CN213217331U - Bilateral nostril retractor through butterfly approach - Google Patents

Bilateral nostril retractor through butterfly approach Download PDF

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Publication number
CN213217331U
CN213217331U CN202022135045.3U CN202022135045U CN213217331U CN 213217331 U CN213217331 U CN 213217331U CN 202022135045 U CN202022135045 U CN 202022135045U CN 213217331 U CN213217331 U CN 213217331U
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nasal cavity
retractor
operating handle
operating
nostril
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王栋梁
刘强
孙亮
李广学
刘波
周景儒
焦风
范存刚
李放
丁虎
刘如恩
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Peking University
Peking University Peoples Hospital
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Peking University Peoples Hospital
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Abstract

The utility model discloses a butterfly approach bilateral nostril retractor, which belongs to the technical field of medical instruments and comprises a nasal cavity opening plate, two operating handles and an opening structure, and is characterized in that the nasal cavity opening plate and the two operating handles are arranged, the two operating handles are respectively arranged on the outer side walls of the upper ends of the two nasal cavity opening plates, the nasal cavity opening plate is fixedly connected with the operating handles, and the two operating handles are hinged; the strutting structure is in threaded connection with the two operating handles. The distance between the two nasal cavity opening plates is adjusted through the opening structure, so that the nasal cavity opening plates open the nostrils of the patient to a proper degree to provide a good operation visual field for doctors, and the operation treatment effect is improved.

Description

Bilateral nostril retractor through butterfly approach
Technical Field
The utility model belongs to the technical field of medical instrument, concretely relates to is a bilateral nostril retractor of butterfly approach.
Background
The approach via the nasal butterfly has been developed for a century. Harvey cushing (Harvey cushing) played an important role in its popularity in intranasal surgery, since he was the surgeon of Schloffer and Halstead at the time. In the early stages of skull surgery, cushing was actually placed by sphenoid surgery to explore the margins of brain surgery. Through the improvement of operation technology and instruments, the transnasal butterfly approach under the neuroendoscope becomes an important operation mode of the neurosurgery at present.
Over the 20 years, with the development of medical science and technology and related subject technology, the transnasal neuroendoscopic surgery has progressed at a dramatic rate and reached a new level. Compared with the traditional nasal butterfly operation, the neuroendoscope nasal butterfly operation is a conceptual innovation, and has various incomparable advantages, such as closer approach to an operation target, avoidance of traction and damage to brain tissues, reduction of postoperative pain, fast recovery, fewer complications and the like. 95% of saddle region lesions can be removed by conventional transsphenoidal approach surgery. In recent years, endoscopic indications have been expanded to lesions in the entire cranial base midline region, i.e., the anterior to frontal sinus, and posterior to the dentate process region, where it was previously thought impossible to remove tumors and other lesions by endoscopic surgery, and it is now possible to obtain removal by endoscopic dilation through the nasal route. Meanwhile, the development of the skull base reconstruction technology effectively solves the problem of cerebrospinal fluid leakage which always troubles neurosurgeons.
The important difference and advantage of endoscopic transnasal sphenoidal approach surgery from traditional transsphenoidal approach microsurgery is that the trauma is small, and the normal structure of the nasal cavity-sphenoidal sinus can be protected to the maximum extent. The operation mainly utilizes the natural space of the nasal cavity to form an operation channel, and the optical illumination characteristic of the endoscope and the angle of the endoscope are convenient for close observation, so that the observation range in the operation is increased, important anatomical signs can be clearly distinguished, the operation target can be clearly displayed in the operation, lesion tissues or tumors can be furthest removed, normal tissues can be protected, side injury is reduced, and the operation quality is improved. Because the operation wound is little, stanchs thoroughly, need not pack the nasal cavity after the operation, and patient after the operation does not have the uncomfortable sense that the nasal cavity was packed, and patient's postoperative reaction is light, resumes soon, and the time of being in hospital is short, and the activity of can going to the land in 1 ~ 2 days after the operation, just can discharge from the hospital in 3 ~ 5 days.
