A fiber-microsphere composite scaffold including a first layer of materialselected from one of a layer of bioresorbable microspheres and a layer of bioresorbablefibers and a second layer of material selected from the other of the layer of bioresorbablemicrospheres and the layer of bioresorbable fibers. A fiber-microsphere compositescaffold reduced pressure tissue treatment apparatus is also included as wellas methods for making fiber-microsphere composite scaffolds.