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


METHODS
Case series.


METHODS
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.


METHODS
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.


CONCLUSIONS
Based on the experimental evidence reviewed and our clinical experience, split calvarial bone is recommended as a material of choice for nasal dorsal reconstruction.
Cheney
M L
ML
Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Boston, USA.
Gliklich
R E
RE
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016025:Bone Transplantation; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012225:Rhinoplasty / Q000379:methods*; D012886:Skull; D014182:Transplantation, Autologous; D016896:Treatment Outcome