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3Surgical technique

The tip of the No. 12 scalpel blade is pressed down to the bone creating a puncture of the skin.
The skin is now rolled back in cranial direction as much as possible. At the same time the scalpel handle is pulled forward at the same speed creating a horizontal periosteal transection through a small puncture wound.
With this technique the periosteum is not elevated and ideally no sutures are needed.