Facial Contours

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MEDPOR ® Biomaterial 2007-2008 Facial Contours Update

description

Facial Contours

Transcript of Facial Contours

Page 1: Facial Contours

MEDPOR®Biomaterial2007-2008 Facial Contours Update

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Surgical Planningis Easier and Fasterwith MEDPOR®Customized ImplantsMEDPOR Porous Polyethylene Implantsprovide surgeons with an expandingrange of options for reconstruction andaugmentation.

Standard CustomizedImplant ServicesMEDPOR customized surgical implants forcomplex bilateral defects, or defects involvingthe orbital or facial structures are createdusing a physical skull model and template.

Customized ImplantServices withe-viewCTThe fastest, easiest way to order, view andobtain a MEDPOR Customized Implant isvia a virtual process on Porex Surgical’sweb site.*

More options, bMEDPOR Customized Implants provide the surgeon with an attractivealternative to complex grafts and other implant materials.

Advantages:

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Ability to transmit the patient's CT scan data electronically via a File Transfer Protocol (FTP) web address

High quality, customized implants that may significantly reduce operating time and expense

MEDPOR®Biomaterial

Three Year Post-Op

Immediate Pre-Op

Fixation of Implant

Facial customizedimplants includechins, mandibles,malars andalternativesfor hemifacial

microsomia cases.

Creating a MEDPOR Customized Implant for an individual patient’s complex bilateral defect ordefects involving the orbital floor is a multi-step process and requires close communicationbetween the surgeon and Porex Surgical.

Steps to Creating MEDPOR Customized Implants for complex bilateral defects ordefects involving the orbital or facial structures:

• CT Data should be obtained using Porex Surgical’s Scanning Protocol (copy availableupon request).

• A purchase order is submitted to Porex Surgical Inc. The customized implant process cannotbe started without receipt of a purchase order or pre-payment of the implant.

• CT Data is submitted to Porex Surgical via FTP site upload or on a CD.

• Porex Surgical converts the patients CT scan data into a laser polymerized model of bony tissueshowing absent bony areas (defect). The model may be utilized for surgical planning.

• A customized implant template shape is created from clay to augment the defect areas evidentin the skull model. The skull model, non-sterile clay template, and a prescription form are sentto the surgeon for review and approval.

• Upon receipt of the signed prescription form signifying physician approval of the templateshape, a MEDPOR Customized Implant is manufactured, sterilized, and shipped.

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better results.

Fixing Defects at the Speed ofe sm

Porex Surgical’s interactive web site withe -viewCT makes it possible to converta patient’s CT scan data into a virtual 3-D customized implant design that can beviewed 360.* Customized implant shapes can then be made to fit the defect or to correctan asymmetry. That can mean a 180-degree difference in turnaround time.

*Due to the size and complexity of some defects, some customized implants may need to be produced in morethan one piece, may not be able to be viewed on-line, and may require a physical model to be produced andshipped for review.

2007-2008 Facial Brochure

MEDPOR® Customized Cranial Implant

CAT# DESCRIPTION

89020* MEDPOR Customized Cranial Implant

(Includes Peri-Orbital Customized Implants)

Package Includes:• On-line review of skull model (if necessary)• On-line approval of implant template (if necessary)• One sterile customized implant plus one sterile backup customized implant

Delivery time is approximated from receipt of purchase order and CT data at PorexSurgical. Call for an estimated delivery time. Note: Complex bilateral defects, or defectsinvolving the orbital structures or facial structures may require additional expense, time,and/or a physical skull model and template. Please call for a quote.

MEDPOR® Customized Facial Implant

CAT# DESCRIPTION

89021* MEDPOR Customized Facial Implant

(Includes Chin, Mandible, Malar, and Midface Implants)

Package Includes:• One sterile customized implant plus one sterile backup implant

89022 Bilateral Charge for Customized Facial Implant

89023** Physical Model Add-on

89024* Physical Template Add-on

*Catalog #’s 89020 & 89021 DO NOT include a physical model or template.**Model price is valid only with purchase of a MEDPOR Customized Implant(catalog # 89020 or 89021).

MEDPOR® Porous Polyethylene Implants provide surgeonswith an expanding range of options for reconstructionand augmentation.

Porex Surgical Customized Implant Services can provide implants shapedfor a patient’s individual needs. A 3-D model of the patient’s bony anatomyis created from CT scan data; Customized Implant Shapes can then bemade to fit the defect or to correct an asymmetry. MEDPOR CustomizedImplants can be trimmed with a blade in the sterile field and will acceptscrews and plates without cracking.

The use of customized implants may significantly reduceoperating time and expense.

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MEDPOR®Biomaterial

4 Illustrations are not actual size. Please consult dimensional descriptions.

MEDPOR TITAN Cranial - TemporalCAT# DESCRIPTION A B C

81037 TITAN Cranial - Temporal, Left 130mm x 130mm x 3mm

81038 TITAN Cranial - Temporal, Right 130mm x 130mm x 3mm

NEW - AVAILABLE SOON

The MEDPOR TITAN Cranial – Temporal Implantis designed to be an off-the shelf solution fornon-weight bearing applications of craniofacialreconstruction or cosmetic surgery, and repairof craniofacial trauma. The titanium meshembedded in the MEDPOR Biomaterial providesstrength usually associated with a much thickertraditional MEDPOR Implant. The thinner profilecan be bent to the shape of the defect. Theradio-opaque titanium mesh makes the implantvisible on postoperative radiographs or CT scansand helps the implant retain the shape whenbent. The implant is available in left andright configurations.

Patent Pending.

TITAN CRANIAL - TEMPORAL MEDPOR TITAN™ IMPLANTS

Strength Meets FlexibilityDesigned with:Nicholas T. Iliff, M.D., Shannath L. Merbs, M.D., Ph. D.,and Michael P. Grant, M.D., Ph. D.

The new MEDPOR TITAN Sheets are intended for non-weight bearing applications of craniofacialreconstructive/cosmetic surgery, and repair of craniofacial trauma.

Titanium mesh and MEDPOR Polyethylene Implants have a long history of successful use in traumarepair. When cut, traditional titanium mesh may exhibit many sharp points and edges that can makeinsertion difficult. A thin coating of high-density polyethylene placed on both sides of a titanium meshmay minimize sharp edges even when the implant is cut. The titanium mesh is radiopaque, making theimplant visible on radiographs or CT scans. The titanium mesh used in MEDPOR Biomaterial allowsthe surgeon to bend and contour a thin implant material to the desired shape while providing thestrength usually associated with a much thicker traditional MEDPOR Implant. Patent Pending.

Surgeons may choose from three types of MEDPOR TITAN Sheets:

* TheMEDPOR TITAN MEDPOR (MTM™) Sheet is a porous, high-density polyethylene sheet withtitanium mesh embedded in it, providing the advantages of fibrovascular integration of the patient'shost tissue through the sheet.

* TheMEDPOR TITAN BARRIER (MTB™) is a sheet of titanium mesh with a sheet of porous high-density polyethylene on one side of the mesh and solid, high-density polyethylene on the otherside thus allowing for fibrovascular ingrowth only on one side of the implant.

