Abstract
Objective
This paper deals with the usefulness and versatility of the porous high-density polyethylene implants for correction of various facial deformities as an augmentation and an onlay graft material with its advantages.
Materials and methods
Prefabricated porous high-density polyethylene implants were used in three patients (post-trauma facial deformity, Goldenhar syndrome, nasal deformity in cleft patient) for secondary reconstruction of orbital floor, depressed nose and supra-orbital ridge, augmentation of hypoplastic mandible and depressed nasal dorsum under general anaesthesia.
Results
Good esthetic results were achieved in all the three patients treated with porous high-density polyethylene implants with no complications.
Conclusion
Porous high-density polyethylene alloplastic implant is an excellent biomaterial for reconstruction of various facial deformities with many advantages over autogenous and other alloplastic materials.
Keywords: Porous high-density polyethylene implants, Medpor Biomaterial, Orbital floor reconstruction, Goldenhar syndrome and mandibular augmentation
Full Text
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References
- 1.Mass C.S., Merwin G.E., Wilson J., Frey M.D., Maves M.D. Comparison of biomaterials for facial bone augmentation. Arch Otolaryngol Head Neck Surg. 1990;116(5):551–556. doi: 10.1001/archotol.1990.01870050051005. [DOI] [PubMed] [Google Scholar]
- 2.Peer L.A. The fate of auogenous human bone grafts. Br J Plast Surg. 1951;3(4):233–243. doi: 10.1016/s0007-1226(50)80038-3. [DOI] [PubMed] [Google Scholar]
- 3.Brandon G.E., Kern E.B., Neel B.N., 3rd Autografts of uncrushed and crushed bone and cartilage. Arch Otolaryngol. 1979;105(2):75–80. doi: 10.1001/archotol.1979.00790140021004. [DOI] [PubMed] [Google Scholar]
- 4.Wellisz T., Lawrence M., Jazayeri M.A., Golshani S., Zhou Z.Y. The effect of alloplastic implant onlays on bone in the rabbit mandible. Plast Reconstr Surg. 1995;96(4):957–963. doi: 10.1097/00006534-199509001-00029. [DOI] [PubMed] [Google Scholar]
- 5.Rubin J.P., Yaremchuk M.J. Complications and toxicity of implantable biomaterials used in facial reconstructive and aesthetic surgery: A comprehensive review of the literature. Plast Reconstr Surg. 1997;100(5):1336–1353. doi: 10.1097/00006534-199710000-00043. [DOI] [PubMed] [Google Scholar]
- 6.Kohn R., Romano P.E., Puklin J.E. Lacrimal obstruction after migration of the orbital floor implant. Am J Ophthalmol. 1976;82(6):934–936. doi: 10.1016/0002-9394(76)90074-x. [DOI] [PubMed] [Google Scholar]
- 7.Ridley M.T., Jones R.S. Failure of silastic chin implant four years postoperatively. J Oral Surg. 1978;36(8):616–617. [PubMed] [Google Scholar]
- 8.Davis R.M. Late orbital implant migration. Ann Ophthalmol. 1986;18(6):223–224. [PubMed] [Google Scholar]
- 9.Peak J., Haria S., Sleeman D. Facial pain due to a displaced orbital floor implant: Report of case. J Oral Maxillofac Surg. 1992;50(11):1234–1235. doi: 10.1016/0278-2391(92)90162-S. [DOI] [PubMed] [Google Scholar]
- 10.Lipshutz H. A clinical evaluation of subdermal and subcutaneous silicone implants. Plast Reconstr Surg. 1966;37(3):249–250. doi: 10.1097/00006534-196603000-00010. [DOI] [PubMed] [Google Scholar]
- 11.Cohen S.R., Mardach O.L., Kawamoto H.K., Jr Chin disfigurement following removal of alloplastic chin implants. Plast Reconstr Surg. 1991;88(1):62–66. doi: 10.1097/00006534-199107000-00010. [DOI] [PubMed] [Google Scholar]
- 12.Brown A.E., Banks P. Late extrusion of alloplastic orbital floor implants. Br J Oral Maxillofac Surg. 1993;31(3):154–157. doi: 10.1016/0266-4356(93)90114-C. [DOI] [PubMed] [Google Scholar]
- 13.Whear N.M., Cousley R.R., Liew C., Henderson D. Postoperative infection of Proplast facial implants. Br J Oral Maxillofac Surg. 1993;31(5):292–295. doi: 10.1016/0266-4356(93)90062-2. [DOI] [PubMed] [Google Scholar]
- 14.Gosain A.K. Biomaterials for reconstruction of the cranial vault. Plast Reconstr Surg. 2005;116(2):663–666. doi: 10.1097/01.prs.0000176289.05374.5b. [DOI] [PubMed] [Google Scholar]
- 15.Yaremchuk M.J. Mandibular augmentation. Plast Reconstr Surg. 2000;106(3):697–706. doi: 10.1097/00006534-200009030-00030. [DOI] [PubMed] [Google Scholar]
- 16.Yaremchuk M.J. Infraorbital rim augmentation. Plast Reconstr Surg. 2001;107(6):1585–1592. doi: 10.1097/00006534-200105000-00047. [DOI] [PubMed] [Google Scholar]
- 17.Shanbag A., Freidman H.I., Augustine J., Recum A.F. Evaluation of porous polyethylene for ear reconstruction. Ann Plast Surg. 1990;24(1):32–39. doi: 10.1097/00000637-199001000-00006. [DOI] [PubMed] [Google Scholar]
- 18.Wellisz T., Kanel G., Anooshian R.V. Characteristic of tissue response to Medpore porous polyethylene implants in human facial skeleton. J Long-Term Effects Med Implants. 1993;3:223. [Google Scholar]
- 19.Wheeler D.L., Eschbach E.J., Hoellrich R.G., Montfort M.J., Chamberland D.L. Assesment of resorbable bioactive material for grafting of critical-size cancellous defects. J Orthop Res. 2000;18(1):140–148. doi: 10.1002/jor.1100180120. [DOI] [PubMed] [Google Scholar]
- 20.Romano J.J., Lliff N.T., Manson P.N. Use of Medpore porous polyethylene implants in 140 patients with facial fractures. J Craniofac Surg. 1993;4(3):142–147. doi: 10.1097/00001665-199307000-00007. [DOI] [PubMed] [Google Scholar]
- 21.Ozturk S., Sengezer M., Isik S., Turegun M., Deveci M., Cil Y. Long-term outcomes of ultra-thin porous polyethylene implants used for reconstruction of orbital floor defects. J Craniofac Surg. 2005;16(6):973–977. doi: 10.1097/01.scs.0000179744.91165.3a. [DOI] [PubMed] [Google Scholar]
- 22.Cenzi R., Farina A., Zuccarino L., Carinci F. Clinical outcome of 285 Medpor grafts used for craniofacial reconstruction. J Craniofac Surg. 2005;16(4):526–530. doi: 10.1097/01.scs.0000168761.46700.dc. [DOI] [PubMed] [Google Scholar]