Biomechanical and biological advantages of retaining the silicone-induced capsule for cartilage graft survival in revision rhinoplasty.
Fiche publication
Date publication
mai 2024
Journal
Journal of stomatology, oral and maxillofacial surgery
Auteurs
Membres identifiés du Cancéropôle Est :
Pr ZWETYENGA Narcisse
Tous les auteurs :
Moris V, Zwetyenga N, Habre SB
Lien Pubmed
Résumé
To answer the increased demand for augmentation rhinoplasty, particularly in Asian demographics, a shift from autogenous materials to synthetic implants like silicone and expanded polytetrafluoroethylene has been witnessed. These materials present an increased risk of complications like infection, extrusion, capsular contracture, and dissatisfaction. This study focuses on a case of revision rhinoplasty in a 48-year-old patient with a previous silicone implant and propose an innovative approach in managing the implant capsule. The use of the existing capsule as a mechanical and biological support structure for the diced cartilage graft in dorsal reconstruction showcases a promising method to mitigate risks and improve outcomes in revision surgeries. The capsule around the silicone is biologically active and provides a good environment for the cartilage graft to survive and improve the healing process. This approach tends to minimize the dissection to avoid potential revision complications like skin necrosis, fibrotic tissue, and infections.
Mots clés
Augmentation Rhinoplasty, Capsule Management, Diced Cartilage Graft, Nasal Reconstruction, Revision Surgeries, Silicone Implant
Référence
J Stomatol Oral Maxillofac Surg. 2024 05 31;:101935