Porous high-density polyethylene for orbital reconstruction.
OBJECTIVE
To determine the safety and efficacy of using porous high-density polyethylene (PHDPE) in the repair of orbital defects.


METHODS
Retrospective case series.


METHODS
Academic tertiary care trauma center. Patients One hundred seventy patients with orbital defects requiring surgical repair. Intervention Orbital defect repair with PHDPE. Main Outcome Measure Our review documents surgical results and complications associated with the use of PHDPE.


RESULTS
There was a 6.4% complication rate associated with the use of PHDPE. The infection rate was 1.8%. The persistent orbital malposition rate was 3.5%. The extrusion rate was 0%.


CONCLUSIONS
This report represents the largest case series in the literature using PHDPE for orbital reconstructions. The use of PHDPE resulted in a low complication rate and excellent functional and cosmetic reconstructive results. Because of our success with the use of PHDPE, we have changed our clinical practice to minimize the use of autologous graft material, thereby eliminating donor site morbidity in cases involving orbital reconstruction.
Lee
Samson
S
Department of Otolaryngology, University of Washington, Seattle, WA, USA.
Maronian
Nicole
N
Most
Sam P
SP
Whipple
Mark E
ME
McCulloch
Tim M
TM
Stanley
Robert B
RB
Farwell
D Gregory
DG
D001672:Biocompatible Materials; D006801:Humans; D009915:Orbit / Q000293:injuries* / Q000601:surgery*; D011095:Polyethylenes; D011183:Postoperative Complications; D019736:Prostheses and Implants; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D016896:Treatment Outcome
D001672:Biocompatible Materials; C084562:Medpor; D011095:Polyethylenes