Apart from knowledge, skill and experience, the use of appropriate instruments is a prerequisite for performing a reliable operation. The main goal in modern rhinoplasty is to perform the operation as atraumatically as possible, to prevent unpredictable scar formation and to ensure good long-term postoperative results. The use of delicate, sharp and high quality instruments is fundamental in lessening surgical trauma and entering the right surgical planes, resulting in less bleeding, shorter duration of the operative procedure and, ultimately, better postoperative results.
During my frequent visits to international authorities on rhinoplasty, I noted that they were using delicate rhinoplasty instruments that were not available in the Netherlands. While doing rhinoplasties as a guest surgeon, I noticed that an ENT surgeon taking his first steps in aesthetic rhinoplasty will do this with instruments which were readily available for functional rhinoplastic surgery (but not always state-of-the-art). This inspired me to design some specific rhinoplasty instruments. Combined with specially selected instruments, these form a supplementary rhinoplasty set to be used with instruments already available for functional rhinoplastic surgery. This complete set of very delicate, high quality instruments has a special gold finish for easy recognition on the operating table.
NOLST TRENITÉ Osteotomes. Straight, double-edged grinding, with rounded corners and with recessed grip, length 18 cm, different sizes
NOLST TRENITÉ Micro Osteotome, Straight, double-edged grinding, length 18 cm, different sizes
NOLST TRENITÉ Micro Osteotome, Straight, with rounded guard, length 18 cm, different sizes
JOSEPH Raspatory, length 20 cm, Glabella Rasp, curved, push-pull cut, length 20 cm
Bone Rasp, tungsten carbide, double-ended, rasp blades Fig. 5 and 6, medium, length 21 cm (not illustrated)
Bone Rasp, tungsten carbide, double-ended, rasp blades Fig. 7 and 8, medium and fine, length 21 cm (not illustrated)
AUFRICHT Nasal Retractor, width of retractor blade 8.5 mm, length of retractor blade 45 mm, length 15 cm
Hook, two prongs, sharp, width 10 mm, length 12 cm
Hook, one prong, sharp, length 15 cm
Double Hook, sharp, length 15 cm
BLAKESLEY Nasal Forceps, Straight, size 1, working length 11 cm
COTTLE Metal Mallet, length 18 cm
COTTLE Bone Crusher, with clip, crusher size 5 x 1.5 cm
ADSON-BROWN Forceps Atraumatic, fine side grasping teeth, length 12 cm
ADSON Forceps, 1 x 2 teeth, length 12 cm
ADSON Forceps, serrated, length 12cm
Scissors, extra delicate, straight, length 10 cm
Scissors, extra delicate, curved, length 10 cm
WALTER Angular Scissors, length 10cm
Needle Holder, tungsten carbide inserts, length 13 cm
KILNER Scissors, curved, flat end, length 14 cm
These instruments are available through www.karlstorz.com
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