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.
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http://dx.doi.org/10.1097/IOP.0b013e318275b61a | DOI Listing |
Ophthalmic Plast Reconstr Surg
December 2013
Division of Ophthalmic Plastic and Reconstructive Surgery, Department of Ophthalmology, University of California, San Diego, La Jolla, California 92093-0946, USA.
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.
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