| Title: |
Complications Associated with Use of Porous High-Density Polyethylene in Rhinoplasty |
| Authors: |
Davis, Seth J.; Landeen, Kelly C.; Sowder, Justin C.; Kimura, Kyle S.; Shastri, Karthik S.; Clymer, Mark C.; Stephan, Scott J. |
| Source: |
Facial Plastic Surgery & Aesthetic Medicine ; volume 24, issue 5, page 337-343 ; ISSN 2689-3614 2689-3622 |
| Publisher Information: |
SAGE Publications |
| Publication Year: |
2022 |
| Description: |
Background: Porous high-density polyethylene (pHDPE) has successfully been used as an alternative to cartilage for grafting in rhinoplasty; however, concerns exist surrounding its potential for infection and/or extrusion. Objectives: To analyze the relationship between complication rates associated with pHDPE in rhinoplasty and graft location relative to shear force applied by external manipulation. Methods: Retrospective review of 116 patients undergoing pHDPE rhinoplasty for 10 years. Results: Minor postoperative complications occurred in 3.4% of patients, each resolving with conservative management. Major complications including infection or extrusion occurred in 5.2% of all patients, at an average of 36.9 months postoperatively. All major complications occurred in patients with grafts extending into the caudal nose, and two-thirds ultimately necessitated surgical intervention. Conclusions: Cephalically contained pHDPE grafts are less prone to failure than those extending into the caudal nose. Long-term follow-up is recommended for all patients based on the risk for delayed complications. |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| DOI: |
10.1089/fpsam.2021.0090 |
| Availability: |
https://doi.org/10.1089/fpsam.2021.0090; https://journals.sagepub.com/doi/full-xml/10.1089/fpsam.2021.0090; https://journals.sagepub.com/doi/pdf/10.1089/fpsam.2021.0090 |
| Rights: |
https://journals.sagepub.com/page/policies/text-and-data-mining-license |
| Accession Number: |
edsbas.4F0D1EEB |
| Database: |
BASE |