Instruments Cranio-Maxillo- Facial Surgery

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  • Manufacturer and supplier of German quality stainless steel Dental Instruments for Students and Professionals as per Requirements

    DOYEN HERCULES SURGICAL CO
    P.O GOHAD PUR,
    SIALKOT - 51360
    PAKISTAN
    TEL; 92-524-266218 (MOBILE 92-300-9617735)
    FAX; 92-524-264748
    E.Mail; sales@doyensurgical.com
    E.Mail; info@doyensurgical.com
    http #; www.doyensurgical.com
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Instruments Cranio-Maxillo- Facial Surgery

  1. 1. Leibinger Micro Implants Instruments Cranio-Maxillo-Facial Surgery
  2. 2. *+E18290011000Y* *+$DUM YY* M2
  3. 3. Section 1 Page 6 Section 8 Page 46 - 52 Section 15 Page 88 - 94Scalpel Handles Periosteal and Bone Elevators Wiring InstrumentsSection 2 Page 8 - 10 Section 9 Page 54 Section 16 Page 96 - 100Micro Dissecting Needles Rasps TMJ InstrumentsSection 3 Page 12 - 14 Section 10 Page 56 Section 17 Page 102 - 104Oral Instruments Measuring Instruments Micro SurgeySection 4 Page 16 - 22 Section 11 Page 58 - 68 Section 18 Page 106Scissors Osteotomes Bone MillSection 5 Page 24 - 26 Section 12 Page 70 Section 19 Page 108 - 109Forceps Mallets Sinus Lift / Augmentation and ImplantologySection 6 Page 28 - 30 Section 13 Page 72 - 82 Section 20 Page 112 - 114Suction Tubes Bone Holding Forceps and Clamps Numerical Index Malek, Mouth Gag 12 Malek, Tongue Depressor 12 Malleable Retractors 41 Mallets 70 Mandibular Body Retractors 34 Mandibular Border Strippers 51Section 7 Page 32 - 44 Section 14 Page 84 - 86 Section 21 Page 116 - 119Retractors, Hooks, Fiber Optic Cables Needleholders Alphabetical Index 01-11240 64 01-11250 109 01-11255 109 01-11503 6 01-11548 36 3
  4. 4. 4
  5. 5. Scalpel handles PageSection 1 6Scalpel Handles 6
  6. 6. Scalpel Handles Characteristics: • Stainless steel • Round handle, serrated, for secure grip • Enables easy rotation in difficult positions • Optimal balance • Very useful for all kind of surgical procedures. • Specially designed for maxillofacial surgery 14.5 cm 14.5 cm 16 cm 07-30002 07-30004 07-30006 Nr.3 Dautrey 30-01030 15.5 cm 01-115036
  7. 7. Micro Dissecting Needles PageSection 2 8-10Colorado Micro Dissecting Needles 8-10
  8. 8. Micro Dissection Needles N-series Micro Dissection Needles 20 mm length, straight N110A O 20 mm length, 3mm, 45 angle N112A 30 mm length, straight N103A 30 mm length, 3mm, 45O angle N113A 40 mm length, straight N104A 20 mm length, 45O angle N117 N-series Micro Dissection Needles E103-series Micro Dissection Needles O 20 mm length, 90 angle N117A 76 mm length, straight sleeve, 10 mm needle E1033 30 mm length, non-insulated N101A 102 mm length, straight sleeve, 10 mm needle E1034 40 mm length, non-insulated N102A 127 mm length, straight sleeve, 10 mm needle E1035 152 mm length, straight sleeve, 10 mm needle E1036 178 mm length, straight sleeve, 10 mm needle E10378
  9. 9. Micro Dissection NeedlesE103C-series Micro Dissection Needles E113-series Micro Dissection Needles102 mm length, curved sleeve, 10 mm needle E1034C 76 mm length, straight sleeve, 3mm, 45O angle E1133127 mm length, curved sleeve, 10 mm needle E1035C 102 mm length, straight sleeve, 3mm, 45O angle E1134152 mm length, curved sleeve, 10 mm needle E1036C 127 mm length, straight sleeve, 3mm, 45O angle E1135 O178 mm length, curved sleeve, 10 mm needle E1037C 152 mm length, straight sleeve, 3mm, 45 angle E1136 O 178 mm length, straight sleeve, 3mm, 45 angle E1137 E117-series Micro Dissection Needles E117A-series Micro Dissection Needles 76 mm length, straight sleeve, 10 mm, 45O angle E1173 76 mm length, straight sleeve, 10 mm, 90O angle E1173A O O102 mm length, straight sleeve, 10 mm, 45 angle E1174 102 mm length, straight sleeve, 10 mm, 90 angle E1174A O O127 mm length, straight sleeve, 10 mm, 45 angle E1175 127 mm length, straight sleeve, 10 mm, 90 angle E1175A152 mm length, straight sleeve, 10 mm, 45O angle E1176 152 mm length, straight sleeve, 10 mm, 90O angle E1176A O O178 mm length, straight sleeve, 10 mm, 45 angle E1177 178 mm length, straight sleeve, 10 mm, 90 angle E1177A 9
  10. 10. Micro Dissection Needles E1400-series Long Angled Micro Dissection Needles EN-series Curved Micro Dissection Needles (Brow) 102 mm length, sleeve with 51 mm 45O bend E1454C O 127 mm length, sleeve with 51 mm 45 bend E1455C 152 mm length, sleeve with 51 mm 45O bend E1456C O 178 mm length, sleeve with 51 mm 45 bend E1457C 152 mm length, contoured sleeve, 3 mm tip at 45O EN6000 O 178 mm length, contoured sleeve, 3 mm tip at 45 EN700010
