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May 10, 2009 - My Publications Conrad, K., Gillman G., & Torgerson, C.S, (2008). Applications of GORE-TEX Implants in Rhinoplasty Re-examined after 17 Years. Arch. Facial Plastic Surgery. 10(4): 224-231.
ABSTRACT Design: 17 year retrospective chart review Setting: Teaching Hospital, Community Hospital and Private facial cosmetic surgery centre. Intervention: 521 patients (122 male and 399 female) from 13-70 years of age, followed between 12 months to 17 years underwent Gore-Tex implantation rhinoplasty (685 implants in 158 primary procedures and 508 secondary procedures) performed by one surgeon. Main Outcome Measures: Patient satisfaction, expressed with respect to desired cosmetic benefit and functional outcome, and physician assessment, based on aesthetic improvement, technical considerations and complications. Results were assessed according to the follow-up notes in the chart reflecting patients’ and surgeon’s comments and full pre- and post-operative photographic documentation. Results: Gore-Tex alloplasts, 1-10 mm thick, implanted in the nasal dorsum (n=264), lateral nasal wall (n=252), supratip dorsum (n=85) and pre-maxilla (n=84) showed excellent stability and tissue tolerance. Biological complications that required implant removal occurred in 1.90 % of patients including infection, soft tissue swelling, migration and extrusion. Conclusions: With the exception of the nasal tip, columella, or problems in which corrections would require rigidity of the grafted or implanted material, the Gore-Tex alloplast is a safe, inexpensive, and predictable alternative to autografts. In the present series, we found Gore-Tex implants acceptable up to 10 mm thickness. It is our opinion that for both primary and secondary rhinoplasty with adequate endonasal and external soft tissue coverage, Gore-Tex should be strongly considered for major and minor corrections of the nasal wall and bridge in properly selected patients. |
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