Calvarial bone grafts for augmentation rhinoplasty

Abstract

A large variety of graft materials have been used for augmentation rhinoplasty. To date there has been no graft material which can be regarded as completely satisfactory. The modern trend is to prefer autologous material to new biological material. The membranous bones of the calvarium are extremely suitable for augmenting moderate to severe saddle nose deformities. Calvarial bone grafts can be harvested easily, with minimum donor site morbidity and disfigurement. Our experience with calvarial bone grafts for augmentation rhinoplasty is presented.

Fixation of nasal bone grafts with interosseous wire: our technique

“…1 However, implants are at risk of extrusion, especially in scarred and previously operated-upon noses. 2,3,[9][10][11][12] Various methods have been described for graft fixation, using lag screws, mini-plates and screws, interosseous wiring, and K wires. However, these techniques are complicated and time-consuming, and have the potential for failure due to early malposition, late resorption or poor restoration of normal nasal contour.…”