With the development of clinical medical technology, four hands of two people become the mainstream of the operation of nasal butterfly through the operation of double nostrils, because in the art neural scope, aspirator, get the apparatus such as tumour pincers and need go in and out the nasal cavity repeatedly, can't avoid the damage to the nasal cavity mucosa, the nasal mucosa also can make dirty neural scope camera lens simultaneously, lead to the art wild, especially to the patient that the turbinate, in the art, must use the nasal cavity retractor in order to increase the field of vision, but at present only there is the retractor of single nostril, if during the operation of bilateral nasal cavity, need use two retractors, or one side is used, the opposite side does not use, still does not have a retractor that can prop open nasal cavity both sides simultaneously.
The utility model provides a two side nostril retractors of the butterfly approach to the above-mentioned problem.
SUMMERY OF THE UTILITY MODEL
In order to overcome the problems of the prior art, the utility model provides a bilateral nostril retractor through a butterfly approach.
A bilateral nostril retractor through a butterfly approach comprises nasal cavity opening plates, operating handles and opening structures, and is characterized in that the nasal cavity opening plates and the two operating handles are arranged, the two operating handles are respectively arranged on the outer side walls of the upper ends of the two nasal cavity opening plates, the nasal cavity opening plates are fixedly connected with the operating handles, and the two operating handles are hinged; the strutting structure is in threaded connection with the two operating handles. The distance between the two nasal cavity opening plates is adjusted through the opening structure, so that the nasal cavity opening plates open the nostrils of the patient to a proper degree to provide a good operation visual field for doctors, and the operation treatment effect is improved.
Furthermore, the front end of the nasal cavity opening plate is the end which firstly enters the nostril of the patient, the rear end is the end which is close to the operating doctor, and the width of the nasal cavity opening plate is gradually reduced from the rear end to the front end. The nasal cavity opening plate is in accordance with the physiological anatomical structure of the nasal cavity.
Further, the nasal cavity spreading plate is an arc-shaped plate which accords with the shape of the nasal cavity, and the front end of the nasal cavity spreading plate inclines towards the nasal septum. The nasal cavity opening plate is in accordance with the physiological structure of the nasal cavity and conforms to the nasal cavity to avoid damaging normal tissues.
Further, the length of the nasal cavity opening plate is set to be 6cm or 7cm or 8cm, and the width of the rear end of the nasal cavity opening plate is set to be 1.0cm or 1.5cm or 2.0 cm. The nasal cavity opening plates with different specifications are suitable for patients with different nasal cavity conditions.
Further, the edge of the nasal cavity opening plate is smooth. This arrangement prevents the nasal cavity opening plate from damaging the nasal cavity.
Further, the operating handle is arranged on the outer side wall of the rear end of the nasal cavity opening plate. The operating handle is arranged at the position, so that the operation after the nasal cavity opening plate is inserted into the nasal cavity of the patient is convenient.
Furthermore, two extending plates are respectively arranged on two opposite side walls of the operating handles, circular screw holes are arranged on the extending plates, screws are arranged in the circular screw holes, and the two operating handles are connected in a screw combination mode. When the nasal cavity dilator is used, the nasal cavity opening plate on one side is inserted into the nasal cavity of a patient under the assistance of an endoscope, the nasal cavity opening plate on the other side is inserted into the nasal cavity of the patient, and then the two operating handles are connected in a screw combination mode to combine the nasal cavity opening plates on the two sides and the operating handles into a whole.
Further, the screw and the circular screw hole are arranged on the upper half part of the operating handle. This arrangement enables the operating handle to be spread apart by a sufficiently large distance.
Further, the screw is provided as an "L" shaped screw. This arrangement enables the screw to be tightened or loosened by hand.
