The Effect of Rigid Internal Fixation on Cranial Growth

Resnick, Jeffrey I.; Kinney, Brian M.; Kawamoto, Henry K.

doi:10.1097/00000637-199011000-00005

Cited by 61 publications

(21 citation statements)

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“…It is known that some regions of the cranio facial skeleton grow by resorption of bone at the inner table and deposition of bone over the outer table [9], By this process microplates applied to the outer Another concern regarding the use of rigid microplate fixation is its effect on the growth of the skull in infants and children. Several animal studies have suggested that artificial immobilization across calvarial sutures results in decreased growth [10][11][12], While no randomized trials of plates versus other methods of rigid fixation in humans have been reported, the reports with wire fixation have not mentioned clinically evident growth abnormalities. Interestingly, we have also observed transcranial migra tion of wire.…”

Section: Discussionmentioning

confidence: 99%

Transcranial Migration of Microf ixation Plates and Screws

Duke

Mouchantat²,

Ketch³

et al. 1996

Pediatr Neurosurg

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Section: Discussionmentioning

confidence: 99%

Transcranial Migration of Microf ixation Plates and Screws

Duke

Mouchantat²,

Ketch³

et al. 1996

Pediatr Neurosurg

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“…Wong et al, 1991;Resnick et al, 1990) and these have shown variable effects including restriction of growth locally and distant to the site of intervention and also compensatory expansion at other cranial sites (Resnick et al, 1990). No animal studies have thus far assessed the effects on reconstruction of critical sized calvarial defects and cranial growth.…”

Section: A C C E P T E D Accepted Manuscriptmentioning

confidence: 99%

“…Biomaterials in current use include acrylics, ceramics, polyethene, polyetheretherketone (PEEK) and titanium (Cho and Gosain., 2004;Hanasono et al, 2009). Each material has relative merits and disadvantages, however the principle concerns in using biomaterials in paediatric cranioplasty relate to the possible deleterious effects of a rigid material on normal cranial growth, intracranial migration of reconstruction components and high incidences of failure through infection, adverse tissue reactions and material breakage (Resnick et al, 1990;Wong et al, 2011;Yaremchuk et al, 1994;Beck et al, 2002;Papay et al, 1995;Kosaka et al, 2003;Josan et al, 2004;Moreira-Gonzalez et al, 2003).…”

Section: Introductionmentioning

confidence: 99%

Titanium cranioplasty in children and adolescents

Williams

Fan

Bentley

2016

Journal of Cranio-Maxillofacial Surgery

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SUMMARYFull thickness calvarial defects present considerable challenges to reconstructive surgeons. In paediatric cases, the use of biomaterials as a substrate for cranioplasty rather than autologous bone is controversial. Alloplastic cranioplasty in adults is supported by several large case series however long term outcome of biomaterial use in paediatric cases is limited. Retrospective seven year analysis of departmental database and clinical records identified 22 patients aged under 18 who had undergone 23 custom made titanium cranioplasties by a single surgeon using the same technique.Data including patient demographics, reason for craniectomy and complications experienced following surgery was obtained. The mean age at operation was 12 years 9 months. The mean defect size was 44.3cm 2 . No significant complications related to the cranioplasty were recorded in the early post operative period or during long term review (average follow up 4 years 6 months). No cranioplasty implant required removal. This retrospective case series shows that custom made patient specific titanium cranioplasty is a viable alternative to autologous bone as a reconstructive material in paediatric patients under specific circumstances.

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“…Gerade in der pädiatri-schen Traumatologie bzw. kraniofazialen Chirurgie wird häufig resorbierbares Material implantiert, da Titansysteme einen nachteiligen Effekt auf das Wachstum des kraniofazialen Skeletts haben sollen [7,17,22].…”

Section: Introductionunclassified

Materialien zur Versorgung von Mittelgesichtsfrakturen

Stuck

Heller

2011

HNO

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The material used for osteosynthesis plays a crucial role in the management of facial fractures. Plates need to be flexible enough to be bent and should not be palpable through the skin, while ensuring stable fixation und adequate biocompatibility. Although stainless steel was initially the material of choice, titanium has become the standard material due to its superior biocompatibility. While the explantation of titanium plates and screws appears unnecessary in general, it should be considered in cases of dislocation, cosmetic concerns, pain and infection. Due to their limited initial stability and a potential increase in local complications, resorbable materials based on polymeric lactose are used with caution in midfacial fractures in adults. Our own retrospective study comparing the postoperative complications after fixation of lateral midfacial fractures with titanium and resorbable systems demonstrated a low complication rate for both systems (7-8%) and no statistically significant difference between the two. The appropriate material for fixation should be selected based on the localization and severity of the fracture, the experience of the surgeon as well as on the age and overall condition of the patient.

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The Effect of Rigid Internal Fixation on Cranial Growth

Cited by 61 publications

References 0 publications

Transcranial Migration of Microf ixation Plates and Screws

Transcranial Migration of Microf ixation Plates and Screws

Titanium cranioplasty in children and adolescents

Materialien zur Versorgung von Mittelgesichtsfrakturen

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