Use of silicone sheets for dorsal augmentation in rhinoplasty for Asian noses.
CONCLUSIONS
While the complication rate for silicone sheets was similar to that reported for silicone rubber, there are several advantages to the use of silicone sheets for correcting minor dorsal irregularities. Therefore, silicone sheets can be used as a versatile graft material for dorsal augmentation in rhinoplasty.


OBJECTIVE
Silicone implants mostly in the form of prefabricated silicone rubber remain the most commonly used materials for nasal augmentation in Asians. The present study analyzed the use of silicone sheets rather than silicone rubber for nasal dorsal augmentation rhinoplasty.


METHODS
Data from 27 patients who underwent dorsal augmentation with silicone sheets between April 2003 and July 2005 were retrospectively reviewed.


RESULTS
All patients received silicone sheets to augment the nasal dorsum and/or radix. Twenty-four patients had satisfactory outcomes. One patient (3.7%) complained the implant was too visible, one experienced infection, and one experienced endonasal extrusion of the implant. All three cases were readily managed by implant removal and administration of antibiotics.
Wang
Jong Hwan
JH
Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Lee
Bong-Jae
BJ
Jang
Yong Ju
YJ
D000293:Adolescent; D000328:Adult; D000368:Aged; D044466:Asian People; D001672:Biocompatible Materials / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D007723:Korea; D008297:Male; D008875:Middle Aged; D009666:Nose / Q000601:surgery; D011183:Postoperative Complications; D019736:Prostheses and Implants; D012189:Retrospective Studies; D012225:Rhinoplasty / Q000295:instrumentation* / Q000379:methods; D012828:Silicones / Q000627:therapeutic use*
D001672:Biocompatible Materials; D012828:Silicones