Fascio-subcutaneous extension of a free radial forearm flap for frontonasal duct obliteration.

Frontonasal duct injury is a critical factor in the treatment of frontal sinus fractures. We present the case of a 43-year-old man who sustained multiple comminuted fractures of the anterior table of the frontal sinus and of the orbital roof as the result of a gunshot. After adequate debridement, the combined bone and soft tissue defect was reconstructed with a titanium mesh and a free radial forearm flap. The frontonasal duct injury was treated by surgical obliteration with a custom designed fascio-subcutaneous extension of the free radial forearm flap. The postoperative course was uneventful with good functional and aesthetic results. No early or late complications have occurred.

Duke Scholars

Author Jeffrey Robert Marcus Surgery, Plastic, Maxillofacial, and Oral Surgery

Author Detlev Erdmann Surgery, Plastic, Maxillofacial, and Oral Surgery