Porous high-density polyethylene in facial reconstruction and revision rhinoplasty a prospective cohort study 英文参考文献.docVIP
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Porous high-density polyethylene in facial reconstruction and revision rhinoplasty a prospective cohort study 英文参考文献
Mohammadietal.HeadFaceMedicine2012,8:17
/content/8/1/17
HEAD FACE MEDICINE
RESEARCH
OpenAccess
Poroushigh-densitypolyethyleneinfacial
reconstructionandrevisionrhinoplasty:a
prospectivecohortstudy
ShabahangMohammadi1,ShadiGhourchian2,FarzadIzadi1,AhmadDaneshi1andAslanAhmadi1*
Abstract
Introduction:Initialmethodswhichusedhumantissuesasreconstructionmaterialscauseddifferentproblems
includingrejection,limitedshapesandinfection.In1970s,PHDPE(MedporW)wasintroducedbyitsexclusive
advantageousincludingnodonorsitemorbidity,easilyshapedandtheminimalforeignbodyreaction.Hereby,we
reportourexperienceofusingMedporWinfacialreconstructionespeciallyinfrontalreconstructionandorbitalrim
withalargesamplesize.
Methods:Thisstudywasaprospectivecohortstudy.SurgicaltechniquesincludedusingMedporWin
reconstructionoflaminapapiracea(LP)(15patients),frontalbone(15patients),orbitalrim(18patients)andopen
rhinoplasty(8patients).AllinterventionsonLPwereperformedbyendoscopicprocedures.Allfrontaloperations
werecarriedoutbybicoronalincision.Inorbitaldefects,weusedsubciliaryincision.
Results:Fromall56patients,1casehadprimitiveneuroectodermaltumor(PNET)ofmaxillarysinus.Inthatcase,
reconstructionofinferiororbitalrimwasnotsuccessfulandextrusionwasoccurredafterradiotherapy.In
rhinoplastyandotherexperiencesnoextrusionorinfectionweredetectedwithinthenext1to3yearsoffollow
up.Therewerenotanypalpableandvisibleirregularitiesundertheskininourexperiences.
Conclusions:Inthisstudythepatientsdidnotexperienceanycomplicationsduringthefollowupperiodsandthe
satisfactionwasremarkable.Gatheringthesedatagivesrisetofuturereviewstudieswhichcanprovidemore
organizedevidencesforreplacingclassicreconstructivemethodsbythepresentedmaterial.
Keywords:Medpor,Rhinoplasty,Frontalreconstruction,Reconstructionoforbitalrim
Introduction bydifferentreactionssuchasextrusion,infectionandnot
Loss of tissue caused by trauma, cancer or surgery usu- well-shapedslipperyreconstruction[4-9].
ally needs some materials
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