Powered instrumentation for dorsal reduction

Facial Plastic Surgery : FPS
Daniel G BeckerM E Tardy

Abstract

We describe the use of powered instrumentation for precise modification of the bony nasal dorsum. Specific modifications were made to design a drill specifically for the bony nasal dorsum. This drill has a protective sheath that covers all but the active part of the drill, protecting the skin-soft tissue envelope, and it also has suction at the resection site. In some cases an osteotome is used to reduce the hump and the drill is used to achieve additional reduction and to smooth the exposed edges under direct vision. In other cases the entire bony hump is reduced using the drill. The nasal dorsum drill offers a precise alternative to the rasp. The precision of the drill is highlighted in cases in which limited reduction is needed, as in cases of a single or several spicules requiring reduction and smoothing after osteotomy, or a single 4 mm raised area requiring limited reduction. The design of rasps makes it difficult to work on these focal areas without unnecessarily rasping surrounding areas, whereas the drill may be used to reduce the entire hump, to smooth the edges after osteotomy, or in a more precise and limited fashion when indicated. The drill may be less traumatic to the skin-soft tissue envelope because it does not...Continue Reading

Citations

Apr 28, 2010·Expert Review of Medical Devices·Cemal CingiSenol Civelek
Nov 8, 2015·Aesthetic Surgery Journal·Olivier GerbaultAaron M Kosins
Jun 8, 2006·Otolaryngologic Clinics of North America·Daniel G Becker, Samuel S Becker
Dec 1, 2015·Clinics in Plastic Surgery·R Laurence Berkowitz, Ronald P Gruber
Aug 5, 1999·Otolaryngologic Clinics of North America·D G BeckerD M Toriumi
Mar 26, 2015·Aesthetic Surgery Journal·Ronald P Gruber, Deepak Gupta
Mar 8, 2012·Aesthetic Surgery Journal·Dov Klein, Liora Hollander
Feb 8, 2006·Plastic and Reconstructive Surgery·Jean-Paul MeningaudJacques-Charles Bertrand
Mar 25, 2006·Annals of Plastic Surgery·Luiz Carlos IshidaMarcus Castro Ferreira
Jun 4, 2019·Aesthetic Surgery Journal·Vitaly ZholtikovRollin K Daniel
Mar 16, 2019·World Journal of Plastic Surgery·Amir ManafiFarzad Manfai
Nov 20, 2002·Archives of Facial Plastic Surgery·Daniel G Becker
Dec 29, 2020·Plastic and Reconstructive Surgery·Emmanuel RacyNadia Benmoussa
Feb 24, 2021·Facial Plastic Surgery : FPS·Chew Lip Ng, Alwyn Ray D'Souza

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