BACK BONE. GIBA OSEA. OSTEOTOMIA DE HUESO NASAL
Continuando con la técnica, se llega al dorso óseo cuya giba prominente o no, debe ser resecada o raspada para continuar la línea recta o ligeramente cóncava hacia arriba que representa el dorso cartilaginoso que ha sido remodelado(se resecaron los triangulares y el dorso cartilaginoso septal, una fina lámina).
Se coloca a través de cartilaginous incision osteotome back a bone to "cut" the bony roof of the pyramid represented by the nasal bones. This instrument is well established and placed horizontally on the back and start the procedure with its edge directed caudal third of the nasal bones with the help of gentle hammering rhinoplasty are advancing in the cephalad hump on the bone to reach the root of the nose where it ends the maneuver and leaving an open pit (open roof) means that the back bone and cartilage were removed from the top.
Once the back bone resection, with a nose scratch, scratch, wear to make them soft to the touch the cutting edges of the nasal bones that remain after the osteotomy of the "bony roof ."
This scraping should be careful because it will become final after the osteotomy of the nasal base, mobilized bones are quite unstable and it becomes very difficult to wear the nose rasp.
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