* TheMEDPOR TITAN Double BARRIER (BTB™) Sheet is titanium mesh embedded between twosolid, high-density polyethylene sheets that act as a barrier to tissue attachment and may helpfacilitate implant placement.

MEDPOR TITAN ImplantsCAT# DESCRIPTION A B C

81020 MTM 76mm x 50mm x 0.85mm81021 MTM 38mm x 50mm x 0.85mm81022 MTM 38mm x 50mm x 1.5mm81023 MTM 76mm x 50mm x 1.5mm

81024 BTB 38mm x 50mm x 0.6mm81025 BTB 76mm x 50mm x 0.6mm

81026 MTB 38mm x 50mm x 1.0mm81027 MTB 76mm x 50mm x 1.0mm81028 MTB 38mm x 50mm x 1.6mm81029 MTB 76mm x 50mm x 1.6mm

Titanium Mesh

MEDPOR Polyethylene

B

RIGHTA

C

B

LEFT

A

C

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2007-2008 Facial Brochure

5Illustrations are not actual size. Please consult dimensional descriptions.

MEDPOR TITAN OFWCAT# DESCRIPTION A B C

81030 MTM 41mm x 42mm x 0.85mm81031 MTB - Left 41mm x 42mm x 1.0mm81032 MTB - Right 41mm x 42mm x 1.0mm81033 BTB 41mm x 42mm x 0.6mm

Designed with.

The new MEDPOR TITAN Orbital Floor and Wall(OFW™) Implants are designed to fit the orbitalfloor and medial wall. Anterior and medialtitanium plates extending from the MEDPORTITAN framework allow fixation inside or outsidethe orbit (or to the orbital rim and/or nasal bone).Available with or without a BARRIER™.Patent pending.

MEDPOR TITAN™

ORBITAL FLOOR AND WALL

A

B

MEDPOR BARRIER™ IMPLANTS

Designed with:John W. Shore, M.D., F.A.C.S.

MEDPOR BARRIER Implants are designed toprevent tissue attachment to the implantsurface. The BARRIER is made of non-porous,high-density polyethylene and heat bonded tothe porous material without adhesives oradditives. The porous side of the implantbecomes vascularized in the same manner as aregular MEDPOR Implant. BARRIER Sheets areavailable in two sizes with either a trumpetshaped or a rectangular barrier. Miniplate,Microplate, and Microplate Single ChannelSheets are also available with a barrier surface.

MEDPOR BARRIER ImplantsCAT# DESCRIPTION A B C

8305 Orbital Floor Implant 38mm x 50mm x 1mm9305 Orbital Floor Implant 38mm x 50mm x 1.6mm8312 Rectangle 50mm x 76mm x 1mm9312 Rectangle 50mm x 76mm x 1.6mm

83059305

83129312

BARRIER

MEDPOR SHEETS

MEDPOR Biomaterial Sheets provide thesurgeon with excellent options for craniofacialreconstruction and augmentation. Theindividually packaged, sterile implants provide“off-the-shelf” availability, saving time and theexpense of harvesting graft material. MEDPORSheets are available in a variety of sizes and inthicknesses ranging from 0.25mm to 3.0mm.

MEDPOR Ultra Thin SheetsCAT# A B C

7210 38mm x 50mm x 0.85mm7212 50mm x 76mm x 0.85mm7214 76mm x 127mm x 0.85mm7216 127mm x 178mm x 0.85mmMEDPOR SheetsCAT# A B C

6330 38mm x 50mm x 1.5mm6331 50mm x 76mm x 1.5mm8662 76mm x 127mm x 1.5mm6351 127mm x 178mm x 1.5mm9562 38mm x 50mm x 3.0mm

MEDPOR Micro Thin SheetCAT# A B C

83020 38mm x 50mm x 0.25mm83021 76mm x 50mm x 0.25mm83022 38mm x 50mm x 0.35mm83023 76mm x 50mm x 0.35mm8438 30mm x 50mm x 0.40mm83029 38mm x 50mm x 0.45mm83030 76mm x 50mm x 0.45mm

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9528

9527

9529/9530

9531/9532

BARRIER

BARRIER

A

B

C

A

B

C

A

B

A

BC

C

9530, 9532

9529, 9531

Thickness

2.3mm

4mm

2.3mm

2.3mm

2.2mm

2.3mm

2.2mm

Choose from wide or narrow end tocut the desired BARRIER shape.

2.3mm

MEDPOR CHANNEL IMPLANTSDesigned with:John W. Shore, M.D., F.A.C.S.

Channel Implants are designed for repair ofsignificant orbital floor and wall trauma where theaddition of one or more rigid fixation plates providesstructural support. After the MEDPOR Implant is cutto the desired shape, a rigid fixation plate is insertedin the channel*. The plate may extend out both endsof the implant if desired. The plate allows thesurgeon to bend and contour the implant to thedesired shape. Once the implant shape and properposition is determined, the end of the plate isfixed to the orbital rim.

The Microplate and Miniplate Channel Implants are 2.3mm thick and have multiple parallel channels.The Microplate Single Channel Implant is 0.85mm thick and accepts plates 1.0mm wide and smaller.The posterior end of the microplate usually rests on the posterior border of the bony defect. TheMiniplate Channel Implant accepts 1.2mm wide plates and is used when the implant is cantileveredfrom the orbital rim.

Channel Implants are available with or without a BARRIER surface.

MEDPOR Channel ImplantsCAT# DESCRIPTION A B C

9527 BARRIER Microplate Single Channel Sheet 38mm x 50mm x 0.85mm9528 Microplate Single Channel Sheet 38mm x 50mm x 0.85mm9529 Miniplate Channel Sheet 40mm x 52mm x 2.3mm9530 Microplate Channel Sheet 40mm x 52mm x 2.3mm9531 BARRIER Miniplate Channel Sheet 40mm x 52mm x 2.3mm9532 BARRIER Microplate Channel Sheet 40mm x 52mm x 2.3mm(*Rigid fixation plates and screws are not included.)

MEDPOR®Biomaterial

6 Illustrations are not actual size. Please consult dimensional descriptions.

Designed with:James R. Patrinely, M.D., F.A.C.S.

The MEDPOR Enophthalmos Wedge mimics thecontour of the orbital floor and is designed toprovide volume to restore the orbit to its normalshape and size.

Enophthalmos wedges are provided in bothright and left orientation and in two sizes:regular with 2ml of volume and large with3ml of volume.

MEDPOR ENOPHTHALMOS SHAPES

MEDPOR Enophthalmos ShapesCAT# DESCRIPTION A B C

9541 Regular - Left 22mm x 31mm x 7mm9542 Regular - Right 22mm x 31mm x 7mm9543 Large - Left 28mm x 40mm x 7.5mm9544 Large - Right 28mm x 40mm x 7.5mm

C

B

A

LRB

A

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Complete and Inferior 2/3 Orbit Implants aredesigned to replace non-load bearing, bonystructures of the orbital area lost to severetrauma or cancer resection. Complete and 2/3Orbits are typically carved with a blade, scissorsor burr to fit the patient’s defect and fixed withsutures, wires or craniofacial screws and plates.

