Cotton gauze sponges have many disadvantages when used for dermabrasion. They offer little protection to the assistant's fingers during freezing. They rapidly become soaked and must be discarded. They offer poor skin traction and must be removed from the operative field when planing starts, lest they become entangled and create embarrassment by slapping the patient's face or breaking the handpiece.
Cellulose sponges, such as O-Cello, which are obtained from the grocer, are free from these disadvantages. This material is easily cut to any size by slicing on the butcher's meat slicer or by cutting with a knife while dry. The convenient size is about 1×6×10 cm. These sponges are highly absorbent and cannot catch, even in a coarse wire brush or burr. These instruments cut the sponges into a powder rather than cause entanglement. It is physiologically inert and could hardly be expected to produce granulomas.
The sponges may be
STUBBART JF. Cellulose Sponge for Dermabrasion. Arch Dermatol. 1960;82(6):1006. doi:10.1001/archderm.1960.01580060162030
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