• One of the problems often encountered in external rhinoplasty is retraction of the flap. When a wide, double-pronged retractor is used, the tongue of the external rhinoplasty flap falls between the two points, often obscuring the view of the tip-and-dome anatomy. When vein retractor-type instruments are used, they will often slip and do not stay stable. A retractor has been designed for external rhinoplasty that consists of a wide, double-pronged element to elevate the soft tissues of the lower third of the nose above the cartilaginous and bony anatomy, combined with a central, slightly set-back retractor that holds the tongue of the rhinoplasty flap in a secure, retracted position. This has been a significant improvement in retraction for the external rhinoplasty flap.
(Arch Otolaryngol Head Neck Surg. 1992;118:514-515)
Becker FF. New Retractor for Open Rhinoplasty. Arch Otolaryngol Head Neck Surg. 1992;118(5):514-515. doi:10.1001/archotol.1992.01880050066016