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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

1. General surgical instruments (common for all kind of surgeries).
2. Procedure specific instruments of OMFS (uses limited to only OMFS).

 

GENERAL SURGICAL INSTRUMENTS

On the basis of type of procedure can be categorized as

1. For keeping the sterile instruments.
2. For picking up sterile instruments.
3. For preparing the surgical field.
4. For holding the drapes.
5. For incising / dissecting the soft tissues.
6. For holding the soft tissues.
7. For retracting tissues.
8. For reflecting the mucoperiosteal flap.
9. For hemostasis.
10. For maintaining a clean surgical field.
11. For cutting / removing bone.
12. For irrigation.
13. For holding bone.
14. For removing pathologic tissues.
15. For draining an abscess.
16. For maintaining drainage.
17. For grafting skin / bone.
18. 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

1. To retract incised edges.
2. To retract soft tissue mass.
3. To allow visualisation of deeper tissues.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

References

1. Larry J. Peterson: Contemporary oral and maxillofacial surgery. 4th edition.
2. Neelima Mallik: Textbook of oral and maxillofacial surgery. 2nd edition.
3. Daniel M Laskin: Textbook of oral and maxillofacial surgery.  

 

 

About the Author

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