Rhinoplasty Instruments

Rhinoplasty instruments by surgical step

Retractors and hooks

The Aufricht retractor lifts the dorsal skin from inside to expose the upper third of the dorsum and the cartilaginous vault; it also comes double-ended, with suction and with a fiber optic light guide. Weighted retractors such as the Gruber rhinoplasty retractor hold the columellar flap by a chain and weight over the forehead, giving hands-free retraction in open rhinoplasty. Skin hooks and alar hooks hold the nasal skin and alar rim. All are in Plastic Surgery Retractors & Skin Hooks.

Elevators and dissectors

Nasal elevators lift the periosteum from the nasal bones and the perichondrium from the nasal cartilages; septum elevators raise the mucoperichondrial flap from the septum. Daniel-Gubisch raspatories lift the perichondrium around rib cartilage harvested for grafts. See Periosteal Elevators & Surgical Dissectors.

Nasal scissors and knives

Nasal scissors are named for the cartilage or area they work on — lower and upper lateral cartilage, dorsal, septum and turbinate scissors — and angled shanks keep the hand out of the line of sight. Nasal knives cut and dissect inside the nose, including the septum. The cartilaginous part of a dorsal hump is removed with a knife or scissors, the bony part with a rasp or chisel. See Plastic Surgery Scissors and Nasal Knives & Scalpel Handles.

Osteotomes, chisels and mallets

Rhinoplasty osteotomes cut the nasal bones in lateral, medial-oblique and transverse osteotomies; lateral osteotomies narrow the nose and close the open roof left after hump removal. A mallet drives the osteotome or chisel. See Osteotomes, Surgical Chisels and Surgical Mallets & Cartilage Instruments.

Rasps and saws

Tungsten carbide or diamond rasps smooth the bony surface after hump resection, and glabella rasps work at the nasal root. Tooth direction sets the working stroke: forward teeth cut on the push, reverse teeth on the pull. Nasal saws divide bone with hand strokes, an alternative to the osteotome for osteotomies. See Nasal Rasps & Saws.

Septum and nasal forceps

Septum forceps grasp and remove septal cartilage and bone once the mucosal flaps are raised; Walsham and Asch forceps reduce nasal-bone and septal fractures. Cartilage forceps hold grafts for suturing, and the Rubin septal morselizer crushes septal cartilage evenly for use as a graft. See Nasal Forceps.

Instruments for preservation rhinoplasty

Preservation rhinoplasty keeps the dorsum, its ligaments and the cartilage framework where possible, so bone work is limited to transverse, lateral and radix osteotomies. The Tastan-Cakir saws were developed for it — the concave radix saw for radix osteotomies and the convex saw for transverse osteotomies — with the Cakir rasps for small bony areas.

Fine forceps and measuring instruments

Fine Plastic Surgery Thumb Forceps and the calipers, rulers and markers in Measuring & Marking Instruments complete the range.

What are rhinoplasty instruments used for?

Instruments for rhinoplasty cover open and closed rhinoplasty, preservation rhinoplasty, nasal fracture reduction, turbinate reduction and rib cartilage harvest for grafts; septorhinoplasty instruments add the work on the nasal septum. Septoplasty instruments in the range are the septum elevators, septum forceps and septum scissors that correct the nasal septum.

How BusinessMed rhinoplasty instruments are made

Each rhinoplasty instrument is made of German stainless steel with a satin, non-reflective finish; many rasps, scissors and forceps carry tungsten carbide inserts or edges. They are reusable, autoclavable and covered by a 5-year warranty.