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Late complications of nasal augmentation using silicone implants

Published online by Cambridge University Press:  29 June 2007

Martin Wai Pak
Affiliation:
Divisions of Otorhinolaryngology, and Head and Neck and Plastic and Reconstructive Surgery†, The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong
Eric Sun Yin Chan
Affiliation:
Divisions of Otorhinolaryngology, and Head and Neck and Plastic and Reconstructive Surgery†, The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong
Charles Andrew van Hasselt*
Affiliation:
Divisions of Otorhinolaryngology, and Head and Neck and Plastic and Reconstructive Surgery†, The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong
*
Address for correspondence: Professor C. A. van Hasselt, Division of Otorhinolaryngology, Department of Surgery, Prince of Wales Hospital, Shatin, New Territories, Hong Kong. Fax: (852) 26466312

Abstract

Alloplastic nasal augmentation with silicone elastomer (Silastic) is popular in areas of Asia. Although the silicones are bio-inert, they have been implicated in a number of adverse reactions after implantation. We report our experience of three patients who presented with late complications after nasal augmentation using Silastic implants. The mechanisms of implant failure are proposed. It is advised that this material should only be used on an individual basis in carefully selected cases.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1998

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References

Daniel, R. K. (1993) The osseocartilaginous vault. In Aesthetic Plastic Surgery. Rhinoplasty. 1st Edition (Daniel, R. K., ed.), Little, Brown and Company, pp 169209.Google Scholar
Digby, J. M. (1982) Malignant lymphoma with intranodal silicone rubber particles following metacarpophalangeal joint replacements. Hand 14: 326329.CrossRefGoogle ScholarPubMed
Flowers, R. S. (1994) Nasal augmentatiop. Facial Plastic Surgery Clinics of North America 5(3): 339355.CrossRefGoogle Scholar
Gullane, P. J. (1980) Nasal reconstruction. Journal of Otolaryngology 9: 455.Google ScholarPubMed
Ham, K. S., Chung, S. C., Lee, S. H. (1983) Complications of oriental augmentation rhinoplasty. Annals of the Academy of Medicine Singapore 12 (Suppl 2): 460462.Google ScholarPubMed
Harley, E. H., Erdman, J. P. (1990) Dorsal nasal cyst formation. A rare complication of cosmetic rhinoplasty. Archives of Otolaryngology–Head and Neck Surgery 116: 105106.CrossRefGoogle ScholarPubMed
Juri, J., Juri, C., Colnago, A. (1980) Implants and grafts for secondary rhinodeformities. Aesthetic Plastic Surgery 4: 135.CrossRefGoogle ScholarPubMed
Khoo, B. C. (1964) Augmentation rhinoplasty in the Orientals. Plastic And Reconstructive Surgery 34: 81.Google ScholarPubMed
Kossovsky, N., Frieman, C. J. (1994) Silicon breast implant pathology. Clinical data and immunologic consequences. Archives of Pathology and Laboratory Medicine 118: 686693.Google Scholar
Lawson, W., Kessler, S., Biller, H. (1983) Unusual and fatal complications of rhinoplasty. Archives of Otolaryngology– Head and Neck Surgery 109: 164169.CrossRefGoogle ScholarPubMed
Lipshutz, H. (1966) A clinical evaluation of subdermal and subcutaneous silicone implants. Plastic and Reconstructive Surgery 37: 249.CrossRefGoogle ScholarPubMed
Milward, T. M. (1962) The fate of silastic and vitrathene nasal implants. British Journal of Plastic Surgery 25: 276.CrossRefGoogle Scholar
Roussett, J. D. (1904) The Rhinoplasty. G. Steinhert, Paris.Google Scholar
Sevastianov, V. I. (1988) Role of protein adsorption in blood biocompatibility of polymers. CRC Critical Reviews of Biocompatibility 4: 109154.Google Scholar
Sheen, J. H. (1987) Aesthetic Rhinoplasty. 2nd Edition. St Louis, Mosby.Google Scholar
Shirakabe, Y., Shirakabe, T., Kishimoto, T. (1985) The classification of complications after augmentation rhinoplasty. Aesthetic Plastic Surgery 9(3): 185192.CrossRefGoogle ScholarPubMed
Shulman, Y., Westreich, M. (1983) Postrhinoplasty mucous cyst of the nose. Plastic and Reconstructive Surgery 71: 421422.CrossRefGoogle ScholarPubMed
Tang, L., Lucas, A. H., Eaton, J. W. (1993) Inflammatory responses to implanted biomaterials: Role of surfaceadsorbed immunoglobulin G. Journal of Laboratory and Clinical Medicine 122: 292300.Google ScholarPubMed
Tang, L., Eaton, J. W. (1995) Imflammatory responses to biomaterials. American Journal of Clinical Pathology 103: 466471.CrossRefGoogle Scholar
Tardy, M. E., Dennehy, J., Fritsch, M. H. (1985) The versatile cartilage autograft in reconstruction of the nose and face. Laryngoscope 95: 523.CrossRefGoogle ScholarPubMed
Truong, L. D., Cartwright, J., Goodman, M. D., Woznicki, D. (1988) Silicone lymphadenopathy associated with augmentation mammoplasty. American Journal of Surgical Pathology 12: 484491.CrossRefGoogle Scholar
Wang, J. W. (1987) A new pattern of silastic prosthesis for augmentation rhinoplasty. Chung Hua Cheng Hsing Shao Shang Wai Ko Tsa Chih 3(4): 284285.Google ScholarPubMed
White, M. I., Smart, L. M., Macgregor, D. M., Rayner, C. R., Smith, F. W. (1991) Recurrent facial oedema associated with a silicone-rubber implant. British Journal of Dermatology 125(2): 183185.CrossRefGoogle ScholarPubMed
Wong, P. T. L., Nield, D. V., Khoo, C. T. K. (1987) The pathogenicity of coagulase negative Staphylococcus in the presence of silicone rubber implants. British Journal of Plastic Surgery 40: 9496.CrossRefGoogle ScholarPubMed