Critical review of microfixation in pediatric craniofacial surgery

David S. Goldberg, Scott P. Bartlett, Jack C. Yu, Jill V. Hunter, Linton A. Whitaker

Research output: Contribution to journalArticle

57 Scopus citations

Abstract

The migration or passive intracranial translocation of microplates and screws in the pediatric craniofacial patient has been reported. A retrospective review was undertaken to clarify the incidence of microplate translocation and identify potential clinical implications. Computed tomographic imaging demonstrated internalization of microfixation in 14 of 27 pediatric patients. Statistically significant factors for microplate translocation include longer plates (p < 0.05) and those placed in the temporal region (p < 0.001). Younger patients and those with syndromic craniofacial dysostosis also had a higher incidence of translocation. Specific complications relating to the translocation of microplates were not found in any patient. The direct effects of translocated microplates and screws on the underlying brain and dura remain unclear.

Original languageEnglish (US)
Pages (from-to)301-307
Number of pages7
JournalJournal of Craniofacial Surgery
Volume6
Issue number4
DOIs
Publication statusPublished - Jul 1995

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Keywords

  • Complications
  • Craniofacial surgery
  • Craniosynostosis
  • Microfixation
  • Microplates
  • Microscrews
  • Migration
  • Plastic surgery
  • Translocation

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology

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