May 10, 2009
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
Objective. To determine the efficacy of Gore-Tex alloplast in rhinoplasty.
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.
