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Related Experiment Videos

Resorbable fixation plates in head and neck surgery

E C Weisberger1, B L Eppley

  • 1Department of Otolaryngology-Head and Neck Surgery, Indiana University Medical Center, Indianapolis, U.S.A.

The Laryngoscope
|June 1, 1997
PubMed
Summary

Biodegradable polylactic and polyglycolic acid plates offer advantages in craniofacial reconstruction and trauma repair. This resorbable fixation system demonstrates excellent tissue tolerance and avoids inhibiting growth in pediatric patients.

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Area of Science:

  • Biomaterials science
  • Orthopedic surgery
  • Plastic surgery

Background:

  • Skeletal fixation systems are crucial in reconstructive surgery.
  • Traditional fixation materials may cause long-term complications.
  • Resorbable materials offer theoretical advantages for growth and tissue integration.

Purpose of the Study:

  • To evaluate the use of polylactic and polyglycolic acid plates in craniofacial and reconstructive surgery.
  • To assess the clinical outcomes and tissue response to biodegradable fixation.
  • To discuss the technical aspects of utilizing these resorbable plates.

Main Methods:

  • Application of polylactic and polyglycolic acid plates in various surgical procedures.
  • Utilized in craniofacial reconstructions, maxillofacial trauma, craniotomy flap repairs, and laryngotracheal reconstructions.

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  • Technical details of plate reshaping using heat and fixation methods are described.

    • Main Results:

    • Successful application in 105 craniofacial reconstructions, 45 maxillofacial trauma cases, 10 craniotomy flap repairs, and 5 laryngotracheal reconstructions.
    • Excellent tissue tolerance observed.
    • Theoretical advantages include no inhibition of structural growth in children due to plate resorption.

    Conclusions:

    • Biodegradable polylactic and polyglycolic acid plates are effective for craniofacial and reconstructive surgery.
    • The resorbable nature of the plates offers significant benefits, particularly in pediatric patients.
    • The system demonstrates excellent tissue compatibility and functional outcomes.