Instruments used in oral and maxillofacial surgery
Copyright (c) Dr. Ko Ko Maung
Department of Oral & Maxillofacial Surgery
University of Dental Medicine, Yangon
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Instruments used in oral and maxillofacial surgery
1.
2.
3. Aseptic technique
it is necessary 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
4.
5. • The patient’s skin and
the hands of the
members of the
surgical team must be
thoroughly scrubbed,
prepared, and kept as
aseptic as possible.
7. Instruments used in Maxillofacial
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 wash down
(Disinfection)
• Sponge forcep or holder
• Gallipot a small glazed pot used by apothecaries for
medicines,
• Kidney tray
9. • After the patient 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.
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.
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
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.
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