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Application of Hand Towel Drape over Dingman Mouth Gag

  • Choi, Kyeong Beom (Department of Plastic and Reconstructive Surgery, Ajou University Hospital, Ajou University School of Medicine) ;
  • Park, Myong Chul (Department of Plastic and Reconstructive Surgery, Ajou University Hospital, Ajou University School of Medicine)
  • 투고 : 2014.10.14
  • 심사 : 2015.04.02
  • 발행 : 2015.04.09

초록

In cleft palate surgery, the environment is especially critical when suturing. Encum-bered, obstructive space in the environment can hinder a suture while using the Dingman mouth gag. We introduced a novel but simple draping technique. A simple hand towel is placed over the gag. A hole is cut out in the middle according to each patient's mouth. After making the hole, the hand towel is soaked in water and gently squeezed. Then the towel is properly placed over the Dingman mouth gag. Dripping water on the hand towel during the suture helps keep it in place. Using this draping technique, we cut 14 minutes of operation time compared to the average operation time of the past 2 years. There were several disadvantages in previous draping method. First, long suture material may easily get caught. Second, the operation field can easily be contaminated. Third, focusing on the operation becomes difficult due to the obstruction. This draping technique can compensate for the disadvantages of the previous Dingman mouth gag.

키워드

참고문헌

  1. Millard DR Jr, Slepyan DH. Modification of the Dott-Dingman mouth gag. Plast Reconstr Surg 1977;59:593-5. https://doi.org/10.1097/00006534-197759040-00030
  2. Lehman JA Jr, Burger K. A new light for the Dingman-Millard mouth gag. Plast Reconstr Surg 1985;75:280.
  3. Laitung JK. A modification of the Kilner-Dott mouth gag for improving exposure to the nasopharyngeal area. Br J Plast Surg 1986;39:268-9. https://doi.org/10.1016/0007-1226(86)90099-8
  4. Gahankari D. Dingman-Grabb's retractor: the other way. A new modification proposed. Plast Reconstr Surg 1996;98:1115-6. https://doi.org/10.1097/00006534-199611000-00042
  5. Ozdemir A, Karaaltin MV, Guneren E. Modified Dingman mouth retractor. J Craniofac Surg 2012;23:347. https://doi.org/10.1097/SCS.0b013e3182420530

피인용 문헌

  1. A Comment on Application of Hand Towel Drape over Dingman Mouth Gag vol.16, pp.2, 2015, https://doi.org/10.7181/acfs.2015.16.2.102