This instrument was presented to the American Academy of Ophthalmology and Otolaryngology in 1930. It is designed to secure drainage and prevent hematoma following a submucus operation. It makes an oval punch hole which does not close as quickly as one made by knife and is much easier made. The punch straddles the flap, and three holes are usually made.
REAVES RG. SUBMUCOUS FLAP PUNCH. Arch Otolaryngol. 1932;15(5):754. doi:10.1001/archotol.1932.03570030775012
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