COMPLETE & 2/3 ORBIT SHAPES

MEDPOR Complete & 2/3 Orbit ShapesCAT# DESCRIPTION A B

9567 Inferior 2/3 Orbit - Left 108mm x 75mm9568 Inferior 2/3 Orbit - Right 108mm x 75mm9569 Complete Orbit - Left 93mm x 75mm9570 Complete Orbit - Right 93mm x 75mm

Inferior 2/3 Orbit

Complete Orbit

B

A

A

B

Designed with:Saleem Abdulrauf, M.D.

The MEDPOR Orbito-Zygomatic (OZ™) Implant isdesigned for reconstruction of the superior andlateral surfaces of the orbital roof following thecranial orbital-zygomatic (COZ) approach to skullbase lesions of the middle cranial fossa andupper part of clivus. The MEDPOR OZ Implantprovides surgeons with a convenient “off-the-shelf” anatomically shaped implant to cover thebony orbital roof and lateral wall removed duringthe COZ approach to the skull base. The OZImplant, available in left and right versions,should be trimmed at the time of surgery to fitthe needs of the individual patient.

ORBITO-ZYGOMATIC (OZ™)

MEDPOR Orbito-Zygomatic (OZ™)CAT# DESCRIPTION A B C

81013 Left 33mm x 38mm x 0.8mm81014 Right 33mm x 38mm x 0.8mm

A

C

B

2007-2008 Facial Brochure

7Illustrations are not actual size. Please consult dimensional descriptions.

B

B

A

A

SUPERIOR LATERAL ORBITAL RIM

Designed with:Oscar Ramirez, M.D.

The MEDPOR Superior Lateral Orbital Rim isdesigned for subtle augmentation of the lateraland superior orbital rims in patients who arehypoplasic in the superior-lateral aspect of theorbital rim. The overall design of the SuperiorLateral Orbital Rim aids in facial rejuvenation ofthe entire orbital area. The implants areindividually packaged sterile in both right andleft orientation.

MEDPOR Superior Lateral Orbital RimCAT# DESCRIPTION A B

81007 Superior Lateral Orbital Rim - Left 33mm x 45mm81008 Superior Lateral Orbital Rim - Right 33mm x 45mm

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INFERIOR ORBITAL RIM

Designed with:Michael J. Yaremchuk, M.D.

In patients with recessive orbital rims or inotherwise normal patients with prominent eyes,augmentation of the infraobrital rim with theMEDPOR Inferior Orbital Rim can improve theoverall facial appearance and make the eyesappear less prominent.

The MEDPOR Inferior Orbital Rim Implant canprovide up to 5mm of anterior projection and isdesigned to be trimmed to meet the needs of theindividual patient. A small flange allows it torest on the most anterior aspect of the orbitalfloor. This flange allows for easier positioningof the implant and a possible area for screwfixation to the skeleton.

MEDPOR Inferior Orbital Rim ImplantsCAT# DESCRIPTION A B

9429 Inferior Orbital Rim - Left 43mm x 18mm9430 Inferior Orbital Rim - Right 43mm x 18mm

B

A

B

A

INFERIOR MEDIAL ORBITALRIM IMPLANT (IMORI™)

Designed with:Rona Silkiss, M.D., F.A.C.S.

The MEDPOR Inferior Medial Orbital Rim Implant(IMORI™) provides surgeons with an excellentalternative for patients with a deficient orrecessed “tear trough” area often characterizedas a look of fatigue or circles under the eyes.

The IMORI is smaller than previous alloplasticimplants designed for this indication andrequires a smaller area of subperiostealdissection. The implant is designed to wrap overthe inferior orbital rim and extend superiorlyand inferiorly medial to the inferior orbital nerve.

The implant can be trimmed at the time ofsurgery to fit the needs of the individual patient.

MEDPOR Inferior Medial Orbital Rim ImplantsCAT# DESCRIPTION A B C

87003 Inferior Medial Orbital Rim - Left 25mm x 26mm x 3mm87004 Inferior Medial Orbital Rim - Right 25mm x 26mm x 3mm

C

B

A

C

B

A

MEDPOR®Biomaterial

8 Illustrations are not actual size. Please consult dimensional descriptions.

Designed with:Robert A. Goldberg, M.D.

MEDPOR Extended Orbital Rim Implants providethe surgeon with an excellent option foraugmenting the inferior rim and to support thelower eyelid for correction of exophthalmos inGraves’ ophthalmopathy. These shapes canrestore orbital rim anatomy in trauma cases byamplifying the remaining soft tissue to overcomedefects left by missing or scarred tissue.

The entire rim shape may be used or a portion ofthe rim may be cut with a scalpel to provide thenecessary augmentation. Meticulous detail infeathering the implant to the surrounding bonewill provide the best aesthetic result. Two pointscrew fixation is recommended to achieve initialstable reconstruction.

EXTENDED ORBITAL RIM IMPLANTS

MEDPOR Extended Orbital Rim ImplantsCAT# DESCRIPTION A B

9539 Orbital Rim - Extended Left 47mm x 40mm

9540 Orbital Rim - Extended Right 47mm x 40mm

L

A

95399A

B

R

9540

RB

A

LB

A

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Designed with:Jonathan Hoenig, M.D.

The MEDPOR Midface Rim is designed toaugment areas of bony concavities of themidface, including the inferior orbital rim andmalar. When positioned in the hollow under theeye, the MEDPOR Midface Rim Implant aids inrestoring the natural convexity of the lowereyelids and cheeks. The implant provides anexcellent working contour for patients withorbital rim recession and mild mid-facehypoplasia. The medial area of the implant maybe carved as necessary or utilized in its entiretyto augment a tear trough depression.

MIDFACE RIM

MEDPOR Midface RimCAT# DESCRIPTION A B C

83003 Midface Rim - Left 47mm x 28mm x 3mm83004 Midface Rim - Right 47mm x 28mm x 3mm

A

C

B

C

MIDFACE CONTOUR IMPLANT

Designed with:Richard Levine, M.D.

The MEDPOR Midface Contour Implant isdesigned to aid in rejuvenation of the midface.The broad surface area allows for support ofoverlying soft tissues and a smooth transitionbetween the implant and underlying bone. Theshell-type design of the implant may be used toaddress a number of different midfacialdeformities by allowing the surgeon to carveportions of the implant most appropriate foreach patient.

The MEDPOR Midface Contour Implant ispackaged with a sterile silicone template.

MEDPOR Midface Contour ImplantCAT# DESCRIPTION A B C

83007 Midface Contour Implant - Left 60mm x 40mm x 4mm83008 Midface Contour Implant - Right 60mm x 40mm x 4mm

C

B

A

ORBITAL RIM ONLAY IMPLANTS

Designed with:Robert A. Goldberg, M.D.

The MEDPOR Orbital Rim Onlay Implants aredesigned to support the lower eyelid and lateralcanthus in patients who have inadequatesupport due to congenital variation or changeswith aging. The implant augments the inferiorand lateral orbital rims and moderatelyincreases the anterior rim projection. Thismimics the normal orbital rim anatomy andprovides support to the eyelid and canthalstructures.

MEDPOR Orbital Rim Onlay ImplantsCAT# DESCRIPTION A B

81001 Orbital Rim Onlay - Left 40mm x 40mm

81002 Orbital Rim Onlay - Right 40mm x 40mm

B

BA

A

2007-2008 Facial Brochure

9Illustrations are not actual size. Please consult dimensional descriptions.

