Objectives: The objective of this study is to evaluate common complications associated with the use of silicone implants in rhinoplasty and to explore effective preventive strategies and solutions for managing these issues. Given the increasing global popularity of rhinoplasty and the frequent use of silicone implants, understanding the etiology and management of complications such as infection, extrusion, displacement, and aesthetic dissatisfaction is critical for improving patient outcomes.
Introduction: Silicone implants are widely used in rhinoplasty due to their cost-effectiveness, ease of shaping, and availability. However, they are associated with complications such as infection, extrusion, capsular contracture, and displacement, especially in revision cases or long-term use. Prevention requires careful patient selection, proper implant sizing, and meticulous surgical techniques. Early management of complications, such as antibiotics for infection or implant removal for severe cases, is critical.
Materials / method: This study utilized a systematic review combined with a retrospective review of medical records from rhinoplasty procedures performed at Ramathibodi Hospital. These approaches were employed to provide a comprehensive and systematic analysis of complications related to silicone implants and their management strategies.
Results: The review and medical record analysis identified infection, extrusion, capsular contracture, and implant displacement as common complications in silicone implant rhinoplasty. Key factors included improper implant sizing, poor surgical techniques, and patient-specific risks like thin skin or revision history. Preventive measures such as careful patient selection, implant sterilization, and precise surgical methods significantly reduced risks. Early management with antibiotics, implant removal, or autologous tissue replacement effectively restored function and aesthetics.
Conclusion: Silicone implants remain a widely used material in rhinoplasty due to their accessibility and ease of use, but their potential for complications requires careful consideration. Effective prevention strategies, such as proper patient selection and surgical precision, are key to minimizing risks. For managing complications, timely diagnosis and appropriate intervention are critical in achieving satisfactory outcomes. Future advancements should focus on improving implant materials and refining surgical techniques to enhance safety and long-term success in nasal augmentation.
利益冲突声明
您有否接受任何资金来支持研究这个主题?
否
您是否接受过关于这项研究的任何酬金或其他报酬?
否
你是否和任何与您的研究所涉及的药物,材料或工具有密切联系的实体存在财务关系?
否
你是否拥有或者您已经为您此研究中的工具,药物或材料申请任何专利?
否
这项工作没有任何直接或间接的资金支持。由作者自己承担责任。