Holding Forceps

Holding Forceps

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

Can I use the same contact lens case?

I'm thinking about buying this Sanrio contact lens case that comes with:
-compact with mirror
-forceps (tweezers)
-bottle for solution
-contact lens container (screw-lid)

So the contact lens case itself is regular plastic (I think), and since the lids are painted to look pretty and all, I don't wanna waste it. So is it ok to use the same one over and over? If so, do you have any tips for cleaning them thoroughly?

And if anyone knows how to clean the bottle that holds the solution, please lemme know about that as well. Thanks ;]
I only started wearing contacts, so please, try to understand my confusion.

First of all, your question is in the totally wrong category, but be that as it may.

Have you no experience at all with contacts? It does not sound like it.

You do not have to throw away a contact lens case each time it is used. You use it over and over. There is not really any "cleaning" done to the case. After you remove the contacts, you pour out the solution that was in the case, rinse it with some new solution, pour that out, and let it AIR DRY with the lids off. That is it.

As for the "bottle for solution", that makes no sense at all. All contact lens solutions come in sterile bottles. You NEVER pour contact lens solutions into some other bottle. That is absurd, unsanitary, and would likely lead to eye infection. You use the solution from the bottle it comes in.

I also don't know why your would need tweezers for contacts. You certainly don't use them to put the contacts in your eyes. All handling of contacts is done with your fingers. You would run the risk of tearing a lens if you tried to handle it with some kind of tweezers.

It sounds like you need to have an eye doctor sit down with you and teach you some things and forget about these goofy accessories you are looking at.

steve

Holding Forceps