A case study of an undetected expanded polytetrafluoroethylene implant material mimicking a nasal dorsal hump.

Abstract

Augmentation rhinoplasty using alloplastic materials is a relatively standard procedure in Asian patients. Expanded polytetrafluoroethylene (ePTFE) is one of the commonly used alloplastic materials because it has a high biocompatibility and is easy to handle. Recently, a patient who had previously undergone augmentation rhinoplasty using ePTFE as the implant material visited our clinic. She had the implant material surgically removed after three years and visited our clinic with a nasal dorsal hump. The patient underwent revision rhinoplasty at our institution. Unexpectedly, we found some ePTFE material that was not identified on the preoperative X-rays. After removing the ePTFE material, the nasal dorsal hump was corrected, and we did not need to perform a nasal dorsal hump reduction.