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J Reconstr Microsurg 2011; 27(5): 313-320
DOI: 10.1055/s-0031-1278715
© Thieme Medical Publishers

Microvascular Free Flap Reconstruction of Skull Base Penetrating Tumors

Jyrki Vuola1 , Juha Öhman4 , Antti A. Mäkitie2 , 3
  • 1Department of Plastic Surgery, Helsinki University Hospital, Helsinki
  • 2Department of Otolaryngology–Head and Neck Surgery, Helsinki University Hospital, Helsinki
  • 3University of Helsinki, Helsinki
  • 4Department of Neurosciences and Rehabilitation, Tampere University Hospital, Tampere, Finland
Further Information

Publication History

Publication Date:
24 May 2011 (online)

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ABSTRACT

This is a follow-up study of 31 consecutive patients who underwent skull base tumor resection and microvascular tissue reconstruction in anterior and middle cranial fossa. Parameters recorded included factors related to operation, hospital stay, and outcome. All patients had a minimum follow-up of 5 years. There were no flap losses and no reoperations due to anastomoses-related complications. Five of 30 patients had cerebrospinal fluid leak that resolved with spinal drain except in one case, where the flap was placed incorrectly and the patient died of meningitis. Two other patients died due to early complications of the surgery. Although the complication rate was quite high, we consider this type of surgery worth performing, and even palliative surgery is to be considered in selective cases. Rectus abdominis flap due to its pliability and long pedicle proved to be most suitable flap together with superficial temporal artery and vein as recipient vessels.

KEYWORDS

Neoplasm - outcome - skull base - reconstruction - free flap - complication

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Jyrki VuolaM.D. Ph.D. 

Department of Plastic Surgery, Töölö Hospital

P.O. Box 266, FI-00029 Huch, Finland

Email: jyrki.vuola@helsinki

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