Bone Grafts for Nasal Reconstruction

Wheeler, Ervin S.; Kawamoto, Henry K.; Zarem, Harvey A.

doi:10.1097/00006534-198269010-00002

Cited by 64 publications

(15 citation statements)

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“…1 However, implants are at risk of extrusion, especially in scarred and previously operated-upon noses. 2,3,[9][10][11][12] Various methods have been described for graft fixation, using lag screws, mini-plates and screws, interosseous wiring, and K wires. However, these techniques are complicated and time-consuming, and have the potential for failure due to early malposition, late resorption or poor restoration of normal nasal contour.…”

Section: Discussionmentioning

confidence: 99%

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Fixation of nasal bone grafts with interosseous wire: our technique

Sathe

Gaikwad²,

Wadkar³

et al. 2010

J. Laryngol. Otol.

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Section: Discussionmentioning

confidence: 99%

“…It has been proven that, in order to decrease the risk of resorption, the fixation must be rigid with good bone-to-bone apposition. [1][2][3][4][5][6][7] Furthermore, the recipient site should be immobile and should provide a good blood supply and some functional stress to the graft. 8…”

Section: Introductionmentioning

confidence: 99%

Fixation of nasal bone grafts with interosseous wire: our technique

Sathe

Gaikwad²,

Wadkar³

et al. 2010

J. Laryngol. Otol.

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“…Inherently, however, Oriental people have relatively smaller nasal bones than westerners; consequently, their nasal root looks wide because it creates the illusion of a wider nose. Augmentation of the nasal dorsum, a good method of correcting this kind of problem (3,4,7,8,11), results in a well-defined nasal dorsum and creates the impression of angularity, making the nasal root look narrower. We have previously used a cantilever iliac bone graft to the nasal dorsum to solve this kind of problem.…”

Section: Discussionmentioning

confidence: 99%

Secondary Correction of the Wide Nasal Root in Bilateral Nasal Deformity Associated With Cleft Lip in Five Oriental Patients

Ōmori

Takato²,

Mori³

et al. 2003

Scandinavian Journal of Plastic and Reconstructive Surgery and

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Secondary correction of bilateral nasal deformity associated with a cleft lip is common. However, few reports have referred to the correction of the wide nasal root. In this study we describe a technique other than osteotomy for the correction of the wide nasal root used in five Oriental patients with bilateral nasal deformity associated with cleft lip. Satisfactory results were obtained, and two representative cases are described.

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“…Skel¬ etal support is achieved by autogenous rib or iliac crest bone grafts securely anchored to the nasal process of the frontal bone. 14 …”

Section: Nasal Dorsummentioning

confidence: 99%

Management of Nasal Cutaneous Malignant Neoplasms: An Interdisciplinary Approach

Baker

Swanson²

1983

Archives of Otolaryngology - Head and Neck Surgery

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\s=b\Standard methods of managing large or recurrent cutaneous nasal malignant neoplasms are often inadequate, leaving extensions of the tumor that are clinically invisible. Conventional methods may also allow considerable amounts of normal tissue to be sacrificed in an attempt to ensure the removal of all carcinoma.Through partnership of the dermatologic surgeon and the reconstructive surgeon, a more effective method of curing and rehabilitating patients with nasal skin cancer can be achieved. The dermatologic Mohs' surgeon can perform microscopically controlled excision of malignant neoplasms, providing the highest cure rates obtained by any method. This method is particularly suited for basal cell carcinomas that are recurrent, larger than 1 cm in size, or are of the morpheaform histologic subtype. Total microscopic excision allows nasal reconstruction to proceed with the highest degree of confidence of tumor control. The location and extent of the malignancy dictate the surgical approach for nasal reconstruction. (Arch Otolaryngol 1983;109:473-479) Skin cancer is the most common form of malignancy in man. The nose is the most common site of skin cancer and also is one of the most difficult areas on which to effect a cure. A recent review of 2,600 patients with cancer of the skin of the head and neck area demonstrated that bas¬ al cell carcinoma was the predomi¬ nant histological type (69%). Approx¬ imately 12% of the patients had can¬ cers of the nasal skin.1 Of the 305 patients with a nasal skin cancer, only 64% of the tumors were confined strictly to the skin of the nose. Approximately 40% of all recalci¬ trant basal cell carcinomas of the head and neck involve nasal skin.2 This is, in part, related to multiple embryologie fusion planes occurring in the nasal region that offer paths of decreased resistance to the spread of neoplasm.3 Conventional methods of managing nasal cutaneous malignant neoplasms included electrodesiccation and curettage, cryosurgery, radiotherapy, and surgical excision. Electrodesiccation and curettage and cryosurgery are acceptable methods of managing small tumors less than 0.5 cm in diam¬ eter. However, they are not as effec¬ tive for larger tumors and other modalities should be used.Radiotherapy offers a high cure rate for basal cell and squamous cell carcinomas of the nasal skin. Surgical excision is also a good method for small cutaneous malignant neoplasms of the nose where flaps and grafts are required for closure. More extensive tumors treated with surgery should make use of an extended follow-up period of six to 12 months before reconstructive procedures are initi¬ ated.Another method of managing nasal cutaneous malignant neoplasms is by microscopically controlled excision (Mohs' surgery). The cornerstone of this surgical method is total micro¬ scopic control of excision. Using local Downloaded From: http://archotol.jamanetwork.com/ by a Oakland University User on 05/31/2015

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Bone Grafts for Nasal Reconstruction

Cited by 64 publications

References 0 publications

Fixation of nasal bone grafts with interosseous wire: our technique

Fixation of nasal bone grafts with interosseous wire: our technique

Secondary Correction of the Wide Nasal Root in Bilateral Nasal Deformity Associated With Cleft Lip in Five Oriental Patients

Management of Nasal Cutaneous Malignant Neoplasms: An Interdisciplinary Approach

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