Outcome of GORE-TEX implants in augmentation rhinoplasty

Abstract

Objectives: The use of graft material in augmentation rhinoplasty presents many challenges to the surgeon. Autologous grafts are the preferred material and have withstood the test of time. GORE-TEX (V. L. Gore and assoc Inc, Flagstaff, AZ) has been projected as a promising implant for nasal augmentation. The aim of our study was to report the outcome of GORE-TEX implants when used in augmentation of nasal dorsum by a single surgeon with a specialist interest in rhinoplastic surgery. Methods: This is a retrospective review of 20 patients who underwent nasal dorsal augmentation using GORE-TEX implant using external rhinoplasty approach. The results were assessed with full preoperative and postoperative photographic documentation and critical assessment during follow-up examination. Patient satisfaction was noted with respect to aesthetic and functional outcome. Results: Two implants (10%) became infected and were removed. One implant was removed 3 months postoperatively and another one after 13 months. Persistent erythema of the nasal skin and minor displacement of the implant was noted in 1 patient. No resorption of any of the grafts was noted. Patients’ perceptions of the feeling of the implant included as normal (50%), firm (30%), soft (5%) and hard (15%). Conclusions: GORE-TEX has demonstrated outstanding safety profile in areas of general and vascular surgery. Although encouraging intermediate results are reported, there is a need of more studies to determine the long-term success and morbidity of GORE-TEX in rhinoplasty. Until then it can be used as an alternative to rather than in preference to autografts.