Porous high-density polyethylene implants (Medpor) for nasal dorsum augmentation

Karnes, Julie; Salisbury, Mark; Schaeferle, Martin; Beckham, Patrick; Ersek, Robert A.

doi:10.1067/maj.2000.104664

Cited by 16 publications

(12 citation statements)

References 12 publications

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“…7,10,11 As previously noted, silicone is the most widely used nasal augmentation material in Asia. Silicone’s popularity is due to its ease of use, relatively low cost, minimal operative time, and absence of donor site morbidity.…”

Section: Asian Rhinoplasty: Challenges and Surgical Approachesmentioning

confidence: 95%

Current Update in Asian Rhinoplasty

Ishii

2014

Plastic and Reconstructive Surgery Global Open

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Summary:There has been a tremendous growth of cosmetic surgery among Asians worldwide. Rhinoplasty is second only to blepharoplasty in terms of popularity among Asians regarding cosmetic surgical procedures. Most Asians seek to improve their appearance while maintaining the essential features of their ethnicity. There are considerable ethnic nasal and facial variations in this population alone. Successful rhinoplasty in Asians must take into account underlying anatomic differences between Asians and whites. Due to ethnic variations, cultural differences, and occasional language barriers, careful preoperative counseling is necessary to align the patient’s expectations with the limitations of the procedure. This article will review the many facets of Asian rhinoplasty as it is practiced today.

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Section: Asian Rhinoplasty: Challenges and Surgical Approachesmentioning

confidence: 95%

Current Update in Asian Rhinoplasty

Ishii

2014

Plastic and Reconstructive Surgery Global Open

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“…If the implant is used for appropriate patients who have sufficient tissue perfusion, no underlying disease and thick skin for larger tissue support, extrusion and infectious complication risk factor lessens to near zero and Surgeons could use them with more confidence [ 3 , 5 , 13 , 14 , 16 – 19 ]. Although in this study infectious complication and extrusion in dorsal graft was not seen, due to some report of Medpor extrusion in this place in long term follow up [ 7 , 20 ], we can't disregard this late complication. Use of Medpor for dorsal graft can be based on surgeons and patients preference with knowing of this complication that is less frequent in dorsal graft compared with strut or rim graft.…”

Section: Discussionmentioning

confidence: 67%

Use of porous high-density polyethylene grafts in open rhinoplasty: no infectious complication seen in spreader and dorsal grafts

et al. 2014

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ObjectiveThe aim of this study is to use porous high-density polyethylene grafts (Medpor) in open rhinoplasty and then assess complication rate and aesthetic outcomes.MethodsIn a prospective cohort study, we performed open rhinoplasty and employed Medpor as rhinoplasty grafts. Then we compared their complication rate.ResultsIn a total of 64 patients, 84 Medpor grafts -38 dorsal grafts, 23 strut grafts, 8 rim grafts, 5 button grafts and 10 spreader grafts – were utilized. Moreover, 5septal perforation repairs with Medpor were performed. The complication rates were 5.3% in dorsal graft (complication in dorsal graft was only movement of implant), 21.7% in strut graft and 25.0% in rim graft. No complication was seen in spreader and button grafts. All 5septal perforation repairs were successfully performed with the same rhinoplasty approach.ConclusionMedpor can be used as dorsal and spreader graft in reconstruction of severe nose deformity with lowest complication rate and without infectious complication and extrusion.

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“…The main limitation of autologous grafting materials is availability. Unfortunately, the combined complications of these autologous materials (such as donor site morbidity, limited amount of donor tissue, burdensome carving dilemmas, and uncertain graft resorption and remodeling) frequently counter their advantages [6]. When insufficient septal or auricular cartilage is available for grafting, the reconstructive surgeon is often forced to choose an alternative donor site, or another material [1].…”

Section: Discussionmentioning

confidence: 99%

Complete or a partial sheet of deep temporal fascial graft as a radix graft for radix augmentation

Besharatizadeh

Özkan

2011

Eur Arch Otorhinolaryngol

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Autogenous fascia, including the temporalis fascia, has a particular role in rhinoplasty as radix and dorsal onlay grafts. The main purpose of this study is to achieve desired appearance of facial harmony using either a complete or partial sheet of deep temporal fascia as a radix graft in the patients with required permanent radix augmentation. This is a prospective study of 15 patients who referred to Gandi Day Clinic, Tehran, Iran, between 2005 and 2006 and underwent rhinoplasty including nasal radix augmentation using deep temporalis fascia through external rhinoplasty approach. The patients with hump noses had low radix and required radix augmentation. Full sheet facial graft was used in 13 patients. Partial sheet facial graft was used in two patients. As a donor site problem, minor hematoma was observed in one patient. Temporary hair loss in incision line was another problem which were seen in five. As for the recipient site, no infection, persistent erythema of nasal skin extrusion, visibility, displacement of graft materials or irregularity of graft contour were observed postoperatively. Resorption rate was approximately 30% for grafted fascia. Using fascia grafts in radix point, the revision rate was minimal. In order to augment the radix, if 4 mm augmentation is needed, it should be considered that full sheet fascia graft alone would be insufficient. If more than 4 mm of augmentation is needed, 30% overcorrection would manage well the permanent radix augmentation without any problem.

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Porous high-density polyethylene implants (Medpor) for nasal dorsum augmentation

Cited by 16 publications

References 12 publications

Current Update in Asian Rhinoplasty

Current Update in Asian Rhinoplasty

Use of porous high-density polyethylene grafts in open rhinoplasty: no infectious complication seen in spreader and dorsal grafts

Complete or a partial sheet of deep temporal fascial graft as a radix graft for radix augmentation

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