Surpure S J, Smith K S, Sullivan S M, Francel P C
Department of Oral and Maxillofacial Surgery, Vanderbilt University Medical Center, Nashville, TN, USA.
J Oral Maxillofac Surg. 2001 Nov;59(11):1271-5; discussion 1275-6. doi: 10.1053/joms.2001.27497.
The purpose of this study was to evaluate the effectiveness of a resorbable plating system (Lactosorb; Walter Lorenz Surgical, Inc, Jacksonville, FL) as a fixation method in the treatment of craniosynostosis.
Ten children with 15 affected sutures underwent craniotomies ranging from release of 1 suture to total calvarial reconstruction. The 1.5 Lactosorb plating system was used as the method of fixation in all cases. Patients were evaluated clinically and with computed tomography scans before discharge postoperatively, and at the 3-, 6-, and 9-month intervals.
In all 10 cases there was no evidence of neosynostosis, malposed osseous segments, or restriction of growth or calvarial expansion. In addition, none of the complications seen with more traditional techniques were evident in these patients.
Resorbable plating systems provide a viable alternative to the more traditional fixation techniques that have been used to treat craniosynostosis and craniofacial dysostosis.
本研究的目的是评估一种可吸收接骨板系统（Lactosorb；沃尔特·洛伦兹外科公司，佛罗里达州杰克逊维尔）作为治疗颅缝早闭的固定方法的有效性。
10名患有15条受影响缝线的儿童接受了开颅手术，范围从松解1条缝线到全颅骨重建。所有病例均采用1.5 Lactosorb接骨板系统作为固定方法。在术后出院前以及术后3个月、6个月和9个月时对患者进行临床评估和计算机断层扫描。
在所有10例病例中，均未发现新的骨缝形成、骨段错位或生长受限或颅骨扩张受限的证据。此外，这些患者中未出现更传统技术所见的任何并发症。
可吸收接骨板系统为治疗颅缝早闭和颅面骨发育不全所使用的更传统固定技术提供了一种可行的替代方法。
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