Furthermore, a nut is arranged at the opening of the circular screw hole of one of the extension plates and is integrally connected with the extension plate. This arrangement ensures the security of the connection of the two projecting plates and the cheapness of the operation.
Further, the distraction structure includes the threaded rod and is used for screwing up or not hard up the operating handle of threaded rod, and operating handle and threaded rod body coupling. When the nasal cavity dilator is used, the threaded rod is rotated by applying force to the operating handle, so that the purpose of dilating the nasal cavity dilator is achieved.
And furthermore, a threaded hole matched with the threaded rod is formed in the operating handle, the threaded hole penetrates through the left side wall and the right side wall of the operating handle, the threaded rod enters from the threaded hole of the operating handle on one side and penetrates out from the threaded hole of the operating handle on the other side. Through the clockwise rotation threaded rod, make the distance increase between the both sides nasal cavity distraction board, anticlockwise rotation threaded rod makes the distance between the both sides nasal cavity distraction board reduce.
Furthermore, a threaded cap is arranged at an outer opening of the threaded hole of the operating handle on one side, and the threaded cap and the operating handle are integrally connected. The nasal cavity opening plate can be better opened by the aid of the arrangement.
Further, the distraction structure is disposed below the "L" shaped screw.
Furthermore, the nasal cavity opening plate and the operating handle are both made of medical stainless steel. The nostril retractor with the structure can be recycled after being sterilized, and medical cost is reduced.
Compared with the nostril retractor apparatus in the prior art, the technical proposal of the utility model has the following advantages:
1. the existing nostril retractor is a unilateral nostril retractor, which is not suitable for the current clinical mainstream double four-hand operation type, and the nostril retractor of the utility model can simultaneously open the nostrils at two sides, so that the nasal cavities at two sides have good operation visual field.
2. The nasal cavity opening plate on one side can be inserted into the nasal cavity under the guidance of the endoscope, and then the nasal cavity opening plate on the other side is inserted under the guidance of the endoscope, so that the current situation of clinical medical conditions is met, and the nasal cavity opening plate has strong practicability.
3. The operating handles on the two sides are combined conveniently and quickly, and the operation of adjusting the distance between the nasal cavity opening plates is simple.
The utility model discloses a theory of operation: under the unused state, the nasal cavity of unilateral struts board and operating handle fixed connection, two operating handle and nasal cavity strut board are independent each other, insert the nasal cavity at one side nostril earlier under the scope guide and strut the board, then insert the nasal cavity to the opposite side nostril under the scope guide and strut the board, the nasal cavity of both sides struts the board and all inserts two operating handle after the nostril and pass through screw combination connection, insert the threaded rod in the screwed hole that corresponds on the operating handle afterwards, make the threaded rod rotate through twisting operating handle, and then drive operating handle and rotate around the screw, thereby adjust two operating handle and the distance between the nasal cavity strut board.
Drawings
Fig. 1 is a schematic view of the overall structure of a bilateral nostril retractor through a butterfly;
fig. 2 is a schematic top view of the bilateral nostril retractor of the present invention;
fig. 3 is a schematic view of the overall structure of the bilateral nostril retractor of the present invention;
fig. 4 is a partially enlarged schematic structural view of a bilateral nostril retractor of the present invention;
fig. 5 is a schematic view of an exploded structure of a bilateral nostril retractor of the present invention;
fig. 6 is a schematic structural view of a single-sided nasal cavity opening plate and an operating handle of the butterfly approach double-sided nostril retractor of the present invention;
fig. 7 is a schematic structural view of the other side nasal cavity opening plate and the operating handle of the bilateral nostril retractor of the butterfly approach of the present invention;
fig. 8 is a schematic structural view of the two nasal cavity opening plates of the double-sided nostril retractor of the butterfly approach of the present invention inserted into the nostrils at both sides;
in the figure, 1, a nasal cavity opening plate; 2. an operating handle; 21. extending the plate; 212. an "L" shaped screw; 213. a circular screw hole; 214. a nut; 22. a threaded rod; 221. an operating handle; 23. a threaded hole; 24. a threaded cap; 3. the nostrils.
