Successful treatment of unstable fractures of the nasal dorsum is often precluded due to inadequate stable postoperative support of the fragmented dorsum. As an adjunctive measure in the treatment of nasal fractures, intranasal silicone rubber (Silastic) wedges transfixed to internal and/or external plates can provide support of unstable dorsal fragments. In a series of 20 cases, there was no incidence of remaining postoperative dorsal depression and no evidence of foreign-body reaction.