Alternative Self-retaining Retractors for Head and Neck Surgery
DOI:
https://doi.org/10.32412/pjohns.v24i2.687Keywords:
self-retaining retractor, instrumentationAbstract
Objective: To design affordable, easy-to-use self- retaining retractors that can provide adequate exposure of the operative area in head and neck surgery
Methods:
Design: Surgical Instrumentation
Setting: Tertiary government hospital
Subjects: One
Results: Self-retaining retractors were designed and fabricated from stainless steel, with tissue prongs on one end and a loop for rubber-band attachment to surgical drapes via a towel clip on the other end. Varying prong lengths were devised for different depths of required retraction. Traction tension could be adjusted by varying rubber-band attachment distance. The retractors were tested on a patient undergoing open reduction and internal fixation for a mandibular fracture and evaluated according to ease of application, adequacy of exposure, and tissue trauma.
Conclusion: The self-retaining retractors may be affordable alternatives to commercially-available self-retaining retractors. They are easily applied, with adjustable tension and depth of retraction that can provide adequate exposure with minimal tissue trauma
Keywords: self-retaining retractor, instrumentation
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