I have a few questions regarding the rasping method used to remove the bony part of the nasal bump. I see surgeons essentially "file" the bump down with a rasp & I have a few questions regarding this: 1) Where do the bone shavings go? 2) Are there fine bone fragments that come off the bone when this method is used? 3) Do some bone fragments remain in the nose after the rasping is done? 4) How do surgeons ensure all the bone is removed and so no irregularities form as the new nose heals?
October 22, 2014
Answer: Rhinoplasty to remove the dorsal hump The dorsal hump is composed of both bone and cartilage. To remove the cartilage, it must be cut with a knife or scissors. The bone is usually cut with an osteotome and entire hump removed together as one piece. Once the hump is removed, minor adjustments are made with a rasp to file down any minor residual irregularities. The small " sawdust" is removed with the filing because the rasp is grooved to pull the fragments outward. A final irrigation and cleaning of the bridge line and underneath the skin is performed to remove any residual material. For many examples of dorsal hump removal in our practice, please see the link and video below
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October 22, 2014
Answer: Rhinoplasty to remove the dorsal hump The dorsal hump is composed of both bone and cartilage. To remove the cartilage, it must be cut with a knife or scissors. The bone is usually cut with an osteotome and entire hump removed together as one piece. Once the hump is removed, minor adjustments are made with a rasp to file down any minor residual irregularities. The small " sawdust" is removed with the filing because the rasp is grooved to pull the fragments outward. A final irrigation and cleaning of the bridge line and underneath the skin is performed to remove any residual material. For many examples of dorsal hump removal in our practice, please see the link and video below
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February 20, 2016
Answer: Rasping Thank you for the question. After a file or rasp is used to file down a bump, it is rinsed in sterile saline which gets rid of most of the bone fragments or powder. The area is also irrigated with sterile saline before closing the incisions. This will get rid of majority of any fragments made by the rasp. In all honesty, the fragments even if left behind are usually not large enough to cause any issues in healing or aesthetics.
Helpful 1 person found this helpful
February 20, 2016
Answer: Rasping Thank you for the question. After a file or rasp is used to file down a bump, it is rinsed in sterile saline which gets rid of most of the bone fragments or powder. The area is also irrigated with sterile saline before closing the incisions. This will get rid of majority of any fragments made by the rasp. In all honesty, the fragments even if left behind are usually not large enough to cause any issues in healing or aesthetics.
Helpful 1 person found this helpful