Detailed Description
The technical solutions in the embodiments of the present invention will be described in detail below with reference to specific embodiments, and it should be understood that the described embodiments are only a part of the embodiments of the present invention, rather than all embodiments, and those skilled in the art can easily understand other advantages and effects of the present invention from the disclosure in the specification. The utility model discloses can also implement or use through other different concrete implementation manners, under the condition of conflict-free, the characteristics in following embodiment and the embodiment can make up each other, based on the embodiment in the utility model, all other embodiments that the ordinary skilled in the art obtained under the prerequisite of not making creative work all belong to the scope of protection of the utility model.
Example 1A Trans-butterfly approach bilateral nostril retractor
A bilateral nostril retractor through a butterfly approach comprises a nasal cavity opening plate 1, two operating handles 2 and an opening structure, and is characterized in that the nasal cavity opening plate 1 and the two operating handles 2 are arranged, the two operating handles 2 are respectively arranged on the outer side walls of the upper ends of the two nasal cavity opening plates 1, the nasal cavity opening plate 1 is fixedly connected with the operating handles 2, and the two operating handles 2 are hinged; the strutting structure is in threaded connection with the two operating handles 2. The distance between the two nasal cavity opening plates 1 is adjusted through the opening structure, so that the nasal cavity opening plates 1 open the nostrils 3 of the patient to a proper degree to provide a good operation visual field for doctors, and the operation treatment effect is improved.
The front end of the nasal cavity opening plate 1 is the end which firstly enters the nostril 3 of the patient, the rear end is the end which is close to the operating doctor, and the width of the nasal cavity opening plate 1 is gradually reduced from the rear end to the front end. The nasal cavity opening plate 1 is arranged to conform to the physiological anatomical structure of the nasal cavity.
The nasal cavity spreading plate 1 is an arc-shaped plate which accords with the shape of the nasal cavity, and the front end of the nasal cavity spreading plate 1 inclines towards the nasal septum direction. The nasal cavity opening plate 1 is in accordance with the physiological structure of the nasal cavity and conforms to the nasal cavity to avoid damaging normal tissues.
The operating handle 2 is arranged on the outer side wall of the rear end of the nasal cavity opening plate 1. The operating handle 2 is provided at this position to facilitate the operation after the nasal cavity opening plate 1 is inserted into the nasal cavity of the patient.
Two opposite side walls of the two operating handles 2 are respectively provided with an extending plate 21, the extending plate 21 is provided with a circular screw hole 213, a screw is arranged in the circular screw hole 213, and the two operating handles 2 are connected in a combined manner through the screw. When the nasal cavity dilator is used, the nasal cavity dilator 1 on one side is inserted into the nasal cavity of a patient under the assistance of an endoscope, the nasal cavity dilator 1 on the other side is inserted into the nasal cavity of the patient, and then the two operating handles 2 are connected in a screw combination mode to combine the nasal cavity dilator 1 and the operating handles 2 on the two sides into a whole.
The screw and the threaded hole are provided in the upper half of the operating handle 2. This arrangement enables the operating handle 2 to be spread apart by a sufficiently large distance.
The expanding structure comprises a threaded rod 22 and an operating handle 221 for screwing or loosening the threaded rod 22, wherein the operating handle 221 is integrally connected with the threaded rod 22. When in use, the threaded rod 22 is rotated by applying force to the operating handle 221, so as to realize the purpose of opening the nasal cavity opening plate 1.
The operating handle 2 is provided with a threaded hole 23 matched with the threaded rod 22, the threaded hole 23 penetrates through the left side wall and the right side wall of the operating handle 2, and the threaded rod 22 enters from the threaded hole 23 of the operating handle 2 on one side and penetrates out from the threaded hole 23 of the operating handle 2 on the other side. By rotating the threaded rod 22 clockwise, the distance between the nasal cavity spreading plates 1 on both sides is increased, and by rotating the threaded rod 22 counterclockwise, the distance between the nasal cavity spreading plates 1 on both sides is decreased.
