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3D Planning and Printing of Patient Specific Implants for Reconstruction of Bony Defects
Published on: August 4, 2020
Reconstruction of the major saddle nose deformity using composite allo-implants
T Romo1, A P Sclafani, P Sabini
1Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head & Neck Surgery, New York Eye & Ear Infirmary, New York, NY, USA.
Facial Plastic Surgery : FPS
|January 31, 2002
Summary
Reconstructing major saddle nose deformities can be challenging. A composite allo-implant of porous high-density polyethylene and acellular human dermal graft offers a viable solution when autogenous tissue is unavailable.
Area of Science:
- Plastic Surgery
- Otolaryngology
- Biomaterials Science
Background:
- Major saddle nose deformity presents significant aesthetic and functional challenges.
- Existing reconstructive methods vary widely due to the spectrum of deformity.
- Tardy's classification provides a framework, but a uniform approach is lacking.
Purpose of the Study:
- To present a novel reconstructive solution for major saddle nose deformities.
- To evaluate the efficacy of a composite allo-implant in challenging cases.
Main Methods:
- Utilized a composite allo-implant combining porous high-density polyethylene (PHDPE) and acellular human dermal graft (AlloDerm).
- Applied this technique in patients with major saddle nose deformities where autogenous tissue was not an option or insufficient.
Main Results:
- The composite allo-implant effectively reconstructed the collapsed dorsum and tip.
- This method addressed cases where autogenous cartilage or bone grafts were unsuitable or refused.
Conclusions:
- A composite allo-implant of PHDPE and AlloDerm is a valuable option for major saddle nose deformity reconstruction.
- This approach provides an alternative when traditional autogenous grafts are not feasible.
