The Use of Lower Turbinate Bone Grafts in the Treatment of Saddle Nose Deformities

Gürlek, Ali; Aşkar, İbrahim; Bilen, Bilge Türk; Aydoğan, Hakan; Fariz, Alpay; Alaybeyoğlu, Nezih

doi:10.1007/s00266-002-2056-0

Cited by 21 publications

(17 citation statements)

References 11 publications

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“…There is a risk of a rigid nose when autogenous bone is used from the bony septum, 40,61 the iliac crest, 62 the calvarium, 63,64 or the turbinate. 65 This is why cartilage should be preferred when reconstructing the mobile part of the nose.…”

Section: Reposition and Reconstructionmentioning

confidence: 99%

Surgery of the Nasal Septum

Mlynski

2006

Facial plast Surg

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Long-term results after septoplasty are not satisfactory. Apart from a recurrence of deviation, there are various reasons for this: false preoperative analysis, complete straightening of the septum, and a disturbed nasal cycle. Preoperative functional diagnostics with a combination of rhinoresistometry, acoustic rhinometry, and long-term rhinoflowmetry are necessary for differentiating between "physiological" and "pathological" septal deviations and recognizing other causes for obstruction. The surgical procedure of septoplasty includes approach, mobilization, resection, reposition, and finally reconstruction of all three layers. The goal of the operation should not be complete straightening of the nasal septum. The space between the septum and turbinates is of utmost importance. It should not be enlarged as much as possible; rather, it must be shaped in such a way as to allow freely congestion and decongestion reciprocal on the two sides during the nasal cycle.

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Section: Reposition and Reconstructionmentioning

confidence: 99%

Surgery of the Nasal Septum

Mlynski

2006

Facial plast Surg

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“…In this situation, other sources of autogenous bone grafting should be sought. Inferior turbinate bone, among the available donor bone sources in this article, has the least amount of bone, so it is useful for the correction of mild-to-moderate saddle nose deformity (25). In trauma patients in whom maxillary down-fracturing for mobilization of the fractured maxilla is in the plan, it provides excellent access to the both inferior turbinates.…”

Section: Discussionmentioning

confidence: 99%

Saddle Nose Reconstruction with Bone Graft in Multiple Facial Fracture Patients

Rahpeyma

Khajehahmadi

2016

Iran Red Crescent Med J

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Background: Saddle nose deformities mostly result from trauma. Most reports of saddle nose correction after trauma relate to isolated fractures, but in this article the experience of the authors is presented in relation to bone grafting for the correction of the saddle nose in multiple facial fracture patients. Objectives: The current study aimed to report the results of a protocol for choosing the source of bone graft for dorsal nasal bone grafting in acute trauma patients with multiple facial fractures. Patients and Methods: In a retrospective study, archived files of maxillofacial trauma patients who were treated between 2005 and 2012 at Mashhad Emdad hospital (a level one trauma center) were reviewed. Cases were selected in which a traumatic saddle nose deformity concomitant with other facial fractures had been corrected with dorsal nasal bone grafting. The donor site, type of fixation, access to the dorsum of the nose, associated facial fractures, shape of the graft (cantilever or L-shaped), and plane of dissection in the dorsum of the nose (subperiosteal or subcutaneous) were assessed. Results: There were 11 patients treated using this method. The male-to-female ratio was 7:5. One miniscrew with the lag technique was the preferred method for the fixation of the dorsal nasal bone graft. Splitcalvarial bone graft was the most commonly used type of bone graft. An open rhinoplasty approach and maxillary degloving were two commonly used incisions, and the most commonly associated fractures were maxillary Lefort fractures. The cantilever design was used in eight patients for the correction of the saddle nose deformity, and in four patients the bone graft was inserted into the nose in the subcutaneous plane. Conclusions: Saddle nose reconstruction with bone graft in multiple facial fracture patients is a predictable method if surgical accesses to the region are carefully designed, considering the accompanying fractures.

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“…Bone grafts (calvarium, iliac crest, costae, nasal hump, ulnae, inferior concha, and their combinations), cartilage grafts (septum, costae, or their combination), and synthetic materials (silicon, silastic, polyethylene) were used for this purpose. 5,6 Autogenous grafts lead to donor site morbidity and lengthen operation time. In addition, the source of graft is limited.…”

Section: Discussionmentioning

confidence: 99%

Reconstruction of Saddle Nose Deformity With Three-Dimensional Costal Cartilage Graft

Bilen

Kılınç

2007

Journal of Craniofacial Surgery

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Saddle nose deformity is characterized by depression of the nasal bone and the cartilage dorsum associated with a collapse in the upper lateral and alar cartilages. Etiopathogenesis usually involves trauma or invasive excision of the bone and cartilage. Surgical treatment for functional and aesthetic recovery relies on the use of grafts. Options for grafting include autogenous tissue such as bone or cartilage and alloplastic augmentation. Nine patients with saddle nose deformity underwent surgical reconstruction with autogenous costal cartilage. The deformity was the result of trauma in seven patients and secondary to surgery in two patients. Cartilage obtained from the sixth and seventh ribs was used as the graft material to compensate for the low nasal dorsum. Cartilage was used as a single unit and shaped to cover the nasal dorsum and the lateral nasal walls completely. The upper lateral cartilages were fixed to shaped cartilage graft. Additional cartilage grafts into the columella and septum were also placed in all patients. Functional and aesthetic outcome was satisfactory in all patients. As a result, using costal cartilage graft, a single unit allowed more predictable and reliable reconstruction of the saddle nose deformity than the conventional dorsal grafts.

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The Use of Lower Turbinate Bone Grafts in the Treatment of Saddle Nose Deformities

Cited by 21 publications

References 11 publications

Surgery of the Nasal Septum

Surgery of the Nasal Septum

Saddle Nose Reconstruction with Bone Graft in Multiple Facial Fracture Patients

Reconstruction of Saddle Nose Deformity With Three-Dimensional Costal Cartilage Graft

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