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Title of Journal: Arch Facial Plast Surg

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Abbravation: Archives of Facial Plastic Surgery

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American Medical Association

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DOI

10.1007/bf01107252

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ISSN

1521-2491

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Saddle Nose Deformity Reconstruction With a Split

Authors: Taha Z Shipchandler Brian J Chung Daniel S Alam
Publish Date: 2008/09/15
Volume: 10, Issue: 5, Pages: 305-311
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Abstract

A 17yearold woman with Wegener granulomatosis and a severe saddle nose deformity A and B Preoperative views Anterior view A and profile B C and D Postoperative views 23 months after Lshaped split calvarial bone reconstruction of the saddle nose deformity Anterior view C and profile DA 53yearold man with sarcoidosis with severe saddle nose deformity A and B Preoperative views Anterior view A and profile B C and D Postoperative views 13 months after Lshaped split calvarial bone reconstruction of the saddle nose deformity Anterior view C and profile DObjective  To describe a technique for creation of a split calvarial bone Lshaped strut that provides dorsal support while increasing tip projection in patients with substantial septal saddle nose deformities from various underlying inflammatory conditions and surgical resectionResults  Fifteen patients underwent nasal reconstruction at our institution using the split calvarial bone Lshaped strut technique with postoperative followup to 36 months range 936 months The causes of septal perforation leading to saddle nose deformity included cocaine use infection sarcoidosis malignant lesion iatrogenic causes and Wegener granulomatosis All cases resulted in an augmented straightened nasal dorsum and increased tip projection Results were maintained throughout followup with no evidence of graft infection resorption or migration


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References

citation title=Complications associated with the harvesting of cranial bone grafts citation author=Kline RM citation author=Wolfe SA Plast Reconstr Surg citation year=1995 citation volume=95 citation issue=1 citation pages=520


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