  11. 11. Oral Instruments PageSection 3 12-14Mouth Gags 12-13Tongue Depressors 12-13Mouth Props 14Photo Hooks 14Wire Lip Retractor 14Oral Screw 14
  12. 12. Oral Instruments Mouth Gags, Tongue Depressors Malek Malek Malek Malek Malek Pediatric Mouth Gag, Tongue depressor Fig. 1 Tongue depressor Fig. 2 Tongue depressor Fig. 3 Tongue depressor Fig. 4 frame only 15 - 19 x 36 mm 17 - 21 x 44 mm 19 - 23 x 59 mm 25 - 31 x 78 mm 13 cm 41-36792 41-36793 41-36794 41-36795 41-36790 Tongue depressor Universal Mouth Frame 20 x 40 mm 41-36780 41-36841 (including lateral blades) 41-36786 Tongue depressor Universal Mouth Gag 24 x 50 mm frame only 41-36842 41-36840 Tongue depressor 28 x 60 mm 41-36843 Tongue depressor 32 x 70 mm 41-36844 Tongue depressor 36 x 80 mm 41-3684512
  13. 13. Oral Instruments Tongue Depressors, Mouth Gags Tongue Depressor Mouth Gag, 20.5 cm jaws with silicone inserts Adult Size 27 mm 01-15227 Bruenings Child Size Tobold Denhart Silicone inserts only 19.5 cm 20 mm 14 cm 12.5 cm Order Quantity: 13-56005 01-15228 13-56012 41-34827 Package of 1 41-3482814 cm 18.5 cm Wieder Wieder09-01030 09-01220 Size 1 Size 2 15 cm 16.5 cm insulated 09-01050 09-01060 13
  14. 14. Oral Instruments Mouth Props, Photo Hooks, Retractors, Oral Screw 11 cm Photohook, plastic Photohook, plastic Photohook, plastic 09-01120 for children for adults self-retaining not autoclavable not autoclavable not autoclavable 11.5 cm 12.5 cm 9 cm Order Quantity: Package of 2 Order Quantity: Package of 2 Order Quantity: Package of 2 09-01170 09-01160 09-01165 Mouth props, without Mouth props, with chain, made of rubber chain, made of rubber coated metal frame coated metal frame Adult size, large Adult size, large 09-00520 09-00521 Adult size, standard Adult size, standard Oral screw 09-00540 09-00541 Wire lip retractor 14 cm 10 cm 09-00490 Child size, standard Child size, standard 09-01310 09-00560 09-00561 Child size, small Child size, small 09-00580 09-00581 Order Quantity: Order Quantity: Package of 2 Package of 214
  15. 15. Scissors PageSection 4 16-22Delicate Scissors 16-20Dissecting Scissors 16-20Rhinoplastic Scissors 21Gum Scissors 21Face Lift Scissors 22Blepharoplastic Scissors 22Undermining Scissors 22Gingivectomy Scissors 22
  16. 16. Scissors Delicate Scissors, Dissecting Scissors Leibinger - Iris Leibinger - Iris Leibinger - Ragnell Leibinger - Ragnell Delicate scissors Delicate scissors Dissecting scissors Dissecting scissors straight, sharp/sharp curved, sharp/sharp flat points, blunt/blunt flat points, blunt/blunt 11cm 11cm 12.5 cm 15.5 cm 37-12460 37-12461 37-12390 37-12392 Leibinger - Metzenbaum Leibinger - Metzenbaum Leibinger - Metzenbaum Leibinger - Tessier Dissecting scissors Dissecting scissors Dissecting scissors Dissecting scissors curved, blunt/blunt curved, blunt/blunt curved, blunt/blunt straight, sharp/sharp 13 cm 14.5 cm 18 cm 14 cm 37-12301 37-12311 37-12321 01-1530916
  17. 17. Scissors Delicate Scissors, Dissecting ScissorsLeibinger - Mayo Leibinger - Mayo Leibinger - Mayo - StilleDissecting scissors Dissecting scissors Dissecting scissorsstraight, blunt/blunt curved, blunt/blunt curved, blunt/blunt17 cm 17 cm 17 cm37-12176 37-12177 37-12209 Dissecting scissors Jameson curved, flat pointed, Dissecting scissors serrated, delicate curved, sharp/sharp 13 cm 15.5 cm 37-10411 37-10399 17
  18. 18. Scissors Delicate Scissors, Dissecting Scissors Dissecting scissors Goldman-Fox Lexer 11.5 cm Dissecting scissors Dissecting scissors straight 37-10880 curved, sharp/sharp 16 cm curved 37-10881 13 cm straight 37-10740 37-10871 curved 37-10741 Mayo Mayo Dissecting scissors Dissecting scissors curved curved 14.5 cm 23 cm 37-10653 37-1066118
  19. 19. Scissors Delicate Scissors, Dissecting ScissorsMayo-Stille Mayo-Stille MetzenbaumDissecting scissors Dissecting scissors Dissecting scissorscurved 17 cm curved15 cm straight 37-10704 14.5 cm37-10703 curved 37-10705 37-10751Metzenbaum Metzenbaum MetzenbaumDissecting scissors Dissecting scissors Dissecting scissorscurved curved curved18 cm 20 cm 23 cm37-10761 37-10763 37-10765 19
