JOURNAL ARTICLE

The use of calvarial bone in nasal reconstruction

M L Cheney, R E Gliklich
Archives of Otolaryngology—Head & Neck Surgery 1995, 121 (6): 643-8
7772316

OBJECTIVE: To demonstrate the utility of calvarial bone as a primary graft choice in nasal reconstruction.

DESIGN: Case series.

SETTING: Academic tertiary care center. PATTERN: Thirty-five consecutive patients who underwent split calvarial bone grafting to the nasal dorsum between June 1988 and September 1993 and who had post-operative follow-up.

OUTCOME MEASURES: Serial clinical examination to assess volume loss, movement of the graft, and complications. Standardized photographs to assess nasal contour.

RESULTS: Fixation of the graft was accomplished using a technique that promotes bone-to-bone healing without fixation screws or wires. The most common complication was seroma or hematoma of the scalp (8%). There were no dural tears or intracranial complications. Long-term donor site morbidity consisted of one case of local alopecia (2.8%). A good nasal contour was achieved in 97% of patients.

CONCLUSION: Based on the experimental evidence reviewed and our clinical experience, split calvarial bone is recommended as a material of choice for nasal dorsal reconstruction.

Full Text Links

Find Full Text Links for this Article

Discussion

You are not logged in. Sign Up or Log In to join the discussion.

Trending Papers

Remove bar
Read by QxMD icon Read
7772316
×

Save your favorite articles in one place with a free QxMD account.

×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"

We want to hear from doctors like you!

Take a second to answer a survey question.