Own Method of Forehead Skin-Sinus Fistula Treatment with Enabling and Maintaining Physiological Drainage in Overgrowing Inflammation of the Sinuses-A Case Report

Abstract

Surgical treatment of craniofacial region diseases associated with soft tissue and bone loss is always a challenge for medical specialists. The paper reports a case of a 70-year-old patient who presented with a defect in the forehead area that had been dermatologically treated. Following clinical, laboratory and imaging diagnostics, the lesion was classified as skin sinus fistula. The case study analyzes overgrowth of the nasofrontal duct associated with the laryngological endoscopic procedure (restoring the patency of the frontal sinus was performed as the initial part of the treatment.) Maxillofacial surgeons made an attempt to create an acrylic “space maintainer” which can be used either temporarily or as the ultimate option. The manuscript also describes a method of multi-specialized surgical treatment and subsequent esthetic management with the use of an individualized epithesis for soft tissue replacement.

Keywords

• skin sinus fistula
• free flaps
• maintainer
• intra-fistular approach
• epithesis
• case report