Ramirez Type Endoscopic Forehead 26.5cm

What exactly is the Ramirez Type Endoscopic Forehead Dissector (26.5 cm)?

This Ramirez Type Endoscopic Forehead Dissector, measuring 26.5 cm (10-1/2"), is an instrument that is specifically designed to aid in the anterior scalp process of craniofacial surgery. Contrary to shorter elevators utilised to treat the delicate brow region, the version here is more elongated to make it easier to "blind", which is a type of endoscopic dissection of the vast surface of the skull.

It is employed to perform rapid subperiosteal and subgaleal dissection that allows surgeons to move the scalp towards the Vertex (top on the top of the skull) as well as at the level of the Occipital (back of the head). This manoeuvring is vital for ensuring that the entire scalp and forehead are able to be moved and held when performing the lift.

Key Features & Technical Specifications

This dissector was designed for speed and coverage, while retaining the structural integrity necessary to raise fibrous tissue that is tough and strong.

Feature Specification

Material High-Grade Medical Stainless Steel

Overall Length 10-1/2" (26.5 cm)

Functional Focus Quick Posterior Scalp Dissection

Dissection Planes Subperiosteal (below that bone covering) in addition to Subgaleal (below the scalp)

Blade Profile : Wide and slightly curly to allow skull contouring

Handle It is ergonomic and weighted to provide maximum leverage

Sterilisation Fully Autoclavable

Clinical Applications in Endoscopic Brow Lifts

In the scenario of a "Ramirez-style" endoscopic lift, this 26.5 cm dissector is used for an extremely tactical function:

• Posterior scalp mobilization To achieve a substantial "lift" at the forehead scalp, the area between the incisions has to be loosened. This tool allows rapid dissection of the subgaleal or subperiosteal layer towards the rear part of the skull.
• The creation of tissue laxity: When the surgeons release the posterior attachments surgeons create the "play" or laxity in the scalp, allowing the forehead skin to move upwards, and secure it into its new posture, regenerated position.
• Wide Area Coverage The slightly larger and longer profile in comparison to anterior dissectors allows more rapid strokes. It reduces the overall time of operation in the "blind" or "blind" dissection phase.

Why the 26.5 cm Ramirez Pattern is Preferred

1. Enhanced Reach for the Vertex

Its 26.5 millimetres is the ideal length to reach the top of the head after incisions that are made near the hairline. The surgeon's hand is prevented from getting far enough from the site of the incision, allowing a greater angle to leverage.

2. Versatility in Dissection Planes

The surgeon can choose to operate on the subgaleal plane (easier and quicker) and more speedy. or the subperiosteal plan (bloodless and more secure for some nerves). This instrument has been designed to be able to smoothly pass through both planes, assuming the right angles of entry are maintained.

3. Rapid Tissue Separation

The shape of the tip is designed to allow "sweeping" motions. In posterior dissection, which is where visibility can be less than that of frontal dissection, feedback from the stainless steel instrument will inform the surgeon where they are in the proper plane.

Maintenance and Sterilisation

Due to its length and the force that is often used on the scalp during dissection It is important to take care of it:

1. Straightness Test: Periodically check the long shaft to be sure that it doesn't have a slight bend, which can affect the precision in the plane of dissection.
2. Edge Maintenance Although it isn't "sharp" like a scalpel, the leading edge should be smooth and free of microburrs to prevent tearing irregularly of the tissue in the galeal.
3. Manual cleaning: Ensure the handle's grip and edge are scrubbed using the use of a soft brush to eliminate any organic matter before autoclaving.
4. Dry Storage . For the purpose of preventing "water spotting" or corrosion, make sure the instrument is completely dried before storing it inside its tray for surgery.