Abscess formation caused by a foreign body reaction to a poly-d, l-lactic acid (PDLLA) absorbable plate for zygomaticomaxillary complex (ZMC) fracture

Abscess formation caused by a foreign body reaction to a poly-d, l-lactic acid (PDLLA) absorbable plate for zygomaticomaxillary complex (ZMC) fracture

Background The poly- d , l -lactic acid absorbable plate does not contain poly l -lactic acid, which is the main factor in foreign body reactions; therefore, with use of this plate, a foreign body reaction is unlikely. In fact, few reports have been published on removal of a poly- d , l -lactic acid...

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Bibliographic Details
Published in:Bulletin of the National Research Centre Vol. 46; no. 1; pp. 284 - 7
Main Authors: Tamura, Fumikazu, Sasaki, Kaoru, Oshima, Junya, Hanihara, Hironao, Myojo, Risa, Shibuya, Yoichiro, Sasaki, Masahiro, Aihara, Yukiko, Sekido, Mitsuru
Format: Journal Article
Language:English
Published: Berlin/Heidelberg Springer Berlin Heidelberg 19-12-2022
Springer Nature B.V
SpringerOpen
Subjects:
Abscesses
Acids
Antibiotics
Case Report
Case reports
Eyelid
Foreign bodies
Foreign body reaction
Fragments
Humanities and Social Sciences
Lactic acid
Medicine and Human Genetics
multidisciplinary
PDLLA
Poly-d, l-lactic acid absorbable plate
Science
Science (multidisciplinary)
Sterile abscess
Surgical drains
Swelling
Wound drainage
Sterile abscess
lactic acid absorbable plate
Poly
PDLLA
,
Foreign body reaction
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Summary:Background The poly- d , l -lactic acid absorbable plate does not contain poly l -lactic acid, which is the main factor in foreign body reactions; therefore, with use of this plate, a foreign body reaction is unlikely. In fact, few reports have been published on removal of a poly- d , l -lactic acid absorbable plate owing to a foreign body reaction. Case presentation We report a case of abscess formation that led finally to the removal of a poly- d , l -lactic acid absorbable plate. A 45-years-old man with a left zygomaticomaxillary complex fracture sustained during a fall underwent open reduction using the poly- d , l -lactic acid absorbable plate. Fourteen months after the operation, he was admitted to our hospital with swelling and redness of the left lateral part of the upper eyelid. Upon incision of the swelling, we found a large amount of purulent drainage and the plate in broken fragments and removed as many of the fragments as possible. The swelling was improved after drainage of the incision twice and use of antibiotics, and the bacterial culture results were negative. No recurrence or aggravation was observed after the drainage. Conclusions We suspected sterile abscess formation secondary to a foreign body reaction to the poly- d , l -lactic acid absorbable plate. Given that the poly- d , l -lactic acid absorbable plate is absorbed over a period of more than 1 year postoperatively, long-term follow-up of injuries treated using the plate may be required. Furthermore, surgical intervention, such as drainage or removal, should be considered if the foreign body reaction symptoms are severe.
ISSN:2522-8307
2522-8307
DOI:10.1186/s42269-022-00970-2