Free tissue reconstruction of the anterior skull base: A review

Bibliographic Details
Title: Free tissue reconstruction of the anterior skull base: A review
Authors: Elizabeth Bradford Bell, Erin R. Cohen, Zoukaa Sargi, Jason Leibowitz
Source: World Journal of Otorhinolaryngology-Head and Neck Surgery, Vol 6, Iss 2, Pp 132-136 (2020)
Publisher Information: Wiley, 2020.
Publication Year: 2020
Collection: LCC:Otorhinolaryngology
LCC:Surgery
Subject Terms: Free tissue transfer, Anterior skull base, Head and neck microvascular, Reconstruction, Otorhinolaryngology, RF1-547, Surgery, RD1-811
More Details: Objective: There has been a significant shift from open craniofacial resection of the anterior skull base to endoscopic approaches that accomplish the same outcomes in tumor ablation. However, when open resection is required, free flap reconstruction is often necessary to provide sufficient well-vascularized tissue for optimal wound healing as well as providing adequate tissue bulk for cosmesis. This articleaims to providea focused review of free flaps most commonly used in anterior skull base reconstruction. Methods: This is a state-of-the-art review based on expert opinion and previously published reviews and journal articles, queried using PubMed and Google Scholar. Results & conclusion: Anterior skull base reconstruction via free tissue transfer is imperative in limiting complications and promoting healing, particularly with large defects, post-radiation, and in at-risk patients. The type of free flap utilized for a particular anterior skull base reconstruction should be tailored to the patient and nature of the disease. This review offers insight into the numerous reconstructive options for the free flap surgeon.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2095-8811
Relation: http://www.sciencedirect.com/science/article/pii/S2095881120300202; https://doaj.org/toc/2095-8811
DOI: 10.1016/j.wjorl.2020.01.004
Access URL: https://doaj.org/article/d7c3e29cc0024bd39daaefc201e28abe
Accession Number: edsdoj.7c3e29cc0024bd39daaefc201e28abe
Database: Directory of Open Access Journals
More Details
ISSN:20958811
DOI:10.1016/j.wjorl.2020.01.004
Published in:World Journal of Otorhinolaryngology-Head and Neck Surgery
Language:English