Simultaneous Correction of Large Frontal Osteoma and Small Nose Using Calvarial Bone and Pericranial Graft

The authors present a 50-year-old woman who underwent simultaneous removal of a large frontal osteoma and augmentation rhinoplasty. Following tumor excision, the pericranial layer was salvaged and fashioned into a tube-shaped pouch. Crushed autologous bone harvested from the adjacent frontal calvarium using a bone mill was packed into the pouch, and the composite construct was inset onto the nasal dorsum through an open rhinoplasty approach. At the 10-month follow-up, satisfactory improvement in both frontal contour and nasal dorsal height was achieved without donor-site complications. This tissue-salvage concept converts the pericranium and calvarial bone into a functional augmentation resource, eliminating the need for additional donor-site incisions or alloplastic materials. The approach may benefit patients requiring simultaneous frontal bone contouring and nasal dorsal augmentation.