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Wide reconstruction of the anterior cranial base with bipedicled galeopericranial flap

✍ Scribed by Hiroto Terashi; Takashi Yoshida; Seiji Katayama; Tatsuya Fujiyoshi; Osamu Shimizu; Hiromi Shibuya

Publisher
John Wiley and Sons
Year
1996
Tongue
English
Weight
553 KB
Volume
18
Category
Article
ISSN
1043-3074

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✦ Synopsis

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.

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