Marginofixator. A New Instrument for Holding the Lid Margin in Position

In operations on the lids and the edges of the lids, fixation and accessibility of the operative area are of utmost importance. For this purpose blepharostats (Elschnig, Desmarres, Kuhnt), Olálïs forceps and other instruments have been available. In operations on the lid margins we have found an instrument of our design to be more useful than those afore-mentioned. Its description is given below. The “Marginofixator” (see photograph) consists of two similar halves, a lower and an upper one. Each of these has a fenestrated blade and a handle which are slightly curved and held together at the ends by a small screw. The other screw to be seen on the handle serves the same purpose as that on a blepharostat. The blades, which are shaped so as to fit the eyeball, are bent at about two-thirds of the distance from their rounded ends at right angles. For operations on either surface of the lid or on the lid margin, always the lower blade is inserted under the lid, the clamping screw tightened and, if necessary, the handle working as a secondclass lever, raised until the desired operative position is obtained. The instrument can be used in all operations on the margins of the eyelids; in all operations on either surface of the eyelid; Bagóczky, Marginofixator 125 (3) to evert and keep a lip in place when taking a graft (not larger than the area that can be included in its grasp). Maker of the Marginofixator: G. Otte, Budapest, Bástya-u. 12. Zuscimmenfassimg. Beschreibung eines neuartigen Instrumentes «Marginofixator» zur Festhaltung des Augenlides oder der Lippe. Gewährleistet bei operativen Eingriffen an genannten Stellen günstigere Vorbedin-gungen als die bisher bekannten. Resume. Description d’un instrument de nouveau genre « Marginofixa-teur » pour maintenir les paupières ou les lèvres. II garanti† lors des interventions operatives des parties susnommées des conditions plus favorables que celles connues jusqu’à present. Buchbesprechungen – Book Reviews – Livres Nouveaux Arnold Gesell, Frances L. ∏g, and Glenna E. Bullis: Vision; its Development in Infant and Child. Paul B. Hoeber, New York 1950. 331 p. with 72 fig. $ 7.50. Das vorliegende