Journal of Capital Medical University ›› 2011, Vol. 32 ›› Issue (6): 750-753.doi: 10.3969/j.issn.1006-7795.2011.06.008

• 耳鼻咽喉头颈外科进展 • Previous Articles     Next Articles

Reconstruction of the skull base defect with lower trapezius musculocutaneous flap

LI Ping-dong1, FANG Ju-gao1, YU Zhen-kun1, LIAN Meng1, MA Hong-zhi1, CHEN Xiao-hong1, HUANG Zhi-gang1, QIU E2, FU Ji-di2   

  1. 1. Department of Otorhinolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing Otolaryngology Institute, Key Laboratory of Otorhinolaryngology Head and Neck Surgery, Ministry of Education, Beijing 100730, China;2. Department of the Neurosurgery, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China
  • Received:2011-09-16 Revised:1900-01-01 Online:2011-12-21 Published:2011-12-21

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Abstract: Objective To observe the clinical outcomes of the reconstruction of the skull base defect with the lower trapezius musculocutaneous flap. Methods Eleven patients with skull base tumors, including 9 males and 2 females, were enrolled into this study. Among them, nine patients had malignant tumors and 2 had benign ones. The reconstructions were performed in the same stage while the tumors were resected. Results The first-stage healing was found in 7 patients. Second-stage healing occurred in 4 patients, among whom 3 patients had skin necrosis in distant part of the flaps and 1 wound dehiscence. All patients had satisfied functional results. The 1-year survival rate was 100% and 2-year survival rate was 67%. Conclusion The lower trapezius musculocutaneous flap is a useful local pedal flap in skull base reconstruction. The functional results were satisfying.

Key words: skull base surgery, reconstruction, lower trapezius musculocutaneous flap

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