Journal article
Outcomes and Utility of Intracranial Free Tissue Transfer
Annals of otology, rhinology & laryngology, Vol.131(1), pp.94-100
04/21/2021
DOI: 10.1177/00034894211008699
PMID: 33880969
Abstract
Complications associated with intracranial vault compromise can be neurologically and systemically devastating. Primary and secondary repair of these deficits require an air and watertight barrier between the intracranial and extracranial environments. This study evaluated the outcomes and utility of using intracranial free tissue transfer as both primary and salvage surgical repair of reconstruction.
A retrospective review was performed of all subjects who underwent intracranial free tissue transfer as primary or salvage repair.
A total of 13 intracranial free tissue transfers were performed on 11 subjects: osteocutaneous radial forearm free flaps (n = 6), partial myofascial rectus abdominis flaps (n = 5), temporoparietal fascia flap (n = 1), and serratus anterior myofascial flap (n = 1). Primary reconstruction was performed on 4 subjects with the remaining being salvage repair. Indications for surgery included neoplasm (n = 6 of 11), ballistic trauma (n = 3 of 11), motor vehicle accident (n = 1 of 11), and infection (n = 1 of 11). Three subjects required additional surgical repair for CSF leak and pneumocephalus, with 2 subjects requiring an additional free tissue transfer at a different site.
In our experience, free tissue transfer is an effective primary and salvage surgical technique in the reconstruction of complex intracranial problems.
Details
- Title: Subtitle
- Outcomes and Utility of Intracranial Free Tissue Transfer
- Creators
- Heather M Minchew - University of Kansas School of Medicine, Kansas City, KS, USAOmar A Karadaghy - Department of Otolaryngology, University of Kansas Medical Center, Kansas City, KS, USAPaul J Camarata - Department of Neurosurgery, University of Kansas Medical Center, Kansas City, KS, USARoukoz B Chamoun - Department of Neurosurgery, University of Kansas Medical Center, Kansas City, KS, USADonald David Beahm - Department of Otolaryngology, University of Kansas Medical Center, Kansas City, KS, USAWojciech H Przylecki - Department of Plastic Surgery, University of Kansas Medical Center, Kansas City, KS, USABrian T Andrews - Department of Plastic Surgery, University of Kansas Medical Center, Kansas City, KS, USA
- Resource Type
- Journal article
- Publication Details
- Annals of otology, rhinology & laryngology, Vol.131(1), pp.94-100
- DOI
- 10.1177/00034894211008699
- PMID
- 33880969
- NLM abbreviation
- Ann Otol Rhinol Laryngol
- ISSN
- 0003-4894
- eISSN
- 1943-572X
- Language
- English
- Date published
- 04/21/2021
- Academic Unit
- Craniofacial Anomalies Research Center; Neurosurgery; Otolaryngology
- Record Identifier
- 9984107265302771
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