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Much of the difficulty of placing sutures in cleft palate operations may be obviated by the use of this special needleholder. In operating with the child in the head-down position, using the ordinary needle-holder, vision is obscured by the hand being between the field of operation and the eye. By the use of a needle-holder constructed with the hand portion at an obtuse angle, as shown in the illustration, this difficulty is overcome. The surface of the palate is plainly in sight at all times, and the sutures are readily placed in position.
The holder, in addition to its angular shape, has a notch on one blade into which the other blade passes when the holder is closed. This prevents any side motion and secures firmness. The needle-bite is small, suitable to the work intended and the size of the needle used. It also has a catch on the finger-holds
TODD GM. CLEFT PALATE NEEDLE-HOLDER. JAMA. 1912;LIX(24):2127. doi:10.1001/jama.1912.04270120112008