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Francis W. Alter, M.D.
JAMA. 1915;LXIV(23):1909-1910. doi:10.1001/jama.1915.25710490002013c.
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With the multiplicity of instruments already devised for the enucleation of tonsils, one must indeed have a good deal of assurance to bring out something new along these lines. I have felt, however, that the instruments which I am presenting possess sufficient merit to warrant bringing them to the notice of the profession. The combination of instruments which I am presenting has been in use for the past two years, long enough to obtain data as to their practicability and reliability.

The three instruments and devices which I have used for over two years in tonsillectomy are a mouth gag, with a successful lip retractor; a tonsil-seizing forceps combined with a tongue depressor; and a suction apparatus, with a cut-off.

Figure 1 illustrates the mouth gag, which is a Whitehead gag, with the additional lip retractor. I have had as much trouble with the patient's lips getting pinched prior to


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