P-67606156-131 - Nasal dorsum strut plate: A case series

Abstract

<h3>Purpose</h3> Severe injury to the nasal bones and structures may lead to a depressed nasal dorsum, so-called "saddle-nose deformity," which is generally caused by medium and high-intensity impacts to this area, resulting in aesthetic and functional complaints. The present study aims to describe a case series of strut plates implementation to restore nasal projection. <h3>Methods</h3> A case series of patients with naso-orbital-ethmoid fractures associated with panfacial fractures and severe saddle-nose deformity with comminuted nasal dorsum were followed for 36 months after the correction of the nasal projection with a nasal dorsum strut plate, coated by a pericranium flap. <h3>Results</h3> Nine male patients, victims of M.V.A., were enrolled in the study. In all cases, a strut titanium plate was applied vertically at the nasal root to reconstruct its dorsum. No signs of infection or plate exposure were observed; in other words, the complication rate was 0% in all nine cases. The nose dorsum projection was re-gained for all the patients. <h3>Conclusion</h3> The main goal of the treatment is to obtain restoration of aesthetic form and function. The three-years follow-up, alongside the satisfactory outcomes, indicate that the use of a strut plate for dorsal nasal height restoration, associated with pericranium flap coating is an excellent corrective technique to saddle-nose deformity and can be performed by the maxillofacial surgeon during the surgical intervention.