The Correction of the Mandibular Defect Using Porous Polyethylene: Case Report

다공성 폴리에틸렌을 이용한 하악골 함몰의 교정: 증례보고

  • Im, Jae-Hyung (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chosun University) ;
  • Kim, Su-Gwan (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chosun University) ;
  • Moon, Seong-Yong (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chosun University) ;
  • Oh, Ji-Su (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chosun University) ;
  • Park, Jin-Ju (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chosun University) ;
  • Jeong, Mi-Ae (Department of Dental Hygiene, Kangwon National University)
  • 임재형 (조선대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 김수관 (조선대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 문성용 (조선대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 오지수 (조선대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 박진주 (조선대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 정미애 (강원대학교 치위생학과)
  • Received : 2011.04.12
  • Accepted : 2011.06.22
  • Published : 2011.07.31

Abstract

Genioplasy with osteotomy is a flexible and useful procedure. However, osteotomy can cause different types of morbidity. Chin augmentation with porous polyethylene ($Medpor^{(R)}$) has become popular in the recent years. Porous polyethylene ($Medpor^{(R)}$) is an excellent biomaterial for reconstructing facial deformities. $Medpor^{(R)}$ has a porous architecture, which prevents capsule formation and decreases the degree of foreign-body reaction. In addition, it can be easily cut with scissors and molded, and it also maintains its shape. We report here on a satisfactory case of chin augmentation with using porous polyethylene ($Medpor^{(R)}$).

Keywords

References

  1. Bell WH. Modern Practice in Orthognathic and Reconstructive surgery. In: William H Bell, editor. Malar midfacial augmentation. Philadelphia: WB Saunders; 1992. p.2289-97.
  2. Sevin K, Askar I, Saray A, Yormuk E. Exposure of high-density porous polyethylene (Medpor) used for contour restoration and treatment. Br J Oral Maxillofac Surg 2000;38:44-9. https://doi.org/10.1054/bjom.1998.0038
  3. Menderes A, Baytekin C, Topcu A, Yilmaz M, Barutcu A. Craniofacial reconstruction with high-density porous polyethylene implants. J Craniofac Surg 2004;15:719-24. https://doi.org/10.1097/00001665-200409000-00004
  4. Juraha LZ. Experience with alternative material for nasal augmentation. Aesthetic Plast Surg 1992;16:133-40. https://doi.org/10.1007/BF00450605
  5. Niechajev I. Porous polyethylene implants for nasal reconstruction: Clinical and histologic studies. Aesthetic Plast Surg 1999;23:395-402. https://doi.org/10.1007/s002669900308
  6. Owsley TG, Taylor CO. The use of Gore-Tex for nasal augmentation: a retrospective analysis of 106 patients. Plast Reconstr Surg 1994;94:241-8. https://doi.org/10.1097/00006534-199408000-00003
  7. Sheen JH, Sheen A. Problems in secondary rhinopasty. In: Sheen JH, Sheen A, editors. Aesthetic Rhinoplasty. 2nd ed. St. Louis: Mosby; 1987. p.1314-43.
  8. Owsley TG, Taylor CO. The use of Gore-Tex for nasal augmentation: a retrospective analysis of 106 patients. Plast Reconstr Surg 1994;94:241-8; discussion 249-50. https://doi.org/10.1097/00006534-199408000-00003
  9. Berghaus A, Mulch G, Handrock M. Porous polyethylene and proplast: their behavior in a bony implant bed. Acta Otorhinol 1984;240:115-23.
  10. Rubin JP, Yaremchuk MJ. Complications and toxicities of implantable biomaterials used in facial reconstructive and aesthetic surgery: a comprehensive review of the literature. Plast Reconstr Surg 1997;100:1336-53. https://doi.org/10.1097/00006534-199710000-00043
  11. Constantino PD, Friedmann CD, Lane A. Synthetic biomaterials in facial plastic and reconstructive surgery. Facial Plast Surg 1993;9:1-15. https://doi.org/10.1055/s-2008-1064591
  12. Yaremchuk MJ. Facial skeleton reconstruction using porous polyethylene implants. Plast Reconstr Surg 2003;111:1818-27. https://doi.org/10.1097/01.PRS.0000056866.80665.7A
  13. Morton AD, Nelson C, Ikada Y, Elner VM. Porous polyethylene as a spacer graft in the treatment of lower eyelid retraction. Ophthal Plast Reconstr Surg 2000;16:146-55. https://doi.org/10.1097/00002341-200003000-00010
  14. Trauner R, Obwegeser H. The surgical correction of mandibular prognathism and retrognathia with consideration of genioplasty: Part I. Surgical procedures to correct mandibular prognathism and reshaping of the chin. Oral Surg Oral Med Oral Pathol 1957;10:677-89. https://doi.org/10.1016/S0030-4220(57)80063-2
  15. Sclafani AP, Thomas JR, Cox AJ, Cooper MH. Clinical and historical response of subcutaneous expanded polytetrafluoroethylene (Gore-Tex) and porous high-density polyethylene implants to acute and early infection. Arch Otolaryngol Head Neck Surg 1997;123:328-36. https://doi.org/10.1001/archotol.1997.01900030110014
  16. Kim SG, Kim YU, Park JC, Oh YK. Effects of presurgical and post-surgical irradiation on the healing process of Medpor in dogs. Int J Oral Maxillofac Surg 2001;30:438-42. https://doi.org/10.1054/ijom.2001.0104
  17. Odum BC, Bussard GM, Lewis RP, Lara WC, Edlich RF, Gampper TJ. High-density porous polyethylene for facial bone augmentation. J Long Term Eff Med Implants 1998; 8:3-17.
  18. Villarreal PM, Monje F, Morillo AJ, Junquera LM, González C, Barbón JJ. Porous polyethylene implants in orbital floor reconstruction. Plast Reconstr Surg 2002;109:877-85; discussion 886-7. https://doi.org/10.1097/00006534-200203000-00007