Article

[Orbitocutaneous fistula after orbital reconstruction.]

Universitäts-HNO-Klinik Mannheim, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Deutschland, .
HNO (impact factor: 0.4). 06/2012; DOI:10.1007/s00106-012-2529-7
Source: PubMed

ABSTRACT A 73-year old man presented with a lesion inferior to his left medial canthus with discharge and headache. Fifteen years previously, the patient had undergone reduction of an orbital fracture and reconstruction of the orbit with silicone. An orbitocutaneous fistula was found to originate from the implant which was displaced in the ethmoid, obstructing frontal sinus outflow. Symptoms disappeared after explantation of the implant, reconstruction of the orbit with a titanium plate and frontal sinus surgery. Although the use of silicone in facial trauma has declined, complications have to be expected even years after implantation.

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Keywords

73-year old man
 
frontal sinus outflow
 
frontal sinus surgery
 
implant
 
implantation
 
left medial canthus
 
lesion inferior
 
orbital fracture
 
orbitocutaneous fistula
 
Symptoms
 
titanium plate