An unusual complication of a medpor implant in nasal reconstruction:: A case report

There are few implant materials which have been successfully used for nasal reconstruction. Of these, the medpor implant is the most accepted alloplastic material for reconstruction of the nasal framework. Here, an unusual complication of a medpor implant in nasal reconstruction is presented. A 24-year-old medical student suffering from a saddle nose deformity after a primary rhino plasty was admitted to our department. The medpor nasal implant was used to restore the nasal dorsum. The surgical result was appreciated by the patient. No problem was encountered during two years after surgery. Recently, the patient suffered from an asymmetry of the nasal dorsum. The physical examination revealed a step on the nasal dorsum with caudal mobility of the implant. The nasal implant was suspected to be broken. Multislice CT scan and ultrasonographic imaging of the implant were obtained. The radiologic evaluation of the region confirmed the fracture of the medpor nasal implant. Nasal reconstruction with a medpor implant is a good choice with low complication rates. This is the first case in the literature reporting a broken medpor nasal implant. Moreover, in this study a new method is described for imaging the medpor implant material.