Arch Craniofac Surg.  2018 Jun;19(2):143-147. 10.7181/acfs.2018.00038.

Delayed formation of sterile abscess after zygomaticomaxillary complex fracture treatment with bioabsorbable plates

• Doh G
• Bahk S
• Hong KY
• Lim S
• Han KM
• Eo S

• KMID: 2417800
• DOI: http://doi.org/10.7181/acfs.2018.00038

Abstract

We present a patient who showed a sterile abscess after facial bone fixation with bioabsorbable plates and screws. He had zygomaticomaxillary complex and periorbital fracture due to falling down. The displaced bones were treated by open reduction and internal fixation successfully using bioabsorbable plate system. However, at postoperative 11 months, abrupt painless swelling was noted on the previous operation sites, left lateral eyebrow and lower eyelid. By surgical exploration, pus-like discharge and degraded materials were observed and debrided. The pathologic analysis revealed foreign body reaction with sterile abscess. This complication followed by bioabsorbable device implantation on maxillofacial bone surgery has been rarely reported in which we call attention to the maxillofacial plastic surgeons.

Keyword

Sterile abscess; Foreign body reaction; Bioabsorbable implants

MeSH Terms

Abscess*
Absorbable Implants
Accidental Falls
Eyebrows
Eyelids
Facial Bones
Foreign-Body Reaction
Humans
Plastics
Surgeons
Plastics