Department of Otolaryngology, The New York Eye and Ear Infirmary, New York, New York 10003, USA.
Laryngoscope. 2011 Apr;121(4):777-81. doi: 10.1002/lary.21434. Epub 2011 Feb 8.
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.
面中部皮瘘是眼眶内容剜除术和鼻腔鼻窦癌切除术常见的一种并发症，有充分的文献记载。成功闭合这种常见并发症具有一定的挑战性，其原因包括：解剖结构复杂，与鼻腔鼻窦黏膜相通，持续有脓性分泌物，既往放疗导致伤口愈合不良，以及伤口感染。我们介绍了采用颅颌额皮瓣成功闭合两例面中部皮瘘的新方法。颅颌额皮瓣薄而柔韧，具有可预测的丰富血供，是理想的皮瓣。此外，它避免了采用更具毁容性的方法进行闭合。尽管颅颌额皮瓣已成功应用于多种颅底和眼科手术，但尚未见用于面中部皮瘘的报道。两名患者的缺损在随访时均保持闭合，且美容效果良好。
