title: [Our experience about the use of resorbable plates in the treatment of craniostenosis].
abstract: BACKGROUND
  The use of resorbable plates increases for craniosynostosis surgery. This material, based on polymere (PLA, PGA) can replace steel wire and non resorbable plates. A few studies present surgical results about the use of this material with a long follow-up. We present our ten years experience of using resorbable material for craniosynostosis treatment in children.
  
  
  METHODS
  Between 2002 and 2012, we operated 283 craniosynostosis (98 scaphocephalies, 55 trigonocephalies, 79 plagiocephalies et 51 craniofaciostenoses). Among these surgeries, 211 were realized with resorbable material (plates and screws). Different criteria were observed: the esthetic result, the infection rate, the re-intervention, the bone defects and the inflammatory granuloma.
  
  
  RESULTS
  Among the 211 craniosynostosis, we found 62 plagiocephalies, 66 scaphocephalies, 50 trigonocephalies, 33 craniofaciostenoses. All the reconstructions were realized with the same resorbable material (Macropore by Medtronic). The rate of complications was low: one scar infection without participation of material for two patients (0.9%), a pseudo-meningocele for two patients (0.9%), epilepsy for four children (1.8%) and bone defect for 15 (7%). We observed no granuloma for these patients.
  
  
  CONCLUSIONS
  Our experience of ten years using resorbable material is very satisfactory. This material permits to realize solid and esthetic reconstructions with a low rate of infection without dangerous reaction for children in young age.
authors.affiliation: Service de neurochirurgie pédiatrique, hôpital neurologique et neurochirurgical Pierre-Wertheimer, 69500 Lyon, France. Electronic address: blandine.grassiot@chu-lyon.fr.
authors.forename: B
authors.initials: B
authors.lastname: Grassiot
authors.affiliation: Service de neurochirurgie pédiatrique, hôpital neurologique et neurochirurgical Pierre-Wertheimer, 69500 Lyon, France.
authors.forename: V
authors.initials: V
authors.lastname: Delabar
authors.affiliation: Service de neurochirurgie pédiatrique, hôpital neurologique et neurochirurgical Pierre-Wertheimer, 69500 Lyon, France.
authors.forename: A
authors.initials: A
authors.lastname: Szathmari
authors.affiliation: Service de neurochirurgie pédiatrique, hôpital neurologique et neurochirurgical Pierre-Wertheimer, 69500 Lyon, France.
authors.forename: P A
authors.initials: PA
authors.lastname: Beuriat
authors.affiliation: Service de chirurgie maxillo-faciale pédiatrique, HFME, Lyon, France.
authors.forename: C
authors.initials: C
authors.lastname: Paulus
authors.affiliation: Service de neurochirurgie pédiatrique, hôpital neurologique et neurochirurgical Pierre-Wertheimer, 69500 Lyon, France.
authors.forename: C
authors.initials: C
authors.lastname: Mottolese
mesh_terms: D020341:Absorbable Implants; D000293:Adolescent; D001860:Bone Plates; D001863:Bone Screws; D002648:Child; D002675:Child, Preschool; D003398:Craniosynostoses / Q000453:epidemiology / Q000601:surgery*; D006801:Humans; D007223:Infant; D019344:Lactic Acid / Q000627:therapeutic use; D010027:Osteotomy / Q000009:adverse effects / Q000379:methods / Q000706:statistics & numerical data; D011091:Polyesters; D011100:Polyglycolic Acid / Q000627:therapeutic use; D011108:Polymers / Q000627:therapeutic use; D011183:Postoperative Complications / Q000453:epidemiology; D019651:Plastic Surgery Procedures / Q000295:instrumentation / Q000379:methods; D012189:Retrospective Studies
chemical_list: D011091:Polyesters; D011108:Polymers; D011100:Polyglycolic Acid; D019344:Lactic Acid; C033616:poly(lactide)
keywords: Absorbable implant; Anomalies craniofaciales; Craniofacial abnormalities; Craniosténoses; Craniosynostosis; Implant résorbable