Temporal augmentation using a polytetrafluoroethylene implant with the assistance of an endoscope.

BACKGROUND

Expanded polytetrafluoroethylene (e-PTFE), invented by W. L. Gore in the late 1960s, has become a popular material in facial plastic and reconstructive surgery. The use of e-PTFE sheets in the temporal region is reported by some authors and achieving good results. Endoscopic techniques, characterized by small incisions, slight injury, and fewer complications, can be applied in many fields. With the assistance of an endoscope, temporal augmentation with e-PTFE is performed under direct sight, and complications can be reduced. This study aimed to investigate endoscopically assisted temporal augmentation using e-PTFE.

METHODS

In this study, 16 patients with concave temporal regions underwent temporal augmentation using e-PTFE with the assistance of an endoscope. The implants were inserted in the plane overlying the deep temporal fascia.

RESULTS

Most of the patients were satisfied with the result. One patient had mild temporal area asymmetry, which did not need revision. Another patient had paralysis of the temporal branch of the facial nerve and recovered 3 months after surgery. No infection, foreign body reaction, implant rejection or extrusion, hematoma, seroma, or curling of the edge of the implant occurred.

CONCLUSION

Endoscopic procedures are characterized by small incisions, slight tissue injury, direct vision, and fewer complications. Such procedures are helpful in the reconstruction of concave temporal regions using e-PTFE.