Nasal Rasping (Bone Filing)
Dr. Hamidreza Hosnani
ENT Specialist | Rhinoplasty Surgeon in Tehran | Nose Surgery Specialist
Minor removal of a nasal bony hump can be performed using a surgical rasp or file. The rasp is a stainless steel instrument with fine teeth similar to a nail file. Sometimes rasps are made from tungsten, which is stronger than steel.
A nasal rasp is one of the main instruments used in rhinoplasty to file and smooth the nasal bones, and it is designed in different forms depending on the surgeon’s needs. In general, rasps can be divided into several types: manual rasps, which work like ordinary files and are moved back and forth by the surgeon over the bone and are available in fine, medium, and coarse teeth; single‑sided and double‑sided rasps, whose abrasive surfaces differ and are used for different levels of bone reduction; and motorized or powered rasps that provide greater precision and less vibration, allowing smoother and more controlled bone shaping. The choice of rasp depends on the thickness of the nasal bones, the degree of correction required, and the surgeon’s preference in order to achieve a symmetrical and natural result.
سوهان وسطى از نوع سوزنى است و براى صاف كردن قوز هاى بزرگ مورد استفاده قرار مى گيرد
سوهان پايينى با عاج درشت است و براى صاف كردن قوزهاى متوسط مورد استفاده قرار مى گيرد
Nasal Rasping Is Performed During Anesthesia and Is Painless
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ویدئو: سوهان کشیدن به بینی
سوهان کشیدن به بینی برای رفع قوز بینی و شکل دادن به بینی استفاده می شود. بعد از مرحله سوهان کشی، بینی قلمی و نازک می شود
سایر ابزارهای جراحی بینی
Rhinoplasty instruments include a nasal speculum for holding the nostrils open, delicate forceps and scissors for grasping and cutting tissues, a needle holder for suturing, osteotomes (bone chisels) with a small surgical hammer for controlled bone cuts, nasal rasps for smoothing bony humps, and sterile stainless‑steel trays that usually hold gauze or small instruments.
ابزار قیفی/دوشاخه برای باز نگهداشتن حفرههای بینی هنگام جراحی.
Using an instrument called a speculum, the physician gently opens the nostril to examine the nasal septum, turbinates, mucosa, airway, and possible problems such as septal deviation, polyps, inflammation, bleeding, or abnormal discharge. This examination is usually quick, painless, and performed in the office, and it plays an important role in evaluating breathing function and planning rhinoplasty or treatment of internal nasal conditions.
◆ رترکتور یا کنارزن بافت (Retractor)
برای کنار زدن پوست و بافت نرم و ایجاد دید بهتر برای جراح.
◆ پنس جراحی (Forceps)
در انواع مختلف برای گرفتن بافت، بخیه یا گاز.
◆ قیچی جراحی (Surgical Scissors)
برای برش بافت نرم یا نخ بخیه.
◆ نگهدارنده سوزن (Needle Holder)
ابزار محکمتر شبیه پنس برای گرفتن سوزن بخیه.
◆ استئوتوم (Osteotome)
ابزار فلزی باریک برای برش یا شکستن کنترلشده استخوان بینی.
◆ چکش جراحی (Mallet)
معمولاً در کنار استئوتوم برای اعمال ضربه دقیق به استخوان.
Reshaping the Nasal Bones Is Done with a Hammer and a Sharp Blade Called an Osteotome. This Procedure Is Called Osteotomy
◆ رَسپ یا سوهان استخوان (Rasp)
برای صاف کردن و فرمدهی استخوان بینی بعد از برش.
Rasping the Upper Part of the Nose Is Used to Remove a Small Nasal Hump
◆ ابزار ساکشن (Suction tip)
برای خارج کردن خون و ترشحات از محل جراحی.
◆ کاسههای استیل جراحی (Surgical Bowls)
جهت نگهداری سرم، گاز یا ابزار کوچک.
◆ گاز و پد استریل
برای جذب خون و حفظ میدان جراحی تمیز.