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- Title
Novel Use of Unilateral Galeopericranial Flaps for Closure of Sino-Orbital Cutaneous Fistulas.
- Authors
Mehta, Vikas; Alon, Eran E.; Buchbinder, Daniel; Urken, Mark L.
- Abstract
Sino-orbital cutaneous fistulas are a well-documented complication of orbital exenteration and sinonasal carcinoma resection. However, these defects remain a difficult to close due to persistent mucopurulent drainage and previous irradiation. We describe a novel approach for closure of sino-orbital cutaneous fistulas in 2 patients using a galeopericranial flap. The galeopericranial flap is ideal due to its thin, pliable nature and predictable, abundant vascularity. The flap has been used successfully in a variety of skull base and ophthalmologic surgeries. Additionally, the galeopericranial flap obviates the need for a more cosmetically disfiguring closure. Both patients? defects have remained closed at follow-up with excellent cosmetic results.
- Subjects
FISTULA; SURGICAL flaps; NASAL surgery; PARANASAL sinuses; NOSE cancer; MEDICAL drainage; HYPERNASALITY; CANCER; THERAPEUTICS
- Publication
Laryngoscope, 2010, Vol 120, Issue S4, pS166
- ISSN
0023-852X
- Publication type
Article
- DOI
10.1002/lary.21630