Foreign Body Reaction to Poly-D-L-Lactic Acid Resorbable Plates Used in Craniofacial Surgery.

Abstract

Resorbable surgical materials are often used in the pediatric population to provide fixation in the growing skeleton. Although foreign body reactions to poly-D-L-lactic acid (PDLLA) plates and screws have been previously reported in other fields, to date PDLLA polymers have been well-tolerated in the setting of craniofacial surgery. The authors report a case of a previously healthy 4-month-old patient with Crouzon syndrome who underwent a frontal-orbital advancement with resorbable PDLLA plates and screws and subsequently experienced extensive foreign body reactions and wound healing complications.

• Authors: Nicholas Cen, Matthew J Davis, Amjed Abu-Ghname, Lesley W Davies, Kalyani R Patel, Edward P Buchanan
• Journal: The Journal of craniofacial surgery (J Craniofac Surg) Vol. 31 Issue 7 Pg. e741-e744 (Oct 2020) ISSN: 1536-3732 [Electronic] United States
• PMID: 32649558 (Publication Type: Case Reports, Journal Article)

Chemical References

• Polyesters
• poly(lactide)

Topics

• Absorbable Implants (adverse effects)
• Bone Plates (adverse effects)
• Foreign-Body Reaction (etiology)
• Humans
• Infant
• Male
• Polyesters (adverse effects)
• Skull (surgery)