HOLDING DEVICE

The invention concerns a holding device, in particular for holding the cheek or lips with oral-surgical or kieferchirurgischen operations or dental treatment, whereby the holding device a Wundhaken with seize-hurry and is intended at the hook part to this fastenable cheek owner exhibits hook part. Further the invention concerns the cheek owner for a such holding device. With examining the oral cavity and with medical interferences in the mouth of a patient the maximum mouth opening limited by anatomical conditions shows up as one of the largest problems. Due to this restriction both the view and the movement extent of the Behandlers are limited. At present world-wide usual kind better Voraussetlo tongues to create, is the use of a so-called Langenbeckhakens, which holds the cheek and such a larger field of vision made possible. Its conceptual origin is not however the AIIgemeinchirurgie and from there is by any means optimal the form of this hook for the mouth range and very often leads to pain and swelling within the range of the cheek and the Mundwinkels. Besides also the field of view for the Behandler is often increased in to small measure. Therefore occasionally still another additional so-called Cheekretractor is used, which possesses however again the disadvantage, which strains entire mouth opening far outer uspreizen and thus the soft parts. For holding the bone skin with oral-surgical interferences however then additionally again a Langenbeckhaken is necessary. The DE 25 03 404 A1 shows one very complicated arranged Wundhaken, which exhibits plattenförzo a miges connecting unit. On this connecting unit a spreader and/or a form plate can be screwed on alternatively. A such instrument is not usable for the practical use or only at high expenditure. If the equipment is bolted, one cannot adjust it without recent sterilizing. Sterilizing of bolted with one another parts is insufficient. The form plate consists metal of solid material, i.e., and is not transparent. Thus the operation field is withdrawed the views. Further the form plate is not anatomically formed. The remaining holding out show well-known cheek owners or lip owners, which are not adjustable. The FR 2,475,885 A shows a Wundhalter, whose point part can be used for keeping the area of operations open. The cheek owner is however into its distance from the part fixed, what is very unfavorable. The distance between lip or cheek on the one hand and the area of operations on the other hand is different depending upon operation place. Further the lip owner is only insufficiently adapted to the anatomical form. The DE 199 51 229 A1 does not only show a Wundhaken, but a lip mouth spoon, how he serves the cheek or lips of the tooth range exclusively for pulling away. An interference instrument for the area of operations is here missing. Same is valid also for US HP 5,730,597. Here a pure lip cheek owner is present, which is not suited for operations. Task is it now to connect the problem of the reduced view and the optimum entrance to the mouth height and/or to the area of operations with the greatest possible indulgence of the patient without having to use for it several instruments. Further an instrument is to be planned, which is to be sterilized easily and with that the cheek owner simply on the Wundhalter touched down and in its position easily adjustable is. Also during the operation the distance between the front end of the Wundhalters and the cheek owner is to be changed to be able, without having to adjust screws or other fastening parts. A goal is to plan a device which in combination to the conventional Wundhaken, as Langenbeckhaken, which as extended grasp can serve and with its end holding the bone skin, makes at the same time a careful holding for the cheek and/or the lips possible. The holding device according to invention is characterized by that the car owner exhibits a Aufnahmeschlitz_ for the hook part and along the hook part adjustably and can be recognized by friction force. Further the cheek owner is characterized by that it is a moon-crescent-shaped piece of form, whose outer sheet of the Wangenoder lip form is adapted and whose interior sheet exhibits an admission standing transverse to the main level of the cheek owner. Further characteristics of the invention are the following description to infer from the designs and RKs 410,281 B the patent claims. In the following the invention is for example more near described on the basis the design. Fig.1 shows the holding device and the Fig.2 and 3 the cheek owner in diagonal view in two opinions. The holding device covers a cheek owner 1 and a Wundoder Haltehaken 2. the Wundhaken 2 can for example a Langenbeckhaken be, which is far common. The Wundhaken covers one seize-hurries 4 and about right-angled from it distantly the hook part 5. the cheek owner 1 is with a photograph slot 3 provided, into which the hook part of 5 of the Wundhakens 2 can be slid, whereby the position of the cheek owner can be adapted to the necessities at the hook part by shifting easily. The hook part of 5 exhibits a retaining end of 9, with which the bone skin can be e.g. held with surgical interferences from the Kieferknochen. The cheek owner is represented in the Fig.2 and 3 in two opinions. In supervision in accordance with Fig.2 it is moon crescent-shaped and exhibits an outer sheet 8 and an interior sheet 7. At the interior sheet 7 the photograph slot 3 is intended transverse to the main level 8 of the cheek owner. The photograph slot is so dimensioned that the hook part of 5 sits sufficiently firmly, but to be shifted nevertheless or removed can. The photograph slot 3 can be located perpendicularly to the main level 8 or also in an angle to it. The outer sheet 6 is adapted the Wangenoder lip form, as is entnehmbar in particular the Fig.1 and 3. Preferred if the cheek owner consists of a shaped part of flexible plastic, prefers from sterilizable transparent or translucent plastic. The has] tevorrichtung can be offered either as combination of the Haltehakens with the cheek owner, or the cheek owners separately as accessories for Haltehaken like e.g. Langenbeckhaken intended. In accordance with the different Langenbeckhakengrößen can also the size of the cheek owner and the photograph slot 3 vary. By the device according to invention it is possible, carefully the cheek and/or lips and simultaneous different structures to hold as for instance the bone skin. An injury of the cheek range and the Mundwinkel are avoided. The cheek owner is cheap in the production and can being combined with already existing devices like the Langenbeckhalter. The parts are easy to clean and sterilizable. Due to the desired flexibility of the plastic material for the cheek owner this exhibits a certain departure resistance at the hook up and a mobility of the parts among themselves, which likewise facilitates the handling.