Abstract
The surgical removal of lymphoid tissue in the nasopharynx in areas inaccessible to the smaller adenotome has made necessary the use of punch forceps. These instruments have an important place in the surgery of adenoidectomy, particularly in patients with hearing defects. The purpose of this article is to describe an instrument* which I find useful in this procedure. This instrument is not intended to supplant the useful nasopharyngeal punches now in use, but, by virtue of its design, it is an operative aid. The punch has a curved shaft, and this makes for ready access to areas high in the nasopharynx. Lymphoid tissue collections found in the choana during adenoidectomy are easily removed by using the finger as a guide. With proper lighting Nasopharyngeal punch forceps. and exposure by palatal retraction, lateral pharyngeal collections of lymphoid tissue are conveniently removed. Hypertrophic lymphoid tissue in the area of Rosenmuller's fossa can
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