Facial Plastics/Reconstructive Surgery

Cartilage grafts in dorsal nasal augmentation of traumatic saddle nose deformity: A long-term follow-up†

  1. Johnny Mao MD*,
  2. Michael Carron MD,
  3. Senja Tomovic BS,
  4. Kailash Narasimhan MD,
  5. Shannon Allen MD,
  6. Robert H. Mathog MD

Article first published online: 14 MAY 2009

DOI: 10.1002/lary.20491

Issue

The Laryngoscope

The Laryngoscope

Volume 119, Issue 11, pages 2111–2117, November 2009

Additional Information

How to Cite

Mao, J., Carron, M., Tomovic, S., Narasimhan, K., Allen, S. and Mathog, R. H. (2009), Cartilage grafts in dorsal nasal augmentation of traumatic saddle nose deformity: A long-term follow-up. The Laryngoscope, 119: 2111–2117. doi: 10.1002/lary.20491

Author Information

  1. Department of Otolaryngology–Head and Neck Surgery, Wayne State University School of Medicine, Detroit, Michigan, U.S.A.

*Department of Otolaryngology–Head and Neck Surgery, Wayne State University School of Medicine, 4201 St. Antoine, 5E-UHC, Detroit, MI 48201

  1. †

    Presented at the Triological Society Combined Southern & Middle Section Meeting, Bonita Springs, Florida, U.S.A., January 8–11, 2009.

Publication History

  1. Issue published online: 22 OCT 2009
  2. Article first published online: 14 MAY 2009
  3. Manuscript Accepted: 17 MAR 2009

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Keywords:

  • Facial plastics;
  • reconstructive surgery;
  • otolaryngology;
  • sinonasal;
  • saddle nose;
  • dorsal nasal augmentation

Abstract

Objectives/Hypothesis:

To document the long-term advantages and disadvantages of cartilage grafts used to correct traumatic saddle nose deformity. Additionally, to demonstrate functional improvement and cosmetic satisfaction with the use of this graft.

Study Design:

Retrospective chart review and prospective follow-up telephone survey of 20 patients after dorsal augmentation of saddle nose deformity secondary to trauma.

Methods:

This is a single-surgeon, single-institution investigation within an academic tertiary care medical center. All patients presented for correction of saddle nose deformity after trauma, and cartilage grafts were used for augmentation of the dorsum. Minimum postoperative follow-up period of 1 year was required. A modified and expanded Nasal Obstructive Symptoms Evaluation survey, which included questions pertaining to the appearance of their nose, was used to assess both functional and cosmetic changes after surgery.

Results:

Only 1 of the 20 patients was dissatisfied with the overall outcome. Three (15%) were extremely satisfied, 12 (60%) were very satisfied, three (15%) were somewhat satisfied, and one (5%) was indifferent. In terms of function, four (20%) experienced excellent relief in nasal obstruction, five (25%) moderate relief, four (20%) mild relief, and seven (35%) noted no difference. Regarding cosmesis, two (10%) noted excellent improvement, three (15%) moderate improvement, nine (45%) mild improvement, and five (25%) noted no significant change. One (5%) patient reported worsening due to tip edema. Mean follow-up time was 6.8 years.

Conclusions:

Autogenous cartilage grafts are useful in the correction of mild to moderate traumatic saddle nose deformity. The graft is readily available, preserves long-term structural stability, and achieves functional and cosmetic satisfaction in most patients. Laryngoscope, 2009

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