Efficacy of resorbable plates for reduction and stabilization of laryngeal fractures.
We evaluated the efficacy of resorbable reconstruction plates (polylactic acid copolymer) for the open reduction and stabilization of displaced laryngeal fractures. Both MacroPore and Leibinger reconstruction plates were used with equal ease of application in 3 adult male patients. We found the plating system to be especially effective for the reduction of comminuted cricoid fractures. Adequate skeletal stabilization allowed early resumption of phonatory and respiratory function without long-term intraluminal stenting for skeletal support. No complications of hematoma, seroma, or infection were experienced. Resorbable plates appear to be relatively safe and useful for internal fixation of both cartilaginous and ossified parts of the larynx, allowing rapid rehabilitation and return of function.
Sasaki
Clarence T
CT
Section of Otolaryngology, Yale School of Medicine, 333 Cedar St, PO Box 208041, New Haven, CT 06520-8041, USA.
Marotta
James C
JC
Lowlicht
Roger A
RA
Ross
Douglas A
DA
Johnson
Michelle
M
D020341:Absorbable Implants / Q000592:standards*; D000328:Adult; D001860:Bone Plates; D005593:Fracture Fixation, Internal / Q000592:standards; D050724:Fractures, Cartilage / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007817:Laryngeal Cartilages / Q000000981:diagnostic imaging / Q000293:injuries*; D008297:Male; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014949:Wounds, Nonpenetrating / Q000150:complications / Q000000981:diagnostic imaging