Management of craniosynostosis is based on early surgical correction including synostotic sutures liberation and orbit-cranial remodeling. The introduction of resorbable fixation methods has become the state of art in this type of surgery.
Material and methods : We present a study of 25 patients undergoing surgery of craniosynostosis between 2006 and 2012, using in all cases the resorbable osteosynthesis system based on the welding principle by ultrasounds. The cases have been analyzed by gender, age, type of craniosynostosis and complications. The average follow up period was one year.
Results : All patients had good performance in terms of aesthetics and functionality. There were no cases of severe complications. The most frequent complication was a slight infection of the surgical wound. In all cases resolved with conservative measures, combining direct closure or local flap. Use of titanium osteosynthesis in craniofacial surgery showed problems like difficult adaptation and interference with bone growth. A new method using resorbable plates and pins based on the welding principle by ultrasounds can improve the fixation technique.
Conclusions : The emergence of a osteosynthesis system based on the welding system has improve the surgical treatment of craniosynostosis in terms of mechanics, material handling and reducing surgical time.