise the tonsillar tissue...this should not be confused with Lucs forceps which has a smaller fenestrated rings with sharp biting edges ...in order to take a biopsy.

Birkettes fine artery forceps on the right and negus's curved artery forceps on the left

The birkettes fine artery foceps is a long straight fine instrument meant to catch the bleeding point in the tonsillar fossa.It is difficult to put a tie underneath...so a cuff of tissue is obtained by clamping underneath using the negus curved artery forceps.Then a knot is placed underneath and secured using the Negus's knot tier and ligature adjuster.

Yaunkers suction tip

This double angled suction tip is required to suction in the tonsillar fossa...also known as the pharyngeal suction tip

St Clair thomson adenoid curette

This is held strictly in the midline like a  dagger to avoid curetting the eustachian tubal opening, and in a shaving motion the adenoid mass in the nasopharynx is curetted off .The mass is retainded in the cage to prevent ists aspirtion.The cage is clicked open by placing a fingernail between the tiny slit between the cage and the curetted and clicked open.

Eve's Tonsillar snare

There is a tongue of lymphoid tissue between the lower pole of the tonsila and the tonsilo-lingual sulcus..through this runs a leash of blood vessels which if cut continues to ooze blood causing primary hemorrage.This is prevented by ensnaring this tongue of lymphoid tissue in the eves tonsillar snare and by clamping, the snare wire is retracted into the shaft and the tissue is crushed therby crushing the blood vessels and then cut.