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.
Artículo
en Chino
| WPRIM
| ID: wpr-276456
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>
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Complicaciones Posoperatorias
/
Cirugía General
/
Estudios Retrospectivos
/
Traumatismos de los Tejidos Blandos
/
Neoplasias de la Base del Cráneo
/
Procedimientos de Cirugía Plástica
/
Colgajos Tisulares Libres
/
Métodos
Tipo de estudio:
Estudio observacional
Límite:
Adulto
/
Anciano
/
Aged80
/
Femenino
/
Humanos
/
Masculino
Idioma:
Chino
Revista:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
Año:
2010
Tipo del documento:
Artículo
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