Department of Pediatric Surgery, Division of Pediatric Neurosurgery, Medical Faculty of Comenius University in Bratislava and National Institute of Children's Diseases, Slovakia.
Department of Oral and Maxillofacial Surgery, Medical Faculty of Comenius University in Bratislava and University Hospital, Slovakia.
Neurol Neurochir Pol. 2019;53(2):150-155. doi: 10.5603/PJNNS.a2019.0014. Epub 2019 Mar 11.
The goal of the present study was to analyse the exclusive use of absorbable suture material (Vicryl) in the fixation of transposed bone segments in cranial vault reshaping without modification of the osteotomy design.
In the surgical correction of craniosynostosis, bone fixation using osteosynthesis is a key step. Absorbable osteosynthesis is a widespread tool in cranial vault remodelling, but only a limited number of studies have described the use of absorbable sutures in the treatment of patients with craniosynostosis.
In 72 children with various types of craniosynostosis, up to 24 months of age, osteosynthesis was conducted exclusively with Vicryl sutures. All patients were evaluated for the stability of postoperative results, and foreign body reactions were examined as part of the routine clinical and radiological follow-up ranging from 1 to 36 months.
All examined children exhibited stable postoperative conditions with immediate stability of all remodelled cranial vaults. 2D and 3D radiological examinations demonstrated good bony union in all cases. Significant foreign body reactions were not observed and bone healing was noted at all sites.
The exclusive application of absorbable suture material enables stable and cost-effective osteosynthesis in craniofacial surgery without altering the osteotomy design.
本研究旨在分析在不改变骨切开术设计的情况下，在颅盖重塑中使用可吸收缝线（薇乔）固定移位骨段的纯使用情况。
在颅缝早闭的手术矫正中，骨固定使用骨接合术是关键步骤。可吸收骨接合术在颅盖重塑中广泛应用，但只有少数研究描述了在颅缝早闭患者治疗中使用可吸收缝线。
在 72 名年龄在 24 个月以下的各种类型颅缝早闭的儿童中，仅使用薇乔缝线进行骨接合术。所有患者均评估术后结果的稳定性，并在 1 至 36 个月的常规临床和放射学随访中检查异物反应。
所有接受检查的儿童均表现出稳定的术后状态，所有重塑的颅盖均具有即刻稳定性。二维和三维放射学检查显示所有病例均有良好的骨性愈合。未观察到明显的异物反应，所有部位均有骨愈合。
在颅面外科中，纯使用可吸收缝线材料可实现稳定且具有成本效益的骨接合术，而无需改变骨切开术设计。
