The Fate of Calvarial Bone Graft in Nasal Tip Plasty Patients Followed Up for Over 10 Years

10년 이상 장기 추적된 두개골 외판을 이용한 비첨성형술 환자의 골이식편의 운명

  • Kim, Deok-Jung (Department of Plastic and Reconstructive Surgery, School of Medicine, Konkuk University) ;
  • Lee, Soo-Hyang (Department of Plastic and Reconstructive Surgery, School of Medicine, Konkuk University) ;
  • Hwang, Eun-A (Department of Plastic and Reconstructive Surgery, School of Medicine, Konkuk University) ;
  • Choi, Hyun-Gon (Department of Plastic and Reconstructive Surgery, School of Medicine, Konkuk University) ;
  • Kim, Soon-Heum (Department of Plastic and Reconstructive Surgery, School of Medicine, Konkuk University) ;
  • Shin, Dong-Hyeok (Department of Plastic and Reconstructive Surgery, School of Medicine, Konkuk University) ;
  • Uhm, Ki-Il (Department of Plastic and Reconstructive Surgery, School of Medicine, Konkuk University)
  • 김덕중 (건국대학교 의학전문대학원 성형외과학교실) ;
  • 이수향 (건국대학교 의학전문대학원 성형외과학교실) ;
  • 황은아 (건국대학교 의학전문대학원 성형외과학교실) ;
  • 최현곤 (건국대학교 의학전문대학원 성형외과학교실) ;
  • 김순흠 (건국대학교 의학전문대학원 성형외과학교실) ;
  • 신동혁 (건국대학교 의학전문대학원 성형외과학교실) ;
  • 엄기일 (건국대학교 의학전문대학원 성형외과학교실)
  • Received : 2010.02.18
  • Accepted : 2010.07.12
  • Published : 2010.09.10

Abstract

Purpose: In order to maintain corrected nasal tip projection, strong support is important. Authors used calvarial bone graft method for this purpose. Patients were followed up about permanency of the bone graft for a long time. Methods: From 1995 to 1998, author performed calvarial bone graft on 30 adult patients with secondary cleft lip and nose deformity. Patients were observed for 34 months. There were no specific complications, and results were satisfactory. We could confirm the permanence of the calvarial bone graft in 3 patients by photography and radiologic studies for 10 years follow-up. Results: None of the patients showed size change or displacement. But the portion of graft facing the tip was absorbed resulting in loss of tip projection and short nose in two patients. One patient had fracture on the middle of the graft. This caused depression from lower portion of the dorsum to the tip. Conclusion: Despite of autogenous grafts such as calvarial bone, absorption of the bone may occur when compressed with tension for a long period. And the graft in the nasal tip not having any contact with the nasal bone may cause absorption of the graft.

Keywords

References

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