Novel use of unilateral galeopericranial flaps for closure of sino-orbital cutaneous fistulas

Vikas Mehta, Eran E. Alon, Daniel Buchbinder, Mark L. Urken

Research output: Contribution to journalArticle

1 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)S166
Issue numberSUPPL. 4
StatePublished - Dec 1 2010
Externally publishedYes


ASJC Scopus subject areas

  • Otorhinolaryngology

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