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83rd Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

16.05. - 20.05.2012, Mainz

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Reconstruction of the Skull base defect with Lower trapezius musculocutaneous flap

Meeting Abstract

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  • corresponding author Pingdong Li - Beijing Tongren Hospital, Beijing, P.R. China
  • Jugao Fang - Beijing Tongren Hospital, Beijing, P.R. China
  • Zhenkun Yu - Beijing Tongren Hospital, Beijing, P.R. China

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. 83. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. Mainz, 16.-20.05.2012. Düsseldorf: German Medical Science GMS Publishing House; 2012. Doc12hnod262

doi: 10.3205/12hnod262, urn:nbn:de:0183-12hnod2626

Published: April 4, 2012

© 2012 Li et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

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Objective: To observe the clinical outcomes of the lower trapezius musculocutaneous flap in the reconstruction of the skull base defect.

Methods: There were 11 patients with skull base tumors, including 9 males and 2 females. There were 9 malignant tumors and 2 benign ones. The reconstructions were done in the same stage while the tumors been dissected.

Results: The first-stage healing was found in 7 patients. Second-stage healing occurred in 4 patients, among which 3 patients with skin necrosis in distant partial of the flaps and 1 wound dehiscence. All patients were satisfied with their functional results. The 1-year survival rate was 100% and 2-year survival rate is 50%.

Conclusions: The lower trapezius musculocutaneous flap is a useful local pedal flap in skull base reconstruction. The functional results are satisfying.