[Calvarial bone grafting in augmentation rhinoplasty. Long-term results].
BACKGROUND
Various clinical situations may require an important increase of the size of the nose. The aim of our work was to analyze long-term results of calvarial bone grafts used in rhinoplasties.


METHODS
We retrospectively studied the files of 20 patients having undergone a calvarial bone graft. Photogrammetry was used to determine morphological modifications and the stability of results.


RESULTS
The average follow-up was 8 years. The parietal donor site morbidity was low. All nose sizes were dramatically augmented and the stability of results ranged between 74.5 and 95%.


CONCLUSIONS
The calvarial bone graft can be used for important nose augmentation with a good stability. There are few alternative techniques. This method is only limited by available skin and endonasal lining. Calvarial bone graft in rhinoplasty is not frequent but it is our first choice for the correction of important hypoplasia or saddling of the nose.
Himy
S
S
Service de chirurgie plastique, maxillofaciale et stomatologie, CHU de Strasbourg, 1, place de l'Hôpital, 67000 Strasbourg, France. serge.himy@wanadoo.fr
Zink
S
S
Bodin
F
F
Bruant-Rodier
C
C
Wilk
A
A
Meyer
C
C
D000328:Adult; D016025:Bone Transplantation / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009297:Nasal Mucosa / Q000637:transplantation; D015508:Nasal Obstruction / Q000601:surgery; D009300:Nasal Septum / Q000601:surgery; D010294:Parietal Bone / Q000601:surgery; D012189:Retrospective Studies; D012225:Rhinoplasty / Q000379:methods*; D016038:Skin Transplantation; D013524:Surgical Flaps; D055815:Young Adult