Godin M S, Waldman S R, Johnson C M
Department of Otolaryngology, Medical College of Virginia, Richmond, USA.
Arch Otolaryngol Head Neck Surg. 1995 Oct;121(10):1131-6. doi: 10.1001/archotol.1995.01890100043007.
To determine the safety and efficacy of expanded polytetrafluoroethylene (Gore-Tex soft-tissue patch, W. L. Gore & Assoc Inc, Flagstaff, Ariz) as an implant in rhinoplasty.
A retrospective study of 137 patients who underwent rhinoplasty including augmentation with Gore-Tex over a 6-year period. A review of the medical literature concerning the use of Gore-Tex as an implant in the head and neck was also conducted.
Two major academic medical centers and two private office surgical centers.
One hundred thirty-seven consecutive patients who received Gore-Tex implants in the course of rhinoplasty.
Sixty-nine patients presented for primary rhinoplasty; the remaining 68 presented for revision surgery. All received Gore-Tex nasal implants to augment the nasal dorsum and/or base. The grafts ranged from 1 to 6 mm in thickness. Follow-up ranged from 6 to 80 months, with an average of 25 months.
Clinically noted complications and patient satisfaction.
Three (2.2%) of 137 grafts became infected and were removed. One graft was removed 5 months post-operatively because of excessive augmentation. None of the patients who underwent implant removal required subsequent augmentation. All 137 patients are pleased with their results.
Gore-Tex is a safe and effective implant material to use in primary and revision rhinoplasty when augmentation is needed and autogenous material is not available or desirable.
确定膨体聚四氟乙烯（戈尔泰克斯软组织补片，W.L.戈尔公司，亚利桑那州弗拉格斯塔夫）作为隆鼻植入物的安全性和有效性。
对137例行隆鼻术（包括使用戈尔泰克斯进行隆鼻）的患者进行为期6年的回顾性研究。同时对有关戈尔泰克斯作为头颈部植入物使用的医学文献进行了综述。
两个主要的学术医学中心和两个私人诊所手术中心。
137例在隆鼻过程中接受戈尔泰克斯植入物的连续患者。
69例患者接受初次隆鼻术；其余68例接受修复手术。所有患者均接受戈尔泰克斯鼻植入物以垫高鼻背和/或鼻基底。移植物厚度为1至6毫米。随访时间为6至80个月，平均25个月。
临床记录的并发症和患者满意度。
137例移植物中有3例（2.2%）发生感染并被取出。1例移植物在术后5个月因垫高过度被取出。所有接受移植物取出的患者均无需后续隆鼻。137例患者对其结果均满意。
当需要隆鼻且自体材料不可用或不理想时，戈尔泰克斯是一种用于初次隆鼻和修复隆鼻的安全有效的植入材料。
