A delayed complication with steel wire osteosynthesis.
We treated a 6-year-old child for hyperteleorbitism. We performed a facial bipartition steel wire osteosynthesis of the frontal bone. After 7 years we observed two episodes of pneumococcal meningitis, which were treated with intravenous antibiotic, resulting in a prompt recovery. The computed tomographic scan and nuclear magnetic resonance image showed the steel wire included in the frontal sinus and in contact with the dura mater. Removal of the wire and suture of the dura allowed prompt recovery.
Rovati
L C
LC
Institute of Plastic and Maxillo-Facial Surgery, University of Milan, San Gerardo Hospital, Monza, Italy.
Pricca
M
M
Caronni
E P
EP
Granata
G
G
Donati
R
R
Gaini
S M
SM
D000293:Adolescent; D001864:Bone Wires / Q000009:adverse effects*; D006801:Humans; D006972:Hypertelorism / Q000150:complications / Q000601:surgery; D008586:Meningitis, Pneumococcal / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology; D019340:Osteotomy, Le Fort; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D012008:Recurrence; D012086:Reoperation; D013232:Steel; D013997:Time Factors
D013232:Steel