Precise Reduction of Dorsal Septal Cartilage in Rhinoplasty: No. 12 Blade With Bayonet Forceps

Abstract

Dorsal reduction is an important maneuver in many rhinoplasty procedures. Most surgeons performing an open technique reduce the dorsal cartilaginous septum independent of the upper lateral cartilage.1,2 In this Letter to the Editor, I would like to present a technique for dorsal septal cartilage reduction that yields consistent and precise results. This method utilizes a bayonet forceps in conjunction with a No. 12 scalpel blade. Bayonet forceps are incorporated for the dual purpose of stabilizing the cartilage and providing a “track” to guide the blade to a straight incision path. A No. 12 blade is utilized because its unique concave cutting surface permits the cartilage incision with a motion that occurs in the same vector as the long access of the septum. This technique is described in the context of open rhinoplasty.3,4 In most cases, less than 5 mm of dorsal reduction is needed, and the bone is reduced …