유영천·정승일·양원용·고법민
경희대학교
의과대학 성형의과학교실
Experience
with use of Expanded Polytetrafluoroethylene(Gore-texⓡ)
in Cosmetic Facial Surgery
Young Cheun Yoo, M.D.,
Seung I1 Chung, M.D., Won Yong Yang, M.D., Bub Min
Ko, M.D.
Department of Plastic and Reconstructive
Surgery,
College of Medicine, KyungHee University,
Seoul, Korea
To
date, for facial soft tissue augmentation, numerous
implant materials have been used, including autogenous,
homogenous, and alloplastic grafts. Among these,
the porous material, Gore-texⓡ has a pore (0.5-30
microns, average 22 microns) which allows sufficient
but limited soft tissue ingrowth to anchor implants,
but not so much to make removal difficult or destructive
to adjacent structures. In addition, this material
has some advantage: non-carcinogenic, non-allergic,
less capsule formation and reduced chance of infection
due to high vascularity. In the past years Gone-texⓡ
has found multiple applications in facial plastic
and reconstructive surge교. However this alloplastic
material can be associated with potentially severe
complications and side effects such as soft tissue
reaction, infection, extrusion, exposure, etc. there
have been also adverse criticism of Gore-texⓡ relative
difficulties in postoperative removal, in carving
implant, higher infection and extrusion rates in
scarred tissue and thicker implant as well as postoperative
volume reduction. In order to analyze results depending
on the implantation site, the presence of scar on
recipient site, thickness and type of implant, a
retrospective chart review of 56 patients(69 cases)
was undertaken of all patients who underwent facial
soft tissue augmentation with Gore-texⓡ graft from
November l998 to November 2001 in a wide variety
of situations. All cases were categorized as either
prima교(normal recipient site) or seconda교(scarred
recipient site) cases and the thickness of each
graft used in millimeters was recorded. Postoperative
follow up revealed a stable implant material with
no major complications relating to the graft material
and no differences in developing complications
according to the implantation
site, the presence of scar, thickness and type of
implant. All patients were highly satisfied with
their results.
Key
Words:Expanded polytetrafluoroehtylene(Gore-texⓡ),
Soft tissue augmentation |