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MEDPOR®Biomaterial

10 Illustrations are not actual size. Please consult dimensional descriptions.

DESIGN M MALAR IMPLANTSDESIGN RZ MALAR IMPLANTS

Designed with:Louis Morales, M.D.

The Design M Malar shapes are designedspecifically to contour over the malar bonestarting from the zygomatic arch, proceedingover the malar prominence, and extending downto the maxillary buttress. The implant should laydirectly below the infraorbital nerve. The designallows for easy insertion through an intraoralroute and can either be maintained in a tightsubperiosteal pocket or fixated using a lag screwtechnique.

For most cosmetic procedures the 3mm and4.5mm projections will be sufficient forredistribution and suspension of soft tissue.For traumatic reconstruction of the zygoma the7mm projection may be more appropriate forrestoration of missing soft tissue volume.

Sizer Set Available.

Designed with:Oscar M. Ramirez, M.D.

The MEDPOR Design RZ Malars, available in3mm and 5mm projection, allow for subtlerecontouring of the midface. Designed to provideskeletal augmentation for correction of defectsrelated to facial aging or congenital origins, theRZ Malars provide necessary facial architecturalsupport for the midface tissues.

The projection of these malars is central to themalar prominence with a tapering towards thezygomatic wing. This creates a delicate malaraugmentation without significantly increasingthe bitemporal distance. The medial edge isnotched to accommodate the infraorbitalfacial nerve.

Sizer Set Available.

T

A

B

C

MEDPOR Design M Malar ImplantsCAT# DESCRIPTION A B C D

9507 Small Design M - Left 64mm x 19mm x 3mm x 15mm9508 Small Design M - Right 64mm x 19mm x 3mm x 15mm9509 Med. Design M - Left 64mm x 19mm x 4.5mm x 17mm9510 Med. Design M - Right 64mm x 19mm x 4.5mm x 17mm9511 Large Design M - Left 64mm x 19mm x 7mm x 19mm9512 Large Design M - Right 64mm x 19mm x 7mm x 19mm9951 Design M Malar Sizer Set (Silicone, Non-Sterile)

MEDPOR Design RZ Malar ImplantsCAT# DESCRIPTION A B C

9501 Super Petite, Design RZ - Left 50mm x 19mm x 3mm9502 Super Petite, Design RZ - Right 50mm x 19mm x 3mm9503 Petite, Design RZ - Left 50mm x 19mm x 5mm9504 Petite, Design RZ - Right 50mm x 19mm x 5mm9950 Design RZ Malar Sizer Set (Silicone, Non-Sterile)

C

B

A

DC

B

A

The extended malar design provides malaraugmentation from the nasal area to thezygomatic arch. The shape can be trimmed andcontoured with a scalpel to suit the individualneeds of the patient.

Sizer Set Available.

A

BB

C

MEDPOR Extended Malar Shapes

CAT# DESCRIPTION A B C

9513 Small Ext Contoured - Left 45mm x 24mm x 3mm9514 Small Ext Contoured - Right 45mm x 24mm x 3mm9515 Medium Ext Contoured - Left 50mm x 26mm x 4mm9516 Medium Ext Contoured - Right 50mm x 26mm x 4mm9517 Large Ext Contoured - Left 55mm x 27mm x 5mm9518 Large Ext Contoured - Right 55mm x 27mm x 5mm9952 Ext Contoured Malar Sizer Set (Silicone, Non-Sterile)

C

B

A

EXTENDED MALAR SHAPES

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NASAL ARCH SHAPES

Designed with:Robert D. Wallace, M.D.

The Nasal Arch can be effectively used to createa natural aesthetic nasal onlay where subtleaugmentation of the dorsum is required orcamouflaging of a warped or crooked bone graftis desired. Care should be taken to place the Archappropriately in the dorsum area and to avoidextending the Arch proximally into the soft nasalcartilage area of the tip. The edge of the NasalArch should be feathered for a smooth transitionfrom the implant to the patient’s natural contour.Each Arch is packaged sterile and soldindividually with a sterile silicone template.

A

C

B

9533 9534 9535

A

B

C

MEDPOR Nasal Arch ShapesCAT# DESCRIPTION A B C

9533 Nasal Arch - Small 70mm x 13mm x 2mm9534 Nasal Arch - Medium 70mm x 15mm x 2mm9535 Nasal Arch - Large 70mm x 17mm x 2mm

NASAL DORSAL SHELL - THIN NASAL SHELL SHAPES

Designed with:Paul J. O’Keeffe, M.B., B.S. (SYD), F.R.C.S.,F.R.A.C.S.

The new MEDPOR Nasal Dorsal Shell is designedthinner and more flexible than traditionalMEDPOR Nasal Shell shapes and provides anexcellent option for augmenting dorsal height orcorrecting saddle nose deformity. The upperlateral cartilage component of the Nasal DorsalShell is designed to support the nasal valves.

The width and height of the implant can beadjusted in-situ and maintained by suturing theimplant directly to upper lateral cartilages oneach side. If desired, cartilage grafts or crushedcartilage mixed with antibiotics may be used tofill any void under the Nasal Dorsal Shell. EachNasal Dorsal Shell is packaged sterile andsold with a sterile silicone template.

Designed with:Paul J. O’Keeffe, M.B., B.S. (SYD), F.R.C.S.,F.R.A.C.S.

The Nasal Shell, with two inserts, provides anexcellent reconstructive option for correctingsaddle nose deformity, overresected nasal hump,and the ethnic dorsum.

The Nasal Shell mimics the shape of the nasalbones and upper lateral cartilage. The twoNasal Shell inserts included can be placedinferior to the implant in dorsal areas whereadditional augmentation is required. EachShell is packaged sterile and sold withtwo inserts and a sterile silicone template.

MEDPOR Nasal Shell ShapesCAT# DESCRIPTION A B C

9553 Nasal Shell - Regular 38mm x 21mm x 17mmInsert - Small (incl.) 30mm x 4mm x 9mmInsert - Large (incl.) 38mm x 2.5mm x 9mm

9554 Nasal Shell - Large 40mm x 20mm x 18mmInsert - Small (incl.) 32mm x 4mm x 9mmInsert - Large (incl.) 41mm x 3mm x 9mm

MEDPOR Nasal Dorsal Shell - ThinCAT# DESCRIPTION A B C

84006 Nasal Dorsal Shell - Thin 42.7mm x 16.4mm x 21.8mm

Large InsertsSmall Inserts

A

C

B

A

11.2

CC

B

AA

C

B

A

A

B

C

B

2007-2008 Facial Brochure

11Illustrations are not actual size. Please consult dimensional descriptions.

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NASAL TIP-TOP™

Designed with:Paul J. O’Keeffe, M.B., B.S. (SYD), F.R.C.S.,F.R.A.C.S.

The MEDPOR Nasal Tip-Top Implant is designedfor patients who suffer from a flat or droopynasal tip due to a congenital defect, trauma,or multiple rhinoplasties. The Nasal Tip-TopImplant allows the surgeon to provide long-lasting results when native cartilage is missingor not available. The MEDPOR Nasal Tip-Topis designed to provide strength and flexibility,while supporting and reshaping the nasaltip cartilages.

