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1 results

  • Fixation of nasal bone grafts with interosseous wire: our technique

  • N Sathe, N Gaikwad, G Wadkar, S Thakare
  • Journal:
    The Journal of Laryngology & Otology / Volume 125 / Issue 2 / February 2011
    Published online by Cambridge University Press:
    01 October 2010, pp. 199-203
    Print publication:
    February 2011
  • Background:

    The use of interosseous wire to fix bone grafts is well known. Herein, we describe a technique for fixation of an iliac crest bone graft for nasal augmentation, using a stainless steel wire.

    Method:

    A hole in the cancellous part of the graft guides the wire exactly into a groove in the cortical part, preventing slippage and ensuring rigid fixation. The wire is then threaded through a hollow spinal needle passed underneath the skin envelope; this avoids a dorsal incision and thus minimises scarring, reduces the risk of graft exposure and improves the aesthetic result.

    Results:

    This technique has two distinct advantages: prevention of wire slippage and avoidance of a dorsal nasal incision.

    Conclusion:

    The described method uses an interosseous wire for rigid bone graft fixation, without a dorsal incision. This prevents wire slippage; it also achieves a good cosmetic result by improving the nasal contour via a cantilever effect which raises the nasal tip.