Gore-tex (R) augmentation grafting in rhinoplasty - Is it safe?

Objective: The utility of the Gore-tex(R) soft-tissue patch in-vascular and hernia surgery over the last 20 years led to its application in facial aug mentation and rhinoplasty over the last decade. The early success of initia l reported series must be balanced against the long-term problems that have faced all implant materials used in the nose in the past. Gore-tex(R) is a ttractive to the facial plastic surgeon because of its ease in handling gnd sculpting, and its plentiful supply. This review analyzes the results of G ore-tex(R) augmentation grafting. Method and Results: In a personal series of 30 rhinoplasty cases with minim um 18 month follow-up, there were three cases of infection, two of which re quired Gore-tex(R) removal, and one seroma requiring Gore-tex(R) removal. I n two other patients, the Gore-tex(R) was associated with excessive scar ti ssue. Conclusion: Our results led to the development of guidelines for Gore-tex(R ) usage in the nose. Since adopting these guidelines, the authors have not yet experienced any complications with Gore-tex(R).