title: Use of porous high-density polyethylene (Medpor) for spreader or extended septal graft in rhinoplasty: aesthetics, functional outcomes, and long-term complications.
abstract: In this study, 29 patients with porous high-density polyethylene (group A) and 29 patients with septal cartilage (group B) were enrolled for either spreader or extended septal graft. By questionnaire or telephone survey, the authors evaluated patients' cosmetic satisfaction and complications. The authors also used postoperative photographs to evaluate cosmetic results. For the functional analysis, the change of visual analog scale of nasal obstruction and change of minimal cross-sectional area using acoustic rhinometry were compared. Of 29 patients in group A, 27 were totally satisfied with the results. There was no complication except for 2 cases of extrusion during 5.3 ± 1.8 years. The patients in group A showed more decrease of nasal obstruction by visual analog scale and more improvement of minimal cross-sectional area as compared with those in group B. Therefore, porous high-density polyethylene is an ideal alloplastic material for spreader or extended septal graft in rhinoplasty in both cosmetic and functional aspects. And it is also safe and stable over a long-term period.
authors.affiliation: Department of Otorhinolaryngology-Head and Neck Surgery, Inha University School of Medicine, 3-Ga Shinheung-dong, Jung-Gu, Incheon, Korea.
authors.forename: Young Hyo
authors.initials: YH
authors.lastname: Kim
authors.forename: Beom Joon
authors.initials: BJ
authors.lastname: Kim
authors.forename: Tae Young
authors.initials: TY
authors.lastname: Jang
mesh_terms: D000328:Adult; D001672:Biocompatible Materials; D005260:Female; D006801:Humans; D008297:Male; D009300:Nasal Septum / Q000637:transplantation*; D017060:Patient Satisfaction; D011095:Polyethylenes / Q000009:adverse effects*; D019736:Prostheses and Implants; D012189:Retrospective Studies; D012225:Rhinoplasty / Q000379:methods*; D055815:Young Adult
chemical_list: D001672:Biocompatible Materials; C084562:Medpor; D011095:Polyethylenes