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WHAT ARE THE MATERIALS SUITABLE FOR AUGMENTATION RHINOPLASTY?

The following are different materials available for augmentation rhinoplasty:

NATURALSYNTHETIC
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
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