  20. 20. Scissors Delicate Scissors, Dissecting Scissors Metzenbaum Delicate Metzenbaum Delicate Metzenbaum Delicate Metzenbaum Delicate (Knapp) Dissecting scissors Dissecting scissors Dissecting scissors Dissecting scissors curved curved, sharp/sharp 18 cm curved 14.5 cm 14.5 cm straight 37-10820 11.5 cm 37-10801 37-10805 curved 37-10821 37-10721 Metzenbaum Delicate Metzenbaum Delicate Metzenbaum Delicate Dissecting scissors Dissecting scissors Dissecting scissors curved, sharp/sharp curved curved 18 cm 20 cm 23 cm 37-10825 37-10831 37-1084120
  21. 21. Scissors Rhinoplastic Scissors, Gum Scissors Leibinger-Fomon Joseph Leibinger-Joseph Leibinger-Joseph Rhinoplastic scissors Rhinoplastic scissors Rhinoplastic scissors Rhinoplastic scissors strongly curved, blunt/blunt 14 cm straight, sharp/sharp curved, sharp/sharp 13 cm curved, sharp/sharp 37-10385 14 cm 14 cm 37-12775 straight, sharp/sharp 37-10386 37-12485 37-12486Kelly Kelly Kelly LocklinGum scissors Gum scissors Gum scissors Gum scissorsstraight straight, serrated curved s-shaped, saw edge, sharp/sharp15.5cm 15.5cm 15.5cm with Tungsten Carbide inserts09-01460 09-01461 09-01470 16cm 37-10988 21
  22. 22. Scissors Face Lift Scissors, Blepharoplastic Scissors, Undermining Scissors, Gingivectomy Scissors Schwenzer Leibinger-Kaye Face lift scissors Original Tessier Face lift scissors Face lift scissors curved, saw edge, Face lift scissors with 18 cm curved, saw edge, 20 cm Tungsten Carbide inserts 01-19200 blunt/blunt 37-10272 straight, sharp/sharp 19 cm 16.5 cm 37-12665 01-15310 Goldman-Fox Original Tessier Goldman-Fox Blepharoplastic scissors Undermining scissors Gingivectomy scissors saw edge curved curved, saw edge, 10.5 cm 13 cm 01-15305 sharp/sharp 37-10580 13.5 cm 01-15306 13 cm 37-1026022
  23. 23. Forceps PageSection 5 24-26Tissue Forceps 24-26
  24. 24. Forceps Tissue Forceps Adson Micro Adson Micro Adson Adson fine fine regular regular 12 cm 15 cm 12 cm 15 cm 31-09771 31-09773 31-09770 31-09772 Magee Magee multi tooth 1 x 2 teeth, smooth jaw, 15 cm medium pattern 31-19395 15 cm 31-1939424
  25. 25. Forceps Tissue Forceps Standard Standard Standard Cushing Cushing coarse coarse coarse regular regular 14.5 cm 16 cm 18 cm 18 cm 18 cm 31-09782 31-09786 31-09790 31-09710 31-09712Semkin Micro Semkin Micro Semkinfine fine regular14.5 cm 31-09781 18 cm 14.5 cm 31-0978016 cm 31-09785 31-09789 16 cm 31-09784 25
  26. 26. Forceps Tissue Forceps 1.5 mm 2.0 mm Leibinger Leibinger-DeBakey Leibinger-DeBakey fine fine fine 19.5 cm 15 cm 31-09800 15 cm 31-09801 31-09815 24 cm 31-09810 19.5 cm 31-09806 24 cm 31-09811 Gillies Delicate Bonneys regular regular 17 cm 15 cm 18 cm 31-09775 31-09858 31-0978826
  27. 27. Suction Tubes PageSection 6 28-30Suction Dissector 28Suction Tubes 28-30Micro Suction Tubes 29Suction Irrigation Tubes 30
  28. 28. Suction Tubes Original Marchac Original Marchac Suction dissector, Suction dissector, straight, curved, with fiber optic cable with fiber optic cable fitting, fitting, 21 cm 21 cm 01-14532 01-14533 Suction Tube, Suction Tube, Suction Tube, Suction Tube, short type, medium type, long type, extra long type, working length 7 cm working length 10 cm working length 13.5 cm working length 17 cm diam. 1.2 mm 12-04230 diam. 1.2 mm 12-04233 diam. 1.2 mm 12-04236 diam. 1.2 mm 12-04239 diam. 2.0 mm 12-04231 diam. 2.0 mm 12-04234 diam. 2.0 mm 12-04237 diam. 2.0 mm 12-04240 diam. 2.5 mm 12-04232 diam. 2.5 mm 12-04235 diam. 2.5 mm 12-04238 diam. 2.5 mm 12-0424128
  29. 29. Suction TubesSuction Tube, Suction Tube, Micro Suction Tube,tip straight, tip straight, with ball tip,working length 14.5 cm working length 15 cm diam. 1.0 mm,diam. 1.5 mm 12-04202 diam. 1.7 mm 12-04250 19.5 cmdiam. 2.0 mm 12-04206 diam. 2.3 mm 12-04251 12-04220 diam. 3.0 mm 12-04252tip curved,working length 14.5 cmdiam. 2.0 mm 12-04210 29
  30. 30. Suction Tubes Suction Tube, Suction-Irrigation Tube, Suction-Irrigation Tube, diam. 1.0 mm, conical, working length 10 cm 18.5 cm diam. 2.5 / 2.0 mm, diam. 1.0 / 1.0 mm 13-18260 12-04200 working length 10 cm diam. 1.5 / 1.5 mm 13-18258 13-18249 diam. 1.8 / 1.8 mm 13-18256 diam. 2.5 / 2.5 mm 13-18254 diam. 3.0 / 2.0 mm 13-18252 diam. 4.5 / 2.0 mm 13-1825030
  31. 31. Retractors, Hooks,Fiber Optic Cables PageSection 7 32-44Soft Tissue Retractors 32-33Chin Retractors 33Mandibular Body Retractors 34Mandibular Rim Retractors 34Mandibular Channel Retractors 34-35Ramus Retractors 36Sigmoid Notch Retractors 36-37I.O.V.O. Retractors 37Notched Alveolar Retractors 38Maxilla Mobilizers 38Retromaxillary Levers 38Nasal Retractors 39Nasal Specula 39Orbita Retractors 40Cheek Retractors 40Malleable Retractors 41Nerve Protectors 41Sinus Flap Retractors 42Iliac Crest Retractors 42Hooks 43Fiber Optic Cables 44
