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Nasal tip abscess due to adverse skin reaction to Prolene: an unusual long term complication of rhinoplasty

Published online by Cambridge University Press:  22 November 2012

A Teymoortash ,
J A Fasunla ,
W Pfützner  and
S Steinbach-Hundt
A Teymoortash*
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Philipp University, Marburg, Germany
J A Fasunla
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Philipp University, Marburg, Germany
W Pfützner
Affiliation:
Department of Dermatology and Allergology, Philipp University, Marburg, Germany
S Steinbach-Hundt
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Philipp University, Marburg, Germany
*
Address for correspondence: Dr Afshin Teymoortash, Department of Otolaryngology, Head and Neck Surgery, Philipp University, Baldinger Str, 35043 Marburg, Germany Fax: +49 6421 5866367 E-mail: teymoort@med.uni-marburg.de
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Abstract

Objectives:

Allergic reactions to Prolene are rare. This paper reports a nasal tip abscess which developed in a patient with an adverse skin reaction to Prolene after rhinoplasty.

Methods and results:

A 26-year-old woman presented with painful, progressive nasal tip swelling and redness. She had undergone septo-rhinoplasty two years previously. She was initially treated with endonasal drainage of the abscess and antibiotics, but a revision rhinoplasty three months later became necessary because of recurrent abscess formation. Intra-operative findings included granulation tissue with pockets of pus and knotted Prolene sutures at the tip-defining points of the lower lateral cartilages. She was patch-tested with Prolene and a cutaneous Prolene suture was placed on her back; an adverse skin reaction was seen for the latter.

Conclusion:

Use of non-absorbable sutures, such as Prolene, in the subcutaneous layer may be a potential, rare risk factor for adverse skin reactions.

Keywords

ProleneRhinoplastyAbscessPostoperative Complications
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 127 , Issue 1 , January 2013 , pp. 76 - 79
Copyright
Copyright © JLO (1984) Limited 2012

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