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A delayed complication with steel wire osteosynthesis

L C Rovati¹, M Pricca, E P Caronni

¹Institute of Plastic and Maxillo-Facial Surgery, University of Milan, San Gerardo Hospital, Monza, Italy.

The Journal of Craniofacial Surgery

|July 1, 1997

Summary

A child treated for hyperteleorbitism developed pneumococcal meningitis due to a steel wire complication. Surgical removal of the wire and dura repair resolved the issue, highlighting potential risks of osteosynthesis materials.

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Area of Science:

Craniofacial surgery
Neurosurgery
Pediatric surgery

Background:

Hyperteleorbitism, a rare condition, necessitates surgical correction.
Facial bipartition osteosynthesis using steel wire is a surgical technique for craniofacial reconstruction.

Observation:

A 6-year-old child underwent frontal bone osteosynthesis for hyperteleorbitism.
Seven years post-surgery, the patient experienced two episodes of pneumococcal meningitis.

Findings:

Imaging revealed the steel wire had migrated into the frontal sinus, contacting the dura mater.
Surgical removal of the steel wire and dural repair led to complete recovery.

Implications:

This case highlights a rare but serious complication of steel wire osteosynthesis.

Related Experiment Videos

Careful long-term monitoring is crucial for patients with craniofacial implants.

The findings suggest potential risks associated with implanted materials in proximity to the dura and sinuses.