Abstract

Nasal reconstruction presents a significant challenge to the facial plastic surgeon. The dual goals of reconstruction are restoration of the desired aesthetic nasal contour and an improved nasal airway. Autologous cartilage and bone are considered optimal grafting material, but their supply is often limited and harvesting entails additional morbidity. Many synthetic materials have been introduced in nasal reconstruction, but high infection and extrusion rates limited their use. Porous high density polyethylene implants present an alternative to autologous material as they allow for fibrovascular ingrowth, leading to stability of the implant and decreased rates of infection. Herein we describe the use of porous high density polyethylene implants for reconstruction of the platyrrhine nose and in revision rhinoplasty. The use of preformed nasal-dorsal tip and alar batten implants are described, as well as the use of columellar strut and premaxillary plumper implants. We believe that porous high density polyethylene implants provide a safe, desirable alternative in functional and aesthetic nasal reconstruction.

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Authors

Romo T, Sclafani AP, Jacono AA

Institution

Department of Otolaryngology-Head and Neck Surgery, New York Eye and Ear Infirmary, New York, NY, USA.

Source

Facial plastic surgery : FPS 16:1 2000 pg 55-61

MeSH

Biocompatible Materials
Bone Transplantation
Cartilage
Esthetics
Humans
Nose
Nose Diseases
Polyethylene
Polyethylenes
Porosity
Prostheses and Implants
Prosthesis Design
Pulmonary Ventilation
Reconstructive Surgical Procedures
Rhinoplasty
Safety

Pub Type(s)

Journal Article

Language

eng

PubMed ID

11802347