Long-term complications of the galeal-frontalis myofascial flap in craniofacial surgery

Fukuta, Keizo; Avery, C.M.E.; Jackson, Ian T.

doi:10.1007/bf00175679

Cited by 5 publications

(2 citation statements)

References 8 publications

(13 reference statements)

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“…10). When only a central part of the frontal muscle is used, there is no unevenness and the facial expression lines remain (7). However, there is always a difference in height when the flap is folded (Fig.…”

Section: Comparison Between the Tmp Flap And Other Flapsmentioning

confidence: 99%

Efficacy of Temporal Musculopericranial Flap for Reconstruction of the Anterior Base of the Skull

Kiyokawa

Tai²,

Inoue³

et al. 2000

Scandinavian Journal of Plastic and Reconstructive Surgery and

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Since March 1988 the temporal musculopericranial (TMP) flap has been used as our flap of choice to reconstruct defects of the anterior base of the skull that are larger than 2 x 3 cm, including the dura mater, in 33 patients. The primary diseases were malignant head and neck tumours (n = 16), trauma (n = 15), meningioma (n = 1), and teratoma (n = 1). The dura mater was reconstructed with a unilateral TMP flap, after which the cranial and nasal cavities were closed with the opposite TMP flap. In addition, bone was grafted by sandwiching the bone between the two flaps and fixing it to the surrounding residual bone. When a large area was resected, making it impossible to use a TMP flap, a frontal musculopericranial (FMP) flap or a free flap (usually the rectus abdominis myocutaneous flap) was used to close the cranial and nasal cavities. Thirty of the 33 patients recovered with no postoperative complications. Two patients developed extradural abscesses in the anterior base of the skull and one developed mild meningitis, but they were successfully treated conservatively. When bilateral TMP flaps were used for the reconstruction, no patient had aesthetic problems in the forehead region. The TMP flap is extremely effective for the reconstruction of the anterior base of the skull because it is minimally invasive and causes few aesthetic problems in the forehead region.

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Section: Comparison Between the Tmp Flap And Other Flapsmentioning

confidence: 99%

Efficacy of Temporal Musculopericranial Flap for Reconstruction of the Anterior Base of the Skull

Kiyokawa

Tai²,

Inoue³

et al. 2000

Scandinavian Journal of Plastic and Reconstructive Surgery and

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“…Fukuta et al 3 have reported different reconstructive techniques with galeal pericranial flaps. They have demonstrated that these flaps can be used with excellent results in the reconstruction of various defects in the anterior cranial base.…”

Section: Discussionmentioning

confidence: 99%

Surgical technique for reconstruction of the nasal septum: The pericranial flap

Paloma¹,

Samper²,

Cervera-Paz³

2000

Head Neck

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Background We describe a new technique for the surgical reconstruction of large‐sized anterior septal perforations based on the pericranial flap. Methods The technique requires a standard open rhinoplasty combined with a pericranial flap harvested after a bicoronal approach and tunnelled to the nasal cavity. We present the case of a man with complete destruction of the nasal septum as a result of chronic cocaine abuse. Results Surgery resulted in a permanent and complete closure of the perforation. Conclusions The main advantage of this technique is the use of well‐vascularized autogenous tissue and the minimal donor site morbidity. This technique provides a new method to close large nasal perforations. © 2000 John Wiley & Sons, Inc. Head Neck 22: 90–94, 2000.

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