The Christie NHS Foundation Trust, Wilmslow Road, Manchester, UK.
J Plast Reconstr Aesthet Surg. 2011 Jul;64(7):e167-9. doi: 10.1016/j.bjps.2010.12.026. Epub 2011 Apr 9.
Variable reconstruction methods for craniofacial tumour resections have been devised with the primary purpose to improve quality of life and disease control. The reconstructive aims are to provide a watertight seal, cranial base support while allowing a cosmetically pleasing result. For defects involving the orbit, maintenance of the depth of the orbital socket remains important for prosthetic fitting and a bulky flap is not advisable for this purpose. This case demonstrates the use of a combination pericranial flap, radial forearm fascial flap and cutaneous radial forearm flap. We have been able to achieve a watertight seal of dura in multiple layers, provide adequate support to the cranial base while giving a non bulky reconstruction of the orbit.
颅面部肿瘤切除的可变重建方法的主要目的是提高生活质量和控制疾病。重建的目的是提供一个防水密封、颅底支撑，同时允许美容效果。对于涉及眼眶的缺损，保持眼眶的深度对于假体适配仍然很重要，并且不建议为此使用大块皮瓣。本病例演示了使用颅顶筋膜皮瓣、桡侧前臂筋膜瓣和桡侧前臂皮瓣的组合。我们能够实现硬膜的多层防水密封，为颅底提供足够的支撑，同时对眼眶进行非大块重建。
