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Brief Communication
October 2001

The Use of Nasion Grafts in Cosmetic Rhinoplasty

Author Affiliations

Head and Neck Surgical Associates, Inc
5520 College Blvd
Overland Park, KS 66211

 

Head and Neck Surgical Associates, Inc
 5520 College Blvd
 Overland Park, KS 66211


Arch Facial Plast Surg. 2001;3(4):282. doi:

THE Surgical Technique article,1 "The Radix Graft in Cosmetic Rhinoplasty," by Drs Becker and Pastorek in the April-June issue of the ARCHIVES was of particular interest to me. I have been using the nasion graft (radix graft) since 1980. In 1983, I presented a paper titled "The Use of the Nasion Graft in Rhinoplasty" at the International Meeting of Facial Plastic Surgery in Los Angeles, Calif. The nasion graft was introduced to prevent the sequelae from overzealous hump removal (Figure 1) in patients who had a deep nasal frontal angle. I have modified my technique since 1983 by carefully crushing the material (usually septal cartilage) prior to its insertion in the pocket of the deep nasal frontal angle. This is an extremely important maneuver, because a few of the early nasion grafts that appeared irregular in shape when the edema from surgery had subsided. Figure 2 represents a simple clinical method to determine the need for a nasion graft. Three examples in which the nasion grafts are helpful are shown in Figure 3.

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