[Calvarial bone grafting in augmentation rhinoplasty. Long-term results].

Authors :: Himy S
Zink S
Bodin F
Bruant-Rodier C
Wilk A
Meyer C
Source :: Revue de stomatologie et de chirurgie maxillo-faciale [Rev Stomatol Chir Maxillofac] 2009 Nov; Vol. 110 (5), pp. 256-62. Date of Electronic Publication: 2009 May 21.
Publication Year :: 2009
Abstract: Introduction: Various clinical situations may require an important increase of the size of the nose. The aim of our work was to analyze long-term results of calvarial bone grafts used in rhinoplasties.<br />Material and Method: We retrospectively studied the files of 20 patients having undergone a calvarial bone graft. Photogrammetry was used to determine morphological modifications and the stability of results.<br />Results: The average follow-up was 8 years. The parietal donor site morbidity was low. All nose sizes were dramatically augmented and the stability of results ranged between 74.5 and 95%.<br />Discussion: The calvarial bone graft can be used for important nose augmentation with a good stability. There are few alternative techniques. This method is only limited by available skin and endonasal lining. Calvarial bone graft in rhinoplasty is not frequent but it is our first choice for the correction of important hypoplasia or saddling of the nose.