Browse > Article

Characteristics of Nasal Trauma in the Implanted Nasal Prosthesis  

Choi, Seok Min (Department of Plastic and Reconstructive Surgery, College of Medicine, Soonchunhyang University)
Choi, Hwan Jun (Department of Plastic and Reconstructive Surgery, College of Medicine, Soonchunhyang University)
Kim, Cheol Hann (Department of Plastic and Reconstructive Surgery, College of Medicine, Soonchunhyang University)
Ahn, Hyung Sik (Department of Plastic and Reconstructive Surgery, College of Medicine, Soonchunhyang University)
Kang, Sang Gue (Department of Plastic and Reconstructive Surgery, College of Medicine, Soonchunhyang University)
Jung, Sung Gyun (Department of Plastic and Reconstructive Surgery, College of Medicine, Soonchunhyang University)
Publication Information
Archives of Plastic Surgery / v.35, no.5, 2008 , pp. 597-602 More about this Journal
Abstract
Purpose: Presently, silicone rubber is chosen most frequently for nasal augmentation. However, there is a possibility of extrusion with this material. Sometimes, noses are prone to be traumatized, and then silicone rubber has a possibility of deformity or deviation resulting in trauma. We experienced cases with complications and traumatic deformities after the augmentation rhinoplasty. Methods: A retrospective review was performed to determine the characteristics of the implanted nasal silicone prosthesis after trauma. The patients' data such as deviation of implant, shape of fracture, age and sex of the patient, time of treatment, operative methods were reviewed. From March 2001 to March 2008, this study was performed in 30 patients. The patients were 25 females and 5 males, from 24 to 60 years of age, with an average of 42. All patients had previous augmentation rhinoplasty with silicone implant. Results: All of the 30 patients were confirmed as deviation of silicone and nasal bone fractures in the facial bone CT scan. The most common cause of fracture was traffic accident. The classification of nasal trauma after augmentation was done by facial bone CT. Class I: Deviation of silicone without nasal bone fracture without extrusion(12 cases, 40%), Class II: Deviation of silicone without nasal bone fracture and with extrusion(4 cases, 13%), Class III: Deviation of silicone with nasal bone fracture and without extrusion(8 cases, 27%), Class IV: Deviation of silicone with nasal bone fracture and with extrusion(3 cases, 10%), Class V: Mild deviation of silicone with nasal bone fracture(3cases, 3%). Specially, the comminuted or trapezoid nasal fracture was confirmed in 11 cases(Class III, IV). Conclusion: The problems of silicone implant have generally been related to foreign body reactions, rigidity of the material, encapsulation, infections, and extrusion. We experienced 11 cases of comminuted or comminuted trapezoid shaped fracture below nasal implant. So, we think this phenomenon could be used in late problem of silicone implant.
Keywords
Silicones; Rhinoplasty; CT; Nasal bone;
Citations & Related Records
Times Cited By KSCI : 5  (Citation Analysis)
연도 인용수 순위
1 Kim SC, Park JS, Chang SS, Ham KS: Turnover deformity of the implanted nasal prosthesis. J Korean Soc Plast Reconstr Surg 13: 589, 1986
2 Kim SN, Kim ES, Hwang JH, Kim KS, Lee SY, Cho BH: Combination of nasal ostectomy and augmentation rhinoplasty in the correction of traumatic nasal deformity. J Korean Soc Plast Reconstr Surg 32: 555, 2005
3 Kim WS, Kim JW, Kim HK, Kim SH: A suture fixation method to avoid deviation & extrusion of silicone in closed augmentation rhinoplasty. J Korean Soc Plast Reconstr Surg 31: 897, 2004
4 Jin HS, Kim HJ, Han KH: Calcification deposits in nasal silicone implants: regional distribution in relation to surrounding soft tissues. J Korean Soc Plast Reconstr Surg 31: 315, 2004
5 Yang SJ, Lee KY, Park JS: A new technique of corrective rhinoplasty for deflected bony dorsum. J Korean Soc Plast Reconstr Surg 19: 847, 1992
6 Yang HE, Park ES, Cha JG, Kim CH, Kim JH, Kim YB: Ultrasound-guided closed reduction of nasal bone fracture. J Korean Soc Plast Reconstr Surg 34: 460, 2007
7 Min KH, Hong SH, Lee JH: The value of facial bone CAT scan in the diagnosis of the nasal bone fracture. J Korean Soc Plast Reconstr Surg 33: 440, 2006
8 Yang SJ, Lee JH, Tark MS: Problems of expanded polytetrafluoroethylene (Gore-Tex$^{\circledR}$) in augmentation rhinoplasty. J Korean Soc Plast Reconstr Surg 31: 28, 2004