Exploring the Efficacy of Bio Resorbable Plating in Paediatric Maxillofacial Trauma: A Literature Review
DOI:
https://doi.org/10.52783/jns.v14.2012Keywords:
Bioresorbable plating, Complications, Facial growth, Material limitations, Pediatric maxillofacial traumaAbstract
Background: This systematic review evaluates the effectiveness of bioresorbable plating systems in pediatric maxillofacial trauma. These systems, composed of polymers such as polyglycolic acid (PGA) and poly-L-lactic acid (PLLA), degrade over time, eliminating the need for removal surgeries and mitigating growth restriction concerns associated with traditional metallic fixation.
Methods: Following PRISMA guidelines, a systematic search was conducted across Google Scholar, Cochrane Library, PubMed, and Scopus using relevant keywords and MeSH terms. Studies involving pediatric patients treated with bioresorbable plates for facial fractures were included. Independent reviewers performed data extraction and quality assessment to ensure study validity.
Results: The efficacy of bioresorbable plating systems in pediatric maxillofacial trauma is evident, with 92% of patients exhibiting normal facial growth without requiring plate removal. However, some complications were reported, with 6% of patients experiencing inflammatory issues and 2% requiring reoperation due to plate degradation. While these plates generally provided sufficient stability, concerns were raised regarding their effectiveness in high-stress areas, where additional reinforcement may be necessary. Furthermore, high costs and limited material availability were identified as significant barriers to their widespread adoption, potentially limiting access to this promising alternative to metallic fixation systems.
Conclusion: Bioresorbable plating systems present a promising alternative to metallic fixation in pediatric maxillofacial trauma, supporting facial growth and reducing secondary procedures. However, further prospective studies are needed to assess long-term outcomes and comparative effectiveness. Advances in material science may enhance their clinical application.
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