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Steven M. Denenberg, M.D.
Dr. Denenberg's articles on Medium.com.

Rhinoplasty tutorial >> Hump removal >> page 16
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The rasp that we use on the bone looks like a wood file.  You just put it on the bone to be removed, and file back and forth until you've taken enough bone.  Above, we see the business end of a common nasal rasp.

There are "pusher" rasps and "puller" rasps.  A "puller" rasp has its teeth oriented so that it cuts bone as the rasp is pulled out of the nose, and a "pusher" rasp has it's teeth oriented so that it cuts bone as it is being pushed up along the dorsum of the nose toward the top of the nose. The rasp pictured above is a pusher rasp.  I like pushers because I think they're easier to use accurately.


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Besides having pusher and puller rasps, the rasps can be rougher or smoother.  The rasp at top has medium-sized straight teeth, the middle rasp has fine teeth, and the bottom rasp has large, angulated teeth.  The different tools are for different strengths and sizes of bone.

In another chapter, we'll discuss some of the specialized tools that are used for removing unusually-shaped humps.



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All surgery depicted in this essay, except where noted, was performed by Dr. Denenberg