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Surgical outcomes using bioabsorbable plating systems in pediatric craniofacial surgery

W Tharanon1, D P Sinn, P C Hobar

  • 1Division of Oral and Maxillofacial Surgery, University of Texas Southwestern Medical Center, Dallas 75325-9109, USA.

The Journal of Craniofacial Surgery
|October 22, 1998
PubMed
Summary

The 1.5-mm LactoSorb plating system effectively stabilized pediatric craniofacial bone during surgery and healing. This biocompatible system demonstrated satisfactory outcomes in pediatric patients undergoing complex craniofacial reconstructions.

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Area of Science:

  • Biomaterials Science
  • Pediatric Surgery
  • Craniofacial Surgery

Background:

  • Craniofacial surgery in pediatric patients often requires stable fixation of osteotomized bone segments.
  • Biodegradable plating systems offer potential advantages over traditional metallic implants in pediatric applications.

Purpose of the Study:

  • To evaluate the surgical outcomes and efficacy of the 1.5-mm LactoSorb plating system for stabilizing osteotomized calvarial bone in pediatric craniofacial surgery.

Main Methods:

  • Retrospective review of 33 pediatric patients (4 months to 12 years) who underwent craniofacial surgery using the LactoSorb system.
  • Data collected included diagnoses, surgical procedures, plate/screw usage, operative difficulty, and postoperative complications (wound healing, palpability, infection).
  • Follow-up assessments were conducted at 1 week, 1 month, 3 months, 6 months, and 12 months post-surgery.

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Main Results:

  • The LactoSorb system provided adequate rigidity for stabilizing osteotomized calvarial bone during and after surgery.
  • Satisfactory stability was maintained throughout the bone healing period before material absorption.
  • One patient experienced a postoperative wound infection, and four patients had palpable plates postoperatively.

Conclusions:

  • The 1.5-mm LactoSorb plating system is a suitable option for stabilizing osteotomized calvarial bone in pediatric craniofacial surgery.
  • The system demonstrated satisfactory results, providing adequate rigidity and supporting bone healing in this patient cohort.