The flat, wing-shaped, 0.5mm thick implantfeatures three strategically placed crimps forease of shaping to create tip-defining points.After initial shaping, the implant is placed overthe tip cartilages to support or redefine thenasal tip. The degree of the angle of the foldsdetermines whether the resulting tip is broador more defined.

MEDPOR Nasal Tip-TopCAT# DESCRIPTION A B C

84010 Nasal Tip-Top 37mm x 22mm x 0.5mm

CB

A

Designed with:Randal Tanh Hoang Pham, M.D., M.S., F.A.C.S.

The MEDPOR Petite Nasal Dorsum Implant isdesigned to provide subtle augmentation tothe dorsum. The tapered profile of the implantprovides a more aesthetically pleasing nose forAsian or ethnic rhinoplasty patients by addingheight to the dorsum.

Sizer Set Available.

PETITE NASAL DORSUM

BCA C

B

MEDPOR Petite Nasal DorsumCAT# DESCRIPTION A B C

84000 Petite Nasal Dorsum 4mm x 4mm x 45mm84001 Petite Nasal Dorsum 4mm x 4mm x 55mm84002 Petite Nasal Dorsum 5mm x 5mm x 45mm84003 Petite Nasal Dorsum 5mm x 5mm x 55mm84004 Petite Nasal Dorsum 9mm x 6mm x 55mm85000 Petite Nasal Dorsum Sizer Set (Silicone, Non-Sterile)

MEDPOR Nasal Dorsum Shapes rest on topof the dorsum of the nose, providing a moreaesthetically pleasing nose for thick-skinnedor ethnic rhinoplasty patients. These implantscan be trimmed as needed to fit theindividual patient.

NASAL DORSUM SHAPES

MEDPOR Nasal Dorsum ShapesCAT# DESCRIPTION A B C

84012 Nasal Onlay 41mm x 3mm x 9mm7516 Design A - Small 53mm x 5mm7517 Design A - Large 66mm x 8mm7518 Design B 67mm x 6.5mm

A

BB

A

7516 7517 7518

Design A Design B

Nasal Onlay

C

A

AB

MEDPOR®Biomaterial

12 Illustrations are not actual size. Please consult dimensional descriptions.

A

Page 13: Facial Contours

Designed with:Thomas Romo III, M.D., F.A.C.S.

The External Nasal Valve Battens - elongated,concave ovals - replace resected residual lowerlateral cartilage to provide support for the externalnasal valve. The implants are placed justanterior to the pyriform aperture throughan external rhinoplasty approach, with marginalincisions along the columella and rim incisionsalong the alae. The rim incisions provide adequatetissue coverage to prevent exposure of theinferior edge. External Nasal Valve Battens arepackaged sterile, two implants per package.

EXTERNAL NASAL VALVE BATTENS

MEDPOR External Nasal Valve BattensCAT# DESCRIPTION A B C

7546 Ext. Nasal Valve Batten 25mm x 11mm x 0.85mm7167 Ext. Nasal Valve Batten - Thin 24mm x 11.5mm x 0.6mm

B

A

CC

B

A

Designed with:Wallace K. Dyer, II, M.D., F.A.C.S.

The new MEDPOR Nasal DARTT Implant isdesigned to correct an undesirable angle betweenthe upper lip and the columella using the DynamicAdjustable-Rotation Tip-Tensioning Technique.

The DARTT Implant is made of three parallelMEDPOR struts, stacked together and joinedat one end by a polyethylene pin (or rivet) thatallows the struts to rotate with respect to oneanother. The two outside struts are designed tobe used as spreader grafts that extends into thenasal tip. The center strut of the MEDPOR DARTTImplant is designed to be used as columellar strutand should be trimmed appropriately to meet theindividual patient’s needs.

NASAL DARTT™ IMPLANT

Nasal DARTT ImplantCAT# DESCRIPTION A B C

84008 Nasal DARTT Implant 40mm x 4mm x 1.4mm

NASAL SHEET (STRUT)

Designed with:Robert D. Wallace, M.D.

When nasal tip projection is needed, the NasalSheet can be used to support the tip by placingthe Nasal Sheet between the medial crura ofthe alar cartilage, using it as a framework tosupport tip elevation. Care should be taken notto extend the height of the Nasal Sheet abovethe alar cartilage into the tip area.

MEDPOR Nasal SheetCAT# DESCRIPTION A B C

9536 Nasal Sheet 40mm x 9mm x 1.1mm

6

B

A

C

B

A

A

B

C

2007-2008 Facial Brochure

13Illustrations are not actual size. Please consult dimensional descriptions.

Designed with:William Silver, M.D., F.A.C.S.

The Lateral Nasal Valve Batten, a small, dome-shaped sheet measuring approximately 0.85mm inthickness and 13mm in diameter, is placed convexside out at the junction of the posterior region ofthe alar cartilage and upper lateral cartilage.A resorbable mattress suture is placed throughthe implant and the vestibular skin to pull thenasal vestibular mucosa to the underside of thedome. Lateral Nasal Valve Battens are packagedsterile, two implants per package.

LATERAL NASAL VALVE BATTEN

A

BCCB

A

MEDPOR Lateral Nasal Valve BattenCAT# DESCRIPTION A B C

7545 Lateral Nasal Valve 13mm x 3.5mm x 0.85mm

Page 14: Facial Contours

NOSTRIL RETAINERS

The Porex Surgical Nostril Retainers providesurgeons with an improved anatomical design.

Nostril Retainers aid in preventing nostril shapedistortion following surgery. The arch design ofthe Porex Surgical Nostril Retainers offers amore comfortable fit around the columella.The side tabs are stamped with sizinginformation for accurate identification. The tabsare extended in length to aid in securing theretainer in place.

Individually packaged sterile units are availablein 13 sizes.

B

A

6 C

MEDPOR Nostril Retainers and Sizing KitCAT# DESCRIPTION A B C

7236 Nostril Sizing Kit - Non-Sterile7238 1 18mm x 23mm x 7mm7239 2 19mm x 24mm x 8mm7240 3 20mm x 25mm x 9mm7241 4 21mm x 26mm x 9mm7242 5 22mm x 27mm x 10mm7243 6 23mm x 28mm x 11mm7244 7 24mm x 29mm x 11mm7245 8 25mm x 30mm x 13mm7246 9 26mm x 31mm x 14mm7247 10 27mm x 32mm x 15mm7248 11 28mm x 33mm x 16mm7249 12 29mm x 34mm x 17mm7250 13 30mm x 35mm x 18mm

Designed with:Gary Friedman, M.D.

The MEDPOR Nasal Radix Implant offers the idealshape to correct a low nasal radix. Because of lowradix disproportion, augmentation of the root ofthe nose is sometimes necessary to obtain abalanced profile when performing a rhinoplasty.Achieving a natural contour in this nasal areausing autogenous cartilage grafts is often difficultand time consuming.

Designed using the human skull as a template, theMEDPOR Nasal Radix Implant provides a good fitinto the complex bony contour of the nasal radixto help minimize implant instability or rocking.The implant can be trimmed at the time of surgeryto fit the needs of the individual patient.

