CRANIO MAXILLO FACIAL
The neurosurgeon needs drills electrical operated, highspeed type, allowing to control both torque maximum level and speed maximum level in order to find the right compromise between capacity of demolishing and control of the instrument.
The surgeon needs handpieces long enough to get to reach the deepest cavities, without loosening in terms of coaxiality of the bur compared to the handpiece. In fact, low coaxiality would generate a big number of vibrations, by compromising the control on the instrument in so doing.
Another factor to take into account is the bur to choose, because diamond burs usually generate lower level of vibrations acompared to stainless steel cutting burs. Moreover between cutting burs, it is possible to choose burs characterized by more blades; the more the blades the more the level of vibrations is low.
It is important to control heating by means of irrigation pump possibly integrated with the control unit and orientable towards the point of contact between the rotating instrument and the bone tissues.
Please consider that the neurosurgeon need a wide range of drilling tools which can differ during craniotomy, because of the approach to be used such as cranial or transfenoidal one.
Provided that all precautions are taken into account, a good medication which could reduce the risk of surgical site infection is always useful.