HIGH DENSITY POROUS POLYETHYLENE IMPLANTS IN FACIAL DEFORMITY
*Dr. Deepinder Singh, Dr. Fahad Ahmad and Dr. Jeevan Lata
ABSTRACT
Objective: A prospective study to assess the overall acceptance, safety and efficacy of Biopore? (porous highdensity polyethylene implants) implants as an onlay implant in facial deformity. Material and Method: Eight patients (six males and two females) ranging from 17 to 30 years of age requiring correction of facial skeletal deformity with augmentation by alloplastic material. Follow up ranged from 6 - 24 months. Results: Types of deformity and defect corrected include four patients with chin deficiency, two with Nasal bridge defect, one orbital defect and one with infra-orbital rim defect. Total of eight implants were placed. Complications include temporary nerve paresthesia in case of augmentation genioplasty and inappropriate reconstruction of infra orbital rim requiring re-intervention. Conclusion: Within the limits of the present study, it can be concluded that the Biopore implants are an effective alternative to autogenous grafts in correction of facial defects and deformity. The implants were found to be 100% successful including one patient requiring implant revision. Advantages include biocompatibility due to vascular ingrowth in the implant due to its adequate pore size and wide variety of shapes and sizes availability. Disadvantages though not observed in the present study, include the chance of extrusion of implant.
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