Multicenter Evaluation on the Safety of Gore-Tex as an Implant in Rhinoplasty.
- Author:
Hong Ryul JIN
1
;
Joo Yeon LEE
;
Jae Koo KANG
;
Kyong Su KIM
;
Yung Ki KIM
;
Chun Dong KIM
;
Hwan Jung ROH
;
Hun Jong DHONG
;
Hyoung Jin MOON
;
Dong Joon PARK
;
Hyo Jin PARK
;
Yeong Seok YUN
;
Ja Bock YUN
;
Joo Heon YOON
;
Sang Hag LEE
;
Chae Seo RHEE
;
Je Yeob YEON
Author Information
1. Department of Otolaryngology, Chungbuk National University, Cheongju, Korea. hrjin@chungbuk.ac.kr
- Publication Type:Multicenter Study ; Original Article
- Keywords:
Gore-Tex;
Rhinoplasty;
Infection
- MeSH:
Hematoma;
Hospitals, General;
Humans;
Polytetrafluoroethylene*;
Private Practice;
Retrospective Studies;
Rhinoplasty*;
Seroma;
Transplants
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2004;47(12):1251-1255
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND AND OBJECTIVES: This study was done to evaluate the safety of Gore-Tex as a nasal implant. Materials and METHOD: A retrospective multicenter study was carried out on 15 surgeons from 11 general hospitals and 4 private practice clinics regarding the safety of the Gore-Tex as a nasal implant. The study involved 853 patients, of whom 656 received primary surgery and 197 revision surgery. Gore-Tex was mainly used as a dorsal implant in a form of sheet or as a reinforced nasal implant. RESULTS: The overall complication rate associated with Gore-Tex was 2.5% (21 cases). Infection was the most common complication (18 cases ; 2.1%) followed by 2 cases of seroma and 1 case of persistent nasal swelling. In 19 out of 21 complication cases, the graft needed removal to control the infection or seroma (91% removal rate). Nine cases of infection developed in both primary cases (1.37%) and in revision cases (4.57%), which suggests a higher association rate between infection and revision cases (p=0.0062). Infection developed within 1 month in 5 cases while 9 cases developed infection after 6 months of operation. Other complications such as aesthetic problems (malpositioning of the implant or dorsal irregularities) were found in 15 cases (1.8%) and hematoma in 1 case. CONCLUSION: The infection rate of Gore-Tex used in rhinoplasty was about 2% and it rose significantly in the revision cases. If infected, almost all of the implanted Gore-Tex needs removal; therefore, we suggest judicious use of Gore-Tex in rhinoplasty.
