Ristow OsteotomeDDP ELITE Ristow Osteotome is a commonly used tool in nasal reconstructive procedure. The curvature of the blade specially designed for taking a low to high path in lateral osteotomies. The length of the handle also allows the surgeon to place his or her hand away sufficiently away from the mallet tapping. The guard is present to prevent injury to surrounding tissue. The Ristow Osteotome is available with the guard on the left or right depending on