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논문 기본 정보

자료유형
학술저널
저자정보
저널정보
대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제62권 제12호
발행연도
2019.1
수록면
706 - 711 (6page)

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Background and Objectives Expanded polytetrafluoroethylene (ePTFE) is an alloplasticimplant widely used in augmentation rhinoplasty. However, ePTFE implant is known to be vulnerableto postoperative infection and inflammation. We aimed to verify the safety of the materialby analyzing the results of augmentation rhinoplasty using ePTFE carried out in a single institutionfor 10 years. Subjects and Method From April 2009 to June 2018, 238 patients who underwent augmentationrhinoplasty with ePTFE were included in the study. There were 187 male patients and 51female patients. Patients’ medical records, preoperative and postoperative photographs wereanalyzed, and postoperative implant migration, inflammation, and infection were investigated. Results Of the 238 patients, 10 underwent revision surgery, and 87 (36.6%) underwent concomitantosteotomy for the correction of the deviated nose. Of the 5 patients (2.1%) who showedpostoperative implant migration, 4 patients belonged to the osteotomy patients group while 1patient belonged to the no-osteotomy group. There was more frequent implant migration inpatients who underwent osteotomy; however, there was no statistically significant difference(p=0.06). In all of the five patients, the degree of implant migration was minimal, therefore nopatient required revision surgery. No inflammatory reaction or infection was found after surgery. Conclusion ePTFE is a safe material for augmentation rhinoplasty and is not susceptible toinfection after surgery if used through appropriate surgical procedures.

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