Fixation of nasal bone grafts with interosseous wire: our technique.
| Autor: | Sathe N; Department of ENT, Seth G S Medical College and King Edward Memorial Hospital, Parel, Mumbai, India. drneelam_s@yahoo.co.in, Gaikwad N, Wadkar G, Thakare S |
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| Jazyk: | angličtina |
| Zdroj: | The Journal of laryngology and otology [J Laryngol Otol] 2011 Feb; Vol. 125 (2), pp. 199-203. Date of Electronic Publication: 2010 Oct 01. |
| DOI: | 10.1017/S0022215110001957 |
| Abstrakt: | 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. |
| Databáze: | MEDLINE |
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