The objectives of the study: Advanced or recurrent sinonasal malignancies sometimes need, besides an ablative step,a reconstructive step.If this occurs, the reconstructive step may require advanced knowledge of reconstructive surgery because of the complex remnant defects after ablation.
The methodology: The authors present a surgical reconstructive solution that can be used in cases of advanced sino nasal tumors which associate the destruction of the malar region.This requires a midfacial flap which will provide a solid support for the paramedial forehead flap.
Conclusions: The use of the reversed midfacial flap is an original method that can provide a good mechanical support for any reconstructive flap in the midfacial region.
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