September 8, 1906


Author Affiliations

Chief of Clinic and Clinical Instructor, Department of Otology, Cornell University Medical College, Chief of Clinic, Aural Department, New York Polyclinic Hospital. NEW YORK.

JAMA. 1906;XLVII(10):777. doi:10.1001/jama.1906.25210100049003c

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While many surgeons maintain that forceps areunnecessary in adenoidectomy, experience has proved to others that a radical operation is much better accomplished by the use of the forceps, followed by the curette. The majority of forceps are modifications of the Lowenberg model, two spoons, grasping the mass between them. No instrument has hitherto been designed (except Concannon's) that prevents the wounding of the anterior boundaries of the pharynx and of the uvula. While the majority of operators are expert enough to avoid these accidents, nevertheless these mishaps are reported often enough to merit attention to this defect in the design of the instruments. Some operators, like Myles, use the finger to prevent the inclusion of the uvula. That the probability of accident hampers the freedom and quickness of the adenoidectomy is without doubt.

The instrument shown here meets the difficulty by hinging the cutting blades where they come in contact

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