What a Middeldorpf cheek retractor is
Every operation inside the mouth starts with the same problem. The cheek and the lip sit in front of the work, and they move every time the patient breathes. A cheek retractor takes them out of the way. The Middeldorpf does it with a small hooked end on a long slim shaft, so the assistant’s hand stays outside the mouth while the end sits deep in the vestibule.
Google AI Mode, read on 3 November 2026, calls the Middeldorpf retractor a handheld instrument used to mobilize, retract and hold back soft tissue for visibility and access. It names the cheeks, the lips, the tongue and mucoperiosteal flaps, and it gives blade sizes from 14 x 17 mm up to 26 x 30 mm. Those two figures are the smallest and the largest of our own three sizes. Some catalogs spell it Middeldorf retractor, with one letter fewer.
Gemini, read the same day, lists it under oral and maxillofacial surgery, ENT and general surgery, and gives the Middeldorpf intraoral retractor as another catalog name. On a dental list it sits with the cheek retractor dental buyers order for extraction and implant trays, the metal kind that goes through the steam cycle and comes back.
Key design features
Three sizes on one listing
The listing carries three variations. The 21.5 cm retractor has a 14 x 17 mm blade, the 22 cm one a 20 x 22 mm blade, and the 23.5 cm one a 26 x 30 mm blade. The longer the instrument, the wider the end, which is the right way round: a deeper field needs both more reach and more tissue held. All three cost 24 dollars, so the choice is made on the patient and the site, not on price.
A small curled end
In our photograph the working end is a small curled hook at the top of a slim round shaft. The curl sits against the inside of the cheek and holds it without a wide flat blade in the way of the light. A slim shaft also leaves room beside it for suction and for the surgeon’s own instruments.
A loop handle with a ring
The handle is an open loop, and there is a ring part way down the shaft above it. The assistant can take the loop in the whole hand for a long hold, or hook a finger through the ring for a lighter, closer grip. An open handle also weighs less than a solid one, which matters over a long case.
Made for the steam cycle
It is one piece of stainless steel with no joint, no screw and no coating, so there is nothing to come apart in the washer. That is the difference from the plastic cheek retractors sold for photography and whitening, which are thrown away after one patient.
Which size to order
The three variations on the listing, read on 3 November 2026. Each is a separate instrument at the same price.
| Size on the listing | Overall length | Blade | Price |
|---|---|---|---|
| Small | 21.5 cm (8 1/2 in) | 14 x 17 mm | 24 dollars |
| Medium | 22 cm (8 3/4 in) | 20 x 22 mm | 24 dollars |
| Large | 23.5 cm (9 1/4 in) | 26 x 30 mm | 24 dollars |
Where it is used
Gemini, read on 3 November 2026, places the Middeldorpf in oral and maxillofacial surgery, ENT and general surgery, on the buccal mucosa, the soft tissue of the cheek and the corners of the lips.
| Case | What it holds back | Size to start with |
|---|---|---|
| Tooth extraction and implant placement | Cheek and the raised flap over the ridge | Small or medium |
| Cyst removal or bone graft from the jaw | Cheek, lip and flap at the back of the mouth | Medium or large |
| Jaw surgery through the mouth | Cheek and soft tissue over the ramus | Large |
| Soft tissue repair inside the cheek | The edge of the wound | Small |
What it holds back, and what it must not do
A retractor holds tissue still. It is not a lever and it is not a mouth prop.
| Job | Use the Middeldorpf? | What to use instead or beside it |
|---|---|---|
| Holding the cheek and lip | Yes | This is the job it is made for |
| Holding a raised flap | Yes, with a light hand | Let go between steps so the flap is not pressed for long |
| Keeping the mouth open | No | A mouth gag or a bite block |
| Pressing the tongue down | No | A tongue depressor |
| Prying bone or a tooth | Never | An elevator; the hook end bends under that load |
How it compares with the rest of the family
Ten hand held cheek and lip retractors make up this family on our site. The ends are read off each listing’s own photograph, the lengths off the name or the variations, and the prices off the order form, on 3 November 2026.
