title: Revision rhinoplasty.
abstract: Revision rhinoplasty can be one of the most complicated procedures performed by the facial plastic surgeon. As septal cartilage is often not available in revision procedures, grafting material is often needed. This material can come in the form of autogenous bone and cartilage. Allografts also can be used, including mersilene, expanded polytetrafluoroethylene, and porous high-density polyethylene (PHDPE). In this article, emphasis is placed on the senior author's method in evaluating candidates for revision rhinoplasty as well as techniques using PHDPE. In addition, the properties of the more commonly used allografts are described, including the advantages and disadvantages of using each material in revision rhinoplasty procedures. In comparing the various alloplastic materials available, it is shown that PHDPE has properties that make it an excellent implant for revision rhinoplasty.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, New York Eye and Ear Infirmary, New York, NY, USA. docromo@aol.com
authors.forename: Thomas
authors.initials: T
authors.lastname: Romo
authors.forename: Jonathan
authors.initials: J
authors.lastname: Sonne
authors.forename: Kyle S
authors.initials: KS
authors.lastname: Choe
authors.forename: Anthony P
authors.initials: AP
authors.lastname: Sclafani
mesh_terms: D001672:Biocompatible Materials; D016025:Bone Transplantation; D002356:Cartilage / Q000637:transplantation; D004129:Dimethylpolysiloxanes; D005260:Female; D006801:Humans; D008297:Male; D009300:Nasal Septum / Q000637:transplantation; D020959:Polyethylene; D011093:Polyethylene Terephthalates; D011138:Polytetrafluoroethylene; D019736:Prostheses and Implants; D012086:Reoperation; D012225:Rhinoplasty / Q000145:classification / Q000379:methods*; D012828:Silicones; D014182:Transplantation, Autologous
chemical_list: D001672:Biocompatible Materials; D004129:Dimethylpolysiloxanes; D011093:Polyethylene Terephthalates; D012828:Silicones; C025539:Lavsan; C013830:baysilon; D011138:Polytetrafluoroethylene; D020959:Polyethylene