Akademik Veri Yönetim Sistemi
Türkiye Klinikleri Journal of Case Reports, sa.1, ss.1-2, 2026 (TRDizin)
In zygomaticomaxillary
complex(ZMC) fractures treated with miniplates and screws, early postoperative
complications are relatively common, whereas late complications are considered
rare. This case report presents a 67-year-old male who developed a cutaneous fistula
18 years after ZMC fracture repair. Imaging revealed a fistulous tract
extending from the lateral orbital rim to the maxillary sinus. As a result of
the surgical exploration, a malpositioned silicone implant most likely inserted
during the initial surgical intervention was identified. The fistula and
foreign body were excised, and the defect was reconstructed using buccal fat
flap. This case highlights the potential for very late complications from
retained foreign materials and underlines the importance of autologous tissue
reconstruction.