Cleft Lip Nasal Reconstruction Using Porous High-Density Polyethylene

Romo, Thomas; Choe, Kyle S.; Sclafani, Anthony P.

doi:10.1001/archfaci.5.2.175

Cited by 14 publications

(5 citation statements)

References 15 publications

(28 reference statements)

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“…A previous study reported 5 cases of infection in 121 cases of high-density porous polyethylene implant rhinoplasty, and no other complications, such as extrusion or exposure, were found. 23,24 As in previous studies, no other complications were found in our other patients. Romano et al 22 and Merritt et al 25 have reported that vascularized tissue ingrowth reduces the infection of high-density porous polyethylene implants and also prevents dislocation and extrusion.…”

Section: Resultssupporting

confidence: 84%

Nasal Measurements in Asians and High-Density Porous Polyethylene Implants in Rhinoplasty

Jang

Yi-min

et al. 2012

Arch Facial Plast Surg

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Section: Resultssupporting

confidence: 84%

Nasal Measurements in Asians and High-Density Porous Polyethylene Implants in Rhinoplasty

Jang

Yi-min

et al. 2012

Arch Facial Plast Surg

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“…All of our patients had no infection occurred. It was complete opposite when using synthetic implant, it may lead to implant infection or protusion, as Romo 9 reported in his study with 18 patients with cleft nose; one (6%) patient had an infection 6 months after the procedure that required intravenous antibiotics and implant removal. The soft tissue in radix area is very thin, if the infection occurred, it might complicate further revision surgery since the soft tissue there remains little.…”

Section: Discussion T H E M O S T C O M M O N N O E F R a C T U R E Cmentioning

confidence: 88%

Reconstruction Of Noe Fracture With Immediate Diced Costal Cartilage Grafting: A Case Series

Bangun¹,

Maulana²,

Putra³

2019

J Plast Rekons

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Background : Naso-orbital-ethmoid (NOE) fracture is one of the common injury and the management remains difficult and controversial due to the anatomic complexity. Severe facial deformity and dysfunction are the results from the untreated injury. Moreover, the results from many procedures are not aesthetically satisfying. Meanwhile diced cartilage graft popularity is increasing in order to correct nasal deformity whether post trauma, revision (secondary) rhinoplasty or cleft nose. The procedure is less time consuming, easy to perform and also highly malleable. Methods : This study presents our experience in managing four patients with NOE fracture using costal cartilage graft technique immediately after injury. A columellar V-shaped incision was made, the finely diced cartilage harvested from the eight rib was injected to the glabella, dorsum and nasal tip using one cc syringe needle with cut tip. Demographic data were obtained from the patients’ medical record. Post-operative results were observed. Result: The four surgeries were done, with average 5.75 (range, 2-9) days after injury. During the observation, nasal tip misalignment was observed in only one patient. Diced cartilage were not visible through the skin, although it could be palpable. No cartilage extrusion were occurred. After averange follow up 10.25 mo (range 8-12 mo) All patients were satisfied with their facial appearance. Conclusion: The fracture of NOE can be manage with immediate diced costal cartilage graft, since this treatment can achieve a normal facial function and appearance. The complications are low and manageable, making it as serious contender technique of choice in managing NOE fracture to other techniques. Keywords: NOE fracture, diced costal cartilage graft, facial fracture

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“… 6 The infection rate in our patient population using this technique is around 7.7%, and all cases of infection resolved with the use of oral antibiotics. 7 Romo et al 8 reported the use of porous high-density polyethylene implants for cleft lip nasal reconstruction with a low infection rate of 6%. However, infection of the porous high-density polyethylene implant usually requires intravenous antibiotic treatment and implant removal.…”

Section: Discussionmentioning

confidence: 99%

“…Soft tissue ingrowth in the implant might complicate the implant removal, especially in patients with thin skin in the radix area. 8 …”

Section: Discussionmentioning

confidence: 99%

Diced Cartilage Graft for Revision Rhinoplasty in a 64-year-old Cleft Patient: A Case Report

Lin

Hsiao

Chang

et al. 2016

Plastic and Reconstructive Surgery - Global Open

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Summary:Pure diced cartilage graft has been the technique of choice for revision rhinoplasty in cleft patients since 2003 at our center. This technique has several advantages over the traditional en bloc cartilage onlay graft including minimal risk of warping, its technical simplicity, and the ability to adjust the shape of the graft with manual massage for up to 3 weeks postoperatively. Calcification of the costal cartilage, however, poses a real concern for surgeons. In this case report, we are presenting a 64-year-old woman with a right unilateral complete cleft lip and palate deformity who presented to our clinic for secondary revision. Central-pattern rib calcification was encountered during the operation. Outcomes, details of the operation, and potential limitations of this technique are discussed in this case report.

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Cleft Lip Nasal Reconstruction Using Porous High-Density Polyethylene

Cited by 14 publications

References 15 publications

Nasal Measurements in Asians and High-Density Porous Polyethylene Implants in Rhinoplasty

Nasal Measurements in Asians and High-Density Porous Polyethylene Implants in Rhinoplasty

Reconstruction Of Noe Fracture With Immediate Diced Costal Cartilage Grafting: A Case Series

Diced Cartilage Graft for Revision Rhinoplasty in a 64-year-old Cleft Patient: A Case Report

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