Secondary Rhinoplasty Using Autologous Bone for Nasal Dorsum Defects

Abstract

Introduction: Secondary rhinoplasty is a difficult procedure that requires familiarity (on the part of the practitioner) with the anatomy of the different possible deformities. The use of autologous grafts from parietal bone to augment the nasal dorsum is evaluated. Materials and Methods: There were 14 cases (6 female and 8 male) involving patients with saddle nose deformities; 9 of these cases involved patients with posttraumatic deformities, and 5 cases involved secondary rhinoplasties performed to treat the sequelae of aesthetic surgery. The ages of the patients ranged from 22 to 43 years; the average age of patients was 30.57 years. Results: During the immediate postoperative period, one hematoma was produced without consequences, and one case of slight displacement of the graft was observed 11 months postoperatively. The minimum length follow-up was 8 months and the maximum length was 3 years; the average length of follow-up was 12 months. Conclusion: The parietal bone graft allows for a high level of patient satisfaction, minimum risk, and unnoticeable residual deformity of the donor site.