Seminars in Plastic Surgery 2019; 33(01): 072-077
DOI: 10.1055/s-0039-1677881
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Free-Flap Reconstruction of Skull Base and Orbital Defects

Weitao Wang
1  Department of Otolaryngology, University of Rochester Medical Center, Rochester, New York
,
Aurora Vincent
2  Otolaryngology - Head and Neck Surgery, Madigan Army Medical Center, Tacoma, Washington
,
Mofiyinfolu Sokoya
3  Department of Facial Plastic and Reconstructive Surgery, Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas
,
Scott Kohlert
3  Department of Facial Plastic and Reconstructive Surgery, Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas
,
Sameep Kadakia
4  Division of Otolaryngology, Wright State University, Dayton, Ohio
,
Yadranko Ducic
5  Department of Facial Plastic and Reconstructive Surgery, Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas
› Author Affiliations
Further Information

Publication History

Publication Date:
08 March 2019 (online)

Abstract

Orbital and anterior skull base defects present a significant challenge for reconstruction due to the complexity of the anatomy and the need for separation of intracranial and extracranial contents in this area. While endoscopic techniques have revolutionized the treatment of many anterior skull base defects, microvascular free tissue transfer is a viable option for large volume defects not suitable for traditional open approaches or for cases where endoscopic techniques have failed. The various free tissue transfer techniques for anterior skull base and orbit, as well as the advantages and disadvantages, are reviewed.