ENT

Question 1

micro wipes

Answer 1

supply

• when moistened with water, becomes very soft and pliable
• making it ideal for wiping blood/ debris off micro instruments

Question 2

tuberculin (TB) syringe

Answer 2

supply

• holds 1 ml/cc of fluid
• divided into 10 increments and allows very small amounts of fluids to be dispensed in a very precise amount

Question 3

Boies Nasal Fracture Elevator

Answer 3

(butter knife)

accessory

• Used to fracture the septum/nasal bones from
  the inside
• Help with realignment in a rhinoplasty procedure.

Question 4

cartilage crusher

Answer 4

accesory

• Used with a mallet to crush the removed cartilage of the septum
• allows for reshaping of the softened tissue, which is then put back into the nose

Question 5

buck ear currette

Answer 5

accessory

• atraumatic: used to remove earwax in the external auditory canal

Question 6

alligator forceps

Answer 6

grasping/ holding

• atruamatic: used to grasp and insert the delicate strucutres
• such as middle ear bones, grafts and ear tubes

Question 7

micro cup forceps

Answer 7

grasping/ holding

• atraumatic: used to bluntly remove small polyps and tissues from within the ear

Question 8

tonsil seizing forceps

Answer 8

grasping/ holding

• traumatic: used for firmly holding the tonsil while it is removed from its bed
• the bend allows for visualization of field beyond the surgeons hand

Question 9

septal forceps

Answer 9

grasping/ holding

• used to manipulate the septum especially when trying to fracture for its repair
• the bend allows for visualization of field beyond the surgeons hand

Question 10

trousseau trachea dilator

Answer 10

retracting/ dilating

• used during a tracheotomy to spread the cartilage of the trachea
• allows for insertion of tracheotomy tube

Question 11

tonsil mirror

Answer 11

(pharyngeal mirror)

viewing

• used to visualize structures in the mouth, back of throat, and around corners

Question 12

aufricht retractor

Answer 12

retracting/ viewing

• atruamatic, handheld: used on the nares to allow visualization deep inside the nose
• used to retract skin septum during nasal reconstruction

Question 13

nasal sepculum

Answer 13

retracting/ viewing

• atraumatic: inserted into the nares to allow the surgeon to visualize the back of the nasal cavity
• the bend allows for visualization fo the field beyond the surgeons hand

length: 1-4”

Question 14

single skin hook

Answer 14

retracting/ viewing

• traumatic, handheld: used to retract very small superficial skin incisions
• such as those made at the distal end of the nares for procedures involving the septum

Question 15

double skin hook

Answer 15

retracting/ viewing

• traumatic, handheld: used in the same way as the single hook
• but the two hooks allow for a broader surface to be retracted

Question 16

ear speculum

Answer 16

retracting/viewing

• atraumatic, handheld: inserted into the external auditory canal, providing a straight line of visualization
• used to visualize the eardrum

size: variable

Question 17

davis mouth gag

Answer 17

retracting/ viewing

• Atraumatic: Used during throat
  procedures, such as tonsillectomies,
  to retract the jaw and tongue
• The retractor is hooked onto the
  mayo stand and held up in the
  position the surgeon chooses for the
  entire procedure

Question 18

jennings mouth gag

Answer 18

retracting/ viewing

• Atraumatic: Used during
  throat and mouth
  procedures to retract the
  jaw.
• Self retaining: catches the
  upper and lower teeth to
  prop the mouth open.

Question 19

two ball retractor

Answer 19

retracting/ cutting

• Atraumatic end: Double
  hook allows for a broad
  but delicate surface of the
  nose to be retracted.
• Traumatic end: uses a 180
  degree curved cottle knife
  to dissect soft tissue away
  from the septum.

Question 20

hurd dissector/ pillar retractor

Answer 20

retracting/ cutting/ dissecting

• Atraumatic (pillar retractor): used to retract the narrow
  bands of tissue (tonsillar pillars) surrounding the tonsils
• Traumatic (hurd dissector): used to cut/scrape the tonsil
  away from the tonsil bed

Question 21

adenoid curette

Answer 21

cutting/ dissecting

• truamatic: used to scrape the adenoid tissue from the back of the throat
• (behind the nose)

size: variable

Question 22

myringotomy knife

Answer 22

cutting

• Used in Myringotomy procedures for incising the tympanic
  membrane or ear drum to drain inflammation
  fluid/infection
• Blade is commonly one time use. The handle is reusable

Question 23

ballenger swivel knife

Answer 23

cutting/ dissecting

• Traumatic: Used to cut cartilaginous tissue from the bridge of the nose as it is dragged along its edge during a rhinoplasty
• The swivel action of the blade facilitates curves as they are
  encountered

Question 24

freer periosteal elevator

Answer 24

cutting/ dissecting

• truamatic: small double ended periosteal elevator used to scrape periosteum in bone and cartilage
• incises mucous membranes in nasal, plastic, and ortho procedures

Question 25

joseph periosteal elevator

Answer 25

cutting/ dissecting - traumatic: used to dissect soft tissue from the septal wall - used to incise mucous membranes

Question 26

cottle knife

Answer 26

cutting/ dissecting - traumatic: used to dissect soft tissue from the septal wall - used to incise mucous membranes

Question 27

obwegeser periosteal elevator

Answer 27

cutting/ dissecting - traumatic: used to scrape periosteum from bone - scrapes cartilage of the mandible and fascial bones

Question 28

guarded osteotome

Answer 28

cutting/ dissecting - Traumatic: used to split bone and cartilage when struck by a mallet - Guard allows greater control around the critical structures of the head

Question 29

antrum rasp

Answer 29

cutting traumatic: used to create/ enlarge the opening of the uterus

Question 30

double ended bone rasp

Answer 30

cutting - traumatic: used to finely remove bone - each instrument contains two differing files, one finer than the other *size: variable- coarse + fine*

Question 31

knight scissor

Answer 31

cutting/ dissecting - traumatic: used in nasal procedures to cut strong cartilage - the bend allows for visualization of the field beyond a surgeons hand

Question 32

cottle scissors

Answer 32

cutting/ dissecting - traumatic: used in nasal procedures to cut strong cartilage - the bend allows for visualization of field beyond surgeons hand

Question 33

double action scissor

Answer 33

cutting/ dissecting - traumatic: used to cut the tough tissue of the septum - The bend allows for visualization of field beyond a surgeons hand

Question 34

jansen middleton septal punch

Answer 34

cutting - traumatic: punches out small windows of bone during sinus procedures - bend allows for visualization of field beyond surgeons hand

Question 35

jansen middleton septal rongeur

Answer 35

cutting - Traumatic: used to remove small bites of bone and cartilage during sinus procedures -The bend allows for visualization of field beyond a surgeons hand

Question 36

kerrison rongeur

Answer 36

cutting - Traumatic: punches out small windows of bone in deep narrow cavities such as the nose, spine and ortho procedures. - The bend allows for visualization of field beyond a surgeons hand. *Size: variable lengths and diameters*

Question 37

pituitary rongeur

Answer 37

cutting - trumatic: used to cut and remove polyps, soft tissue or delicate cartilage from the sinuses, knee, back and brain - The bend allows for visualization of field beyond a surgeons hand *Size: variable lengths and diameters*

Question 38

tonsil snare

Answer 38

cutting - Traumatic: used to remove tonsils by guillotine action. - The wire in the snare is disposable and a sharp, It must be counted

Question 39

takahashi forceps

Answer 39

(stubby pituitary) cutting traumatic/ atraumatic: Used to grasp smooth nasal tissues. - The bend allows for visualization of field beyond a surgeon's hand. *Curvature of tip variable*