Asymmetric Primary Closure and Additional Skin Excision Technique.

In this new technique, following total sinus excision, the excision defect was closed with the standard Karydakis method, but an advancement tissue flap was performed using additional skin excision, in order to reduce the dead-space volume.

In this new technique, following total sinus excision, the excision defect was closed with the standard Karydakis method