Library Subscription: Guest
Begell Digital Portal Begell Digital Library eBooks Journals References & Proceedings Research Collections
Journal of Long-Term Effects of Medical Implants
SJR: 0.332 SNIP: 0.491 CiteScore™: 0.89

ISSN Print: 1050-6934
ISSN Online: 1940-4379

Journal of Long-Term Effects of Medical Implants

DOI: 10.1615/JLongTermEffMedImplants.v15.i3.50
pages 283-288

The Role of Powered Instrumentation in Rhinoplasty and Septoplasty

Manuel A. Lopez
Department of Otolaryngology—Head and Neck Surgery, University of Illinois at Chicago, Chicago, Illinois, USA
John G. Westine
Department of Otolaryngology—Head and Neck Surgery, University of Illinois at Chicago, Chicago, Illinois, USA
Dean M. Toriumi
Professor of Facial Plastic & Reconstructive Surgery. Dept. of Otolaryngology/Head & Neck Surgery Univ. of Illinois at Chicago College of Medicine 1855 W. Taylor Street Chicago IL 60612, USA

ABSTRACT

Rhinoplasty and septoplasty are commonly performed surgical procedures that have as many variables in execution as the number of surgeons that perform them. Initially, these procedures were performed using manual instrumentation. Recently, however, powered instruments have been used to perform portions of the two procedures. Powered oscillating rasps have been described for reducing dorsal bony humps during rhinoplasty, and it has been suggested that powered osteotomes may reduce tissue trauma when performing nasal osteotomies. Powered burrs have also been used for taking down dorsal bony humps and refining boney irregularities. Although septal spurs have traditionally been excised manually, powered instrumentation has proved useful in this area as well. This article reviews the indications for using powered instrumentation in rhinoplasty and septoplasty.