Anatomic Considerations of Microvascular Free Tissue Transfer in Endoscopic Endonasal Skull Base Surgery

Conclusions In ACBR reconstruction using RFFTT, our data suggests lateral pedicle orientation shortens the length required to safely anastomose facial vessels and protects the frontal sinus outflow anteriorly while limiting pedicle exposure through a maxillary corridor within the nasal cavity. With greater understanding of anatomical factors related to successful preoperative flap planning, free tissue transfer may be added to the ESBS reconstruction ladder.
Level of Evidence NA [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text

Source: Journal of Neurological Surgery Part B: Skull Base - February 22, 2021 Category: Neurosurgery Authors: Mady, Leila J. Kaffenberger, Thomas M. Baddour, Khalil Melder, Katie Godse, Neal R. Gardner, Paul Snyderman, Carl H. Solari, Mario G. Kubik, Mark W. Wang, Eric W. Sridharan, Shaum Tags: Original Article Source Type: research