Long-term complication after rhinoplasty using porous polyethylene implant: cutaneous fistula of the forehead.
Nasal dorsum augmentation is one of the most frequently performed procedures during rhinoplasty, especially in Asians and reconstructive cases. One can use autogenous cartilage grafts or alloplastic implants for this purpose. However, the potential for permanent damage to the skin and soft tissues as well as complications such as infection and extrusion of the implant make autogenous tissue augmentation preferable to alloplastic implantation. Furthermore, there is scant literature information about long-term outcomes and complications related to these implants. This brief report aimed to describe a unique case of migration of an alloplastic implant from the nose to the forehead, simulating a frontal sinus fistula.


METHODS
IV.
From the *University of São Paulo SP, Brazil; and †Federal University of Bahia, Salvador BA, Brazil.
Nivaldo
N
Alonso
Victor Diniz
VD
de Pochat
Aline Ribas Gondim
AR
de Barros
Laís Santos
LS
Tavares
D001672:Biocompatible Materials / Q000009:adverse effects; D018786:Bone Substitutes / Q000009:adverse effects*; D002356:Cartilage / Q000637:transplantation; D017577:Cutaneous Fistula / Q000209:etiology*; D005500:Follow-Up Studies; D005546:Forehead / Q000473:pathology*; D005548:Foreign-Body Migration / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D020959:Polyethylene / Q000009:adverse effects*; D016062:Porosity; D011183:Postoperative Complications; D012225:Rhinoplasty / Q000009:adverse effects / Q000295:instrumentation*; D013499:Surface Properties
D001672:Biocompatible Materials; D018786:Bone Substitutes; D020959:Polyethylene