New perichondral elevator.

Abstract

The bleeding occurring during submucous resection, when this operation is done as part of the nasoplasty procedure, has frequently been troublesome. This portion of the nasoplasty procedure is usually done as a final step, at which time the vasoconstrictor effect of topical cocaine and epinephrine has been lost. Consequently, perichondral elevation must be repeatedly interrupted by intermembranous suction. To obviate this repetitious change of elevator to suction, a metal suction tube (Fig. 3) with cup-shaped elevator tip (<i>A</i>) was designed, which would give continuous suction during the act of perichondral elevation. In order that the cup suction tip would not create too great a vacuum, thereby locking itself against the exposed cartilage, a small vent measuring 1 by 2 mm. (<i>B</i>) was drilled just posterior to the open face of the elevator cup.