  32. 32. Retractors Soft Tissue Retractors 35 x 16 mm 45 x 16 mm 70 x 16 mm 30 x 12 mm 35 x 12 mm 50 x 12 mm Original Tessier Original Tessier Original Tessier 15 cm, Fig. A 15 cm, Fig. B 15 cm, Fig. C black anodized black anodized black anodized 01-15251 01-15254 01-15258 Babbush Babbush Magee Soft tissue retractor Soft tissue retractor Eyelid and lip retractor 2 prongs 4 prongs 15 cm, 15 mm wide 11 cm 11 cm 01-19715 01-12105 01-1211032
  33. 33. Retractors Soft Tissue Retractors The short retractors, held by the assistant, no longer hinder the surgeon. These instruments are used for the retraction of the upper lip, with the surgeon sitting posterior to the head of the patient; they are especially suitable for Le Fort I osteotomies and cleft palate surgery. Kreidler Wassmund Sailer Soft tissue retractor Soft tissue retractor Soft tissue retractor 5 x 20 mm 33 x 20 mm 15 cm 21 cm 21 cm 7 x 25 mm 01-14740 01-17713 40-37568 10 x 35 mm 01-14742 10 x 42 mm 01-14744 12 x 55 mm 01-14746 14 x 70 mm 01-14748 16 x 80 mm 01-14750 The upward curved distal tip and the concave blade mi- nimizes traumatizing of soft tissue The downward curved distal tip provides an improved view and the concave blade minimizes traumatizing of soft For exposing the zygomatic tissue. crest and retracting soft tissueObwegeser Obwegeser Steinhäuser SteinhäuserSoft tissue retractor Soft tissue retractor Soft tissue retractor Soft tissue retractorcurved up, concave blades curved down, concave blades right left22 cm 22 cm 23.5 cm 23.5 cm7 x 25 mm 01-17700 7 x 25 mm 01-17715 20 x 50 mm 20 x 50 mm10 x 35 mm 01-17702 10 x 35 mm 01-17720 01-09640 01-0964110 x 42 mm 01-17704 10 x 42 mm 01-1772512 x 55 mm 01-17706 12 x 55 mm 01-1773014 x 70 mm 01-17707 14 x 70 mm 01-1773216 x 80 mm 01-17708 16 x 80 mm 01-17735 33
  34. 34. Retractors Chin Retractors, Mandibular Body Retractors, Mandibular Channel Retractors The mandibular body retractor cradles the inferior border of the mandible to: • Facilitate making the vertical cut of the midsagittal osteotomy • Distend the cheek • Protect the facial artery and This instrument is used for vein placement beneath the chin • Support the mandible as and to retract the soft tissue the osteotomes are struck as well as stabilizing the bone with a mallet in genioplasty procedures or • Permit an adequate cut of other operations in the anteri- the inferior border of the or part of the mandible. mandible Obwegeser Mandibular body re- Chin retractor tractor malleable 13 mm , 17 cm 15 cm 01-01490 01-17750 The channel retractors are applied during sagittal split of the mandible to protect the soft tissue in particular the neurovascular bundle. The newly developed modification of the “Obwegeser channel retractors“ provides better view of the lingual cortical bone between the semilunar incision and the mandible foramen. Lingual osteotomy during sagittal split using a re- ciprocating saw or Lindemann cutter can be performed with better visual control up to the posterior border of the ascen- ding ramus. The instrument is bent bet- ween the handle and the The shorter retractor is very working end to allow the useful at the zygoma. The instrument to “get around“ the medium retractor serves as dentulous maxilla. an excellent instrument in the The malleable instrument anterior mandibular site and shanks can be bent to con- the longer retractor is desig- form to any anatomic situati- ned for deep approaches, e.g. on, such as trismus or extreme in the area of the mandibular dysgnathia, without obstruc- angle. ting the surgeon‘s view. Salzburg Dumbach Dumbach Mandibular rim retractor Mandibular channel retractor Mandibular channel retractor 23 cm left right 6 x 30 mm 01-11140 23 cm 23 cm 8 x 45 mm 01-11143 01-13182 01-13180 10 x 60 mm 01-1114634
