Novel use of unilateral galeopericranial flaps for closure of sino-orbital cutaneous fistulas§

Authors

  • Vikas Mehta MD,

    Corresponding author
    1. Department of Otolaryngology, The New York Eye and Ear Infirmary, New York, New York, U.S.A.
    2. Department of Otolaryngology—Head and Neck Surgery, Institute for Head, Neck and Thyroid Cancer, Beth Israel Medical Center–Manhattan, New York, New York, U.S.A.
    • Department of Otolaryngology, The New York Eye and Ear Infirmary, 310 East 14th Street, New York, NY 10003
    Search for more papers by this author
  • Eran E. Alon MD,

    1. Department of Otolaryngology—Head and Neck Surgery, Institute for Head, Neck and Thyroid Cancer, Beth Israel Medical Center–Manhattan, New York, New York, U.S.A.
    Search for more papers by this author
  • Daniel Buchbinder MD, DMD,

    1. Department of Otolaryngology—Head and Neck Surgery, Institute for Head, Neck and Thyroid Cancer, Beth Israel Medical Center–Manhattan, New York, New York, U.S.A.
    Search for more papers by this author
  • Mark L. Urken MD, FACS

    1. Department of Otolaryngology—Head and Neck Surgery, Institute for Head, Neck and Thyroid Cancer, Beth Israel Medical Center–Manhattan, New York, New York, U.S.A.
    Search for more papers by this author

  • This manuscript was presented as a poster at the Combined Sections Meeting of the Triological Society on February 4th, 2010 in Orlando, FL, U.S.A.

  • The authors have no financial disclosures for this article.

  • §

    The authors have no conflicts of interest to disclose.

Abstract

Sino-orbital cutaneous fistulas are a well-documented complication of orbital exenteration and sinonasal carcinoma resection. Challenges to successful closure of this common complication include complex anatomy, communication with sinonasal mucosa, persistent mucopurulent drainage, compromised wound healing due to previous irradiation, and wound infection. We describe a novel approach for closure of sino-orbital cutaneous fistulas in two patients using a galeopericranial flap. The galeopericranial flap is ideal due to its thin, pliable nature and predictable, abundant vascularity. Additionally, it obviates the need for a more cosmetically disfiguring closure. Although used successfully in a variety of skull base and ophthalmologic surgeries, the galeopericranial flap has not been previously described for closure of sino-orbital cutaneous fistulas. Both patients' defects have remained closed at follow-up with excellent cosmetic results. Laryngoscope, 2011

Ancillary