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Oral and Maxillofacial Surgery

Oral and maxillofacial surgery (OMFS) represents a new field for endoscopy, one in which it is quickly gaining in importance. Instruments developed by KARL STORZ already allow surgeons to perform a range of endoscope-assisted and endoscope-controlled minimally invasive surgeries. Sialendoscopy enables the diagnosis of most pathologies, and endoscopic treatment of sialolithiasis using stone baskets, microdrills, and additional instruments represents a minimally invasive alternative to open salivary gland surgery. Endoscopic procedures are becoming increasingly common in temporomandibular joint (TMJ) surgery as well. Two alternatives to open surgery have already been developed: TMJ arthroscopy and endoscope-assisted treatment of TMJ fractures. Endoscopy also allows minimally invasive procedures to be performed in maxillary sinus surgery, implantology, root tip resection, and root canal endoscopy.

Highlights

HOPKINS® TMJ Arthroscopes and Instruments

The HOPKINS® arthroscopes for TMJ arthroscopy are available in the diameters 1.9 mm and 2.4 mm. Furthermore, 0° or 30° directions of view can be used as desired. The rod-lens technology of HOPKINS® arthroscopes ensures good image quality. This is particularly helpful in complex arthroscopic microsurgery since the technique requires detailed viewing of internal joint structures. Again, custom-fit obturators allow insertion of the arthroscopy sheaths into the joint space as atraumatically as possible. Additional trocars are positioned to allow insertion of instruments into the joint. A series of instruments, such as grasping forceps, scissors, palpation hooks, sickle knives, and probes, can be used in the joint via trocars. HOPKINS® telescopes are autoclavable and can be stored, cleaned, and sterilized in purpose-designed trays. 

The ALL-IN-ONE Temporomandibular Arthroscope

The ALL-IN-ONE TMJ Arthroscope has an outer diameter of 2.2 mm and an integrated 1.4 mm working channel. It combines a telescope, an irrigation channel, and a working channel, thereby allowing not only arthroscopic lavage but also arthroscopic surgery. Again, the arthroscope sheath is first inserted in the temporomandibular joint and then connected with the ALL-IN-ONE TMJ Arthroscope via the existing LUER lock connector. The arthroscope sheath features a scale that enables surgeons to track the insertion depth of the employed instruments. The palpation hook, scissors, and biopsy forceps can be directly inserted into the joint through the endoscope’s integrated working channel. The custom-fit tray ensures optimal endoscope storage and reprocessing. 

All required components, including the endoscope, are autoclavable.

ALL-IN-ONE Sialendoscopes, ERLANGEN Model

Special Features:

  • Semiflexible miniature endoscopes for exploring the salivary ducts and removing salivary stones
  • Centimeter marking at the distal working end for reading penetration depth
  • Semiflexible thanks to nitinol outer sheath
  • ALL-IN-ONE sialendoscopes with integrated irrigation and working channels
  • Enables the minimally invasive removal of obstructions in the salivary ducts
  • Autoclavable sialendoscopes

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