title: Total skeletal reconstruction of the nasal dorsum.
abstract: OBJECTIVE
  To review the outcomes of rhinoplasty in patients who underwent full-length dorsal reconstruction.
  
  
  METHODS
  Retrospective review.
  
  
  METHODS
  Private-practice facial plastic surgery clinic. Patients Thirty-seven patients in a consecutive series of 1273 rhinoplasty cases.
  
  
  METHODS
  In all patients, a single high-density porous polyethylene implant was used to span the full length of the nasal bridge as part of their rhinoplasty reconstruction.
  
  
  METHODS
  Retrospective review of medical charts and preoperative and postoperative photographs to identify any complications, including infection, extrusion, movement, or displacement, and examination of the aesthetic outcome. A telephone survey was performed to assess patient satisfaction regarding the appearance and sensation of the nose.
  
  
  RESULTS
  In all cases, the full-length dorsal implant provided a smooth bridge contour without leaving an inverted V deformity or focal irregularities. There were no cases of infection or extrusion. In 2 cases, revision surgery was required to enhance cosmetic outcome.
  
  
  CONCLUSIONS
  The high rate of patient acceptance, safety, and success of full-length dorsal reconstruction in providing a natural frontal contour challenges the minimal indications for using this type of reconstruction as opposed to using smaller grafts. As with all alloplasts, long-term follow-up is required.
authors.affiliation: The Stuart Clinic, Chatswood, New South Wales, Australia.
authors.forename: Mona Anne
authors.initials: MA
authors.lastname: Thornton
authors.forename: Martyn
authors.initials: M
authors.lastname: Mendelsohn
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D017060:Patient Satisfaction; D020959:Polyethylene; D011183:Postoperative Complications; D019736:Prostheses and Implants; D012086:Reoperation; D012189:Retrospective Studies; D012225:Rhinoplasty / Q000379:methods*
chemical_list: D020959:Polyethylene