Porous high-density polyethylene (MEDPOR)

Retraction Note
Published: 30 December 2019
Retraction Note to: Management of the large septal perforations with the support of porous high-density polyethylene (MEDPOR)
Ilteris Murat Emsen

European Journal of Plastic Surgery (2019)Cite this article





Retraction Note to: Eur J Plast Surg (2007) 29:277–283


https://doi.org/10.1007/s00238-006-0103-9


The Editor-in-Chief has retracted this article [1] because significant parts of the text and Figs. 1 to 6 and 7a were duplicated from a previously published article by Romo et al.


[2]. Additionally, Figs. 7b to 7 h have been removed because the author did not obtain written consent to publish from the patients shown. The author agrees with this retraction.


[1] Emsen, I. Eur J Plast Surg (2007) Management of the large septal perforations with the support of porous high-density polyethylene (MEDPOR) 29: 277. https://doi.org/10.1007/s00238-006-0103-9


[2] Romo T, Sclafani A, Falk A, Toffel PA (1999) Graduated approach to the repair of nasal septal perforations. Plast Reconstr Surg 103: 66–75.

Author information

Affiliations
Department of Plastic, Reconstructive and Aesthetic Surgery, Numune State Hospital, Erzurum, Turkey
Ilteris Murat Emsen
Ataturk Universitesi Lohmanlari, Erzurum, Turkey
Ilteris Murat Emsen
Corresponding author

Correspondence to Ilteris Murat Emsen.

Additional information


The online version of the original article can be found at https://doi.org/10.1007/s00238-006-0103-9

















European Journal of Plastic Surgery

February 2007, Volume 29, Issue 6, pp 277–283| Cite as

Management of the large septal perforations with the support of porous high-density polyethylene (MEDPOR)

Authors
Authors and affiliations

Ilteris Murat Emsen




1.
2.
Original Paper
First Online: 17 January 2007

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Abstract

Septal perforation is an avoidable complication of septal surgery, but it can also occur because of a variety of traumatic, iatrogenic, caustic, or inflammatory reasons. Symptoms usually are related to the disruption of the normally laminar flow of air through the nasal passages. Crusting, bleeding, parosmia, and neuralgia can develop, leading the patient to seek medical care. When local hygiene and conservative care are unsuccessful in relieving symptoms, closure of the perforation is considered. Repair is often difficult because of the limited exposure and limited amounts of friable mucosa with impaired vascular supply. The failure of attempted closure of septal perforations can be as high as 80%. The authors have developed a graduated approach to the closure of septal perforations with porous high-density polyethylene (Medpor, Porex Surgical, Newnan, GA, USA) that tailors the surgical approach to the size and location of the defect. Perforations 0.5 to 2.0 cm in size were closed in 92.9% (13 of 14) of the patients using an extended external rhinoplasty approach and bilateral posteriorly based mucosal flaps. Larger perforations (2.0 to 4.5 cm) were closed in 81.8% (18 of 22) of the patients by a two-staged technique with porous high-density polyethylene (Medpor, Porex Surgical) again, using a mid-facial degloving approach to medially advance posteriorly based, expanded mucosal flaps. With careful preoperative management and selection of the appropriate surgical technique, even moderate-to-large perforations can be repaired reliably with limited operative morbidity.

KeywordsSeptal perforation Laminar flow Mucosal flap Rhinoplasty Porous high-density polyethylene Medpor


This article has been accepted and presented as a poster in the National Plastic, Reconstructive and Aesthetic Surgery Congress (head and neck surgery), Istanbul, Turkey.

A correction to this article is available online at https://doi.org/10.1007/s00238-019-01609-8.
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References

1.
Fairbanks DN, Fairbanks GR (1980) Nasal septal perforation: prevention and management. Ann Plast Surg 5:452PubMedCrossRefGoogle Scholar
2.
Fairbanks DN (1980) Closure of nasal septal perforations. Arch Otolaryngol 106:509PubMedGoogle Scholar
3.
Climo S (1956) Surgical closure of a large perforation of the nasal septum. Plast Reconstr Surg 17:410PubMedCrossRefGoogle Scholar
4.
Romo T III, Foster CA, Korovin GS, Sachs ME (1988) Repair of nasal septal perforation utilizing the midface degloving technique. Arch Otolaryngol Head Neck Surg 114:739PubMedGoogle Scholar
5.
Matton G (1990) Re: Ohlsen: closure of nasal septal perforation with a cutaneous flap and a perichondrocutaneous graft. Ann Plast Surg 24:98PubMedCrossRefGoogle Scholar
6.
Shulman J (1996) Clinical evaluation of an acellular dermal allograft for increasing the zone of attached gingiva. Pract Periodontics Aesthet Dent 8:201PubMedGoogle Scholar
7.
Goodman WS, Strelzow VV (1982) The surgical closure of nasal septal perforations. Laryngoscope 92:121PubMedGoogle Scholar
8.
Seda HJ (1977) Closure of nasal septal perforation with composite flaps. Laryngoscope 87:1942PubMedGoogle Scholar
9.
Hussain A, Kay N (1992) Tragal cartilage inferior turbinate mucoperiosteal sandwich graft technique for repair of nasal septal perforations. J Laryngol Otol 106:893PubMedGoogle Scholar
10.
Kridel RW, Foda H, Lunde KC (1998) Septal perforation repair with acellular human dermal allograft. Arch Otolaryngol Head Neck Surg 124:73–78PubMedGoogle Scholar
11.
Kridel RWH, Appling WD, Wright WK (1986) Septal perforation closure utilizing the external septorhinoplasty approach. Arch Otolaryngol Head Neck Surg 112:168PubMedGoogle Scholar
12.
Gollom J (1968) Perforation of the nasal septum: the reverse flap technique. Arch Otolaryngol 88:518PubMedGoogle Scholar
13.
Meyer R (1994) Nasal septal perforations must and can be closed. Aesthet Plast Surg 18:345CrossRefGoogle Scholar
14.
Wellisz T (1993) Clinical experience with the Medpor porous polyethylene implant. Aesthet Plast Surg 17:339–344CrossRefGoogle Scholar
15.
Romo T, Sclafani A, Falk A, Toffel PA (1999) Graduated approach to the repair of nasal septal perforations. Plast Reconstr Surg 103:66–75PubMedCrossRefGoogle Scholar