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.

journal_name

Ann Plast Surg

authors

Reiffel AJ,Cross KJ,Spinelli HM

doi

10.1097/SAP.0b013e3181d3ef8e

subject

Has Abstract

pub_date

2011-01-01 00:00:00

pages

24-8

issue

1

eissn

0148-7043

issn

1536-3708

journal_volume

66

pub_type

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