Zittel Sven, Ristow Oliver, Moratin Julius, Rückschloß Thomas, Hoffmann Jürgen, El Damaty Ahmed, Freudlsperger Christian, Engel Michael
Department of Oral and Cranio-Maxillofacial Surgery University Hospital Heidelberg.
Department of Neurosurgery, Im Neuenheimer Feld 400, D-69120 Heidelberg, University Hospital Heidelberg, Germany.
J Craniofac Surg. 2023;34(5):1543-1547. doi: 10.1097/SCS.0000000000009282. Epub 2023 Mar 20.
Fronto-orbital remodeling is the gold standard for surgical treatment of metopic synostosis in many craniofacial centers. For fixation, resorbable materials are widely used. Because of swelling during resorption, the positioning of the plates can be relevant. Therefore, the goal of this study was to investigate whether there are limitations to endocortical positioning of resorbable plates.
In this retrospective study, all patients with metopic craniosynostosis resulting in trigonocephaly, who were treated with a standardized fronto-orbital remodeling and endocortical positioning of resorbable plates, between February 2012 and December 2019 were included. The endpoint of this study was the postoperative complications that can be attributed to the material used.
A total of 101 patients, who were treated at our unit, could be included with a male predominance, 81 (80.2%) boys versus 20 (19.8%) girls. Surgery was performed at a median age of 9 months (±2.56). No complications were seen related to resorbable plates. All patients of our study population were categorized as Whitaker classification I and II.
This study shows that the risk level in using endocortical resorbable plates positioned on the inner surface of the bone is low. From an aesthetic point of view, we could not detect any disadvantage.
在许多颅面外科中心，额眶重塑是治疗矢状缝早闭的手术金标准。在固定方面，可吸收材料被广泛使用。由于吸收过程中会出现肿胀，钢板的定位可能会有影响。因此，本研究的目的是探讨可吸收钢板内皮质定位是否存在局限性。
在这项回顾性研究中，纳入了2012年2月至2019年12月期间所有因矢状缝早闭导致三角头畸形、接受标准化额眶重塑和可吸收钢板内皮质定位治疗的患者。本研究的终点是可归因于所用材料的术后并发症。
本单位共纳入101例患者，男性居多，81例（80.2%）男孩，20例（19.8%）女孩。手术中位年龄为9个月（±2.56）。未观察到与可吸收钢板相关的并发症。本研究人群中的所有患者均被归类为惠特克分类I级和II级。
本研究表明，在骨内表面使用内皮质可吸收钢板的风险水平较低。从美学角度来看，我们未发现任何不利之处。
