[PDF][PDF] Maxillofacial reconstruction with Medpor porous polyethylene implant: a case series study

M Khorasani, P Janbaz… - Journal of the Korean …, 2018 - synapse.koreamed.org
M Khorasani, P Janbaz, F Rayati
Journal of the Korean Association of Oral and Maxillofacial …, 2018synapse.koreamed.org
Objectives The role of alloplastic materials in maxillofacial reconstruction is still
controversial. Determining the utility of porous, high-density, polyethylene implants as a
highly stable and flexible, porous alloplast, with properties such as rapid vascularization and
tissue ingrowth, is crucial in cases of maxillofacial deformities and aesthetic surgery.
Materials and Methods Thirty high-density porous polyethylene implants were implanted in
16 patients that had been referred to a private office over a three-year period. These …
Objectives
The role of alloplastic materials in maxillofacial reconstruction is still controversial. Determining the utility of porous, high-density, polyethylene implants as a highly stable and flexible, porous alloplast, with properties such as rapid vascularization and tissue ingrowth, is crucial in cases of maxillofacial deformities and aesthetic surgery.
Materials and Methods
Thirty high-density porous polyethylene implants were implanted in 16 patients that had been referred to a private office over a three-year period. These implants were used for correcting congenital deformities, posttraumatic defects and improving the aesthetic in nasal, paranasal, malar, chin, mandibular angle, body and orbital areas.
Results
The outcomes of the cases in this study showed good aesthetic and functional results. The majority of patients had no signs of discomfort, rejection or exposure. Two implants suffered complications: a complicated malar implant was managed by antibiotic therapy, and an infected mandibular angle implant was removed despite antibiotic therapy.
Conclusion
Based on the results, the Medpor implant seems to be an excellent biomaterial for correcting various facial deformities. Advantages include its versatility and relatively ideal pore size that allows for excellent soft tissue ingrowth and coverage. It is strong, flexible and easy to shape.
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