Augmentation Rhinoplasty Using Calvarial Bone Graft

Cho, Jae Shik; Lim, Sang Chul; Baik, Jun

Abstract

BACKGROUND AND OBJECTIVES: Multiple autogenous and alloplastic implants have been used in nasal reconstruction. Autogenous implants include auricular and septal cartilage as well as rib and iliac crest bone grafts. Alloplastic materials include acrylic, supramid mesh, Gortex, and silicone rubber. Autogenous grafts have been shown to provide excellent long-term reliable results in nasal reconstruction. our study was designed to demonstrate the usablility of calvarial bone as primary choice of graft material in nasal dorsum reconstruction. MATERIAL AND METHODS: Eleven patients with saddle nose underwent augmentation rhinoplasty using a calvarial bone graft from Jan. 1993 to Dec. 1996. We observed for any complications in the donor and/or recipient sites, stability of grafted bone, and final results including volume loss through medical records and photographs taken during follow-up periods.
RESULTS
Hematoma in the scalp was the only complication. CSF leakage, or infection have been observed. Grafts were well fixed without screws or K wires. Displacement of grafted bone were not seen. External nasal contour was well achieved in all cases.
CONCLUSION
In augmentation rhinoplasty, split calvarial bone is recommended as a good material.