Early experience with biodegradable fixation for congenital pediatric craniofacial surgery

Jeffrey A. Goldstein, Faisal A. Quereshy, Alan Cohen

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish (US)
Pages (from-to)110-115
Number of pages6
JournalJournal of Craniofacial Surgery
Volume8
Issue number2
StatePublished - Mar 1997
Externally publishedYes

Fingerprint

Pediatrics
Encephalocele
Seroma
Craniosynostoses
Craniotomy
Erythema
Hematoma
Prospective Studies
Bone and Bones
Recurrence
Incidence
Infection
Therapeutics

Keywords

  • Bone fixation
  • Resorbable

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology

Cite this

Early experience with biodegradable fixation for congenital pediatric craniofacial surgery. / Goldstein, Jeffrey A.; Quereshy, Faisal A.; Cohen, Alan.

In: Journal of Craniofacial Surgery, Vol. 8, No. 2, 03.1997, p. 110-115.

Research output: Contribution to journalArticle

@article{6c2dfd84bfad4e388a25950b67be868a,
title = "Early experience with biodegradable fixation for congenital pediatric craniofacial surgery",
abstract = "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.",
keywords = "Bone fixation, Resorbable",
author = "Goldstein, {Jeffrey A.} and Quereshy, {Faisal A.} and Alan Cohen",
year = "1997",
month = "3",
language = "English (US)",
volume = "8",
pages = "110--115",
journal = "Journal of Craniofacial Surgery",
issn = "1049-2275",
publisher = "Lippincott Williams and Wilkins",
number = "2",

}

TY - JOUR

T1 - Early experience with biodegradable fixation for congenital pediatric craniofacial surgery

AU - Goldstein, Jeffrey A.

AU - Quereshy, Faisal A.

AU - Cohen, Alan

PY - 1997/3

Y1 - 1997/3

N2 - 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.

AB - 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.

KW - Bone fixation

KW - Resorbable

UR - http://www.scopus.com/inward/record.url?scp=0031004976&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0031004976&partnerID=8YFLogxK

M3 - Article

C2 - 10332277

AN - SCOPUS:0031004976

VL - 8

SP - 110

EP - 115

JO - Journal of Craniofacial Surgery

JF - Journal of Craniofacial Surgery

SN - 1049-2275

IS - 2

ER -