Arch Aesthetic Plast Surg.  2021 Jul;27(3):106-108. 10.14730/aaps.2020.02425.

Correction of a brow ridge deformity in a comminuted depressed skull fracture using a multiple-layered pericranial flap: the Persian carpet method

  • 1Department of Plastic and Reconstructive Surgery, Bucheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Bucheon, Korea


Frontal sinus fractures are common traumatic injuries of the head and neck, accounting for 8% of facial fractures. When a severe frontal sinus fracture and a naso-ethmoid-orbital fracture occur together, a postoperative contour deformity is highly likely. A pericranial flap is a reliable and versatile tool for craniofacial reconstruction. The authors fabricated an anteriorly-based pericranial flap in multiple layers to camouflage the fracture site and augment the brow ridge for volumization. Open reduction and pericranial flap coverage using this method (dubbed the “Persian carpet” method) were successfully performed in a 26-year-old male patient with a comminuted frontal bone fracture and a naso-ethmoid-orbital fracture.


Frontal sinus / Reconstructive surgical procedure / Skull fracture
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