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Background <p>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.</p> Objectives <p>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.</p> Methods <p>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.</p> Results <p>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.</p> Conclusions <p>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.</p> Level of Evidence V <p>(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 <a href="http://www.springer.com/00266">www.springer.com/00266</a>.</p>

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Self-Retaining, Double-Ended Surgical Retractor: A Novel Instrument for Rhinoplasty and Reconstructive Procedures

  • 期刊论文

  • 发表日期：

    2026年6月30日

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  • Oguz Kayiran

摘要

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.