Implants and grafts in secondary rhinodeformities

Experience in 1359 cases of secondary rhinodeformity due to excess resection, using silicone implants and cartilage autografts, is presented. This experience has been classified in three periods of 5 years each. During the first period, preshaped silicone (Silastic) implants were used. In the second period both implants and grafts were used. In the third period only cartilage autografts were used; the material was obtained from the quadrangular cartilage of the nasal septum and the auricular pavilion. The investigators emphasize the disadvantages of the implants and declare themselves 100% in favor of cartilage autografts.