Porous polyethylene implants in facial reconstruction: Outcome and complications

A. Ridwan, J. Wolff, A. Raziei, C.E. Ashton-James, T. Forouzanfar

    Research output: Contribution to JournalArticleAcademicpeer-review


    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.
    Original languageEnglish
    Pages (from-to)1330-1334
    JournalJournal of Cranio-Maxillofacial Surgery
    Issue number8
    Publication statusPublished - 2015


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