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Laedrach K, Lukes A, Raveh J. Reconstruction of Skull Base and Fronto-orbital Defects following Tumor Resection. Skull Base. 2007;17(1):59-72doi: 10.1055/s-2006-959336.
Laedrach, K., Lukes, A., & Raveh, J. (2007). Reconstruction of Skull Base and Fronto-orbital Defects following Tumor Resection. Skull base : official journal of North American Skull Base Society ... [et al.], 17(1), 59-72. https://doi.org/10.1055/s-2006-959336
Laedrach, Kurt, et al. "Reconstruction of Skull Base and Fronto-orbital Defects following Tumor Resection." Skull base : official journal of North American Skull Base Society ... [et al.] vol. 17,1 (2007): 59-72. doi: https://doi.org/10.1055/s-2006-959336
Laedrach K, Lukes A, Raveh J. Reconstruction of Skull Base and Fronto-orbital Defects following Tumor Resection. Skull Base. 2007 Feb;17(1):59-72. doi: 10.1055/s-2006-959336. PMID: 17603645; PMCID: PMC1852580.
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Skull Base. 2007 Feb;17(1):59-72. doi: 10.1055/s-2006-959336.

Reconstruction of Skull Base and Fronto-orbital Defects following Tumor Resection.

Skull base : official journal of North American Skull Base Society ... [et al.]

Kurt Laedrach, Anton Lukes, Joram Raveh

Affiliations

  1. Department of Craniomaxillofacial, Skull Base, Facial Plastic, and Reconstructive Surgery, University of Bern, Switzerland.

PMID: 17603645 PMCID: PMC1852580 DOI: 10.1055/s-2006-959336

Abstract

Reconstruction of the anterior skull base and fronto-orbital framework following extensive tumor resection is both challenging and controversial. Dural defects are covered with multiple sheets of fascia lata that provide sufficient support and avoid herniation. Plating along the skull base is contraindicated. After resection of orbital walls, grafting is necessary if the periosteum or parts of the periorbital tissue had to be removed, to avoid enophthalmus or strabism. Free bone grafts exposed to the sinonasal or pharyngeal cavity are vulnerable to infection or necrosis: therefore, covering the grafts with vascularized tissue, such as the Bichat fat-pad or pedicled temporalis flaps, should reduce these complications. Alloplastic materials are indispensable in cranial defects, whereas microsurgical free tissue transfer is indicated in cases of orbital exenteration and skin defects. The authors review their experience and follow-up of 122 skull base reconstructions following extensive subcranial tumor resection. Most significant complications were pneumocranium in 4.9%, CSF leaks in 3.2%, and partial bone resorption in 8.1%.

References

  1. Skull Base. 2001 Feb;11(1):59-76 - PubMed
  2. J Craniomaxillofac Surg. 1988 May;16(4):160-72 - PubMed
  3. Arch Facial Plast Surg. 2003 Sep-Oct;5(5):379-83 - PubMed
  4. Arch Otolaryngol Head Neck Surg. 1993 Apr;119(4):385-93 - PubMed
  5. Plast Reconstr Surg. 1983 Dec;72(6):778-85 - PubMed
  6. J Craniofac Surg. 1990 Jan;1(1):53-9 - PubMed
  7. Otolaryngol Head Neck Surg. 2004 May;130(5):519-25 - PubMed
  8. Arch Otolaryngol Head Neck Surg. 1993 Jun;119(6):618-23 - PubMed
  9. Plast Reconstr Surg. 1984 Jul;74(1):10-8 - PubMed
  10. Plast Reconstr Surg. 1992 Aug;90(2):174-85; discussion 186-91 - PubMed
  11. J Neurosurg. 1995 Jun;82(6):1002-10 - PubMed
  12. Neurosurg Focus. 2002 May 15;12(5):e10 - PubMed
  13. Otolaryngol Head Neck Surg. 2000 Oct;123(4):409-12 - PubMed
  14. J Oral Maxillofac Surg. 1997 Dec;55(12):1441-9; discussion 1449-51 - PubMed
  15. Neurosurg Focus. 2002 May 15;12(5):e9 - PubMed
  16. SSO Schweiz Monatsschr Zahnheilkd. 1981 Apr;91(4):206-17 - PubMed
  17. Plast Reconstr Surg. 2005 Aug;116(2):395-8; discussion 399 - PubMed
  18. J Craniomaxillofac Surg. 1988 Nov;16(8):350-8 - PubMed

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