Reduction of nasofrontal angle in rhinoplasty; disarticulation technic.

Abstract

The creation of a pleasing glabellar depression taxes the ingenuity and skill of all rhinoplastic surgeons. Each operator uses the method found most suitable to his hands. The following technic was devised and used by me in 1946. After the usual elevation of soft tissues, the saw is placed on the approximate line, as shown in the figure, and the nasal bones and septum are cut across. The cuts are continued upward into the solid bone with a chisel to the region of the frontonasal suture. The septum as well as the nasal bones must be cut through. The cartilaginous attachments are severed as usual. A heavy septal forceps (such as the Köffler) is applied so that one blade is on the center of the dorsum and the other in the cut anterior to the separated septum, straddling the partially severed anterior half of the nasal bridge. With a firm