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Archives of craniofacial surgery : ACFS v.19 no.2, 2018년, pp.114 - 119   KCI후보
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Delayed degradation according to the location of fixation with using an absorbable plate

Kim, Tae Ho   (Department of Plastic and Reconstructive Surgery, Busan Paik Hospital, Inje University School of Medicine  ); Kang, Seok Joo   (Department of Plastic and Reconstructive Surgery, Busan Paik Hospital, Inje University School of Medicine  ); Sun, Hook   (Department of Plastic and Reconstructive Surgery, Busan Paik Hospital, Inje University School of Medicine  );
  • 초록

    Background: The ideal absorbable plating system should provide sufficient rigidity and then be absorbed within a timely manner. The Resorb-X has been recently developed as a plating system with a mixture ratio of 50:50 poly(D, L-lactide). Methods: We present seven of 121 patients who experienced delayed degradation with this absorbable plate. One hundred twenty-one patients with facial bone fracture underwent surgical treatment from March 2011 to March 2015, and rigid fixation was achieved with the Resorb-X. Results: Of 121 patients, seven (5.8%) developed complications at the surgical sites. Six of 102 cases underwent fixation of the infraorbital rim and one of 73 underwent fixation of the frontozygomatic buttress; the other sites of fixation did not develop delayed degradation. Foreign body granuloma developed at the earliest by postoperative 20 months and at the latest by postoperative 28 months (average, 23.5 months). Conclusion: We observed that the use of absorbable plates in incision sites or areas with thin skin can increase the possibility of delayed degradation. When performing surgery in these areas, the normal skin above the fixed location should be covered sufficiently.


  • 주제어

    Facial bones .   Orbital implants .   Bone plates.  

  • 참고문헌 (6)

    1. Wood RJ, Petronio JA, Graupman PC, Shell CD, Gear AJ. New resorbable plate and screw system in pediatric craniofacial surgery. J Craniofac Surg 2012;23:845-9. 
    2. Heidemann W, Gerlach KL. Imaging of biodegradable osteosynthesis materials by ultrasound. Dentomaxillofac Radiol 2002;31:155-8. 
    3. Reichwein A, Schicho K, Moser D, Seemann R, Poeschl P, Baumann A, et al. Clinical experiences with resorbable ultrasonic-guided, anglestable osteosynthesis in the panfacial region. J Oral Maxillofac Surg 2009;67:1211-7. 
    4. Mackool R, Yim J, McCarthy JG. Delayed degradation in a resorbable plating system. J Craniofac Surg 2006;17:194-7. 
    5. Salvino MJ. Avoiding pitfalls in craniofacial reconstruction using absorbable plates. J Craniofac Surg 2010;21:213-4. 
    6. Katsuragi YT, Gomi A, Sunaga A, Miyazaki K, Kamochi H, Arai F, et al. Intracerebral foreign body granuloma caused by a resorbable plate with passive intraosseous translocation after cranioplasty. J Neuro- surg Pediatr 2013;12:622-5. 

 저자의 다른 논문

  • Kim, Tae Ho (2)

    1. 2018 "Usefulness of indirect open reduction via a transconjunctival approach for the treatment of nasal bone fracture associated with orbital blowout fracture" Archives of craniofacial surgery : ACFS 19 (2): 102~107    
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