Maxillary sinus orbital fistula secondary to repair of an orbital floor fracture.
Orbital emphysema can occur after a blow-out fracture of the orbit, usually involving the medial wall. Repair of orbital floor fractures often involves the reduction of the herniated orbital contents and implantation of a sturdy, inelastic material to prevent the orbital contents from prolapsing into the maxillary sinus. We report a case of a maxillary sinus orbital fistula that occurred after the repair of a blow-out fracture of the right orbit, resulting in orbital emphysema. This was corrected with an autogenous fascia lata graft.
Levine
M R
MR
Division of Ophthalmology, Mt. Sinai Medical Center, Cleveland, Ohio, USA.
Perla
B
B
D000328:Adult; D005260:Female; D005402:Fistula / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008443:Maxillary Sinus; D009915:Orbit / Q000601:surgery; D009916:Orbital Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D009917:Orbital Fractures / Q000601:surgery*; D010254:Paranasal Sinus Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D011859:Radiography