While performing a dissection tonsillectomy, one sometimes encounters hemorrhage, particularly at the supratonsillar fossa. This occasionally is so profuse that suture is required for its control before further dissection of the tonsil and its enucleation are possible.
Aspirating tonsil dissector
In a technique used in which the capsule of the tonsil is stripped from the pharyngeal aponeurosis and the superior constrictors of the pharynx, the instrument I am presenting is most useful in holding the aponeurosis and muscle while the tonsillar capsule is stripped from it. It is useful not only from this standpoint but also from the standpoint of any further dissection of scar tissue with a saw-like movement of the serrated edge of the instrument and aspiration of blood from the operative field at the same time.
The instrument is 20 cm. long. One end is flattened, notched, and tubular to permit suction of fluids. This flattened end
HIRST OC. ASPIRATING TONSIL DISSECTOR. AMA Arch Otolaryngol. 1952;55(6):726–727. doi:10.1001/archotol.1952.00710010741011
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: