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Alloplasty

Alloplasty is a surgical procedure involving the implantation of inert, non-living material into the body. This material, referred to as an alloplast, is used to replace or augment tissues or structures that are damaged, diseased, or congenitally absent. The primary aim of alloplasty is to restore function or improve aesthetics.

Alloplastic materials are selected for their biocompatibility, durability, and ability to integrate with surrounding tissues. Common alloplasts include metals (e.g., titanium, stainless steel), ceramics, polymers (e.g., silicone, polyethylene), and composite materials.

Alloplasty is used in a wide range of medical specialties, including:

  • Orthopedic surgery: Joint replacements (e.g., hip, knee), bone grafts.
  • Plastic surgery: Breast augmentation, facial reconstruction, rhinoplasty.
  • Otolaryngology (ENT): Cochlear implants, reconstruction of the middle ear.
  • Neurosurgery: Cranioplasty (repair of skull defects).
  • Cardiovascular surgery: Artificial heart valves.
  • Dentistry: Dental implants.

Compared to autografts (using the patient's own tissue) and allografts (using tissue from another human donor), alloplasty offers the advantage of avoiding donor site morbidity (in the case of autografts) and the risk of disease transmission and immune rejection (in the case of allografts). However, potential complications of alloplasty include infection, implant failure, and adverse tissue reactions. The specific risks and benefits of alloplasty vary depending on the specific procedure and the type of alloplast used.