Reconstruction of Post-Maxillectomy Periorbital Sinocutaneous and Nasocutaneous Fistulas with Double-Layer Local Flaps.

Abstract

Postoperative wound dehiscence following Weber-Ferguson or lateral rhinotomy incisions can produce sinocutaneous or nasocutaneous fistulas (NC-SCF). We present a technique author in addressing these defects, utilizing a turn-in flap followed by a 2-stage paramedian forehead flap were utilized to close NC-SCF in the periorbital region. NC-SCF present reconstructive challenges following maxillectomy with postoperative wound dehiscence. The utilization of multiple local flaps in a double-layer soft tissue closure obliterate NC-SCF while providing satisfactory cosmetic outcomes.