  35. 35. Retractors Mandibular Channel Retractors The narrow channel retractor is used for the placement on the lingual aspect of the mandible. The wider channel Channel retractor with wide retractor is used to engage the cheek protection shield, inferior border of the mandible integrated suction tube andChannel retractor with wide on the facial side to assist in detachable fiber optic cablecheek protection shield. that portion of the osteotomy. fitting. Bremerich Obwegeser Bremerich Mandibular channel retractor Mandibular channel retractor Mandibular channel retractor 10 mm 17.5 cm 10 mm 18cm 8 mm 01-17745 22.5 cm 01-19500 10 mm 01-17747 01-19510 This extra long channel re- tractor is designed particularly to be placed on the lingual aspect of the mandible when performing a sagittal split osteotomy of the ramus. The malleability of the retractor blade provides an improved view and the serrated working end helps to secure the retrac- tor in the desired position. Metz Schuchardt Original Steinhäuser Mandibular channel retractor Mandibular channel retractor Mandibular channel retractor 14 mm 21 mm 10 mm 19.5 cm 19.5 cm 29 cm 01-01135 01-01136 01-09555 35
  36. 36. Retractors Ramus Retractors, Sigmoid Notchl Retractors This set of four retractors offers the following advantages: • Blades are thin and easy to insert • Width of blades offer better The medial ramus retractor retraction is specifically designed to • Two retractors can be used protect major blood vessels simultaneously on the medial aspect of the • Rigidity of blades gives mandibular ramus. good resistance while using Its use provides: osteotome or drill • Ease of insertion • The retractors provide • Safety against soft tissue protection of soft tissue and injuries vessels posterior to the • Adequate access to the mandible while it is split osteotomy site • The large handles are • Improved visibility comfortable to hold Medial ramus retractor Medial ramus retractor Lateral vertical ramus retractor right left 16 cm 19.5 cm 19.5 cm 20 x 80 mm 01-01720 01-01370 01-01380 25 x 80 mm 01-01730 30 x 80 mm 01-01740 35 x 80 mm 01-01750 The sigmoid notch retractorThe ramus retractors are used is positioned and the areato retract the tissue over the of the fracture exposed. Theanterior aspect of the ascen- instrument serves for inferiording ramus of the mandible and lateral repositioning of thein surgery involving this area. distal fragment in cases withThe retractor blades are con- mandibular collum or ramuscave to protect the lip. fractures. Obwegeser Ramus retractor Salzburg Ramus retractor 10 x 70 mm Sigmoid notch retractor 22 cm 23.5 cm 23 cm 11 - 15 x 70 mm 01-17737 01-11548 01-11155 12 - 22 x 70 mm 01-1773836
  37. 37. Retractors Sigmoid Notch Retractors, Intra Oral Vertical Osteotomy (I.O.V.O.) RetractorsThese intraoral sigmoid notchretractors are used on the la-teral aspect of the mandibularramus after soft tissues havebeen incised, elevated andretracted laterally.The sigmoid notch retractoris then slid superiorly alongthe lateral surface of the ra- These retractors provide bothmus until the sigmoid notch cheek retraction and flap re-is engaged and then rotated traction resulting in superb vi-laterally and superiorly to sual and surgical access to thevisualize the sigmoid notch, lateral surface of the ramuscondylar neck, and coronoid of the mandible. The sigmoidprocess to provide excellent notch is visualized with protec-visibility and to facilitate ma- tion provided for the massete-king bone cuts by either rotary, ric artery. Both the anti-lingualreciprocating or oscillating and the posterior border of thesaws for various operative ramus are exposed to allowprocedures on the ascending full visualization of the osteo-ramus of the mandible. tomy cut. Sigmoid notch retractor Intra Oral Vertical Osteotomy (I.O.V.O.) Retractor 20 cm 21 cm left, without fiber optic cable fitting 01-01660 left, without fiber optic cable fitting 01-03750 left, with fiber optic cable fitting 01-01680 left, with fiber optic cable fitting 01-03770 right, without fiber optic cable fitting 01-01670 right, without fiber optic cable fitting 01-03760 right, with fiber optic cable fitting 01-01650 right, with fiber optic cable fitting 01-03780This intra-oral vertical osteoto-my retractor facilitates not onlyretraction of the massetericsling but stabilizes the man-dible during the osteotomyand also the proximal orcondylar segment followingthe cut to allow stripping offthe medial pterygoid muscleattachment. Intra Oral Vertical Osteotomy (I.O.V.O.) Retractor Intra Oral Vertical Osteotomy (I.O.V.O.) Retractor 23 cm 23 cm without fiber optic cable fitting 01-01580 with fiber optic cable fitting 01-14452 with fiber optic cable fitting 01-01590 37
