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.
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.
Department of Neurosurgery, Lariboisiere Hospital, University of Paris VII, Paris, France. jfcornelius@yahoo.com
J F
JF
Cornelius
B
B
George
F
F
Kolb
D000328:Adult; D002343:Carotid Artery, Internal / Q000473:pathology / Q000601:surgery; D002548:Cerebral Revascularization / Q000379:methods*; D004388:Dura Mater / Q000601:surgery; D005205:Fascia / Q000033:anatomy & histology / Q000637:transplantation; D000071938:Fasciotomy; D005542:Forearm / Q000033:anatomy & histology / Q000601:surgery; D006801:Humans; D008297:Male; D008577:Meningeal Neoplasms / Q000473:pathology / Q000601:surgery*; D008579:Meningioma / Q000473:pathology / Q000601:surgery*; D020768:Middle Cerebral Artery / Q000473:pathology / Q000601:surgery; D009364:Neoplasm Recurrence, Local; D018365:Neoplasm, Residual / Q000473:pathology / Q000601:surgery; D009381:Neoplasms, Radiation-Induced / Q000473:pathology / Q000601:surgery; D019635:Neurosurgical Procedures / Q000379:methods*; D009918:Orbital Neoplasms / Q000473:pathology / Q000601:surgery; D010255:Paranasal Sinus Neoplasms / Q000473:pathology / Q000601:surgery; D011859:Radiography; D011878:Radiotherapy / Q000009:adverse effects; D019651:Plastic Surgery Procedures / Q000379:methods*; D019291:Skull Base / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D019292:Skull Base Neoplasms / Q000473:pathology / Q000601:surgery*; D013524:Surgical Flaps / Q000098:blood supply / Q000592:standards; D013699:Temporal Arteries / Q000473:pathology / Q000601:surgery; D016896:Treatment Outcome