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

J Craniofac Surg. 2020 Oct;31(7):e741-e744. doi: 10.1097/SCS.0000000000006735.

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.

Publication types

  • Case Reports

MeSH terms

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

Substances

  • Polyesters
  • poly(lactide)