清流整形美容論壇 首頁 清流整形美容論壇
關於整形醫學美容知識討論區
 

| 常見問題 | 搜尋 | 會員列表 | 會員群組 | 個人資料 | 登入檢查您的私人訊息 | 登入 | 會員註冊 |
 目前沒有活動計畫 

臉形雕塑
[新知]Medpor 在臉部重建的長期追蹤
上一篇主題
下一篇主題
發表新主題   回覆主題
上一篇主題 :: 下一篇主題  
發表人 內容
plasticsuper
Site Admin


註冊時間: 2005-08-04
文章: 623
來自: 台北

發表 發表於: 星期一 十二月 10, 2012 1:48 pm
發表 文章主題: [新知]Medpor 在臉部重建的長期追蹤
引言回覆


Medpor 問世大慨有20年了,它用在臉部重建長期效果如何?有沒有併發症?下面這篇文章回答了這些問題:

Title: Facial Reconstruction Using Porous High-Density Polyethylene (Medpor): Long-Term Results

Journal: Aesthetic Plastic Surgery. 2012;36(4):917-927

Author: Igor Niechajev (Sweden)

Abstract:

Medpor is a biocompatible, porous, high-density polyethylene implant material used as a skeleton substitute. During the last two decades, it has been successfully applied for aesthetic contour enhancement and at reconstruction of the facial skeleton. Reports on the long-term host tissue tolerance of Medpor are sparse. Use of foreign materials in nasal reconstruction has always been and still is controversial. The main contra-argument maintains that it is not known how alloplastic materials are tolerated by the human body in the long term. This study brings such data concerning the biocompatibility of Medpor. The author has 16 years of experience working with Medpor implants, including its use in rhinoplasty, chin augmentation, and malar augmentation. In this prospective study from 1996 to 2012, Medpor was used in 118 implants for 102 patients. The most frequent indications were nose deformity (n = 61), chin hypoplasia (n = 33), and malar hypoplasia (n = 6). The follow-up periods ranged from 6 months to 15 years (median, 7 years). Of 42 difficult nasal reconstructions performed with the assistance of Medpor, 28 were catastrophe noses that had undergone two to four previous surgeries elsewhere. A total of 19 patients had saddle nose deformity. Of the nasal reconstructions, 85 % had a smooth clinical course, with results remaining stable during the observation time. Five biopsies confirmed soft tissue ingrowths and collagen deposition, with subsequent vascularization. All complications could be mastered. Two dorsal struts and two chin implants required trimming. Infection occurred in three rhinoplasty cases, and partial extrusion occurred in two cases. All augmented chins and malar prominences were firm and bony-like at palpation. Of the 106 Medpor implants in the followed-up patients, some were trimmed or removed, but 97 implants (91 %) remained unchanged. Implantation of porous polyethylene in the facial region is a safe procedure. Currently, Medpor seems to be the best alloplastic material available as a facial bone substitute. It is long-lasting, with a low frequency of complications, morbidity similar to procedures involving autologous grafts, and high overall patient satisfaction.



簡言之,作者16年118例的經驗發現Medpor只有用在鼻子時比較容易出問題(15%),用在上頜骨及下巴都沒有任何併發症產生,即使放了十幾年也跟剛放時一樣沒有變形。因此作者總結Medpor是最佳的臉部骨頭替代物


_________________
With malice toward none, with charity for all

各位!電腦不要看太久,起身運動一下吧

回頂端
從之前的文章開始顯示:   
發表新主題   回覆主題    清流整形美容論壇 首頁  » 臉形雕塑 所有的時間均為 台灣時間 (GMT + 8 小時)
1頁(共1頁)

 
前往:  
無法 在這個版面發表文章
無法 在這個版面回覆文章
無法 在這個版面編輯文章
無法 在這個版面刪除文章
無法 在這個版面進行投票
可以 在這個版面附加檔案
可以 在這個版面下載檔案


Powered by phpBB © 2001, 2005 phpBB Group
正體中文語系由 phpbb-tw 維護製作

Design by G.I.T