Septal harvesting instruments in rhinoplasty

Sufficient cartilage is essential for nasal reconstruction. Septal cartilage is preferred for its shapeability. Current methods using swivel knives and scissors yield limited tissue. This limits the ability to perform complex reconstructions. Surgeons require more efficient harvesting tools. Prior research has shown that existing instruments are inadequate for full graft retrieval. No prior work had resolved the issue of incomplete cartilage removal. This gap motivated the development of new surgical tools.

The aim was to address the limitations of current septal cartilage harvesting methods. Surgeons need better instruments to obtain larger grafts. The study introduced two new tools for this purpose. The spatula suction dissector and J & D knife were developed. These instruments aim to improve the efficiency and safety of the procedure. The goal was to harvest larger, intact pieces of cartilage. This would allow for more versatile nasal reconstruction. The study tested whether these tools could meet these goals.

Two new instruments were introduced for septal cartilage harvesting. The spatula suction dissector was used to separate cartilage from mucoperichondrium. The J & D knife was designed for making precise marginal incisions. A 10-mm incision was made perpendicular to the cartilage edge. The hook of the J & D knife was suspended on the caudal border. The spatula suction dissector or D knife was used for articulation separation. The tools were tested in a clinical setting. Their effectiveness in retrieving sufficient cartilage was evaluated.

The spatula suction dissector effectively separated cartilage from mucoperichondrium. The J & D knife allowed for precise 10-mm marginal incisions. The tools enabled retrieval of larger, intact cartilage pieces. No cartilage was left behind during the procedure. The instruments improved the speed and safety of harvesting. The tongue-and-groove articulation was successfully separated. The method reduced the need for multiple incisions. The results suggest these tools outperform current methods.

The new instruments improved septal cartilage harvesting during rhinoplasty. The spatula suction dissector and J & D knife enabled full cartilage retrieval. These tools allowed for larger, intact grafts in a single piece. The method was faster and safer than existing techniques. The study supports the use of these instruments in clinical practice. The authors propose that these tools address current limitations. They suggest these instruments may enhance surgical outcomes. The findings may influence future rhinoplasty procedures.