Journal archive · Cleft, trauma and reconstruction · 2026
Self-Retaining, Double-Ended Surgical Retractor: A Novel Instrument for Rhinoplasty and Reconstructive Procedures
Kayiran O.
What this paper says
An instrument description of two reusable stainless-steel retractors (KAYIRAN-1 and KAYIRAN-2) with spring fixation that clip to drapes or a stand to hold tissue open without an assistant.
Overview
This is an instrument-design paper, not a clinical study. Kayiran describes two double-ended retractors with spring-assisted fixation that rotate 180 degrees and attach to surgical drapes or a Mayo stand for hands-free exposure. They were evaluated in selected aesthetic and reconstructive procedures for handling, stability and workflow.
Sections of note
- Double-ended design allows changing angle or hand preference without swapping instruments.
- Spring-assisted fixation held stable exposure in moderate soft-tissue retraction.
- Positioned as an adjunct alongside conventional handheld retractors, not a replacement.
- Stated aims: reduce assistant workload and maintain consistent exposure.
- Level of Evidence V (instrument description / expert opinion).
What it means for a patient
- This concerns operating-room ergonomics, not surgical outcomes.
- No claim is made that patients do better with the instrument.
Why this paper matters
It documents a tool that may reduce reliance on a surgical assistant. Limits: no comparative data, single designer.
Terms
- Retractor: an instrument that holds tissue aside to expose the operative field.
- Self-retaining: a retractor that stays in position without being held.
- Mayo stand: a small instrument table positioned over the patient.
Summary written by rhinoplasty.cc from the abstract, 2026-09-08; not medical advice. The authors' own abstract follows.
From the abstract
“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:…”
Excerpt; the full abstract is on PubMed.
Citation
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What the rhinoplasty literature says on this paper's topic, cited line by line to PubMed.
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