Example 2A Trans-butterfly approach bilateral nostril retractor
A bilateral nostril retractor through a butterfly approach comprises a nasal cavity opening plate 1, two operating handles 2 and an opening structure, and is characterized in that the nasal cavity opening plate 1 and the two operating handles 2 are arranged, the two operating handles 2 are respectively arranged on the outer side walls of the upper ends of the two nasal cavity opening plates 1, the nasal cavity opening plate 1 is fixedly connected with the operating handles 2, and the two operating handles 2 are hinged; the strutting structure is in threaded connection with the two operating handles 2. The distance between the two nasal cavity opening plates 1 is adjusted through the opening structure, so that the nasal cavity opening plates 1 open the nostrils 3 of the patient to a proper degree to provide a good operation visual field for doctors, and the operation treatment effect is improved.
The front end of the nasal cavity opening plate 1 is the end which firstly enters the nostril 3 of the patient, the rear end is the end which is close to the operating doctor, and the width of the nasal cavity opening plate 1 is gradually reduced from the rear end to the front end. The nasal cavity opening plate 1 is arranged to conform to the physiological anatomical structure of the nasal cavity.
The nasal cavity spreading plate 1 is an arc-shaped plate which accords with the shape of the nasal cavity, and the front end of the nasal cavity spreading plate 1 inclines towards the nasal septum direction. The nasal cavity opening plate 1 is in accordance with the physiological structure of the nasal cavity and conforms to the nasal cavity to avoid damaging normal tissues.
The length of the nasal cavity opening plate 1 is set to be 6cm, and the width of the rear end of the nasal cavity opening plate 1 is set to be 1.0 cm.
The edge of the nasal cavity opening plate 1 is smooth. This arrangement prevents the nasal cavity opening plate 1 from damaging the nasal cavity.
The operating handle 2 is arranged on the outer side wall of the rear end of the nasal cavity opening plate 1. The operating handle 2 is provided at this position to facilitate the operation after the nasal cavity opening plate 1 is inserted into the nasal cavity of the patient.
Two opposite side walls of the two operating handles 2 are respectively provided with an extending plate 21, the extending plate 21 is provided with a circular screw hole 213, a screw is arranged in the circular screw hole 213, and the two operating handles 2 are connected in a combined manner through the screw. When the nasal cavity dilator is used, the nasal cavity dilator 1 on one side is inserted into the nasal cavity of a patient under the assistance of an endoscope, the nasal cavity dilator 1 on the other side is inserted into the nasal cavity of the patient, and then the two operating handles 2 are connected in a screw combination mode to combine the nasal cavity dilator 1 and the operating handles 2 on the two sides into a whole.
Said screw and circular screw hole 213 are provided in the upper half of the operating handle 2. This arrangement enables the operating handle 2 to be spread apart by a sufficiently large distance.
The expanding structure comprises a threaded rod 22 and an operating handle 221 for screwing or loosening the threaded rod 22, wherein the operating handle 221 is integrally connected with the threaded rod 22. When in use, the threaded rod 22 is rotated by applying force to the operating handle 221, so as to realize the purpose of opening the nasal cavity opening plate 1.
The operating handle 2 is provided with a threaded hole 23 matched with the threaded rod 22, the threaded hole 23 penetrates through the left side wall and the right side wall of the operating handle 2, and the threaded rod 22 enters from the threaded hole 23 of the operating handle 2 on one side and penetrates out from the threaded hole 23 of the operating handle 2 on the other side. By rotating the threaded rod 22 clockwise, the distance between the nasal cavity spreading plates 1 on both sides is increased, and by rotating the threaded rod 22 counterclockwise, the distance between the nasal cavity spreading plates 1 on both sides is decreased.
