Management and aesthetic results of support grafts in saddle nose surgery

To define the surgical management and long-term aesthetic results of patien ts undergoing rhinoplasty with support graft for saddle nose, 147 patients have been included in this retrospective study. One hundred forty-four auto genous grafts (bone or cartilage) and three processed irradiated bovine car tilage grafts have been used during the period 1980-1997. Two approaches ha ve been employed: open rhinoplasty and endonasal approach. Most of cases have been treated with bony grafts (116 bone graft versus 26 cartilage grafts). Global follow-up after surgery for long-term aesthetic s tudy was 8.5 years. Among the different autogenous that have been used in o ur series, the calvarial bone had the most interesting results in terms of resorption. In patients with important saddle nose deformity, we recommend calvarial bo ne as a material of choice for dorsonasal reconstruction. It provides excel lent and natural long-term feel to the nasal complex.