Injectable hydroxyapatite Does injectable hydroxyapatite do the same thing as alloderm implants?
sh- 04-14-2008
yes it could. It is thick - squirted in through a large tube/straw so it is not a Cymetra substitute.
The one problem can be that it is soft so it cannot be shaped to stand proud into the airway. It would tend to form a meniscus shape within a raised pocket.
Matt- 04-23-2008
Dr. Houser,
Would you ever consider using the hydroxyapatite to further augment a lateral wall implant? Perhaps greater volume than cymetra?
I have found good relief from the January lateral wall implant, but feel I could benefit from still more volume.
Thanks,
Matt
sh- 04-23-2008
Yes, I have been interested in trying hydroxyapatite. I think an ideal combined implant may be 1st alloderm for submucosa depth (provides moisture to inspired air, etc), then hydroxy to bulk the alloderm out into the airstream.
It would amount to quite a fancy/designer implant.
mailman- 04-23-2008
Sounds interesting wonder if that would work for me.
sh- 04-24-2008
A possibility if we reschedule things.
Matt- 06-11-2008
yes it could. It is thick - squirted in through a large tube/straw so it is not a Cymetra substitute.
The one problem can be that it is soft so it cannot be shaped to stand proud into the airway. It would tend to form a meniscus shape within a raised pocket.
Dr. Houser-
So if you were to further augment an existing lateral wall implant, would you be concerned of it not being able to be shaped protruding out in the airway?
Just trying to understand the differences between the various injectables. Is is correct to assume that cymetra will produce relatively very small volume increases while hydroxy is greater in mass and will diffuse creating much more volume than cymetra?
You had mentioned that the existing implant would need to be pulled back to place the hydroxy, can this be done under a local?
Thank you.
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