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Reconstruction of lateral skull base defects with the trapezius myocutaneous flap: a description of two cases

Introduction: Cancer involving the temporal bone may pose a difficult problem in both an oncologic and a reconstructive standpoint. These cancers are typically aggressive as well as locally advanced which require wide resections combined with parotidectomy and / or neck dissection resulting in exten...

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Main Authors: Raja Lope Ahmad, Raja Ahmad Al'konee, Wan Leman, Wan Ishlah, Kamarudin, Norie Azilah
Format: Conference or Workshop Item
Language:English
English
English
Published: 2006
Subjects:
RF Otorhinolaryngology
Online Access:http://irep.iium.edu.my/16995/1/Dr_Raja4.IFNOS.Prague.pdf
http://irep.iium.edu.my/16995/4/a_foniatrie.pdf
http://irep.iium.edu.my/16995/5/Lateral_Skull_Recons.IFHNOS.2006.pdf
http://irep.iium.edu.my/16995/
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spelling my.iium.irep.169952012-05-23T01:46:10Z http://irep.iium.edu.my/16995/ Reconstruction of lateral skull base defects with the trapezius myocutaneous flap: a description of two cases Raja Lope Ahmad, Raja Ahmad Al'konee Wan Leman, Wan Ishlah Kamarudin, Norie Azilah RF Otorhinolaryngology Introduction: Cancer involving the temporal bone may pose a difficult problem in both an oncologic and a reconstructive standpoint. These cancers are typically aggressive as well as locally advanced which require wide resections combined with parotidectomy and / or neck dissection resulting in extensive soft tissue and skin defects. Reconstruction of the surgical defects in temporal bone resection may vary from simple closure of the external ear canal to a complex flap coverage depending on the extent of surgical resection. The principles in reconstruction of lateral skull base defects are to maintain the symmetry, cosmesis of the lateral skull structures, to achieve dead-space obliteration and finally to have a quality vascularized tissue which able to withstand adjuvant radiotherapy treatment. Material and methods: We describe two of our patients with different type of cancer involving the temporal bone undergoing extensive resection of the lateral skull base. The local defects were reconstructed with two different type of pedicled trapezius myocutaneous flap that are the lateral and lower trapezius flap. The techniques used in reconstruction of the defects are addressed. Results: In both patients, the surgical reconstruction showed good symmetry and cosmesis of the lateral skull base. Especially in the second case, the flap survived the adjuvant radiotherapy. The functional recoveries in both cases after surgery were excellent. Conclusions: Lateral skull base cancer is a rare clinical entity that creates challenge in head and neck surgery not only in cancer extirpation but also the reconstruction of the surgical defects. The trapezius myocutaneous flap that requires less skill to harvest can offers a reliable reconstructive option for the lateral skull base defects. 2006-06 Conference or Workshop Item REM application/pdf en http://irep.iium.edu.my/16995/1/Dr_Raja4.IFNOS.Prague.pdf application/pdf en http://irep.iium.edu.my/16995/4/a_foniatrie.pdf application/pdf en http://irep.iium.edu.my/16995/5/Lateral_Skull_Recons.IFHNOS.2006.pdf Raja Lope Ahmad, Raja Ahmad Al'konee and Wan Leman, Wan Ishlah and Kamarudin, Norie Azilah (2006) Reconstruction of lateral skull base defects with the trapezius myocutaneous flap: a description of two cases. In: 3rd World Congress of International Federation of Head & Neck Oncologic Societies, IFHNOS, 27th June – 1st July 2006, Prague, Czech Republic.
institution Universiti Islam Antarabangsa Malaysia
building IIUM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider International Islamic University Malaysia
content_source IIUM Repository (IREP)
url_provider http://irep.iium.edu.my/
language English
English
English
topic RF Otorhinolaryngology
spellingShingle RF Otorhinolaryngology
Raja Lope Ahmad, Raja Ahmad Al'konee
Wan Leman, Wan Ishlah
Kamarudin, Norie Azilah
Reconstruction of lateral skull base defects with the trapezius myocutaneous flap: a description of two cases
description Introduction: Cancer involving the temporal bone may pose a difficult problem in both an oncologic and a reconstructive standpoint. These cancers are typically aggressive as well as locally advanced which require wide resections combined with parotidectomy and / or neck dissection resulting in extensive soft tissue and skin defects. Reconstruction of the surgical defects in temporal bone resection may vary from simple closure of the external ear canal to a complex flap coverage depending on the extent of surgical resection. The principles in reconstruction of lateral skull base defects are to maintain the symmetry, cosmesis of the lateral skull structures, to achieve dead-space obliteration and finally to have a quality vascularized tissue which able to withstand adjuvant radiotherapy treatment. Material and methods: We describe two of our patients with different type of cancer involving the temporal bone undergoing extensive resection of the lateral skull base. The local defects were reconstructed with two different type of pedicled trapezius myocutaneous flap that are the lateral and lower trapezius flap. The techniques used in reconstruction of the defects are addressed. Results: In both patients, the surgical reconstruction showed good symmetry and cosmesis of the lateral skull base. Especially in the second case, the flap survived the adjuvant radiotherapy. The functional recoveries in both cases after surgery were excellent. Conclusions: Lateral skull base cancer is a rare clinical entity that creates challenge in head and neck surgery not only in cancer extirpation but also the reconstruction of the surgical defects. The trapezius myocutaneous flap that requires less skill to harvest can offers a reliable reconstructive option for the lateral skull base defects.
format Conference or Workshop Item
author Raja Lope Ahmad, Raja Ahmad Al'konee
Wan Leman, Wan Ishlah
Kamarudin, Norie Azilah
author_facet Raja Lope Ahmad, Raja Ahmad Al'konee
Wan Leman, Wan Ishlah
Kamarudin, Norie Azilah
author_sort Raja Lope Ahmad, Raja Ahmad Al'konee
title Reconstruction of lateral skull base defects with the trapezius myocutaneous flap: a description of two cases
title_short Reconstruction of lateral skull base defects with the trapezius myocutaneous flap: a description of two cases
title_full Reconstruction of lateral skull base defects with the trapezius myocutaneous flap: a description of two cases
title_fullStr Reconstruction of lateral skull base defects with the trapezius myocutaneous flap: a description of two cases
title_full_unstemmed Reconstruction of lateral skull base defects with the trapezius myocutaneous flap: a description of two cases
title_sort reconstruction of lateral skull base defects with the trapezius myocutaneous flap: a description of two cases
publishDate 2006
url http://irep.iium.edu.my/16995/1/Dr_Raja4.IFNOS.Prague.pdf
http://irep.iium.edu.my/16995/4/a_foniatrie.pdf
http://irep.iium.edu.my/16995/5/Lateral_Skull_Recons.IFHNOS.2006.pdf
http://irep.iium.edu.my/16995/
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score 13.211869

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