The "In Situ Molding Technique": An Accurate and Simple Way to Fix Resorbable Plates to the Facial Skeleton.

The Journal of craniofacial surgery

PubMedID: 25072969

Sadigh PL, Chang LR, Feng KM, Jeng SF. The "In Situ Molding Technique": An Accurate and Simple Way to Fix Resorbable Plates to the Facial Skeleton. J Craniofac Surg. 2014;.
Bioabsorbable plates developed for use in the facial skeleton have become an integral part of the craniomaxillofacial surgeon's reconstructive armamentarium. They avoid the problems associated with the retention of metal plates and can be easily contoured when heated in a thermobath. The technical process of molding and securing these devices, often through small access incisions, to achieve rigid fixation of facial fractures can be difficult. In this article, we describe a simple, novel technique that we have developed, using hot water suction irrigation, to achieve in situ molding of resorbable plates during facial fracture fixation. We used this technique to fix 123 facial fractures in 110 patients over a 4-year period. No complications secondary to the use of hot water suction irrigation were encountered.