-Case Reports-

Use of an Inverted and Segmented Galea-Calvarial Flap for the Simultaneous Reconstruction of the Frontal Sinus and Forehead: A New Supplementary Method of Reconstructive Cranial Surgery

Ichiro Takumi¹, Masataka Akimoto² and Akio Morita³

¹Department of Neurological Surgery, Nippon Medical School Musashi Kosugi Hospital, Kanagawa, Japan
²Department of Plastic Surgery, Nippon Medical School Chiba Hokusoh Hospital, Chiba, Japan
³Department of Neurological Surgery, Nippon Medical School, Tokyo, Japan

We report on a new technical method of using an inverted and segmented galea-calvarial flap for simultaneous reconstruction of the frontal sinus and forehead. A 73-year-old man presented with the production of pus at the forehead, in which the frontal sinus had been involved 6 years postoperatively. The patient underwent surgery with our new simultaneous technique. During the 7 years of follow-up after this reconstructive surgery, no recurrence of surgical wound problems was noted.

J Nippon Med Sch 2016; 83: 125-129

Keywords
partial cranioplasty, inverted and segmented galea-calvarial flap, anterior skull base reconstruction, bone-bearing flap, vascularized bone flap

Correspondence to
Masataka Akimoto, MD, PhD, Department of Plastic Surgery, Nippon Medical School Chiba Hokusoh Hospital, 1715 Kamagari, Inzai, Chiba 270-1694, Japan
akimoto@nms.ac.jp

Received, August 12, 2015
Accepted, December 29, 2015