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Surgical Technique |

20-Year Experience With the Conrad Modification of the Freer Elevator as a Pull-in Suture Introducer

Cory Torgerson, PhD, MD, FRCSC; Krzysztof Conrad, MD, FRCSC, FRCS
Arch Facial Plast Surg. 2009;11(4):267-269. doi:10.1001/archfacial.2009.36.
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A modified Freer elevator was created to aid the safe placement of alloplasts in a subcutaneous dissection pocket. We believe that this innovation represents a better way to insert nonrigid facial alloplasts and grafts and that it contributes to the reduced technique-related complications of migration, kinking, and asymmetry; it also minimizes tissue trauma and unnecessary surgical explorations.

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Figure 1.

Frontal view (A) and lateral view (B) of the modified Freer elevator.

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Figure 2.

Keith needle insertion into the modified Freer elevator. A, The needle slides into the central groove in the shaft. B, The needle point is cradled in the center of the elevator head groove.

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Figure 3.

Drawings of the modified Freer elevator. The orientation of the inserted Keith needle with attached suture is shown in detail (A) and in outline (B).

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Figure 4.

Drawing showing the pull-in insertion of alloplast into the nasal dorsum with attached suture following removal of the modified Freer elevator.

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Figure 5.

Drawing showing the pull-in insertion of alloplast into the lateral nasal wall with attached suture following removal of the modified Freer elevator.

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