Stammberger Sidebiting Punch Forceps

These essentially help to open a middle meatal an-trostomy inferiorly (Fig. 10.24). These are useful if an extensive ethmoidectomy has been done and it is desirable to lateralize the middle turbinate and open up the olfactory cleft. This particularly applies if there are polyps medial to the middle turbinate, either coming off it or off the septum. This creates an antrostomy with an exit that will be below the inferior level of the a

Stammberger Punch Forceps

Fig. 10.21 a, b The Freer elevator is being used to gently lateralize the middle turbinate to open the olfactory cleft.

Fig. 10.21 a, b The Freer elevator is being used to gently lateralize the middle turbinate to open the olfactory cleft.

Olfactory Cleft

Fig. 10.22 A sharp-ended sickle knife.

lateralized middle turbinate. If too much is taken off, it can bite through the base of the inferior turbinate. That is not a problem in itself, although it can catch a branch of the sphenopalatine artery coming through it.

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