Principles of Skull Base Reconstruction After Ablative Head and Neck Cancer Surgery
Joseph Curry, Zoukaa Sargi
Skull base surgery,reconstruction,head and neck cancer,free flap
Citation Information :
Curry J, Sargi Z. Principles of Skull Base Reconstruction After Ablative Head and Neck Cancer Surgery. Int J Otorhinolaryngol Clin 2010; 2 (1):87-94.
Copyright © 2010; The Author(s).
“Resection of malignancies of the skull base can result in significant functional and cosmetic morbidity as well as mortality. Reconstructive efforts provide not only functional and cosmetic rehabilitation, but also allow for the avoidance of potentially disastrous complications such as cerebrospinal fluid leak or meningitis. The optimal reconstruction is determined both by a patient based approach and a defect based approach. Skull base defects can be addressed by the separate components of the craniofacial skeleton in which they involve, and therefore the individual reconstructive issues which must be addressed. In this article, we describe an approach to skull base reconstruction and the technical aspects of the available reconstructive options.
Pedicled myocutaneous flaps in head and neck sugery. Operative Techniques in Otolaryngology Head and Neck Surgery June 2000;11(2):139–42.
A combined intracranial transfacial approach to the paranasal sinuses. Am J Surg 1963;106:698.
Complications of craniofacial resection for malignant tumors of the skull base: Report of an international collaborative study. Head and Neck 2005;27:445–51.
Predictors of morbidity following free flap reconstruction for cancer of the head and neck. Head and Neck 2007;29:1090–101.
The pathogenesis of vascular thrombosis and its impact in microvascular surgery. Head and Neck 1999;21(4):355–62.
Acute alcohol withdrawal and free flap mandibular reconstruction outcomes. Arch Facial Plast Surg Oct- Dec 2001;3(4):264–66.
Analysis of 49 case of flap compromise in 1310 cases of free flaps for head and neck reconstruction. Head and Neck 2009;31:45–51.
Analysis of Outcome and Complications in 400 Cases of Microvascular Head and Neck Reconstruction. Arch Otolaryngol Head and Neck Surg 2004;130:962–66.
Flap selection in cranial base reconstruction. Plast Recon Surg 1996-98;26(6):378.
Scalp and forehead reconstruction. Clin Plast Surg 2005;32(3):377–90.
Reconstruction of the scalp with fasciocutaneous flaps. Scand J Plast Recon Hand Surg 1999;33:217–24.
Experience with the medially based deltopectoral flap in reconstructive surgery of the head and neck. Br J Plast Surg Apr 1971;24(2):174–83.
The pectoralis major for single-stage reconstruction of the difficult wounds of the orbit and pharyngoesophagus. Plast Reconstr Surg Oct 1983;72(4):468–77.
The Occipital Flap for Reconstruction After Lateral Temporal Bone Resection. Arch Otolaryngol Head and Neck Surg 2008;134(6):587–91.
Scalp and forehead reconstruction using free revascularized tissue transfer. Arch Facial Plast Surg 2004;6:16–20.
Reconstruction of scalp defects with free flaps in 30 cases. Br J Plast Surg 1998;51:186–90.
Scalp and forehead reconstruction. Clin Plastic Surg 2005;32:377–80.
Reconstruciton of the forehead; In Baker SR, Swanson NA, editors. Local flaps in facial reconstruction. St Louis, MO. Mosby-Year Book 1995;421–22.
Facial Reconstruction and local and distant failure. Plast Reconst Surg 2004;6:16–20.
Successful use of rib grafts for cranioplasty in children. Pediatr Neurosurg 2001;34(3):149–55.
Tumors of the skull base: Outcome and survival analysis of 77 cases. Head and Neck 1994;16:3–10.
Experience with the Rectus Abdominis Myocutaneous Flap with Vascularized Hard Tissue for Immediate Orbitofacial Reconstruction. Plast Reconst Surg Feb 1999;103(2):403–11.
Contemporary Skull base Reconstruction. Curr Opin Otolaryngol Head and Neck Surg 2004;12:294–99.
Reconstruction of lateral skull base oncological defects: The role of free tissue transfer. Ann Plast Surg 1998;41:633–39.
Combining Free Flap Reconstruction and Craniofacial Prosthetic Technique for Orbit, Scalp, and Temporal Defects. Laryngoscope 1998;108:482–87.
Extensive defects of the sinoorbital region results with microvascular reconstruction. Arch Otolaryngol Head and Neck Surg 1992;118:828–33.
Revascularized tissue transfer for the repair of complex midfacial defects in oncologic patients. J Oral Maxillofac Surg Nov 2000;58(11):1212–18.
Osseous reconstruction of the midface and the orbits. Clin Plast Surg 1994;21:113–24.
Paranasal sinus and midfacial reconstruction. Clin Plast Surg 2005;32:309–25.
Mechanisms of global support and post-traumatic enophthalmos: The anatomy of the ligament sling and its relation to intramuscular cone orbital fat. Plast Reconstr Surg 1986;77:193.
Anterior and middle cranial fossa skull base reconstruction using microvascular free tissue techniques: Surgical complications and functional outcomes. Ann Plast Surg 2008;60:514–20.
Secondary blepharoplasty. In: Mathes, Hentz (Eds). Plastic Surgery. Philadelphia: Saunders Elsevier; 2006.
Reconstruction of large cranial defects in the presence of heavy radiation damage and infection utilizing tissue transferred by microvascular anastomoses. Plast Recon Surg 1989;83;438–93.
Free anterolateral thigh flap for reconstruction of major craniofacial defects. J Reconstr Microsurg 2006;22:97–104.
Anterior cranial base reconstruction using free tissue transfer: Changing trends. Head and Neck 2003;25:89–96.
Complications of the craniofacial resection for tumors involving the anterior skull base. Head and Neck 1994;16:307–12.
Osseous reconstruction of the midface and orbits. Clin Plast Surg 1994;21:113–24.
Free tissue transfer and local flap complications in anterior anterolateral skull base surgery. Head and Neck 2002;24:901–12.
Reconstruction after temporal bone resection. Laryngoscope 1998;108:476–81.
Management of the orbit during anterior fossa craniofacial resection. Arch Otolaryngol Head and Neck Surg Dec 1996;122(12):1305–07.