Since the earliest work of the late Dr. Sluder on the removal of the tonsils by use of the guillotine there have been numerous modifications of his instrument. The purpose of most of these has been to secure greater crushing strength so that the hemostatic action of a dull blade could be utilized. One of the most successful modifications has been the Sauer-Sluder instrument, in which a thumbscrew furnishes the final crushing pressure. In my hands, as well as in the hands of several other laryngologists, this instrument has been rather awkward, because the thumb-lever is in such a position that one cannot hold the guillotine well up on the handle, as taught by Dr. Sluder. If one holds the handle far down one loses some of the control of the instrument, and if one holds it close one is unable to reach the thumb-lever without readjusting the grip. To eliminate this difficulty I have removed the long thumb-lever which projects downward and substituted a crosspiece, as
SAUNDERS GC. A MODIFICATION OF THE SAUER-SLUDER GUILLOTINE. Arch Otolaryngol. 1935;21(2):205–206. doi:10.1001/archotol.1935.00640020214012
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