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March 1987

'Tissue Clay': A New Technique for Augmentation Rhinoplasty

Author Affiliations

From the Department of Otolaryngology–Head and Neck Surgery, New York Medical College, and the Division of Facial Plastic Surgery, New York Eye & Ear Infirmary.

Arch Otolaryngol Head Neck Surg. 1987;113(3):289-291. doi:10.1001/archotol.1987.01860030065009

• A new technique for dorsal augmentation during rhinoplasty was utilized in 58 patients over a period of four years. Microfibrillar collagen (Avitene) was combined immediately before the operation with autogenous whole blood, forming a "tissue clay," which was then sculpted into the desired dorsal contour. Tissue clay solidifies after one week and becomes palpably similar to bone. Longstanding results of four years have documented the ability of the substance to augment the nose up to 1 cm in height. There have been no complications to date, and the average resorption rate over a two- to four-year period was 16%. The esthetic and functional results in 58 cases were deemed excellent, safe, and effective.

(Arch Otolaryngol Head Neck Surg 1987;113:289-291)

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