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A variety of autologous sites and techniques are described for augmentation of the nasal dorsum but none fit the ideal. We describe the ulna cantilevered bone graft as an alternative autologous source for use in severe saddle deformity. A retrospective analysis was carried out on ten patients identified as undergoing this procedure from 1999 to June 2008 as carried out by the senior author. Data was collected on demographics, operative details, post-operative recovery and complications. The surgical technique is described. Follow-up ranged from 2 to 106 months (mean 19.7). Nine patients rated their result as good or excellent. The grafts were well incorporated and present at follow-up. There was no evidence of graft migration and no complaints of hardness of the nasal tip or dorsum. The donor site was well tolerated by all, with no early donor site complications. There was one long-term donor site complication: a non-displaced transverse fracture of the ulna following a fall at 6 weeks. The ulna cantilevered bone graft is easy to harvest, conveys desirable mechanical properties and has minimal associated morbidity, hence represents a viable alternate autologous source.
European Journal of Plastic Surgery – Springer Journals
Published: Jun 1, 2011
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