Fixation of nasal bone grafts with interosseous wire: our technique.
BACKGROUND
The use of interosseous wire to fix bone grafts is well known. Herein, we describe a technique for fixation of an iliac crest bone graft for nasal augmentation, using a stainless steel wire.


METHODS
A hole in the cancellous part of the graft guides the wire exactly into a groove in the cortical part, preventing slippage and ensuring rigid fixation. The wire is then threaded through a hollow spinal needle passed underneath the skin envelope; this avoids a dorsal incision and thus minimises scarring, reduces the risk of graft exposure and improves the aesthetic result.


RESULTS
This technique has two distinct advantages: prevention of wire slippage and avoidance of a dorsal nasal incision.


CONCLUSIONS
The described method uses an interosseous wire for rigid bone graft fixation, without a dorsal incision. This prevents wire slippage; it also achieves a good cosmetic result by improving the nasal contour via a cantilever effect which raises the nasal tip.
Sathe
N
N
Department of ENT, Seth G S Medical College and King Edward Memorial Hospital, Parel, Mumbai, India. drneelam_s@yahoo.co.in
Gaikwad
N
N
Wadkar
G
G
Thakare
S
S
D016025:Bone Transplantation / Q000295:instrumentation / Q000379:methods*; D001864:Bone Wires; D006085:Graft Survival / Q000502:physiology; D006801:Humans; D007085:Ilium / Q000637:transplantation; D009295:Nasal Bone / Q000601:surgery*; D012225:Rhinoplasty / Q000295:instrumentation / Q000379:methods*; D016896:Treatment Outcome