IASO General Hospital, 256 Mesogion Str., Athens, Greece.
J Plast Reconstr Aesthet Surg. 2012 Jan;65(1):35-42. doi: 10.1016/j.bjps.2011.08.003. Epub 2011 Aug 27.
Surgeons often avoid the use of alloplastic materials in functional rhinoplasty due to potential complications. The aim of the present study is to present the outcomes following the use of alloplastic materials in a large series of patients, to identify and document the possible complications and to offer insight regarding the safety and the indications of the method.
Between February 2005 and August 2009, 58 patients underwent functional rhinoplasty using Medpor(®) alloplastic materials by a single surgeon (A.S). The majority of the alloplastic materials were used to reconstruct defects of the nasal dorsum as well as to augment the columella and support the nasal tip.
Medpor(®) was used in the nasal dorsum in eight patients and in the columella in 50 patients. There were 10 cases of primary and 48 cases of secondary rhinoplasty. Follow-up time ranged from 1 to 5 years (mean: 3 years). Complications concerned three cases of postoperative infection and material rejection. All cases were successfully re-operated.
The use of Medpor(®) alloplastic material in functional rhinoplasty comprises a safe method in selected patients due to the low complication rate, as shown in our series. It could therefore be considered as a useful alternative when reconstruction is problematic due to low quality or lack of available autologous grafts.
本研究旨在介绍大量患者使用异体材料的结果，识别和记录可能出现的并发症，并深入了解该方法的安全性和适应证。
2005 年 2 月至 2009 年 8 月，由一位外科医生（A.S.）对 58 例患者进行了功能性鼻整形术，使用 Medpor（®）同种异体材料。大多数同种异体材料用于重建鼻背缺损，以及增加鼻中隔和支撑鼻尖。
Medpor（®）在 8 例患者的鼻背和 50 例患者的鼻中隔中使用。其中初次鼻整形术 10 例，二次鼻整形术 48 例。随访时间为 1 至 5 年（平均 3 年）。并发症包括 3 例术后感染和材料排斥。所有病例均成功再次手术。
在我们的研究中，由于低并发症发生率，在选择的患者中，使用 Medpor（®）同种异体材料进行功能性鼻整形术是一种安全的方法。因此，当由于质量低或缺乏可用的自体移植物而导致重建困难时，它可以被认为是一种有用的替代方法。
