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Fixation of nasal bone grafts with interosseous wire: our technique

Published online by Cambridge University Press:  01 October 2010

N Sathe ,
N Gaikwad ,
G Wadkar  and
S Thakare
N Sathe*
Affiliation:
Department of ENT, Seth G S Medical College and King Edward Memorial Hospital, Parel, Mumbai, India
N Gaikwad
Affiliation:
Department of ENT, Seth G S Medical College and King Edward Memorial Hospital, Parel, Mumbai, India
G Wadkar
Affiliation:
Department of ENT, Seth G S Medical College and King Edward Memorial Hospital, Parel, Mumbai, India
S Thakare
Affiliation:
Department of ENT, Seth G S Medical College and King Edward Memorial Hospital, Parel, Mumbai, India
*
Address for correspondence: Dr Nilam Sathe, Yash Co-Op Society, 66/1748, Kannamwar Nagar No 2, Vikhroli (E), Mumbai 400083, India E-mail: drneelam_s@yahoo.co.in
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Abstract

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.

Keywords

TechniqueNasal Bone Graft FixationInterosseous Wire
Type
Short Communications
Information
The Journal of Laryngology & Otology , Volume 125 , Issue 2 , February 2011 , pp. 199 - 203
Copyright
Copyright © JLO (1984) Limited 2010

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