Much of the beauty of the face depends on the size and symmetry of the nose.1 The saddle nose attracts the attention of even the most casual observer and is therefore "first of importance to be corrected."2 More than a hundred years ago Castle3 wrote: "The bones of the nose, from their situation are much exposed to fractures. The fragments are sometimes not deranged; but, most frequently they are depressed." The same thought has been expressed by me in a recent article.4 Trauma is the most common cause of saddle nose.
Contrary to the opinions of some,5 I believe with others6 that animal (elephant) ivory offers the ideal implant for the correction of such deformities. Cork7 has been employed, although reports of the results after a period of years are not to be found in the literature. Since the chemical composition of cork