The galeo pericranial flap in oropharyngeal reconstruction

Flap reconstruction of the oropharyngeal region using a galeo pericranial flap was performed in 26 patients. This paper describes the anatomy, technique and discusses the outcome of the surgery showing that all flaps but one had good long term vascularity. Good access to all areas of the oropharynx was possible, the flap length was up to 20 cm and width up to 15 cm. Complications were minimal but included a tendency to form intra oral fibrous bands, patchy alopecia of the donor site if Loupe magnification was not used and an immobile scalp. The flap may be soft tissue only or composite using outer plate of calvarium. The galeo pericranial flap is a valuable technique and can be used successfully in suitable cases.