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Wide reconstruction of the anterior cranial base with bipedicled galeopericranial flap
H Terashi1, T Yoshida, S Katayama
1Otolaryngology/Head and Neck Surgery, University ot Washington School of Medicine, Seattle, USA.
Background:
Reconstruction of facial bone fractures complicated by frontal sinus destruction must seal off the cranial cavity from the upper respiratory tract to avoid ascending infections of the intracranial contents.
Methods:
We used a bipedicled galeopericranial flap for reconstruction of the extradural and subcutaneous spaces of the frontal region, which were infected with methicillin-resistant Staphylococcus aureus (MRSA) following unsuccessful coverage of the anterior cranial base with an anteriorly based pericranial flap.
Results:
The patient healed uneventfully without infection.
Conclusion:
Because a bipedicled galeopericranial flap has abundant blood supply, it can be used to cover a wide segment of the anterior cranial base. This is the first report of the application of a bipedicled galeopericranial flap for wide reconstruction of the anterior cranial base.