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In operations on the nose which involve the use of a chisel and mallet for cutting bone and cartilage, there is often some degree of fear aroused in the patient, regardless of the anesthetic and of most careful technical procedure. There may also be inaccuracy in making a satisfactory separation of the bony parts, especially in fracturing the anterior maxillary process in removal of a hump.
To obviate these conditions, I have repeatedly sought to devise some means other than those in common use. To this end, a fusiform-shaped chisel with a wedge-shaped cutting edge has been used, especially for narrowing the nose in the course of a rhinoplasty. While this has been an improvement, it has not been entirely satisfactory, and now another instrument has been tried out on a number of cases, with gratifying results.
Narrowing the nose is a necessary step in the operation for removal of
SELTZER AP. Clinical Notes, New Instruments and TechniquesUSEFUL SUBSTITUTE FOR THE MALLET AND CHISEL IN RHINOPLASTY. AMA Arch Otolaryngol. 1954;59(1):111–112. doi:10.1001/archotol.1954.00710050123016