Absorbable Fixation Devices for Pediatric Craniomaxillofacial Trauma: A Systematic Review of the Literature

Joseph Lopez, Nicholas Siegel, Alvaro Reategui, Muhammad Faateh, Paul N. Manson, Richard J. Redett

Research output: Contribution to journalArticle

Abstract

BACKGROUND: The purpose of this study was to investigate surgical outcomes with the use of resorbable plating systems for the repair of craniomaxillofacial trauma in the pediatric population. METHODS: A systematic review of the literature was performed. A descriptive analysis, operative technical data, outcomes, and postoperative complications with the use of absorbable plating systems for craniomaxillofacial trauma were included. RESULTS: The systematic literature review identified 1264 abstracts, of which only 19 met inclusion criteria. From these 19 studies, 312 clinical cases with 443 facial fractures that were treated with absorbable fixation systems were extracted for analysis. The review identified only level III/IV (n = 17) and level V (n = 2) studies. Minor and major complications were rare, occurring in 5.45 percent (n = 17) and 3.21 percent (n = 10) of cases, respectively. The most common complications were surgical-site infections (n = 4) and plate extrusion (n = 4). CONCLUSIONS: This report is, to the authors' knowledge, one of the first comprehensive reports on the use of absorbable plating systems for pediatric craniomaxillofacial trauma. Their analysis suggests that the use of absorbable fixation devices for pediatric craniomaxillofacial trauma is relatively safe, with a low-risk profile. Outcome studies with longer follow-up periods specifically investigating facial growth, reoperation rates, standardized surgical outcome metrics, and cost are necessary to effectively compare these fixation devices to titanium alternatives for craniomaxillofacial trauma.

Original languageEnglish (US)
Pages (from-to)685-692
Number of pages8
JournalPlastic and reconstructive surgery
Volume144
Issue number3
DOIs
StatePublished - Sep 1 2019

Fingerprint

Pediatrics
Equipment and Supplies
Wounds and Injuries
Surgical Wound Infection
Titanium
Reoperation
Outcome Assessment (Health Care)
Costs and Cost Analysis
Growth
Population

ASJC Scopus subject areas

  • Surgery

Cite this

Absorbable Fixation Devices for Pediatric Craniomaxillofacial Trauma : A Systematic Review of the Literature. / Lopez, Joseph; Siegel, Nicholas; Reategui, Alvaro; Faateh, Muhammad; Manson, Paul N.; Redett, Richard J.

In: Plastic and reconstructive surgery, Vol. 144, No. 3, 01.09.2019, p. 685-692.

Research output: Contribution to journalArticle

@article{a6186b32170a41afb526a28ec98c3ad0,
title = "Absorbable Fixation Devices for Pediatric Craniomaxillofacial Trauma: A Systematic Review of the Literature",
abstract = "BACKGROUND: The purpose of this study was to investigate surgical outcomes with the use of resorbable plating systems for the repair of craniomaxillofacial trauma in the pediatric population. METHODS: A systematic review of the literature was performed. A descriptive analysis, operative technical data, outcomes, and postoperative complications with the use of absorbable plating systems for craniomaxillofacial trauma were included. RESULTS: The systematic literature review identified 1264 abstracts, of which only 19 met inclusion criteria. From these 19 studies, 312 clinical cases with 443 facial fractures that were treated with absorbable fixation systems were extracted for analysis. The review identified only level III/IV (n = 17) and level V (n = 2) studies. Minor and major complications were rare, occurring in 5.45 percent (n = 17) and 3.21 percent (n = 10) of cases, respectively. The most common complications were surgical-site infections (n = 4) and plate extrusion (n = 4). CONCLUSIONS: This report is, to the authors' knowledge, one of the first comprehensive reports on the use of absorbable plating systems for pediatric craniomaxillofacial trauma. Their analysis suggests that the use of absorbable fixation devices for pediatric craniomaxillofacial trauma is relatively safe, with a low-risk profile. Outcome studies with longer follow-up periods specifically investigating facial growth, reoperation rates, standardized surgical outcome metrics, and cost are necessary to effectively compare these fixation devices to titanium alternatives for craniomaxillofacial trauma.",
author = "Joseph Lopez and Nicholas Siegel and Alvaro Reategui and Muhammad Faateh and Manson, {Paul N.} and Redett, {Richard J.}",
year = "2019",
month = "9",
day = "1",
doi = "10.1097/PRS.0000000000005932",
language = "English (US)",
volume = "144",
pages = "685--692",
journal = "Plastic and Reconstructive Surgery",
issn = "0032-1052",
publisher = "Lippincott Williams and Wilkins",
number = "3",

