The DOI matches its Crossref record; 28 of the 28 references it cites were found in a registry or an index.
Outcome Analysis for Correction of Single Suture Craniosynostosis Using Resorbable Fixation
Abstract
A retrospective review was performed on 63 patients at Childrens Healthcare of Atlanta at Scottish Rite who underwent correction of single-suture craniosynostosis using a resorbable fixation system. Included in the series were 24 patients with metopic synostosis, 15 with sagittal synostosis, and 24 with unicoronal synostosis. The average age at operation was 22.7 months (range: 2.8 months-18 years), and mean follow-up time was 30.7 months (range: 7.1-10 years). Reoperation equal to or exceeding the magnitude of the original procedure occurred in 4.76% of the patients. This was comparable to the reoperation rate observed at our institution using traditional fixation systems. Minor complications related to the use of resorbable plates were also identified, and the final outcome for single-suture synostosis was favorable. Results suggest that resorbable plates and screws are as effective as titanium-based systems in the treatment of single-suture synostosis.
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In the citing paper
“Resorbable plates have become the preferred choice, offering a safer, effective alternative without the complications of permanent implants and are now the standard for infant cranial reconstruction [80].”
From Developments in diagnostic and surgical techniques in children with sagittal suture craniosynostosis: a systematic review spanning the last 30 years (2025) · cites this paper as [80]
In the citing paper
“These systems provide effective stabilisation with no loss in rigidity and improve surgical outcomes.”
From Developments in diagnostic and surgical techniques in children with sagittal suture craniosynostosis: a systematic review spanning the last 30 years (2025) · cites this paper as [80]
In the citing paper
“Reoperation rates for resorbable plates in single-suture synostosis were comparable to traditional titanium plates.”
From Developments in diagnostic and surgical techniques in children with sagittal suture craniosynostosis: a systematic review spanning the last 30 years (2025) · cites this paper as [80]
In the citing paper
“Resorbable plates have become the preferred choice, offering a safer, effective alternative without the complications of permanent implants and are now the standard for infant cranial reconstruction [80].”
From Developments in diagnostic and surgical techniques in children with sagittal suture craniosynostosis: a systematic review spanning the last 30 years (2025) · cites this paper as [80]
Citations
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Eppley, B. L., Sadove, A. M., & Havlik, R. J. (1997) · Plastic & Reconstructive Surgery · doi:10.1097/00006534-199707000-00001 · Cited by 181
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Cited by
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Eppley, B. L., Morales, L., Wood, R. J., Pensler, J. M., Goldstein, J., Havlik, R. J., Habal, M. B., D, A. L. M., Williams, J. K., Burstein, F. D., et al. (2004) · Plastic & Reconstructive Surgery · doi:10.1097/01.prs.0000132856.69391.43 · Cited by 251
Self-citationA randomized controlled trial of resorbable versus titanium fixation for orthognathic surgery
Cheung, L. K., Chow, L. K., & Chiu, W. K. (2004) · Oral Surgery Oral Medicine Oral Pathology Oral Radiology and Endodontology · doi:10.1016/j.tripleo.2004.02.069 · Cited by 97
Burstein, F. D., & Williams, J. K. (2005) · Plastic & Reconstructive Surgery · doi:10.1097/01.prs.0000145794.01442.64 · Cited by 94
Self-citationComputer-Aided Design and Manufacturing in Craniosynostosis Surgery
Seruya, M., Borsuk, D. E., Khalifian, S., Carson, B. S., Dalesio, N. M., & Dorafshar, A. H. (2013) · Journal of Craniofacial Surgery · doi:10.1097/scs.0b013e31828b7021 · Cited by 83
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Jimenez, D. F., McGinity, M. J., & Barone, C. M. (2018) · Journal of Neurosurgery Pediatrics · doi:10.3171/2018.6.peds1749 · Cited by 71
Tahiri, Y. H., Swanson, J. W., & Taylor, J. A. (2015) · Journal of Craniofacial Surgery · doi:10.1097/scs.0000000000002020 · Cited by 66
Maximizing Results in Craniofacial Surgery With Bioresorbable Fixation Devices
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“Studies that have reviewed the complication rate of resorbable material since 1996, when the percentage of copolymer composition was improved, have not shown problems with a lack of complete absorption or giant cell foreign body reaction.(6,7) However, even with the improvements, the resorbable material has not been c…”
BackgroundBonfield, C. M., Lee, P. S., Adamo, M. A., & Pollack, I. F. (2014) · Journal of Cranio-Maxillofacial Surgery · doi:10.1016/j.jcms.2014.01.036 · Cited by 46
“Eight studies published data for reoperation rates after CVR (Williams et al., 1997; Panchal et al., 1999; Losken et al., 2001; Greensmith et al., 2008; David et al., 2010; Fata and Turner, 2001; Shah et al., 2011; Lee et al., 2012).”
