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Failure of Synthetic Implants: Strategies and Management
Yong Ju Jang1, Shin Ae Kim1, Sami Alharethy2
1Department of Otolaryngology, Asan Medical Center, Seoul, Republic of Korea.
Facial Plastic Surgery : FPS
|June 2, 2018
Summary
Dorsal augmentation using synthetic implants in rhinoplasty can lead to complications like implant displacement or infection. Revision surgery with alternative materials or local flaps is often necessary for successful management.
Area of Science:
- Plastic Surgery
- Otolaryngology
Background:
- Dorsal augmentation with synthetic implants is a common rhinoplasty technique, particularly in East Asia.
- Complications associated with these implants are inevitable and require surgical management.
Purpose of the Study:
- To review the complications of dorsal augmentation with synthetic implants in rhinoplasty.
- To discuss management strategies and alternative materials for revision surgery.
Main Methods:
- Literature review of complications and management of synthetic dorsal implants in rhinoplasty.
- Analysis of preferred autologous and allogeneic materials for revision augmentation.
- Discussion of reconstructive techniques for soft tissue envelope changes.
Main Results:
- Common complications include implant displacement, deviation, infection, and aesthetic dissatisfaction.
- Revision surgery is frequently required, with options including dermofat, alloderm, fascia-wrapped diced cartilage, conchal cartilage, and costal cartilage.
- Irreversible skin/soft tissue envelope changes necessitate reconstructive surgery, often with local flaps.
Conclusions:
- Early detection and prompt management of complications are crucial for minimizing deformity and surgical complexity.
- Careful selection of revision materials and techniques is essential for optimal outcomes in dorsal augmentation revision surgery.
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