Abstract
IntroductionInitial methods which used human tissues as reconstruction materials caused different problems including rejection, limited shapes and infection. In 1970s, PHDPE (Medpor®) was introduced by its exclusive advantageous including no donor site morbidity, easily shaped and the minimal foreign body reaction. Hereby, we report our experience of using Medpor® in facial reconstruction especially in frontal reconstruction and orbital rim with a large sample size.MethodsThis study was a prospective cohort study. Surgical techniques included using Medpor® in reconstruction of lamina papiracea (LP) (15 patients), frontal bone (15 patients), orbital rim (18 patients) and open rhinoplasty (8 patients). All interventions on LP were performed by endoscopic procedures. All frontal operations were carried out by bicoronal incision. In orbital defects, we used subciliary incision.ResultsFrom all 56 patients, 1 case had primitive neuroectodermal tumor (PNET) of maxillary sinus. In that case, reconstruction of inferior orbital rim was not successful and extrusion was occurred after radiotherapy. In rhinoplasty and other experiences no extrusion or infection were detected within the next 1 to 3 years of follow up. There were not any palpable and visible irregularities under the skin in our experiences.ConclusionsIn this study the patients did not experience any complications during the follow up periods and the satisfaction was remarkable. Gathering these data gives rise to future review studies which can provide more organized evidences for replacing classic reconstructive methods by the presented material.
Highlights
Initial methods which used human tissues as reconstruction materials caused different problems including rejection, limited shapes and infection
We report our experience of using MedporW in some aspects of facial reconstruction especially in frontal reconstruction and rhinoplasty which were not paid enough attention in other studies
Patients Of patients referred to the ENT ward due to the lamina papiracea (LP) impairment, who had enophtalmy or bony fracture was entered to the study and patients with visual acuity defect or eye movement problems were excluded by an ophthalmologist consult
Summary
Initial methods which used human tissues as reconstruction materials caused different problems including rejection, limited shapes and infection. In 1970s, PHDPE (MedporW) was introduced by its exclusive advantageous including no donor site morbidity, shaped and the minimal foreign body reaction. Surgical techniques included using MedporW in reconstruction of lamina papiracea (LP) (15 patients), frontal bone (15 patients), orbital rim (18 patients) and open rhinoplasty (8 patients). Initial methods which used human tissues as reconstructive materials caused different problems including disable to shape the graft, limitation of accessibility and donor site morbidity [1,2,3]. In 1970s porous high-density polyethylene (PHDPE, MedporW) was introduced by its exclusive advantageous including no donor site morbidity, shaped and the minimal foreign body reaction [10,11,12,13]. Augmentation of malar, chin, nasal dorsal areas, and restoration of the inferior orbital rim or orbital floor were previously reconstructed by Medpor [18,19,20]
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