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Wide reconstruction of the anterior cranial base with bipedicled galeopericranial flap
Author(s) -
Terashi Hiroto,
Yoshida Takashi,
Katayama Seiji,
Fujiyoshi Tatsuya,
Shimizu Osamu,
Shibuya Hiromi
Publication year - 1996
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/(sici)1097-0347(199605/06)18:3<292::aid-hed12>3.0.co;2-d
Subject(s) - medicine , sinus (botany) , surgery , anterior cranial fossa , frontal sinus , anatomy , skull , botany , biology , genus
Background Reconstruction of facial bone fractures complicated by frontal sinus destruction must seal off the cranial cavity from the upper respiratory tract to avoid ascending infections of the intracranial contents. Methods We used a bipedicled galeopericranial flap for reconstruction of the extradural and subcutaneous spaces of the frontal region, which were infected with methicillin‐resistant Staphylococcus aureus (MRSA) following unsuccessful coverage of the anterior cranial base with an anteriorly based pericranial flap. Results The patient healed uneventfully without infection. Conclusion Because a bipedicled galeopericranial flap has abundant blood supply, it can be used to cover a wide segment of the anterior cranial base. This is the first report of the application of a bipedicled galeopericranial flap for wide reconstruction of the anterior cranial base. © 1996 John Wiley & Sons, Inc.