Closure of Large, Complex Defects after Oncologic Neurosurgery with a Free Myoperitoneal Flap

Louis de Weerd; Roar Kloster; Clemens Walter

doi:10.1055/s-0032-1333315

Journal of Reconstructive Microsurgery, Table of Contents

J Reconstr Microsurg 2013; 29(03): 195-198
DOI: 10.1055/s-0032-1333315

Original Article

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Closure of Large, Complex Defects after Oncologic Neurosurgery with a Free Myoperitoneal Flap

Louis de Weerd

¹Department of Plastic Surgery and Hand Surgery, University Hospital North Norway, Tromsø, Norway

,

Roar Kloster

²Department of Neurosurgery, University Hospital North Norway, Tromsø, Norway

,

Clemens Walter

¹Department of Plastic Surgery and Hand Surgery, University Hospital North Norway, Tromsø, Norway

› Author Affiliations

Abstract

Extensive and complex defects after neurosurgical oncologic resections including dura are a challenge, as watertight closure is of paramount importance. This article illustrates the usefulness of a free myoperitoneal flap in closure of such a defect when located at the skull base or cranium. The vascularized peritoneum appears to be an excellent biological replacement for the dura and the well-vascularized muscle promotes wound healing and obliterates dead space.

Keywords

musculoperitoneal flap - dura:skull base - cerebrospinal fluid leakage - esthesioneuroblastoma

Full Text

References

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