High-density polyethylene implants offer an excellent alternative to autogenous and other alloplastic materials in reconstruction of many facial defects and deformities. Advantages include its versatility and relatively ideal pore size that allows for excellent soft tissue ingrowth and coverage. Disadvantages include its rigid nature and difficulty in contouring to the surface of complex skeletal structures.
Patients with complex defects of the frontal and orbital regions present a myriad of problems for the reconstructive surgeon. In this review, options that allow state-of-the-art reconstruction using computer-assisted implants will be illustrated. The advantages of such implants created with computer assistance will be reviewed as well as indications for their use.
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