Synthetics in Head and Neck Surgery: With Particular Reference to Silicone

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Abstract
I PRESENT this entire subject with slight misgivings in that we have long been advocates of the use of autogenous implants. These implants remain the most physiologically acceptable but are not without shortcomings in their own right, particularly in regard to availability, difficulty in accurate shaping and absorption or resorption by the body. I am on record as recently as 1963 as expressing concern about the use of the new synthetic materials, particularly as only time could prove the final outcome of their use and acceptance by the body. In the last 21/2 years we have used silicone in various forms with considerable caution and some precautions which I would like to include in this presentation. In the statement made in 1963 referred to above I further stated, My "wide experience" with synthetic implant materials is in the removal rather than the insertion of these implants. I have had a

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