Can Osteotomes Be Sharpened in the Operating Room Inexpensively and Effectively? An Experimental Study on Sandpaper Versus Arkansas Stone

Year 2022, Volume: 32 Issue: 4, 81 - 86, 24.01.2023

Cem Bayraktar , Nesrettin Fatih Turgut , Mehmet Eser Sancaktar

https://doi.org/10.26650/Tr-ENT.2022.1209292

Abstract

Objective: The maintenance of surgical instruments is an ongoing problem for surgeons, especially in operations such as rhinoplasty where instrument sharpness is very important. This study aims to investigate the effectiveness of two inexpensive and easily accessible sharpeners that can be used in the operation room immediately before surgery. Materials and Methods: Three new Cinelli osteotomes were subjected to base sharpness measurements and then used to cut same-sized artificial bone blocks by applying hammer blows with equal force. The three osteotomes were placed into different groups as follows: the no-sharpening (NS) group, the Arkansas stone (AS) group, and the sandpaper (SP) group. Sharpness measurements were repeated in all groups after the 1st, 4th, 7th, and 10th osteotomies. Results: No significant difference was found between the initial measurements with the sharpness values measured after the 10th osteotomy in the NS and AS groups (p>0.05). The dullness in the SP group, however, increased significantly through the process. Conclusion: Using new osteotomes without resharpening them after their first use until they have become blunt may be appropriate. If sharpening is to be done, an Arkansas stone will likely provide better results than sandpaper. 

Keywords

Osteotome, sharpness, sandpaper, arkansas stone

Supporting Institution

Samsun Training and Research Hospital

Project Number

2019/20-33646832-799

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