Dorsal nasal reconstruction using bone harvested from the mandible.
OBJECTIVE
This article describes a technique for reconstructing nasal deformities resulting from trauma. Bone harvested from the lateral ramus/body of the mandible is used to provide nasal support for major nasal deformities.


METHODS
Ten patients underwent repair of their nasal deformities with an autogenous bone graft harvested from the mandible. Primary bone grafting was used to repair a nasal deformity associated with a naso-orbito-ethmoidal fracture in 8 patients. Secondarily, 2 patients underwent placement of a graft for correction of a saddle nose deformity.


RESULTS
All patients achieved aesthetic results. There was maintenance of nasal projection and symmetry without displacement of the graft. None of the patients complained of an unnatural hardness of the nasal tip or dorsum. All grafts healed without evidence of infection, dehiscence, or necrosis.


CONCLUSIONS
The lateral ramus/body of the mandible provide an excellent donor site alternative for nasal reconstruction.
Herford
Alan S
AS
Department of Oral & Maxillofacial Surgery, Loma Linda University Medical Center, CA, USA. aherford@sd.llu.edu
D016025:Bone Transplantation / Q000379:methods*; D004954:Esthetics; D005004:Ethmoid Bone / Q000293:injuries; D005500:Follow-Up Studies; D006801:Humans; D008334:Mandible / Q000601:surgery; D009295:Nasal Bone / Q000293:injuries; D009666:Nose / Q000601:surgery*; D009667:Nose Deformities, Acquired / Q000601:surgery*; D009917:Orbital Fractures / Q000601:surgery; D019651:Plastic Surgery Procedures; D012677:Sensation / Q000502:physiology; D012887:Skull Fractures / Q000601:surgery; D014182:Transplantation, Autologous