BackgroundSingle-Stage Craniofacial Distraction Using Resorbable Devices
Burstein, F. D., Williams, J. K., Hudgins, R. J., Graham, L. M., Teague, G. W., Paschal, M., & Simms, C. (2002) · Journal of Craniofacial Surgery · doi:10.1097/00001665-200211000-00013 · Cited by 42
Self-citationNon-syndromic trigonocephaly: surgical decision making and long-term cosmetic results
Kelleher, M., Murray, D. J., McGillivary, A., Kamel, M. H., Allcutt, D. A., & Earley, M. J. (2007) · Child s Nervous System · doi:10.1007/s00381-007-0386-6 · Cited by 35
“Recent technical advances in plating systems have stimulated an evolutionary interest in the use of re-absorbable polymer plates and screws for craniofacial surgery [15, 17].”
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Surgical treatment of trigonocephaly: technique and long-term results in 48 cases
Özlen, F., Kafadar, A. M., Abuzayed, B., Ulu, M. O., İşler, C., Dashti, R., & Erdinçler, P. (2011) · Journal of Neurosurgery Pediatrics · doi:10.3171/2010.12.peds10359 · Cited by 33
Analysis of Morbidity, Readmission, and Reoperation After Craniosynostosis Repair in Children
Jubbal, K. T., Agrawal, N., & Hollier, L. H. (2016) · Journal of Craniofacial Surgery · doi:10.1097/scs.0000000000003316 · Cited by 30
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Acosta, H. L., Stelnicki, E. J., Rodríguez, L., & Slingbaum, L. A. (2005) · The Cleft Palate-Craniofacial Journal · doi:10.1597/03-071.1 · Cited by 27
“In addition, infections, bone atrophy, osteopenia because of stress shielding, and palpability often necessitated surgical removal (Pietrzak, 2000; Losken et al., 2001).”
BackgroundIndications for Computer-Aided Design and Manufacturing in Congenital Craniofacial Reconstruction
Fisher, M. C., Medina, M., Bojovic, B., Ahn, E. S., & Dorafshar, A. H. (2016) · Craniomaxillofacial Trauma & Reconstruction · doi:10.1055/s-0036-1584391 · Cited by 25
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Wong-Gibbons, D. L., Kancherla, V., Romitti, P., Tyler, M. C., Damiano, P., Druschel, C., Robbins, J. M., Kizelnik-Freilich, S., & Burnett, W. (2009) · The Journal of craniofacial surgery (Print) · doi:10.1097/scs.0b013e318190e28c · Cited by 23
“Also, resynostosis has been estimated to occur in 1% to 6% of children with craniosynostosis, requiring multiple follow-up surgeries; thus, the impact of craniosynostosis on health care expenditures can be quite high.(32) Although surgical outcomes of craniosynostosis have been well studied, less is known about the ps…”
BackgroundThe Role of Resorbable Mesh as a Fixation Device in Craniosynostosis
Konofaos, P., Goubran, S., & Wallace, R. D. (2015) · Journal of Craniofacial Surgery · doi:10.1097/scs.0000000000002279 · Cited by 22
“Since the introduction of resorbable fixation devices in the early 1990s, its ability to maintain sufficient rigidity until skeletal healing is complete has made them an attractive alternative for pediatric skeletal fixation.(4) Moreover, growth will not be inhibited because the material will be reabsorbed in an adequ…”
BackgroundSalokorpi, N., Sinikumpu, J., Iber, T., Zibo, H. N., Areda, T., Ylikontiola, L. P., Sándor, G. K. B., & Serlo, W. S. (2015) · Child s Nervous System · doi:10.1007/s00381-015-2657-y · Cited by 18
“Both patients and their parents have voiced complaints about these aesthetic disadvantages [1, 4, 15].”
BackgroundApplication of the Spanning Plate Concept to Frontal Orbital Advancement
Burstein, F. D., Eppley, B. L., Hudgins, R. J., Williams, J. K., Boydston, W. R., Reisner, A., & Stevenson, K. (2006) · Journal of Craniofacial Surgery · doi:10.1097/00001665-200603000-00007 · Cited by 18
“Resorbable plates and screws have been widely accepted for use in pediatric craniofacial surgery, including FOA.”
