title: Fascio-subcutaneous extension of a free radial forearm flap for frontonasal duct obliteration.
abstract: Frontonasal duct injury is a critical factor in the treatment of frontal sinus fractures. We present the case of a 43-year-old man who sustained multiple comminuted fractures of the anterior table of the frontal sinus and of the orbital roof as the result of a gunshot. After adequate debridement, the combined bone and soft tissue defect was reconstructed with a titanium mesh and a free radial forearm flap. The frontonasal duct injury was treated by surgical obliteration with a custom designed fascio-subcutaneous extension of the free radial forearm flap. The postoperative course was uneventful with good functional and aesthetic results. No early or late complications have occurred.
authors.affiliation: Division of Plastic, Reconstructive, Maxillofacial, and Oral Surgery, Department of Surgery, Duke University Medical Center, Durham, North Carolina, USA.
authors.forename: Alessio
authors.initials: A
authors.lastname: Baccarani
authors.forename: Keith E
authors.initials: KE
authors.lastname: Follmar
authors.forename: Jeffrey R
authors.initials: JR
authors.lastname: Marcus
authors.forename: L Scott
authors.initials: LS
authors.lastname: Levin
authors.forename: Detlev
authors.initials: D
authors.lastname: Erdmann
mesh_terms: D000328:Adult; D005542:Forearm / Q000601:surgery*; D005626:Frontal Sinus / Q000293:injuries*; D006801:Humans; D008297:Male; D009917:Orbital Fractures / Q000601:surgery; D016038:Skin Transplantation / Q000379:methods*; D012887:Skull Fractures / Q000601:surgery*; D013524:Surgical Flaps; D014948:Wounds, Gunshot / Q000601:surgery*