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June 1954

Clinical Notes, New Instruments, and Techniques: ADENOIDECTOMY WITH HEMOSTASIS

AMA Arch Otolaryngol. 1954;59(6):744-746. doi:10.1001/archotol.1954.00710050756007

The operation for the removal of the nasopharyngeal tonsil, more frequently called the adenoids, as practiced today, is one of the simplest, easiest, and quickest operations in the whole field of surgery. The most frequently used—in fact, practically the only—instrument is the LaForce adenotome. This consists essentially of a metal box that is open in the rear to fit over the adenoids, with two grooves on the sides of the opening in which a sharp, flexible, ribbon-shaped blade travels like a guillotine to cut off the adenoid tissue caught in the box. A less frequently used instrument is the ring curette. This consists of a handle, a shaft, and a triangular, square, or oblong frame that has a sharp, rigid blade at the end. It is used with a free-hand motion and requires more dexterity to use than the LaForce instrument but can take off a larger amount of adenoid

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