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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
1   Department of Plastic Surgery and Hand Surgery, University Hospital North Norway, Tromsø, Norway
,
Roar Kloster
2   Department of Neurosurgery, University Hospital North Norway, Tromsø, Norway
,
Clemens Walter
1   Department of Plastic Surgery and Hand Surgery, University Hospital North Norway, Tromsø, Norway
› Author Affiliations
Further Information

Publication History

16 May 2012

22 October 2012

Publication Date:
09 January 2013 (online)

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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

Note

Presented as a poster at the 6th Congress of the World Society for Reconstructive Microsurgery 29 June–2 July 2011, Helsinki, Finland.


 

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