Secondary Cleft-Lip Rhinoplasty Utilizing Porous High-Density Polyethylene

Thomas Romo III; Kyle S. Choe; Anthony P. Sclafani

doi:10.1055/s-2004-815657

Facial Plastic Surgery, Table of Contents

Facial Plast Surg 2003; 19(4): 369-378
DOI: 10.1055/s-2004-815657

Secondary Cleft-Lip Rhinoplasty Utilizing Porous High-Density Polyethylene

Thomas Romo, III^1,2,3,4 , Kyle S. Choe¹ , Anthony P. Sclafani^1,2,3

¹Department of Otolaryngology-Head and Neck Surgery, New York Eye and Ear Infirmary, New York, NY
²Division of Facial Plastic and Reconstructive Surgery, New York Eye and Ear Infirmary, New York, NY
³Department of Otolaryngology-Head and Neck Surgery, New York Medical College, Valhalla, NY
⁴Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, Lenox Hill Hospital, New York, NY

Abstract

ABSTRACT

Secondary nasal deformity associated with cleft lip is a difficult surgical task. For more than 100 years, numerous surgical methods have been created to address the structural changes that occur over time after the primary surgery. Although early surgical methods have relied on various rotational flaps and local tissue manipulation, the recent advent of synthetic materials has provided facial plastic surgeons with more tools to correct the structural and supportive deficiencies. In this article, we describe our 10-year experience with porous high-density polyethylene (PHDPE) implants in secondary cleft-lip rhinoplasty. PHDPE implants have been well tolerated and achieved excellent long-term aesthetic results through fibrovascular ingrowth to the surrounding tissue.

KEYWORDS

Secondary cleft-lip rhinoplasty - porous high-density polyethylene (Medpor) - cleft-lip rhinoplasty

Full Text

References

REFERENCES

1 Buckner A, Vander Kolk A C. Cleft rhinoplasty. Facial Plast Surg Clin North Am . 2000; 8 539-548
2 Converse J M. Reconstructive Plastic Surgery. Philadelphia, PA: WB Saunders; 1964
3 Niechajev I. Porous polyethylene implants for nasal reconstruction: clinical and histologic studies. Aesthetic Plast Surg . 1999; 23 395-402
4 Berghaus A. Porous polyethylene in reconstructive head and neck surgery. Arch Otolaryngol Head Neck Surg . 1985; 111 154-160
5 Frodel J L, Seung L. The use of high-density polyethylene implants in facial deformities. Arch Otolaryngol Head Neck Surg . 1998; 124 1219-1223
6 Maas C S, Merwin G E, Wilson J, Frey M D, Maves M D. Comparison of biomaterials for facial bone augmentation. Arch Otolaryngol Head Neck Surg . 1990; 116 551-556
7 Brandon G E, Kern E B, Neel B N. Autografts of uncrushed and crushed bone and cartilage. Arch Otolaryngol Head Neck Surg . 1979; 105 75-80
8 Welling D B, Maves M D, Schuller D E, Bardach J. Irradiated homologous cartilage: long-term results. Arch Otolarygol Head Neck Surg . 1998; 124 1219-1223
9 Choe K S, Stucki-McCormick S U. Chin augmentation. Facial Plast Surg . 2000; 16 45-54
10 Williams J D, Romo T, Sclafani A P, Cho H. Porous high-density polyethylene implants in auricular reconstruction. Arch Otolaryngol Head Neck Surg . 1997; 123 578-583
11 Wellisz T, Lawrence M, Jazayeri M A, Golshani S, Zhou Z Y. The effect of alloplastic implant onlays on bone in the rabbit mandible. Plast Reconstr Surg . 1995; 96 957-963
12 Spector M, Flemming W R, Sauer B W. Early tissue infiltrate in porous polyethylene implants into bone: a scanning electron microscope study. J Biomed Mater Res . 1975; 9 537-545
13 Romo T, Sclafani A P, Sabini P. Use of porous high-density polyethylene in revision rhinoplasty and in the platyrrhine nose. Aesthetic Plast Surg . 1998; 22 211-221
14 Romano J J, Lliff N T, Manson P N. Use of Medpor porous polyethylene implants in 140 patients with facial fractures. J Craniofac Surg . 1993; 4 142-147
15 Merritt K, Shafer J W, Brown S A. Implant site infection rates with porous and dense materials. J Biomed Mater Res . 1979; 13 101-108
16 Klawitter J J, Bagwell J G, Weinstein A M, Sauer B W. An evaluation of bone ingrowth into porous high density polyethylene. J Biomed Mater Res . 1976; 10 311-319
17 Sclafani A P, Romo T, Silver L. Clinical and histologic behavior of exposed porous high-density polyethylene implants. Plast Reconstr Surg . 1997; 99 41-50