Craniofacial reconstruction with high-density porous polyethylene implants.
Abstract
Deformities of the facial skeleton may be reconstructed using autogenic or allogenic materials. Porous polyethylene is one of the few alloplastic materials currently in use having a well-documented history of reconstruction or augmentation in the maxillofacial region. High-density porous polyethylene, which is shown to be effective as a biomaterial, has additional advantages like tissue ingrowth, no capsule formation around it, and easy fixation. In this study, 83 implants in 71 patients were evaluated. Seven patients were in need of a second intervention. Three of the seven secondary interventions were for contour alignment, and four interventions were for extraction of the implants because of extrusion or infection. Placement of porous polyethylene implants directly under the skin without coverage of periosteum or another fascial envelope has an increased risk of early and especially late exposure. In cases like nasal dorsum or microtia reconstruction, we prefer autogenic grafts instead of allogenic materials.
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Porous polyethylene constructs require fascial tissue for coverage to limit complication rates.
“Although soft tissue, not construct type, seemed to determine postoperative sensation in this study, it is important to note that porous polyethylene constructs require fascial tissue for coverage to limit complication rates.18”
From Postoperative Cutaneous Sensory Recovery After Different Surgical Approaches for Microtia and Ear Reconstruction (2025) · cites this paper as [18]
Cites
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The Use of High-Density Porous Polyethylene as a Custom-Made Nasal Spreader Graft
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Willens, S. H., Alaniz, L., Humphrey, J., Shah, N., Antongiovanni, J., Mosieri, C. A., Jaffurs, D. C., Vyas, R. M., & Pfaff, M. J. (2025) · Plastic and Reconstructive Surgery, Global Open · doi:10.1097/gox.0000000000007355 · Cited by 1 · see citing works
- Authors
- Menderes, A., Baytekin, C., Topcu, A., Yilmaz, M., & Barutcu, A.
- Affiliations
- Dokuz Eylül University (TR)
- Corresponding author
- Menderes, Adnan
- Venue
- Journal of Craniofacial Surgery
- Published
- 2004-09
- Volume
- 15
- Issue
- 5
- Pages
- 719-724
- ISSN
- 1049-2275 (ISSN-L)
- OpenAlex
- W2035204617
- Cited by
- 90
- References
- 14
- Citations by year
- 2026: 3 · 2025: 6 · 2024: 3 · 2023: 1 · 2021: 1 · 2020: 4 · 2019: 4 · 2018: 6 · 2017: 2 · 2016: 4 · 2015: 6 · 2014: 4 · 2013: 5 · 2012: 4
- FWCI
- 2.84
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Craniofacial Surgery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Reconstructive Facial Surgery Techniques
- Health Sciences › Medicine › Surgery › Nasal Surgery and Airway Studies
- Health Sciences › Medicine › Surgery › Facial Trauma and Fracture Management
- Keywords
- craniofacial reconstruction, alloplastic implants, implant exposure, implant extrusion, implant-associated infection, microtia reconstruction, nasal dorsum reconstruction, tissue ingrowth
- MeSH terms
- Biocompatible Materials, Facial Bones, Female, Humans, Male, Polyethylenes, Bone Substitutes, Plastic Surgery Procedures, Prostheses and Implants, Prosthesis Implantation
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