Background: Tonsillectomy remains one of the most frequently performed otorhinolaryngology procedures worldwide.Optimal surgical exposure during the procedure depends on specialized instruments such as maguaran plate and draffine bipod stand.The Maguaran plate and draffine bipod stand are indispensable tools for stabilizing the Boyle Davis month gag during tonsillectomy and similar Ear, Nose and threat (ENT) procedures. However, in low resource settings, access to standard surgical instruments such as Maguran plate and Draffin bipod stand is often limited due to cost and supply constraints. Objective: To describe the local fabrication process and evaluate the clinical effectiveness of locally fabricated Maguran plate and bipod stand used during tonsillectomy in Enugu, South East Nigeria. Method: A prospective descriptive study was conducted involving patients under going tonsillectomy using locally fabricated instruments in a secondary health facilty in Enugu, South East Nigeria.The fabricated devices were designed using stainless steel and modeled after standard Maguran plate and Draffin bipod stand.Locally fabricated Maguran plate and bipod stand were used to support the Boyle -Davis mouth gag.The instruments were tested in life surgical setting during tonsillectomy procedures on 50 patients at our ENT clinic. Outcome assessed included intraoperative stability, ease of use, operative time, complications, and surgeons satisfaction. Result: A total of 50 patients were included in the study.The locally fabricated Maguran plate and bipod stand provided adequate support for Boyle-Davis mouth gag, maintaining stable exposure throughout surgery. No significant intraoperative complications attributable to the devices were recorded. Surgeons reported satisfactory usability and comparable performance to standard instruments.The total cost of fabricated instrument was less than 10% of a standard imported equivalent. Conclusion: Locally fabricated Maguaran plates and Draffin bipod stands are cost effective, safe, and clinically effective alternatives for tonsillectomy in resources- limited settings. Wider adoption may improve surgical access in developing countries.