A threaded cap 24 is arranged at the outer opening of the threaded hole 23 of the operating handle 2 at one side, and the threaded cap 24 is integrally connected with the operating handle 2. The nasal cavity opening plate 1 can be better opened by the arrangement.
EXAMPLE 3A Trans-butterfly approach bilateral nostril retractor
A bilateral nostril retractor through a butterfly approach comprises a nasal cavity opening plate 1, two operating handles 2 and an opening structure, and is characterized in that the nasal cavity opening plate 1 and the two operating handles 2 are arranged, the two operating handles 2 are respectively arranged on the outer side walls of the upper ends of the two nasal cavity opening plates 1, the nasal cavity opening plate 1 is fixedly connected with the operating handles 2, and the two operating handles 2 are hinged; the strutting structure is in threaded connection with the two operating handles 2. The distance between the two nasal cavity opening plates 1 is adjusted through the opening structure, so that the nasal cavity opening plates 1 open the nostrils 3 of the patient to a proper degree to provide a good operation visual field for doctors, and the operation treatment effect is improved.
The front end of the nasal cavity opening plate 1 is the end which firstly enters the nostril 3 of the patient, the rear end is the end which is close to the operating doctor, and the width of the nasal cavity opening plate 1 is gradually reduced from the rear end to the front end. The nasal cavity opening plate 1 is arranged to conform to the physiological anatomical structure of the nasal cavity.
The nasal cavity spreading plate 1 is an arc-shaped plate which accords with the shape of the nasal cavity, and the front end of the nasal cavity spreading plate 1 inclines towards the nasal septum direction. The nasal cavity opening plate 1 is in accordance with the physiological structure of the nasal cavity and conforms to the nasal cavity to avoid damaging normal tissues.
The length of the nasal cavity opening plate 1 is set to be 7cm, and the width of the rear end of the nasal cavity opening plate 1 is set to be 1.5 cm.
The edge of the nasal cavity opening plate 1 is smooth. This arrangement prevents the nasal cavity opening plate 1 from damaging the nasal cavity.
The operating handle 2 is arranged on the outer side wall of the rear end of the nasal cavity opening plate 1. The operating handle 2 is provided at this position to facilitate the operation after the nasal cavity opening plate 1 is inserted into the nasal cavity of the patient.
Two opposite side walls of the two operating handles 2 are respectively provided with an extending plate 21, the extending plate 21 is provided with a circular screw hole 213, a screw is arranged in the circular screw hole 213, and the two operating handles 2 are connected in a combined manner through the screw. When the nasal cavity dilator is used, the nasal cavity dilator 1 on one side is inserted into the nasal cavity of a patient under the assistance of an endoscope, the nasal cavity dilator 1 on the other side is inserted into the nasal cavity of the patient, and then the two operating handles 2 are connected in a screw combination mode to combine the nasal cavity dilator 1 and the operating handles 2 on the two sides into a whole.
Said screw and circular screw hole 213 are provided in the upper half of the operating handle 2. This arrangement enables the operating handle 2 to be spread apart by a sufficiently large distance.
The screw is provided as an "L" shaped screw 212. This arrangement enables the screw to be tightened or loosened by hand.
A nut 214 is provided at an opening of the circular screw hole 213 of one of the protruding plates 21, and the nut 214 is integrally connected to the protruding plate 21. This arrangement ensures the firmness of the connection of the two projecting plates 21 and the cheapness of the operation.
The expanding structure comprises a threaded rod 22 and an operating handle 221 for screwing or loosening the threaded rod 22, wherein the operating handle 221 is integrally connected with the threaded rod 22. When in use, the threaded rod 22 is rotated by applying force to the operating handle 221, so as to realize the purpose of opening the nasal cavity opening plate 1.
