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 a...

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Bibliographic Details
Published inThe Journal of craniofacial surgery Vol. 24; no. 6; p. 2176
Main Authors Alonso, Nivaldo, de Pochat, Victor Diniz, de Barros, Aline Ribas Gondim, Tavares, Laís Santos
Format Journal Article
LanguageEnglish
Published United States 01.11.2013
Subjects
Biocompatible Materials - adverse effects
Bone Substitutes - adverse effects
Cartilage - transplantation
Cutaneous Fistula - etiology
Follow-Up Studies
Forehead - pathology
Foreign-Body Migration - etiology
Humans
Male
Middle Aged
Polyethylene - adverse effects
Porosity
Postoperative Complications
Rhinoplasty - adverse effects
Rhinoplasty - instrumentation
Surface Properties
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Summary: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. IV.
ISSN:1536-3732
DOI:10.1097/SCS.0b013e3182a2de02