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| LETTER TO THE EDITOR |
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| Year : 2015 | Volume
: 8
| Issue : 1 | Page : 121 |
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Use of the hypodermic needle for dissection
Ananta A Kulkarni1, Vinod K Vij2, Suhas V Abhyankar1, Rohit R Singh1
1 Department of Plastic Surgery, Padmashree Dr. D. Y. Patil Hospital & Research Centre, Nerul, India
2 Department of Plastic Surgery, Fortis Hiranandani Hospital, Vashi, Navi Mumbai, Maharashtra, India
| Date of Web Publication | 8-Jan-2015 |
Correspondence Address:
Ananta A Kulkarni
Department of Plastic Surgery, Padmashree Dr. D. Y. Patil Hospital & Research Centre, Nerul
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0975-2870.148876
How to cite this article:
Kulkarni AA, Vij VK, Abhyankar SV, Singh RR. Use of the hypodermic needle for dissection. Med J DY Patil Univ 2015;8:121 |
Sir,
Different blades are used for incision and sharp dissection in different situations during surgery. 23 No. Surgical blade is used for trunk and limb surgery. 15 No. Surgical blade is used for fine surgery especially on the face and hand. 11 No. Surgical blade is used for very sharp and localized dissection for lip and ear cases. There are some situations where really a very fine, sharp and controlled incision and dissection in a localized area is required, e.g., separating the skin from cartilage or mucoperichondrium from the septum in open rhinoplasty, [1] separating muscles in eyelid surgery, [2] separating cartilage from skin in ear surgery, etc.
In these cases, we are using a hypodermic needle attached to a syringe and we are getting a satisfactory control over the situation [Figure 1]. The needle has the advantage of having a very sharp and fine tip, cutting edge on both sides only for 2-3 mm, does not obscure vision due to small tip, so no hindrance in surgery.
Hence we recommend this as another use of a needle for fine surgical work as it is cheap and easily available. Any size of the needle can be used according the age of the patient and thickness of the tissue and the surgeon's preference. It can be a useful addition in armament of a plastic surgery.
| References | |  |
| 1. | Cerkes N. Concurrent elevation of the upper lateral cartilage perichondrium and nasal bone periosteum for management of dorsum: The perichondro-periosteal flap. Aesthet Surg J 2013;33:899-914.  |
| 2. | Jung Y, La TY. Blepharoptosis repair through the small orbital septum incision and minimal dissection technique in patients with coexisting dermatochalasis. Korean J Ophthalmol 2013;27:1-6. |
[Figure 1]
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