Plastic and Reconstructive Surgery, Global Open (Nov 2022)

Management of Extruded Porous High-density Polyethylene Implant in the Internal Nasal Valve

  • Anise M. Diaz, BA,
  • Tristan Tham, MD,
  • Matthew I. Saleem, BS,
  • Brent Ponder, MD,
  • Alexandros Georgolios, MD, FACS

DOI
https://doi.org/10.1097/GOX.0000000000004647
Journal volume & issue
Vol. 10, no. 11
p. e4647

Abstract

Read online

Summary:. Porous high-density polyethylene (PHDPE) has been used since the 1990s as an alternative to autologous grafts. Implant extrusion is a rare but well-known complication of PHDPE and other alloplastic implants. This article discusses the case of PHDPE implant extrusion in a 69-year-old man with unsuccessful previous alar batten graft placement for internal nasal valve insufficiency. We detail the surgical techniques engaged in removing the implant from the internal nasal valve, postoperative results, and care, and present a histologic study of the removed implants.