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The use of a combined radial forearm flap and radial fascial flap for layered dural lining and an orbital defect reconstruction

The use of a combined radial forearm flap and radial fascial flap for layered dural lining and an orbital defect reconstruction

Journal of Plastic Reconstructive and Aesthetic Surgery 64(7): E167

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.

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Accession: 056522150

Download citation: RISBibTeXText

PMID: 21481657

DOI: 10.1016/j.bjps.2010.12.026

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