INSTRUMENTS FOR GRASPING TISSUE Medical Assignment Help

INSTRUMENTS FOR GRASPING TISSUE

In performing soft tissue surgery it is frequently necessary to stabilize soft tissue flaps to pass a suture needle. Tissue forceps most commonly used for this purpose are the Adson forceps (pickups) (Fig. 6-13, A). These are delicate forceps with small teeth, which can be used to gently hold tissue and thereby stabilize it. When this instrument is used care should be taken not to grasp the tissue too tightly thereby crushing it Adson forceps are also available Without teeth.

INSTRUMENTS FOR GRASPING TISSUE

INSTRUMENTS FOR GRASPING TISSUE

Figure no. 6-5A, No.9 Molt periosteal elevator is most commonly used in oral surgery. B, A single-ended Molt periosteal elevator with a sharp round end may he used to elevate the mucoperiosteum. C and D, The double-ended Molt periosteal elevator has a large and small end to provide the surgeon the appropriate-size end for the specific task.

No.1 Woodson periosteal elevator is used to loosen solt tissue from teeth before extraction

No.1 Woodson periosteal elevator is used to loosen soft tissue from teeth before extraction

Austin retractor is a right-angle retractor that can be used to retract cheek, tongue, or flaps.

Austin retractor is a right-angle retractor that can be used
to retract cheek, tongue, or flaps.

Minnesota retractor is an offset retractor used for retraction of cheeks and flaps

Minnesota retractor is an offset retractor used for retraction
of cheeks and flaps

Periosteal elevators such as Woodson and no. 9 Molt are useful to retract flaps. Seldin retractor (top) is broader instrument that provides broader retraction and increased visualization

Periosteal elevators such as Woodson and no. 9 Molt are useful to retract flaps. Seldin retractor
(top) is broader instrument that provides broader retraction and increased visualization

Weider retractor is a large retractor designed to retract tongue. Serrated surface helps to engage tongue so that it can be held securely.

Weider retractor is a large retractor designed to retract
tongue. Serrated surface helps to engage tongue so that it can be
held securely.

Weider retractor is used to hold tongue away from surgical field. Austin retractor is used to retract cheek.

Weider retractor is used to hold tongue away from surgical
field. Austin retractor is used to retract cheek.

A, Hemostats (top view) used in oral surgery. B, Curved hemostat (side view).

A, Hemostats (top view) used in oral surgery. B, Curved hemostat (side view).

A, Small, delicate Adson tissue forceps are used to gently stabilize soft tissue for suturing or dissection. 8, The Stillies pickup is longer than the Adson pickup and is used to handle tissue in the more posterior aspect of the mouth ,C The college pliers is an angled forceps that is used for picking up small objects in the mouth or from the Mayo tray stand.

A, Small, delicate Adson tissue forceps are used to gently stabilize soft tissue for suturing
or dissection. 8, The Stillies pickup is longer than the Adson pickup and is used to handle tissue in the
more posterior aspect of the mouth ,C The college pliers is an angled forceps that is used for picking
up small objects in the mouth or from the Mayo tray stand.

When working in the posterior part of the mouth, the Adson forceps may be too short. A longer forceps that has similar shape is the Stillies forceps. This forceps is usually . 7 to 9 inches long and can easily grasp tissue in the posterior part of the mouth and still leave enough of the instrument protruding beyond the lips for the surgeon to control it (Fig. 6-13, B).

Occasionally, it is more convenient to have an angled forceps. Such a forceps is the college, or cotton, forceps (Fig. 6-13, C). Although this forceps is not especially useful for handling tissue, it is an excelent instrument for picking up small fragments of tooth, amalgam, or other foreign material and for placing or removing gauze packs.This instrument is commonly used in tray systems.

In some types of surgery, especially when removing larger amounts of fibrous tissue, such as in an epulis fissuratum, forceps with locking handles and teeth that will grip the tissue firmly are necessary. In this situation the Allis tissue forceps are used (Fig. 6-H, A and B). The locking handle allows the forceps to be placed in the proper position and then to be held by an assistant to provide
the necessary tension for proper dissection of the tissue.The Allis forceps should never be used on ti~sue that is to be left in the mouth, because they cause a relatively large amount of tissue destruction as a result of crushing injury (Fig. 6-14. 0)

Russian tissue forceps are large, round-ended tissue forceps (Fig 6- 15) that are most useful in oral surgery to pick lip teeth that have been elevated from their sockets (Fig.6-15 B). The round end allows a positive grip on 3 tooth or toothth fragment so that it is not likely to slip out of the instrument’s grip, as commonly occurs with the hemostat the Russian forceps are also useful for placing gauze in the mouth when the surgeon is isolating a particular area for surgery.

A, Allis tissue forceps are useful for grasping and holding tissue that will be excised. B, Allis forceps are held in same fashion as needle holder. C, Comparison of Adson beaks (right) With Allis beaks" (left) shows difference in their design and use.

A, Allis tissue forceps are useful for grasping and holding
tissue that will be excised. B, Allis forceps are held in same fashion as needle holder. C, Comparison of Adson beaks (right) With Allis
beaks” (left) shows difference in their design and use.

A, Russian tissue forceps are round-ended pickups. 8, Russian forceps are especially useful for grasping teeth that are loose in the mouth.

A, Russian tissue forceps are round-ended pickups. 8, Russian forceps are especially useful
for grasping teeth that are loose in the mouth.

Posted by: brianna

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