title: Postoperative Complications in Craniomaxillofacial Reconstruction With Medpor.
abstract: Bone reconstruction in craniofacial surgery is a challenge for surgeons, who most commonly adopt the autogenous bone grafting and alloplastic implants in such procedures. Among the alloplastic materials, the high-density porous polyethylene is highlighted-Medpor (Medpor, Porex Surgical Inc, Newman, GA), considered to be pure polyethylene, with only 1 manufacturing process and standard pore size. The purpose of the current study has been to present through a review of literature and the types of complications derived from the use of Medpor in craniomaxillofacial bone surgery. A specific and sensitive database was initially created via PubMed, focusing on studies published in English peer-reviewed journals between 2004 and 2014, including case reports, experimental studies in humans, and prospective and retrospective studies. Forty articles were found at PubMed database. After analyzing their abstracts, 19 were selected, totaling 1453 patients and 121 complications, being the most commonly reported diplopia with 56 patients and infection with 6 patients. Most of the complications reported in the articles used for the development of the current review are not directly related to the use of the Medpor implant. The only complications directly related to the use of this biomaterial were cases of infection.
authors.affiliation: *São Paulo State University †College of Dentistry ‡Department of Dental Materials and Prosthodontics at the State University of São Paulo (UNESP) - College of Dentistry, São Paulo, Brazil.
authors.forename: Ana Carulina Rezende
authors.initials: AC
authors.lastname: de Moraes Ferreira
authors.forename: Xiomara Mónica Johanna Palacio
authors.initials: XM
authors.lastname: Muñoz
authors.forename: Roberta
authors.initials: R
authors.lastname: Okamoto
authors.forename: Eduardo Piza
authors.initials: EP
authors.lastname: Pellizer
authors.forename: Idelmo Rangel
authors.initials: IR
authors.lastname: Garcia
mesh_terms: D001672:Biocompatible Materials; D006801:Humans; D019767:Maxillofacial Abnormalities / Q000601:surgery*; D011095:Polyethylenes; D011183:Postoperative Complications; D019736:Prostheses and Implants; D015361:Rhytidoplasty / Q000379:methods*
chemical_list: D001672:Biocompatible Materials; C084562:Medpor; D011095:Polyethylenes