Abstract
Porous high-density polyethylene (PPAD) is a material used for around 30 years in superficial reconstruction surgeries, a fact demonstrated in several cases in clinical practice. However, some questions arise regarding its safety, frequency and differences with other materials. Therefore, an integrative review of the literature was carried out using 9 articles found and selected in the Pubmed and Medline databases with the aim of analyzing their properties as a material of choice in maxillofacial reconstruction surgeries, clarifying the principles of biocompatibility, durability and safety., as well as its complications and failure rates. In terms of safety, PPAD was a reported material, with a low risk of complications, with infection being the main one. However, the authors cite some conditions that influence infection rates. Furthermore, it is characterized to present several advantages in relation to other materials used as metallic implants, such as PMMA, silicone, ePTFE, PEEK, and metallic implants. Therefore, polyethylene provides a permanent result, with good facial contouring, cost-benefit and long-term safety for the patient.
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