Delayed infection after a zygoma fracture fixation with absorbable plates.
A 48-year-old man who had received a bioresorbable plate fixation for a zygomatic bone fracture 13 months earlier visited our clinic complaining of sudden facial swelling. The facial computed tomographic scan showed the soft tissue swelling without any bony abnormality, and the symptoms did not improve after 1 week of antibacterial therapy. The patient had a diagnosis of a late infection caused by unresorbed plates, and exploratory surgery was performed. Partially resorbed plates and screws were seen, and we removed the remnants of such completely. The symptoms were relieved after the operation, and there was no recurrence during 8 months of follow-up.
Department of Plastic and Reconstructive Surgery, Hanyang University Guri Hospital, Guri-si, Gyeonggi-do, Korea. pslee@hmc.hanyang.ac.kr
Jang Hyun
JH
Lee
Jung-Woo
JW
Chang
Matthew Seung Suk
MS
Choi
Hee Chang
HC
Ahn
D020341:Absorbable Implants / Q000009:adverse effects*; D001860:Bone Plates / Q000009:adverse effects*; D001863:Bone Screws / Q000009:adverse effects; D002481:Cellulitis / Q000209:etiology; D020878:Device Removal; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000009:adverse effects / Q000295:instrumentation*; D006801:Humans; D007710:Klebsiella Infections / Q000175:diagnosis; D007711:Klebsiella pneumoniae / Q000302:isolation & purification; D008297:Male; D008875:Middle Aged; D016459:Prosthesis-Related Infections / Q000209:etiology* / Q000382:microbiology; D014057:Tomography, X-Ray Computed; D015051:Zygomatic Fractures / Q000601:surgery*