CC BY-NC-ND 4.0 · Indian J Plast Surg 2011; 44(01): 036-040
DOI: 10.1055/s-0039-1699476
Original Article
Association of Plastic Surgeons of India

Radial bone graft usage for nasal septal reconstruction

Yakup Cil
Department of Plastic Surgery, Eskisehir Military Hospital, 26020, Eskisehir/Turkey
Atacan Emre Kocman
Department of Plastic Surgery, Eskisehir Military Hospital, 26020, Eskisehir/Turkey
Abdul Kerim Yapıci
Department of Plastic Surgery, Eskisehir Military Hospital, 26020, Eskisehir/Turkey
Serdar Ozturk
1  Department of Plastic Surgery and Burn Center, Gulhane Military Medical Academy, Ankara/Turkey
› Author Affiliations
Further Information

Publication History

Publication Date:
31 December 2019 (online)


Background: Although various techniques have been described for correction of crooked and saddle nose deformities, these problems are challenging with high recurrence and revision rates. Conventional septal surgery may not be adequate for nose reconstruction in crooked and saddle nose deformities. Materials and Methods: Between December 2005 and October 2009, six patients with crooked nose and five patients with saddle nose deformities underwent corrective surgery in our clinic. All patients were male, and the mean age was 21 years (range, 19-23 years). We used rigid radial bone graft to prevent redeviation and recurrence following corrective nasal septal surgery. Results: The mean follow-up period was 28 months, ranging from 18 to 46 months. Mean operation time was 4 hours (3-4.5). All patients healed uneventfully. None of the patients required secondary surgery. Conclusions: We believe that radial bone grafts offer a long lasting support in treatment of challenging cases with crooked and saddle nose deformities.


  • 1 Daniel RK. Rhinoplasty: Septal saddle nose deformity and composite reconstruction. Plast Reconstr Surg 2007;119: 1029-43.
  • 2 Rohrich RJ, Gunter JP, Deuber MA, Adams WP Jr. The deviated nose: Optimizing results using a simplified classification and algorithmic approach. Plast Reconstr Surg 2002;110:1509-23.
  • 3 Constantian MB. An algorithm for correcting the asymmetrical nose. Plast Reconstr Surg 1989;83:801-11.
  • 4 Gruber RP, Nahai F, Bogdan MA, Friedman GD. Changing the convexity and concavity of nasal cartilages and cartilage grafts with horizontal mattress sutures: Part II. Clinical results. Plast Reconstr Surg 2005;115:595-606.
  • 5 Calderon-Cuellar LT, Trujillo-Hernandez B, Vasquez C, Padilla-Acero J, Cisneros-Preciado H. Modified mattress suture technique to correct anterior septal deviation. Plast Reconstr Surg 2004;114:1436-41.
  • 6 Boccieri A, Pascali M. Septal crossbar graft for the correction of the crooked nose. Plast Reconstr Surg 2003;111:629-38.
  • 7 Kalogjera L, Bedeković V, Baudoin T, Ivkıc M. Modified alar swing procedure in saddle nose correction. Aesthetic Plast Surg 2003;27:209-12.
  • 8 Alsarraf R, Larrabee WF Jr, Anderson S, Murakami CS, Johnson CM Jr. Measuring cosmetic facial plastic surgery outcomes: A pilot study. Arch Facial Plast Surg 2001;3:198-201.
  • 9 Erol OO. The Turkish delight: A pliable graft for rhinoplasty. Plast Reconstr Surg 2000;105:2229-41.
  • 10 Guyuron B, Uzzo CD, Scull H. A practical classification of septonasal deviation and an effective guide to septal surgery. Plast Reconstr Surg 1999;104:2202-9.
  • 11 Kim DW, Toriumi DM. Management of posttraumatic nasal deformities: The crooked nose and the saddle nose. Facial Plast Surg Clin North Am 2004;12:111-32.
  • 12 TerKonda RP, Sykes JM. Repairing the twisted nose. Otolaryngol Clin North Am 1999;32:53-64.
  • 13 Byrd HS, Salomon J, Flood J. Correction of the crooked nose. Plast Reconstr Surg 1998;102:2148-57.
  • 14 Gurlek A, Ersoz-Ozturk A, Celik M, Firat C, Aslan S, Aydogan H. Correction of the crooked nose using custom-made high-density porous polyethylene extended spreader grafts. Aesthetic Plast Surg 2006;30:141-9.
  • 15 Mendelson M. Straightening the crooked nose middle third of the nose: Using porous polyethylene extended spreader grafts. Arch Facial Plast Surg 2005;7:74-80.
  • 16 Sevin K, Aşkar I, Saray A, Yormuk E. Exposure of high-density porous polyethylene (Medpor) used for contour restoration and treatment. Br J Oral Maxillofac Surg 2000;38:44-9.
  • 17 Celik M, Haliloglu T, Baycin N. Bone chips and diced cartilage: An anatomically adopted graft for the nasal dorsum. Aesthetic Plast Surg 2004;28:8-12.
  • 18 Gunter JP, Clark CP, Friedman RM. Internal stabilization of autogenous rib cartilage grafts in rhinoplasty: A barrier to cartilage wraping. Plast Reconstr Surg 1997;100:161-9.
  • 19 Cil Y, Ozturk S, Kocman AE, Isik S, Sengezer M. The crooked nose: The use of medial iliac crest bone graft as a supporting framework. J Craniofac Surg 2008;19:1631-8.
  • 20 Hodgkinson, DJ. The Olecranon Bone Graft for Nasal Augmentation. Aesth Plast Surg 1992;16:129-32.
  • 21 Sadooghi M, Kouhi A. Mastoid bone as a new graft material in rhinoplasty. Am J Rhinol Allergy 2009;23:42-6.