Correction of facial deformities with pericranial and osteopericranial flaps

Pericranial or osteopericranial flaps pedicled on the superficial temporal vessels were used in the correction of various facial deformities in 16 patients. In 5 patients orthognathic surgery was also performed. In all patients a significant aesthetic improvement was achieved. In order to achieve a satisfactory tissue volume and thickness it was necessary to create a folded pericranial flap. It is possible, as a one stage procedure, to combine osteopericranial with pericranial flaps to correct severe facial deformities. It is concluded that by using this method alone or in combination with orthognathic surgery, when indicated, it is possible to achieve good long term aesthetic and functional results.