  38. 38. Retractors Notched Alveolar Retractors, Maxilla Mobilizers This instrument is used in mobilizing the maxilla in Le Fort osteotomies and following completion of all bony cuts. It is placed between the maxilla and the pterygoid plates while engaging the posterior aspect of the maxilla. The length of These instruments are desig- the handle allows the surgeon ned to retract the soft tissues This instrument is used to re- to place one or both hands on posteriorly and to hold the tract the tissue in the 3rd mo- the instrument for distracting proximal fragment in a redu- lar area. The retractor blade is the maxilla and gaining com- ced position. concave to protect the lip. plete mobilization. Salzburg Obwegeser Obwegeser 22.5 cm Notched alveolar retractor Maxilla mobilizer left 01-11160 13.5 - 23 x 70 mm 11 mm right 01-11162 22 cm 23 cm 01-17739 01-17752 They are used in Le Fort I, II, III procedures. After the separation of the maxilla from the pterygoid processus they are used alternatively on either side to rotate and advance the maxil- la or midface, thus breaking or stretching the last resistances of the bone or scar tissue. The handle permits controlled A proper curvature of the thin mobilization of the maxilla fol- blades allow passing below lowing Le Fort I osteotomy. the zygomatic bone. Sailer Original Tessier 11 mm Retromaxillary levers 23 cm 9 mm 01-14739 15 cm right 01-15350 left 01-1535538
  39. 39. Retractors Nasal Specula, Nasal RetractorsThe blades are flat, very thin This retractor is designed forand black anodized. retraction of the soft tissueThey are an all purpose overlying the glabellar andspecula for rhinoscopy, rhino- nasal bridge in cases of expo-plasty and the resection of the sure with bifrontal (bitemporal)septal cartilage and vomer. flap. Original Tessierr Aufricht Sailer Nasal specula Nasal retractor Nasal bridge retractor 14 cm 9 x 44 mm 15 - 20 x 50 mm length of blades 30 mm 01-15012 16 cm 23.5 cm length of blades 40 mm 01-15015 13-54800 01-14720 length of blades 70 mm 01-15020 This instrument is used to re-This blunt retractor is for tract the tissue over the nasalplacement anterior to the spine in performing osteoto-nasal septum in the nasal mies of the maxilla as well assoft tissues which it will not preprosthetic surgical proce-tear, e.g. for cases of Le Fort dures. The retractor blade isI osteotomies. concave to protect the lip. Sailer Obwegeser 19 cm 10 - 23 x 35 mm 01-14729 22cm 01-17740 39
  40. 40. Retractors Orbita Retractors Caronni Original Tessier Orbita retractor Rowe Eye globe protector, Eye lid and orbital retractors- 20 cm Orbita Retractor black anodized black anodized 01-02030 19 cm 29 / 23 mm 15 cm left 01-02360 11.5 cm 10 mm wide 01-15292 right 01-02370 01-02375 17.5 mm wide 01-15293 20mm wide 01-15294 This contoured cheek and lip retractor permits wide expos- ure of oral surgical operative sites. Because the retractor‘s contour shields the commi- sures of the lip, much of the usual trauma to the lips is prevented. Cheek retractor Magee Retractor 21 x 23 mm / 26 x 35 mm Retractor 12 cm 18 cm double-ended 01-11584 01-01470 7 mm / 10 mm wide 15 cm 01-1624340
  41. 41. Retractors Malleable Retractors, Protectors These retractors are double ended with slightly different With this double-ended instru- widths at either end of the ment, one end being acutely blades. They are malleable angled, the nasal mucoperi- and thin, thus preventing the osteum or the piriform fossa brain or eyeball from receiving can be elevated and protected exceeding pressure. They are against trauma caused by the black anodized to prevent oscillating saw. At the same glare, particularly when wor- time its self-retaining shape king with a headlight. They holds the mucoperiosteum are of general application in away from the bone enabling the cranial and orbital cavities; the division of the lateral nasal they can also be used in the wall (e.g. Le Fort I osteotomy) mouth. to be performed.Original Tessier Black anodized surface Malleable retractor SailerMalleable retractors Fig. A 10/12 mm 01-15230 16 / 22 mm Dissector and protector22 cm Fig. B 15/17 mm 01-15235 22 cm 5 / 5 mm blunt Fig. C 20/22 mm 01-15240 01-01790 16 cm 01-14735 Satin finished surface Fig. A 10/12 mm 01-16230 Fig. B 15/17 mm 01-16235 Fig. C 20/22 mm 01-16240 These instruments aid in the rapid exposure of the mandi- bular nerve and prevent large bone loss. The acute curved protector serves as a nerve protector in the region of the mental foramen. The slightly curved and straight protector serve in the exposure of the nerve at other locations in the mandible. Sailer Sailer Sailer Original Marchac Nerve protector Nerve protector Nerve protector Dura protector and straight curved downwards curved downwards and sidewards wire catcher 16.5 cm 16.5 cm 16.5 cm 21 cm 01-14762 slightly curved 01-14764 slightly curved, right 01-14768 01-14595 strongly curved 01-14766 slightly curved, left 01-14770 41
