Grafts for straightening deviated noses

Area of Science:

• Plastic Surgery
• Otolaryngology
• Rhinology

Background:

• Deviated nose presents significant cosmetic and functional challenges.
• Septal surgery is crucial for managing external nasal deviations.
• This study investigates the absorption rates of nasal septal bone grafts used in correcting nose deformities.

Purpose of the Study:

• To evaluate the absorption of bone grafts sourced from the nasal septum.
• To assess the long-term efficacy of these grafts in correcting nasal deformities.

Main Methods:

• Included 50 patients undergoing rhinoplasty for external nasal deviation.
• Harvested bone grafts from the ethmoid bone, vomer, and nasal crest.
• Utilized 3D CT reconstructions for analysis at least 1 year post-surgery.

Main Results:

• Mean patient age was 31, with 64% females.
• Average follow-up was 18 months.
• Bone grafts were consistently visible; partial absorption occurred with bone spurs. No complications reported.

Conclusions:

• A graduated surgical approach corrected septal deviations without compromising nasal support.
• Rigid fixation of the septum ensured long-lasting results in rhinoplasty.
• Nasal septal bone grafts demonstrated excellent persistence and utility for deviated nose correction.