Designed with:Michael J. Yaremchuk, M.D.

MEDPOR Paranasal Implants for augmentationof the midface can improve facial balance inpatients who have relative midface deficiency.Paranasal Implants are crescent shaped,designed for left and right, and are availablein two sizes. Clinical experience have shown thataugmentation of the lower maxilla with MEDPORBiomaterial implants provide the same visualeffect as that obtained with skeletalrearrangements or augmentation withautogenous materials.

NASAL RADIXPARANASAL SHAPES

C

AA

R L

MEDPOR Paranasal ShapesCAT# DESCRIPTION A B C

9519 Petite Paranasal - Left 27mm x 25mm x 4.5mm9520 Petite Paranasal - Right 27mm x 25mm x 4.5mm9525 Large Paranasal - Left 30mm x 28mm x 7mm9526 Large Paranasal - Right 30mm x 28mm x 7mm

MEDPOR Nasal RadixCAT# DESCRIPTION A B C

84014 Nasal Radix 24mm x 3mm x 10mm

C

B AC

A

L

A

RBB

MEDPOR®Biomaterial

14 Illustrations are not actual size. Please consult dimensional descriptions.

Page 15: Facial Contours

Designed withMichael J. Yaremchuk, M.D.

The Contoured Two-Piece Chin Implant isdesigned with a gradual taper and concaveposterior surface to provide an excellentanatomical fit to the bony anatomy. Availablein four sizes, the Contoured Two-Piece Chinprovides anterior projection at the mentumand subtle augmentation as it extendslaterally along the ramus.

Sizer Set Available.

CONTOURED TWO-PIECE CHIN IMPLANTS

CONTOURED TWO-PIECECHIN IMPLANTS

Round S

3mm Small5mm Medium7mm Large

RZ EXTENDED CHIN IMPLANTS

Square

CB

A

B

B

A

C

B

A

C

C

B

AContoured Two-Piece Chin ImplantsCAT# DESCRIPTION A B C

86000 Contoured Two-Piece Chin 72mm x 42mm x 3mm86001 Contoured Two-Piece Chin 74mm x 42mm x 5mm86002 Contoured Two-Piece Chin 78mm x 50mm x 7mm86003 Contoured Two-Piece Chin 80mm x 55mm x 9mm85001 Chin Sizer Set for Contoured Two-Piece (Silicone, Non-Sterile)

2007-2008 Facial Brochure

15Illustrations are not actual size. Please consult dimensional descriptions.

RZ EXTENDED CHIN IMPLANTS

Designed with:Oscar M. Ramirez, M.D.

The RZ Extended Chin Implants are availablein designs with square or round anteriorprojections. Three sizes are provided in eachdesign with anterior projections of 3mm (small),5mm (medium), and 7mm (large). The ExtendedChins contain a notch for mental nerve passageand provide tri-dimensional projection (anterior,lateral and inferior).

The two-piece design is joined at the midline bya separate tab that allows individual placementof the left and right portions. The alignment tabis designed long to allow wide placement of thetwo implant halves. The tab can be trimmed tobring the two halves together or the overallimplant width may be reduced by trimmingeach portion at the midline.

Sizer Set Available.

MEDPOR RZ Extended Chin ImplantsCAT# DESCRIPTION A B C

8313 RZ Ext Round Chin - Small 45mm x 47mm x 3mm8314 RZ Ext Round Chin - Med 45mm x 47mm x 5mm8315 RZ Ext Round Chin - Large 45mm x 47mm x 7mm8316 RZ Ext Square Chin - Small 45mm x 47mm x 3mm8317 RZ Ext Square Chin - Med 45mm x 47mm x 5mm8318 RZ Ext Square Chin - Large 45mm x 47mm x 7mm9954 Chin Sizer Set for Extended Designs (Silicone, Non-Sterile)

Page 16: Facial Contours

MEDPOR®Biomaterial

16 Illustrations are not actual size. Please consult dimensional descriptions.

GENIOMANDIBULARGROOVE IMPLANTSBUTTON CHIN

Designed with:Oscar M. Ramirez, M.D.

The Geniomandibular Groove Implant hasbeen designed specifically to augment thegeniomandibular groove for patients that do notrequire chin augmentation. The GeniomandibularGroove Implant is divided medially for separateinsertion of the left and right components, witha projection of 4mm at the level of theprejowl depression.

Designed with:Oscar M. Ramirez, M.D.

The MEDPOR Button Chin Implant, designed in athree dimensional configuration, is an excellentoption for patients who suffer from a blunt orflat appearance of the chin.

Mimicking the shape of a normal size bonychin tip, the Button Chin provides subtleaugmentation to the medial anterior pointof the chin. They are designed to providesupport for the passive or dynamic hanging softtissues symptomatic of chin ptosis. Surgeonsmay choose from three sizes - small, medium,and large configurations.

MEDPOR Geniomandibular Groove ImplantsCAT# DESCRIPTION A B C

8319 Geniomandibular Groove 45mm x 41mm x 4mm

MEDPOR Button ChinCAT# DESCRIPTION A B C

86010 Button Chin - Small 40mm x 25mm x 4mm86011 Button Chin - Medium 47.5mm x 21.5mm x 5.5mm86012 Button Chin - Large 48.5mm x 21.5mm x 7mm

B

C

B

A

C

B

A

A

B

C

Medium - Large

Small

NEW

The two-sectional components of this anatomicalMEDPOR Chin design allow for easy insertionand placement of the implant. The surgeon canthen link the components together for properalignment.

The Two-Piece Chin design provides for bothanterior and inferior projection. In addition,the tapered wings provide augmentation toaddress unwanted jowl lines. For most cosmeticprocedures, the small or medium size will beadequate for soft tissue augmentation. Thelarge projection may be useful in cases ofsignificant skeletal deficiencies.

Sizer Set Available.

TWO-PIECE CHIN IMPLANTS

PC

B

A

MEDPOR Two-Piece Chin ImplantsCAT# DESCRIPTION A B C

8320 Small Projection 56mm x 33mm x 5mm8321 Medium Projection 56mm x 36mm x 7mm8322 Large Projection 57mm x 38mm x 9mm9953 Chin Sizer Set for Two-Piece Design (Silicone, Non-Sterile)

Page 17: Facial Contours

Designed with:Oscar M. Ramirez, M.D.

The RZ Mandibular Angle Implants are wrap-around designs that conform to the posterior andinferior borders of the mandible angle. Theseimplants are provided in left and right versionsin three sizes: 3mm (small), 7mm (medium) and11mm (large) lateral projections at the level ofthe new angle.

Sizer Set Available.

RZ MANDIBULAR ANGLE IMPLANTS

MEDPOR RZ Mandibular Angle ImplantsCAT# DESCRIPTION A B C

9955 Mandibular Angle RZ Left - Small 65mm x 35mm x 3mm

9956 Mandibular Angle RZ Right - Small 65mm x 35mm x 3mm

9957 Mandibular Angle RZ Left - Med 65mm x 35mm x 7mm

9958 Mandibular Angle RZ Right - Med 65mm x 35mm x 7mm

9959 Mandibular Angle RZ Left - Large 65mm x 35mm x 11mm

9960 Mandibular Angle RZ Right - Large 65mm x 35mm x 11mm

9966 RZ Mandibular Sizer Set (Silicone, Non-Sterile)

2007-2008 Facial Brochure

17Illustrations are not actual size. Please consult dimensional descriptions.

