The accompanying illustration shows a modification of the Sluder guillotine. The cutting-blade, instead of being sharp, is dull, and, instead of being forced through by thumb-pressure alone, is gradually pushed forward by means of a screw attachment, making the blade act as an écraseur.
The technic of Sluder, or the one employed by Beck, both of which have been recently described,1 can be followed with this instrument. The only change is, after the tonsil is engaged and the blade is pushed as far as possible by the thumb, the thumb-screw is then quickly turned against the thumb-piece, after which the nut is slowly turned to the right, gradually but completely enucleating the tonsil. The attachments are completely severed. The great advantage of the dull blade is the comparative freedom from hemorrhage.
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Sauer WE. TONSIL GUILLOTINE WITH A DULL BLADE. JAMA. 1912;LVIII(18):1355. doi:10.1001/jama.1912.04260050031013
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