Modified Dingman Mouth Retractor

Özdemir, Azimet; Karaaltın, Mehmet Veli; Güneren, Ethem

doi:10.1097/scs.0b013e3182420530

Cited by 2 publications

(2 citation statements)

References 4 publications

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“…Even now, improved versions of the Dingman Mouth Gag are widely used in Japan. These improvements have been reported to include the size and shape of the frame, the shape of the tongue blade (many such modifications have been made to allow for intubation tube fixation and prevention of blockage), and the attachment of lighting devices to ensure a better operative field (Dingman and Grabb, 1962; Bloem and Hage, 1993; Sommerlad and Mehendale, 2000; Özdemir et al, 2012; Sakurai, 2013). Sommerlad and Mehendale (2000) reported the development of a narrow and short tongue blade to allow surgery at an earlier time and that was suitable for pediatric patients with different types of mandibular micrognathia, such as PRS; however, this report did not include detailed specifications for the length of tongue blade.…”

Section: Discussionmentioning

confidence: 99%

Appropriate Tongue Blade Length of the Dingman Mouth Gag for Japanese Pediatric Patients with Cleft Palate and Mandibular Micrognathia

Satoh

Aizawa

Kobayashi

et al. 2016

The Cleft Palate Craniofacial Journal

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Objective Our objective is to determine appropriate specifications for smaller tongue blade for Japanese pediatric patients with cleft palate (CP) and mandibular micrognathia. Patients We investigated 59 patients who underwent palatoplasty. Patients were divided into two groups: the micrognathia (MG) group consisted of 11 patients and the normognathia (NG) group consisted of 48 patients. Interventions The following five items were investigated retrospectively: (1) gender, (2) cleft type, (3) age at the time of surgery, (4) weight at the time of surgery, and (5) distance from the tongue blade base to the posterior pharyngeal wall (Dis). Results There was a significant difference (P < .01) in age at the time of surgery and in Dis between groups, but not in weight. The minimum values were 55 mm for the MG group. As for correlations between age and weight at the time of surgery, the P values for the MG and NG groups were .993 and .052, respectively. As for correlations between weight at the time of surgery and Dis, the P values for the MG and NG groups were .987 and .099, respectively. Conclusions It was difficult to predict Dis on the basis of the patient's age and weight measured preoperatively. The minimum Dis was 55 mm, equal to the length from the base to the tip of the Dingman Mouth Gag tongue blade currently in use, suggesting that a tongue blade of approximately 50 mm in length, shorter than the current minimum specifications, may be appropriate.

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Section: Discussionmentioning

confidence: 99%

Appropriate Tongue Blade Length of the Dingman Mouth Gag for Japanese Pediatric Patients with Cleft Palate and Mandibular Micrognathia

Satoh

Aizawa

Kobayashi

et al. 2016

The Cleft Palate Craniofacial Journal

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“…Although many cleft surgeons have tried to create a better environment by modifying the gag, these efforts were limited to improving stability or adding a light source to there tractor itself. Our method is simple but applicable to any modified gag setup[ 1 2 3 4 5 ].…”

Section: Discussionmentioning

confidence: 99%

Application of Hand Towel Drape over Dingman Mouth Gag

Choi

Park

2015

Arch Craniofac Surg

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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.

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Modified Dingman Mouth Retractor

Cited by 2 publications

References 4 publications

Appropriate Tongue Blade Length of the Dingman Mouth Gag for Japanese Pediatric Patients with Cleft Palate and Mandibular Micrognathia

Appropriate Tongue Blade Length of the Dingman Mouth Gag for Japanese Pediatric Patients with Cleft Palate and Mandibular Micrognathia

Application of Hand Towel Drape over Dingman Mouth Gag

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