title: Resorption of PDLLA plates as a nidus for recurrent langerhans cell histiocytosis.
abstract: Resorbable plating systems have been adapted into routine use for craniofacial reconstruction in children. After implantation in some patients, the area around the plates can develop palpable and visible fibrous capsules, with underlying bone resorption and a significant foreign-body giant cell reaction. The reaction is usually self-limited. We report a case in which Langerhans cell histiocytosis was resected, and then recurred at the sites of resorbing plate and screw placement in association with a foreign-body giant cell reaction.
authors.affiliation: Division of Plastic Surgery, University of California, Los Angeles, Calif., USA.
authors.forename: Kristen S
authors.initials: KS
authors.lastname: Yee
authors.forename: Patrick D
authors.initials: PD
authors.lastname: Combs
authors.forename: Patrick K
authors.initials: PK
authors.lastname: Kelley
authors.forename: Timothy M
authors.initials: TM
authors.lastname: George
authors.forename: Raymond J
authors.initials: RJ
authors.lastname: Harshbarger
mesh_terms: D001860:Bone Plates / Q000009:adverse effects*; D001863:Bone Screws / Q000009:adverse effects*; D002675:Child, Preschool; D015743:Giant Cells, Foreign-Body / Q000473:pathology*; D015745:Granuloma, Foreign-Body / Q000473:pathology*; D006646:Histiocytosis, Langerhans-Cell / Q000473:pathology* / Q000601:surgery; D006801:Humans; D008297:Male; D009364:Neoplasm Recurrence, Local / Q000188:drug therapy / Q000473:pathology*; D019651:Plastic Surgery Procedures / Q000009:adverse effects*; D016896:Treatment Outcome