title: Novel use of unilateral galeopericranial flaps for closure of sino-orbital cutaneous fistulas.
abstract: Sino-orbital cutaneous fistulas are a well-documented complication of orbital exenteration and sinonasal carcinoma resection. However, these defects remain a difficult to close due to persistent mucopurulent drainage and previous irradiation. We describe a novel approach for closure of sino-orbital cutaneous fistulas in 2 patients using a galeopericranial flap. The galeopericranial flap is ideal due to its thin, pliable nature and predictable, abundant vascularity. The flap has been used successfully in a variety of skull base and ophthalmologic surgeries. Additionally, the galeopericranial flap obviates the need for a more cosmetically disfiguring closure. Both patients' defects have remained closed at follow-up with excellent cosmetic results.
authors.affiliation: The New York Eye and Ear Infirmary, NY, USA. vmehta@nyee.edu
authors.forename: Vikas
authors.initials: V
authors.lastname: Mehta
authors.forename: Eran E
authors.initials: EE
authors.lastname: Alon
authors.forename: Daniel
authors.initials: D
authors.lastname: Buchbinder
authors.forename: Mark L
authors.initials: ML
authors.lastname: Urken
mesh_terms: D017577:Cutaneous Fistula / Q000601:surgery*; D005260:Female; D006801:Humans; D008875:Middle Aged; D009918:Orbital Neoplasms / Q000601:surgery*; D010255:Paranasal Sinus Neoplasms / Q000601:surgery*; D012535:Scalp / Q000601:surgery; D013524:Surgical Flaps