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Self-Retaining, Double-Ended Surgical Retractor: A Novel Instrument for Rhinoplasty and Reconstructive Procedures
1Renewa Suadiye Outpatient Clinic, Emin Ali Pasa Cd., No: 43, Suadiye, Kadikoy, Istanbul, Turkey. droguzk@yahoo.com.
Background:
Stable surgical exposure is essential for precision in rhinoplasty and reconstructive procedures. While traditional handheld retractors remain highly effective and versatile, certain operative settings may benefit from hands-free stabilization to reduce assistant workload and maintain consistent exposure.
Objectives:
To describe the design and potential clinical utility of two newly developed, reusable, double-ended self-retaining retractors (KAYIRAN-1 and KAYIRAN-2) intended to provide ergonomic flexibility and stable field exposure.
Methods:
Two stainless-steel retractors were engineered with dual functional distal ends and integrated spring-assisted fixation mechanisms. The instruments allow 180° intraoperative rotation and attachment to surgical drapes or a Mayo stand for hands-free stabilization. Their use was evaluated in selected aesthetic and reconstructive procedures to assess handling characteristics, stability, and workflow integration.
Results:
The double-ended configuration enabled rapid adaptation to surgical angle or hand preference without instrument exchange. Spring-assisted fixation provided stable exposure in moderate soft tissue retraction settings, reducing the need for continuous manual tension. The instruments functioned as adjunct tools alongside conventional retractors.
Conclusions:
The described double-ended self-retaining retractors represent a practical ergonomic adjunct for selected rhinoplasty and reconstructive procedures. While not intended to replace dynamic manual retraction, they may serve as a complementary adjunct in selected clinical scenarios, potentially improving workflow efficiency and reducing assistant dependency.
Level Of Evidence V:
(Instrument description/Expert opinion). This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
