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The use of free flaps in skull base reconstruction.
Macía, G; Picón, M; Nuñez, J; Almeida, F; Alvarez, I; Acero, J.
Afiliação
  • Macía G; Department of Oral and Maxillofacial Surgery, Hospital Universitario Ramón y Cajal, Universidad de Alcalá de Henares, Madrid, Spain. Electronic address: german.macia@yahoo.es.
  • Picón M; Department of Oral and Maxillofacial Surgery, Hospital Universitario Ramón y Cajal, Universidad de Alcalá de Henares, Madrid, Spain.
  • Nuñez J; Department of Oral and Maxillofacial Surgery, Hospital Universitario Ramón y Cajal, Universidad de Alcalá de Henares, Madrid, Spain.
  • Almeida F; Department of Oral and Maxillofacial Surgery, Hospital Universitario Ramón y Cajal, Universidad de Alcalá de Henares, Madrid, Spain.
  • Alvarez I; Department of Oral and Maxillofacial Surgery, Hospital Universitario Ramón y Cajal, Universidad de Alcalá de Henares, Madrid, Spain.
  • Acero J; Department of Oral and Maxillofacial Surgery, Hospital Universitario Ramón y Cajal, Universidad de Alcalá de Henares, Madrid, Spain.
Int J Oral Maxillofac Surg ; 45(2): 158-62, 2016 Feb.
Article em En | MEDLINE | ID: mdl-26421478
Skull base tumours are rare, comprising less than 1% of all tumours of the head and neck. Surgical treatment of these tumours involves the approach, the resection, and the reconstruction of the defect, which present a challenge due to the technical difficulty and anatomical complexity. A retrospective study of 17 patients with tumours involving the skull base, treated by resection and immediate reconstruction using microsurgical free flaps, is presented; 11 were men and six were women. The following types of flap were used: osteocutaneous fibula flaps, fasciocutaneous anterolateral thigh flaps, and myocutaneous latissimus dorsi flaps. The most common histology of the tumours was squamous cell carcinoma. The most frequent point of origin was the paranasal sinuses (58.8%). All of the free flaps used for reconstruction were viable. A cerebrospinal fluid fistula occurred in two patients, and in one of these cases, meningoencephalitis led to death. In conclusion, the reconstruction of large defects of the skull base after ablation requires a viable tissue that in many cases can be obtained only through the use of microvascular free flaps. The type of flap to be selected depends on the anatomical structures and size of the defect to be restored.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Coxa da Perna / Neoplasias da Base do Crânio / Procedimentos de Cirurgia Plástica / Retalhos de Tecido Biológico / Fíbula Tipo de estudo: Observational_studies Limite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Ano de publicação: 2016 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Coxa da Perna / Neoplasias da Base do Crânio / Procedimentos de Cirurgia Plástica / Retalhos de Tecido Biológico / Fíbula Tipo de estudo: Observational_studies Limite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Ano de publicação: 2016 Tipo de documento: Article