Related Experiment Video
Updated: May 21, 2026
08:18
Three-Dimensional Reconstruction of Orbital Fractures
Published on: May 16, 2025
[Orbitocutaneous fistula after orbital reconstruction]
R Huelse1, A Freuschle, K Hörmann
1Universitäts-HNO-Klinik Mannheim, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Deutschland. roland.huelse@umm.de
HNO
|June 27, 2012
Summary
Delayed complications from silicone orbital implants can occur years after facial trauma surgery. This case highlights an orbitocutaneous fistula caused by a displaced implant, successfully treated with removal and reconstruction.
Area of Science:
- Ophthalmology
- Plastic and reconstructive surgery
- Otorhinolaryngology
Background:
- Silicone implants have been used for orbital fracture repair.
- Late complications following orbital reconstruction are possible.
Observation:
- A 73-year-old male presented with a lesion near the left medial canthus, discharge, and headache.
- Imaging revealed a displaced silicone implant causing an orbitocutaneous fistula and frontal sinus obstruction.
Findings:
- The patient had a history of orbital fracture repair with a silicone implant 15 years prior.
- Surgical explantation of the silicone implant, orbital reconstruction with a titanium plate, and frontal sinus surgery resolved the symptoms.
Implications:
- Even years after implantation, silicone materials can cause delayed complications in facial trauma reconstruction.
- This case underscores the importance of long-term monitoring for patients with orbital implants.
