Free tissue reconstruction of the anterior skull base: A review

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-vas...

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Autores principales:	Elizabeth Bradford Bell, Erin R. Cohen, Zoukaa Sargi, Jason Leibowitz
Formato:	article
Lenguaje:	EN
Publicado:	KeAi Communications Co., Ltd. 2020
Materias:	Free tissue transfer Anterior skull base Head and neck microvascular Reconstruction Otorhinolaryngology RF1-547 Surgery RD1-811
Acceso en línea:	https://doaj.org/article/d7c3e29cc0024bd39daaefc201e28abe
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spelling	oai:doaj.org-article:d7c3e29cc0024bd39daaefc201e28abe2021-12-02T13:48:38ZFree tissue reconstruction of the anterior skull base: A review2095-881110.1016/j.wjorl.2020.01.004https://doaj.org/article/d7c3e29cc0024bd39daaefc201e28abe2020-06-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2095881120300202https://doaj.org/toc/2095-8811Objective: 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.Elizabeth Bradford BellErin R. CohenZoukaa SargiJason LeibowitzKeAi Communications Co., Ltd.articleFree tissue transferAnterior skull baseHead and neck microvascularReconstructionOtorhinolaryngologyRF1-547SurgeryRD1-811ENWorld Journal of Otorhinolaryngology-Head and Neck Surgery, Vol 6, Iss 2, Pp 132-136 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Free tissue transfer Anterior skull base Head and neck microvascular Reconstruction Otorhinolaryngology RF1-547 Surgery RD1-811
spellingShingle	Free tissue transfer Anterior skull base Head and neck microvascular Reconstruction Otorhinolaryngology RF1-547 Surgery RD1-811 Elizabeth Bradford Bell Erin R. Cohen Zoukaa Sargi Jason Leibowitz Free tissue reconstruction of the anterior skull base: A review
description	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.
format	article
author	Elizabeth Bradford Bell Erin R. Cohen Zoukaa Sargi Jason Leibowitz
author_facet	Elizabeth Bradford Bell Erin R. Cohen Zoukaa Sargi Jason Leibowitz
author_sort	Elizabeth Bradford Bell
title	Free tissue reconstruction of the anterior skull base: A review
title_short	Free tissue reconstruction of the anterior skull base: A review
title_full	Free tissue reconstruction of the anterior skull base: A review
title_fullStr	Free tissue reconstruction of the anterior skull base: A review
title_full_unstemmed	Free tissue reconstruction of the anterior skull base: A review
title_sort	free tissue reconstruction of the anterior skull base: a review
publisher	KeAi Communications Co., Ltd.
publishDate	2020
url	https://doaj.org/article/d7c3e29cc0024bd39daaefc201e28abe
work_keys_str_mv	AT elizabethbradfordbell freetissuereconstructionoftheanteriorskullbaseareview AT erinrcohen freetissuereconstructionoftheanteriorskullbaseareview AT zoukaasargi freetissuereconstructionoftheanteriorskullbaseareview AT jasonleibowitz freetissuereconstructionoftheanteriorskullbaseareview
_version_	1718392526447050752

Free tissue reconstruction of the anterior skull base: A review

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