11mmLarge

Lateral Projection

7mmMedium

3mmSmall

RZ MANDIBULARANGLE IMPLANTS

=

Cross sectionat angle

LP

I

ANGLE OF THE MANDIBLEIMPLANTS

IP

C

B

A

C

DLP

IP

A

B

Designed with:Bruce Epker, D.D.S., Ph.D.

The ES Angle of the Mandible series providesa modest inferior ridge and lateral profile foraugmentation and correction of deficientmandibular angles.

With minor trimming and modifications at thetime of surgery, these shapes accommodate thespectra of conditions, including deficient anglesresulting from trauma, unfavorable rotationfollowing sagittal split procedures, andsyndromes such as hemifacial microsomia.

For congenital cases, such as hemifacialmicrosomia, a reconstructive set of angles withlarger dimensions is available. The lateralprojection as well as the inferior ridge hasgreater bulk than the ES series.

ANGLE OF THE MANDIBLE IMPLANTS

MEDPOR Angle Of The Mandible ImplantsCAT# DESCRIPTION A B C D IP LP

7537 Ramus w/Infer. Ridge E-5 - Left 79 x 32 x 5 x 10 x 5 x 7

7538 Ramus w/Infer. Ridge E-5 - Right 79 x 32 x 5 x 10 x 5 x 7

7539 Ramus w/Infer. Ridge E-10 - Left 79 x 32 x 10 x 10 x 10 x 7

7540 Ramus w/Infer. Ridge E-10 - Right 79 x 32 x 10 x 10 x 10 x 7

7541 Ramus w/Infer. Ridge ES-5 - Left 79 x 32 x 5 x 4 x 5 x 5

7542 Ramus w/Infer. Ridge ES-5 - Right 79 x 32 x 5 x 4 x 5 x 5

7543 Ramus w/Infer. Ridge ES-10 - Left 79 x 32 x 10 x 4 x 10 x 5

7544 Ramus w/Infer. Ridge ES-10 - Right 79 x 32 x 10 x 4 x 10 x 5

Page 18: Facial Contours

S-EarCAT# DESCRIPTION

84129 S-Ear - Left Small (59mm) Available Soon84130 S-Ear - Right Small (59mm) Available Soon84131 S-Ear - Left Medium (62mm) Available Soon84132 S-Ear - Right Medium (62mm) Available Soon84133 S-Ear - Left Large (65mm) Available Soon84134 S-Ear - Right Large (65mm) Available Soon

Designed withProfessor Dr. Ralf Seigert.

The new S-Ear Implant is designed to providedefinition and detail of a natural shaped ear in asingle piece design. The S-Ear is intended tofacilitate reconstruction secondary to trauma orfor the Microtic ear.

Available in three sizes and in left and rightconfigurations.

S-EAR IMPLANTS

MEDPOR®Biomaterial

18 Illustrations are not actual size. Please consult dimensional descriptions.

B

A

C

The Lateral Augmentation Onlay MandibleAngle provides augmentation to the lateralprofile at the posterior body of the angle.Designed for the patients who want to increasetheir lower facial (bigonial) width without overlyincreasing the ramus height, the LateralAugmentation Onlay Mandible provides 6.5mm’sof thickness at the angle of the mandible. Asmall inferior ridge along the ramus allows theimplant to conform to the mandibular border.Available in one size with left and rightconfigurations, the implant can be shapedto fit the individual patients needs.

LATERAL AUGMENTATIONONLAY SHAPE

MEDPOR Lateral Augmentation Onlay ShapeCAT# DESCRIPTION A B C D E F

7535 Mandible Angle – Left 47 x 37 x 3 x 6.5 x 3 x 3

7536 Mandible Angle – Right 47 x 37 x 3 x 6.5 x 3 x 3

Right

B

AC

Left

AC

B

Cross-Sectionat Angle

D

E

F

Designed with:Stephen Schendel, M.D.

The MEDPOR Contoured Mandibular Angle isanatomically shaped for augmentation of themandibular ramus and body to the mentalforamin. The anatomical shape of this implantminimizes the need for reshaping as well asdead space under the implant.

CONTOURED MANDIBULARANGLE IMPLANTS

MEDPOR Contoured Mandibular Angle ImplantsCAT# DESCRIPTION A B C D

88037 Cont’d Mand. Angle - Left 59mm x 29mm x 7mm x 11mm

88038 Cont’d Mand. Angle - Right 59mm x 29mm x 7mm x 11mm

B

C

A

D

Page 19: Facial Contours

2007-2008 Facial Brochure

19Illustrations are not actual size. Please consult dimensional descriptions.

EAR IMPLANTS

Designed with:Tadeusz Wellisz, M.D.

MEDPOR Ear Implants two-piece designsallow for tailoring the height and projection ofthe helix to match the contralateral ear. Theporous framework provides a supportive base fora temporal parietal fascia flap and skin grafts.The success of these implants is techniquedependent, and the framework requires avascular tissue flap, such as a temporalparietal fascia flap and skin graft, toprevent late exposure of the framework.

MEDPOR Ear Implants are suitable for primaryor secondary repair in both congenital andtraumatic indications.

Implants are provided STERILE, packagedindividually in double peel pouches. For a totalreconstruction, both the helical rim and basecomponents should be ordered.

MEDPOR External Ear ImplantsCAT# DESCRIPTION A B

8328 Helical Rim - Right 37mm x 62mm8329 Helical Rim - Left 37mm x 62mm8330 Ear Base Extended - Right 30mm x 60mm8331 Ear Base Extended - Left 30mm x 60mm

MEDPOR® Ear Implants providethe surgeon with an attractivealternative from the tedious andunpredictable results of cartilagegrafts traditionally used in earreconstruction.

1) Place helical rim innotch of ear base

2) Suture rim into position

5) Size rim todesired height

6) Trim excess rim

7) Suture rim toboth crua and base

B

A

B

A

R L

A

B

A

B

R L

R

4) Place rim lateralto both crua

3) If cartilageremnant can beused for lobule,trim lobule andtragus from base

LRB

B B

LR

B

A

A A

A

1)

2)

3)

Page 20: Facial Contours

© 2007 Porex Surgical, Inc. MEDPOR is a registered trademark and OZ, TITAN, MTM, MTB, BTB, DARTT, BARRIER, IMORI andTip-Top are trademarks of Porex Surgical, Inc. The POREX SURGICAL service mark is owned by or used under the license andauthority of Porex Corporation.

MEDPOR Implants

Surgeons should utilize propersurgical techniques and their

clinical experience to determineappropriate surgical procedures.

Successful implantations aretechnique-sensitive. Sound

surgical judgment should beused in the selection, shaping,handling and implantation of all

MEDPOR Shapes.

Please contact Porex Surgical,Inc. for a complete list of

MEDPOR Shapes for aestheticand reconstructive surgery.

Refer to the MEDPOR ClinicalReferences section on the

Porex Surgical web site,www.porexsurgical.com,

for references.

