RECONSTRUCTION of the bony pyramid is considered by many surgeons as the most important and most difficult phase of rhinoplastic surgery. It serves as one of the key factors in producing a straight reasonably high narrow dorsum which is esthetically most acceptable. For this purpose, a variety of instruments are presently employed which vary with the preference and skill of the surgeon. The lateral osteotomy may be made with (1) various sizes and shapes of saws; (2) various types of osteotomes; (3) the Quisling hammer; and (4) the lateral osteotome. In general, these are all useful instruments, however, when using these sharp instruments one must use them with due care and respect for their potentialities.
Three new instruments for reconstruction of the bony pyramid are presented and offer the rhinoplastic surgeon an additional margin of safety and improved control when reconstructing the bony pyramid.
The Lateral Osteotome.—This instrument is
Frank F. Rubin. Reconstruction of Bony Nasal PyramidThree New Instruments. Arch Otolaryngol. 1968;88(3):279–282. doi:10.1001/archotol.1968.00770010281014