Atlas of Instruments in Otolaryngology, Head and Neck Surgery

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Disclaimer

The field of medicine and the world of instruments is ever changing. The nomenclature of many instruments does not have a universal consensus and is controversial. As new research and clinical experience broaden our knowledge, devising new instruments may be necessary. The authors of the material given in this book have consulted sources believed to be reliable in their efforts to provide complete, up-to-date information with the standards accepted at the time of publication. The authors have also added their individual opinions in certain circumstances wherever required. However, in spite of all the efforts by the authors and publishers, some errors might have been left uncorrected. The authors, publishers and the printers do not accept any responsibility regarding the nomenclature, depiction, controversies or any other inadvertent errors in the book. The book is only for academic and research purposes and not for legal purpose.

Foreword

It gives me great pleasure in writing the foreword to Atlas of Instruments in Otolaryn gology, Head and Neck Surgery by Dr Vikram Bhat K and Dr Manjunath D.
With rapid advances in surgical tech- niques in Otolaryngology, Head and Neck surgery, development of suitable and so- phisticated surgical instruments have
revolutionized the investigation process to get exact diagnosis of disease conditions and surgical operations. And at the same time, the surgeon requires suitable instruments for proper per- formance of by operative procedures to his satisfaction.
Both the authors of this interesting book are well-experienced surgeons and they have been able to collect the information and photographs of most of the equipment and instruments that are being used in our specialty.
They have described in detail the names of instruments/ equipment and materials used in surgical procedures. And also highlighted the names of surgeons who invented or developed with their brief life history and contribution made in develop- ment of some of surgical steps of few procedures.
It is really fascinating to read about the history of develop- ment of ENT specialty and instruments used during the period between 14th and 18th Century, and how they struggled to in- vent/develop instruments without proper technological support.
In these days, we see a lot of instruments that were developed in those days have became obsolete and historical.
Most of the undergraduates and postgraduates books are lacking in sufficient information about the instruments, and this book gives most of the information required about instruments I complement and congratulate the authors for their hard work and skills to compile this useful book which will be very good guide to the undergraduates, postgraduates and practitioners I strongly recommend it for all medical college and hospital libraries.

Preface

The world of instruments is as vast as the ocean. We spend a lot of time in the company of these tools of trade, but rarely spare a thought as to what they are called and how wonderfully a few instruments have been designed to suit the needs. No single medical institute can boast to have the collection of all these instruments and it has become very difficult for the postgraduate students to even get a glimpse of all of them before appearing for the final examination. There are many varieties and types of a few instruments and many names for several of them. The differences between the instruments are also not obvious many times. The nomenclature of many instruments lacks standardization and there is no universal consensus, hence this topic is shrouded in controversies. This makes the task of instruments very difficult properly identifying and naming many though a student is expected to know this quite well. Hence, we decided to make an attempt to identify these instruments and tried to arrive at a consensus.
The book does not contain each and every instrument that is present in the specialty of otorhinolaryngology. However, we have made a sincere attempt to include more than 350 instruments that can be considered important from the point of view of the postgraduate students and the practitioners. There are special tips for the students to remember the names of instruments in the form of tables and list of common scientists. The list of instrument sets is particularly useful to the junior practitioner and also the operation theater staff. Another special feature of this book is that the photographs of instruments have been presented with their tips wherever necessary, for
proper identification and grasping. Brief relevant history of going certain instruments is included for the benefit of exam- postgraduate students. I hope, this book comes to your help the and do not know where to look for the answer. There is ample next time you pick up an instrument, wonder what it is called scope to improve this book and suggestions for the same will be gracefully accepted.

Acknowledgments

We have sought the help of several institutions, instrument dealers and individuals without whom this book would not have been possible. Hence, we would like to whole-heartedly thank the staff of the Department of ENT of the following institutions for permitting us to photographs of the instruments:
—  Kasturba Medical College, Manipal, Karnataka, India
— Osmania Medical College, Hyderabad, Andhra Pradesh, India
— Andhra Medical College, Visakhapatnam, Andhra Pradesh, India
— NRI Medical College, Mangalagiri, Guntur, Andhra Pradesh, India
— Deenanath Mangeshkar Hospital and Research Center, Pune, Maharashtra, India.
We would also like to thank the following individuals who helped in drafting the manuscript, proofreading and corrections: 1. Dr Jyotirmay Hegde, Assistant Professor, Department of ENT, SDM Institute of Medical Sciences and Research Center, Dharwad, Karnataka, India
— Dr Venkatesha BK, Assistant Professor, JJM Medical Col- lege, Davangere, Karnataka, India
— Dr Dathathri HA, Consultant and ENT Surgeon, Colum- bia Asia Hospital, Mysore, Karnataka, India
— Dr Srinish G, Dr Sachin MR, Dr Vidya J, Dr Sathish Ponni, and Dr Abhineet Jain-Residents in ENT, Department of ENT, Karnataka Institute of Medical Sciences, Hubli, Karnataka, India.
The following persons have generously helped us in clari fying various doubts and controversies. Hence, we would like to profusely thank them for the same:
— Dr Shivakumar, Professor and Head, Department of ENT, SS Institute of Medical Sciences and Research, Davangere, Karnataka, India
— Dr RN Patil, Professor, Department of ENT, JN Medical College, Belgaum, Karnataka, India
— Dr Dipak Ranjan Nayak, Professor and Unit Chief, Department of ENT, Kasturba Medical College, Manipal, Karnataka, India
— Dr Ravi Sachidananda, Head and Neck Surgeon, Department of ENT, Chandlers Ford, Eastleigh, United Kingdom.
We would also like to acknowledge, all the instruments Com- panies whose instruments’ photographs have been of immense help in the preparation of the book. The chief nurse of our oper- ation theater Mrs Gurudevi G Betgeri has kindly cooperated with us for many photographs of instruments. We would like to sin- cerely thank her and the other operation theater staff of Karnataka Institute of Medical Sciences (KIMS), Hubli, Karnataka, India.
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