Second Free Flap Surgery for Skull Base Tumors: Case Report and Literature Review.

In this report, we discuss the results of second free flap surgery after skull base reconstructive surgery. We retrospectively analyzed data from patients treated at our center during the period from 2013 through 2017. All four patients identified had skull base anaplastic meningioma and had undergone radiotherapy. In all cases, the flap and donor blood vessel were sourced from sites that differed from those used in the previous surgeries. No complications developed, such as cerebrospinal fluid leakage, meningitis, wound infection, wound hemorrhage, or flap necrosis. Because the first flap was found to be unviable, it was difficult to preserve and was removed. Essential points in preventing complications are anchoring at the appropriate site, pinprick testing of the created flap, and use of multilayered countermeasures to prevent cerebrospinal fluid leakage. PMID: 31484881 [PubMed - in process]

https://www.ncbi.nlm.nih.gov/pubmed/31484881?dopt=Abstract

Source: Journal of Nippon Medical School - September 6, 2019 Category: Universities & Medical Training Authors: Kubota A, Murai Y, Umezawa H, Ishisaka E, Tsukiyama A, Nakagawa S, Matano F, Ogawa R, Morita A Tags: J Nippon Med Sch Source Type: research