}

TY - JOUR

T1 - Absorbable Fixation Devices for Pediatric Craniomaxillofacial Trauma

T2 - A Systematic Review of the Literature

AU - Lopez, Joseph

AU - Siegel, Nicholas

AU - Reategui, Alvaro

AU - Faateh, Muhammad

AU - Manson, Paul N.

AU - Redett, Richard J.

PY - 2019/9/1

Y1 - 2019/9/1

N2 - BACKGROUND: The purpose of this study was to investigate surgical outcomes with the use of resorbable plating systems for the repair of craniomaxillofacial trauma in the pediatric population. METHODS: A systematic review of the literature was performed. A descriptive analysis, operative technical data, outcomes, and postoperative complications with the use of absorbable plating systems for craniomaxillofacial trauma were included. RESULTS: The systematic literature review identified 1264 abstracts, of which only 19 met inclusion criteria. From these 19 studies, 312 clinical cases with 443 facial fractures that were treated with absorbable fixation systems were extracted for analysis. The review identified only level III/IV (n = 17) and level V (n = 2) studies. Minor and major complications were rare, occurring in 5.45 percent (n = 17) and 3.21 percent (n = 10) of cases, respectively. The most common complications were surgical-site infections (n = 4) and plate extrusion (n = 4). CONCLUSIONS: This report is, to the authors' knowledge, one of the first comprehensive reports on the use of absorbable plating systems for pediatric craniomaxillofacial trauma. Their analysis suggests that the use of absorbable fixation devices for pediatric craniomaxillofacial trauma is relatively safe, with a low-risk profile. Outcome studies with longer follow-up periods specifically investigating facial growth, reoperation rates, standardized surgical outcome metrics, and cost are necessary to effectively compare these fixation devices to titanium alternatives for craniomaxillofacial trauma.

AB - BACKGROUND: The purpose of this study was to investigate surgical outcomes with the use of resorbable plating systems for the repair of craniomaxillofacial trauma in the pediatric population. METHODS: A systematic review of the literature was performed. A descriptive analysis, operative technical data, outcomes, and postoperative complications with the use of absorbable plating systems for craniomaxillofacial trauma were included. RESULTS: The systematic literature review identified 1264 abstracts, of which only 19 met inclusion criteria. From these 19 studies, 312 clinical cases with 443 facial fractures that were treated with absorbable fixation systems were extracted for analysis. The review identified only level III/IV (n = 17) and level V (n = 2) studies. Minor and major complications were rare, occurring in 5.45 percent (n = 17) and 3.21 percent (n = 10) of cases, respectively. The most common complications were surgical-site infections (n = 4) and plate extrusion (n = 4). CONCLUSIONS: This report is, to the authors' knowledge, one of the first comprehensive reports on the use of absorbable plating systems for pediatric craniomaxillofacial trauma. Their analysis suggests that the use of absorbable fixation devices for pediatric craniomaxillofacial trauma is relatively safe, with a low-risk profile. Outcome studies with longer follow-up periods specifically investigating facial growth, reoperation rates, standardized surgical outcome metrics, and cost are necessary to effectively compare these fixation devices to titanium alternatives for craniomaxillofacial trauma.

UR - http://www.scopus.com/inward/record.url?scp=85071616880&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85071616880&partnerID=8YFLogxK

U2 - 10.1097/PRS.0000000000005932

DO - 10.1097/PRS.0000000000005932

M3 - Article

C2 - 31461027

AN - SCOPUS:85071616880

VL - 144

SP - 685

EP - 692

JO - Plastic and Reconstructive Surgery

JF - Plastic and Reconstructive Surgery

SN - 0032-1052

IS - 3

ER -