摘要

Bioresorbable devices are particularly useful for skull bone reconstruction. Different systems are now commercially available. The aim of this trial was to compare the clinical outcomes of bone flap fixation using a new bioresorbable system (Bonamates(superscript ®)) and a traditional titanium plate/screw system. Patients diagnosed with a head injury, brain tumor, or cerebral vascular stroke and who received a craniotomy in our hospital in 2003 and 2004 were randomly allocated to 2 treatment groups for skull flap fixation (study group A: Bonamates(superscript ®): n=4; control group B: titanium plate: n=4). Treatment outcomes and complication rates were compared between these 2 groups. In total, 8 patients (study groups A and B) were followed-up for at least 6 months after surgery. All patients in the study group A whose bone flap was fixed with bioresorbable plates/screws were reviewed postoperatively. Uneventful healing occurred during the entire follow-up period for all 4 patients (100%) in group A but for only 3 of 4 patients (75%) in group B. None of the patients developed postoperative complications (i.e., infection, soft tissue dehiscence, bone flap sink, or implant-related tissue reactions). After the operation, all patients in group B had severe artifacts on the imaging study (especially the computed tomographic scan), but none was seen in group A. For patients who received radiotherapy (1 from each group), the one fixed with the titanium plate had some dosimetry considerations and complications, but the one using Bonamates(superscript ®) fixation had none. There were no significant differences between the bioresorbable device and titanium fixation with respect to fracture healing, bone flap sink, or postoperative complications. But the fusion rate appeared to be higher in the Bonamates(superscript ®) group. If patients are going to receive radiotherapy (especially brain tumor patients), the Bonamates(superscript ®) system seems to be an ideal choice for bone flap fixation.
原文英語
頁(從 - 到)187-194
頁數8
期刊Journal of Dental Sciences
1
發行號4
出版狀態已發佈 - 2006

指紋

Skull
Titanium
Bone and Bones
Brain Neoplasms
Radiotherapy
Equipment and Supplies
Soft Tissue Infections
Fracture Healing
Craniotomy
Craniocerebral Trauma
Artifacts
Blood Vessels
Stroke
Control Groups

引用此文

@article{ac5304ac0e5046ce9136613397ef2819,
title = "Clinical Experience with Bioresorbable Plates for Skull Flap Fixation",
abstract = "Bioresorbable devices are particularly useful for skull bone reconstruction. Different systems are now commercially available. The aim of this trial was to compare the clinical outcomes of bone flap fixation using a new bioresorbable system (Bonamates(superscript {\circledR})) and a traditional titanium plate/screw system. Patients diagnosed with a head injury, brain tumor, or cerebral vascular stroke and who received a craniotomy in our hospital in 2003 and 2004 were randomly allocated to 2 treatment groups for skull flap fixation (study group A: Bonamates(superscript {\circledR}): n=4; control group B: titanium plate: n=4). Treatment outcomes and complication rates were compared between these 2 groups. In total, 8 patients (study groups A and B) were followed-up for at least 6 months after surgery. All patients in the study group A whose bone flap was fixed with bioresorbable plates/screws were reviewed postoperatively. Uneventful healing occurred during the entire follow-up period for all 4 patients (100{\%}) in group A but for only 3 of 4 patients (75{\%}) in group B. None of the patients developed postoperative complications (i.e., infection, soft tissue dehiscence, bone flap sink, or implant-related tissue reactions). After the operation, all patients in group B had severe artifacts on the imaging study (especially the computed tomographic scan), but none was seen in group A. For patients who received radiotherapy (1 from each group), the one fixed with the titanium plate had some dosimetry considerations and complications, but the one using Bonamates(superscript {\circledR}) fixation had none. There were no significant differences between the bioresorbable device and titanium fixation with respect to fracture healing, bone flap sink, or postoperative complications. But the fusion rate appeared to be higher in the Bonamates(superscript {\circledR}) group. If patients are going to receive radiotherapy (especially brain tumor patients), the Bonamates(superscript {\circledR}) system seems to be an ideal choice for bone flap fixation.",
keywords = "bioresorbable, bone plate, skull flap fixation",
author = "Jia-Wei Lin and Chien-Min Lin and Wen-Ta Chiu and Chien-Chung Yang and Chien-Chung Chen and Sheng-Yang Lee and Jen-Chang Yang",
year = "2006",
language = "English",
volume = "1",
pages = "187--194",
journal = "Journal of Dental Sciences",
issn = "1991-7902",
publisher = "中華牙醫學會",
number = "4",

