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Instruments used in oral and maxillofacial surgery
The document outlines the principles and instruments involved in aseptic surgical techniques, emphasizing the importance of sterilization and the preparation of surgical instruments and team members. It details various surgical instruments categorized by function, including cutting, retraction, and hemostasis tools, as well as equipment used in specific procedures like anesthesia and surgery for cleft conditions. The preoperative process is also discussed, highlighting the essential steps for maintaining sterility and ensuring an effective surgical environment.
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Instruments used in oral and maxillofacial surgery
- 3. Aseptic technique it isnecessary to sterilize and keep sterile all instruments, material supplies that come in contact with the surgical site. Every item handled by the surgeon and the surgeon’s assistants must be sterile
- 5. • The patient’sskin and the hands of the members of the surgical team must be thoroughly scrubbed, prepared, and kept as aseptic as possible.
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- 7. Instruments used inMaxillofacial Surgery • Instruments for wash down (Disinfection) • Instruments for surgical draping (isolation of surgical field) • Instruments for cutting • Instruments for retraction • Instruments for hemostasis • Instruments for tissue holding • Instruments for scraping (curettage) • Instruments for bone surgery • Instruments for suturing • Instruments for dressing • Instruments for cleft surgery • Instruments for exodontia • Instruments for anesthesia
- 8. Instruments for washdown (Disinfection) • Sponge forcep or holder • Gallipot a small glazed pot used by apothecaries for medicines, • Kidney tray
- 9. • After thepatient is anesthetized and positioned on the operating room table, the preoperative skin prep is done by the surgeon, assistant surgeon, or circulator. • This means the skin of the operative site and an extensive area round the site is mechanically cleansed again with an antiseptic solution prior to draping. • A sterile skin prep tray is opened on the prep table. • Usually, the prep tray is disposable, but the prep tray always contains two or more towels, small basin for solutions, sponges (these sponges must not be confused with the counted sponges on the instrument tray), and applicators.
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- 12. Scrubs with acircular, ever- widening motion
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- 14. Instruments for surgicaldraping • Towel clips – Spring type – Lock type – Surgical Towels – square towel – split towel – draw sheets
- 15. Towel Clips Spring TypeLock Type Suction Tip
- 16. Sterile Draping securedwith tower clips
- 17. Adson’s Tissue Forceps( Tooth & Non-tooth )
- 19. Instruments for cutting •Scapel A knife used in surgical dissection. • Blade holder (Bard Parker Handle ) • Detachable surgical blade • Disposable or Single Use Scapel • Lancet A surgical knife with a short, wide, sharp- pointed, two-edged blade.
- 20. Bard-Parker Blade Holder No.7 No. 3
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- 22. Blade Holder andScapels
- 23. Instruments for cutting •Scissors Tissue scissors Suture scissors Dressing scissors Serrated scissors Heavy scissors Pointed Round Curved straight
- 24. Mc Indoe’s TissueScissors
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- 26. Flat on EndSerrated Gum Scissors
- 27. Instruments for retraction •Retractors – An instrument for drawing aside the edges of a wound or for holding back structures adjacent to the operative field. Skin Hook
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- 33. Skin Hook NasalHook
- 34. Tissue Holding Instruments •Forceps An instrument for seizing a structure, and making compression or traction. Cf. clamp. • Tissue Forceps • Dissecting Forceps • Tweezers • An instrument with pincers that are squeezed together to grasp or extract fine structures.
- 35. Gillie’s Dissecting Forceps(Tooth & Non-tooth)
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- 37. Instruments for hemostasis •Artery forceps – straight – curved – Mosquito • a small hemostat, straight or curved, with or without teeth; used to hold delicate tissue or for hemostasis. mosquito forceps. Also known as mosquito clamp
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- 40. • Serration =artery forcep • Rasp like surface • Groove • Needle holder
- 41. Bone Instruments • PeriostealElevator & Raspatory • Bone Cutter • Bone Holder • Bone Curette • Bone File • Bone Chisel • Osteotome • Bone saw
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- 46. Chisel, Mallet &Osteotome
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- 51. Rongeur Strong biting forcepsfor nipping away bone
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- 58. Special Instruments • Instrumentsfor circumferential wiring • Instruments for nasal bone fracture • Instruments for Malar complex fracture
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- 64. • Rowe’s elevator •Howarth’s raspatory • Artery forcep • 15 blade and handle
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- 67. Instruments for I&D •Sinus forcep • Blade (# 11 - # 12 )and Blade holder • Curette • Drainage tubes • Kidney tray
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- 70. Instruments for suturing •Needle holders • Dissecting forcep • Suture scissors
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- 73. Gillie’s Dissecting Forceps(Tooth & Non-tooth)
- 74. Root elevators • Straight •Curved • Apex elevator • Root tip pick
- 75. Coupland’s Elevator Bein’sElevator
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- 78. Instruments for cleftsurgery • Calibrator • Marking ink and pencil • Dingmann mouth gag • Fine skin hook
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- 84. Instruments for anesthesia •Anesthetic face masks • Laryngoscope • Laryngeal forcep • Endotracheal tubes • Guedel airways • Nasopharyngeal airways • Throat packs • Mouth gags and props
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- 89. Endotracheal tube intubation:Endotrachealtube intubation: Vocal cordVocal cord Lift forward & upwardLift forward & upward Sellick maneuverSellick maneuver Length: 19~23cmLength: 19~23cm CuffCuff Check position: stethoscope, CXRCheck position: stethoscope, CXR
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- 97. Oxygen therapy:Oxygen therapy: NasalcannulaNasal cannula SimpleSimple maskmask VentriVentri maskmask Non-Non- rebreathingrebreathing maskmask FiOFiO22 24%24% 100%100%
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