ent instruments by prof.dr.r.r.deshpande

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ENT Instruments Presented By Dr.R.R.Deshpande 7/10/2015 Prof.Dr.R.R.Deshpande 1

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Page 1: Ent instruments By Prof.Dr.R.R.deshpande

ENT Instruments

• Presented By –

• Dr.R.R.Deshpande

7/10/2015 Prof.Dr.R.R.Deshpande 1

Page 2: Ent instruments By Prof.Dr.R.R.deshpande

7/10/2015 Prof.Dr.R.R.Deshpande 2

ENT Instruments

• Presented By –

• Prof.Dr.R.R.Deshpande (M.D in Ayurvdic

Medicine & M.D. in Ayurvedic Physiology)

• www.ayurvedicfriend.com

• Mobile – 922 68 10 630

[email protected]

Page 3: Ent instruments By Prof.Dr.R.R.deshpande

Special Thanks

• Ayurved College ,Nigdi ,Pune 44

• Dr.Rohini Bhadane ,Past student & Topper

7/10/2015 Prof.Dr.R.R.Deshpande 3

Page 4: Ent instruments By Prof.Dr.R.R.deshpande

Utility of this PPT

• Final Year BAMS students can make

many time revisions ,if they download this

PPT & save in their Smart Phone

• This is very useful for spotting & oral of

University Examination

• Teachers can get helping hand of this PPT

for teaching with LCD projector

7/10/2015 Prof.Dr.R.R.Deshpande 4

Page 5: Ent instruments By Prof.Dr.R.R.deshpande

7/10/2015 Prof.Dr.R.R.Deshpande 5

Ayurved for General Practioner

• Very very popular

Book in Medical

Practioners

• 100 common

symptoms of General

Practice with

causes,Investigations

& Ayurvedic

Treatments

Page 6: Ent instruments By Prof.Dr.R.R.deshpande

7/10/2015 Prof.Dr.R.R.Deshpande 6

Clinical Examination

• Systemic Examination

of 8 systems

• Ayurvedic Srotas

Examination

• Clinical significance of

Lab Tests &

Radiology,USG,2D

Echo

Page 7: Ent instruments By Prof.Dr.R.R.deshpande

7/10/2015 Prof.Dr.R.R.Deshpande 7

Notes on Medicine Part 1

• Very very useful Book

for all Medical

Practioners

• Guidelines with

causes,symptoms,Ay

urvedic & Modern

Treatments to treat

Fever,Pain in

Abdomen & Arthritis

Page 8: Ent instruments By Prof.Dr.R.R.deshpande

7/10/2015 Prof.Dr.R.R.Deshpande 8

Best Book for

Medical Students & Practioners

Page 9: Ent instruments By Prof.Dr.R.R.deshpande

Pathology Hand Book

• Very Good Book for

ready reference to

Medical Students &

Practioners

• Costs only Rs.70/-

• For Home Delivery

call Mr.Shantanu on

• 98 22 08 55 06

Page 10: Ent instruments By Prof.Dr.R.R.deshpande

Concept of Prakruti & Life Style

• How to Diagnose

Prakruti ?

• Detailed advice for

each Prakruti about

Diet, Daily regimen,

Exercise,Occuption

• Menu for

Breakfast,Lunch,Dinn

er

• Chaukhamba

Publication

Page 11: Ent instruments By Prof.Dr.R.R.deshpande

Prof.Dr.R.R.Deshpande

• Sharing of Knowledge

• FOR

• Propagating Ayurved

Page 12: Ent instruments By Prof.Dr.R.R.deshpande

Gening’s mouth gag

7/10/2015 12 Prof.Dr.R.R.Deshpande

Page 13: Ent instruments By Prof.Dr.R.R.deshpande

Jennig’s Mouth Gag

• It has 2 blades.These blades are fit over

the alveolar margins & not over teeth.

