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Related Experiment Videos

Alloplastic materials in rhinoplasty.

Alexander Berghaus1, Klaus Stelter

  • 1Department of Otorhinolaryngology, Head and Neck Surgery, Grosshadern Medical Centre, Ludwig-Maximilians-University, Munich, Germany. alexander.berghaus@med.uni-muenchen.de

Current Opinion in Otolaryngology & Head and Neck Surgery
|July 13, 2006
PubMed
Summary

This review evaluates rhinoplasty implant materials. While silicone has risks, newer options like porous polyethylene and GoreTex offer effective alternatives for nasal reconstruction, often with comparable outcomes to autogenous cartilage.

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Area of Science:

  • Plastic Surgery
  • Biomaterials Science
  • Otolaryngology

Background:

  • Autogenous grafts from the nasal septum are often insufficient for revision rhinoplasty.
  • The ideal nasal implant requires biocompatibility, form stability, and safe removability.
  • Alloplastic materials are increasingly considered for nasal augmentation and reconstruction.

Purpose of the Study:

  • To review current implant materials utilized in rhinoplasty.
  • To assess the efficacy and limitations of various alloplastic and autogenous materials.
  • To compare complication rates between alloplastic implants and autogenous cartilage grafts.

Main Methods:

  • Literature review of current rhinoplasty implant materials.
  • Analysis of reported outcomes and complications for different implant types.

Related Experiment Videos

  • Comparison of alloplastic materials versus autogenous cartilage grafts.

    • Main Results:

    • Silicone implants are frequently used despite rejection risks.
    • Porous polyethylene and GoreTex show promising results in nasal reconstruction.
    • Conserved cartilage and AlloDerm have variable absorption rates but can be effective.
    • 'Turkish Delight' with fascia wrapping offers lasting results, unlike Surgicel wrapping.

    Conclusions:

    • Alloplastic materials are viable options in nasal surgery.
    • Proper surgical technique minimizes side effects of alloplastic implants.
    • Complication rates with alloplastics can be comparable to autogenous costal cartilage.