After inserting a mouth gag for a tonsillectomy, what is the next step?

In the context of a tonsillectomy, once a mouth gag is successfully inserted to maintain an open airway and provide adequate exposure to the surgical field, the next logical step is to grasp the tonsil with a tonsil forceps. This action allows the surgeon to lift and stabilize the tonsil for further dissection or removal.

Grasping the tonsil with tonsil forceps is critical for effective surgical access and control, ensuring that the surrounding tissues are protected while the surgeon works on the tonsil itself. This step is essential as it creates a clear visual and physical pathway to perform the necessary surgical procedures, such as dissection and cauterization, safely and effectively.

While other options might be relevant at different stages of the procedure, they do not logically follow immediately after the insertion of the mouth gag. For instance, injecting local anesthetic typically occurs before the procedure begins to ensure patient comfort, and a midline incision would be relevant in different types of surgeries, but not directly applicable to tonsillectomy steps. Clamping the tonsil with a hemostat may not be as beneficial immediately after inserting a mouth gag when the initial step should involve securing the tonsil for further manipulation.