Reconstruction of the Orbital Wall with the Galeal- frontalis-pericranial-calvarial Bone Flap.

Chung, Chul Hoon; Kim, Yoong Su; Kim, Joo Bong; Burm, Jin Sik; Oh, Suk Joon; Rho, Young Soo

Case Report

Journal of the Korean Society of Plastic and Reconstructive Surgeons 2001;28(1):75-78.
Published online January 1, 2001.

Reconstruction of the Orbital Wall with the Galeal- frontalis-pericranial-calvarial Bone Flap.

Chul Hoon Chung, Yoong Su Kim, Joo Bong Kim, Jin Sik Burm, Suk Joon Oh, Young Soo Rho

¹Department of Plastic and Reconstructive Surgery, School of Medicine, Hallym University.
²Department of Otorhinolaryngology-Head and Neck Surgery, School of Medicine, Hallym University.

Abstract

The orbital wall resection with removal of tumor in patient who has malignant tumor in paranasal sinuses or nasal cavity causes enophthalmos, dystopia, or severe facial deformities. The methods of reconstruction of orbital wall have been used skin graft, muscular sling, parietotemporal fascial calvarial bone flap, and free flaps. The parietotemporal fascial calvarial bone flap has been used as a pedicle flap, but it can not be used in reconstruction of medial wall of the orbit because it has a short vascular pedicle. Therefore we designed the galeal-frontalis- pericranial-calvarial bone flap which is a new pedicled bone flap for reconstruction of orbital wall. We used this flap in 2 patients who have orbital wall defect following resection of malignant tumor arising from the nasal cavity or maxilla. The outcome was gratifying in all two patients. We think that this flap is a new useful method in reconstruction of the orbit.

Keywords: Galeal-frontalis-pericranial-calvarial bone flap; Orbit