Patient-specific biodegradable implant in pediatric craniofacial surgery. Issue 2 (February 2017)

• Record Type: Journal Article
• Authors: Essig, H.; Lindhorst, D.; Gander, T.; Schumann, P.; Könü, D.; Altermatt, S.; Rücker, M.
• Is Part Of: Journal of cranio-maxillofacial surgery. Volume 45:Issue 2(2017)
• Page Start: 216
• Page End: 222
• Publication Date: 2017-02
• Subjects: Biodegradable implants -- Craniofacial surgery -- Craniosynostosis; Skull -- Surgery -- Periodicals; Maxilla -- Surgery -- Periodicals; Face -- Surgery -- Periodicals; Surgery, Plastic -- Periodicals; Maxilla -- surgery -- Periodicals; Face -- surgery -- Periodicals; Skull -- surgery -- Periodicals; Oral Surgical Procedures -- Periodicals; Reconstructive Surgical Procedures -- Periodicals; Surgery, Plastic -- Periodicals; Surgery, Oral -- Periodicals; Electronic journals; 617.514
• DOI: 10.1016/j.jcms.2016.11.015
• Languages: English
• ISSNs: 1010-5182

Abstract

Abstract: Surgical correction of premature fusion of calvarial sutures involving the fronto-orbital region can be challenging due to the demanding three-dimensional (3D) anatomy. If fronto-orbital advancement (FOA) is necessary, surgery is typically performed using resorbable plates and screws that are bent manually intraoperatively. A new approach using individually manufactured resorbable implants (KLS Martin Group, Tuttlingen, Germany) is presented in the current paper. Preoperative CT scan data were processed in iPlan (ver. 3.0.5; Brainlab, Feldkirchen, Germany) to generate a 3D reconstruction. Virtual osteotomies and simulation of the ideal outer contour with reassembled bony segments were performed. Digital planning was transferred with a cutting guide, and an individually manufactured resorbable implant was used for rigid fixation. A resorbable patient-specific implant (Resorb X-PSI) allows precise surgery for FOA in craniosynostosis using a complete digital workflow and should be considered superior to manually bent resorbable plates.