title: Nasal tip abscess due to adverse skin reaction to Prolene: an unusual long term complication of rhinoplasty.
abstract: OBJECTIVE
  Allergic reactions to Prolene are rare. This paper reports a nasal tip abscess which developed in a patient with an adverse skin reaction to Prolene after rhinoplasty.
  
  
  RESULTS
  A 26-year-old woman presented with painful, progressive nasal tip swelling and redness. She had undergone septo-rhinoplasty two years previously. She was initially treated with endonasal drainage of the abscess and antibiotics, but a revision rhinoplasty three months later became necessary because of recurrent abscess formation. Intra-operative findings included granulation tissue with pockets of pus and knotted Prolene sutures at the tip-defining points of the lower lateral cartilages. She was patch-tested with Prolene and a cutaneous Prolene suture was placed on her back; an adverse skin reaction was seen for the latter.
  
  
  CONCLUSIONS
  Use of non-absorbable sutures, such as Prolene, in the subcutaneous layer may be a potential, rare risk factor for adverse skin reactions.
authors.affiliation: Department of Otolaryngology, Head and Neck Surgery, Philipp University, Marburg, Germany. teymoort@med.uni-marburg.de
authors.forename: A
authors.initials: A
authors.lastname: Teymoortash
authors.forename: J A
authors.initials: JA
authors.lastname: Fasunla
authors.forename: W
authors.initials: W
authors.lastname: Pfützner
authors.forename: S
authors.initials: S
authors.lastname: Steinbach-Hundt
mesh_terms: D000038:Abscess / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D000328:Adult; D005260:Female; D006801:Humans; D009668:Nose Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D011126:Polypropylenes / Q000009:adverse effects*; D012086:Reoperation; D012225:Rhinoplasty / Q000009:adverse effects* / Q000379:methods; D013530:Surgical Wound Infection / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D013536:Suture Techniques / Q000009:adverse effects* / Q000295:instrumentation; D013537:Sutures / Q000009:adverse effects*
chemical_list: D011126:Polypropylenes