Use of galeal or pericranial flaps for reconstruction of orbital and eyelid defects

David Tse, W. Jarrard Goodwin, Thomas Johnson, Steve Gilberg, Melissa Meldrum

Research output: Contribution to journalArticle

32 Citations (Scopus)

Abstract

The use of galeal or pericranial flaps for craniofacial reconstruction is well recognized. The excellent blood supply of the flap permits vascularized support for skin, bone, or cartilage grafts in otherwise unsatisfactory recipient sites. The pericranial flap was used in 1 patient with a large orbital bony defect and the galeopericranial flap was used in 3 patients with various periocular defects produced by trauma or following tumor extirpation. In the case of an orbital defect induced by chronic cocaine abuse, the pericranial flap successfully sequestered the orbit from the nasal cavity while providing support for the globe. In 3 of the 4 cases involving eyelid reconstruction, the galeopericranial flap served a dual function in providing vascular supply to the underlying free tarsal graft and to the overlying free skin graft. This tissue flap is analogous to a median forehead flap, except skin is not transposed and a second-stage inset revision is not required.

Original languageEnglish
Pages (from-to)932-937
Number of pages6
JournalArchives of Ophthalmology
Volume115
Issue number7
StatePublished - Jul 30 1997

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Eyelids
Transplants
Skin
Cocaine-Related Disorders
Forehead
Nasal Cavity
Orbit
Licensure
Cartilage
Blood Vessels
Bone and Bones
Wounds and Injuries
Neoplasms

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Use of galeal or pericranial flaps for reconstruction of orbital and eyelid defects. / Tse, David; Goodwin, W. Jarrard; Johnson, Thomas; Gilberg, Steve; Meldrum, Melissa.

In: Archives of Ophthalmology, Vol. 115, No. 7, 30.07.1997, p. 932-937.

Research output: Contribution to journalArticle

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