Oral Surgery Instrumentation

Study Notes

Needle holder with scissors: Combination of a needle holder and scissors, allowing for precise suturing and cutting.
Castroviejo needle holder: A curved needle holder with a locking mechanism, ideal for microsurgery and delicate procedures.
Halsey needle holder: A simple, non-locking needle holder with a flat, broad tip, suitable for general oral surgery.

Suturing: Used to close wounds, reapproximate tissues, and restore anatomy.
Ligation: Used to control bleeding, ligate vessels, and manage hemorrhage.
Debridement: Removing dead tissue and debris to promote healing and prevent infection.

Absorbable sutures: Dissolve over time, used for internal suturing and wound closure (e.g., Vicryl, Dexon).
Non-absorbable sutures: Remain in place permanently, used for skin closure and external suturing (e.g., nylon, polypropylene).
Monofilament sutures: Made from a single strand of material, easy to handle and knot (e.g., nylon, polypropylene).
Braided sutures: Made from multiple strands of material, provide greater tensile strength (e.g., Vicryl, Dexon).

Simple interrupted sutures: Individual stitches placed at regular intervals to close a wound.
Continuous sutures: A single strand of suture material used to close a wound in a continuous loop.
Subcuticular sutures: Used to close wounds under the skin, reducing scarring and promoting cosmesis.

Forceps: Used to grasp and manipulate tissues, sutures, and instruments.
Scissors: Used to cut sutures, tissues, and other materials.
Retractors: Used to expose and maintain access to the surgical site.
Suction devices: Used to remove fluids, debris, and blood from the surgical site.

Needle holder with scissors combines precision suturing and cutting capabilities.
Castroviejo needle holder features a curved design and locking mechanism, ideal for microsurgery and delicate procedures.
Halsey needle holder is a simple, non-locking instrument with a flat, broad tip, suitable for general oral surgery.

Suturing is used to close wounds, reapproximate tissues, and restore anatomy.
Ligation is used to control bleeding, ligate vessels, and manage hemorrhage.
Debridement involves removing dead tissue and debris to promote healing and prevent infection.

Absorbable sutures (e.g., Vicryl, Dexon) dissolve over time and are used for internal suturing and wound closure.
Non-absorbable sutures (e.g., nylon, polypropylene) remain in place permanently and are used for skin closure and external suturing.
Monofilament sutures (e.g., nylon, polypropylene) are made from a single strand of material and are easy to handle and knot.
Braided sutures (e.g., Vicryl, Dexon) are made from multiple strands of material and provide greater tensile strength.

Simple interrupted sutures involve individual stitches placed at regular intervals to close a wound.
Continuous sutures involve a single strand of suture material used to close a wound in a continuous loop.
Subcuticular sutures are used to close wounds under the skin, reducing scarring and promoting cosmesis.

Forceps are used to grasp and manipulate tissues, sutures, and instruments.
Scissors are used to cut sutures, tissues, and other materials.
Retractors are used to expose and maintain access to the surgical site.
Suction devices are used to remove fluids, debris, and blood from the surgical site.