Grafts for straightening deviated noses

The deviated nose represents a complex cosmetic and functional problem. Septal surgery plays a central role in the successful management of the externally deviated nose. The purpose of this study was to evaluate absorption of bone grafts from the nasal septum used for the correction of nose deformities.

This study included 50 patients seeking rhinoplasty to correct external deviation of the nose. Bone was harvested from the perpendicular plate of the ethmoid bone, vomer, and nasal crest. Three-dimensional reconstruction of computed tomographic images was performed at least 1 year after surgery.

The mean patient age was 31 years, and most patients were female (64 percent). Mean follow-up was 18 months. The bone graft was evident in all cases. Partial absorption was evident when bone spurs were used. No complications were found.

The graduated surgical approach adopted in this study allowed the correction of dorsal and caudal septal deviations without weakening the structural support of the nasal dorsum or nasal tip and was a key component in a successful rhinoplasty. The adequate technique required straightening and long-lasting fixation of the cartilaginous septum in the desired position with rigid bone plates. Harvesting and placement of bone grafts from the nasal septum were easily performed; in almost all cases, the bone grafts were still present years after rhinoplasty and proved to be useful for the correction of the deviated nose.

Therapeutic, IV.