Nallathamby Vigneswaran, Lee Hanjing, Lim Jane, Ong Wei Chen, Lim Thiam Chye
Division of Plastic, Reconstructive and Aesthetic Surgery, Department of Surgery, National University Health System, National University Hospital, Singapore.
Craniomaxillofac Trauma Reconstr. 2013 Mar;6(1):65-6. doi: 10.1055/s-0032-1329544. Epub 2013 Jan 15.
Titanium meshes have been extensively used in craniomaxillofacial surgery. The benefits of these titanium implants include being inert, stable, and radiopaque and having good drainage properties. The titanium mesh is cut to shape and bent before implantation, which may give rise to the cut edges being jagged and sharp. This can lead to soft tissue being caught or lacerated by these sharp ends. A change in technique to cut and shape the implant may reduce this problem. The implant should be cut right at the end of the bars flush with the remaining parts of the implant. We present a new and simple method for smoothing these troublesome edges. We use the diathermy scratch pad or tip cleaner, a tool used frequently in every major surgery. This scratch pad can be used as a rasp to smoothen the edges of the titanium mesh once it is cut into shape.
钛网已广泛应用于颅颌面外科手术。这些钛植入物的优点包括惰性、稳定性、不透射线以及具有良好的引流特性。钛网在植入前需切割成特定形状并弯曲，这可能导致切割边缘参差不齐且尖锐。这可能会使软组织被这些尖锐末端夹住或割伤。改变植入物的切割和塑形技术可能会减少这个问题。植入物应在杆的末端与植入物的其余部分齐平处进行切割。我们提出一种新的简单方法来平滑这些麻烦的边缘。我们使用高频电刀刮匙或刀头清洁器，这是在每台大型手术中经常使用的工具。一旦钛网切割成所需形状，这个刮匙可用作锉刀来平滑其边缘。
