Foreign body removal and immediate nasal reconstruction with superficial temporal fascia.
For nasal augmentation, various materials have been used for many years. The injection of foreign body has been carried on, although it is performed mostly by laymen. Because many complications arise after augmentation rhinoplasty by foreign body injection, secondary correction has been needed. These complications have included headaches, swelling, redness, palpable mass, skin discoloration, telangiectasia and fear of cancer. The authors treated 10 patients who had undergone injection of foreign body to the nose. After the foreign body was removed, we immediately reconstructed nasal deformity by silicone implant wrapping with superficial temporal fascia. This method has many advantages including easy contouring of nasal shape and fixation, absence of foreign body reaction, reduced inflammatory reaction, no or minimal concerns regarding the migration or extrusion of the implants, and nonvisible donor scar. The mean follow-up period was 8 months, and no complications occurred. The authors conclude that nasal deformity can be successfully reconstructed immediately using silicone implant wrapping with superficial temporal fascia after foreign body is removed from the nose. In the authors' experience, this procedure has improved aesthetic appearance and met patients' expectations.
Lee
Keun-Cheol
KC
Department of Plastic and Reconstructive Surgery, College of Medicine, Dong-A University, Dongdaeshin-Dong, Seo-Gu, Busan, Korea. pokdungi@daunet.donga.ac.kr
Ha
Sung-Uk
SU
Park
Jung-Min
JM
Kim
Seok-Kwun
SK
Park
Si-Hyun
SH
Kim
Ju-Heon
JH
D000328:Adult; D001630:Bezoars / Q000601:surgery*; D005260:Female; D006801:Humans; D008875:Middle Aged; D009666:Nose / Q000601:surgery*; D019736:Prostheses and Implants; D019651:Plastic Surgery Procedures / Q000379:methods; D012189:Retrospective Studies; D012225:Rhinoplasty / Q000379:methods*; D012828:Silicones; D040521:Subcutaneous Tissue / Q000601:surgery*; D016896:Treatment Outcome
D012828:Silicones