Skull-base reconstruction following oncological procedures

Ziv Gil, Dan M. Fliss

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review


Tumor resection may create extensive skull-base defects requiring meticulous reconstruction. There is no single gold standard technique for anterior cranial base reconstruction. The fascia lata offers a versatile and reliable method of dural reconstruction. Neovascularization of the fascia lata graft provides long-term viability without an overlying vascularized flap. Reconstruction of the medial orbital wall is performed only after extensive resections. For extensive orbital resections and exenterations use a temporalis muscle rotational flap. For a radical maxillectomy use a musculocutaneous free flap supported by an obturator. Use pericranial wrapping if adjuvant radiation therapy is planned in order to prevent osteoradionecrosis.

Original languageEnglish
Title of host publicationRhinology and Facial Plastic Surgery
PublisherSpringer Berlin Heidelberg
Number of pages8
ISBN (Print)9783540743798
StatePublished - 2009
Externally publishedYes


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