REFERENCES

•Bikhazi, H.B., Van Antwerp, R. “The Use Of MEDPOR In Cosmetic And Reconstructive Surgery: Experimental And Clinical Evidence”,Plastic and Reconstructive Surgery of the Head and Neck, S. Stucker, Editor, C. V. Mosby: St. Louis. pp 271-273 (1990)

•Wellisz, T. “Clinical Experience With The MEDPOR‚ Porous Polyethylene Implant”, Aesthetic Plastic Surgery, 17:339-344 (December 1993)•Wellisz, T. “A Guide To External Ear Reconstruction For Microtia Using The MEDPOR® Porous Polyethylene Framework”, presented at the32nd Brazilian Congress of Plastic Surgery, Brazilia, Brazil (November 15, 1995)

•Wellisz, T. “Reconstruction Of The Burned Ear”, Plastic Surgical Techniques, 1:1 35-45 (1995)•Wellisz, T. “The Reconstruction Of The Burned External Ear Using A MEDPOR‚ Porous Polyethylene 'Pivoting Helix' Framework”, Plasticand Reconstructive Surgery, 91: 811-818 (April 1993)

• Shanbhag, A., et al. “Evaluation Of Porous Polyethylene For External Ear Reconstruction”, Annals of Plastic Surgery, 24 (1): pp 32-39 (1990)• Rubin, P.A.D., Bilyk, J.R., Shore, J.W. “Orbital Reconstruction Using Porous Polyethylene Sheets”, Ophthalmology, 101:1697-1708 (1994)• Bilyk, J.R.,. Rubin, P.A ., Shore, J.W. “Correction Of Enophthalmos With Porous Polyethylene Implants”, International OphthalmologyClinics, 32(3): pp 151-156 (1992)

• Goldberg, R.A. “Orbital And Anexal Trauma”, Current Opinion in Ophthalmology. 3:686-694 (1992)• Golshani, S., Yiahou, Z., Gade, P. “Applications Of MEDPOR‚ Porous Polyethylene In Facial Bone Augmentation, The American Journal ofCosmetic Surgery, Vol II, No. 2 (1994)

• Epker, B. N. “Esthetic Maxillofacial Surgery”, Chapter 4: 141-157; Chapter 2: 79-94 (Lea & Febiger, 1994)• Romano, J.J., Iliff, N.T., Manson, P.N. “The Use Of MEDPOR‚ Porous Polyethylene Implants In 140 Patients With Facial Fractures”,Journal of Craniofacial Surgery (July 1993)

• Yaremchuk, M.J., Israeli, D. “Paranasal Implants For Correction Of Midface Concavity”, Plastic and Reconstructive Surgery, Vol. 102,No. 5 / Paranasal Implants (October 1998)

• Romo III, T., Sclafani, A.P., Jacono, A.A. “Nasal Reconstruction Using Porous Polyethylene Implants”, Facial Plastic Surgery, Volume 16,Number 1, pp 55-61 (2000)

• Yaremchuk, M.J. “Infraorbital Rim Augmentation”, Plastic and Reconstructive Surgery, Vol. 107, No. 6, pp 1585 - 1592 (May 2001)• Yaremchuk MJ, "Improving Aesthetic Outcomes after Alloplastic Chin Augmentation" Plastic & Reconstructive Surgery, Volume 112,Number 5 (October 2003)

• Yaremchuk, M. J., "Facial Skeletal Reconstruction Using Porous Polyethylene Implants," Plastic Reconstruction Surgery, 111: 1818, 2003• Rubin, P.J., Yaremchuk, M.J. "Morbidity And Facial Implants", The Art of Alloplastic Facial Contouring, Authors, Terino and Flowers,Published by Mosby, Chapter 19, pp 273-286 (2000)

• Goldberg RA, Soroudi AE, McCann JD, “Treatment of Prominent Eyes with Orbital Rim Onlay Implants – Four Year Experience” OphthalmicPlastic and Reconstructive Surgery, Volume 19, Number. 1, (January, 2003)

• Berghaus A, Reinisch FF, “Ear Reconstruction Using Porous Polyethylene Frames” American Academy of Otolaryngology – Head & NeckSurgery Foundation Annual Meeting, Course Number: 4527-1 (September 24, 2003)

• Liu JK, Gottfried ON, Cole CD, Dougherty, WR, Couldwell WT, “MEDPOR® Porous Polyethylene Implant for Cranioplasty and Skull BaseReconstruction” Neurosurgery [Online Serial], Directory http://www.neurosurgery.org/abstractcenter (April 2004)

• Burkat, C., Palmero, N., Trier, T., Rose, J., “Orbital Reconstruction After Sphenoid Wing Meningioma Resection Using the MEDPOROrbitozygomatic Implant” ASOPRS 36th Annual Fall Scientific Symposium Syllabus, pp49, October 14-15, 2005

• Baran, CN; Tiftikcioglu, YO; Baran NK; “The Use of Alloplastic Materials in Secondary Rhinoplasties: 32 Years of Clinical Experience”Plastic and Reconstructive Surgery, Vol. 116No. 5 pp 1502-1516(November 2005)

• Gürek, A., Celik, M., Fariz, A., et al, “The Use of High-Density Porous Polyethylene as a Custom-Made Nasal Spreader Graft” Archives ofFacial Plastic Surgery, Vol. 8 No. 4 pp233-238 (July/Aug 2006)

• Berghaus, Alexander; Stelter, Klaus “Alloplastic Materials in Rhinoplasty” Current Opinion in Otolaryngology Head & Neck Surgery14:270 – 277, August 2006

• Yoon, J. Park, H., Kook, K., Lee, S., “Repair of Large Posterior Inferior Wall Fracture Using Porous Polyethylene Channel Implant”ASOPRS 37th Annual Fall Scientific Symposium Syllabus, pp193, November 15-16, 2006

• Romo, T.J., Presti, P.M., Yalamanchili, H.R.; “MEDPOR Alternative for Microtia Repair” Facial Plastics Surgery Clinics of North AmericaVol. 14, No. 2 pp129-136 (2006)

• Eski, M., Sahin, I., Deveci, M., et al “A Retrospective Analysis of 101 Zygomatico-Orbital Fractures” Journal of Craniofacial Surgery,pp 1059-1064 Vol.17 No.6 (Nov 2006)

• Holck, D., Foster, J., Ng, J., and Dahl, T., “Custom Shaped Porous Polyethylene-Titanium Mesh Orbital Implants for Internal OrbitalFloor/Medial Wall Fracture Repair” ASOPRS 37th Annual Fall Scientific Symposium Syllabus, pp190, November 15-16, 2006

SPG-540-032307-07

1-800-521-7321 • www.porexsurgical.com

Please contact Porex Surgical, Inc. for a completelist of aesthetic and reconstructive MEDPOR Shapes.E-mail: [email protected]

Porex Surgical, Inc.15 Dart Road, Newnan, GA 30265-1017 USA1-678-479-1610 • FAX 1-678-423-1435

Porex Surgical GmbHLindwurmstr 101, 80337 München Germany+49 (0)89 232415-0 • FAX +49 (0)89-23241515www.porexsurgical.de

MEDPOR®Biomaterial2007-2008 Facial Update