Use of porous high-density polyethylene grafts in open rhinoplasty: no infectious complication seen in spreader and dorsal grafts

OBJECTIVE The aim of this study is to use porous high-density polyethylene grafts (Medpor) in open rhinoplasty and then assess complication rate and aesthetic outcomes. METHODS In a prospective cohort study, we performed open rhinoplasty and employed Medpor as rhinoplasty grafts. Then we compared their complication rate. RESULTS In a total of 64 patients, 84 Medpor grafts--8 dorsal grafts, 23 strut grafts, 8 rim grafts, 5 button grafts and 10 spreader grafts--were utilized. Moreover, 5septal perforation repairs with Medpor were performed. The complication rates were 5.3% in dorsal graft (complication in dorsal graft was only movement of implant), 21.7% in strut graft and 25.0% in rim graft. No complication was seen in spreader and button grafts. All 5septal perforation repairs were successfully performed with the same rhinoplasty approach. CONCLUSION Medpor can be used as dorsal and spreader graft in reconstruction of severe nose deformity with lowest complication rate and without infectious complication and extrusion.