Complications of Facial Implants

Cuzalina, L. Angelo; Hlavacek, Matthew R.

doi:10.1016/j.coms.2008.10.009

Cited by 33 publications

(36 citation statements)

References 33 publications

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“…The author has concluded that infection was avoided because (1) in situ molding resulted in periprosthetic dead space minimization by the exact conformation of the methyl methacrylate to the surface of the underlying bone; (2) other foreign bodies such as fixing screws or wires were not used; (3) methyl methacrylate was inserted into the targeted region through a relatively small incision with the surgical site remaining in a semi-closed state and the scalp and skin cover intact; and (4) the surgical sites had no history of external injury such as compromised frontal sinus anterior wall, or risk of infection due to contamination from, for example, frontal sinus contact. 14 As reported, eg, Afifi et al 16 and Blum et al 17 , there are 2 important bone substitute risk factors that must be considered before the procedure, sinus communication and irradiation, so therefore this is carefully investigated during preoperative consultation. In this study, there were no patients with history of irradiation or indications of communication with the paranasal sinuses.…”

Section: Discussionmentioning

confidence: 96%

“…The author concludes that hematoma was small enough (less than 5 mL) for absorption by the lymphatic system; all of the patients had intact immune function; nonporous methyl methacrylate's smooth surface area reduces the chance of bacterial adherence; and there was almost no bacterial loading for contamination because of the healthy wound bed. 14,15 In addition to hematoma, there are other risk factors for infection when alloplastic implants are used, and methyl methacrylate implants are not an exception to this. However, in the course of this study, it is notable that no cases of infection occurred.…”

Section: Discussionmentioning

confidence: 97%

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Using Methyl Methacrylate in Forehead Contouring for Aesthetic Purposes

Song¹

2013

Journal of Craniofacial Surgery

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Various methods using autologous bone grafts or alloplastic implants have been reported for the contouring of flat or depressed foreheads; the majority of these reports deal with correction of cranial deformities arising from injuries or congenital conditions. These methods all require relatively or quite invasive procedures. However, it is of course desirable if cosmetic surgery can be performed with minimally invasive procedures. The author presents an outpatient procedure using methyl methacrylate for aesthetic forehead contouring. From January 2006 to November 2012, 210 patients underwent methyl methacrylate forehead augmentation on an all outpatient basis. Under only local anesthesia, a V-shaped transverse scalp incision (5 cm length) was made behind the front hair line, followed by subperiosteal dissection of the skin covering the forehead. Methyl methacrylate was inserted and manually molded to the desired contour through the skin. The amount of methyl methacrylate used ranged from 10 to 40 mL, with a mean of 25 mL, depending on the size and shape. The follow-up period ranged from 3 months to 6 years, averaging 45 months, and with the exception of a very small percentage, all patients were satisfied with the results. Based on these results, the author concludes that aesthetic forehead augmentation using methyl methacrylate is an effective surgical procedure with minimal side effects and a high degree of patient satisfaction.

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 97%

Using Methyl Methacrylate in Forehead Contouring for Aesthetic Purposes

Song¹

2013

Journal of Craniofacial Surgery

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“…Of those that occur, the most frequently encountered include: inadequate correction or overcorrection, asymmetry, malposition, bone resorption, infection, extrusion, and nerve hypesthesia/anesthesia [9,11]. Inadequate correction, overcorrection, asymmetry, and malposition typically extend from improper implant selection and/or improper placement.…”

Section: Mandibular Augmentationmentioning

confidence: 98%

“…Potential complications of midface implantation are analogous to those of mandibular implantation -inadequate correction or overcorrection, malposition, implant migration, infection, extrusion, nerve hypesthesia/anesthesia, and facial nerve injury [11]. Careful preoperative analysis can be preventive in avoiding over/under correction [14 & ,17].…”

Section: Midfacial Augmentationmentioning

confidence: 99%

Implants in facial skeletal augmentation

Brandt

Moore

2013

Current Opinion in Otolaryngology & Head and Neck Surgery

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“…Contour enhancements of the face constitute an important aspect of facial plastic surgeries for cosmetic, as well as traumatic, congenital, and extirpative defect corrections (1). There are various options to consider for the reconstruction of a facial depressed deformity depending on whether the underlying defect is a skeletal or a soft tissue depression, including autologous tissue grafts, allogenic tissue grafts and alloplastic materials.…”

Section: Introductionmentioning

confidence: 99%

The use of expanded polytetrafluoroethylene in depressed deformities of the face

Liu

Zhang

Wang

et al. 2016

Experimental and Therapeutic Medicine

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Expanded polytetrafluoroethylene (ePTFE) has been extensively used for facial soft tissue augmentation procedures, and is regarded as safe and reliable and suitable as a permanent implant. This implant is generally used in the lower third of the face for lips filling, nasal augmentation, nasolabial folds and chin augmentation, and rarely for congenital or acquired depressed deformities of the face. The aim of the present study was to assess the effects of ePTFE in congenital or acquired depressed deformities of the face. From September, 2008 to January, 2014, 26 patients were implanted with the material ePTFE to correct depressed deformities of the face. The average age at operation was 23.2 years, with a range of 17–45 years. The depressed deformities were lateralized. The follow-up period was 6–18 months (average 9 months). The etiologies of the depressed deformities included stable hemifacial atrophy (3 cases), craniofacial microsomia (13 cases), bony depression after trauma (8 cases), and other unclear reasons (2 cases). The operations were performed under local anesthesia. ePTFE was inserted in different tissue planes that varied among the different subanatomical areas in the face: beneath the superficial temporal fascia in the temporal area, and on the surface of the superficial musculoaponeurotic system in the zygomatic area, cheek and mandibular area. All of the patients were followed up. Most of the patients [25 of 26 patients (96.2%)] were satisfied with the results, while 1 patient (3.8%) was not satisfied for incomplete correction of the depressed deformity. In conclusion, aside from lipofilling and a free flap transfer, the results showed that ePTFE was an alternative treatment for facial depressed deformity.

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Complications of Facial Implants

Cited by 33 publications

References 33 publications

Using Methyl Methacrylate in Forehead Contouring for Aesthetic Purposes

Using Methyl Methacrylate in Forehead Contouring for Aesthetic Purposes

Implants in facial skeletal augmentation

The use of expanded polytetrafluoroethylene in depressed deformities of the face

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