In rhinoplasty after the bony hump has been removed, the nasal processes of the maxillae are displaced mesially to obliterate the gap between the nasal bones. The surgeon not infrequently finds on approximation that the nasal bones are asymmetric or that they project beyond the planned profile line, producing a new hump. Attempts to rasp or saw this projecting bone on an
A, angular bone-cutting forceps. B, magnification of biting jaw; note contour of cutting blades.
unstable pyramid not only are difficult but also are fraught with danger. Scissors are not easily maneuvered, nor have they the required power to remove accurately the desired fragment of bone.
Using the principle of the Kazanjian forceps, I devised a bone-cutting forceps with nipper-type cutting blades for removal of fragments of nasal bones under direct vision or for the removal of any desired part of the bony vault.
The instrument has a bent