  42. 42. Retractors Sinus Flap Retractors Iliac Crest Retractors They have been designed to retract the two halves of the iliac crest with the abdominal and gluteal muscles that they protect still attached (P. Tessier procedure). The distal teeth provide deep stability and visibility even in a regular supine position. A long retractor is used medially and a shorter one laterally. The shorter handle can be held laterally even with the use of a forearm rest. They allow taking a cortico- spongious graft from the inner aspect of the illium up to 100 x 70 mm for the reconstruction of the calvaria, zygoma, nasal dorsum, superior or inferior or- bital ridges, the ramus or body of the mandible and nume- rous types of onlay grafts. Magee Babbush Original Tessier Cleft palate retractors Sinus flap retractors Iliac crest retractors 23 mm wide 22 mm wide black anodized 25 cm 12 cm 18 cm 01-19730 01-12175 short pattern 36 x 50 mm 01-15136 medium pattern 52 x 50 mm 01-15137 large pattern 59 x 50 mm 01-15138 extra large pattern 66 x 50 mm 01-15139 Krenkel Krenkel Krenkel Krenkel Orbital spatula, Orbital spatula, Orbital spatula, Orbital spatula, malleable, with serrated ends malleable, with concave malleable, small model malleable, wide model 10/12 mm wide working ends 9 mm wide 14 mm wide 21.5 cm 10/12 mm wide 15.5 cm 15.5 cm 01-11250 22 cm 01-11231 01-11234 01-1125542
  43. 43. Hooks Skin Hooks, Bone Hooks, Zygoma Hooks This leightweight angled bone hook provides good visibility, without interference of the assistant‘s hand. The sharp serrations of the blade prevent slippage off the bony fragments after they have been mobilized and the bone holding forceps are no longer required. The bone hook is applied for approximation and wiringThis large size hook has been behind the zygoma, lateraldesigned for grasping and orbital rim, inframandibularfirm handling of the scalp, segment (genioplasty), sig-thick flaps, the umbilicus, the moid notch or ramus. It can belateral canthus and the corner used behind the tuberosity ofof the mouth. the maxilla. Original Tessier Original Tessier Skin hook Bone hook, 19 cm black anodized 01-15000 18.5 cm 01-15290 Original Marchac Horch Zygoma hook Bone hook Zygoma hook 21 cm 19 cm 21 cm 01-02620 01-14575 01-02625 43
  44. 44. Fiber Optic Cables Illustration shows: connection to the cold light unit Fiber optic cable, one end with different adapters for various cold light units, second end with adapter fitting to Leibinger instruments. Fiber optic cable, diam. 5.5 mm, 185 cm long, with Storz adapter, assembled 01-03700 Fiber optic cable, diam. 5.5 mm, 185 cm long, with ACMI/British Standard adapter, assembled 01-03701 Fiber optic cable, diam. 5.5 mm, 185 cm long, with Olympus/Pilling adapter, assembled 01-03703 Spare cable and adapters, only 01-03730 Spare cable only, diam 5.5 mm, 185 cm long 01-03731 ACMI/British Standard adapter only 01-03732 Storz adapter only 01-03736 Olympus/Pilling adapter only44
  45. 45. Periosteal andBone Elevators PageSection 8 46-52Orbital Rim Elevators 46Orbital Floor Elevators 46Piriform Aperture Elavators 46Cleft Palate Periosteal Elevators 46Multi Purpose Elevators 47-50Ramus Stripper 51Mandibular Border Stripper 51Pterygo-Masseteric Sling Stripper 52Malar Elevators 52Zygoma Elevators 52
  46. 46. Elevators Orbital Rim, Orbital Floor, Piriform Aperture and Cleft Palate Periosteal Elevators Kreidler Kreidler Kreidler 3.5 mm, sharp 3.5 mm, sharp 3.5 mm, sharp 16 cm 16 cm 16 cm 01-18160 01-18150 01-18155 For circular dissection of the orbital periosteum. Wynands Wynands Original Steinhäuser 2.5 mm, sharp 2.5 mm, sharp Orbital floor elevator 15.5 cm 15.5 cm curved, semi-sharp, 3 mm 01-19305 01-19310 16.5 cm 01-0961046
  47. 47. Elevators Multi Purpose Periosteal Elevators Original Marchac Original Marchac Original Marchac Periosteal elevator Periosteal elevator Periosteal elevator 2 mm, sharp 3.5 mm, sharp 5 mm, sharp 17 cm 17 cm 17 cm 01-14505 01-14507 01-14509 This instrument is used to strip The working end of this eleva- periosteum from the man- tors allows it to be used where dible, cranium or other bone the periosteum is tightly adhe- surfaces. rent to the underlying bone.Obwegeser ObwegeserMulti Purpose Periosteal elevator Multi Purpose Periosteal elevatorwith beveled edge, sharp with flat end, sharp18 cm 18 cm6 mm 01-17765 6 mm 01-177817 mm 01-17770 7 mm 01-177829 mm 01-17775 9 mm 01-1778311 mm 01-17780 11 mm 01-17784 47
