Original ArticlesWound Healing Complications After Cranial Vault Reconstruction for CraniosynostosisKugar, Meredith MD*; Strassle, Paula MSPH*; Elkins-Williams, Tyler MD*; Garimella, Roja BA†; Pham, Matthew DMD, MD*; Elton, Scott MD*; van Aalst, John MD‡; Wood, Jeyhan MD*Author Information *Division of Plastic Surgery, University of North Carolina, Burnett-Womack, Chapel Hill, NC †Brown University Alpert Medical School, Providence, RI ‡Department of Plastic and Reconstructive Surgery, Shriners Hospitals for Children, Cincinnati, OH. Address correspondence and reprint requests to Meredith Kugar, MD, Department of Plastic & Reconstructive Surgery, University of North Carolina, 7040 Burnett-Womack, CB 7195, Chapel Hill, NC 27599; E-mail: firstname.lastname@example.org Received 4 March, 2019 Accepted 11 July, 2019 Supplemental digital contents are available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (www.jcraniofacialsurgery.com). The authors report no conflicts of interest. Journal of Craniofacial Surgery: January/February 2020 - Volume 31 - Issue 1 - p 110-112 doi: 10.1097/SCS.0000000000005937 Buy SDC Metrics Abstract Craniosynostosis is a congenital cranial malformation involving premature fusion of cranial sutures. Indications for surgical repair of craniosynostosis include elevation of intracranial pressure, which can result in impaired vision and mental disability, as well as correction of abnormal skull shape. Resorbable plating systems have become the preferred technique for bony fixation in the repair of craniosynostosis. Multiple studies demonstrate the safety and low complication rate of resorbable plating systems. However, there is no consensus on which plating system is superior for patient outcomes. This study aims to investigate how the polymer composition of resorbable plating systems utilized in cranial vault reconstruction contributes to wound healing complications. A retrospective chart review was performed at the institution between January 1, 2005 and December 31, 2015. About 202 patients who underwent surgical repair of craniosynostosis were identified. The results showed that patients receiving the Biomet Lactosorb plating system were over twice as likely to have a wound complication within a year of surgery compared to other plating systems used at the institution. Wound complications continued to occur in the Biomet Lactosorb group at ≥180 days after surgery, whereas complications among the other plating systems occurred ≤80 days postoperatively. Half of all patients with wound complications had to undergo reoperation. These data demonstrate the effect of unique polymer compositions on wound healing, and will help to guide future clinical practice and industry development of resorbable plating systems. © 2020 by Mutaz B. Habal, MD.