Reasons Why I Have Come Up In Boils

EXTERNAL FRACTURE BASE OF THE NASAL PYRAMID

external fracture of the base of the nasal pyramid starts with a sharp osteotome tip 3 mm wide, the maneuver is performed with a mini-incision with scalpel blade # 11 or directly with the edge of the osteotome previous identification with the index finger of the piriformis fossa. Here, we introduce the osteotome (chisel ) And parallel to the bone which is the ascending apophysis maxilla is "desperiostiza" upstream to the junction with the nasal bone.

osteotome is placed with its handle with his right hand sustained almost settled on the top right malar and perpendicular to the outer wall of the pyriform fossa, the left thumb or index finger, if the surgeon is skilled controls and follows the movements of the tip of the instrumental and maneuver starts to fracture the bone in the previously marked line. The surgery assistant in charge of giving soft hammer blows with rhinoplasty.

Osteotome external fracture of 3 mm. ( Surgery Dr Esteche )

The tip of the osteotome is moving upwards to create a fracture line that reaches the vicinity of the junction of the nasal bone and frontal bone, when necessary, if the naso-frontal angle is very obtuse also fractured the bone in the nasal root. We proceed similarly on the other side.

Once the fracture has been done on the contralateral side, both hands are necessary to reduce the fracture and thus bring the two fragments to the midline and see how thins the back bone.