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Salvage skull base reconstruction in the endoscopic era: Vastus lateralis free tissue transfer.

Publication ,  Journal Article
Kang, SY; Eskander, A; Hachem, RA; Ozer, E; Teknos, TN; Old, MO; Prevedello, DM; Carrau, RL
Published in: Head Neck
April 2018

BACKGROUND: When locoregional flaps fail to reconstruct the skull base, the microvascular surgeon faces several reconstructive challenges. We present our technique and results of salvage anterior skull base reconstruction utilizing the vastus lateralis free tissue transfer (VLFTT). METHODS: Four patients with anterior skull base defects after previous locoregional flap failure underwent free tissue transfer reconstruction with VLFTT. RESULTS: The success rate of free tissue transfer was 100%. Complete separation of the intracranial and sinonasal cavities was achieved in all patients; thus, resolving the cerebrospinal fluid (CSF) leakage in all patients. The VLFTT was inset through a minimally invasive approach utilizing an anterior maxillotomy via a gingivobuccal incision, an endoscopic medial maxillectomy, and endoscopic inset in all patients. No vein grafts were needed. CONCLUSION: This technique permits endoscopic endonasal inset and placement of reliable, well vascularized free tissue that may be utilized for complex, secondary reconstruction of the skull base.

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Published In

Head Neck

DOI

EISSN

1097-0347

Publication Date

April 2018

Volume

40

Issue

4

Start / End Page

E45 / E52

Location

United States

Related Subject Headings

  • Young Adult
  • Skull Base Neoplasms
  • Rhabdomyosarcoma
  • Reoperation
  • Plastic Surgery Procedures
  • Otorhinolaryngology
  • Osteoblastoma
  • Middle Aged
  • Humans
  • Free Tissue Flaps
 

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Kang, S. Y., Eskander, A., Hachem, R. A., Ozer, E., Teknos, T. N., Old, M. O., … Carrau, R. L. (2018). Salvage skull base reconstruction in the endoscopic era: Vastus lateralis free tissue transfer. Head Neck, 40(4), E45–E52. https://doi.org/10.1002/hed.25094
Kang, Stephen Y., Antoine Eskander, Ralph Abi Hachem, Enver Ozer, Theodoros N. Teknos, Matthew O. Old, Daniel M. Prevedello, and Ricardo L. Carrau. “Salvage skull base reconstruction in the endoscopic era: Vastus lateralis free tissue transfer.Head Neck 40, no. 4 (April 2018): E45–52. https://doi.org/10.1002/hed.25094.
Kang SY, Eskander A, Hachem RA, Ozer E, Teknos TN, Old MO, et al. Salvage skull base reconstruction in the endoscopic era: Vastus lateralis free tissue transfer. Head Neck. 2018 Apr;40(4):E45–52.
Kang, Stephen Y., et al. “Salvage skull base reconstruction in the endoscopic era: Vastus lateralis free tissue transfer.Head Neck, vol. 40, no. 4, Apr. 2018, pp. E45–52. Pubmed, doi:10.1002/hed.25094.
Kang SY, Eskander A, Hachem RA, Ozer E, Teknos TN, Old MO, Prevedello DM, Carrau RL. Salvage skull base reconstruction in the endoscopic era: Vastus lateralis free tissue transfer. Head Neck. 2018 Apr;40(4):E45–E52.
Journal cover image

Published In

Head Neck

DOI

EISSN

1097-0347

Publication Date

April 2018

Volume

40

Issue

4

Start / End Page

E45 / E52

Location

United States

Related Subject Headings

  • Young Adult
  • Skull Base Neoplasms
  • Rhabdomyosarcoma
  • Reoperation
  • Plastic Surgery Procedures
  • Otorhinolaryngology
  • Osteoblastoma
  • Middle Aged
  • Humans
  • Free Tissue Flaps