Abstract
Permacol™ is a sheet of acellular cross-linked porcine dermal collagen and its constituent elastin fibres. It is readily available as a graft material for augmentation rhinoplasty, with low risk of infection, extrusion or transmission of disease. It may be used as a single sheet for camouflaging irregularities or in rolled form when a greater volume of augmentation is required. The authors have had excellent results using Permacol in over 100 patients over an 8-year period and believe it to be an ideal graft material for augmentation rhinoplasty. The manufacturing process produces a graft that is resistant to collagenase and is sterilized by gamma irradiation.
The ideal graft material for augmentation should be readily available in the required volume and economical. It should provide volume replacement that is stable over time; it should be easy to shape and should maintain the structural integrity of the nose. It must be biocompatible and should not cause discolouration of the overlying skin, become infected or extruded. Permacol™ is a sheet of acellular cross-linked porcine dermal collagen and its constituent elastin fibres. The graft is sterilized, thus reducing infection risks.
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References
Hunter B, Hopkins C, Roberts D (2010) Permacol in augmentation rhinoplasty-Histopathological study of in vivo permacol 12 months post implantation. Clin Otol 35: 340-341
Pitkin L, Rimmer J, Lo S, Hosni A (2008) Aesthetic augmentation rhinoplasty with Permacol: how we do it. Clin Otolaryngol 33(6):615–618
Saray A (2003) Porcine dermal collagen (Permacol) for facial contour augmentation: preliminary report. Aesthetic Plast Surg 27(5):368–375
Benito-Ruiz J, Guisantes E, Serra-Renom JM (2006) Porcine dermal collagen: a new option for soft-tissue reconstruction of the lip. Plast Reconstr Surg 117(7):2517–2519
Fu B, Qayyum A, Frosh A (2008) Experience with use of Permacol in reconstructing nasal deformity. Clin Otolaryngol 33(4):370–384
Thinakarajan T, Srinivasan V (2008) Augmentation rhinoplasty with Permacol and cartilage grafts. Otolaryngol Head Neck Surg 139(2 Suppl):168
Gryskiewicz JM, Rohrich RJ, Reagan B (2005) The use of AlloDerm for the correction of nasal contour deformities. Plast Reconstr Surg 116(7):1999–2004
Lekakis P, Roberts D, Hopkins C (2010) A systematic review of graft materials in augmentation rhinoplasty. Presented at the aesthetic reconstructive surgery annual meeting, Boston 2010
Erol OO (2000) The Turkish delight: a pliable graft for rhinoplasty. Plast Reconstr Surg 105(6):2229–2241
Daniel RK (2008) Diced cartilage grafts in rhinoplasty surgery: current techniques and applications. Plast Reconstr Surg 122(6):1883–1891
Hopkins C, Walker R, Lee S (2009) Permacol in augmentation rhinoplasty: how we do it. Clin Otolaryngol 34(1):68–76
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Hopkins, C., Roberts, D. (2013). Permacol in Augmentation Rhinoplasty. In: Shiffman, M., Di Giuseppe, A. (eds) Advanced Aesthetic Rhinoplasty. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-28053-5_50
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DOI: https://doi.org/10.1007/978-3-642-28053-5_50
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