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September 10, 2025The Egyptian Journal of Neurosurgery : the official publication of the Egyptian Society of Neurological Surgeons/Egyptian journal of neurosurgeryOpen Access

Microvascular tissue transfer in reconstruction of anterior skull base defects secondary to sinonasal malignancies: a case series and proposed reconstructive framework

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Authors

NPNikhil PrasadRajiv Gandhi Cancer Institute and Research CentreKMKripa Shanker MishraRajiv Gandhi Cancer Institute and Research CentreRARajan AroraChildren's Hospital of Michigan

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Overview

Case series illustrates microvascular free flap reconstruction of anterior skull base defects in sinonasal malignancy patients, suggesting a reconstructive framework.

Key Points

  • Microvascular free flap reconstruction successfully managed complex anterior skull base defects in two patients.
  • In one case, a radial forearm free flap was used to address a recurrent lymphoepithelial carcinoma defect.
  • An anterolateral thigh free flap was employed for managing defects with cerebrospinal fluid leaks in the second case.
  • Reconstruction techniques emphasized the importance of addressing complications like infections and prior tissue damage.

Cite This Study

Prasad et al. (2025) studied this question.

synapsesocial.com/papers/68c1aac654b1d3bfb60e3318https://doi.org/10.1186/s41984-025-00454-1
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