| Retractor | Ends | Working end, from our photograph | Length | Price |
|---|---|---|---|---|
| Middeldorpf (this page) | one | small curled hook on a slim shaft, loop handle | 21.5, 22 or 23.5 cm | 24 dollars |
| Kirsch | one | flat blade at a right angle, left and right patterns | 20 cm | 24 dollars |
| Kay Austin | one | flat L shaped plate, no separate handle | not stated | 16 dollars |
| Cheek retractor 22 cm | one | small curled hook on a long slim shaft | 22 cm | 24 dollars |
| Bowdler-Henry | one | small curved blade with a toothed edge, solid handle | 16 cm | 33 dollars |
| Buchs | one | small scoop blade on a slim shaft, loop handle | 20 cm | 24 dollars |
| Sternberg | two | bent wire frame, a loop at each end | not stated | 9 dollars |
| Simplex | one | flat plate with a forked U shaped blade | not stated | 6 dollars |
| Cawood-Minnesota | two | flat S shaped bar, a narrow end and a wide end | not stated | 6 dollars |
| Ward | two | flat S shaped bar, a curved blade at each end | 15 cm | 21 dollars |
Materials and finish
Every Middeldorpf cheek retractor we make is formed from high quality medical grade stainless steel. The steel itself is made to a German specification. We do not publish a grade number.
The finish is plain steel. The curled end and the loop handle are formed from the same piece as the shaft, so there is no joint where blood can sit. Each size is stamped with the item code so the three can be told apart on a tray.
Caring for it
Rinse the retractor as soon as the case ends, before blood dries inside the curl. Brush the inside of the hook and the inside of the loop handle, where a cloth does not reach. Dry it, steam sterilize it on the normal instrument cycle, and check the end before it goes back on the tray. A hook that has been bent out of shape can catch the mucosa, so put it aside rather than bend it back by hand.
Ordering and wholesale
The Middeldorpf cheek retractor is made by Adas Instruments in our own workshop and sold direct, which is why the price sits where it does against the catalog houses. Order one for a single tray, or in quantity for a hospital list or a distributor line. We do OEM work under your own brand and your own item numbers. Send us a sample and we will hold a run to your pattern rather than ours. Stock items ship from our own workshop. Backorder items take 10 to 12 working days to make. Every instrument carries a three year replacement warranty against manufacturing defects. Production is controlled under an ISO 13485 quality management system.
Frequently asked questions
What is a Middeldorpf cheek retractor used for?
It holds the cheek, the lips and a raised flap away from the field during surgery inside the mouth: extractions, implant placement, cyst removal, bone grafts from the jaw and jaw surgery done through the mouth. The long shaft keeps the assistant’s hand outside the mouth while the end works deep in the vestibule.
Which Middeldorpf cheek retractor size should I order?
Order by the depth of the field. The 21.5 cm instrument with the 14 x 17 mm blade suits work near the front of the mouth. The 22 cm with 20 x 22 mm covers the premolar and molar area. The 23.5 cm with 26 x 30 mm is for the back of the mouth and the ramus. All three are 24 dollars.
Is it the same as a Middeldorf retractor?
Yes. Middeldorf is a spelling some catalogs use for the same pattern, with one letter fewer. Gemini also gives Middeldorpf intraoral retractor as a catalog name. Whatever the spelling, the instrument is a hand held retractor with a small hooked end on a long shaft and an open handle.
How is the Middeldorpf different from a Minnesota retractor?
Gemini, read on 3 November 2026, puts the difference in the blade. The Middeldorpf works with a small end on a long shaft and an open handle, while the Minnesota is a flat bar with a shaped end at each side and a tongue end. Ours in that pattern is the Cawood-Minnesota cheek retractor, at 6 dollars.
Can the Middeldorpf cheek retractor go in the autoclave?
Yes. It is one piece of stainless steel with no joint, screw or coating, and it goes through the normal steam cycle with the rest of the tray. Rinse and brush the curl and the loop first, so nothing dries inside them, and dry it before it is packed.
Related products and categories
Three more retractors from the same family: the Kirsch cheek retractor, the Kay Austin cheek retractor and the 22 cm cheek retractor. The rest of the range is under maxillofacial instruments, which sits inside our ENT instruments.


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