Technique for minimally invasive instrumental correction of post-traumatic external nasal deformity using a novel tool (suction-integrated chisel)

Rynkov D.A.; Kryukov A.I.

doi:https://doi.org/10.17116/otorino20269101135

Rynkov D.A.

Sverzhevsky Research Clinical Institute of Otorhinolaryngology

ORCID: 0009-0000-0487-618X

Kryukov A.I.

Sverzhevsky Research Clinical Institute of Otorhinolaryngology

ORCID: 0000-0002-0149-0676

Technique for minimally invasive instrumental correction of post-traumatic external nasal deformity using a novel tool (suction-integrated chisel)

Authors:

Rynkov D.A., Kryukov A.I.

More about the authors

Journal: Russian Bulletin of Otorhinolaryngology. 2026;91(1): 35‑40

DOI: 10.17116/otorino20269101135

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To cite this article:

Rynkov DA, Kryukov AI. Technique for minimally invasive instrumental correction of post-traumatic external nasal deformity using a novel tool (suction-integrated chisel). Russian Bulletin of Otorhinolaryngology. 2026;91(1):35‑40. (In Russ.)
https://doi.org/10.17116/otorino20269101135

Подписка 2026 Вестник оториноларингологии (Russian Bulletin of Otorhinolaryngology)

Использование инфографики авторами научных работ

OBJECTIVE

To develop and test an instrument for performing osteotomy and a technique for minimally invasive endoscopic instrumental correction of the external nose.

MATERIAL AND METHODS

A curved chisel with integrated suction was developed for minimally invasive endoscopic osteotomy. In a prospective study, 43 patients with PTND underwent surgery. Evaluated parameters included: operation duration, edema/hematoma dynamics (VAS), and restoration of nasal breathing (3 weeks, 3 months, 1 year postoperatively).

RESULTS

Median operation duration was 29.0 (Q₁-Q₃: 27.5—45.5) min. The intensity of postoperative edema and hematomas on the VAS significantly decreased from 5.0 to 2.0 points between days 5 and 14 (p<0.001). Normal nasal breathing was recorded in 86% of patients 1 year post-surgery (versus 86% with severe impairment preoperatively; p<0.001). 90.7% of patients reported satisfaction with outcomes one year after surgery.

CONCLUSION

The developed instrument (suction-integrated chisel) and surgical technique ensure short operation time, minimization of postoperative complications, and sustainable functional-aesthetic restoration.

Keywords:

post-traumatic nasal deformity

instrumental correction of external nose

osteotomy

chisel

minimally invasive surgery

Authors:

Rynkov D.A.

Sverzhevsky Research Clinical Institute of Otorhinolaryngology

ORCID: 0009-0000-0487-618X

Kryukov A.I.

Sverzhevsky Research Clinical Institute of Otorhinolaryngology

ORCID: 0000-0002-0149-0676

Received:

22.10.2025

Accepted:

19.11.2025

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References:

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