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A 6-Year Experience with the Use of Expanded Polytetrafluoroethylene in Rhinoplasty

Conrad, Krzysztof M.D., F.R.C.S., F.R.C.S.(C); Gillman, Grant M.D.

Plastic and Reconstructive Surgery: May 1998 - Volume 101 - Issue 6 - p 1675–1683
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To date, there are few published large series within the literature on the use of expanded polytetrafluoroethylene (Gore-Tex) in rhinoplasty. This retrospective study, based on chart and photographic reviews, serves to contribute a 6-year experience (mean patient follow-up period, 17.5 months) with the alloplast in nasal surgery amassed by one surgeon. The same technique was used in all the 189 patients reviewed, who received 211 procedures.

The 189 patients, 44 male and 145 female and from 15 to 70 years of age, were reviewed 3 months to 6 years after Gore-Tex implantation rhinoplasties. The results were assessed according to the follow-up notes in the chart reflecting patients’ and surgeon's comments and full preoperative and postoperative photographic documentation. Patient satisfaction was expressed with respect to aesthetic and functional outcome in all cases. Patient impressions were verified by critical assessment during follow-up examination. The implants showed excellent stability and tissue tolerance. Complications requiring removal occurred in 2.7 percent of implants placed. The authors are of the opinion that, in rhinoplasty, 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 an excellent alternative to autografts. Nasal tip or columellar sites do not render adequate soft-tissue cover, allowing the implant to rest close to the surgical incision. Because this creates additional risk of implant extrusion, such locations were avoided in the series of patients presented. (Plast. Reconstr. Surg. 101: 1675, 1998.)

Toronto, Ontario, Canada, and Pittsburgh, Pa.

From the Department of Otolaryngology, University of Toronto, and Shadyside Sinus Surgery and Facial Paralysis Centre. Received for publication January 10, 1997; revised July 24, 1997.

Presented at the Meeting of the American Society of Plastic and Reconstructive Surgeons, in Dallas, Texas, November 9-13, 1996.

Krzysztof Conrad, M.D., F.R.C.S., F.R.C.S.(C)

Nasal and Facial Cosmetic Surgery Institute

131 Hazelton Avenue

Toronto, Ontario M5R 2E4, Canada

©1998American Society of Plastic Surgeons