title: The use of a combined radial forearm flap and radial fascial flap for layered dural lining and an orbital defect reconstruction.
abstract: Variable reconstruction methods for craniofacial tumour resections have been devised with the primary purpose to improve quality of life and disease control. The reconstructive aims are to provide a watertight seal, cranial base support while allowing a cosmetically pleasing result. For defects involving the orbit, maintenance of the depth of the orbital socket remains important for prosthetic fitting and a bulky flap is not advisable for this purpose. This case demonstrates the use of a combination pericranial flap, radial forearm fascial flap and cutaneous radial forearm flap. We have been able to achieve a watertight seal of dura in multiple layers, provide adequate support to the cranial base while giving a non bulky reconstruction of the orbit.
authors.affiliation: The Christie NHS Foundation Trust, Wilmslow Road, Manchester, UK.
authors.forename: D
authors.initials: D
authors.lastname: Bondin
authors.forename: G L
authors.initials: GL
authors.lastname: Ross
mesh_terms: D001859:Bone Neoplasms / Q000473:pathology / Q000601:surgery; D003131:Combined Modality Therapy; D004954:Esthetics; D005205:Fascia / Q000637:transplantation; D000071938:Fasciotomy; D005500:Follow-Up Studies; D005542:Forearm / Q000601:surgery; D006085:Graft Survival; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009367:Neoplasm Staging; D009918:Orbital Neoplasms / Q000601:surgery*; D012516:Osteosarcoma / Q000473:pathology / Q000601:surgery; D011884:Radius; D019651:Plastic Surgery Procedures / Q000379:methods*; D018570:Risk Assessment; D013524:Surgical Flaps / Q000098:blood supply*; D016896:Treatment Outcome; D055815:Young Adult