2. Instruments for operations of the nose and tonsils: tracheostomy and cogniotomy tubes

1.a A set of cogniotomy trocars and cannula:
c. 1900.
1.b Parker’s outer tube and pilot or introducer
with a silver cannula and another version of
introducer with a long, flexible metal
tracheotomy tube.
2. Langenbeck finger guard-protector and a
fingertip blade (“nail”):
c. 1850, for separation of diphtheria
membranous obstruction. The physician
slipped the guard on his left index finger,
introducing it into the child’s mouth, pryingopen
the jaws, preventing the child from
biting the finger and with the right index
finger, armed with the fingertip blade, opening
an airway through the obstructing diphtheria
membranes. Opening the airways was a
common, life-saving emergency by this set that
often was carried in physician’s pockets
together with cogniotomy trocars.
3. Three mouth gags: c. 1930, lobster-tailed
Heister (1743) mouth gag, a large frame mouth
gag, and an earlier, c. 1890, mandible opener,
ebonite handle.
4. Four tonsil snares: two Eve’s snares (c. 1930),
a silver-plated French snare (1880), and an early
20th century electrically heated snare to
cauterize the bleeding wound bed.
5. Four tonsil guillotines: c. 1900, two prototypes
and two bayonet forceps.

6. Tonsil scissors: c. 1900.
7. Two tonsil guillotines: prototype c. 1800, and
a later one, c. 1900.
8. Health’s tonsil guillotine: c. 1920.
9. Nasal septum instrument: Health’s septum
punch forceps, angular scissors and two
Jansen-Middleton’s nibbling forceps.
10. 5 adenoid curettes: c. 1900, and three older
curettes with lignum vita handles, c. 1800–
1850.
10a. ENT surgical set for the family physician
for outpatient use (i.e. tonsillectomy,
adenoidectomy, cogniotomy etc.).
11. Nasal bleeding tamponade forceps.
12+13. Nasal bleeding tamponade directors.