A “star” retractor in head and neck surgery

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he Lone Star RetractorTM (Lone Star Medical Products, tafford, UK) has its origins in anorectal surgery as a specially esigned, single use retractor ring using elastic stays that rovide optimal exposure while taking up the minimum of oom.1 The specially designed stays come in a number of ifferent ergonomic designs including a “rake”, “blunt hook”, nd “sharp hook” (Fig. 1). They were designed for the friable nal mucosa and are gentle enough to use in the head and eck. We have found in our surgical practice, and particuarly in neck dissections, that these hooks provide ideal