CN2778207Y

CN2778207Y - Bone cutting forceps for treating maxillary sinusitis

Info

Publication number: CN2778207Y
Application number: CN 200520080478
Authority: CN
Inventors: 刘付战
Original assignee: Individual
Current assignee: Individual
Priority date: 2005-02-21
Filing date: 2005-02-21
Publication date: 2006-05-10
Anticipated expiration: 2015-02-21

Abstract

The utility model relates to a pair of bone biting forceps for treating maxillary sinusitis, and belongs to medical instruments. The utility model is composed of forceps rods, a fixed shaft and forceps mouths, wherein the two forceps rods are connected into a whole by the fixed shaft. One end of each of the forceps rods is provided with a forceps handle, and the other end of each of the forceps rods is provided with the forceps mouth. The utility model is characterized in that the forceps mouths and the forceps handles are bent to the opposite direction by taking the fixed shaft as the center; the forceps mouths respectively form an elliptical shape; the combining surface of the forceps mouths is provided with antiskid patterns. The utility model is matched with other instruments, and the utility model has the advantages of manpower and labor saving, time saving, cost saving and little pain of patients on implementing radical operation of maxillary sinusitis. The utility model is applied to various radical operations of maxillary sinusitis.

Description

A kind of rongeur for the treatment of maxillary sinusitis

Affiliated field

This utility model relates to the medical apparatus and instruments of using in a kind of nasal passage maxillary sinusitis radical correction, a kind of rongeur for the treatment of maxillary sinusitis.

Background technology

The patient that maxillary sinusitis is suffered from the present whole nation is quite general, the particularly headache due to the primary disease, giddy, hypomnesis, vexation many great number of disciples and talented youth's work and study, many heads of a family is run to and fro, the side of asking of seeking medical advice, what obtain is to take medicine, local medicine-feeding, specific treatment, maxillary sinusitis puncture flushing etc., these can only be to cure, once the criminal of fever.Primary disease also is specialist's a a great problem.Do not can many can why operation of patient not carried out? main cause is: 1, traditional operation method, and operating time is oversize, and about two hours of bilateral maxillary antrum operation time, three people could finish operation.2, traditional surgical patient need be in hospital 7-9 days, had so not only increased the weight of patient's financial burden, and last patient of time also can not take.3, traditional surgical injury is big, and hemorrhage many, infection chance is many, and the risk height is raised lip and chiseled upper jaw bone, and the swelling of postoperative eye face be can't take care of oneself in several days, and is painful big.

Through groping for many years, I explore a kind of maxillary sinusitis radical correction and can address the aforementioned drawbacks effectively, but cooperate with above-mentioned radical correction supporting medical apparatus and instruments must be arranged.

Summary of the invention

Order of the present utility model just provides the medical apparatus and instruments of using in a kind of nasal passage maxillary sinusitis radical correction, the rongeur of treatment maxillary sinusitis.

The technical solution of the utility model is: the rongeur of this kind treatment maxillary sinusitis, it is made up of claw beam, fixed axis, jaw, two claw beams are connected as a single entity by fixed axis, claw beam one end is established the pincers handle, and the other end is provided with jaw, it is crooked in the other direction to it is characterized in that described jaw and pincers handle are as the criterion with fixed axis, described jaw ovalize, and its jaw faying face is provided with anti-skidding stricture of vagina.

The beneficial effects of the utility model are: this utility model cooperates other apparatuses, has following advantage on the implementation during the maxillary sinusitis radical correction:

1, people of operation technique just can, economize the people, laborsaving, save time, be routine operation time 1/24-1/15, only just can finish operation with 5-8 minute.

2, damage little, go out insufficiency of blood, painful little, it is few must not to be in hospital, to spend, only need take a day off in the operation back, with controlling with walking, be easy to patient and receive.

3, this kind operation, in case recurrence is repaired and renovate conveniently, old doctor does 10-20 such operation every day, just the workload of a suitable traditional operation is easy to grasp, and is easy to carry out.

Description of drawings

Figure is the overall structure sketch map of this utility model embodiment

Among the figure; 1 claw beam, 2 fixed axis, 3 jaws, 4 pincers handles.

The specific embodiment

As shown in the figure, the rongeur of this kind treatment maxillary sinusitis, it is made up of claw beam 1, fixed axis 2, jaw 3, and two claw beams 1 are articulated as one by fixed axis 2, and claw beam 1 one ends are established pincers handle 4, and the other end is provided with jaw 3.

Described jaw 3 is as the criterion to bending in the other direction, as the Caput Anas domestica shape with fixed axis 2 with pincers handle 4.Jaw 3 is good with the angle of claw beam 1 with the right angle; Described jaw ovalize, its jaw faying face is provided with common anti-skidding stricture of vagina.

Rongeur can be by the large, medium and small assembly, to adapt to different patients.

