My surgeon put a bioplastic implant in my nose held by a plate or k-wire that has never been removed, but the implant has. He left this out of his op notes & a ct scan will not reveal it. I would like a revision & fear this can never be achieved so long as the plate is still there. He did not put this in op notes. What imaging would reveal metal used to hold something like a medpor implant? Can another surgeon remove it?
March 7, 2019
Answer: Implant following surgery A simple CT sinus imaging study will reveal the plates and screws and obtaining the operative notes will help determine the company brand so your surgeon can match the plating system and the instruments appropriately if the hardware requires removal. The K wire will 100% show up on the imaging. If there is nothing rewarding gained from the CT imaging study in the past I have ordered an MRI to evaluate other non-metallic implant materials such as gortex or silastic to determine the underlying problem for evaluation. This may also be an option for you in the setting of a proposed revisional surgery. In the absence of any concrete information you would then want to ensure that your surgeon is confident a revisional procedure will solve your concerns based on the unknown of what may or may not be encountered. Hopefully this helps guide you through this challenging process!
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March 7, 2019
Answer: Implant following surgery A simple CT sinus imaging study will reveal the plates and screws and obtaining the operative notes will help determine the company brand so your surgeon can match the plating system and the instruments appropriately if the hardware requires removal. The K wire will 100% show up on the imaging. If there is nothing rewarding gained from the CT imaging study in the past I have ordered an MRI to evaluate other non-metallic implant materials such as gortex or silastic to determine the underlying problem for evaluation. This may also be an option for you in the setting of a proposed revisional surgery. In the absence of any concrete information you would then want to ensure that your surgeon is confident a revisional procedure will solve your concerns based on the unknown of what may or may not be encountered. Hopefully this helps guide you through this challenging process!
Helpful
March 7, 2019
Answer: Implant after rhinoplasty Thank you for your question. You should be able to see a k-wire with a conventional X-ray. Certainly this will help when planning a revision rhinoplasty. Good luck.
Helpful
March 7, 2019
Answer: Implant after rhinoplasty Thank you for your question. You should be able to see a k-wire with a conventional X-ray. Certainly this will help when planning a revision rhinoplasty. Good luck.
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