Journal of Cleft Lip Palate and Craniofacial Anomalies

LETTER TO THE EDITOR
Year
: 2017  |  Volume : 4  |  Issue : 2  |  Page : 170--171

Developing a new scissor for cleft surgery: The cleft palate dissection scissor


Till Wagner 
 Radboud University Medical Center, 6500 HB Nijmegen, The Netherlands

Correspondence Address:
Till Wagner
Radboud University Medical Center, Geert Grooteplein-Zuid 10, 6500 HB Nijmegen
The Netherlands




How to cite this article:
Wagner T. Developing a new scissor for cleft surgery: The cleft palate dissection scissor .J Cleft Lip Palate Craniofac Anomal 2017;4:170-171


How to cite this URL:
Wagner T. Developing a new scissor for cleft surgery: The cleft palate dissection scissor . J Cleft Lip Palate Craniofac Anomal [serial online] 2017 [cited 2019 Oct 18 ];4:170-171
Available from: http://www.jclpca.org/text.asp?2017/4/2/170/212835


Full Text



Sir,

We hereby describe a recently developed cleft surgery scissor. The main objective was to ease preparation of the oral mucosa during operation with its unique design.

Nowadays, for almost all surgical interventions, technical solutions have been already established.[1] Only in a few situations, special instruments should be used. One of such situation is the dissection of the soft tissue of the hard and soft palate in infants with a cleft. With a palate in more sagittal position, dissection could be somewhat frustrating. The risk of pinprick lesions increases during preparation because of limited oral space to separate the different layers of the soft tissue with therefore a greater consecutive risk of fistulas. We hereby describe our new cleft dissection scissor to simplify the preparation.

The two most important advantages in comparison to other dissection scissors are the unique “jet wing” tip design [Figure 1] and [Figure 2] in combination with the angled base of the scissor. Both have been developed to minimize the risk of perforation of the palatal mucosa during separation from the maxilla or the muscle and to get easily to the site [Figure 3]. The tip of the scissor is blunt to minimize the risk of penetrating the oral or nasal mucosa. During preparation, the fragile mucosal tissue can easily glide over the tip of the scissor because the surrounding tissue will be supported through the two small lateral wings of the tip with a length of 2 mm [Figure 4].{Figure 1}{Figure 2}{Figure 3}{Figure 4}

The new scissor with its unique tip design will facilitate operations in patients with a cleft of the hard or soft palate, especially in premature patients with palatal shelves often in a more sagittal orientation.

Acknowledgment

The author would like to specially acknowledge Prof. D. Ulrich for his support.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.

References

1Pérez-Ruiz L, Herrerias-González F, Mele-Olive J, Gas-Ruiz C. A simple modified scissor for combined dissection, cut and ligation. Acta Chir Belg 2009;109:655-6.