title: Conjunctival-orbital fistula from extensive facial trauma.
abstract: A 31-year-old man with a history of severe facial trauma and multiple reconstructive operations presented with a conjunctival-orbital fistula in the OS. Successful treatment required a vascularized orbicularis oculi flap with a temporalis fascia overlay. Risk factors for fistula formation included extensive orbital trauma, devascularized tissue from previous operations and infection, and prior strabismus surgery using the fornix-based approach.
authors.affiliation: Division of Ophthalmic Plastic and Reconstructive Surgery, Department of Ophthalmology, University of California, San Diego, La Jolla, California 92093-0946, USA.
authors.forename: Brenda E
authors.initials: BE
authors.lastname: Nuyen
authors.forename: Katherine M
authors.initials: KM
authors.lastname: Whipple
authors.forename: Bobby S
authors.initials: BS
authors.lastname: Korn
authors.forename: Don O
authors.initials: DO
authors.lastname: Kikkawa
mesh_terms: D000328:Adult; D003229:Conjunctival Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D003608:Dacryocystorhinostomy; D005131:Eye Injuries / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D005151:Facial Injuries / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D005152:Facial Muscles / Q000601:surgery; D000071938:Fasciotomy; D005402:Fistula / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D009801:Oculomotor Muscles / Q000601:surgery; D009916:Orbital Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D019651:Plastic Surgery Procedures; D012307:Risk Factors; D013285:Strabismus / Q000209:etiology / Q000601:surgery; D013524:Surgical Flaps