Free tissue transfer for skull base reconstruction of advanced oncological defects / 中华耳鼻咽喉头颈外科杂志
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
; (12): 406-409, 2010.
Article
in Zh
| WPRIM
| ID: wpr-276456
Responsible library:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To analyze the results and the indications of free flaps in the skull base reconstruction.</p><p><b>METHODS</b>A retrospective review was performed of 25 free flaps reconstructions for skull base tumor ablation defects between March of 1999 and March of 2009. There were 9 latissimus dorsi flaps, 6 rectus abdominis flaps, 4 deep inferior epigastric artery perforator flaps, 3 anterolateral thigh flaps, 2 radial forearm flaps and 1 fibular flap. The defects were classified as cranial bone (100%), dura (40%), brain (12%), sino-nasal cavity (52%), mucosa (56%) and skin (80%).</p><p><b>RESULTS</b>Twenty-three of 25(92%) free flaps survived. One total flap failure and 1 partial flap failure occurred. Five patients (20%) had central nervous system related postoperative complications which including 1 mortality, 2 central nerve system infection and 2 cerebrospinal fluid fistula.</p><p><b>CONCLUSIONS</b>Free flaps transfer is a reliable reconstruction technique for cranial base surgery. This provides a solution to the select advances disease otherwise surgical contraindications. Free flap is the choice for reconstruction of advanced oncological defects, especially when skin and mucosa are violated.</p>
Full text:
1
Index:
WPRIM
Main subject:
Postoperative Complications
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General Surgery
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Retrospective Studies
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Soft Tissue Injuries
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Skull Base Neoplasms
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Plastic Surgery Procedures
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Free Tissue Flaps
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Methods
Type of study:
Observational_studies
Limits:
Adult
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Aged
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Aged80
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Female
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Humans
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Male
Language:
Zh
Journal:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
Year:
2010
Type:
Article