}

TY - JOUR

T1 - Clinical Experience with Bioresorbable Plates for Skull Flap Fixation

AU - Lin, Jia-Wei

AU - Lin, Chien-Min

AU - Chiu, Wen-Ta

AU - Yang, Chien-Chung

AU - Chen, Chien-Chung

AU - Lee, Sheng-Yang

AU - Yang, Jen-Chang

PY - 2006

Y1 - 2006

N2 - Bioresorbable devices are particularly useful for skull bone reconstruction. Different systems are now commercially available. The aim of this trial was to compare the clinical outcomes of bone flap fixation using a new bioresorbable system (Bonamates(superscript ®)) and a traditional titanium plate/screw system. Patients diagnosed with a head injury, brain tumor, or cerebral vascular stroke and who received a craniotomy in our hospital in 2003 and 2004 were randomly allocated to 2 treatment groups for skull flap fixation (study group A: Bonamates(superscript ®): n=4; control group B: titanium plate: n=4). Treatment outcomes and complication rates were compared between these 2 groups. In total, 8 patients (study groups A and B) were followed-up for at least 6 months after surgery. All patients in the study group A whose bone flap was fixed with bioresorbable plates/screws were reviewed postoperatively. Uneventful healing occurred during the entire follow-up period for all 4 patients (100%) in group A but for only 3 of 4 patients (75%) in group B. None of the patients developed postoperative complications (i.e., infection, soft tissue dehiscence, bone flap sink, or implant-related tissue reactions). After the operation, all patients in group B had severe artifacts on the imaging study (especially the computed tomographic scan), but none was seen in group A. For patients who received radiotherapy (1 from each group), the one fixed with the titanium plate had some dosimetry considerations and complications, but the one using Bonamates(superscript ®) fixation had none. There were no significant differences between the bioresorbable device and titanium fixation with respect to fracture healing, bone flap sink, or postoperative complications. But the fusion rate appeared to be higher in the Bonamates(superscript ®) group. If patients are going to receive radiotherapy (especially brain tumor patients), the Bonamates(superscript ®) system seems to be an ideal choice for bone flap fixation.

AB - Bioresorbable devices are particularly useful for skull bone reconstruction. Different systems are now commercially available. The aim of this trial was to compare the clinical outcomes of bone flap fixation using a new bioresorbable system (Bonamates(superscript ®)) and a traditional titanium plate/screw system. Patients diagnosed with a head injury, brain tumor, or cerebral vascular stroke and who received a craniotomy in our hospital in 2003 and 2004 were randomly allocated to 2 treatment groups for skull flap fixation (study group A: Bonamates(superscript ®): n=4; control group B: titanium plate: n=4). Treatment outcomes and complication rates were compared between these 2 groups. In total, 8 patients (study groups A and B) were followed-up for at least 6 months after surgery. All patients in the study group A whose bone flap was fixed with bioresorbable plates/screws were reviewed postoperatively. Uneventful healing occurred during the entire follow-up period for all 4 patients (100%) in group A but for only 3 of 4 patients (75%) in group B. None of the patients developed postoperative complications (i.e., infection, soft tissue dehiscence, bone flap sink, or implant-related tissue reactions). After the operation, all patients in group B had severe artifacts on the imaging study (especially the computed tomographic scan), but none was seen in group A. For patients who received radiotherapy (1 from each group), the one fixed with the titanium plate had some dosimetry considerations and complications, but the one using Bonamates(superscript ®) fixation had none. There were no significant differences between the bioresorbable device and titanium fixation with respect to fracture healing, bone flap sink, or postoperative complications. But the fusion rate appeared to be higher in the Bonamates(superscript ®) group. If patients are going to receive radiotherapy (especially brain tumor patients), the Bonamates(superscript ®) system seems to be an ideal choice for bone flap fixation.

KW - bioresorbable

KW - bone plate

KW - skull flap fixation

M3 - Article

VL - 1

SP - 187

EP - 194

JO - Journal of Dental Sciences

JF - Journal of Dental Sciences

SN - 1991-7902

IS - 4

ER -