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Are Alloplastic Implants Safe in Rhinoplasty?

by Jeffrey Mella, MD; Jared Christophel, MD; Stephen Park, MD • July 15, 2020

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TRIO Best PracticeTRIO Best Practice articles are brief, structured reviews designed to provide the busy clinician with a handy outline and reference for day-to-day clinical decision making. The ENTtoday summaries below include the Background and Best Practice sections of the original article. To view the complete Laryngoscope articles free of charge, visit Laryngoscope.

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Explore This Issue
July 2020

Background

Over 1 million rhinoplasties are performed worldwide each year. While autologous cartilage remains the gold standard for implantable material, controversy exists regarding the role of alloplastic implants and alleged risks of infection and extrusion (Loyo M, Ishii LE. Safety of alloplastic materials in rhinoplasty. JAMA Facial Plast Surg 2013;15:162–163). Some experts avoid alloplastic implants altogether, fearing complications in unforgiving anatomy. In other areas of the world, however, they are used widely and successfully. The aim of this study is to summarize available evidence about the safety of alloplastic materials in rhinoplasty.

Best Practice

The cumulative available data suggest that complication rates of alloplastic implants are similar to those seen with autologous costal cartilage and may be acceptable in select patient populations. Careful preoperative counseling with patients about the severity of potential complications associated with alloplastic implants is warranted. Among alloplastic implants, expanded polytetrafluoroethylene shows promise when used for augmentation to the upper two thirds of the nose. Future prospective studies, with defined control groups and standardized long-term follow-up, are needed before reaching a consensus on the safety of alloplastic implants in rhinoplasty.

Filed Under: Rhinology, TRIO Best Practices Tagged With: clinical outcomes, rhinoplastyIssue: July 2020

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  • Irradiated Homologous Costal Cartilage Used Effectively in Rhinoplasty
  • Bioabsorbable Miniplates for Subglottic Stenosis Are Safe and Effective
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  • Spare Roof Technique Can Improve Patient Quality of Life after Rhinoplasty

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