Summary
Surgeons often avoid the use of alloplastic materials in functional rhinoplasty due
to potential complications.
The aim of the present study is to present the outcomes following the use of alloplastic
materials in a large series of patients, to identify and document the possible complications
and to offer insight regarding the safety and the indications of the method.
Materials and method
Between February 2005 and August 2009, 58 patients underwent functional rhinoplasty
using Medpor® alloplastic materials by a single surgeon (A.S). The majority of the alloplastic
materials were used to reconstruct defects of the nasal dorsum as well as to augment
the columella and support the nasal tip.
Results
Medpor® was used in the nasal dorsum in eight patients and in the columella in 50 patients.
There were 10 cases of primary and 48 cases of secondary rhinoplasty. Follow-up time
ranged from 1 to 5 years (mean: 3 years). Complications concerned three cases of postoperative
infection and material rejection. All cases were successfully re-operated.
Conclusion
The use of Medpor® alloplastic material in functional rhinoplasty comprises a safe method in selected
patients due to the low complication rate, as shown in our series. It could therefore
be considered as a useful alternative when reconstruction is problematic due to low
quality or lack of available autologous grafts.
Keywords
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Article info
Publication history
Published online: August 29, 2011
Accepted:
August 2,
2011
Received:
January 6,
2011
Identification
Copyright
© 2011 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.
