Use of Nasal Septal Bone for Septal Extension Graft after Jaw Surgery

BACKGROUND: After jaw surgery, there is often posterior caudal septal defect with dislocation of caudal septum from anterior nasal spine. In such patients, reconstruction of caudal septum is required during rhinoplasty. The authors used septal bone for nasal tip surgery reconstructing caudal septum in patients who have no desire to use autologous or homologous costal cartilage or foreign material. METHODS: This study included 50 patients who underwent rhinoplasty using septal bone from November 2009 to September 2012. The subjective satisfaction of patients was evaluated 6 to 12 months after rhinoplasty with a questionnaire. RESULTS: Mean follow-up was 9 months. Forty-three patients (86%) answered the questionnaire after the operation. Postoperative subjective satisfaction was excellent in 28 cases (65%), good in 9 cases (21%), fair in 4 cases (9%), no change in 1 case (2%), and poor or worse in 1 case (2%). CONCLUSIONS: Use of septal bone for septal extension graft may serve as a valuable option in septal cartilage–depleted patients. It gives a strong construct for tip surgery with patient satisfaction.