Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Largo, RD; Schaefer, DJ; Krueger, J; Harschnitz, O; Zimmerer, S; Jaquiéry, C; Haug, MD; Mariani, L; Kunz, C.
Intracranial application of free fasciocutaneous flaps in a novel sandwich technique for skull base reconstruction.
Int J Oral Maxillofac Surg. 2011; 40(9): 931-937.
Doi: 10.1016/j.ijom.2011.05.013
Web of Science
PubMed
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- Co-Autor*innen der Med Uni Graz
- Zimmerer Martin Stephan Erich
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- Abstract:
- Free tissue transfer has been the gold standard of extensive skull base reconstruction, but the onlay of free flaps onto skull base defects carries the risk of cerebrospinal fluid (CSF) leakage. The purpose of this study was the evaluation of a novel technique of a combined sub- and onlay concept with a partially intracranially positioned folded free fasciocutaneous flap in terms of flap applicability, versatility and complication rate. Within 5 years, 7 patients with anterior (n=4), middle (n=2) or posterior (n=1) skull base defects were reconstructed with free extended lateral arm (n=3) or anterolateral thigh (n=4) flaps. The flaps were partially intracranially positioned and fixed with osteo-dermal sutures. Both flaps proved to be applicable in terms of sealing efficiency, minimizing intracranial flap volume and folding. No flap loss was observed. Specific complications consisted of one pneumocranium via an accessory frontal sinus and one cerebellar herniation due to lumbar CSF loss. No flap failure or haematoma of the intracranial flap part occurred. This new concept of intracranial positioning of fasciocutaneous flaps in a sandwich technique using osteo-dermal sutures should be considered as a primary treatment for skull base reconstruction rather than merely as a salvage manoeuvre. Copyright © 2011 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.
- Find related publications in this database (using NLM MeSH Indexing)
- Adult -
- Aged -
- Fascia - transplantation
- Female -
- Humans -
- Male -
- Middle Aged -
- Neurosurgical Procedures - methods
- Postoperative Complications - prevention & control
- Prospective Studies -
- Reconstructive Surgical Procedures - methods
- Skin Transplantation -
- Skull Base - surgery
- Subdural Effusion - prevention & control
- Surgery, Oral - methods
- Surgical Flaps -
- Treatment Outcome -
- Find related publications in this database (Keywords)
- sandwich technique
- osteo-dermal sutures
- intracranial
- fasciocutaneous flaps
- skull base