Repair of Head and Face Defects with the Use of Pericranial Flap

Introduction:The pericranial flapsʹ benefits have been described in many otolaryngologic, maxillofacial and plasticsurgery literature. The benefits ar e due to the pericranial flaps unique characteristics including goodflexibility and mobility, very rich blood supply from several arterial sources and access to sufficientbulk of the flap without any need for distant surgical s ites. Usng pericranial flaps to repair the localdefects of the head and face region in several cases has been reported in this study.Materials and Methods:A follow up study was carried out on 12 patients who had undergone frontal sinus obliteration;auriculoplasty and repair of the orbital walls and scalpʹs defects. Pericranial flap had been used for allthese patients. Demographic specifications, surgical indications, imaging eva luations and early and latecomplications were recorded as well. The functional and cosmetic results and also the satisfaction levelof patients were also assessed.Results:According to the average follow up period which lasted about 4 years , none of the patients sufferedearly or late significant complications. No disease relapse or need for revision surgery was reported.Almost all patients were complete ly satisfied with the procedure and its cosmetic results.Conclusion:The use of a pericranial flap is a simple, quick, cost-effective and safe method for repair of head andface defects. Although , a longer follow up time is required, but this uncomplicated method has beenconsidered as an ideal method to repair sinonasal, ear and scalp defects.