Arch Craniofac Surg.  2018 Jun;19(2):139-142. 10.7181/acfs.2018.00017.

Multiple foreign bodies causing an orocutaneous fistula of the cheek

• Kim WJ
• Kim WS
• Kim HK
• Bae TH

• KMID: 2417799
• DOI: http://doi.org/10.7181/acfs.2018.00017

Abstract

Foreign bodies impacted in the maxillofacial region are often a diagnostic challenge. They can be a source of chronic inflammatory reactions and infections leading to the formation of an orocutaneous fistula. Such orocutaneous fistulas cause significant morbidity in most patients, eventually requiring surgery. Recently, we encountered a very rare case of an orocutaneous fistula caused by multiple foreign bodies in the cheek. Precise removal of the foreign bodies was required, and a double-sided anterolateral thigh free flap was used to reconstruct the defect. Surgeons should be aware of the complications of multiple foreign bodies and should be able to diagnose these on careful clinical examination.

Keyword

Orocutaneous fistula; Foreign body; Flap

MeSH Terms

Cheek*
Fistula*
Foreign Bodies*
Free Tissue Flaps
Humans
Surgeons
Thigh