Porous polyethylene implants in facial reconstruction: Outcome and complications.
The aim of the present study was to assess the indications, results and complications of patients treated with porous polyethylene (Medpor(®)) implants in the Department of Oral and Maxillofacial Surgery of VU Medical Centre, Amsterdam over 17 years. A total of 69 high-density porous polyethylene implants (Medpor(®) Biomaterial; Porex Surgical, Newman, GA) were used in forty patients (22 males, 18 females). All patients were analysed for gender, age, diagnosis, indications for surgery, follow-up period and postoperative complications. A mean age of 34.1 years was observed. The main reason for implant surgery was post-traumatic functional impairment (27.5%). Most implants were placed at the mandibular angel and the orbital floor. Unsatisfactory appearance scored the highest in postoperative complications (10.1%) followed by infection rate (7.2%). Comparing the number of implants placed over the years and the incidence of complications, makes the overall complications rate of porous polyethylene very low. A consensus about antibiotic prophylaxis is needed. The objective measurements in patient satisfaction and proper implant design would be of great use.
Department of Oral and Maxillofacial Surgery/Oral Pathology (Head: Prof. T. Forouzanfar), VU University Medical Center, Amsterdam, The Netherlands; Department of Maxillofacial Prosthodontics, Center for Special Care in Dentistry, Amsterdam, The Netherlands; 3D Innovation Lab, VU University Medical Center, Amsterdam, The Netherlands. Electronic address: a.ridwan@vumc.nl.
Angela
A
Ridwan-Pramana
Department of Oral and Maxillofacial Surgery/Oral Pathology (Head: Prof. T. Forouzanfar), VU University Medical Center, Amsterdam, The Netherlands; 3D Innovation Lab, VU University Medical Center, Amsterdam, The Netherlands.
Jan
J
Wolff
Department of Oral and Maxillofacial Surgery/Oral Pathology (Head: Prof. T. Forouzanfar), VU University Medical Center, Amsterdam, The Netherlands; Academic Centre for Dentistry Amsterdam (ACTA), Amsterdam, The Netherlands.
Ashkan
A
Raziei
Department of Oral and Maxillofacial Surgery/Oral Pathology (Head: Prof. T. Forouzanfar), VU University Medical Center, Amsterdam, The Netherlands; Academic Centre for Dentistry Amsterdam (ACTA), Amsterdam, The Netherlands.
Claire E
CE
Ashton-James
Department of Oral and Maxillofacial Surgery/Oral Pathology (Head: Prof. T. Forouzanfar), VU University Medical Center, Amsterdam, The Netherlands; 3D Innovation Lab, VU University Medical Center, Amsterdam, The Netherlands.
Tymour
T
Forouzanfar
D000328:Adult; D001672:Biocompatible Materials / Q000737:chemistry*; D004954:Esthetics; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008337:Mandibular Fractures / Q000601:surgery; D008446:Maxillofacial Injuries / Q000601:surgery*; D008875:Middle Aged; D009917:Orbital Fractures / Q000601:surgery; D017060:Patient Satisfaction; D011095:Polyethylenes / Q000737:chemistry*; D016062:Porosity; D011183:Postoperative Complications; D019736:Prostheses and Implants / Q000009:adverse effects; D019651:Plastic Surgery Procedures / Q000295:instrumentation*; D012189:Retrospective Studies; D012887:Skull Fractures / Q000601:surgery; D013530:Surgical Wound Infection / Q000209:etiology; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome; D055815:Young Adult; D015051:Zygomatic Fractures / Q000601:surgery
D001672:Biocompatible Materials; C084562:Medpor; D011095:Polyethylenes
Complication; Craniofacial reconstruction; Medpor(®); Porous polyethylene