The use of the reversed facial flap in midface reconstruction following advanced sinonasal malignancies

Abstract

The objectives of the study: Advanced or recurrent sinonasal malignancies sometimes need, besides an ablative step, a reconstructive step. If this occurs, the reconstructive step may require advanced knowledge of reconstructive surgery because of the complex remnant defects after ablation. The methodology: The authors present a surgical reconstructive solution that can be used in cases of advanced sino nasal tumors which associate the destruction of the malar region. This requires a midfacial flap which will provide a solid support for the paramedial forehead flap. Conclusions: The use of the reversed midfacial flap is an original method that can provide a good mechanical support for any reconstructive flap in the midfacial region.