Document Detail


Early experience with biodegradable fixation for congenital pediatric craniofacial surgery.
MedLine Citation:
PMID:  10332277     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We describe early experience using a polymeric bioresorbable bone fixation system in a consecutive series of eight pediatric patients for the correction of craniofacial malformations. Indications for surgical treatment included craniosynostosis (7) and encephalocele (1). All patients underwent bifrontal craniotomies with cranial vault or orbital reconstruction or both. Segments were then stabilized using bioresorbable fixation systems. Patients were evaluated pre- and postoperatively clinically and with radiographs and photographs. Mean follow-up was 4.5 months, with a minimum follow-up of 3 months. In seven of eight patients, there was no incidence of infection, extrusion, exposure, erythema, instability of the advanced segments, relapse, hematoma, seroma formation, or adverse inflammatory reaction. One patient experienced difficulty with respect to system imperfections (i.e., drill holes after tapping were too large for screws). This study demonstrated the efficacy of bioresorbable plates and screws for the growing pediatric craniofacial patient; excellent short-term results were achieved. Prospective studies and longer longitudinal follow-up of larger numbers of patients are desirable to confirm these findings.
Authors:
J A Goldstein; F A Quereshy; A R Cohen
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of craniofacial surgery     Volume:  8     ISSN:  1049-2275     ISO Abbreviation:  J Craniofac Surg     Publication Date:  1997 Mar 
Date Detail:
Created Date:  1999-05-20     Completed Date:  1999-05-20     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9010410     Medline TA:  J Craniofac Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  110-5     Citation Subset:  D    
Affiliation:
Division of Plastic Surgery, Rainbow Babies and Childrens Hospital Craniofacial Center, University Hospitals of Cleveland, OH 44106, USA.
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MeSH Terms
Descriptor/Qualifier:
Absorbable Implants*
Biocompatible Materials
Biodegradation, Environmental
Bone Plates*
Bone Screws*
Child
Child, Preschool
Craniosynostoses / surgery*
Craniotomy / instrumentation
Encephalocele / surgery
Follow-Up Studies
Humans
Infant
Polymers / chemistry
Reoperation
Treatment Outcome
Chemical
Reg. No./Substance:
0/Biocompatible Materials; 0/Polymers

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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