Final answer:
The Poole suction tip (option D) is the instrument not used in otorhinolaryngology surgery, as it is typically used in abdominal operations, unlike the Frazier, Baron, and potentially Sexton (misspelled from Takahashi) tools, which are relevant to ENT procedures.
Correct option is A. Sexton
Step-by-step explanation:
The instrument that is NOT used in otorhinolaryngology surgery is D. Poole. Otorhinolaryngology, also known as ENT (Ear, Nose, and Throat), is a branch of medicine which deals with the surgical treatment of conditions and disorders related to the ear, nose, and throat. The instruments commonly used in this field are specifically designed for ENT procedures. For example, the Frazier suction tip is often used for precise suctioning in nasal and throat surgeries, and the Baron suction tube is used for ear surgery.
The Sexton forceps could be a misspelling of "Sextant" forceps, which are not standard in ENT but might be confused with "Takahashi" forceps, an instrument used in nasal surgery. The Poole suction tip, on the other hand, is generally used in abdominal surgeries, not in otorhinolaryngology.