Free-Flap Reconstruction of Skull Base and Orbital Defects

Weitao Wang; Aurora Vincent; Mofiyinfolu Sokoya; Scott Kohlert; Sameep Kadakia; Yadranko Ducic

doi:10.1055/s-0039-1677881

Seminars in Plastic Surgery, Table of Contents

Semin Plast Surg 2019; 33(01): 072-077
DOI: 10.1055/s-0039-1677881

Review Article

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

Free-Flap Reconstruction of Skull Base and Orbital Defects

Weitao Wang

¹Department of Otolaryngology, University of Rochester Medical Center, Rochester, New York

,

Aurora Vincent

²Otolaryngology - Head and Neck Surgery, Madigan Army Medical Center, Tacoma, Washington

,

Mofiyinfolu Sokoya

³Department of Facial Plastic and Reconstructive Surgery, Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas

,

Scott Kohlert

³Department of Facial Plastic and Reconstructive Surgery, Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas

,

Sameep Kadakia

⁴Division of Otolaryngology, Wright State University, Dayton, Ohio

,

Yadranko Ducic

⁵Department of Facial Plastic and Reconstructive Surgery, Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas

› Author Affiliations

Abstract

Orbital and anterior skull base defects present a significant challenge for reconstruction due to the complexity of the anatomy and the need for separation of intracranial and extracranial contents in this area. While endoscopic techniques have revolutionized the treatment of many anterior skull base defects, microvascular free tissue transfer is a viable option for large volume defects not suitable for traditional open approaches or for cases where endoscopic techniques have failed. The various free tissue transfer techniques for anterior skull base and orbit, as well as the advantages and disadvantages, are reviewed.

Keywords

free-flap reconstruction - skull base surgery - microvascular reconstruction

Full Text

References

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