title: Migrated Implant Causing Refractory Headache in Rhinoplasty.
abstract: Alloplastic materials are popular and readily available for use in nasal augmentations. Among them, silicone implant is one of the most widely used, especially in certain areas in Asia for its reasonable cost and relatively simple operative technique. A major disadvantage of silicone is its notorious mobility after implantation and rate of extrusion if traumatized or exposed. Here, an unusual complication of a silicone implant for rhinoplasty was presented. We report a case of a 58-year-old woman who had augmentation rhinoplasty 20 years ago suffered from headache for over a year. Brain lesion and neurologic causes were ruled out by neurologists and physician in family medicine. Local finding showed upwardly deviated nasion and vague shape of silicone implant underneath the skin on nasal dorsum.
authors: Department of Otolaryngology, National Taiwan University Hospital, Taipei, Taiwan.
authors: Wen Hsuan
authors: WH
authors: Tseng
authors: Department of ORL Head and Neck Surgery, Medical Beauty Center, Cheng Hsin General Hospital, Taipei, Taiwan.
authors: Yu-Hsun Tony
authors: YH
authors: Chiu
mesh_terms: D020878:Device Removal; D005260:Female; D006261:Headache / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D019736:Prostheses and Implants / Q000009:adverse effects*; D011475:Prosthesis Failure / Q000009:adverse effects*; D012225:Rhinoplasty / Q000009:adverse effects*; D012828:Silicones / Q000009:adverse effects
chemical_list: D012828:Silicones