Bone Framework Graft through an Intraoral Approach in a Patient with Columellar Scar Contracture

There are a number of types of rhinoplasty techniques. It is clear that the open rhinoplasty approach has advantages in treating complex and difficult nasal deformities, because it allows a great range of nasal structures to be directly viewed. However, a transcolumellar incision may be troublesome [1]. The closed approach appears to be especially useful for simple nasal surgery. The surgeon’s experience and sense of aesthetics are essential for the closed approach, because the operation is performed without exposing the nasal structures [2]. An intraoral approach can be used by anyone who wishes to avoid a nasal scar. Through an intraoral approach, surgeons can insert grafts or implants easily [3]. Surgeons must choose the appropriate approach that provides patients with the best aesthetic results. We present our experience with calvarial bone framework insertion through an intraoral approach in a patient who had columellar scar contracture after open rhinoplasty.