Chronic headache as a sequela of rigid fixation for craniosynostosis.
Rigid fixation has been used over the past 20 years for the long-lasting correction of traumatic and congenital craniofacial defects. It has been noted that the use of plates and screws can result in the migration of the hardware through the skull to the inner cerebral cortex where it embeds in the dura. In addition, there is controversy concerning the safety of using titanium plates in the pediatric population. We report here on an 8-year-old boy who presented to our clinic with a chronic headache after rigid craniofacial fixation using titanium plates 7 years before.
Beck
Joel
J
Department of Surgery, Division of Plastic Surgery, University of Mississippi Medical Center, 2500 North State Street, Jackson, MS 39216, USA.
Parent
Andrew
A
Angel
Michael F
MF
D001860:Bone Plates / Q000009:adverse effects*; D001863:Bone Screws / Q000009:adverse effects*; D002648:Child; D002908:Chronic Disease; D003398:Craniosynostoses / Q000601:surgery*; D003399:Craniotomy / Q000009:adverse effects / Q000295:instrumentation; D004388:Dura Mater; D005547:Foreign Bodies / Q000209:etiology*; D005548:Foreign-Body Migration; D006261:Headache / Q000209:etiology*; D006801:Humans; D008297:Male; D009666:Nose