Nasal augmentation using Gore-Tex. A 10-year experience.
OBJECTIVE
To determine on an ongoing basis the safety and efficacy of expanded polytetrafluoroethylene (Gore-Tex soft tissue patch and preformed nasal implants) as an implant in rhinoplasty.


METHODS
A retrospective study of 309 consecutive patients who underwent rhinoplasty, including augmentation with Gore-Tex, during a 10-year period.


METHODS
Two major academic medical centers and 2 private office surgical centers.


METHODS
One hundred sixty-two patients (52%) presented for primary rhinoplasty; the remaining 147 (48%) presented for revision surgery. All received Gore-Tex implants to augment the nasal dorsum and/or base. The grafts ranged from 1 to 10 mm in thickness. Follow-up ranged from 5 months to 10 years, 5 months, with an average of 40.4 months.


METHODS
Clinically noted complications and patient satisfaction.


RESULTS
Ten (3.2%) of 309 grafts became infected and were removed. One graft was removed and 1 graft was modified and replaced postoperatively because of excessive augmentation. Infection requiring removal occurred in 8 patients (5.4%) undergoing revision rhinoplasty and in 2 patients (1.2%) undergoing primary rhinoplasty. Nasal septal perforation was present preoperatively in 3 of the patients who developed infection requiring removal, and we consider it a contraindication for nasal Gore-Tex implantation.


CONCLUSIONS
Gore-Tex remains an effective implant material for nasal augmentation in rhinoplasty. The complication rate in primary cases is low. The risk of infection necessitating removal rises significantly in revision cases, where its use may still be desirable but must be weighed more carefully.
Department of Otolaryngology, Virginia Commonwealth University, Richmond, USA. msgmd@richmond.infi.net
M S
MS
Godin
S R
SR
Waldman
C M
CM
Johnson
D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D017060:Patient Satisfaction; D011138:Polytetrafluoroethylene; D011183:Postoperative Complications / Q000453:epidemiology; D019736:Prostheses and Implants; D012086:Reoperation; D012189:Retrospective Studies; D012225:Rhinoplasty / Q000379:methods*; D016896:Treatment Outcome
D011138:Polytetrafluoroethylene