A Sino-orbitocutaneous Fistula from Local (Native) Tonsillectomy: A Case Report

Main Article Content

N. E. Chinawa
M. I. Inoh
E. O. Edet

Abstract

Background: Orbitocutaneous fistula is a known complication of orbital exenteration. Orbitocutaneous fistula arising from a tonsillectomy are quite uncommon. Risk factors for fistula development are sinus diseases, radiotherapy, inadvertent sinus penetration during mid-face and other related surgeries.

Case Report: MS is a 16-year-old girl who presented with swelling of the right side of the face and neck of ten days duration following local tonsillectomy at home. Ocular examination findings showed lid swelling, ecchymosis, pus point in the medial third of the upper lid of the right eye which gave way and formed a sinus tract with the commencement of antibiotics. 

Discussion: Although orbitosinocutaneous fistula is uncommon with tonsillectomy however fistulae may develop following poorly performed procedure by a non-professional who may tamper with the sinuses in the course of surgery. Since asepsis was not observed, there may have also been upward track of infection to the orbit.

Conclusion: Orbitosinocutaneous fistula could be a complication of poorly performed tonsillectomy.

Keywords:
Orbitocutaneous fistula, tonsillectomy, radiotherapy.

Article Details

How to Cite
E. Chinawa, N., I. Inoh, M., & O. Edet, E. (2020). A Sino-orbitocutaneous Fistula from Local (Native) Tonsillectomy: A Case Report. Ophthalmology Research: An International Journal, 11(4), 1-4. https://doi.org/10.9734/or/2019/v11i430133
Section
Case Report

References

Tassone P, Gill KS, Hsu D, et al. Naso- or Orbitocutaneous fistulas after free flap reconstruction of orbital exenteration defects: Retrospective study, systematic review and meta-analysis. J Neurol Surg B Skull Base. 2017;78(4): 337–345.

Saravakos P, Taxeidis M, Kastanioudakis I, Reichel O. Subcutaneous emphysema as a complication of tonsillectomy: A systematic literature review and case report. Iranian Journal of Otorhinolaryngology. 2018;30(96):3.

Limawararut V, Leibovitch I, Davis G, Rees G, Goldberg RA, Selva D. Sino-orbital fistula: A complication of exenteration. Ophthalmology. 2007;114 (02):355–361.

Parvini P, Obreja K, Sader R, Becker J, Schwarz F, Salti L. Surgical options in oroantral fistula management: a narrative review. International Journal of Implant Dentistry. 2018;4(1):40.

Limawararut V1, Leibovitch I, Davis G, Rees G, Goldberg RA, Selva D. Sino-orbital fistula: A complication of exenteration. Ophthalmology. 2007;114 (2):355-61.

Martinez JL, Luque-de-Leon E, Mier J, Blanco-Benavides R, Robledo F. Systematic management of postoperative enterocutaneous fistulas: factors related to outcomes. World Journal of Surgery. 2008;32(3):436-443.

Hanasono MM, Lee JC, Yang JS, Skoracki RJ, Reece GP, Esmaeli B. An algorithmic approach to reconstructive surgery and prosthetic rehabilitation after orbital exenteration. Plast Reconstr Surg. 2009;123(01):98–105.

Yilmaz T, Suslu AE, Gursel B. Treatment of oroantral fistula: experience with 27 cases. American Journal of Otolaryngo-logy. 2003;24(4):221-223.