Posttraumatic craniofacial reconstruction using combined resorbable and nonresorbable fixation systems

W. Tomasz Majewski, Jack C Yu, Chris Ewart, Arturo Aguillon

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

The facial skeleton consists of high-stress-bearing buttresses and low-stress-bearing curved surfaces. The buttresses are like trusses made of beams, struts, and columns. They resist tensile, compressive, and shear loading. The thin, curved, planar surfaces provide for the support and partitioning of the soft tissue. The trusses are strong and one-dimensional whereas the planes are weak and two-dimensional. Ideally, strong one-dimensional fixation systems should be used for the former; weaker, two-dimensional systems should be used for the latter. The authors report their clinical experience of using such combined approaches to the treatment of facial fractures using rigid, titanium mini-plates and screws for the buttresses and polymeric resorbable meshes for the curved planes. For an 11-month period (August 2000 to June 2001), nine patients (7 males and 2 females) with a mean age of 33.7 years were treated in this fashion. The resorbable meshes were deployed for the reconstitution of the orbital walls and the anterior wall of the maxillary sinus. No enophthalmos, globe dystopia, or diplopia occured during the short mean follow-up of 10 months (4-17 months). There were no infections or sterile abscess formations. This type of combined use of fixation systems appears to be safe and effective. More patients and more extensive follow-ups are obviously needed.

Original languageEnglish (US)
Pages (from-to)471-476
Number of pages6
JournalAnnals of Plastic Surgery
Volume48
Issue number5
DOIs
StatePublished - Jan 1 2002

Fingerprint

Trusses
Enophthalmos
Diplopia
Maxillary Sinus
Titanium
Skeleton
Abscess
Infection
Therapeutics

ASJC Scopus subject areas

  • Surgery

Cite this

Posttraumatic craniofacial reconstruction using combined resorbable and nonresorbable fixation systems. / Majewski, W. Tomasz; Yu, Jack C; Ewart, Chris; Aguillon, Arturo.

In: Annals of Plastic Surgery, Vol. 48, No. 5, 01.01.2002, p. 471-476.

Research output: Contribution to journalArticle

Majewski, W. Tomasz ; Yu, Jack C ; Ewart, Chris ; Aguillon, Arturo. / Posttraumatic craniofacial reconstruction using combined resorbable and nonresorbable fixation systems. In: Annals of Plastic Surgery. 2002 ; Vol. 48, No. 5. pp. 471-476.
@article{a3160e6e2bff469984e0b643637ec0b0,
title = "Posttraumatic craniofacial reconstruction using combined resorbable and nonresorbable fixation systems",
abstract = "The facial skeleton consists of high-stress-bearing buttresses and low-stress-bearing curved surfaces. The buttresses are like trusses made of beams, struts, and columns. They resist tensile, compressive, and shear loading. The thin, curved, planar surfaces provide for the support and partitioning of the soft tissue. The trusses are strong and one-dimensional whereas the planes are weak and two-dimensional. Ideally, strong one-dimensional fixation systems should be used for the former; weaker, two-dimensional systems should be used for the latter. The authors report their clinical experience of using such combined approaches to the treatment of facial fractures using rigid, titanium mini-plates and screws for the buttresses and polymeric resorbable meshes for the curved planes. For an 11-month period (August 2000 to June 2001), nine patients (7 males and 2 females) with a mean age of 33.7 years were treated in this fashion. The resorbable meshes were deployed for the reconstitution of the orbital walls and the anterior wall of the maxillary sinus. No enophthalmos, globe dystopia, or diplopia occured during the short mean follow-up of 10 months (4-17 months). There were no infections or sterile abscess formations. This type of combined use of fixation systems appears to be safe and effective. More patients and more extensive follow-ups are obviously needed.",
author = "Majewski, {W. Tomasz} and Yu, {Jack C} and Chris Ewart and Arturo Aguillon",
year = "2002",
month = "1",
day = "1",
doi = "10.1097/00000637-200205000-00004",
language = "English (US)",
volume = "48",
pages = "471--476",
journal = "Annals of Plastic Surgery",
issn = "0148-7043",
publisher = "Lippincott Williams and Wilkins",
number = "5",

}

TY - JOUR

T1 - Posttraumatic craniofacial reconstruction using combined resorbable and nonresorbable fixation systems

AU - Majewski, W. Tomasz

AU - Yu, Jack C

AU - Ewart, Chris

AU - Aguillon, Arturo

PY - 2002/1/1

Y1 - 2002/1/1

N2 - The facial skeleton consists of high-stress-bearing buttresses and low-stress-bearing curved surfaces. The buttresses are like trusses made of beams, struts, and columns. They resist tensile, compressive, and shear loading. The thin, curved, planar surfaces provide for the support and partitioning of the soft tissue. The trusses are strong and one-dimensional whereas the planes are weak and two-dimensional. Ideally, strong one-dimensional fixation systems should be used for the former; weaker, two-dimensional systems should be used for the latter. The authors report their clinical experience of using such combined approaches to the treatment of facial fractures using rigid, titanium mini-plates and screws for the buttresses and polymeric resorbable meshes for the curved planes. For an 11-month period (August 2000 to June 2001), nine patients (7 males and 2 females) with a mean age of 33.7 years were treated in this fashion. The resorbable meshes were deployed for the reconstitution of the orbital walls and the anterior wall of the maxillary sinus. No enophthalmos, globe dystopia, or diplopia occured during the short mean follow-up of 10 months (4-17 months). There were no infections or sterile abscess formations. This type of combined use of fixation systems appears to be safe and effective. More patients and more extensive follow-ups are obviously needed.

AB - The facial skeleton consists of high-stress-bearing buttresses and low-stress-bearing curved surfaces. The buttresses are like trusses made of beams, struts, and columns. They resist tensile, compressive, and shear loading. The thin, curved, planar surfaces provide for the support and partitioning of the soft tissue. The trusses are strong and one-dimensional whereas the planes are weak and two-dimensional. Ideally, strong one-dimensional fixation systems should be used for the former; weaker, two-dimensional systems should be used for the latter. The authors report their clinical experience of using such combined approaches to the treatment of facial fractures using rigid, titanium mini-plates and screws for the buttresses and polymeric resorbable meshes for the curved planes. For an 11-month period (August 2000 to June 2001), nine patients (7 males and 2 females) with a mean age of 33.7 years were treated in this fashion. The resorbable meshes were deployed for the reconstitution of the orbital walls and the anterior wall of the maxillary sinus. No enophthalmos, globe dystopia, or diplopia occured during the short mean follow-up of 10 months (4-17 months). There were no infections or sterile abscess formations. This type of combined use of fixation systems appears to be safe and effective. More patients and more extensive follow-ups are obviously needed.

UR - http://www.scopus.com/inward/record.url?scp=0036249865&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0036249865&partnerID=8YFLogxK

U2 - 10.1097/00000637-200205000-00004

DO - 10.1097/00000637-200205000-00004

M3 - Article

C2 - 11981185

AN - SCOPUS:0036249865

VL - 48

SP - 471

EP - 476

JO - Annals of Plastic Surgery

JF - Annals of Plastic Surgery

SN - 0148-7043

IS - 5

ER -