Use of a Temporoparietal Fascia-Covered Silastic Implant in Nose Reconstruction after Foreign Body Removal

Abstract

A total of 47 consecutive patients with paraffinoma of the nose underwent surgery for paraffinoma removal and insertion of temporoparietal fascia-covered Silastic implants between January of 1990 and June of 1996. There are several advantages to our procedure, and we obtained satisfactory outcomes with it. A bilateral alar rim incision was sufficient for our procedure. The Silastic implant could be sculptured easily, was not absorbed, and produced excellent cosmetic results. The fascia was highly bioadaptable and survived beneath the dermis through revascularization, even in the places where the paraffin material remained. The fascia reinforced the thinned skin that resulted after paraffinoma removal and, therefore, prevented exposure of the Silastic implant. The telangiectasia of paraffinoma of the nose improved in some patients after surgery.

Immediate Reconstruction After Removal of Nasal Prosthesis Using Diced Cartilage Wrapped With Temporal Fascia

“…It has been reported that such cases can be treated by wrapping the implant in fascia before implantation. 14 In the current study, we barely observed any postoperative absorption with the method we used, suggesting that the fascia can achieve relatively favorable attachment and engraftment even for scarred tissue with poor blood flow, and wrapping cartilage in fascia improves engraftment. In particular, both sides of the graft capsules were cut in the shape of capsules after removing the silicone implant, and the bases were removed as much as possible before transplantation, which improved their compatibility.…”

Complications of the nasal dorsum reconstruction using autologous or alloplastic grafts: evidence from systematic review and meta-analysis

“…8 ). The results showed that according to patients’ regional country, nine Asian studies 16 , 20 , 21 , 22 , 35 , 37 , 38 , 40 , 41 showed lower infection rates of 1.8% (95% CI 0.4%−3.2%), compared to Eight European studies 17 , 18 , 19 , 23 , 24 , 39 , 42 , 43 that showed an infection rate of 2.8% (95% CI 0.9%−4.8%) ( Fig. 9 ).…”

Single-Stage Reconstruction of Skin-involving Nasal Paraffinoma with Pericraniosubgaleal Flap

“…d Nineteen months after the nasal reconstruction with a pericraniosubgaleal flap and silicone and nasal cartilage workup. e Postoperative view deformity, there are difficulties in estimating the amount of resorption of these grafted tissues and in refining the shape and in the resultant poor aesthetic quality [3][4][5][6]. Resorption varies from person to person (causing further concerns) and attempts have been made to quantify the resorption of each of the tissues or combination of tissues.…”

“…For nasal reconstruction, a range of surgical techniques using alloplastic implants or free grafts of autogenous tissues such as fascia, dermofat, and cartilage have been described either in an immediate, single-stage or in a delayed, multiphase regimen [1][2][3][4][5][6]. The single-stage or multiphase regimen is chosen depending on the extent and location of the mass, the severity of the resulting deformity, and the status of the surrounding tissues.…”