The new Abelson adenotome, a modification of the classical adenotome commonly in use today, represents a practical improvement as an instrument added to the surgeon's present armamentarium.
It shows its benefit by preventing overcutting in the posterior pharyngeal area, where adenoidal tissue is commonly situated. It accomplishes this by flattening out the convex curve of the blade. It has the identical construction of the instrument in use today, assembling and disassembling similarly.
After using it in over 100 tonsilloadenoidectomies, I am satisfied that this instrument does exactly that for which it was intended, ie, completely removes adenoidal tissue with minimal trauma and bleeding. The change should be a most welcome one to the patient, in that there will be less trauma, less bleeding, and a more rapid recovery.
Proposed new adenotome head illustrating reduced convexity of curve.
SCHWARTZ LJ. New Adenotome to Prevent Recurrent Bleeding. Arch Otolaryngol. 1965;82(1):81. doi:10.1001/archotol.1965.00760010083019
Browse and subscribe to JAMA Network podcasts!
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: