Vascularized bone flap for anterior skull base reconstruction

1994 ◽  
Vol 128 (1-4) ◽  
pp. 166-168 ◽  
Author(s):  
A. Goel
Keyword(s):  
Skull Base ◽  
Anterior Skull Base ◽  
Bone Flap ◽  
Skull Base Reconstruction ◽  
Vascularized Bone

Vascularized rotational temporal bone flap for repair of anterior skull base defects: a novel operative technique

2015 ◽  
Vol 123 (5) ◽  
pp. 1312-1315 ◽  
Author(s):  
Frederick A. Zeiler ◽  
Anthony M. Kaufmann
Keyword(s):  
Soft Tissue ◽  
Skull Base ◽  
Temporal Bone ◽  
Free Flap ◽  
Anterior Skull Base ◽  
Bone Flap ◽  
Temporalis Muscle ◽  
Anterior Fossa ◽  
Skull Base Defects ◽  
Vascularized Bone

Repair of anterior skull base defects with vascularized grafts poses a significant challenge, given the location and small number of adequately sized vessels for free-flap anastomosis. This is particularly the case in the setting of redo surgery or in patients with preexisting soft-tissue trauma. Even more difficult is achieving a vascularized bone flap closure of such bony defects. The authors report a novel technique involving a rotational temporal bone flap with a temporalis muscle vascularized pedicle, which was used to repair an anterior fossa bony and soft-tissue defect created by recurrent malignancy. A 55-year-old man with history of scalp avulsion during a motor vehicle accident, anterior fossa/nasopharyngeal malignant neuroendocrine carcinoma postresection, and bone flap infection presented with a recurrence of his skull base malignancy. The tumor was located in the anterior fossa, extending interhemispherically and down through the cribriform plate, ethmoid air cells, and extending into the nasopharyngeal cavity. Resection of the recurrent tumor was performed. The bony defect in the anterior skull base was repaired with a novel vascularized rotational temporal bone flap, with acceptable separation of the nasopharynx from the intracranial cavity. The vascularized rotational temporal bone flap, in which a temporalis muscle pedicle is used, provides a novel and easily accessible means of vascularized bone closure of anterior skull base defects without the need for microsurgical free-flap grafting.

Hidden Port Approach to Endoscopic Pericranial Scalp Flap for Anterior Skull Base Reconstruction

2021 ◽  
Author(s):  
Alfredo García‐Fernández ◽  
Esther García‐González ◽  
Igor Paredes‐Sansinenea ◽  
Víctor Rodríguez‐Berrocal ◽  
José Fernández‐Alén ◽  
...  
Keyword(s):  
Skull Base ◽  
Anterior Skull Base ◽  
Skull Base Reconstruction ◽  
Scalp Flap

Use of the external pectoralis myocutaneous major flap in anterior skull base reconstruction

2013 ◽  
Vol 42 (4) ◽  
pp. 453-457 ◽  
Author(s):  
Natacha Kadlub ◽  
Joseph H. Shin ◽  
Doug A. Ross ◽  
T. Della Torre ◽  
Edward Ansari ◽  
...  
Keyword(s):  
Skull Base ◽  
Anterior Skull Base ◽  
Skull Base Reconstruction

Combined endoscopy-assisted cranionasal approach for resection of infantile myofibromatosis of the ethmoid and anterior skull base

2008 ◽  
Vol 2 (1) ◽  
pp. 58-62 ◽  
Author(s):  
Ercole Galassi ◽  
Ernesto Pasquini ◽  
Giorgio Frank ◽  
Gianluca Marucci
Keyword(s):  
Skull Base ◽  
Skull Base Surgery ◽  
Radical Resection ◽  
Permanent Tooth ◽  
Anterior Skull Base ◽  
Facial Growth ◽  
Endoscopic Endonasal ◽  
Skull Base Reconstruction ◽  
Endoscopic Techniques ◽  
Tooth Roots

The advent and widespread development of endonasal endoscopic techniques have recently expanded the frontiers of skull base surgery. The reduced invasiveness, wider and adjustable visualization of the operative field, and lack of postoperative cosmetic defects are well-known advantages of the endonasal endoscopic approaches compared with traditional surgical exposures both in adults and in children. The need to avoid disruption of facial growth centers and permanent tooth roots represents a further special consideration in favor of these endoscopic techniques in children. The authors report on a case of solitary myofibroma involving the ethmoid, mesial orbits, and anterior skull base with intracranial intradural expansion in a 17-month-old girl. The occurrence of such proliferative disease along the skull base is exceedingly rare. The tumor was successfully excised via an endoscopy-assisted cranionasal approach in which a transcranial microsurgical exposure was combined with endonasal endoscopic access to ensure a radical resection and optimize skull base reconstruction. To the authors' knowledge, the patient in this case is the youngest reported patient in the literature who has undergone treatment with this surgical strategy. The outcome in this patient underscores the feasibility and safety of endoscopic endonasal surgery even in toddlers and early childhood.

Janus flap: Bilateral nasoseptal flaps for anterior skull base reconstruction

2010 ◽  
Vol 142 (3) ◽  
pp. 327-331 ◽  
Author(s):  
Gurston G. Nyquist ◽  
Vijay K. Anand ◽  
Ameet Singh ◽  
Theodore H. Schwartz
Keyword(s):  
Skull Base ◽  
Anterior Skull Base ◽  
Skull Base Reconstruction

Planning of Anterior Skull Base Reconstruction Aided by Presurgically Computer-Generated Models

2015 ◽  
pp. 609-612
Author(s):  
Ch. Mohr ◽  
V. Seifert ◽  
D. Stolke ◽  
K. Sievers ◽  
D. Schettler
Keyword(s):  
Skull Base ◽  
Anterior Skull Base ◽  
Skull Base Reconstruction
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