Facial plast Surg 2000; Volume 16(Number 1): 55-62
DOI: 10.1055/s-2000-7326
Copyright © 2000 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Nasal Reconstruction Using Porous Polyethylene Implants

Thomas Romo III1 2 3 , Anthony P. Sclafani1 2 , Andrew A. Jacono1
  • 1Department of Otolaryngology-Head and Neck Surgery, New York Eye and Ear Infirmary, New York, NY,
  • 2Division of Facial Plastic and Reconstructive Surgery, New York Eye and Ear Infirmary, New York, NY,
  • 3Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, Lenox Hill Hospital, New York, NY.
Further Information

Publication History

Publication Date:
31 December 2000 (online)

ABSTRACT

Nasal reconstruction presents a significant challenge to the facial plastic surgeon. The dual goals of reconstruction are restoration of the desired aesthetic nasal contour and an improved nasal airway. Autologous cartilage and bone are considered optimal grafting material, but their supply is often limited and harvesting entails additional morbidity. Many synthetic materials have been introduced in nasal reconstruction, but high infection and extrusion rates limited their use. Porous high density polyethylene implants present an alternative to autologous material as they allow for fibrovascular ingrowth, leading to stability of the implant and decreased rates of infection. Herein we describe the use of porous high density polyethylene implants for reconstruction of the platyrrhine nose and in revision rhinoplasty. The use of preformed nasal-dorsal tip and alar batten implants are described, as well as the use of columellar strut and premaxillary plumper implants. We believe that porous high density polyethylene implants provide a safe, desirable alternative in functional and aesthetic nasal reconstruction.