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Alloplastic Implants of the Larynx
Patrick M. Kane, MD;
James A. Duncavage, MD;
John H. Thomas, MD;
D. Leroy Stageman, MD;
Robert J. Toohill, MD
Arch Otolaryngol. 1983;109(10):648-652.
Abstract
• Biocompatible Teflon fluorocarbon polymer (Proplast) and porous polyethylene (Plasti-Pore) are porous alloplastic implant materials that are widely used in reconstructive head and neck surgery. These two materials were used in our study as replacement grafts for defects in three groups of 12 canines. For the first time, Plasti-Pore was found equal and perhaps superior to Proplast in deep implantation, this in the anterior cricoid cartilage when the internal and external perichondrium were preserved. Rejection of both substances occurred when the implant was exposed to air and aerodigestive tract contaminants after the removal of the perichondrium, subglottic, and upper tracheal mucosa. Airway exposure to the alloplasts, even when lined with buccal mucosa, resulted in infection and extrusion, but at a much slower rate.
(Arch Otolaryngol 1983;109:648-652)
Author Affiliations
From the Department of Otolaryngology, Medical College of Wisconsin, Milwaukee (Drs Toohill, Kane, Duncavage, Thomas, and Stageman) and the Research Service, Veterans Administration Medical Center, Wood, Wis (Drs Toohill, Duncavage, Thomas, and Stageman).
Footnotes
Accepted for publication March 22, 1983.
Read in part before the 38th annual session of the Forum on Fundamental Surgical Problems at the 68th Clinical Congress of the American College of Surgeons, Chicago, Oct 25, 1982.
Reprint requests to Department of Otolaryngology, Medical College of Wisconsin, 8700 W Wisconsin Ave, Milwaukee, WI 53226 (Dr Toohill).
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