The operating handle 2 is provided with a threaded hole 23 matched with the threaded rod 22, the threaded hole 23 penetrates through the left side wall and the right side wall of the operating handle 2, and the threaded rod 22 enters from the threaded hole 23 of the operating handle 2 on one side and penetrates out from the threaded hole 23 of the operating handle 2 on the other side. By rotating the threaded rod 22 clockwise, the distance between the nasal cavity spreading plates 1 on both sides is increased, and by rotating the threaded rod 22 counterclockwise, the distance between the nasal cavity spreading plates 1 on both sides is decreased.
A threaded cap 24 is arranged at the outer opening of the threaded hole 23 of the operating handle 2 at one side, and the threaded cap 24 is integrally connected with the operating handle 2. The nasal cavity opening plate 1 can be better opened by the arrangement.
EXAMPLE 4A Trans-butterfly approach bilateral nostril retractor
A bilateral nostril retractor through a butterfly approach comprises a nasal cavity opening plate 1, two operating handles 2 and an opening structure, and is characterized in that the nasal cavity opening plate 1 and the two operating handles 2 are arranged, the two operating handles 2 are respectively arranged on the outer side walls of the upper ends of the two nasal cavity opening plates 1, the nasal cavity opening plate 1 is fixedly connected with the operating handles 2, and the two operating handles 2 are hinged; the strutting structure is in threaded connection with the two operating handles 2. The distance between the two nasal cavity opening plates 1 is adjusted through the opening structure, so that the nasal cavity opening plates 1 open the nostrils 3 of the patient to a proper degree to provide a good operation visual field for doctors, and the operation treatment effect is improved.
The front end of the nasal cavity opening plate 1 is the end which firstly enters the nostril 3 of the patient, the rear end is the end which is close to the operating doctor, and the width of the nasal cavity opening plate 1 is gradually reduced from the rear end to the front end. The nasal cavity opening plate 1 is arranged to conform to the physiological anatomical structure of the nasal cavity.
The nasal cavity spreading plate 1 is an arc-shaped plate which accords with the shape of the nasal cavity, and the front end of the nasal cavity spreading plate 1 inclines towards the nasal septum direction. The nasal cavity opening plate 1 is in accordance with the physiological structure of the nasal cavity and conforms to the nasal cavity to avoid damaging normal tissues.
The length of nasal cavity distraction plate 1 sets up to 8cm, and the width of nasal cavity distraction plate 1 rear end sets up to 2.0 cm.
The edge of the nasal cavity opening plate 1 is smooth. This arrangement prevents the nasal cavity opening plate 1 from damaging the nasal cavity.
The operating handle 2 is arranged on the outer side wall of the rear end of the nasal cavity opening plate 1. The operating handle 2 is provided at this position to facilitate the operation after the nasal cavity opening plate 1 is inserted into the nasal cavity of the patient.
Two opposite side walls of the two operating handles 2 are respectively provided with an extending plate 21, the extending plate 21 is provided with a circular screw hole 213, a screw is arranged in the circular screw hole 213, and the two operating handles 2 are connected in a combined manner through the screw. When the nasal cavity dilator is used, the nasal cavity dilator 1 on one side is inserted into the nasal cavity of a patient under the assistance of an endoscope, the nasal cavity dilator 1 on the other side is inserted into the nasal cavity of the patient, and then the two operating handles 2 are connected in a screw combination mode to combine the nasal cavity dilator 1 and the operating handles 2 on the two sides into a whole.
Said screw and circular screw hole 213 are provided in the upper half of the operating handle 2. This arrangement enables the operating handle 2 to be spread apart by a sufficiently large distance.
The screw is provided as an "L" shaped screw 212. This arrangement enables the screw to be tightened or loosened by hand.
A nut 214 is provided at an opening of the circular screw hole 213 of one of the protruding plates 21, and the nut 214 is integrally connected to the protruding plate 21. This arrangement ensures the firmness of the connection of the two projecting plates 21 and the cheapness of the operation.
The expanding structure comprises a threaded rod 22 and an operating handle 221 for screwing or loosening the threaded rod 22, wherein the operating handle 221 is integrally connected with the threaded rod 22. When in use, the threaded rod 22 is rotated by applying force to the operating handle 221, so as to realize the purpose of opening the nasal cavity opening plate 1.
