Medpor Microplasty For Surgical Treatment of Different Types of Atrophic Rhinitis

Abstract

Background: Medpor microplasty is a surgical technique that involves the use of Medpor, a porous polyethylene implant, for craniofacial reconstruction and rhinoplasty surgery. This work aimed for evaluation of the usefulness of using Medpor implants for inferior turbinate reconstruction among patients with atrophic rhinitis. Patients and methods: We performed this prospective nonrandomized clinical trial on 12 patients with Atrophic Rhinitis resistant to medical treatment in Otorhinolaryngology Department, Zagazig University managed surgically by Medpor Implantation. Endoscopic Examination, Computerized tomography (CT) scan of the PNS (both coronal and axial), Mucociliary clearance test, SNOT-25Q and ENS6Q questionnaires were done for all patients pre operative and (3,6 and 12 months) post operative. Results: We found that 100% of patients had failure of perception before surgery while after surgery only 33.3% had failure of perception while 66.7% had success of perception with significant difference. The mean of mucociliary transient time was significantly lower in post-surgery than pre surgery(p=0.001). The median SNOT-25 pre-surgery was 25 and ranged from 18 to 40 while the median SNOT-25 post-surgery was 10 and ranged from 5 to 40 with statistically significant improvement (p=0.001). The median ENS6Q pre-surgery was 13 and ranged from 7 to 17 while the median ENS6Q post-surgery was 7 and ranged from 3 to 14 with statistically significant improvement (p=0.001). Conclusion: A novel and potentially effective method for treating atrophic rhinitis is use of Medpor for inferior turbinate reconstruction. Endonasal microplasty with Medpor implants overcomes the limitations of synthetic materials or cartilage by effectively relieving patients' symptoms.