Craniosynostosis Surgery

Rigid versus Resorbable Plate Fixation in Fronto-Orbital Advancement in Unicoronal Stenosis - A Retrospective Study

“…[ 13 ] Animal studies have shown that in growing individuals, rigid fixation produces altered bone growth, especially when the plate screw is removed. [ 1 ] There are reports in the literature where in RPF systems are associated with leaching of metal ions in the plate-screw region, growth alteration due to rigid metallic hardware, corrosion, visibility, palpability, and cold sensitivity. However, the much-acclaimed impact on overall growth restriction is largely unproven.…”

“…However, the much-acclaimed impact on overall growth restriction is largely unproven. [ 1 ] Neurological issues emanating from hardware transmigrating to duramater causing headaches have been reported. [ 14 ] However, in our cohort, we did not encounter such incidences.…”

“…With the passage of time, there were reports of human and animal studies in which the plating systems were shown to significantly impact growth alterations in the cranial and midfacial regions. [ 1 ] These observations were clouded by the fact that similar disruption of bony and soft tissue elements also occurred without the application of such a system. [ 2 ] They strengthened the view that bony trauma, soft-tissue trauma, and the plating system act as independent factors to produce differential growth alterations as well as bone remodeling in the craniofacial region.…”

“…[ 2 ] They strengthened the view that bony trauma, soft-tissue trauma, and the plating system act as independent factors to produce differential growth alterations as well as bone remodeling in the craniofacial region. [ 1 ] Conventionally, RPF is shunned in areas of highly active bone remodeling areas and/or growth, like in cranial crown, and often limited to frontal-zygomatic sutures. In craniofacial corrective surgeries, RPF was favoured in areas such as upper orbital osteotomy and rarely in coronal suture areas.…”