• Uses –

• To provide wide space for surgery in Oro

pharynx

7/10/2015 Prof.Dr.R.R.Deshpande 13

Page 14: Ent instruments By Prof.Dr.R.R.deshpande

Boyel devis mouth gag

with tongue depressor

7/10/2015 14 Prof.Dr.R.R.Deshpande

Page 15: Ent instruments By Prof.Dr.R.R.deshpande

Davis – Boyle Mouth Gag with

Tongue depressor • Uses –

• To extend neck & head ,in Tonsillectomy

operation ,performed by sitting at head

end of the patient .

• Also used in other operations of oral

cavity, oropharynx & Naso pharynx

7/10/2015 Prof.Dr.R.R.Deshpande 15

Page 16: Ent instruments By Prof.Dr.R.R.deshpande

Thudicum nasal speculum

( Long bladed & short bladed)

7/10/2015 16 Prof.Dr.R.R.Deshpande

Page 17: Ent instruments By Prof.Dr.R.R.deshpande

Thudicum Nasal Speculum

• They are of 2 types – with short & Long

blades .

• Uses –

• Used for Anterior Rhinoscopy ,Removal of

nasal foreign body, Packing the nose.

7/10/2015 Prof.Dr.R.R.Deshpande 17

Page 18: Ent instruments By Prof.Dr.R.R.deshpande

Tonsil holding forcep

7/10/2015 18 Prof.Dr.R.R.Deshpande

Page 19: Ent instruments By Prof.Dr.R.R.deshpande

Tonsil holding Forcep

• Although the name ,Forcep , their jaws are

not sharp & upper jaw sits within larger

lower jaw.

• Uses –

• Used for holding Tonsil during dissection &

putting it medially

7/10/2015 Prof.Dr.R.R.Deshpande 19

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Luc’s forcep --1

7/10/2015 20 Prof.Dr.R.R.Deshpande

Page 21: Ent instruments By Prof.Dr.R.R.deshpande

Luc’s forcep--2

7/10/2015 21 Prof.Dr.R.R.Deshpande

Page 22: Ent instruments By Prof.Dr.R.R.deshpande

Luc’s Forcep

• Blades are fenestrated ,cup shaped ,with

sharp edges.

• Uses –

• Very useful for Nasal & Throat operations.

Used for thickened antral mucosa,

androchonal polyp & Neoplasms. Also

used in submucous resection of nasal

septum for excision of septal cartilage

7/10/2015 Prof.Dr.R.R.Deshpande 22

Page 23: Ent instruments By Prof.Dr.R.R.deshpande

Tongue depressor

7/10/2015 23 Prof.Dr.R.R.Deshpande

Page 24: Ent instruments By Prof.Dr.R.R.deshpande

Tongue Depressor

• – It is L shaped .One blade is slightly bent

at end & used for holding depressor .

