CHAPTER 82 Tonsillectomy is the removal of the palatine tonsils in the oropharynx. Adenoidectomy is the removal of the lymph tissue on the posterior wall of the nasopharynx (pharyngeal tonsils). A brief description of a tonsillectomy follows: 1. A McIvor mouth gag with blade is placed in the mouth for visualization. 2. A Wieder tongue depressor is placed and held on the tongue to expose the tonsils. 3. An Andrews-Pynchon suction tip with tubing is used for removing secretions and blood. 4. A long curved Allis tissue forceps is used to grasp the tonsil. 5. A Bard-Parker scalpel handle #7 with #11 blade is used to incise the tonsil capsule. 6. A Fisher knife may be used to extend the incision. 7. A Hurd spoon (tonsil dissector) is used to bluntly dissect the tonsil. 8. Tonsil hemostatic forceps are used to clamp the main blood supply. 9. Metzenbaum dissecting scissors are used to excise the tonsil. 10. A Ballenger sponge forceps with tonsil sponge is placed in the tonsil fossa to apply pressure for hemostasis. 11. A Hurd tonsil dissector and pillar retractor may be used to check for bleeding.
Tonsillectomy and Adenoidectomy (T & A)
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