The Use of High-Density Porous Polyethylene as a Custom-Made Nasal Spreader Graft
Abstract
The concept and technique of using high-density porous polyethylene (HDPP), a nonresorbable synthetic material, for nasal spreader grafts, are presented. This material is thought to be particularly useful in revision (secondary or tertiary) rhinoplasty, in which internal valve collapse frequently is confronted and septal cartilage often is unavailable because it has been harvested for spreader or other grafts. Sold as a thin plain sheet (0.85 x 38 x 50 mm) that can be cut to an appropriate size for spreader grafts, HDPP is a ready-to-use material commercially available on the market. Because HDPP permits ingrowths of fibrous tissue inside and around, it is a nonabsorbable material that stabilizes the upper lateral cartilages in their new position and maintains the appropriate internal valve angle. The authors used this material for 15 patients undergoing secondary (n = 12) and tertiary (n = 3) rhinoplasty because of valvular collapse. During the mean follow-up period of 16 months (range, 8-30 months), neither complication nor recurrence of airway obstruction occurred.
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Synthetic materials can be useful in revision surgeries, especially where there is inadequate cartilage.
“The synthetic materials can be useful in revision surgeries, especially where there is inadequate cartilage [27, 29].”
From The value of spreader grafts in rhinoplasty: a critical review (2012) · cites this paper as [27]
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- Authors
- Gürlek, A., Celik, M., Fariz, A., Ersöz-Öztürk, A., Eren, A. T., & Tenekeci, G.
- Affiliations
- Inonu University (TR)
- Corresponding author
- Gürlek, Ali
- ORCID
- Tenekeci, Göktekin
- Venue
- Aesthetic Plastic Surgery
- Published
- 2006-01-12
- Volume
- 30
- Issue
- 1
- Pages
- 34-41
- ISSN
- 0364-216X (ISSN-L)
- 1432-5241
- OpenAlex
- W2158554303
- Cited by
- 47
- References
- 29
- Citations by year
- 2025: 1 · 2023: 1 · 2022: 2 · 2021: 1 · 2020: 4 · 2019: 2 · 2018: 1 · 2017: 4 · 2016: 3 · 2014: 5 · 2013: 2 · 2012: 1
- FWCI
- 5.08
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Aesthetic Plastic Surgery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Nasal Surgery and Airway Studies
- Health Sciences › Medicine › Surgery › Reconstructive Facial Surgery Techniques
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Cleft Lip and Palate Research
- Keywords
- revision rhinoplasty, airway obstruction
- MeSH terms
- Adult, Female, Humans, Postoperative Complications, Rhinoplasty, Porosity, Prostheses and Implants, Polyethylene
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