Reconstruction of the median anterior skull base with an intracranial free radial forearm flap after recurrent resection of tumour

被引：6

作者：

Duchateau, Nathalie C. ^{[1
]}

Komen, Niels ^{[1
]}

Dua, Guido ^{[2
]}

Mertens, Marianne ^{[1
]}

Colpaert, Steven D. M. ^{[1
]}

机构：

[1] Ziekenhuis Netwerk Antwerpen, Dept Plast Reconstruct & Aesthet Surg, BE-2020 Antwerp, Belgium

[2] Ziekenhuis Netwerk Antwerpen, Dept Neurosurg, BE-2020 Antwerp, Belgium

来源：

JOURNAL OF PLASTIC SURGERY AND HAND SURGERY | 2014年 / 48卷 / 03期

关键词：

Reconstruction of skull base; skull base defects; radial forearm flap; anterior skull base reconstruction; flap selection; dural repair; microsurgical anastomosis; limiting complications; long vascular pedicle; SELECTION;

D O I：

10.3109/2000656X.2013.779795

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

We report a case of a median anterior skull base defect that was reconstructed with a free radial forearm flap. The flap was used intracranially, whereas the vascular anastomosis was made extracranially, with the pedicle running through a burr hole in the skull. This technique was succesful in sealing the skull base from the nasal cavity and preventing leakage of cerebrospinal fluid, infection, or herniation of brain tissue. We report the reconstructive procedure, an overview of other options, and the reasons for the decisions in this case.

引用

页码：222 / 224

页数：3

共 7 条

[1] Apuzzo ML, 1993, BRAIN SURG COMPLICAT, VI, P203
[2] Apuzzo ML, 1993, BRAIN SURG COMPLICAT, VII, P2175
[3] Apuzzo ML, 1993, BRAIN SURG COMPLICAT, P2184
[4] Imola Mario J, 2003, Curr Opin Otolaryngol Head Neck Surg, V11, P282, DOI 10.1097/00020840-200308000-00012
[5] Liu James K, 2002, Neurosurg Focus, V12, pe9
[6] Flap selection in cranial base reconstruction
Neligan, PC
Mulholland, S
Irish, J
Gullane, PJ
Boyd, JB
Gentili, F
Brown, D
Freeman, J
[J]. PLASTIC AND RECONSTRUCTIVE SURGERY, 1996, 98 (07) : 1159 - 1166
[7] Microvascular reconstruction of the skull base: A clinical approach to surgical defect classification and flap selection
Pusic, Andrea L.
Chen, Constance M.
Patel, Snehal
Cordeiro, Peter G.
Shah, Jatin P.
[J]. SKULL BASE-AN INTERDISCIPLINARY APPROACH, 2007, 17 (01): : 5 - 15

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