Correction of facial deformities with pericranial and osteopericranial flaps

https://doi.org/10.1016/0007-1226(94)90003-5Get rights and content

Abstract

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.

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Cited by (16)

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    The management of facial asymmetry in patients with PRS represents a significant challenge for craniofacial surgeons. The 3 following techniques have been reported regarding the soft tissue correction of facial asymmetry in PRS: lipofilling, free or pedicled flap transplantation, and alloplastic implants.7-15 These techniques can be combined with standard orthognathic surgery procedures or other skeletal augmentation techniques in cases with severe underlying bone involvement.

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    It has been used for the reconstruction of nasal septal defects, coverage of cochlear implants, reconstruction of external auditory canal following mastoidectomy, periorbital soft tissue reconstruction, coverage of soft tissue defects with bone exposure such as in full thickness avulsive scalp defects due to trauma, and reconstruction of oropharyngeal defects due to cancer resection3,7–9,11–13,23. The pericranial flap has also been extensively used in craniofacial reconstruction to provide soft tissue bulk in congenital or acquired facial deformities and in skull base reconstruction1,2,6,17,18. In trauma surgery, this flap gives the surgeon the opportunity to seal a CSF leak and provides viable tissue for the obliteration of the frontal sinus and the isolation of the intracranial from the paranasal environment.

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This study was supported by a grant from the Ministry of Science & Technology of Serbia.

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