The Use of Expanded Polytetrafluoroethylene in Short Nose Elongation

Wei, Jiao; Herrler, Tanja; Deng, Ning; Xu, Hua; Shi, Bowen; Dai, Chuanchang

doi:10.1097/sap.0000000000001481

Cited by 13 publications

(16 citation statements)

References 30 publications

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“…The follow-up period ranged from 1 to 96 months (Supplemental Digital Table 1, Supplemental Digital Content 2, http://links.lww.com/SCS/E468). 11–34…”

Section: Resultsmentioning

confidence: 99%

Surgical Approaches and Outcomes of Short Nose Correction: A Descriptive Systematic Review of the Literature

Alqabbani

Mulafikh

et al. 2022

Journal of Craniofacial Surgery

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Objectives: The purpose of this study is to describe all published techniques of short nose correction released by surgeons over the years and summarize their outcomes in a descriptive systematic review of the literature. Patients and Methods: A computerized literature search was conducted using 5 major databases. All original studies discussing correction methods and/or outcomes of shortened noses were included. The risk of bias was evaluated blindly by 2 reviewers, and the data were descriptively presented. The study protocol was recorded in the International Prospective Register of Systematic Reviews. Results: A total of 24 studies including 1450 patients were included. Lengthening of the nose was performed through a cartilage-only graft in 14 studies, whereas bone graft was used in 3 studies. The mean increase in nasal tip projection in 5 reports ranged from 0.05 to 2.2 mm. The mean nasal length before and after rhinoplasty was reported in 8 studies, with a mean increase ranging from 0.28 to 6.2 mm. Regarding surgical complications, 30 patients had implant deviation or migration, 22 patients experienced postoperative infection, and 12 patients required corrective surgery. Conclusions: Augmentation of a short nose is a challenging surgical procedure for rhinoplasty. There are several techniques for short nose correction; however, it is difficult to evaluate the outcomes in the absence of a standard tool of assessment. Further analytical studies are warranted to fully evaluate surgical techniques.

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“…The follow-up period ranged from 1 to 96 months (Supplemental Digital Table 1, Supplemental Digital Content 2, http://links.lww.com/SCS/E468). 11–34…”

Section: Resultsmentioning

confidence: 99%

Surgical Approaches and Outcomes of Short Nose Correction: A Descriptive Systematic Review of the Literature

Alqabbani

Mulafikh

et al. 2022

Journal of Craniofacial Surgery

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“…Soft and firm alloplastic implants in rhinoplasty: why, when and how to use them: a review of 311 cases [75] Not dorsum separately 33. The use of expanded polytetrafluoroethylene in short nose elongation: fourteen years of clinical experience [76] L shaped 34. A novel method to enhance dynamic rhinoplasty outcomes: double "V" carving for alloplastic grafts [77] L-shaped 35.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of complications associated with polymer-based alloplastic materials in nasal dorsal augmentation: a systematic review and meta-analysis

Keyhan¹,

Ramezanzade²,

Yazdi³

et al. 2022

Maxillofac Plast Reconstr Surg

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Background Various techniques with different grafts and implants have been proposed to establish a smooth and symmetric nasal dorsum with adequate function. Broadly, two categories of materials have been used in this regard: alloplastic implant materials and autograft materials. The aim of these meta-analyses is to explore the incidence of complications after dorsum augmentation surgery using alloplastic materials. Materials and methods After duplication removal 491 papers remained that title and abstract were assessed for eligibility. Regarding the study type, 27 observational studies were included, 21 retrospective and 6 prospective case series. A total of 3803 cases were enrolled in this systematic review and meta-analysis. Result Twenty-seven articles reported on complications and outcomes of dorsal augmentation rhinoplasty with synthetic materials. In a random-effects model, the weighted mean percentage was 2.75% (95% CI 1.61 to 4.17%). the weighted mean percentage were 1.91% (95% CI 0.77 to 3.54%), 0.72% (95% CI 0.316 to 1.31%), and 0.78% (95% CI 0.43 to 1.24%) respectively. Conclusion The widely used alloplasts were expanded polytetrafluoroethylene (ePTFE), high-density polyethylene, and silicone. The total rates for complications, infection, deviation, irregularity, hematoma, extrusion, and overcorrection were 2.75%, 1.91%, 0.72%, 0.70%, 0.78%, and 0.49%, respectively. The revision rate, based on the random effects model, was 6.40% with 95%CI (3.84 to 9.57). Trial registration This meta-analysis was registered at the International Prospective Register of Systematic Reviews (PROSPERO, registration number CRD42020209644).

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“…In clinical work, we are focused on the treatments of nasal deformities and defects and have reported our clinical experience of rhinoplasty in several researches. [8][9][10][11] We have successfully designed several innovative local flap techniques to correct nasal deformities previously and accumulated experience in the treatment of nasal deformities with flap. 9,11,12 This method of this study is relatively simple in design and allows surgeons to accurately reconstruct the nasal alar in a single stage.…”

Section: Discussionmentioning

confidence: 99%

Designing a Trifoliate Flap for Isolated Congenital Alar Rim Defect in Pediatric Patients

Wei³

et al. 2021

Plast Surg (Oakv)

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Isolated congenital alar rim defects are extremely rare, and there has been no standard technique for the reconstruction of remarkable aesthetic deformity. Herein, we introduce a trifoliate flap for the correction of isolated congenital alar rim defects in pediatric patients. Fifteen cases undergoing nasal alar sulcus rotation flap surgery were analyzed retrospectively. This rotation flap including 3 triangles was a modified flap based on prior studies. Clinical medical notes and photographs were reviewed. Patients’ (or their parents) reported satisfactions with aesthetic outcome were also evaluated during the post-operative follow-up period. In all patients, the isolated congenital alar rim defects were successfully reconstructed. The rotation flap survived and the wound healed primarily. The follow-up period ranged from 6 to 22 months (average 11 months). There were no incidents of flap loss, step-off deformities, nasal obstruction, or alar retraction. At follow-up of post-operative 3 months, pale red scars were observed in the operative area in few patients (2/15). However, these scars gradually became invisible at post-operative 6 months. All patients (or their parents) were satisfied with the aesthetic outcome of this operation. This newly designed trifoliate flap can be an alternative method for the reconstruction of isolated congenital alar rim defects in pediatric patients. The scars of this procedure can be unobvious with fine surgical suture.

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The Use of Expanded Polytetrafluoroethylene in Short Nose Elongation

Cited by 13 publications

References 30 publications

Surgical Approaches and Outcomes of Short Nose Correction: A Descriptive Systematic Review of the Literature

Surgical Approaches and Outcomes of Short Nose Correction: A Descriptive Systematic Review of the Literature

Prevalence of complications associated with polymer-based alloplastic materials in nasal dorsal augmentation: a systematic review and meta-analysis

Designing a Trifoliate Flap for Isolated Congenital Alar Rim Defect in Pediatric Patients

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