As a patient, there are many thing you should consider regarding to the rhinoplasty surgery risk.Rhinoplasty pose a risk of infection even with the use of a porous material High Density Polyethylene (pHDPE). Postoperative infections occur in about 3% more than 600 rhinoplasty procedures, and any infection involving patients receiving alloplastic materials. Infection occurs in one in five nose surgery procedure in which the implant pHDPE used, as reported online in Archives of Facial Plastic Surgery.
The incidence of postoperative infection was 5.3% among patients who underwent procedures involving expanded polytetrafluoroethylene (ePTFE). “The use of pHDPE and ePTFE implants in rhinoplasty is associated with an increased risk of postoperative infection,” notes Andrew Winkler, MD, of the University of Colorado in Aurora, and colleagues. “This risk remained significant after demographic factors, medical comorbidities, and status-controlled revisional surgery.”
Their findings differ from those of previously published studies on the use pHDPE on the nose but parallel to them about the use of ePTFE. “Caution is advised when using pHDPE on rhinoplasty, especially as strut columellar, although there may be situations where the increased risk is unacceptable,” they added.
Despite the desire autologous tissue implants for nose surgery, materials for reconstruction are not always available. Implants made of ePTFE has been used more frequently, because of concerns about infection and extrusion with pHDPE. However, recent studies have shown a greater risk of foreign body reaction with ePTFE than previously realized, the authors note.
To meet the demand for more information about the risks of complications in synthetic materials, Winkler and his colleagues retrospectively reviewed the medical records of patients who underwent nasal surgery or septorhinoplasty at Oregon Health and Science University in Portland during the month of August 1999 to March 2008.
The use of ePTFE alone is limited to the augmentation of the nasal dorsum. The surgeon works with pHDPE for multiple applications, including use as a strut columellar in 40 (6%) cases (6%), an implant Alar batten in 14 (2.1%) cases, and both applications in two (0.3 cases %).