Interdisciplinary Management of Skull Base Surgery

Overview

Journal J Oral Biol Craniofac Res

Publisher Elsevier

Date 2021 Sep 27

PMID 34567964

Citations 2

Authors

R Rothweiler

M C Metzger

P J Voss

J Beck

R Schmelzeisen

Affiliations

Soon will be listed here.

Abstract

Skull base surgery remains one of the challenging areas in the field of cranio-maxillofacial surgery, otolaryngology and neurosurgery. Subsequent reconstruction of bone and soft tissue are an essential component to restore function and appearance after ablative surgery. Establishment of interdisciplinary tumor boards with presentation of the individual patient cases have become standard. Multiplanar reconstruction using MRI or CT imaging techniques combined with virtual 3D planning allow precise planning of the procedures. Intraoperative navigation helps for complete resection of malignant findings with safety margins; surgical approaches provide a good overview of the surgical site. Reconstruction using local flaps have a low complication rate with equally reliable results in reconstruction of small tissue defects. Free flap surgery makes reconstruction of large tissue defects possible. Alloplastic materials are alternatively used for reconstruction of bone defects. Based on selected patients, treatment algorithms and standard surgical procedures in extracerebral skull base surgery will be illustrated. Current techniques and new approaches will be discussed with emphasize on hard and soft tissue reconstruction.

Citing Articles

A Multidisciplinary Skull Base Board for Tumour and Non-Tumour Diseases: Initial Experiences.

Urbancic J, Battelino S, Bosnjak R, Felbabic T, Steiner N, Vouk M J Pers Med. 2024; 14(1).

PMID: 38248783 PMC: 10817258. DOI: 10.3390/jpm14010082.

Donor site morbidity after computer assisted surgical reconstruction of the mandible using deep circumflex iliac artery grafts: a cross sectional study.

Brandenburg L, Voss P, Mischkowsky T, Kuhle J, Ermer M, Weingart J BMC Surg. 2023; 23(1):4.

PMID: 36624485 PMC: 9830896. DOI: 10.1186/s12893-022-01899-z.

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