Bone grafts as a recyclable material in nasal surgeries

Area of Science:

• Otolaryngology
• Plastic Surgery
• Regenerative Medicine

Background:

• Septal bone grafting is a reconstructive technique in septorhinoplasty.
• Assessing the long-term viability and resorption of bone grafts is crucial for surgical outcomes.

Purpose of the Study:

• To evaluate the long-term results of nasal septal bone grafting.
• To objectively assess the sustainable viability of bone grafts using computed tomography (CT).

Main Methods:

• Nasal septal bones were used as splinting grafts in 27 patients undergoing septorhinoplasty (2009-2013).
• Twenty-one patients with long-term follow-up (average 17 months) and CT scans were included.
• Bone graft position, length, and resorption were evaluated pre- and postoperatively.

Main Results:

• 66.6% of patients retained 90% of their bone graft length.
• No grafts showed less than 50% resorption.
• CT scans indicated good graft viability and stability over the follow-up period.

Conclusions:

• Nasal septal bone grafts are reliable for reconstructive purposes.
• Bone grafts can serve as a viable alternative to cartilage grafts in septorhinoplasty.
• Objective assessment via CT confirms the durability of bone grafts.