title: Nasal spreader grafts: a comparison of medpor to autologous tissue reconstruction.
abstract: Reconstruction of the damaged nasal vault is challenging. Limited available autologous tissue has lead surgeons to pursue alloplastic alternatives. A retrospective review comparing 18 patients who underwent secondary rhinoplasty with internal nasal valve reconstruction with spreader graft (SG) implants using either autologous tissue or high-density porous polyethylene (Medpor) was performed. All underwent bilateral SG reconstruction of the internal nasal valve with Medpor (10 cases) or autologous cartilage (8 cases). Mean follow-up was 26 months for the autologous group and 29 months for the Medpor group. Functional performance and aesthetic results were identical. Complications were few: 1 case of unilateral infection in the Medpor group treated with partial excision, and 1 case of erythema at the auricular donor site for the autologous tissue group. For patients who have exhausted autologous tissue options or are unwilling to tolerate potential donor-site morbidity, the Medpor SG is an appropriate option that allows for excellent aesthetic and functional results that remains stable over time.
authors.affiliation: Department of Surgery, New York Presbyterian Hospital, Weill-Cornell Medical Center, New York, NY, USA.
authors.forename: Alyssa J
authors.initials: AJ
authors.lastname: Reiffel
authors.forename: Kevin J
authors.initials: KJ
authors.lastname: Cross
authors.forename: Henry M
authors.initials: HM
authors.lastname: Spinelli
mesh_terms: D000328:Adult; D000368:Aged; D001672:Biocompatible Materials; D002356:Cartilage / Q000637:transplantation*; D004954:Esthetics; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D015508:Nasal Obstruction / Q000601:surgery*; D011095:Polyethylenes; D012225:Rhinoplasty / Q000379:methods*; D055815:Young Adult
chemical_list: D001672:Biocompatible Materials; C084562:Medpor; D011095:Polyethylenes