Ganga J Kamath¹*, Puruhotham Chavan² and Rakesh Koudki³

¹Fellowship in Lateral Skull Base Surgery, Manipal Hospital, Bangalore, Karnataka, India
²Head and Neck Oncology, Kidwai Institute of Medical Sciences, Bangalore, Karnataka, India
³Plastic Surgery, Kidwai Institute of Medical Sciences, Bangalore, Karnataka, India

*Corresponding Author: Ganga J Kamath, Fellowship in Lateral Skull Base Surgery, Manipal Hospital, Bangalore, Karnataka, India.

Received: December 06, 2021; Published: January 20, 2022

Abstract

Correction of nasal bridge defect is a complex cosmetic and functional problem as well a big challenge for nasal reconstruction. Nasal bridge reconstruction may best be carried out with bone grafting in certain cases of loss of structural support. In order to optimize both the aesthetic and functional results of bone-graft nasal reconstruction, versatile hyoid bone with composite flap was used in nasal bridge reconstruction.

Method: The author used a hyoid bone with pedicled flap. In this study,the concept and unique technique for correction of nasal bone defects and the author’s experience using it are presented.

Results: The hyoid bone with pedicled flap was used for a 50 year old lady presenting with symptoms of recurrent nasal bleed and swelling in the root of the nose. During a follow up period of three years,there were no complications or recurrences.

Conclusion: A comprehensive review of literature has not revealed any description of this combination of hyoid bone with pedicled composite flap in nasal bridge reconstruction, although it has been used in laryngotracheal reconstruction. Use of vascularised hyoid bone graft as the spreader graft is a safe, effective, reliable, and permanent method of correction of the nasal bone deformity. The author advises using this technique for functional recovery and increased strength against further trauma or forces of scar contracture.

Keywords: Hyoid Bone; Nasal Bridge; Pedicled Flap

References

1. Thornton MA and Mendelsohn M. “Total Skeletal Reconstruction of the Nasal Dorsum”. Archives of Otolaryngology - Head and Neck Surgery 11 (2006): 1183-1188.
2. Austin GK and Shockley WW. “Reconstruction of nasal defects: contemporary approaches”. Current Opinion in Otolaryngology and Head and Neck Surgery 5 (2016): 453-460.
3. Seth R., et al. “Free anterolateral thigh fascia lata flap for complex nasal lining defects”. JAMA Facial Plastic Surgery 1 (2013): 21-28.
4. Gentile P and Cervelli V. “Nasal dorsum reconstruction with 11^th rib cartilage and auricular cartilage grafts”. Annals of Plastic Surgery1 (2009): 63-66.
5. Ponti L and Micheli-Pellegrini V. “Innesti cartilaginei autologhi (cap VI)”. La rinoplastica compendio di chirurgia morfodinamica del naso (1999).
6. Gunter JP and Rohrich RJ. “Augmentation rhinoplasty: dorsal onlay grafting using shaped autogenous septal cartilage”. Plastic and Reconstructive Surgery 86 (1989): 39-45.
7. Choudhury N and Marais J. “Use of porous polyethylene implants in nasal reconstruction”. International Journal Clinical Rhinology 4 (2011): 63-70.
8. Looper EA. “Use of hyoid bone as a stent in laryngeal stenosis”. Archives of Otolaryngology 28 (1938): 106-111.
9. Wei B., et al. “Laryngeal function reconstruction with hyoid osteomuscular flap in partial laryngectomy for laryngeal cancer”. Oncology Letters2 (2015): 637-640.

Citation

Citation: Ganga J Kamath., et al. “The Hyoid Bone in Nasal Bridge Reconstruction: A Versatile Technique".Acta Scientific Otolaryngology 4.2 (2022):18-22 .

Copyright

Copyright: © 2022 Ganga J Kamath., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.