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This instrument was evolved as a result of several experiences in the control of postoperative hemorrhages following tonsillectomies occurring in the practice of Drs. Sauer and Burns of St. Louis.
With the suture needles to which we had access, there was an embarrassing difficulty in passing the needle through the posterior pillar near the base of the tonsillar fossa and then spanning the space to the anterior pillar near the base. When this instrument is introduced with the axis of the handle at right angles to the plane of the posterior pharyngeal wall, there is no difficulty in transfixing the posterior pillar at any point, even though the pillar projects but little above the pharyngeal wall surface. Then by swinging the handle through an arc of 90 degrees, the operator can with equal facility pass the needle through the floor of the tonsillar fossa and the anterior pillar. One can
Hourn GE. A TONSIL SUTURE INSTRUMENT. JAMA. 1917;LXIX(12):999. doi:10.1001/jama.1917.25910390003016g