Porous high-density polyethylene for orbital reconstruction

Samson Lee, Nicole Maronian, Sam P. Most, Mark E. Whipple, Tim M. McCulloch, Robert B. Stanley, D Gregory Farwell

Research output: Contribution to journalArticlepeer-review

59 Scopus citations


Objective: To determine the safety and efficacy of using porous high-density polyethylene (PHDPE) in the repair of orbital defects. Designs Retrospective case series. Setting: Academic tertiary care trauma center. Patients: One hundred seventy patients with orbital defects requiring surgical repair. Intervention: Orbital defect repair with PHDPE. Main Outcome Measure: Our review documents surgical results and complications associated with the use of PHDPE. Results: There was a 6.4% complication rate associated with the use of PHDPE. The infection rate was 1.8%. The persistent orbital malposition rate was 3.5%. The extrusion rate was 0%. Conclusions: This report represents the largest case series in the literature using PHDPE for orbital reconstructions. The use of PHDPE resulted in a low complication rate and excellent functional and cosmetic reconstructive results. Because of our success with the use of PHDPE, we have changed our clinical practice to minimize the use of autologous graft material, thereby eliminating donor site morbidity in cases involving orbital reconstruction.

Original languageEnglish (US)
Pages (from-to)446-450
Number of pages5
JournalArchives of Otolaryngology - Head and Neck Surgery
Issue number5
StatePublished - May 2005

ASJC Scopus subject areas

  • Otorhinolaryngology


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