CHAPTER 86 Additional images are available at: evolve.elsevier.com/Tighe/instrumentation/ The paranasal sinuses may need drainage improved or may need diseased membranes removed. A brief description of the procedure follows: 1. A Vienna speculum may be needed to dilate the nares. 2. The scope is inserted through the nose. 3. An axial suction/irrigator is used for secretions and for visualization. 4. Blakesley-Weil ethmoid forceps are used to enlarge the maxillary sinus ostium. 5. A Coakley antrum curette may also be used to enlarge the maxillary sinus opening. 6. Gruenwald nasal forceps are used to grasp polyps. 7. Struycken nasal forceps are used to cut the polyps. 8. A Stammberger antrum punch may be used to remove diseased tissue.
Sinus Surgery