13 May 2024
: Case report
A 16-Year-Old Girl with Sinonasal Cutaneous Fistula Following Excision and Radiotherapy for Rhabdomyosarcoma Requiring Reconstructive Surgery Using an Expanded Forehead Flap
Unusual clinical course, Unusual or unexpected effect of treatment
Qirui Wang1BEF, Xiaomin Yang1AC, Yimin Liang1BE, Chen Wang1DF, Renpeng Zhou1AE*DOI: 10.12659/AJCR.943098
Am J Case Rep 2024; 25:e943098
Figure 1. Reconstruction of a sinonasal-cutaneous fistula with an expanded forehead flap. (A) The forehead flap was expanded using a tissue expander prior to reconstruction. (B) Trimming of the skin tissue around the ulcerative defects caused by the radiation exposure. (C) After being trimmed, a defect with a width of 2.1 cm was formed. (D) The forehead flap was divided to form folded flaps – one flap was used to repair the nasal lining while the other was to reconstruct the external skin. Then, the prosthesis was inserted between the flaps. (E) The folded forehead flap survived, while a fistula formed at the left border between the flap and the local defect. (F) The pedicle of the folded flap was divided. (G) The modified folded forehead flap successfully reconstructed the sinonasal-cutaneous fistula. (H) One year after surgery, the sinonasal-cutaneous fistula was healing well.