Safety and Efficacy of Expanded @entity736 Implants in the Surgical Management of Traumatic XXXX .

@entity1 @entity286 @entity6 @entity260 @entity281 @entity86 @entity736 @entity85 @entity130
IMPORTANCE: The ideal alloplastic implant for correction of traumatic @entity85 has not been adequately examined. OBJECTIVE: To evaluate the safety profile and postoperative results of expanded @entity736 (ePTFE) implants used in functional nasal surgery (FNS) in the setting of traumatic @entity85 . DESIGN, SETTING, AND @entity1 : We conducted a 13-year retrospective medical chart review for @entity1 treated at a tertiary academic facial plastic and reconstructive surgery practice between July 1999 and July 2012. A total of 404 FNS procedures were performed by a single surgeon during this period, 255 to repair @entity85 , 35 of these involving ePTFE implants. @entity1 demographics, medical comorbidities, operative and technical considerations, functional and aesthetic results, complications, and postoperative course findings were collected from @entity1 records. In addition, preoperative and postoperative photographic documents were examined. EXPOSURES: Functional nasal surgery. MAIN OUTCOMES AND MEASURES: @entity260 or presentations necessitating revision. RESULTS: A total of 404 @entity1 (197 male, 207 female) underwent FNS. Of those, 255 procedures were to treat @entity85 . Forty @entity1 altogether required the use of an ePTFE implant, 35 of those 40 deformities being associated with a @entity130 . One of the 35 @entity1 in the ePTFE-repaired @entity85 group experienced @entity86 . This @entity1 ultimately developed exposure after the @entity281 failed to resolve with oral antibiotics, and the implant was removed. An additional @entity1 in the ePTFE group required revision of the implant owing to contour irregularity and aesthetic concerns. No @entity281 or other complications occurred among the 220 @entity1 with @entity85 treated with autologous grafts. Analysis of other variables including sex, @entity286 use, @entity6 , immunosuppression, implant thickness, suture material, and prior septorhinoplasty were not associated with increased rate of @entity281 (P   >   .05 for all). CONCLUSIONS AND RELEVANCE: In the setting of traumatic nasal deformities requiring FNS, ePTFE implants can be used at the level of the nasal dorsum, where soft tissue coverage is often adequate, with a low risk of complications.
