Abstract
Alloplastic malar onlays have been used by surgeons to correct or enhance the midfacial
skeleton for over 40 years. Case series have shown respectable results using different
alloplastic materials in various maxillofacial subsites. However, these articles include
small numbers of patients with limited follow up. We present a literature review specifically
concentrating on porous polyethylene (Medpor, Stryker) and polyethyl ether ketone
(PEEK) malar onlays. We illustrate the technique used by a single oral and maxillofacial
surgeon for placement of 119 implants in 61 patients over a 14-year period, and show
the results of this work with long-term follow up. A complication rate of 2.5% in
this cohort was reported, with follow up of three years, demonstrating that this technique
for midfacial correction is successful in both the short and the long term.
Keywords
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Article info
Publication history
Published online: June 22, 2020
Accepted:
June 3,
2020
Identification
Copyright
© 2020 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.
