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A New Technique for Augmentation Rhinoplasty

Michael Evan Sachs, MD

Arch Otolaryngol Head Neck Surg. 1987;113(3):289-291.

Abstract
• A new technique for dorsal augmentation during rhinoplasty was utilized in 58 patients over a period of four years. Microfibrillar collagen (Avitene) was combined immediately before the operation with autogenous whole blood, forming a "tissue clay," which was then sculpted into the desired dorsal contour. Tissue clay solidifies after one week and becomes palpably similar to bone. Longstanding results of four years have documented the ability of the substance to augment the nose up to 1 cm in height. There have been no complications to date, and the average resorption rate over a two- to four-year period was 16%. The esthetic and functional results in 58 cases were deemed excellent, safe, and effective.

(Arch Otolaryngol Head Neck Surg 1987;113:289-291)

Author Affiliations
From the Department of Otolaryngology–Head and Neck Surgery, New York Medical College, and the Division of Facial Plastic Surgery, New York Eye & Ear Infirmary.

Footnotes
Accepted for publication July 14, 1986.

Read before the Spring Meeting of the American Academy of Facial Plastic Reconstructive Surgery, Palm Beach, Fla, May 10, 1986.

Reprint requests to 128 Central Park S, New York, NY 10019 (Dr Sachs).

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THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Augmentation Rhinoplasty
ABLOW
Arch Otolaryngol Head Neck Surg 1987;113:779-779.
ABSTRACT