Korean J Otolaryngol-Head Neck Surg.  2004 Dec;47(12):1251-1255.

Multicenter Evaluation on the Safety of Gore-Tex as an Implant in Rhinoplasty

Affiliations
  • 1Department of Otolaryngology, Chungbuk National University, Cheongju, Korea. hrjin@chungbuk.ac.kr
  • 2Department of Otolaryngology, National Medical Center, Seoul, Korea.
  • 3Department of Otorhinolaryngology, Yonsei University, Seoul, Korea.
  • 4Kim Yung-Ki Otorhinolaryngology Clinic, Seoul, Korea.
  • 5Department of Otorhinolaryngology, Korea Veterans Hospital, Seoul, Korea.
  • 6Department of Otolaryngology, Pusan National University, Busan, Korea.
  • 7Department of Otorhinolaryngology-Head and Neck Surgery, Sungkyunkwan University School of Medicine, Samsung Medical Center, Seoul, Korea.
  • 8Moon Hyoung-Jin Clinic, Seoul, Korea.
  • 9Department of Otolaryngology-Head and Neck Surgery, Yonsei University, Wonju, Korea.
  • 10Department of Otorhinolaryngology-Head & Neck Surgery, Hallym University College of Medicine, Seoul, Korea.
  • 11Serome Ear Nose Throat Clinic, Incheon, Korea.
  • 12Seoul Otorhinolaryngology Clinic, Incheon, Korea.
  • 13Department of Otorhinolaryngology-Head and Neck Surgery, Korea University, Seoul, Korea.
  • 14Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University, Seoul, Korea.

Abstract

BACKGROUND AND OBJECTIVES
This study was done to evaluate the safety of Gore-Tex as a nasal implant. Materials and METHOD: A retrospective multicenter study was carried out on 15 surgeons from 11 general hospitals and 4 private practice clinics regarding the safety of the Gore-Tex as a nasal implant. The study involved 853 patients, of whom 656 received primary surgery and 197 revision surgery. Gore-Tex was mainly used as a dorsal implant in a form of sheet or as a reinforced nasal implant. RESULTS: The overall complication rate associated with Gore-Tex was 2.5% (21 cases). Infection was the most common complication (18 cases ; 2.1%) followed by 2 cases of seroma and 1 case of persistent nasal swelling. In 19 out of 21 complication cases, the graft needed removal to control the infection or seroma (91% removal rate). Nine cases of infection developed in both primary cases (1.37%) and in revision cases (4.57%), which suggests a higher association rate between infection and revision cases (p=0.0062). Infection developed within 1 month in 5 cases while 9 cases developed infection after 6 months of operation. Other complications such as aesthetic problems (malpositioning of the implant or dorsal irregularities) were found in 15 cases (1.8%) and hematoma in 1 case. CONCLUSION: The infection rate of Gore-Tex used in rhinoplasty was about 2% and it rose significantly in the revision cases. If infected, almost all of the implanted Gore-Tex needs removal; therefore, we suggest judicious use of Gore-Tex in rhinoplasty.

Keyword

Gore-Tex; Rhinoplasty; Infection

MeSH Terms

Hematoma
Hospitals, General
Humans
Polytetrafluoroethylene*
Private Practice
Retrospective Studies
Rhinoplasty*
Seroma
Transplants
Polytetrafluoroethylene
Full Text Links
  • KJORL-HN
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr