Chapter 7: Transsphenoidal/Endonasal Forceps, Rongeurs, Needle Holders Dissectors, Elevators, Miscellaneous Alternative Names: Nasal speculum, Killian speculum, nasal spreader, nare speculum Category: Retractors Purposes: Used for retraction of the nares to improve visualization during transsphenoidal/endo-nasal procedures. This retractor is self-retaining. Varieties: Variable blade lengths and widths. Alternative Names: Nasal speculum, Cottle speculum, nasal spreader, nare speculum Category: Retractors Purposes: Used for retraction of the nares to improve visualization during transsphenoidal/endo-nasal procedures. This retractor is self-retaining. Varieties: Variable blade lengths and widths. Alternative Name: Blakesley forceps Category: Forceps Purposes: Endonasal/endoscopical manipulation of delicate tissues. Varieties: Straight or angled jaws or blades. Alternative Names: Pituitary, tissue forceps Category: Forceps Purposes: Grasping and manipulating tissue during transsphenoidal/endonasal cases. Can be used for tissue grasping and biopsy samples in cranial and spinal cases. Varieties: Straight or angled jaws. Various jaw sizes. Variable length of instrument. Alternative Names: Decker forceps, endoscopic Takahashi, endoscopic forceps, biopsy forceps Category: Rongeurs Purposes: Manipulation of delicate tissues in deep, small spaces, especially in transsphenoidal/endonasal, spinal, and deep cranial cases. The jaws allow biopsy material, cyst wall, or other soft tissue to be securely taken. Varieties: Length and diameter of shaft. Straight, directional, or angled jaws. Variable width of jaws. Alternative Names: Angled rongeur, angled septal rongeur Category: Rongeurs Purposes: Angled rongeurs for transsphenoidal/endonasal cases for the removal of bony material, mainly the septum. Can be used as forceps as well. Alternative Names: Bateman pituitary forceps, pituitary, tissue graspers, biopsy forceps Category: Rongeurs Purposes: Used for grasping and manipulating tissue during transsphenoidal/endonasal cases. Often used for tissue biopsy. Varieties: Various cup sizes. Variable length of instrument. Alternative Names: Baumgartner needle holder, Derf needle holder, Par needle holder, pediatric needle holder, small needle holder, needle driver Category: Needle holders Purposes: Small needle holder with jaws that allow movement of the needle without releasing the jaws. Also used with smaller needles. Varieties: Smooth or serrated jaws. Various lengths. Various materials.
Cottle Speculum
Killian Speculum
Blakesley Wilde Rhinoforce Forceps
Takahashi Forceps
Decker Micro Rongeur
Jansen-Middleton Rongeur
Oldberg Rongeur
Webster Needle Holder
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