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Augmentation rhinoplasty using olecranon bone graft
Jitendra S Mehta1, Manish P Zade1, Dhananjay V Nakade1
1Department of Plastic and Reconstructive Surgery, NKP Salve Institute of Medical Sciences and Research Institute, Nagpur, Maharashtra, India.
National Journal of Maxillofacial Surgery
|February 14, 2022
Summary
Olecranon bone grafts offer a safe and effective solution for severe saddle nose deformity correction. This method provides durable nasal dorsal augmentation with minimal complications and long-term stability.
Area of Science:
- Plastic Surgery
- Otorhinolaryngology
- Orthopedic Surgery
Background:
- Saddle nose deformity correction is a common rhinoplasty procedure in Asia.
- Nasal dorsal augmentation requires suitable graft materials.
- Olecranon bone grafts are explored for augmentation rhinoplasty.
Purpose of the Study:
- To evaluate the efficacy of olecranon bone graft for augmentation rhinoplasty in severe saddle nose deformity.
- To assess graft stability and donor site morbidity.
Main Methods:
- Observational study of 12 patients undergoing dorsal nasal augmentation with olecranon bone graft.
- Graft insertion via closed rhinoplasty or existing scars.
- Postoperative evaluation for graft resorption using clinical photos and X-rays.
Main Results:
- No immediate graft placement complications; one ulnar fracture managed conservatively.
- Mean follow-up of 2 years, with no observed resorption or projection loss up to 5 years.
- One case required fixation screw removal due to exposure after 2 years.
Conclusions:
- Olecranon bone graft is suitable for severe saddle nose deformity augmentation.
- Ease of harvest and minimal donor site morbidity are key advantages.
- Cortical thickness allows custom molding and long-term resistance to resorption.
