ROLE OF RESORBABLE PLATES IN PAEDIATRIC MAXILLOFACIAL TRAUMA

Abstract

Background: The pathology of paediatric maxillofacial trauma is different compared to adult counterparts as the craniofacial development and the developing dentition continues. The traditional fixation of titanium though not ineffective can disrupt growth and normally, it requires further elimination. The use of resorbable plate systems has become an avenue worth pursuing in the paediatric population.

Objective: To evaluate the clinical effectiveness and safety of resorbable plates in the management of paediatric maxillofacial fractures.

Methodology: This is a prospective observational study that will be undertaken between 1 st January 2024 and 1 st January 2025 at Bibi Aseefa Dental College SMBBMU Larkana. There were a total of 72 Paediatric patients (<16 years) with maxillofacial fractures that needed open reduction and internal fixation. The characteristics of fractures, the details of operations, clinical and radiological results, and the complications after the operations were evaluated. The statistical tests on the comparison of age groups were conducted using the relevant statistical tests and a p-value of <0.05 was deemed significant.

Results: Mandibular fractures were the most common injury pattern. Stable fixation and satisfactory radiological healing were achieved in over 90% of patients. Normal occlusion was restored in the majority of cases, and the need for intermaxillary fixation was limited. Postoperative complications were infrequent and mostly minor, with no clinically evident growth disturbances observed during follow-up.

Conclusion: Resorbable plate fixation provides reliable stability, favorable functional outcomes, and a low complication rate in paediatric maxillofacial trauma. Its use eliminates the need for secondary hardware removal and represents a safe and effective alternative to conventional metallic fixation in appropriately selected paediatric patients.