Morselized Bone Graft: A Tool for Nasal Dorsum Contouring and Refinement
Shaishav Datta, Steven Hanna, Bugra Tugertimur, Alexia Lucas, Alannah Phelan, Matthew Morris, Paige Goote, David Mattos, Richard Reish

TL;DR
This study shows that morselized bone grafts, made from discarded bone rasp material, can safely and effectively refine the nasal profile during rhinoplasty.
Contribution
The study introduces the use of morselized bone grafts as a novel, efficient, and safe method for nasal dorsum contouring.
Findings
MBG use resulted in a 2.7% postoperative infection rate and a 1.8% revision rate.
No patients required revision due to dorsal irregularities or contour defects.
MBG is a convenient alternative with no additional donor-site morbidity.
Abstract
The nasal dorsum is a cornerstone of rhinoplasty aesthetics, playing a vital role in achieving facial harmony and balance. Achieving a smooth, refined nasal profile remains a significant challenge, particularly in thin-skinned patients who are more susceptible to contour irregularities. Many techniques are used to address this problem, including diced cartilage, fascia, acellular dermal matrices, and silicone implants. This study aims to evaluate the effectiveness of using morselized bone grafts (MBG)–specifically, unused bone rasp material that is typically discarded–as a technique for contouring and refining the nasal dorsum after dorsal reduction. The senior surgeon exclusively utilizes an open approach to rhinoplasty, and all cases are performed under general anesthesia. After performing a dorsal hump reduction with a bone rasp, the MBG is stored on the back table for later use in…
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Taxonomy
TopicsNasal Surgery and Airway Studies
