The following are different materials available for augmentation rhinoplasty:
NATURAL | SYNTHETIC |
---|---|
1) AUTOGRAFTS (patient's own tissue) -Cartilage: septum, pinna, costal -Bone: calvarium, iliac crest -Fascia -Dermis ADVANTAGE *No immune response hence no biocompatibility issues or problems DISADVANTAGE: *Limited quantity * Morbidity of donor site | 1)POLYMER: a) silicone rubber b)Polyethylene: Medpore c) Polytetrafluroethylene: -Teflon -Proplast -Gore-tex (best for nasal dorsum) d) Polyester and Polyamaide mesh: -Mersilene (polyester) -Supramid (Polyamide) |
2) HOMOGRAFTS(Allografts) : graft from different individual but of same species -Preserved, irradiated or lyophilized cartilage and bone * ususally rendered undesirable because it has unpredictable stability and also carries a risk of transmission of slow viruses | 2)METALS: Titanium |
3) XENOGRAFTS( different species) -semi synthetic -Porcine or bovine collagen | 3) CALCIUM-PHOSPHATE BASED MATERIAL a) Ceramic hydroxyapatite b) Non ceramic hydroxyapatite |