Otorhinolaryngologic Instruments

White Tonsil Forcep

Used to hold tonsil sponges and grasp tonsils.

Jansen Bayonet Forcep

Grasp tissue or insert packing into nose/ears/throat

House Alligator Forcep

Grasper for ear

Used to place PE (pressure equalizing) tubes

Also used to remove ossicles (bones in the middle ear)

Asch Septum Forcep

Used to maintain alignment during packing insertion in the nose

House cup forcep

Grasper for ear

Used to remove ossicles. The cup can be 1-3mm in diameter

Seiler Turbinate Scissors

Used for cutting nasal cartilage. It is angled on the side.

Stevens Tenotomy Scissors

Cutting or dissecting fine tissue.

Ballenger Blade (Swivel Knife)

The blade is on a swivel.

Have to use a mallet with the Ballenger Blade.

Used during septoplasty/rhinoplasty to cut cartilage.

Corwin Knife Handle

This is a #3 round knife handle.

Myringotomy Knife

Used to make an incision into the tympanic membrane (eardrum) for placement of tube.

Disposable Myringotomy Knives

most often used

Otic Burrs

used primarily in middle ear surgery, they come in cutting or diamond style. Cutting burrs cut bone, while diamond burrs shape bone

Ossicle Prosthesis

Total ossicular replacement prosthesis (TORP) is used when the superstructures of the stapes are damaged or completely missing

connects stapes to plate or tympanic membrane or malleus

Foman Rasp

Used for cutting or smoothing down nasal bone.

It is double ended, so both sides can be used to cut and smooth.

Balloon Sinuplasty Kit

It is used to treat chronic sinusitis

endoscopically insert balloon into narrow or blocked sinus cavity

Nasal Navigation

Track and monitor the position of the instruments in relation to the patient’s anatomical landmarks

medtronic/stores most common

FESS- function endoscopic sinus surgery

Nasal Splints

Used after nasal surgery to protect and shape the nose.

Barnhill Adenoid Curette

Removes (scrapes away) adenoid tissue. They are available in different sizes.

Buck Ear Curette

Removes cerumen (ear wax) or foreign bodies from the external ear canal.

They come in varying sizes and the loop may be sharp or blunt.

Pierce Osteotome

Cutting nasal cartilage or bone.

Tooth Extraction Ronguer

Used for extracting teeth.

Key Elevator

Scrapes periosteum from the bone.

Wire Cutter

Cuts wire. Used a lot during arch bar placements, which is when a patient’s jaw is wired shut.

Jennings Mouth Gag

Used for tonsil and adenoid surgeries and any other surgeries of the mouth or throat.

Aufricht Nasal Retractor

Used to retract the nasal walls for visualization of the nasal passages

septo/rhinoplasty

Davis Mouth Gag

This keeps the mouth open during surgery.

This instrument is propped into the mayo stand to keep the head steady and propped up.

When using this instrument, you MUST refrain from moving/leaning/bumping the mayo stand.

Mahorner

Used during thyroid surgery.

Self-retaining retractor that keeps the thyroid exposed.

Green Loop Retractor

Also known as a goiter retractor. Handheld retractor that is used on the neck

retract muscle during thyroid or neck procedure

Coblator Handpiece

Used for ablation, resection, & coagulation of soft tissue & hemostasis of blood vessels in ENT surgery.

Esophageal Dilators

Used to dilate the esophagus. An EGD will also be performed to monitor progress

not sterile and need lube (KY)

Nerve Stimulator

Reduces the risk of patient injury or nerve damage during ENT procedures

identify, confirm, monitor nerve function

Sputum Specimen Container

Tonsil Snare

Used for tonsillectomy, the wire loop is placed around the affected tonsil and it is then removed

can cauterize

Weder Tongue Depressor

Retracts the tongue downward. Comes in small or large.

Trach Hook

Hook that is used to hold the trachea steady during a tracheostomy.

Trach Spreader

Used to enlarge the opening of the trachea so the tracheostomy tube may be inserted.

Lahey Thyroid Retractor

Wound exposure

Hurd dissector & Pillar Retractor

Retracting and dissecting.

Used on tonsils to elevate them from the tonsil bed.

Also used for blunt dissection.

Freer Elevator

Used to elevate the septum.

Cottle Nasal Speculum

Retracts the nasal walls to allow visualization of the nasal passage. Comes in varying lengths and diameters.

Boucheron Ear Speculum

Allows visualization of ear canal. 8 Sizes is determined by the diameter and depth of the ear canal

Dental Mirror / Laryngeal Mirror

Visualization of mouth or larynx.

Yankeur Suction (Tonsil)

Frasier Suction Tip

Suctioning in small areas.

Baron Suction Tip

Suctioning within narrow spaces such as inside of the ear.

Dental Syringe

A syringe for injecting anesthetic in a medicine vial.

Used for sinus procedures.

An injectable needle twists onto the end of the syringe

glass vile is dropped in alcohol to sterilize

Mallet

Bite Block

Used to protect the teeth and tongue during procedures.

Arch Bars

Placed for mandibular fractures.

Wire is looped through the teeth and over/under the hooks on the arch bars.

The patient must carry a wire cutter with them at all times in case they have an emergency (vomit) and need to be able to open their mouth.

Wire Twister

Used to twist wire during arch bar placement.

Shaw Blade

Fits onto a shaw knife handle.

This cauterizes as it cuts, employing an electrically-heated cutting blade.

This is used most often for thyroidectomy and parotidectomy cases.

It gets EXTREMELY hot, so you’ll want to have a wet towel available on the field to place the knife on between uses.

PE (pressure equalizing) Tubes

These tubes are placed in the tympanic membrane (ear drum) to alleviate the accumulation of fluid. This allows fluid to drain and also helps equalize the pressure within the middle ear. They are usually not removed, but left in place until they fall out on their own.

Tonsil Sponges

blunt dissection or hemostasis

Tracheotomy Set

Trach Obturator

This helps place the tracheotomy tube.

This comes as part of the set and must always accompany the patient post-operatively. If their tube slips out, the obturator will be needed to reinsert it.

Needle tip cautery / Colorado tip

fine dissection

Shaw Knife Unit