THERE continues to be a search for a substance other than living tissue as a replacement for defects.1-7 Living tissue when transferred as a free graft is not always ideal as it sometimes undergoes undesirable changes such as absorption and alterations of shape. It may even be unacceptable and extruded.
The use of implants in plastic surgery about the face is not comparable to other parts of the body. In this area the implant is not deep in the tissue; it is subjected to almost constant motion and is exposed to frequent trauma. This is especially true of the nose. One has only to remember that nasal fractures are the most common of all fractures. The greater part of the nose is nonrigid and is frequently manipulated, as in blowing, washing, and rubbing. Hence, grafts and implants here seem to have the least success rate of all body areas.
Patterson CN. Siliconized Dacron Implants in Septal and Orbital Surgery. Arch Otolaryngol. 1969;89(4):609–613. doi:10.1001/archotol.1969.00770020611011
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