Silicone Implant Sandwiched between Intact Nasal Bones with Fractured Nasal Bone Segments

Abstract

As the number of people who have undergone augmentation rhinoplasty has increased recently, nasal fractures are becoming more common after rhinoplasty. A silicone implant can affect the nasal fracture pattern, but there is no significant difference in treatment methods commonly. A 28-year-old female who had undergone augmentation visited our clinic with a nasal fracture. Computed tomography revealed that the silicone implant was sandwiched between the intact nasal bones with fractured bone fragments. In this case, open reduction was inevitable and a new silicone implant was inserted after reduction. Migration of the silicone implant beneath the nasal bone is a very rare phenomenon, but its accurate prevention and diagnosis is important because a closed reduction is impossible.

Keywords: Nasal bone; Rhinoplasty; Silicones.

Fig. 1. Computed tomography findings before surgery. A silicone implant is sandwiched between the fractured nasal bone segments. The caudal end of the silicone implant has reached the nasal tip. Three-dimensional image (A) and sagittal image (B).

Fig. 2. Appearance during surgery. A fracture line was observed after the implant sandwiched between the fractured nasal bone segments was removed.

Fig. 3. Computed tomography findings after surgery. The nasal bones were set back in their original places. The new implant was inserted up to the nasion. Three-dimensional images (A), and sagittal images (B).