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Dr. Bernstein confirmed my impression that this technique was probably being used in many parts of the country. Many contributions to the published knowledge in our profession must be credited to our house staff training program. These young men want to know why we are using a certain technique and where they can read about it.I believe that the preparation of the bone for insertion into the nasal dorsum is most important. The use of small pieces, in addition to providing ease of insertion, allows for a soft tissue framework to be established which persists even though the bone in time may lose its radiopaque qualities. In this way it seems to differ from any other bone grafts that I used for this purpose.I appreciate Dr. Bernstein's remarks and am also pleased that he took the time and effort to review the pertinent literature prior to making