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My excuse for adding a new instrument to an already large list of tonsil instruments is its simplicity, and adaptability to the removal of the submerged tonsils, and likewise the more or less pedunculated gland. As the illustration shows, the instrument has one semi-sharp or dull extremity, while the other end is sharp. The dull, or semi-sharp end is for blunt dissection in cases in which the adhesions to the pillars are not strong and fibrous, and in which the plica triangularis is not present. It is especially suited for the removal of tonsils in young children.
It causes a minimum amount of bleeding, thus shortening the time of operation. The sharp end of the same instrument will be found useful in the buried and somewhat fibrous tonsils, or when the plica triangularis is prominent—a condition which requires cutting before the tonsil can be separated from the pillars.
GREENE JB. NEW TONSIL DISSECTOR. JAMA. 1911;LVI(13):953. doi:10.1001/jama.1911.02560130017006
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