Free tissue transfer for skull base reconstruction of advanced oncological defects.
- Author:
Bin ZHANG
1
;
Jing-hai WAN
;
Yong-xia ZHANG
;
Chang-ming AN
;
Zhen-gang XU
;
Ping-zhang TANG
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Aged; Aged, 80 and over; Female; Free Tissue Flaps; Humans; Male; Middle Aged; Postoperative Complications; surgery; Reconstructive Surgical Procedures; methods; Retrospective Studies; Skull Base Neoplasms; surgery; Soft Tissue Injuries; surgery; Young Adult
- From: Chinese Journal of Otorhinolaryngology Head and Neck Surgery 2010;45(5):406-409
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo analyze the results and the indications of free flaps in the skull base reconstruction.
METHODSA 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%).
RESULTSTwenty-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.
CONCLUSIONSFree 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.
