Friday 6 January 2012

Mollison’s Anterior Pillar Retractor



The anterior pillar retractor is used in tonsillectomy operations.

Identification

This is a long and thin instrument one end of which is flattened out like a blade. The other end is wide and its edge is curved.




This is end may be hooked around the edge of the anterior pillar to pull it laterally after tonsillectomy.


The tonsillar dissector is a similar looking instrument in the tonsillectomy set. To differentiate the two, closely observe the ends. One end of the dissector is serrated like a comb.

How to use the pillar retractor

The curved edge is hooked around the free edge of the anterior pillar to retract it laterally. This gives a very good view of the entire tonsillar fossa which can be inspected for remnants and bleeding points after the removal of tonsils.

More information

  • Reactionary bleeding is hemorrhage that occurs in the postoperative period within 24 hours.
  • It usually occurs due to slipping of ligatures.



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