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To the Editor.—Thank you for the opportunity to preview the paper "Homologous Nasal Hump Implant" by Dr. David Bernstein.
Dr. Bernstein has presented a method of preservation, storage, and subsequent use of the composite nasal hump removed at rhinoplasty and its subsequent use in rhinoplasty procedures on other patients requiring additional material to restore both the profile and contour of the nose.
The composite autogenous nasal hump has been used for many years as a means of correcting saddle nose defects. In one technique observed, the composite hump was removed, trimmed, turned around, and reinserted at the completion of the rhinoplasty procedure.
Although homologous composite septal bone and cartilage have been used for many years for this purpose, I know of no reports of homologous nasal hump used for correction of the saddle nose defect.
Any technique which can avoid obtaining either iliac crest, rib cartilage, or rib bone
HOWARD W. SMITH. Nasal Hump Implant. Arch Otolaryngol. 1973;98(6):435. doi:10.1001/archotol.1973.00780020449026