코성형술에 사용된 고어텍스의 안정성에 관한 다기관 평가

초록

Background and Objectives：This study was done to evaluate the safety of Gore-Tex as a nasal implant. Materials and Method：A retrospective multicenter study was caried out on 15 surgeons from 1 general hospitals and 4 private practice clinics regarding the safety of the Gore-Tex as a nasal implant. The study involved 853 patients, of whom 656 received primary surgery and 197 revision surgery. Gore-Tex was mainly used as a dorsal implant in a form of sheet or as a reinforced nasal implant. Results：The overall complication rate asociated with Gore-Tex was 2.5% (21 cases). Infection was the most com-mon complication (18 cases；2.1%) folowed by 2 cases of seroma and 1 case of persistent nasal swelling. In 19 out of 21 (91% removal rate). Nine cases of infection developed in both primary cases (1.37%) and in revision cases (4.57%), which suggests a higher asociation rate between in-fection and revision cases (p=0.0062). Infection developed within 1 month in 5 cases while 9 cases developed infection after 6 months of operation. Other complications such as aesthetic problems (malpositioning of the implant or dorsal irregularities) were found in 15 cases (1.8%) and hematoma in 1 case. Conclusion：The infection rate of Gore-Tex used in rhinoplasty was efore, we suggest judicious use of Gore-Tex in rhinoplasty.

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