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Reconstruction of complicated skull base defects utilizing free tissue transfer.

Reconstruction of complicated skull base defects utilizing free tissue transfer. Research Abstract Details 

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  • Reconstruction of complicated skull base defects utilizing free tissue transfer. Abstract Text:

    hamid r djalilianHamid R Djalilian,markus gapanyMarkus Gapany,samuel c levineSamuel C Levine,

    We managed five patients with large skull base defects complicated by complex infections with microvascular free tissue transfer. The first patient developed an infection, cerebrospinal fluid (CSF) leak, and meningitis after undergoing a translabyrinthine resection of an acoustic neuroma. The second patient had a history of a gunshot wound to the temporal bone, with a large defect and an infected cholesteatoma that caused several episodes of meningitis. The third through the fifth patients had persistent CSF leakage and infection refractory to conventional therapy. In all cases prior attempts of closure with fat grafts or regional flaps had failed. Rectus abdominis myofascial free flap, radial forearm free flap or a gracilis muscle free flap was used after debridement of the infected cavities. The CSF leaks, local infections, and meningitis were controlled within a week. In our experience, microvascular free tissue provides the necessary bulk of viable, well-vascularized tissue, which not only assures a mechanical seal but also helps clear the local infection.

    Reconstruction of complicated skull base defects utilizing free tissue transfer. Publishing Authors By Initials

    hr djalilianHR Djalilian,m gapanyM Gapany,sc levineSC Levine,

    For similar abstracts research abstracts see: abstracts research

    PUBMED ID PMID:

    MEDLINE DATE:

    Reconstruction of complicated skull base defects utilizing free tissue transfer. Journal Published:

    PUBLICATION TYPE: Journal Article

    Journal: Skull base : official journal of North American Sk

    VOLUME: 12

    Page Numbers: 209-13

    Journal Abbreviation:

    ISSN: 1531-5010

    DAY: 14

    MONTH: Nov

    YEAR: 2002

    Reconstruction of complicated skull base defects utilizing free tissue transfer. Information

    Number of References:

    LANGUAGE: eng

    NlmUniqueID: 101090660

    Reconstruction of complicated skull base defects utilizing free tissue transfer. Keywords Mesh Terms:

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    Country: United States

    United States Research PublicationUnited States Research Publication

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    MEDLINETA: Skull Base

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