Question:
When is it possible to remove a hump with just a rasp or file rather than performing an osteotomy?
Answer:
Small humps can often be rasped down, while larger ones are often best started with an osteotome and then rasped. Sometimes I use a powered rasp (kind of like an electric sander) to smooth down a hump that is a little big, but I don’t want to use an osteotome.