Intranasal composite grafts for dorsal support.

Reconstruction of the dorsal support of the nasal pyramid is often a challenging proposition. Intranasal resection of the septum or lateral walls of the nose will cause collapse, widening, shortening, and a depressed profile. This problem has been treated by cantilever bone grafts, cartilaginous grafts, composite grafts, skin grafts, and struts with some success. The correction of total resection of the nasal septum by the implantation of a biwinged composite cartilage graft acts as a buttress in its augmentation and support of the dorsum of the nose.