Gerald Bayonet 18cm — ENT Skull-Base Surgery
The 18cm-labelled bayonet Gerald serves the ENT skull-base surgery teams — head-and-neck oncology resections that extend through the temporal bone, lateral skull-base approaches for glomus jugulare tumours, and the combined ENT-neurosurgery skull-base cases that have become standard at tertiary referral centres. The bayonet pattern works equally well through transtemporal and transnasal approaches.
The ENT-neurosurgery collaboration
Modern skull-base surgery is rarely a single-specialty operation — ENT, neurosurgery, plastic surgery and sometimes ophthalmology share the operating field in long complex resections that may run 8-12 hours. The instrument set must serve all specialties; the bayonet Gerald (covered in this batch) and the curved Gerald (covered earlier) both belong in the skull-base tray. ENT surgeons typically prefer the bayonet for transtemporal work; neurosurgeons typically prefer the curved for transcranial work. Both share the basic Gerald fine-jaw fundamentals.
The Fisch approach connection
Ugo Fisch’s Zürich infratemporal-fossa approaches (covered earlier in our ENT batch 11) use the bayonet Gerald for the deep periosteal dissection of the jugular foramen and the lateral skull base. The two instrument lineages converge in modern combined-specialty skull-base practice.





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