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Kim LY, Schwartz JS, Tajudeen BA, et al. Intrasinus penetration of a silastic malar implant, which resulted in chronic sinusitis: A case report and literature review. Allergy Rhinol (Providence). 2017;8(1):37-39doi: 10.2500/ar.2017.8.0189.
Kim, L. Y., Schwartz, J. S., Tajudeen, B. A., Adappa, N. D., & Palmer, J. N. (2017). Intrasinus penetration of a silastic malar implant, which resulted in chronic sinusitis: A case report and literature review. Allergy & rhinology (Providence, R.I.), 8(1), 37-39. https://doi.org/10.2500/ar.2017.8.0189
Kim, Luke Y, et al. "Intrasinus penetration of a silastic malar implant, which resulted in chronic sinusitis: A case report and literature review." Allergy & rhinology (Providence, R.I.) vol. 8,1 (2017): 37-39. doi: https://doi.org/10.2500/ar.2017.8.0189
Kim LY, Schwartz JS, Tajudeen BA, Adappa ND, Palmer JN. Intrasinus penetration of a silastic malar implant, which resulted in chronic sinusitis: A case report and literature review. Allergy Rhinol (Providence). 2017 Mar 01;8(1):37-39. doi: 10.2500/ar.2017.8.0189. PMID: 28381326; PMCID: PMC5380451.
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Allergy Rhinol (Providence). 2017 Mar 01;8(1):37-39. doi: 10.2500/ar.2017.8.0189.

Intrasinus penetration of a silastic malar implant, which resulted in chronic sinusitis: A case report and literature review.

Allergy & rhinology (Providence, R.I.)

Luke Y Kim, Joseph S Schwartz, Bobby A Tajudeen, Nithin D Adappa, James N Palmer

PMID: 28381326 PMCID: PMC5380451 DOI: 10.2500/ar.2017.8.0189

Abstract

BACKGROUND: Malar augmentation is a common cosmetic procedure utilizing silastic materials. We describe an uncommon complication of a silastic implant eroding into the anterior maxillary sinus wall resulting in chronic rhinosinusitis (CRS).

METHODS: A literature review is presented describing the presentation, surgical management and outcome of this uncommon adverse event.

RESULTS: An 80 year old female with a history of bilateral cosmetic malar implants placed approximately 25 years ago presented to our office with a 4-5 month history of left-sided symptoms consistent with chronic sinusitis, and was found to have intrasinus penetration of her left malar implant. Only one other case series of 5 cases in 4 patients is reported in the literature.

CONCLUSIONS: Intrasinus malar implant migration is a rare complication of malar augmentation. The present experience suggests that removal of the offending foreign body often results in successful symptom resolution.

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