Combined use of a radial fore arm free flap for extra-intracranial bypass and for antero-lateral skull base reconstruction--a new technique and review of literature.
case_report · Level V
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Abstract
This article describes a new surgical technique consisting of the combined use of a fascial radial fore arm free flap (RFFF) as vascular graft for extra-intracranial bypass and as dura mater plasty for reconstruction of the antero-lateral skull base. This new technique is illustrated by a case of a complex intracranial meningioma with extracranial extension necessitating resection of internal carotid artery. The technical issues of antero-lateral skull base reconstruction and extra-intracranial bypass are discussed and the literature is reviewed.
Medical subject headings
- Cerebral Revascularization
- Meningeal Neoplasms
- Meningioma
- Neurosurgical Procedures
- Plastic Surgery Procedures
- Skull Base Neoplasms
- Surgical Flaps