Bell Elizabeth Bradford, Cohen Erin R, Sargi Zoukaa, Leibowitz Jason
Department of Otolaryngology, University of Miami Miller School of Medicine, Miami, FL, USA.
World J Otorhinolaryngol Head Neck Surg. 2020 Apr 17;6(2):132-136. doi: 10.1016/j.wjorl.2020.01.004. eCollection 2020 Jun.
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.
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.
从前颅底的开放性颅面切除术到能在肿瘤切除方面取得相同效果的内镜手术方法，已经发生了显著转变。然而，当需要进行开放性切除时，通常需要游离皮瓣重建，以提供足够的血运丰富的组织，实现最佳伤口愈合，并为美容提供足够的组织量。本文旨在对前颅底重建中最常用的游离皮瓣进行重点综述。
这是一篇基于专家意见以及先前发表的综述和期刊文章的最新综述，通过PubMed和谷歌学术进行检索。
通过游离组织转移进行前颅底重建对于限制并发症和促进愈合至关重要，特别是对于大的缺损、放疗后以及高危患者。用于特定前颅底重建的游离皮瓣类型应根据患者和疾病性质进行调整。本综述为游离皮瓣外科医生提供了众多重建选择的见解。
