Download PDF
Facial Plast Surg 2013; 29(06): 473-478
DOI: 10.1055/s-0033-1360592
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Bone Recycling in Nasal Septal Reconstruction

Fazil Apaydin
1   Department of Otorhinolaryngology, Ege University Medical Faculty, Bornova, İzmir, Turkey
› Author Affiliations
Further Information

Publication History

Publication Date:
10 December 2013 (online)

    Permissions and Reprints

Abstract

Septal reconstruction alone or together with rhinoplasty can be a very challenging operation. In situations where septal cartilage is used for grafting or is not enough, bony implants taken from the perpendicular plate of the ethmoid and vomer can be used as a filler material between the mucoperichondrial flaps to avoid from unwanted mucosal atrophy, flapping, and septal perforation. These bony implants can also be used for splinting the dorsal and/or caudal segment of the septal cartilage after reshaping by rongeurs. On rare occasions, they can even be used for subtotal reconstruction of the septum.

Keywords

septal reconstruction - septoplasty - submucous resection - vomer - ethmoid - maxillar crest - rhinoplasty

Note

This study was performed at the Department of Otolaryngology, Ege University Medical Faculty, Bornova 35100, İzmir, Turkey.


 

  • References

  • 1 American Heritage Dictionary. http://www.ahdictionary.com
    PubMedGoogle Scholar
  • 2 Slavit DH, Bansberg SF, Facer GW, Kern EB. Reconstruction of caudal end of septum. A case for transplantation. Arch Otolaryngol Head Neck Surg 1995; 121 (10) 1091-1098
    CrossrefPubMedGoogle Scholar
  • 3 Metzinger SE, Boyce RG, Rigby PL, Joseph JJ, Anderson JR. Ethmoid bone sandwich grafting for caudal septal defects. Arch Otolaryngol Head Neck Surg 1994; 120 (10) 1121-1125
    CrossrefPubMedGoogle Scholar
  • 4 Gubisch W, Constantinescu MA. Refinements in extracorporal septoplasty. Plast Reconstr Surg 1999; 104 (4) 1131-1139 , discussion 1140–1142
    CrossrefPubMedGoogle Scholar
  • 5 Dupont C, Cloutier GE, Prevost Y. Autogenous vomer bone graft for permanent correction of the cartilaginous septal deviations. Plast Reconstr Surg 1966; 38 (3) 243-247
    PubMedGoogle Scholar
  • 6 Sheen JH. Achieving more nasal tip projection by the use of a small autogenous vomer or septal cartilage graft. A preliminary report. Plast Reconstr Surg 1975; 56 (1) 35-40
    CrossrefPubMedGoogle Scholar
  • 7 Gray's anatomy: http://www.bartleby.com
    PubMed
  • 8 Melsen B. Histological analysis of the postnatal development of the nasal septum. Angle Orthod 1977; 47 (2) 83-96
    PubMedGoogle Scholar
  • 9 Grymer LF, Melsen B. The morphology of the nasal septum in identical twins. Laryngoscope 1989; 99 (6 Pt 1) 642-646
    PubMedGoogle Scholar
  • 10 Sheen JH. Spreader graft: a method of reconstructing the roof of the middle nasal vault following rhinoplasty. Plast Reconstr Surg 1984; 73 (2) 230-239
    CrossrefPubMedGoogle Scholar
  • 11 Porter JP, Toriumi DM. Surgical techniques for management of the crooked nose. Aesthetic Plast Surg 2002; 26 (Suppl. 01) S18
    CrossrefPubMedGoogle Scholar
  • 12 Toriumi DM. Subtotal reconstruction of the nasal septum: a preliminary report. Laryngoscope 1994; 104 (7) 906-913
    CrossrefPubMedGoogle Scholar