Punches

Punches used in sinus surgery are precision surgical instruments designed to cut, remove, or biopsy tissue within the nasal and sinus cavities. They typically have a slender shaft with a sharp, cup-shaped or hollow tip and are operated manually by the surgeon. These instruments allow for controlled excision of mucosa, polyps, or bony structures during functional endoscopic sinus surgery (FESS). Common types include Blakesley punches, Kerrison punches, and Takahashi punches, each tailored for specific anatomical regions and surgical needs. They are essential for ensuring clear access, improving sinus drainage, and preserving surrounding structures.