• Uses –

• For examining oral cavity & oropharynx

,Used while performing posterior

Rhinoscopy , Sqeezing the Tonsil ,To

retract cheek

7/10/2015 Prof.Dr.R.R.Deshpande 24

Page 25: Ent instruments By Prof.Dr.R.R.deshpande

Tonsillor desector with pillor

retractor

7/10/2015 25 Prof.Dr.R.R.Deshpande

Page 26: Ent instruments By Prof.Dr.R.R.deshpande

Tonsillor dissector

with Pillar retractor • Uses –

• Blunt dissection of Tonsils by it’s blunt end

• Retracting the anterior pillar ,

• To visualize bleeders in Tonsillar fossa,

• For retracting soft palate & Uvula

7/10/2015 Prof.Dr.R.R.Deshpande 26

Page 27: Ent instruments By Prof.Dr.R.R.deshpande

Curved artery forcep

7/10/2015 27 Prof.Dr.R.R.Deshpande

Page 28: Ent instruments By Prof.Dr.R.R.deshpande

Curved Artery Forcep

• Uses –

• Blunt dissection of Tonsils by it’s blunt end

• Retracting the anterior pillar

• To visualize bleeders in Tonsillar fossa

• For retracting soft palate & Uvula

7/10/2015 Prof.Dr.R.R.Deshpande 28

Page 29: Ent instruments By Prof.Dr.R.R.deshpande

Suction canula

7/10/2015 29 Prof.Dr.R.R.Deshpande

Page 30: Ent instruments By Prof.Dr.R.R.deshpande

Suction Canula

• Uses –

• For suction of various secretions ,during

operations

7/10/2015 Prof.Dr.R.R.Deshpande 30

Page 31: Ent instruments By Prof.Dr.R.R.deshpande

Myo’s simple scissor

7/10/2015 31 Prof.Dr.R.R.Deshpande

Page 32: Ent instruments By Prof.Dr.R.R.deshpande

Simple scissor ( Mayo’s Scissor)

• Mayo scissors were developed by Mayo

clinic surgeons

• Straight-bladed Mayo scissors are

designed for cutting body tissues near the

surface of a wound.

• As straight-bladed Mayo scissors are also

used for cutting sutures .So called as

"suture scissors“.

7/10/2015 Prof.Dr.R.R.Deshpande 32

Page 33: Ent instruments By Prof.Dr.R.R.deshpande

Simple scissor ( Mayo’s Scissor)

• Curved-bladed Mayo scissors --

• Used for deeper penetration into the

wound than the type with straight blades.

7/10/2015 Prof.Dr.R.R.Deshpande 33

Page 34: Ent instruments By Prof.Dr.R.R.deshpande

Simple scissor ( Mayo’s Scissor)

• The curved style of Mayo scissor is used

to cut thick tissues like found in the

uterus, muscles, breast, and foot.

• Mayo scissors used for dissection are

placed in tissue with the tips closed. Then

scissors are opened .So tips spread out

the tissue during the dissection process.

7/10/2015 Prof.Dr.R.R.Deshpande 34

Page 35: Ent instruments By Prof.Dr.R.R.deshpande

Tongue clip

7/10/2015 35 Prof.Dr.R.R.Deshpande

Page 36: Ent instruments By Prof.Dr.R.R.deshpande

Tongue Clip

• It has 2 blades .

• Uses ---

• To hold Tongue

• To prevent Tongue fall after Intubation

7/10/2015 Prof.Dr.R.R.Deshpande 36

Page 37: Ent instruments By Prof.Dr.R.R.deshpande

Tonsilar snair

7/10/2015 37 Prof.Dr.R.R.Deshpande

Page 38: Ent instruments By Prof.Dr.R.R.deshpande

Tonsillar Snare

• Largest among snares used for ENT

operations .

• Blunt wire of Snare crushes lower pole of

Tonsil & Cuts it by crushing only .

• Crushing helps the Haemostasis.

7/10/2015 Prof.Dr.R.R.Deshpande 38

Page 39: Ent instruments By Prof.Dr.R.R.deshpande

Tuning fork

7/10/2015 39 Prof.Dr.R.R.Deshpande

Page 40: Ent instruments By Prof.Dr.R.R.deshpande

Tunning Fork

• For performing hearing Tests like –

• Weber’s Test,Rinne’s Test,Schwabach

Test

• Numbers used – 256,512,1024

7/10/2015 Prof.Dr.R.R.Deshpande 40

Page 41: Ent instruments By Prof.Dr.R.R.deshpande

Pistol type foreign body remover

7/10/2015 41 Prof.Dr.R.R.Deshpande

Page 42: Ent instruments By Prof.Dr.R.R.deshpande

Pistol type Foreign body removar

• Use

• To remove foreign Body

7/10/2015 Prof.Dr.R.R.Deshpande 42

Page 43: Ent instruments By Prof.Dr.R.R.deshpande

Hook retractor

7/10/2015 43 Prof.Dr.R.R.Deshpande

Page 44: Ent instruments By Prof.Dr.R.R.deshpande

Hook retractor

• Use –

• To retract Tissue

7/10/2015 Prof.Dr.R.R.Deshpande 44

Page 45: Ent instruments By Prof.Dr.R.R.deshpande

Ear Speculum

7/10/2015 45 Prof.Dr.R.R.Deshpande

Page 46: Ent instruments By Prof.Dr.R.R.deshpande

Ear Speculum or

Aural Speculum • Cone shaped .Tapered end is inserted into

cartilaginous portion of External Auditory

canal .

