The Role of Resorbable Mesh as a Fixation Device in XXXX .

@entity1 @entity91 @entity260
UNASSIGNED: The purpose of the study was to present our experience with endocranial fixation using the Resorb-X mesh (KLS Martin, Jacksonville, FL) in frontoorbital reconstruction. A retrospective review of all @entity1 underwent frontoorbital advancement at our institution from 2003 to 2012 was performed. Inclusion criterion included: pediatric @entity1 who underwent frontoorbital advancement for @entity91 ; @entity1 underwent treatment of the @entity91 only at our center; resorbable fixation devises were applied only endocranially; and follow-up was >= 2 years. @entity1 ' evaluation included @entity260 , surgical outcomes, and postoperative computed tomographic imaging if accessible. Thirty-nine @entity1 met the inclusion criteria. Resorbable plates were used in 16 @entity1 and Resorb-X mesh in 23 @entity1 . Observed complications were unrelated to the fixation system used. Resorption of fixation devices was evident in all @entity1 after 20 months following reconstruction. There were no incidents of local reaction to the fixation system. Frontoorbital area contour was deemed good in 24 @entity1 and excellent in 15 @entity1 by both families and attending surgeon. There was a statistical significant difference (P=0.030) between @entity1  <=12 months and >12 months regarding the complications rate. Endocranial fixation using the Resorb-X mesh is easily applicable, avoids material palpability, and provides stable and secure fixation. This technique is superior to the conventional endocranial osseous fixation with absorbable plates, as it avoids some of its possible complications while providing all the benefits of resorbable fixation.
