Intranasal Porous Polyethylene Implant Extrusion 7 Years After Insertion in a Patient With Hashimoto Disease

Seyhan, Tamer; Borman, Hüseyin; Deniz, Murat; Koçer, Nazım Emrah

doi:10.1097/scs.0b013e318190e201

Cited by 5 publications

(6 citation statements)

References 4 publications

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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%

“…Medpor can be used as grafts of different size with high biocompatibility to be specifically utilized in reconstruction of deviated noses, saddle deformities and revision surgery rhinoplasty duo to lack of cartilage [ 3 , 5 ]. However, nowadays employment of alloplastic implants especially Medpor has decreased duo to reports of complications such as extrusion and fistula [ 6 , 7 ]. Although most surgeons prefer autologous grafts, selection of graft must be individualized for each patients due to history of prior surgery, associated structural abnormalities and characteristics of the overlying skin and soft tissue [ 11 ].…”

Section: Discussionmentioning

confidence: 99%

“…Upon introduction, use of these implants in rhinoplasty for reconstruction of a nose with severe deformity was a great success, especially in revision rhinoplasty of saddle and deviated nose [ 3 – 5 ]. However, nowadays this practice is limited, duo to potential complications [ 6 , 7 ].…”

Section: Introductionmentioning

confidence: 99%

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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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Section: Discussionmentioning

confidence: 67%

Section: Discussionmentioning

confidence: 99%

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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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“…Although endophthalmitis due to S. marcescens is rare, it has been related to post-trabeculectomy blebitis, phacoemulsification, penetrating keratoplasty, exposure of scleral cerclage, exposure of a glaucoma drainage device, keratoprosthesis and post-insertion of an alloplastic orbital implant due to orbital floor fracture 10,11 . Seyhan et al presented a case of intranasal implantation of a PP infected by S. marcescens seven years after its insertion in a patient with Hashimoto's disease that required removal 12 . However, we have not found any published cases of orbital implant infection secondary to evisceration.…”

Section: Discussionmentioning

confidence: 99%

Infection by Serratia marcescens in porous orbital implant

Fernández-Montalvo¹,

Ibáñez-Flores²,

Cifuentes-Canorea³

et al. 2019

RMOE

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Case report:We report a case of a patient who underwent left eye evisceration and porous polyethylene implant insertion after a traffic accident 3 years before. He developed recurrent implant exposition. Conjunctival swab culture showed growth of Serratia marcescens, a bacillus associated with nosocomial infections, especially in pediatric intensive care units, but rare in adults. Discussion: Implant infection should be suspected when there is persistent discharge and conjunctival dehiscence after implant insertion. Therefore, all patients with an implant exposure must undergo a culture for infection detection. When even appropriate antibiotics cannot control the infection, the implant must be removed.

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“…However, nowadays use of alloplastic implants, especially Medpor, has decreased because of reports of complications such as extrusion and fistula [15,16]. Although most surgeons prefer autologous grafts, graft selection must be individualized for each patient to take into account history of prior surgery, associated structural abnormalities, and characteristics of the overlying skin and soft tissue.…”

Section: Discussionmentioning

confidence: 99%

Extensional midline framework built with porous polyethylene implant (Medpor) in rhinoplasty

Zhang

Jiang

et al. 2017

J Cosmet Med

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Background:In East Asians, the main steps of rhinoplasty include the regulation of the nasal tip projection along with dorsal augmentation. A complete septal extension graft and columella strut graft are effective tools for the correction of unprojected tips and short noses. However, autologous cartilages cannot provide enough cartilage for the graft. Moreover, use of rib cartilages will leave an additional scar on the patient's chest, and these are not considered a common source of cartilage. Therefore, the authors used porous high-density polyethylene (Medpor) sheets to rebuild extensional midline framework in rhinoplasty.Objective: To study the possibility and the method of porous high-density polyethylene (Medpor) sheets used as extensional midline framework in rhinoplasty.Methods: From May 2012 to May 2016, 78 patients underwent primary rhinoplasty with a midline framework built with Medpor. The patients' ages ranged from 22 to 48 years (mean±SD, 26±5.2 years). Seventy-five patients were women, and three were men. The patients selected Medpor because of a lack of adequate autogenous septal cartilage and refusal to use rib cartilage.Results: The patients were followed up for 6 months to 4 years, with a mean follow-up period of 18 months, in 3-month intervals, and examined for extrusion, infection, and aesthetic outcomes. In the 78 patients, 156 pieces of Medpor graft were used with 78 extensional septal grafts and 78 columella strut grafts. Nasal tip projection and columella-labial angle were changed significantly after the surgery in 67 of the 78 patients. Complications occurred in 11 patients, of whom one had two minor complications of deviated tip and columella. Conclusion:The porous high-density polyethylene sheets are easier to handle and effective as materials to build an extensional midline framework in rhinoplasty. However, the size of the porous high-density polyethylene sheets should be tailored carefully based on the preoperative assessment; otherwise, severe complications will occur.

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Intranasal Porous Polyethylene Implant Extrusion 7 Years After Insertion in a Patient With Hashimoto Disease

Cited by 5 publications

References 4 publications

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

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

Infection by Serratia marcescens in porous orbital implant

Extensional midline framework built with porous polyethylene implant (Medpor) in rhinoplasty

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