Utility of High Density Porous Polyethylene Implants in Maxillofacial Surgery

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• 作者：Anshul Rai (1)
  Abhay Datarkar (2)
  Aakash Arora (3)
  D. G. Adwani (4)
  
• 关键词：Porous polyethylene ; Alloplasts ; Implants ; Craniofacial reconstruction
• 刊名：Journal of Maxillofacial and Oral Surgery
• 出版年：2014
• 出版时间：March 2014
• 年：2014
• 卷：13
• 期：1
• 页码：42-46
• 全文大小：2,812 KB
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• 作者单位：Anshul Rai (1)
  Abhay Datarkar (2)
  Aakash Arora (3)
  D. G. Adwani (4)
  
  1. Department of Oral and Maxillofacial Surgery, Rishiraj Dental College, Bhopal, M.P, India
  2. Department of Oral and Maxillofacial Surgery, Kalmegh Dental College, Nagpur, Maharashtra, India
  3. Department of Oral and Maxillofacial Surgery, Subarthi Dental College, Meerut, U.P, India
  4. Department of oral and maxillofacial surgery, V.Y.W.S Dental college and hospital, Amravati, Maharashtra, India
  
• ISSN：0974-942X

文摘

The aim of this paper was to determine the utility of high density porous polyethylene implants (HDPE) in a variety of facial skeletal deformities. Sixteen patients (age range 14-8 years) with facial deformities requiring skeletal defect reconstruction or augmentation, treated between January 2008 and December 2010. The follow-up of the patients ranged from 6 months to 2 years.The types of deformities and defects treated include: one patient each with hemifacial microsomia and nasal tip correction, two patients each with malar deformities and orbital floor reconstruction, three patients with paranasal deformities and mandibular hypoplasia and four patients with chin augmentation. A total of 24 implants were placed. The complications included infection and wound dehiscence in one patient. The implants were palpable extraorally in two patients. It is concluded that HDPE is an excellent alternative to autogenous grafts for facial skeletal augmentation. Its porous nature, excellent soft tissue growth and coverage are the advantages and disadvantages include its rigidity and sometimes it is palpable extraorally.