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Maximizing results in craniofacial surgery with bioresorbable fixation devices
Claire Sanger1, Alfredo Soto, Federico Mussa
1Wake Forest University Baptist Medical Center, Plastic and Reconstructive Surgery Department, Winston-Salem, North Carolina, USA.
The Journal of Craniofacial Surgery
|August 2, 2007
Summary
Resorbable plates in pediatric craniofacial surgery promote skull growth without inhibition. This study identifies strategies to minimize complications like plate visibility and skin breakdown, improving outcomes.
Area of Science:
- Craniofacial Surgery
- Pediatric Plastic Surgery
- Biomaterials
Background:
- Resorbable plating systems offer advantages over traditional titanium implants in pediatric craniofacial surgery by allowing for continued skull growth.
- Despite improvements, complications such as plate palpability, visibility, and skin breakdown can occur.
Purpose of the Study:
- To evaluate the risks and complications associated with resorbable fixation devices in pediatric craniofacial surgery.
- To establish guidelines for avoiding surgical pitfalls and minimizing morbidity related to resorbable materials.
Main Methods:
- Retrospective electronic chart review of pediatric patients undergoing craniofacial surgery.
- Analysis of 52 patients treated with resorbable materials (Craniosorb, Lactosorb, Biosorb PDX) for various craniosynostosis conditions.
Main Results:
- Eight out of 52 patients experienced complications related to resorbable materials.
- Seven patients resolved symptoms with conservative treatment; one resolved a skin infection after plate removal.
- The study focused on complications including plate visibility, palpability, skin breakdown, and infection.
Conclusions:
- Resorbable plating systems are effective in pediatric craniofacial surgery, allowing for necessary skull development.
- Technical guidelines can be established to minimize complications, enhancing long-term patient outcomes.
- Further evaluation is needed to refine surgical techniques and reduce the incidence of adverse events.
