Facial feminization surgery is part of the process of treating patients with gender dysphoria. Forehead contouring, a common part of facial feminization surgery, modifies masculine facial features of the upper third, especially decreasing the thickness of their frontal sinuses and the orbital bossing. Forehead contouring is considered a safe procedure with minor complications and high patient satisfaction. However, rare cases of sinocutaneous fistula have been reported as long-term complications. The diagnosis and therapeutic management of this complication are challenging. Therefore, the authors report a case of frontal sinocutaneous fistula occurring 2 years and 10 months after forehead contouring with its clinical presentation and treatment modalities. Surgeons practicing forehead contouring and patients undergoing this procedure should be aware of the risk of sinocutaneous fistula, a rare but severe complication that requires multidisciplinary medico-surgical care.
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Sinocutaneous Fistula: A Long-term Complication After Surgical Feminization of the Forehead.
J Craniofac Surg
August 2024
Department of Plastic, Reconstructive and Aesthetic Surgery, Tenon Hospital.
Facial feminization surgery is part of the process of treating patients with gender dysphoria. Forehead contouring, a common part of facial feminization surgery, modifies masculine facial features of the upper third, especially decreasing the thickness of their frontal sinuses and the orbital bossing. Forehead contouring is considered a safe procedure with minor complications and high patient satisfaction.
View Article and Find Full Text PDFThe rare presentation of a frontal mucocele complicated by a Pott's puffy tumor and an epidural-cutaneous fistula: illustrative case.
J Neurosurg Case Lessons
September 2022
4Neurosurgery Department, Detroit Medical Center/Wayne State University, Detroit, Michigan; and.
Background: Frontal mucoceles develop due to accumulation of mucoid secretions within the frontal sinuses. They can lead to serious consequences with further expansion and destruction of the surrounding bones or infection that might spread intracranially.
Observations: The authors present a case of a 37-year-old male with a frontal mucocele and the rare presentation of Pott's puffy tumor and an epidural-cutaneous fistula, as well as a literature review of previously reported cases of epidural cutaneous fistula and sinocutaneous fistula, their predisposing factors, and their management.
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