The complications of giant titanium implants in nasal reconstruction.
We present two cases where a large titanium implant has been used in nasal reconstruction without regard to the basic principles and current philosophy in reconstructive techniques. A full thickness nasal defect requires reconstruction with an inner lining, scaffolding and external skin. Autogenous grafts are preferable particularly when they are used for support or their insertion creates tension on the overlying soft tissue. We report serious complications that result from a disregard to these basic principles in two patients following the insertion of giant titanium nasal implants along with their management.
Raghavan
Ullas
U
Department of Otorhinolaryngology-Head and Neck Surgery, University Hospital, Nottingham NG7 2UH, UK.
Jones
Nick S
NS
D000328:Adult; D004844:Epistaxis / Q000601:surgery; D019066:Facies; D005260:Female; D006801:Humans; D008875:Middle Aged; D009666:Nose / Q000293:injuries*; D019736:Prostheses and Implants / Q000009:adverse effects*; D011475:Prosthesis Failure; D012225:Rhinoplasty / Q000009:adverse effects / Q000295:instrumentation*; D014025:Titanium
D014025:Titanium