Indication for and Limitation of the Facial Dismasking Flap Approach for Skull Base Surgery to Achieve the Best Esthetical and Functional Results

Yano, Tomoyuki; Okazaki, Mutsumi; Tanaka, Kentaro; Tsunoda, Atsunobu; Aoyagi, Masaru; Kishimoto, Seiji

doi:10.1097/sap.0000000000000662

Cited by 2 publications

(1 citation statement)

References 11 publications

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“…The FDF approach was performed following the procedures described in the literature [2][3][4][5]. Through this approach, we obtained a surgical field that was clear and wide enough to observe and debride all abscesses in this patient.…”

Section: Casementioning

confidence: 99%

Use of the facial dismasking flap approach for surgical treatment of a multifocal craniofacial abscess

2018

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The decision of which surgical approach to use for the treatment of a multifocal craniofacial abscess is still a controversial matter. A failure to control disease progress in the craniofacial region can potentially put the patient’s life at risk. Therefore, understanding the various ways to approach the craniofacial region helps surgeons to obtain satisfactory results in such cases. In this report, we describe a patient who visited the emergency department with a large swelling in his right cheek. A blood test and computed tomography revealed odontogenic maxillary sinusitis. The patient developed sepsis due to a progressive multifocal abscess. An abscess was seen in the temporal muscle, infratemporal fossa, and interorbital region. To control this multifocal abscess, we used the facial dismasking flap (FDF) approach. After debridement using the FDF approach, we succeeded in obtaining sufficient drainage of the abscess, and the patient recovered from sepsis. The advantages of the FDF approach are that it provides a wide surgical field, extending from the parietal region to the mid-facial region, and that it leaves no aesthetically displeasing scars on the face. The FDF approach may be one of the best options to approach multifocal abscesses in the craniofacial region.

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Section: Casementioning

confidence: 99%