The objective of this study is to assess the surgical reconstruction of the nasal dorsum using an autogenous graft from the tibial crest, in a three hundred patients with nasal sequelae of infectious diseases, trauma and secondary rhinoplasties who were analyzed clinical and radiological. Ages ranging from twenty to sixty years old, fifty males and fifty females. Satisfactory results without complications were obtained in 293 patients, dislocation of the graft occurred in three, extrusion in two and dehiscence in one.
The tibial crest graft is extremely useful for reconstruction of the nasal dorsum in Hansen's disease because it is easily obtainable, integrates well with a minimum of complications improving both the function and the aesthetic appearance.