BackgroundResultInfluentialSelf-citationCorkum, J. P., Burke, E., Samargandi, O. A., Retrouvey, H., & Bezuhly, M. (2018) · Journal of Craniofacial Surgery · doi:10.1097/scs.0000000000005038 · Cited by 16
New Technique for Reconstructing the Affected Cranium and Orbital Rim in Unicoronal Craniosynostosis
David, L. R., Fisher, D., & Argenta, L. C. (2009) · Journal of Craniofacial Surgery · doi:10.1097/scs.0b013e318191cf33 · Cited by 14
Degradation rate of delta (resorbable) internal fixation: report of 2 cases
Ricalde, P., & Posnick, J. C. (2004) · Journal of Oral and Maxillofacial Surgery · doi:10.1016/j.joms.2003.04.016 · Cited by 13
Absorbable Plate Strength Loss During Molding
Ballard, T. N. S., Kelly, K. J., Zaydfudim, V. M., Walcutt, N. L., Lahijani, S. S., Shack, R. B., & Thayer, W. P. (2010) · Journal of Craniofacial Surgery · doi:10.1097/scs.0b013e3181d7ad06 · Cited by 12
“Reoperation after repair of nonsyndromic synostosis is a rare occurrence, being required in less than 6% of cases for nonsyndromic synostosis.(8,9) Our experience involving an absorbable system that buckled under normal loading conditions in a 6-month-old baby with nonsyndromic coronal synostosis led us to review our…”
BackgroundDifficult questions facing the craniofacial team
Bruce, D. A. (2004) · Oral and Maxillofacial Surgery Clinics of North America · doi:10.1016/j.coms.2004.06.001 · Cited by 8
Stable fixation with absorbable sutures in craniofacial surgery
Linz, C., Kunz, F., Krauß, J., Böhm, H., Wirth, C., Hartmann, S., Wirbelauer, J., & Schweitzer, T. (2016) · Journal of Cranio-Maxillofacial Surgery · doi:10.1016/j.jcms.2016.02.006 · Cited by 8
“There are, however, described disadvantages to absorbable plates and screws, including foreign body reaction and high material costs (Bos et al., 1989; Bergsma et al., 1993; Losken et al., 2001; Dorri et al., 2009; Ballard et al., 2010; Wood et al., 2012; Freudlsperger et al., 2014).”
BackgroundMethodKreppel, M., Kauke‐Navarro, M., Grandoch, A., Safi, A., Nickenig, H., & Zöller, J. E. (2018) · Journal of Craniofacial Surgery · doi:10.1097/scs.0000000000004689 · Cited by 8
Wound Healing Complications After Cranial Vault Reconstruction for Craniosynostosis
Kugar, M., Strassle, P. D., Elkins-Williams, T., Garimella, R. S., Pham, M., Elton, S., van Aalst, J. A., & Wood, J. (2019) · Journal of Craniofacial Surgery · doi:10.1097/scs.0000000000005937 · Cited by 9
“Multiple studies demonstrating the safety and low complication rates of resorbable plating systems have primarily used Biomet Lactosorb in their analysis.(4,6,8,9) A combined prospective and retrospective analysis of over 1883 craniosynostosis patients that underwent repair with Biomet Lactosorb published by Eppley et…”
BackgroundUse of resorbable and screw fixation in pediatric craniofacial surgery
Eppley, B. L. (2002) · Operative Techniques in Plastic and Reconstructive Surgery · doi:10.1016/s1071-0949(03)90007-2 · Cited by 6
Dynamic Spring Mediated Cranioplasty in an Experimental Model With Resorbable Foot Plates
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“There is a current trend toward the use of resorbable plates for cranial reconstruction with promising results.(25) The plates are able to maintain rigidity while the bone heals with no increased risk of infection and, more importantly, plate migration, as”
BackgroundAbsorbable sutures for the achievement of stable osteosynthesis in surgery for craniosynostosis
Horn, F., Kilipiris, E., Pinzon, J., Tsolakis, I. A., Kabát, M., Petrík, M., & Kuniaková, D. (2019) · Neurologia i Neurochirurgia Polska · doi:10.5603/pjnns.a2019.0014 · Cited by 4
Implementation of Upper Extremity Trauma Registry: A Pilot Study
Shafaei, Y., Foroutan, A. R., Sherafat, A., Fatemi, M. J., Faradonbeh, H. B., & Akbari, H. (2023) · WORLD JOURNAL OF PLASTIC SURGERY · doi:10.52547/wjps.12.1.29 · Cited by 3
Resorbable Plate Fixation for Maxillofacial Fractures and Osteotomies
Chow, L. K., Cheung, L. K., & Ren, W. (2004) · Asian Journal of Oral and Maxillofacial Surgery · doi:10.1016/s0915-6992(04)80037-2 · Cited by 3
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“Resorb-able plates have become the preferred choice, offering a safer, effective alternative without the complications of permanent implants and are now the standard for infant cranial reconstruction [80].”
