Abstract

During the course of a rhinoplasty and other nasal procedures it is often necessary to retrieve pieces of tissue, bone or cartilage that have been freed by scissors or osteotomes. It is also the practice of some surgeons to avulse some of the procerus muscle to define humps prior to removal and also to reduce post-operative fullness in the glabellar region. In using the standard Kocher forceps there is always the risk of avulsing some additional tissue inadvertently caught in the more proximal part of the jaws of the instrument. If the proximal “teeth” of the forceps are simply filed and smoothed off as shown (Figs. 1 and 2) this risk is removed. The number and length of the “teeth” remaining can be varied according to the surgeon’s wishes. The strength of the instrument does not seem to be affected in any way by this modification.

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