scholarly journals Free-Flap Reconstruction of Skull Base and Orbital Defects

2019 ◽  
Vol 33 (01) ◽  
pp. 072-077 ◽  
Author(s):  
Weitao Wang ◽  
Aurora Vincent ◽  
Mofiyinfolu Sokoya ◽  
Scott Kohlert ◽  
Sameep Kadakia ◽  
...  
Keyword(s):  
Skull Base ◽  
Free Tissue Transfer ◽  
Anterior Skull Base ◽  
Free Flap Reconstruction ◽  
Viable Option ◽  
Endoscopic Techniques ◽  
Advantages And Disadvantages ◽  
Tissue Transfer ◽  
Skull Base Defects ◽  
Orbital Defects

AbstractOrbital and anterior skull base defects present a significant challenge for reconstruction due to the complexity of the anatomy and the need for separation of intracranial and extracranial contents in this area. While endoscopic techniques have revolutionized the treatment of many anterior skull base defects, microvascular free tissue transfer is a viable option for large volume defects not suitable for traditional open approaches or for cases where endoscopic techniques have failed. The various free tissue transfer techniques for anterior skull base and orbit, as well as the advantages and disadvantages, are reviewed.

scholarly journals Reconstruction of the anterior skull base with radial forearm free tissue transfer: case series and literature review

2016 ◽  
Vol 3 (2) ◽  
pp. 47
Author(s):  
Windy A. Olaya ◽  
Lauren T. Daly ◽  
Emily G. Clark ◽  
Thomas Scholz ◽  
Vincent Laurence ◽  
...  
Keyword(s):  
Literature Review ◽  
Skull Base ◽  
Case Series ◽  
Free Tissue Transfer ◽  
Anterior Skull Base ◽  
Tissue Transfer ◽  
Transfer Case ◽  
Radial Forearm

scholarly journals Osseointegrated Implants and Prosthetic Reconstruction Following Skull Base Surgery

2017 ◽  
Vol 31 (04) ◽  
pp. 214-221 ◽  
Author(s):  
Shirley Hu ◽  
Demetri Arnaoutakis ◽  
Sameep Kadakia ◽  
Allison Vest ◽  
Raja Sawhney ◽  
...  
Keyword(s):  
Skull Base ◽  
Skull Base Surgery ◽  
Free Tissue Transfer ◽  
Prosthetic Rehabilitation ◽  
Muscle Flaps ◽  
Skin Paddle ◽  
Prosthetic Reconstruction ◽  
Advantages And Disadvantages ◽  
Osseointegrated Implants ◽  
Skull Base Defects

AbstractRehabilitation following ablative skull base surgery remains a challenging task, given the complexity of the anatomical region, despite the recent advances in reconstructive surgery. Remnant defects following resection of skull base tumors are often not amenable to primary closure. As such, numerous techniques have been described for reconstruction, including local rotational muscle flaps, pedicled flaps with skin paddle, or even free tissue transfer. However, not all patients are appropriate surgical candidates and therefore may instead benefit from nonsurgical options for functional and aesthetic restoration. Osseointegrated implants and biocompatible prostheses provide a viable alternative for such a patient population. The purpose of this review serves to highlight current options for prosthetic rehabilitation of skull base defects and describe their indications, advantages, and disadvantages.

scholarly journals Reconstruction of Complicated Skull Base Defects Utilizing Free Tissue Transfer

Skull Base ◽  
2002 ◽  
Vol 12 (04) ◽  
pp. 209-214 ◽  
Author(s):  
Hamid Djalilian ◽  
Markus Gapany ◽  
Samuel Levine
Keyword(s):  
Skull Base ◽  
Free Tissue Transfer ◽  
Tissue Transfer ◽  
Skull Base Defects

Microvascular Free Tissue Transfer in Reconstructing Skull Base Defects: Lessons Learned

2002 ◽  
Vol 112 (10) ◽  
pp. 1871-1876 ◽  
Author(s):  
Theodoros N. Teknos ◽  
Jonathan C. Smith ◽  
Terry A. Day ◽  
James L. Netterville ◽  
Brian B. Burkey
Keyword(s):  
Skull Base ◽  
Free Tissue Transfer ◽  
Lessons Learned ◽  
Tissue Transfer ◽  
Skull Base Defects

Latissimus dorsi free flap reconstruction of anterior skull base defects

2012 ◽  
Vol 40 (2) ◽  
pp. 177-179 ◽  
Author(s):  
Angélique Girod ◽  
Herve Boissonnet ◽  
Thomas Jouffroy ◽  
José Rodriguez
Keyword(s):  
Skull Base ◽  
Free Flap ◽  
Latissimus Dorsi ◽  
Anterior Skull Base ◽  
Flap Reconstruction ◽  
Free Flap Reconstruction ◽  
Skull Base Defects

scholarly journals Outcomes following Microvascular Free Tissue Transfer in Reconstructing Skull Base Defects

2013 ◽  
Vol 74 (05) ◽  
pp. 324-330 ◽  
Author(s):  
Jose Llorente ◽  
Daniel Camporro ◽  
Angel Fueyo ◽  
Juan Rial ◽  
Ramon de Leon ◽  
...  
Keyword(s):  
Skull Base ◽  
Free Tissue Transfer ◽  
Tissue Transfer ◽  
Skull Base Defects

Anterior Skull Base Tumors and Surgery

2021 ◽  
Author(s):  
Judd H. Fastenberg ◽  
Gurston G. Nyquist ◽  
Blair M. Barton
Keyword(s):  
Skull Base ◽  
Anterior Skull Base ◽  
Sinus Surgery ◽  
Csf Leak ◽  
Endoscopic Endonasal ◽  
Dural Repair ◽  
Endoscopic Techniques ◽  
Anterior Cranial Base ◽  
Tissue Flaps ◽  
Skull Base Defects

Anterior skull base surgery requires intimate knowledge of a highly complex anatomic region containing critical neurovascular structures. A wide array of pathologies can occur along the anterior cranial base, including meningiomas, esthesioneuroblastomas, pituitary adenomas, craniopharyngiomas, chondrosarcomas, and chordomas. Advancements in endoscopic sinus surgery have allowed many of these tumors to be effectively treated via an endoscopic endonasal technique. This approach obviates the need for large incisions causing cosmetic deformity, improves magnification of the surgical field, and offers a direct path to lesions thus avoiding retraction of structures such as the brain and nerves. Surgeons must understand the limitations of endoscopic techniques and consider open or combined open and endoscopic approaches when appropriate. Reconstructive anterior skull base techniques vary depending on the size and location of defects, along with factors such as intracranial pressure and patient co-morbidities. Large skull base defects require multilayer reconstruction that include a watertight primary dural repair with either synthetic or autologous tissue, followed by local vascularized tissue flaps. This review contains 8 figures, 2 videos, 4 tables and 33 references Key words: Anterior skull base, meningioma, esthesioneuroblastoma, chordoma, pituitary, CSF leak, nasosptal flap, dural repair, expanded endonasal approaches, endoscopic surgery

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