Foreign Body Removal and Immediate Nasal Reconstruction with Superficial Temporal Fascia

Abstract

For nasal augmentation, various materials have been used for many years. The injection of foreign body has been carried on, although it is performed mostly by laymen. Because many complications arise after augmentation rhinoplasty by foreign body injection, secondary correction has been needed. These complications have included headaches, swelling, redness, palpable mass, skin discoloration, telangiectasia and fear of cancer. The authors treated 10 patients who had undergone injection of foreign body to the nose. After the foreign body was removed, we immediately reconstructed nasal deformity by silicone implant wrapping with superficial temporal fascia. This method has many advantages including easy contouring of nasal shape and fixation, absence of foreign body reaction, reduced inflammatory reaction, no or minimal concerns regarding the migration or extrusion of the implants, and nonvisible donor scar. The mean follow-up period was 8 months, and no complications occurred. The authors conclude that nasal deformity can be successfully reconstructed immediately using silicone implant wrapping with superficial temporal fascia after foreign body is removed from the nose. In the authors' experience, this procedure has improved aesthetic appearance and met patients' expectations.

Various Applications of Deep Temporal Fascia in Rhinoplasty

“…One study showed superior outcomes without secondary infection when using dorsal augmentation by covering silicone implants with DTF in cases of reconstruction immediately after foreign body removal due to infection that occurred from augmentation rhinoplasty with industrial silicone. 14 …”

“…2 ). 14 The size of the DTF to be harvested was determined according to the amount required and then incised, avoiding the vessels in the temporal muscles.…”

Immediate Re-Insertion of Non-Autologous Materials in Revision Augmentation Rhinoplasty

“…12 Previous efforts have been made to minimize the tension imposed on surrounding tissues by wrapping the silicone with temporalis fascia, an approach that has been successfully demonstrated. 13 Therefore, in deciding whether to use silicone in immediate reinsertion, proper size selection and combining the insertion with autologous material are the additional points that can be applied to prevent complications. Another common feature in the 2 unsuccessful cases in our study was the surgical approach.…”

Immediate Reconstruction After Removal of Nasal Prosthesis Using Diced Cartilage Wrapped With Temporal Fascia

“…It has also been reported that implants are better in cases of poorer blood flow because poor blood flow can encourage necrosis and absorption of autologous tissue. 13 Because surrounding subcutaneous tissue conditions vary between patients, treatment should be determined on a case-by-case basis. Many surgeons consider that implants alone are inappropriate when skin has thinned.…”