The operating handle 2 is provided with a threaded hole 23 matched with the threaded rod 22, the threaded hole 23 penetrates through the left side wall and the right side wall of the operating handle 2, and the threaded rod 22 enters from the threaded hole 23 of the operating handle 2 on one side and penetrates out from the threaded hole 23 of the operating handle 2 on the other side. By rotating the threaded rod 22 clockwise, the distance between the nasal cavity spreading plates 1 on both sides is increased, and by rotating the threaded rod 22 counterclockwise, the distance between the nasal cavity spreading plates 1 on both sides is decreased.
A threaded cap 24 is arranged at the outer opening of the threaded hole 23 of the operating handle 2 at one side, and the threaded cap 24 is integrally connected with the operating handle 2. The nasal cavity opening plate 1 can be better opened by the arrangement.
The distracting structure is disposed below the "L" shaped screw 212.
The nasal cavity opening plate 1 and the operating handle 2 are both made of medical stainless steel. The nostril 3 retractor with the structure can be recycled after being sterilized, and medical cost is reduced.
The above description of the embodiments is only intended to illustrate the present invention. It should be noted that, for those skilled in the art, without departing from the principle of the present invention, several modifications can be made to the present invention, and these modifications will fall within the protection scope of the claims of the present invention.

Claims (10)

1. A bilateral nostril retractor through a butterfly approach comprises nasal cavity opening plates, operating handles and opening structures, and is characterized in that the nasal cavity opening plates and the two operating handles are arranged, the two operating handles are respectively arranged on the outer side walls of the upper ends of the two nasal cavity opening plates, the nasal cavity opening plates are fixedly connected with the operating handles, and the two operating handles are hinged; the strutting structure is in threaded connection with the two operating handles.
2. The bilateral nasal retractor of claim 1, wherein the nasal cavity spreading plate is configured as an arc-shaped plate conforming to the shape of the nasal cavity, and the front end of the nasal cavity spreading plate is inclined toward the nasal septum.
3. The bilateral nasal retractor of claim 2, wherein the nasal cavity spreading plate is set to be 6cm or 7cm or 8cm in length and 1.0cm or 1.5cm or 2.0cm in width at the rear end of the nasal cavity spreading plate.
4. The bilateral transsphenoid nostril retractor of claim 2, wherein the operating handle is disposed on an outer sidewall of a rear end of the nasal cavity opening plate.
5. The bilateral transsphenoid nostril retractor of claim 4, wherein an extending plate is provided on each of two opposite side walls of the two operating handles, a circular screw hole is provided on the extending plate, a screw is provided in the circular screw hole, and the two operating handles are connected by a screw combination.
6. The bilateral transsphenoid nostril retractor of claim 5, wherein the screw is provided as an "L" shaped screw.
7. The bilateral transsphenoid nostril retractor of claim 2, wherein the distracting structure comprises a threaded rod and an operating handle for tightening or loosening the threaded rod, the operating handle being integrally connected to the threaded rod.
8. The bilateral transsphenoid nostril retractor of claim 7, wherein a threaded hole matched with the threaded rod is formed in the operating handle, the threaded hole penetrates through the left side wall and the right side wall of the operating handle, and the operating handle enters from the threaded hole of the operating handle on one side and exits from the threaded hole of the operating handle on the other side.
9. The bilateral transsphenoid nostril retractor of claim 8, wherein a threaded cap is provided at an outer opening of the threaded hole of the operating handle at one side, and the threaded cap is integrally connected with the operating handle.
10. The bilateral transsphenoid-access nostril retractor of claim 6, wherein the distracting structure is disposed below the "L" shaped screw.
CN202022135045.3U 2020-09-25 2020-09-25 Bilateral nostril retractor through butterfly approach Active CN213217331U (en)

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