Clinical Characterization and Surgical Approach to Facial Fistulas: Comprehensive Analysis in the Context of Reconstructive Plastic Surgery

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Héctor Adrián Salas Rivas
Lorena Estefani Alfaro Garcia
José Antonio Soto Sánchez
Lisset Guadalupe Hernández Torres
Vanessa Iliana Palacios Raya
Yarin Antonio Leonardo Chavez

Abstract

Facial fistulas represent a complex and challenging complication in the field of reconstructive plastic surgery. This study aims to perform an exhaustive clinical characterization of facial fistulas, considering their diverse etiologies, clinical presentations and associated risk factors. In addition, diagnostic evaluation is addressed in detail, including advanced imaging techniques and functional tests, with the aim of achieving optimal diagnostic accuracy.


In this context, the present article seeks to shed light on contemporary surgical strategies for the management of facial fistulas, emphasizing reconstructive and reparative options that allow comprehensive restoration of facial anatomy and function. The application of customized therapeutic approaches is critically examined, considering the extent and location of the fistula, as well as the patient's underlying clinical conditions.


The review also considers the technological advances and innovative techniques that have revolutionized the approach to facial fistulas in modern plastic surgery. The benefits and limitations of minimally invasive approaches, biomaterial agent therapies, and precision instrumentation-assisted primary closure methods are discussed in detail.


In summary, this article provides a comprehensive and up-to-date overview of facial fistulas in the context of reconstructive plastic surgery, integrating clinical, diagnostic, and therapeutic knowledge. A detailed understanding of this complication and the informed application of advanced therapeutic approaches are crucial to optimize clinical outcomes and improve the quality of life of patients undergoing facial reconstructive procedures.

Article Details

How to Cite
Héctor Adrián Salas Rivas, Lorena Estefani Alfaro Garcia, José Antonio Soto Sánchez, Lisset Guadalupe Hernández Torres, Vanessa Iliana Palacios Raya, & Yarin Antonio Leonardo Chavez. (2023). Clinical Characterization and Surgical Approach to Facial Fistulas: Comprehensive Analysis in the Context of Reconstructive Plastic Surgery. International Journal of Medical Science and Clinical Research Studies, 3(8), 1749–1752. https://doi.org/10.47191/ijmscrs/v3-i8-59
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Articles

References

I. Garrido Colmenero C, Blasco Morente G, Latorre Fuentes JM, Ruiz Villaverde R. Diagnostic value of color doppler ultrasound for cutaneous odontogenic sinus tract. Actas Dermosifiliogr 2015; 106: 678-680.

II. Lee EY, Kang JY, Kim KW, Choi KH, Yoon TY, Lee JY. Clinical characteristics of odontogenic cutaneous fistulas. Ann Dermatol 2016; 28: 417-421.

III. Cantatore JL, Klein PA, Lieblich LM. Cutaneous dental sinus tract, a common misdiagnosis: A case report and review of the literature. Cutis 2012; 70: 264-265.

IV. Guevara-Gutiérrez E, Riera-Leal L, Gómez-Martínez M, Amezcua-Rosas G, Chávez-Vaca CL, Tlacuilo-Parra A. Odontogenic cutaneous fistulas: clinical and epidemiologic characteristics of 75 cases. Int J Dermatol 2015; 54: 50-55.

V. Rosero Arcos C, Mancheno A, Andrade A, Valeria Alvarado A. Odontogenic cutaneous fistula: Report of a case that simulates an epidermal cyst and a literature update. Piel 2016; 31: 519-527.

VI. Baba A, Okuyama Y, Shibui T, Ojiri H. Odontogenic cutaneous fistula mimicking malignancy. Clin Case Rep 2017; 5: 723-724.

VII. Echeveste Inzagaray JM, Martínez Morentin M. Osteonecrosis of the jaw related to oral bisphosphonates: a case report. Semergen 2011; 37: 430-432.

VIII. Roche E, García-Melgares ML, Laguna C, Martín-González B, Fortea JM. Chronic cutaneous fistula secondary to mandibular osteomyelitis. Actas Dermosifiliogr 2006; 97: 203-205.

IX. Shobatake C, Miyagawa F, Fukumoto T, Hirai T, Kobayashi N, Asada H. Usefulness of ultrasonography for rapidly diagnosing cutaneous sinus tracts of dental origin. Eur J Dermatol 2014; 24: 683-687.

X. Sammut S, Malden N, Lopes V. Facial cutaneous sinuses of dental origin-a diagnostic challenge. BDJ 2013; 215: 555-558.

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