Use of Dermaflage®, a silicone-based skin camouflage product, for treatment of medial canthal fistula

ABSTRACT

Medial canthal fistulas present a therapeutic challenge, given that the risk factors for development of this and similar complications also contribute to their difficulty to treat. Following surgical, chemotherapy and radiation treatment of a poorly differentiated sinonasal carcinoma, a 61 year old man failed internal and external rotational flap repair and declined further operative procedures; he was satisfied with a novel conservative treatment. This report describes use of Dermaflage®, a silicone-based skin camouflage and topical cutaneous filler product, to both resolve the symptoms of tearing and discharge through the fistula and mask the defect from the casual observer.

KEYWORDS:

• Medial Canthal Fistula
• Skin Camouflage
• External Dacryocystorhinostomy
• DCR complication
• External DCR after radiation

Disclosure Statement

The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.

Permissions

Written consent for publication of the photos was obtained from the patient.

Additional information

Funding

Research to Prevent Blindness unrestricted departmental award (Vanderbilt University Medical Center, Department of Ophthalmology & Visual Sciences).