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Long-Term Complication After Rhinoplasty Using Porous Polyethylene Implant: Cutaneous Fistula of the Forehead

Alonso, Nivaldo MD, PhD*; de Pochat, Victor Diniz MD, PhD; de Barros, Aline Ribas Gondim; Tavares, Laís Santos

doi: 10.1097/SCS.0b013e3182a2de02
Brief Clinical Studies

Nasal dorsum augmentation is one of the most frequently performed procedures during rhinoplasty, especially in Asians and reconstructive cases. One can use autogenous cartilage grafts or alloplastic implants for this purpose. However, the potential for permanent damage to the skin and soft tissues as well as complications such as infection and extrusion of the implant make autogenous tissue augmentation preferable to alloplastic implantation. Furthermore, there is scant literature information about long-term outcomes and complications related to these implants. This brief report aimed to describe a unique case of migration of an alloplastic implant from the nose to the forehead, simulating a frontal sinus fistula.

Level of Evidence: IV

From the *University of São Paulo SP, Brazil; and †Federal University of Bahia, Salvador BA, Brazil.

Received June 2, 2013.

Accepted for publication June 23, 2013.

Address correspondence and reprint requests to Dr. Nivaldo Alonso Rua Afonso Braz, 473 cj 65 V. N. Conceição, São Paulo, Brazil 04511-011; E-mail:

The authors report no conflicts of interest.

© 2013 by Mutaz B. Habal, MD.