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.

Keywords

musculoperitoneal flap - dura:skull base - cerebrospinal fluid leakage - esthesioneuroblastoma

Note

Presented as a poster at the 6th Congress of the World Society for Reconstructive Microsurgery 29 June–2 July 2011, Helsinki, Finland.

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