Free perforator flap transfer for reconstruction of skull base defects after resection of advanced recurrent tumor

Microsurgery ◽  
2014 ◽  
Vol 34 (8) ◽  
pp. 623-628 ◽  
Author(s):  
Bin Zhang ◽  
Jing-Hai Wan ◽  
Han-Feng Wan ◽  
De-Zhi Li ◽  
Yong-Xia Zhang
Keyword(s):  
Skull Base ◽  
Perforator Flap ◽  
Recurrent Tumor ◽  
Flap Transfer ◽  
Skull Base Defects ◽  
Free Perforator Flap

scholarly journals Free flap transfer, a safe and efficient method for reconstruction of composite skull base defects after salvage resection of advanced intra- and extracranial communicating tumors

2021 ◽  
Author(s):  
Hou jie Liu ◽  
Xue-Ji Li ◽  
Hai-Peng Qian ◽  
Chang-Ming An ◽  
De-Zhi Li ◽  
...  
Keyword(s):  
Skull Base ◽  
Free Flap ◽  
Tumor Resection ◽  
Anterolateral Thigh Flap ◽  
Flap Reconstruction ◽  
Free Flap Reconstruction ◽  
Flap Transfer ◽  
Salvage Resection ◽  
Free Flap Transfer ◽  
Skull Base Defects

Abstract Propose: Surgical treatment of advanced intra- and extracranial communicating skull base tumors is challenging, especially for the reconstruction of the large composite defect left by tumor resection. The aim of the study is to evaluate the utility of the free flap reconstruction of the defects resulting from radical resection of these tumors. Methods: The clinical data of 17 consecutive patients who underwent free flap reconstruction for defect left by salvage resection of advanced intra- and extracranial communicating tumors from 2013 to 2019 were retrospectively collected and analyzed. Results: There were 5 squamous cell carcinomas, 4 adenoid cystic carcinomas, 2 basal cell carcinomas, 2 meningiomas, 1 anaplastic hemangiopericytoma, 1 pleomorphic adenoma, 1 osteosarcoma and 1 chondrosarcoma. All patients had recurrent neoplasms, 2 of which had pulmonary metastasis. A modified radical cervical dissection was performed in 6 patients. The anterolateral thigh flap myocutaneous (ALT) flap and rectus abdominis myocutaneous (RAM) flap were used in 15 patients (88.2%) and 2 patients (11.8%), respectively. Complications were seen in 3 of 17 patients (17.6%) with 1 total flap loss. The median PFS duration was 31 months. The 3- and 5-year PFS rate was 0.47 and 0.24, respectively. The mean OS duration was 66 months. The 3- and 5-year OS rate was 0.85 and 0.68, respectively. Conclusion: Free flap transfer is a safe and effective method with acceptable complications, useful for reconstruction of large composite skull base defects after salvage resection of advanced intra- and extracranial communicating tumors. The functional and cosmetic results are satisfying.

Failure of Skull Base Defects Reconstruction after Endonasal Surgery. Complications, Treatment Options and Outcomes

2016 ◽  
Vol 77 (S 01) ◽  
Author(s):  
Bakhtuyar Pashaev ◽  
Valery Danilov ◽  
Gulnar Vagapova ◽  
Vladimir Bochkarev ◽  
Arseniy Pichugin ◽  
...  
Keyword(s):  
Skull Base ◽  
Treatment Options ◽  
Surgery Complications ◽  
Endonasal Surgery ◽  
Skull Base Defects

The Surgical Management of Temporal Bone and Lateral Skull Base Defects

2016 ◽  
Vol 77 (S 02) ◽  
Author(s):  
Hannah North ◽  
Simon Freeman ◽  
Scott Rutherford ◽  
Andrew King ◽  
Chorlatte Hammerbeck-Ward ◽  
...  
Keyword(s):  
Skull Base ◽  
Temporal Bone ◽  
Surgical Management ◽  
Lateral Skull Base ◽  
Skull Base Defects

Vascularized Nasal Septal Flap for Reconstruction of Skull Base Defects following Expanded Endonasal Approaches to the Skull Base: Outcome Analysis

Skull Base ◽  
2007 ◽  
Vol 17 (S 2) ◽  
Author(s):  
Allan Vescan ◽  
Ajith Thomas ◽  
Ricardo Carrau ◽  
Carl Snyderman ◽  
Daniel Prevedello ◽  
...  
Keyword(s):  
Skull Base ◽  
Outcome Analysis ◽  
Nasal Septal Flap ◽  
Skull Base Defects

Endoscopic Repair of Expanded Endonasal Skull Base Defects Using a Stable Bilayer “Button” Closure

Skull Base ◽  
2009 ◽  
Vol 19 (03) ◽  
Author(s):  
Adam Luginbuhl ◽  
James Evans ◽  
Zachary Louderback ◽  
Jared Goldfarb ◽  
Marc Rosen
Keyword(s):  
Skull Base ◽  
Endoscopic Repair ◽  
Skull Base Defects

Reconstruction of Lateral Skull Base Defects after Combined Parotidectomy and Temporal Bone Resection for Advanced Malignancy

Skull Base ◽  
2011 ◽  
Vol 21 (S 01) ◽  
Author(s):  
Zoukaa Sargi ◽  
Robert Gerring ◽  
Adrien Eshraghi ◽  
David Arnold ◽  
Francisco Civantos ◽  
...  
Keyword(s):  
Skull Base ◽  
Temporal Bone ◽  
Bone Resection ◽  
Advanced Malignancy ◽  
Lateral Skull Base ◽  
Temporal Bone Resection ◽  
Skull Base Defects
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