journal article·2023-02-06Open access

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

Marek Łapok, Michał Polguj, Jarosław Miłoński, Marcin Kozakiewicz

Applied Sciences· Volume 13· Issue 4

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.
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Research context

OpenAlex topics: Sinusitis and nasal conditions · Head and Neck Surgical Oncology · Nasal Surgery and Airway Studies

SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.

Affiliations

Department of Angiology, Medical University of Lodz, 90-752 Lodz, Poland

Department of Normal and Clinical Anatomy, Medical University of Lodz, 90-752 Lodz, Poland

Department of Otolaryngology, Laryngological Oncology, Audiology and Phoniatrics, Medical University of Lodz, 90-549 Lodz, Poland

Department of Maxillofacial Surgery, Medical University of Lodz, 90-549 Lodz, Poland

Funding

Medical University of Lodz

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