Neivert Nasal Retractor, Double Ended with Guide
$ 24.50
Neivert nasal retractors are double ended instruments used in rhinoplasty and septoplasty, with a retractor at one end and a guide at the other. The retracting end draws the ala back off the vestibule so the septum and the alar cartilage can be seen, and the guide end steadies a blade along the line of a planned incision. Two jobs in one instrument is the whole point of the pattern, because it means one fewer hand in a nostril that is only a few millimeters across.
Key Features
- Double ended, a retractor at one end and a guide at the other
- Blunt working edges, so the vestibular skin and mucosa are not torn
- Used on the nasal vestibule, the septal mucoperichondrium and the alar soft tissue
- Keeps one hand out of a nostril that is only a few millimeters across
- Used in ENT and rhinology, rhinoplasty, septoplasty and facial plastic surgery
- High quality medical grade stainless steel, autoclavable and made to be used again
- Three year replacement warranty against manufacturing defects
Available on backorder
What the neivert nasal retractor is
The neivert nasal retractor is a double ended instrument used in rhinoplasty and septoplasty, with a retractor at one end and a guide at the other. The retracting end draws the ala back off the vestibule so the septum and the alar cartilage can be seen; the guide end steadies a blade along the line of a planned incision.
Two jobs in one instrument is the whole argument for the pattern. A nostril is a few millimeters across, and every instrument put through it is one more thing between the surgeon and what is being cut. Turning the instrument over is cheaper than reaching for another one.
Both ends are blunt. Everything the retracting end touches is vestibular skin or mucosa, and both tear under an edge.
Key design features of the neivert nasal retractor
Four features, and the first is the one the pattern is known for.
- Double ended. A retractor at one end, a guide at the other, and one instrument instead of two in the nostril.
- Blunt working edges. Both ends, because vestibular skin and mucosa tear under an edge.
- Slim profile. Cut for an opening measured in millimeters rather than centimeters.
- Flat handle. Tells the hand which end is which without looking.
The two ends and what each is for
One instrument, two working ends. The chart is the plain answer to which end does what.
| End | What it does | Working edge | Used on | Item code |
|---|---|---|---|---|
| Retracting end | Draws the ala back off the vestibule | Blunt | Vestibular skin and alar soft tissue | AP-30.10 |
| Guide end | Steadies a blade along a planned incision | Blunt channel | The line of the incision itself | AP-30.10 |
Our own record for this pattern carries no length or blade figure, so none is stated here. Competitor listings quote figures of their own and none is repeated on this page. Ask and it will be measured.
Where a retractor used in surgery like this one earns its place
Any retractor used in surgery is chosen by the field it was cut for, and this one was cut for the inside of a nostril.
| Specialty | What the neivert nasal retractor is used for |
|---|---|
| Septoplasty | Holding the vestibule open while the septal mucoperichondrium is raised |
| Rhinoplasty | Vestibular exposure, and guiding the first incision |
| ENT and rhinology | General intranasal exposure through the nostril |
| Facial plastic surgery | Alar and vestibular work during nasal procedures |
| Functional nasal surgery | Exposure for airway work rather than cosmetic work |
| Revision work | Two functions in one instrument keeps a crowded field clearer |
| Teaching sets | The guide end makes the line of an incision explicit rather than assumed |
What it holds, and what it does not
A double ended instrument has two sets of limits, so both are set out here.
| Structure | How the instrument takes it |
|---|---|
| Nasal vestibule | The pattern this retractor exists for. Drawn back on a blunt edge |
| Alar soft tissue | Held clear while the structures behind it are worked on |
| Nasal mucosa | Held, never gripped. Both ends are blunt for exactly this reason |
| Septal mucoperichondrium | Exposed once the vestibule is open |
| Internal nasal soft tissue | Reached through the opening the retracting end makes |
| A blade during an incision | Steadied by the guide end, which is what the second end is for |
| Cartilage or bone | NOT this instrument. It holds and it guides, it does not cut |
How the neivert retractor compares with the rest of the family
Four of the rows below are our own nasal retractors. The neivert retractor is the only one of them that does a second job.
| Pattern | How it differs | When you reach for it instead |
|---|---|---|
| Cottle alar nasal retractor | A single contoured blade sized for the nostril curve | Alar exposure where no guide is needed |
| Aufricht nasal retractor | A blunt angled blade for the dorsum | Lifting the skin envelope in an open approach |
| Aufricht nasal retractor fiber optic | The Aufricht blade with a light guide | A deep or revision field |
| Maliniac nasal retractor | A 9 mm by 45 mm concave blade | Broad soft tissue exposure |
| A plain single ended retractor | One function, one end | When the guide would never be used and a shorter instrument is easier |
| A separate knife guide | A second instrument in the nostril | When the retractor in use has no guide end |
Materials and finish
Made from high quality medical grade stainless steel, satin finished so the operating light does not reflect out of a nostril into the surgeon eye. The steel itself is made to a German specification. Both ends are finished blunt and checked against each other, because an instrument that is sharp at one end is not this pattern.
Care and sterilization
Clean with a soft brush under running water, working both ends and the guide channel where tissue collects, then rinse in deionized water and dry fully before autoclaving. Store so neither end is resting under weight. A double ended instrument is twice as easy to damage as a single ended one, because whichever end is down is the end taking the load, so check both before it goes back into the set.
Ordering and wholesale
Adas Instruments makes this pattern to order and supplies hospitals, surgical centers and distributors across the United States, Latin America, Europe and Asia. Bulk and wholesale pricing is available, and instruments held on backorder ship in 10 to 12 working days. Every instrument carries a three year replacement warranty against manufacturing defects. Certifications: CE. Production is controlled under an ISO 13485 quality management system.
Frequently asked questions
What is a neivert nasal retractor used for?
Holding the ala back off the vestibule during rhinoplasty and septoplasty, so the septum and the alar cartilage can be seen, and steadying a blade along the line of a planned incision with its other end. It is used in ENT, rhinology and facial plastic surgery.
What instruments are used in nasal surgery?
Exposure, cutting and shaping, and holding. Exposure is the retractors: this one for the vestibule, the Cottle alar for the nostril, the Aufricht for the dorsum. Cutting and shaping is knives, osteotomes, rasps and scissors. Holding is septum forceps and fine skin hooks. Nothing in the second or third group can be used until the first group has opened the field.
What are surgical retractor names in a nasal set?
Almost all of them are eponyms, and the name is shorthand for the blade. Neivert means double ended with a guide, Aufricht means a blunt angled blade for the dorsum, Cottle alar means a contoured blade for the nostril, and Maliniac means a wide concave blade for soft tissue.
Which instrument is a retractor?
Any instrument that holds tissue out of the line of work rather than cutting or grasping it. This one is unusual in being a retractor at one end and a guide at the other, but the retracting end is a plain handheld retractor like any other.
Is the guide end sharp?
No. It is a blunt channel that a blade runs along, and it does not cut on its own. Nothing on this instrument is sharp, because everything it touches inside a nostril is skin or mucosa.
Related products and categories
Buyers who order the neivert nasal retractor usually order alongside it the cottle alar nasal retractor, the aufricht nasal retractor and the aufricht nasal retractor fiber optic. The whole family sits in hooks and retractors, and this pattern is also listed under rhinoplasty instruments.
| Weight | 0.09 kg |
|---|
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