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

Mohammadi, Shabahang; Mohseni, Mohammad; Eslami, Masoumeh; Arabzadeh, Hessein; Eslami, M.

doi:10.1186/1746-160x-10-52

Cited by 15 publications

(11 citation statements)

References 21 publications

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“…Mohammadi et al [7] showed that minimum complications were low when Medpor implants were used as dorsal and, especially, spreader grafts, but most of the infectious complications and extrusion were observed after implanting Medpor as a strut and rim graft. They recommend the safe use of Medpor implants only as spreader graft.…”

Section: Discussionmentioning

confidence: 99%

“…Other autogenous materials such as costal and conchal cartilages offer a bountiful supply of cartilage and can provide structural support but are associated with donor site morbidity. In a recent clinical research, Medpor was shown to be a useful dorsal and spreader graft in reconstruction of severe nose deformities, with the lowest complication rate and without infectious complications and extrusion [6][7][8][9][10]. Thus, building a midline framework with Medpor to extend the septum will provide a strong support to the caudal part of the implant and autogenous cartilage grafts on the tip.…”

Section: Introductionmentioning

confidence: 99%

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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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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

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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“…Medpor ® can be used as columellar strut, dorsal, spreader, rim and batten grafts and in patients with septal perforation. The complications cited are lateral movement of implant, fistula formation, skin thickness, erythema, abscess formation, extrusion of the implant (inserting it close to the incision site is a risk factor for extrusion) and infection 19 .…”

Section: Medpor ® (High-density Polyethylene)mentioning

confidence: 99%

“…Another contraindication of this implant is the strut grafts. It can be used as dorsal and spreader grafts and for small-size septal perforations 19 .…”

Section: Medpor ® (High-density Polyethylene)mentioning

confidence: 99%

Polypropylene meshes and other alloplastic implants for soft tissue and cartilage nasal reconstructive surgery – a literature review

Ionita

Popescu

Lascăr

2015

Romanian Journal of Rhinology

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“…The most frequent complications quoted in the relevant literature regarding this type of mesh are: lateral displacement of the implant, fistula or abscess formation, implant extrusion and infection. [1,22]. Medpor is used for malar and chin augmentation [23].…”

Section: Alloplastic Materialsmentioning

confidence: 99%

The use of collagen-coated polypropylene meshes for nasal reconstructive surgery

Paun¹,

Frunza²,

Stanciulescu³

et al. 2019

Industria Textila

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Reconstructive surgery of the abdominal and thoracic wall frequently utilizes various materials in order to repair large defects. Polypropylene meshes are an example. In nasal reconstructive surgery they are rarely used for cartilage restoration. The purpose of this paper is to demonstrate the utility of the collagen-coated polypropylene meshes in nasal reconstructive surgery, as they are easy-to-use materials, with reduced incidence of foreign body reactions and with a very small price compared with other compounds. We conducted a literature review on the usage of the collagen-coated polypropylene meshes which also includes a comparison with other types of materials applied for nasal cartilage reconstruction. Moreover, we performed a retrospec - tive study, on the patients hospitalized in the Plastic Surgery Department of the Clinical Emergency Hospital, Bucharest. The best option and in the same time the gold standard for nasal cartilage reconstruction is considered to be autologous cartilage transplantation. In our clinic we observed good results when autologous septalor auricular cartilage grafts were used. Polypropylene is seldom used in nasal reconstructive surgery, having been conducted so far, a limited number of studies related to benefits and disadvantages of this type of material in the accomplishment of the medical devices used as a nasal implant. Polypropylene meshes are largely used in abdominal wall reconstruction and in the surgery for pelvic organ prolapse. In this surgical field, collagen-coated polypropylene meshes are also used, but future studies will demonstrate if they are effective enough in the nasal reconstructive surgery as well.

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

Cited by 15 publications

References 21 publications

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

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

Polypropylene meshes and other alloplastic implants for soft tissue and cartilage nasal reconstructive surgery – a literature review

The use of collagen-coated polypropylene meshes for nasal reconstructive surgery

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