[Saddle nose surgery: long term aesthetic outcomes of support grafts].
Saddle nose surgery requires support grafts to improve the aesthestic of the nose such as the functional ventilation. Many kind of graft are available: Calvarial bone graft, iliac crest, septal cartilage, conchal cartilage, nasal hump, bony inferior turbinate.


OBJECTIVE
To define the surgical strategy and long term aesthetic outcomes of rhinoplasty with support graft for saddle nose correction.


METHODS
Retrospective study during the period 1985-2005: 160 patients underwent rhinoplasty with support graft for saddle nose correction. Patients were divided into 3 groups depending on the deformation (group I: Minor saddle nose; group II: Intermediate saddle nose; group III: Major saddle nose). Long term results were analysed at least 5 years after surgery, in 70 patients.


RESULTS
An intranasal approach was performed in 92 cases, while an open approach was performed in 68 cases. A bony support graft was used in 85% of patients of group II and 94% of patients of group III. These grafts allowed a more rigid correction of the saddle nose than cartilage. For groups II and III patients, cartilage support grafts were not used because of the lack of quantity to correct the saddle nose.


CONCLUSIONS
Calvarial bone support graft has a great role in saddle nose surgery. The postoperative aesthetic outcomes are interesting and its absorption is low.
Paris
J
J
CHU La Timone, Fédération ORL et Chirurgie de la face et du cou, 264 rue Saint Pierre, F-13385 Marseille, France. paris.j@wanadoo.fr
Facon
F
F
Thomassin
J M
JM
D016025:Bone Transplantation; D002356:Cartilage / Q000637:transplantation*; D004954:Esthetics; D005260:Female; D006801:Humans; D007085:Ilium / Q000637:transplantation; D008297:Male; D019060:Minimally Invasive Surgical Procedures; D009300:Nasal Septum / Q000002:abnormalities* / Q000601:surgery; D012189:Retrospective Studies; D012225:Rhinoplasty / Q000379:methods*; D016896:Treatment Outcome