  48. 48. Elevators Multi Purpose Periosteal Elevators Williger Williger Williger Williger 5 mm, sharp 5 mm, sharp 6 mm, sharp 5 mm, sharp 12.5 cm 14.5 cm 16 cm 16.5 cm 45-40320 45-40329 45-40325 45-40327 Williger Williger Original Tessier Original Tessier 7 mm, sharp 9 mm, sharp Periosteal elevator Periosteal elevator 16 cm 16.5 cm 6 mm, sharp 6 mm, sharp 45-40331 45-40333 18 cm 18 cm 01-15190 01-1519548
  49. 49. Elevators Multi Purpose Periosteal ElevatorsHenderson Obwegeser-Freer Obwegeser-Freer Salzburg Salzburg5.5 / 10 mm, sharp 6 / 6 mm, blunt 6 mm blunt / 5 mm blunt / 5 mm blunt /20.5 cm 22 cm 6 mm, sharp 5 mm, sharp 5 mm, sharp01-00930 01-17815 21.5 cm 24.5 cm 24.5 cm 01-17820 01-11120 01-11122 Magee Magee Babbush Babbush 5 /5 mm 5 /7 mm 18 cm large 18.5 cm 18.5 cm 01-12150 18 cm 01-19724 01-19720 01-12170 49
  50. 50. Elevators Multi Purpose Periosteal Elevators Periosteal Elevators, extra long Krenkel Krenkel Krenkel Orbital periosteal elevator Orbital periosteal elevator Orbital periosteal elevator 3.5 / 7 mm 3.5 / 7 mm serrated at both ends 20 cm 20 cm 6 / 8 mm 01-11212 01-11210 20 cm 01-11200 Periosteal elevator Periosteal elevator Periosteal elevator Periosteal elevator extra long extra long extra long extra long 6 mm, sharp 6 mm, sharp 6 mm, sharp 6 mm, sharp 24 cm 24 cm 24 cm 24 cm 01-20250 01-20255 01-20260 01-2026550
  51. 51. Elevators Multi Purpose Periosteal Elevators, Ramus Strippers Posterior and Inferior Mandibular Border Stripper The anterior border stripper is used to strip off the tenacious periosteal attachment along the anterior border of the ascending ramus of the man- dible. Its use has the following advantages: • The large handle aids in ap- plying controlled force • The bifurcated tip aids better visualization and better mechanical advantagesA large handle of appropriate • The sharp V-shaped cuttinglength with a wide finger rest edge facilitates rapid,facilitates the elevation of the positive stripping of theperiosteum from the calvaria, tissue adhering to the anteriorthe ramus or body of the bordermandible or when taking • The lateral edges of the tipgrafts from the tibia, the ribs are rounded to provideor illium. greater safety Original Tessier Anterior border stripper Heavy periosteal elevator sharp, 20 cm 19 cm Adult size, 16 mm 01-15200 01-01530 Child size, 12 mm 01-15205This instrument is used to stripthe soft tissue from the ante-rior aspect of the ascendingramus of the mandible and isespecially useful in controlling The instrument is designed tothe bone in managing trauma engage the posterior and in-or in repositioning the ramus ferior borders of the mandiblein orthognathic surgical pro- and is utilized in stripping thecedures. periosteum from these areas. Obwegeser Obwegeser Obwegeser Obwegeser Ramus stripper sharp, 5 mm sharp, 7 mm sharp, 9 mm sharp 20.5 cm 20.5 cm 20.5 cm 17.5 cm 01-17785 01-17790 01-17795 7 mm 01-17810 9 mm 01-17812 51
  52. 52. Elevators Pterygo-Masseteric Sling Stripper, Malar Elevators, Zygoma ElevatorsThis specialized periostealinstrument facilitates thedetachment of the pterygo-masseteric sling from themandible. Its contoured end isdesigned for the safe detach-ment of a tough periostealattachment. The bulk of thehandle provides the graspingsurface which is needed to ap-ply controlled and safe force. Pterygo-massetric sling stripper Pterygo-massetric sling stripper Gillies Gillies right, blunt, left, blunt, Malar elevator Malar elevator 23 cm 23 cm 8 mm 8 mm 6,5 mm 01-01400 6,5 mm 01-01420 23.5 cm 23.5 cm 9 mm 01-01410 9 mm 01-01430 small handle, blunt large handle, blunt 01-02550 01-02560 Dingmann Rowe Zygoma elevator Zygoma elevator blunt blunt 22 cm 25.5 cm 01-02540 01-0258052
  53. 53. Bone Rasps PageSection 9 54Rasps 54
  54. 54. Rasps Obwegeser Rasp Rasp Rasp Nasal rasps fine / very fine fine / medium fine coarse / medium coarse channel type 21.5 cm 21.5 cm 21.5 cm push/pull 08-01020 08-01030 08-01050 19 cm fine 01-17910 medium fine 01-17912 Aufricht Aufricht Rasp Rasp curved, downward stroke curved, upward stroke 20 cm 20 cm 08-08300 08-0831054
  55. 55. Measuring Instruments PageSection 10 56Calipers 56Rulers 56

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