title: Pediatric zygomatico-orbital complex fractures: the use of resorbable plating systems. A case report.
abstract: Maxillofacial trauma in the pediatric population is infrequent--only 5% of all facial fractures occur in children. Operative intervention is indicated when a displacement of normal structures is present, resulting in either a functional or cosmetic deformity. Some midface fractures in children may be managed with closed reduction and maxillomandibular fixation. When open reduction is indicated, plate-and-screw fixation has been the preferred method of stabilization. This article presents a case of an isolated zygomatico-orbital complex fracture in a 6-year-old boy. Open reduction and internal fixation of the fractures through a preexisting facial wound were performed using a resorbable plate-and-screw system. A review of the literature and a discussion of the technique precede the case presentation. The rapid healing of pediatric facial bones does not obviate the need for fracture reduction and fixation with titanium plates and screws. The resorbable system offers an alternative with excellent results.
authors.affiliation: Division of Otolaryngology/Head and Neck Surgery, University of North Carolina at Chapel Hill, 610 Burnett-Womack, CB #7070, Chapel Hill, NC 27599, USA.
authors.forename: R J
authors.initials: RJ
authors.lastname: Triana
authors.forename: W W
authors.initials: WW
authors.lastname: Shockley
mesh_terms: D020341:Absorbable Implants; D001672:Biocompatible Materials; D001860:Bone Plates; D001863:Bone Screws; D002648:Child; D004867:Equipment Design; D005593:Fracture Fixation, Internal / Q000295:instrumentation; D006801:Humans; D019344:Lactic Acid; D008297:Male; D009917:Orbital Fractures / Q000601:surgery*; D011098:Polyglactin 910; D011100:Polyglycolic Acid; D000077182:Polylactic Acid-Polyglycolic Acid Copolymer; D011108:Polymers; D013499:Surface Properties; D013526:Surgical Mesh; D013537:Sutures; D015051:Zygomatic Fractures / Q000601:surgery*
chemical_list: D001672:Biocompatible Materials; D011108:Polymers; D000077182:Polylactic Acid-Polyglycolic Acid Copolymer; D011100:Polyglycolic Acid; D019344:Lactic Acid; D011098:Polyglactin 910