The application of above-mentioned rongeur when the treatment maxillary sinusitis:

Anesthesia: art moves ahead after puncture antral washed, and 1% tetracaine is poured into the hole intracavity, fills till the outflow, and (noting hole chamber size) anaesthetizes with the cotton sheet of 1% tetracaine in the inferior nasal meatus, can perform the operation after 20-30 minute.In particular cases add general anesthesia.

Prepare before operative indication and the art:

One, through must the recidivist after the irrigation of maxillary sinus perfusion flu more than three times.

Two, maxillary sinus still has dense tears not subtract the person after windowing merely and catching a cold.

Three, maxillary sinusitis causes headache, giddy, hypomnesis person.

Four, each sinusitis recurrence causes nasal obstruction and hypertrophy, simple rhinitis person for a long time.

Five, the narrow person of chronic maxillary sinusitis upper jaw opening.

Six, wall thickness is difficult for puncture person in the maxillary sinus.

Seven, identical with the surgical operation indication, local with 1 ‰ benzalkonium bromide liquid, inferior nasal meatus, nasal cavity and lip sterilization, drape, band glove, strict sterile working.

Operation method, with straight, curved, osteotome, chisel the maxillary sinus inwall, sting with rongeur and to open seam hole 2-2.5 centimetre, the bone hole is oval, with the oval curet in obtuse angle, scrapes maxillary sinus antetheca and outer wall, scrape upper wall and lower wall with the oval curet in right angle subsequently, scrape the maxillary sinus rear wall with the straight curet of existing surgery at last, make every effort to quick, do not stay remaining mucosa.Art finishes the usable oils sliver or gentamycin adds collunarium water purification sliver, maxillary sinus chamber and inferior nasal meatus and nasal packing, and not damage intranasal mucosa is down noted in hemostasis by compression.

Points for attention during operation:

One, it is hard when scraping that the maxillary sinus chamber is little.But want thin, the mucosa of hole intracavity is wiped off, scraped thoroughly with a little bit smaller curet, hole chamber Xiao Dou wall more is thick relatively more, generally can not scratch Dou Bi.

Two, during puncture antral if hone lamella is soft as the thorn clod, this proof maxillary sinus inflammation, the reason that long-term pus tears soak.Firmly not too quickly during operation, Dou Biyi scratches.Want light when scraping the maxillary sinus lower wall, promptly will wipe mucosa off, do not destroy the canine tooth root of the tooth in the upper jaw bone again, otherwise cause toothache etc.

Three, the hole chamber is big more, and relative Dou Biyue is thin, when scraping gradually reinforcing scrape, it is steady that hands is wanted, strength is wanted all, it is fast that action is wanted, it is fast more hemorrhage few more perform the operation, operation is just smooth more.

Four, it is rough and uneven in surface often to run into jaw hole hole wall in operation, will scrape just with tiny curet like this and easily wipe the scraping mucosa off.If two nasal cavities are different big, such as deviation of nasal septum, a side of feeling embarrassed earlier, after do a side of easy work, cry difficult at first and quite easy afterwardsly, go up afterwards descend earlier when scraping the hole chamber, behind the elder generation front and back, after elder generation is interior outside, also can do according to the custom of oneself.

Five, all nasal polyp excising operations, operation back polyp tissue must be done the disease inspection, if pernicious, tells promptly treatment of families of patients, in order to avoid delay treating time.

Six, nasal packing article must remember quantity, are sure not to drop in hole intracavity and the nasal meatus, cause inflammation or nasal obstruction.

Seven, extracted the wadding of nasal sinuses and nasal cavity in postoperative 12-14 hour, extract the back and puts the cotton sheet of naphazoline, stopped in general ten minutes and oozing of blood at the nasal sinuses peristome.When walking, patient gives all oral antibiotic medicine, hemorrhage three days, 1 bottle of naphazoline, tell patient to drip three to four times in one day, the some left side is torticollis left, and the some right side is torticollis to the right, nasal drop just in time enters hole chamber and hole wall opening portion like this, reaches the purpose that vasoconstrictive ends oozing of blood.

Eight, after the extraction wadding, tell patient do not blow one's nose with strength (noting 5-7 days), first is easily hemorrhage, second is prone to the facial area edema due to disorder of QI, and the 3rd is unfavorable for the growth of the edge of a knife, does irrigation of maxillary sinus in postoperative 3-5 days, how observe the growth of patient's edge of a knife, hole mouth size is how, mucosa or hematocele piece that whether flushing hole chamber comes off, and it is unobstructed to be beneficial to breathing.

Claims

1, a kind of rongeur for the treatment of maxillary sinusitis, it is made up of claw beam, fixed axis, jaw, two claw beams are connected as a single entity by fixed axis, claw beam one end is established the pincers handle, and the other end is provided with jaw, it is crooked in the other direction to it is characterized in that described jaw and pincers handle are as the criterion with fixed axis, described jaw ovalize, and its jaw faying face is provided with anti-skidding stricture of vagina.