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Surgical Technique
Jan/Feb 2009

Use of Customized Polyetheretherketone (PEEK) Implants in the Reconstruction of Complex Maxillofacial Defects

Author Affiliations
Author Affiliations: Department of Otolaryngology–Head and Neck Surgery (Drs Kim, Boahene, and Byrne) and Division of Facial Plastic and Reconstructive Surgery (Drs Boahene and Byrne), The Johns Hopkins University School of Medicine, Baltimore, Maryland.
Arch Facial Plast Surg. 2009;11(1):53-57. doi:10.1001/archfaci.11.1.53

Extensive maxillofacial defects resulting from trauma or oncologic resection present reconstructive challenges. Various autografts and alloplastic materials in conjunction with standard soft-tissue techniques have been used in the reconstruction of these types of defects. Polyetheretherketone (PEEK) is a semicrystalline polyaromatic linear polymer exhibiting an excellent combination of strength, stiffness, durability, and environmental resistance. Recent investigations of PEEK as a biomaterial resulted in the successful treatment of cervical disk disease. We describe a series of 4 patients whose defects were reconstructed using customized PEEK implants. All had excellent postoperative aesthetic and functional results without complications such as infections or extrusions. Because PEEK implants are customizable, easily workable, inert, and nonporous, they represent an ideal alloplastic material for maxillofacial reconstruction.