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Orbitocutaneous Fistula Secondary to Buried Polyethylene Mesh Implant 12 Years After Injury
Won-Kyung Cho1, Audrey C Ko, Bobby S Korn
1*Division of Oculofacial Plastic and Reconstructive Surgery, Department of Ophthalmology, University of California, San Diego School of Medicine, Shiley Eye Institute, La Jolla, California, U.S.A.; †Department of Ophthalmology, Daejeon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea; and ‡Division of Plastic and Reconstructive Surgery, Department of Surgery, University of California, San Diego School of Medicine, La Jolla, California, U.S.A.
Abstract:
Fabric monofilament polyethylene mesh is an implant primarily used in the repair of abdominal and chest walls. However, there have been isolated reports of using this implant in facial reconstruction. The authors describe a patient who underwent prior orbital floor fracture repair with polyethylene mesh and subsequently developed a recurrent orbital abscess 12 years later. Despite incorporation of the fabric monofilament polyethylene mesh within healed bone, an orbitocutaneous fistula developed after a secondary injury, causing hyperglobus and cicatricial lower eyelid retraction.
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