The Usefulness of Costochondral Cantilever Graft for Correction of Saddle Nose.

Seo, Sang Woo; Yoo, Won Min

Original Article

Journal of the Korean Society of Plastic and Reconstructive Surgeons 2006;33(4):458-464.
Published online July 1, 2006.

The Usefulness of Costochondral Cantilever Graft for Correction of Saddle Nose.

Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine, Seoul, Korea. wnmnyoo@yumc.yonsei.ac.kr

Abstract

PURPOSE
Saddle nose deformity results from lack of support to the nasal dorsum. The integrity of both the cartilaginous or bony portion of the nose is compromised. Cantilever bone graft is the mainstay for correction of saddle nose deformity, but the problems of bone graft are stiffness of the nasal tip and resorption. Thus the authors propose a costochondral cantilever graft, with the bony and cartilaginous portion harvested as one block, using cartilaginous portion as support to the nasal tip. METHODS: Between October of 1996 and July of 2005, 8 cases of saddle nose deformity were treated by the same surgeon. All patients had undergone costochondral cantilever graft. Postoperative evaluation included the depression of the nasal dorsum and tip. Comparisons of preoperative and postoperative photographs was done if possible.
RESULTS
The mean follow-up period was 5.9 years. The results were excellent aesthetically and there was no complication.
Conclusion
The authors' method maximize the benefits of each bone and cartilage graft while minimizing their inherent limitations.

Keywords: Saddle nose; Costochondral cantilever graft