“infection rate was extremely high and startling” explained by Dr Andrew |
Dr. Andrew Winkler who is a cosmetic surgeon from the
University of Colorado in Denver spearheaded a research regarding the infection
rate of nose implants. What spurred the research was the increasing incidence
of the implants protruding from the surgical wound, making the area vulnerable
to infection. The popular brand that was observed to have an increased amount
of infection than originally expected is Medpor.
In the study they found out that in as much as five nasal
surgeries which used Medpor nasal implants resulted into infections. What
happened is that the surgical wound was compromised due to the implants poking
out from them. It then creates a good entry for bacteria, which can lead to
mild to serious infection.
Medpor is one of the popular nose implants in the US
alongside Gore-Tex. The study, which was the largest of its type concerning
synthetic nasal implants, showed that the incidence rate of infection was quite
alarming. That is why Dr. Winkler along with other colleagues found the need to
look into this matter so that proper caution can be given to the patients.
He said that Medpor nose implants can still be used as an
option but additional caution and education should be provided by the surgeon
to the patients.
During the study, researchers found that there were 151
cases of nasal surgeries that used Medpor and Gore-Tex. It was established that
Medpor has a higher infection compared to Gore-Tex, with the first having 19%,
while the latter only has 5%. There were a total of 19 infections that
developed infections and all but one showed the implants protruding through the
wound.
What causes this is that Medpor is made out of a firm
material in order to support and improve the structure of the nose. It is a
high density polyethylene that is also porous in nature. That is why it is more
prone to poke through the skin.
Gore-Tex is flimsy by nature as it is made out of
polytetrafluoroethylene. It is inserted at the ridge of the nose to add height
to the entire structure.
Grafting may be a good option, but Dr. Winkler suggests that
it may not be as practical as when they use implants. A graft is when a piece
of the patient’s nose, ribcage, or ear cartilage is removed in order to be
placed into the patient’s nose. There may be complications involved but these
are minimal, however it is expected to cost more because it requires more
incisions.
The problem when these implants cause infection is that in
order to relieve it, the patient has to undergo another operation yet again to
remove or replace the nasal implants. An antibiotic treatment would not suffice
that is why reopening of the wounds would have to be done.
But there are also others who say that the results of the
studies are simply blown out of proportion because the numbers are actually
low. This is not significant enough to cause alarm. They claim that what
creates the problem is that there is an increased risk for infection due to the
need of another surgery for corrective purposes.
Another is that the tissues of the nose have already been
tampered with that is why it is at a higher risk for complications.
However according to Dr. Winkler this information is still
very valuable and it will serve as a caution to those who are planning to get Medpor
nose implants for rhinoplasty. This should be part of the planning process
because it cannot be avoided that there are cases that would need the
particular hold and structure that a Medpor implant creates.
If you have questions about rhinoplasty in Sydney and Melbourne, contact us at:
Advance Beauty Cosmetic Surgery, Sydney
Enquiry Hotline: (02) 9280 3632
Website: http://www.advancecosmetic.com
Physical Address: Suite 2/270 Elizabeth St.
Surry Hills. NSW 2010
Advance Beauty Cosmetic Surgery, Melbourne
Enquiry Hotline: (02) 9280 3632
Website: http://www.advancecosmetic.com
Physical Address: Suite 636/1 Queens Rd.
St Kilda Tower. Melbourne. VIC 3004
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