Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
FREE TISSUE TRANSFER FOR SKULL BASE RECONSTRUCTION ANALYSIS OF COMPLICATIONS AND A CLASSIFICATION SCHEME FOR DEFINING SKULL BASE DEFECTS
Autore:
URKEN ML; CATALANO PJ; SEN C; POST K; FUTRAN N; BILLER HF;
Indirizzi:
MT SINAI MED CTR,DEPT OTOLARYNGOL,BOX 1189,1 GUSTAVE L LEVY PL NEW YORK NY 10029 CUNY MT SINAI SCH MED,DEPT OTOLARYNGOL NEW YORK NY 10029 CUNY MT SINAI SCH MED,DEPT NEUROL SURG NEW YORK NY 00000
Titolo Testata:
Archives of otolaryngology, head & neck surgery
fascicolo: 12, volume: 119, anno: 1993,
pagine: 1318 - 1325
SICI:
0886-4470(1993)119:12<1318:FTTFSB>2.0.ZU;2-L
Fonte:
ISI
Lingua:
ENG
Soggetto:
RADIAL FOREARM FLAP; NECK RECONSTRUCTION; NEUROSURGICAL DISORDERS; CRANIAL BASE; HEAD;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
18
Recensione:
Indirizzi per estratti:
Citazione:
M.L. Urken et al., "FREE TISSUE TRANSFER FOR SKULL BASE RECONSTRUCTION ANALYSIS OF COMPLICATIONS AND A CLASSIFICATION SCHEME FOR DEFINING SKULL BASE DEFECTS", Archives of otolaryngology, head & neck surgery, 119(12), 1993, pp. 1318-1325

Abstract

Objective: The role of free flaps in skull base reconstruction is discussed in detail. Twenty-six microvascular free tissue transfers performed in 22 patients are reviewed in detail. A classification scheme for skull base defects is presented. Setting: referral center. Patients:Twenty-two patients with neoplasms that involve the skull base underwent a combined craniotomy and facial approach for resection. The resultant defects were reconstructed with a variety of microvascular free flaps. Results: All 22 patients were ultimately successfully reconstructed with a free flap. One patient required a second free following ablative surgery for a recurrent tumor. The initial free flaps in three patients were unsuccessful and a second flap was required. The classification scheme was applied to all defects. Conclusions: The creation ofa functional separation of the intracranial and extracranial cavitiescan be extremely difficult to accomplish, especially when multiple cavities (nasal, oral, pharyngeal) are violated. Free flaps provide a solution to this problem in select cases. Skull base defects can and should be classified for the purpose of communication, treatment planning, prognosis of reconstruction, and judging therapeutic outcome.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/07/20 alle ore 20:42:41