Translocated pedicled buccal fat pad: closure of anterior and middle skull base defects after tumor resection

The Journal of Craniofacial Surgery
Vasily A CherekaevAlexander I Belov

Abstract

Problem of closure of skull base defects after removal of craniobasal lesions, especially, craniofacial, is one of the most challenging in neurosurgery. Persistent skull base defect produces extremely high risk of cerebrospinal fluid leaks and consecutive infectious complications. Local pedicled grafts are the preferred material for plasty. In this study, the authors present original technique of using a pedicled buccal fat pad (BFP) graft. Anatomy and functions of BFP are discussed in details as well as surgical technique illustrated by 2 case reports. From 2004 to 2010, 188 patients with anterior and middle skull base mass lesions were operated on in Burdenko Neurosurgical Institute (Moscow, Russia) using BFP as plastic material for closure of different defects (male-female ratio=61:127; mean age was 47 years [range, 10-74 years]). In 93.6% of cases, pedicled BFP flap was applied; in 6.4%, free flap was used. Follow-up period ranged between 1 and 7 years. Only 1 case of postoperative cerebrospinal fluid leak was observed; flap rejection was not registered in the series. High effectiveness and minimal invasiveness are principal advantages of the described technique, which is applied in neurosurgery for the first time. Other be...Continue Reading

References

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Citations

Aug 29, 2016·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Francisco J D MacArthur, Gerald W McGarry
Oct 21, 2016·Annals of Plastic Surgery·Woo Young ChoiKyu Sung Lee
Jan 14, 2017·The Journal of Craniofacial Surgery·Pushkar GadreKiran Gadre
Mar 14, 2017·Maxillofacial Plastic and Reconstructive Surgery·Min-Keun KimSeong-Gon Kim
Oct 28, 2015·Plastic and Reconstructive Surgery·Federico Hernández-AlfaroRaquel Guijarro-Martínez
Nov 4, 2015·Zhurnal voprosy neĭrokhirurgii imeni N. N. Burdenko·V A CherekaevA G Vinokurov
May 8, 2021·Italian Journal of Dermatology and Venereology·Elena RossiCristina Magnoni
Dec 12, 2018·ORL; Journal for Oto-rhino-laryngology and Its Related Specialties·Giuditta MannelliGiuseppe Spinelli

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