title: "False" migration of rigid fixation appliances in pediatric craniofacial surgery.
abstract: Osseous fixation techniques have been widely used to provide rigid stabilization in the craniofacial skeleton. Reported sequelae of its usage has been limited to palpation of the screw-plate system and radiological imaging artifacts. Over the past 3 years we have identified miniplates, microplates, and wire sutures on the inner cranial table of the growing child. The observation of "false" migration of these appliances has provided the impetus to review these patients in more detail. Twenty patients underwent secondary cranial remodeling within a two-year period; 7 of these patients were seen to have "false" migration. There were no untoward sequelae in removal of these appliances, and no adverse neurological symptoms were seen.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Cleveland Clinic Foundation, Ohio, USA.
authors.forename: F A
authors.initials: FA
authors.lastname: Papay
authors.forename: S
authors.initials: S
authors.lastname: Hardy
authors.forename: L
authors.initials: L
authors.lastname: Morales
authors.forename: M
authors.initials: M
authors.lastname: Walker
authors.forename: D
authors.initials: D
authors.lastname: Enlow
mesh_terms: D001860:Bone Plates / Q000009:adverse effects; D016723:Bone Remodeling; D001862:Bone Resorption / Q000209:etiology; D001863:Bone Screws; D001864:Bone Wires / Q000009:adverse effects*; D002648:Child; D002675:Child, Preschool; D019465:Craniofacial Abnormalities / Q000601:surgery*; D003399:Craniotomy / Q000009:adverse effects* / Q000295:instrumentation; D004388:Dura Mater; D005547:Foreign Bodies; D005548:Foreign-Body Migration; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D010012:Osteogenesis / Q000502:physiology; D012886:Skull / Q000254:growth & development / Q000601:surgery*