title: Closure of large, complex defects after oncologic neurosurgery with a free myoperitoneal flap.
abstract: Extensive and complex defects after neurosurgical oncologic resections including dura are a challenge, as watertight closure is of paramount importance. This article illustrates the usefulness of a free myoperitoneal flap in closure of such a defect when located at the skull base or cranium. The vascularized peritoneum appears to be an excellent biological replacement for the dura and the well-vascularized muscle promotes wound healing and obliterates dead space.
authors.affiliation: Department of Plastic Surgery and Hand Surgery, University Hospital North Norway, Tromsø, Norway. louis.deweerd@unn.no
authors.forename: Louis
authors.initials: L
authors.lastname: de Weerd
authors.forename: Roar
authors.initials: R
authors.lastname: Kloster
authors.forename: Clemens
authors.initials: C
authors.lastname: Walter
mesh_terms: D000328:Adult; D004388:Dura Mater / Q000601:surgery*; D004806:Ependymoma / Q000601:surgery; D018304:Esthesioneuroblastoma, Olfactory / Q000473:pathology / Q000601:surgery; D005205:Fascia / Q000637:transplantation*; D005260:Female; D006801:Humans; D008297:Male; D009300:Nasal Septum / Q000601:surgery; D009361:Neoplasm Invasiveness; D009669:Nose Neoplasms / Q000473:pathology / Q000601:surgery; D009915:Orbit / Q000601:surgery; D010537:Peritoneum / Q000098:blood supply / Q000637:transplantation*; D017568:Rectus Abdominis / Q000637:transplantation*; D019291:Skull Base / Q000601:surgery; D012888:Skull Neoplasms / Q000601:surgery; D013524:Surgical Flaps