Grasping Forceps
Grasping Forceps
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ARMAMENTARIUM IN MAXILLOFACIAL SURGERY
ARMAMENTARIUM IN MAXILLOFACIAL SURGERY
Author:
Dr. Altaf H Malik
Dept. of Oral and Maxillofacial Surgery,
Govt. Dental College, Srinagar.
Co authors:
Dr. Ajaz A Shah
Associate Professor and Head,
Dept. of Oral and Maxillofacial Surgery,
Govt. Dental College, Srinagar.
Dr. Suhail Latoo
Lecturer
Department of Oral Pathology and Microbiology,
Govt. Dental College, Srinagar.
Dr. Manzoor Ahmad Malik
J & K Health Services, SDH Banipora
Dr. Rubeena Tabasum
Resident
C.D Hospital, Srinagar.
Dr. Shazia Qadir
Dept. of Oral and Maxillofacial Surgery,
Govt. Dental College, Srinagar.
INTRODUCTION
- Surgeons have access to a variety of Surgical Instruments that are designed to help them in treatment of abnormalities.
- The purpose of this presentation is to introduce the instruments that are required to perform routine surgical procedures.
- This presentation deals primarily with a description of instruments and their uses in various ways.
CLASSIFICATION OF INSTRUMENTS
- General surgical instruments (common for all kind of surgeries).
- Procedure specific instruments of OMFS (uses limited to only OMFS).
GENERAL SURGICAL INSTRUMENTS
On the basis of type of procedure can be categorized as
- For keeping the sterile instruments.
- For picking up sterile instruments.
- For preparing the surgical field.
- For holding the drapes.
- For incising / dissecting the soft tissues.
- For holding the soft tissues.
- For retracting tissues.
- For reflecting the mucoperiosteal flap.
- For hemostasis.
- For maintaining a clean surgical field.
- For cutting / removing bone.
- For irrigation.
- For holding bone.
- For removing pathologic tissues.
- For draining an abscess.
- For maintaining drainage.
- For grafting skin / bone.
- For suturing the tissues.
I. FOR KEEPING THE STERILE INSTRUMENTS
Surgical trays / boxes
Surgical container / drums
SURGICAL TRAYS / BOXES
- Can be solid / perforated Stainless Steel / aluminum with / without lock small / medium / large.
- Autoclavable, heat and acid resistant, improves storage, sterilization and selection of instruments.
SURGICAL CONTAINERS / DRUMS
- Perforated, with lock made up of aluminium, can be small / medium / large.
FOR PICKING UP STERILE INSTRUMENTS
- Cheatle forceps
Transfer forceps
CHEATLE FORCEPS
- Long angulated instrument with
angulated tip of blade.
- Used for picking up sterile
instruments from trays and
linen from drums.
- Stored in a container
containing antiseptic solution.
TRANSFER FORCEPS
- Heavy right angled forcep
with heavy jaws.
FOR PREPARING SURGICAL FIELD
- Swab holder
Steel bowl
SWAB HOLDER
- An instrument with long
blades expanded at ends
forming an oblong tip.
- Blades have central fenestrations
and transverse serrations.
- Use
STEEL BOWL
- A simple stainless steel bowl
to keep betadine gauze
piece.
FOR HOLDING THE DRAPES
Towel clips
TOWEL CLIPS
- Two types
Pinchter type (Jones)
Forceps type (Beckhaus)
- Jones type has spring joint whereas
Beckhaus has locking handles.
- Tip of both instruments curves
towards each other, pointed and
overlaps each other which penetrate
drapes.
- Used to hold drapes, stabilize suction
tubes, motor cables etc.
Bard Parker blades
- Commonly used ones are
No.10 – Skin incision
No.11 – Sharp pointed, for stab
incision
No.12 – Hooked, for mucogingival
procedures
No.15 – Similar in shape to No.10
but smaller, for intraoral
use
- Always held in pen grasp.
- Designed for single use.
- Uses
- To retract incised edges.
- To retract soft tissue mass.
- To allow visualisation of deeper tissues.
References
- Larry J. Peterson: Contemporary oral and maxillofacial surgery. 4th edition.
- Neelima Mallik: Textbook of oral and maxillofacial surgery. 2nd edition.
- Daniel M Laskin: Textbook of oral and maxillofacial surgery.
About the Author
23G Vitrectomy for the management of Epiretinal Membrane
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