GORE-TEX Implants Seen as Safe Alternative to Graft for Rhinoplasty

GORE-TEX (expanded polytetrafluoroethylene) implants are a safe and inexpensive alternative to autografts for use in rhinoplasty, according to the results of a 17-year retrospective review.
"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," Dr. Krzysztof Conrad and colleagues, from the University of Toronto, state.

The chart review, which was conducted at a teaching hospital, community hospital, and private facial cosmetic surgery center, involved 521 patients who were followed for up to 17 years. A total of 685 GORE-TEX implants were placed, all by one surgeon.

The new findings appear in the Archives of Facial Plastic Surgery for July/August.

The implants, which were 1 to 10 mm thick, were placed in the nasal dorsum in 264 cases, lateral nasal wall in 252, supratip dorsum in 85, and premaxilla in 84. Excellent stability and tissue tolerance were noted.

Complications requiring implant removal developed in only 1.9% of patients and included infection, swelling, migration, and extrusion.

"The unlimited supply and natural feel of the GORE-TEX implant and excellent blending with the nasal contour, together with minimal operating time required, outweigh the disadvantage of occasional complications, all of which can be treated successfully as long as they are not neglected," Dr. Conrad's team concludes.

Arch Facial Plast Surg 2008;10:224-231.

Reviewed by Ramaz Mitaishvili, MD

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