Early Failure of Absorbable Plating in a Patient With Syndromic Brachycephaly
Baker, M. B., Kutka, M. F., & Kelly, K. J. (2004) · Journal of Craniofacial Surgery · doi:10.1097/00001665-200405000-00034 · Cited by 2
Demirhan, B., Altin�rs, N., Caner, H., Çalışaneller, T., & Bavbek, M. (2004) · Acta Neurochirurgica · doi:10.1007/s00701-003-0190-3 · Cited by 2
“fixation of the suturectomy site using acrylic [34], steel, titanium or polyglactic plates [10, 18, 19]; and performing a large craniectomy [35].”
MethodFaber, J., Linz, C., Böhm, H., Kunz, F., & Schweitzer, T. (2024) · Child s Nervous System · doi:10.1007/s00381-024-06377-w · Cited by 1
“Aside from the relatively high costs, acute and long-lasting foreign body reactions were described even years after implantation [9, 11, 21–23].”
BackgroundResultHollier, L. H. (2019) · Plastic & Reconstructive Surgery · doi:10.1097/prs.0000000000005934 · Cited by 1
Comparison of the Results of Suture and Resorbable Plate-Screw Fixation in Craniosynostosis
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Nobakht, M., & Hasanpour, S. E. (2023) · WORLD JOURNAL OF PLASTIC SURGERY · doi:10.52547/wjps.12.1.37 · Cited by 1
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Frontoorbital Advancement (FOA) using surgical suture. Our experience : single institution
Kemas, K. M. A. H. H. (2021) · Asian Australasian Neuro and Health Science Journal (AANHS-J) · doi:10.32734/aanhsj.v3i2.5704
“In addition, reports have shown that the use of absorbable plates increases the operation time due to the extra need for tapping the screw hole and the risk of screw fracture, when the screws are not applied accurately in an orthograde direction [5].”
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Higuera, S., & Hollier, L. H. (2006) · Plastic & Reconstructive Surgery · doi:10.1097/01.prs.0000194907.29865.0f
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Metadata
- Authors
- Losken, A., Williams, J. K., Burstein, F. D., Cohen, S. R., Hudgins, R., Boydston, W., Reisner, A., & Simms, C.
- Affiliations
- Children's Healthcare of Atlanta (US)
- Corresponding author
- Williams, J. Kerwin
- Venue
- Journal of Craniofacial Surgery
- Published
- 2001-09
- Volume
- 12
- Issue
- 5
- Pages
- 451-455
- ISSN
- 1049-2275 (ISSN-L)
- OpenAlex
- W2014542720
- Cited by
- 46
- References
- 28
- Citations by year
- 2025: 1 · 2024: 1 · 2023: 2 · 2022: 2 · 2021: 1 · 2020: 1 · 2019: 4 · 2018: 3 · 2016: 3 · 2015: 3 · 2014: 1 · 2013: 1
- FWCI
- 1.99
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Craniofacial Surgery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Craniofacial Disorders and Treatments
- Health Sciences › Medicine › Surgery › Pectus Deformity Diagnosis and Treatment
- Health Sciences › Medicine › Surgery › Reconstructive Facial Surgery Techniques
- Keywords
- single-suture craniosynostosis, metopic synostosis, sagittal synostosis, unicoronal synostosis, reoperation rate, surgical complications, pediatric craniofacial surgery
- MeSH terms
- Polylactic Acid-Polyglycolic Acid Copolymer, Adolescent, Biocompatible Materials, Bone Plates, Bone Screws, Child, Child, Preschool, Craniosynostoses, Craniotomy, Female, Humans, Infant, Male, Polyglycolic Acid, Polymers, Reoperation, Retrospective Studies, Titanium, Treatment Outcome, Health Care Costs, Lactic Acid, Absorbable Implants
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