• Uses – Used to examine External Auditory

Canal ,Ear drum & middle ear ,Used in

procedures like removal of wax & Foreign

body ,Also used in surgeries like

Polypectomy, Myringotomy,Grommet

insertion 7/10/2015 Prof.Dr.R.R.Deshpande 46

Page 47: Ent instruments By Prof.Dr.R.R.deshpande

Crocodile micro surgery forcep

7/10/2015 47 Prof.Dr.R.R.Deshpande

Page 48: Ent instruments By Prof.Dr.R.R.deshpande

Crocodile Micro Surgery Forcep

• Fine obtuse angled forcep wth blades like

jaws of Crocodile .

• Uses –

• For inserting & removing gauze strips &

cotton, rough F.B., debris.It is used for

same purpose in Nose also

7/10/2015 Prof.Dr.R.R.Deshpande 48

Page 49: Ent instruments By Prof.Dr.R.R.deshpande

Posterior Rhinoscopy mirror

7/10/2015 49 Prof.Dr.R.R.Deshpande

Page 50: Ent instruments By Prof.Dr.R.R.deshpande

Posterior Rhinoscopy Mirror

• is used for examining Naso Pharynx &

Posterior part of Nose.

7/10/2015 Prof.Dr.R.R.Deshpande 50

Page 51: Ent instruments By Prof.Dr.R.R.deshpande

Foreign body spud

7/10/2015 51 Prof.Dr.R.R.Deshpande

Page 52: Ent instruments By Prof.Dr.R.R.deshpande

Foreign body spud

• Use –

• To remove foreign body

7/10/2015 Prof.Dr.R.R.Deshpande 52

Page 53: Ent instruments By Prof.Dr.R.R.deshpande

Flat tongue depressor

7/10/2015 53 Prof.Dr.R.R.Deshpande

Page 54: Ent instruments By Prof.Dr.R.R.deshpande

Flat tongue depressor

• Tongue is pressed down ,to examine –

Throat part for –

• Pharyngitis

• Tonsillitis

• Cheek for any oral cancer, submucous

fibrosis

• stomatitis

7/10/2015 Prof.Dr.R.R.Deshpande 54

Page 55: Ent instruments By Prof.Dr.R.R.deshpande

Prof.Dr.Deshpande’s

Popular Links on Internet

• Just Start Internet on Desk top or Lap top

or on your mobile . Copy Following Link &

Paste as Web address –URL

• http://www.youtube.com/user/deshpande1

959

• http://www.slideshare.net/rajendra9a/

• http://www.mixcloud.com/jamdadey/

7/10/2015 Prof.Dr.R.R.Deshpande 55

Page 56: Ent instruments By Prof.Dr.R.R.deshpande

Prof.Dr.Deshpande’s

Popular Links on Internet

• Just Start Internet on Desk top or Lap top or on your mobile . Copy Following Link & Paste as Web address –URL

• http://professordeshpande.blogspot.in

• http://professordrdeshpande.blogspot.in/

• http://www.mixcloud.com/rajendra-deshpande

• https://soundcloud.com/professor-deshpande

7/10/2015 Prof.Dr.R.R.Deshpande 56

Page 57: Ent instruments By Prof.Dr.R.R.deshpande

Prof.Dr.R.R.Deshpande

• Sharing of Knowledge

• FOR

• Propagating Ayurved