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The operation is described in detail in Ingals' "Diseases of the Chest, Throat and Nose," 4th Edition, page 435. It is done under anesthesia, the patient lying on his side with one arm behind his back and his face looking towards the operator and slightly downward. A gag is inserted, the tongue strongly depressed with a tongue depressor by an assistant, and the uvula seized with a slender forceps to hold it out of the way of harm. The tonsil is now grasped with an especially constructed forceps which includes in its blades the whole of the tonsillar substance, even to its deepest attachment between the pillars. If the latter are adherent to the tonsil they are separated by means of a palate hook as a preliminary. The loop of a strongly constructed snare is next passed over the forceps and beneath its beak around the attachment of the tonsil,
FREER OT. A SNARE GUARD FOR INGALS' OPERATION OF ECRASEMENT OF THE TONSILS.. JAMA. 1901;XXXVII(7):462–463. doi:10.1001/jama.1901.62470330034015