A free composite de-epithelialized anterolateral thigh and the vastus lateralis muscle flap for the reconstruction of a large defect of the anterior skull base: a case report.
Microsurgery
; 31(7): 568-71, 2011 Oct.
Article
en En
| MEDLINE
| ID: mdl-21976181
Reconstruction of the anterior skull base is one of the greatest challenges for reconstructive surgeons. Sometimes, the defect is so large that a local flap is insufficient for the reconstruction. In this report, we present a case of malignant meningioma of the anterior skull base. The tumor was treated by surgical excision resulting in a large defect from the anterior skull base to the nasal cavity. The entire defect was within the cranial vault. The reconstruction was achieved using a free composite de-epithelialized anterolateral thigh and the vastus lateralis muscle flap. Postoperative monitoring included hand Doppler and daily endoscopic inspection. This patient was satisfied with the cosmetic result. After 10 months, magnetic resonance imaging (MRI), performed to assess the flap, demonstrated that the volume of the de-epithelialized skin paddle of the anterolateral thigh flap had not changed, and that there was no tissue atrophy between the patient's eyes that could have resulted in deformity.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Colgajos Quirúrgicos
/
Base del Cráneo
/
Procedimientos de Cirugía Plástica
/
Neoplasias Meníngeas
/
Meningioma
Límite:
Female
/
Humans
/
Middle aged
Idioma:
En
Revista:
Microsurgery
Año:
2011
Tipo del documento:
Article
País de afiliación:
Taiwán
Pais de publicación:
Estados Unidos