Modified dingman mouth GAG

MODIFIED

DINGMAN

MOUTH

GAG

By LEWIS W . THOMPSON, M.D. From the Department of Surgery, Plastic Surgery Section, Indiana University Medical Centre, Indianapolis, Indiana SINCE the origin of the mouth gag, several styles and modifications have been developed. In Great Britain the Dott-Kilner gag has been popular in palatal surgery. In 1962, Dingman described a modification of this model in which he closed the open side and added bilateral cheek retractors.

FIG. I Dingman's modification of Dott-Kilner m o u t h gag.

FIG. 2 The new modified Dingman mouth gag.

286

MODIFIED DINGMAN MOUTH

GAG

287

TWO years ago at Indiana University Medical Center, the Dingman gag w~s further modified by removing the central segment on the cephalad side of the rectangular frame. This allowed more space to work on the anterior central third of the palate, and the alveolar ridge. Padgett Instrument Company has supplied this new modification along with a smaller tongue blade (in the set of three) than has previously been available. Over a two and a half year period, this new modification used on an average of 66 palatal procedures per year has proved beneficial.

DINGMAN,R. O. (1962).

Plastic

REFERENCE reconstr. Surg. 29, 208.