Article Type
Article
Abstract
Anterior craniofacial resection and reconstruction surgeries were performed upon 21 patients (13 females and 8 males) aged 12-72 years, at the period between 1996-2002 at Mansoura University Hospital, Depatment of ORL Head and Neck surgery. Surgeries were performed for nasal and paranasal sinus malignant tumors with cranial and/or intracranial exten-tion. Various forms of anterior cranial base reconstruction strategies were used in our work, anteriorly pedicled galeal-pericranial flap, galeal-pericranial flap+ skin graft, galeal-pericranial flap+calvarial bone graft, and galeal-pericranial flap+ temporal-is osteomuscularflap. Orbital exenter-ation was done for two patients with ethmoidal undifferentiated carcinoma and obliteration of the orbit was done using pedicled temporalis muscle flap. Subtotal maxillectomy (18 cases), and total maxillectomy (3 cases) were performed. We discribed the technique of the resection and the reconstruction with evaluation of reconstruction results. Our objecive is to evaluate the clinical outcome of our technique in resection and reconstruction of anterior skull base. We concluded that Knowlages about different methods of reconstruction after craniofacial resection enabled the skull base surgeons to extend their resections in order to increase the safety margin. Also we found that the pericrania! flap is the most ideal and reliable method for reconstruction of skull base after resection. Rigid bony reconstruction can be used in cases where the re-
Recommended Citation
Kamal, EI-Sharawy; Mokbel, Khalid; Radwan, Walid; Kasem, Mohamed; and Tawfik, Mohamed
(2003)
"RECONSTRUCTION OF ANTERIOR SKULL BASE AFTER CRANIOFACIAL RESECTION,"
Mansoura Medical Journal: Vol. 33
:
Iss.
2
, Article 1.
Available at:
https://doi.org/10.21608/mjmu.2003.127463
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This work is licensed under a Creative Commons Attribution 4.0 International License.
