Reconstruction of lateral skull base defects with the trapezius myocutaneous flap: a description of two cases

Introduction: Cancer involving the temporal bone may pose a difficult problem in both an oncologic and a reconstructive standpoint. These cancers are typically aggressive as well as locally advanced which require wide resections combined with parotidectomy and / or neck dissection resulting in exten...

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Main Authors:	Raja Lope Ahmad, Raja Ahmad Al'konee, Wan Leman, Wan Ishlah, Kamarudin, Norie Azilah
Format:	Conference or Workshop Item
Language:	English English English
Published:	2006
Subjects:	RF Otorhinolaryngology
Online Access:	http://irep.iium.edu.my/16995/ http://irep.iium.edu.my/16995/1/Dr_Raja4.IFNOS.Prague.pdf http://irep.iium.edu.my/16995/4/a_foniatrie.pdf http://irep.iium.edu.my/16995/5/Lateral_Skull_Recons.IFHNOS.2006.pdf

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spelling	iium-169952012-05-23T01:46:10Z http://irep.iium.edu.my/16995/ Reconstruction of lateral skull base defects with the trapezius myocutaneous flap: a description of two cases Raja Lope Ahmad, Raja Ahmad Al'konee Wan Leman, Wan Ishlah Kamarudin, Norie Azilah RF Otorhinolaryngology Introduction: Cancer involving the temporal bone may pose a difficult problem in both an oncologic and a reconstructive standpoint. These cancers are typically aggressive as well as locally advanced which require wide resections combined with parotidectomy and / or neck dissection resulting in extensive soft tissue and skin defects. Reconstruction of the surgical defects in temporal bone resection may vary from simple closure of the external ear canal to a complex flap coverage depending on the extent of surgical resection. The principles in reconstruction of lateral skull base defects are to maintain the symmetry, cosmesis of the lateral skull structures, to achieve dead-space obliteration and finally to have a quality vascularized tissue which able to withstand adjuvant radiotherapy treatment. Material and methods: We describe two of our patients with different type of cancer involving the temporal bone undergoing extensive resection of the lateral skull base. The local defects were reconstructed with two different type of pedicled trapezius myocutaneous flap that are the lateral and lower trapezius flap. The techniques used in reconstruction of the defects are addressed. Results: In both patients, the surgical reconstruction showed good symmetry and cosmesis of the lateral skull base. Especially in the second case, the flap survived the adjuvant radiotherapy. The functional recoveries in both cases after surgery were excellent. Conclusions: Lateral skull base cancer is a rare clinical entity that creates challenge in head and neck surgery not only in cancer extirpation but also the reconstruction of the surgical defects. The trapezius myocutaneous flap that requires less skill to harvest can offers a reliable reconstructive option for the lateral skull base defects. 2006-06 Conference or Workshop Item PeerReviewed application/pdf en http://irep.iium.edu.my/16995/1/Dr_Raja4.IFNOS.Prague.pdf application/pdf en http://irep.iium.edu.my/16995/4/a_foniatrie.pdf application/pdf en http://irep.iium.edu.my/16995/5/Lateral_Skull_Recons.IFHNOS.2006.pdf Raja Lope Ahmad, Raja Ahmad Al'konee and Wan Leman, Wan Ishlah and Kamarudin, Norie Azilah (2006) Reconstruction of lateral skull base defects with the trapezius myocutaneous flap: a description of two cases. In: 3rd World Congress of International Federation of Head & Neck Oncologic Societies, IFHNOS, 27th June – 1st July 2006, Prague, Czech Republic.
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English English English
topic	RF Otorhinolaryngology
spellingShingle	RF Otorhinolaryngology Raja Lope Ahmad, Raja Ahmad Al'konee Wan Leman, Wan Ishlah Kamarudin, Norie Azilah Reconstruction of lateral skull base defects with the trapezius myocutaneous flap: a description of two cases
description	Introduction: Cancer involving the temporal bone may pose a difficult problem in both an oncologic and a reconstructive standpoint. These cancers are typically aggressive as well as locally advanced which require wide resections combined with parotidectomy and / or neck dissection resulting in extensive soft tissue and skin defects. Reconstruction of the surgical defects in temporal bone resection may vary from simple closure of the external ear canal to a complex flap coverage depending on the extent of surgical resection. The principles in reconstruction of lateral skull base defects are to maintain the symmetry, cosmesis of the lateral skull structures, to achieve dead-space obliteration and finally to have a quality vascularized tissue which able to withstand adjuvant radiotherapy treatment. Material and methods: We describe two of our patients with different type of cancer involving the temporal bone undergoing extensive resection of the lateral skull base. The local defects were reconstructed with two different type of pedicled trapezius myocutaneous flap that are the lateral and lower trapezius flap. The techniques used in reconstruction of the defects are addressed. Results: In both patients, the surgical reconstruction showed good symmetry and cosmesis of the lateral skull base. Especially in the second case, the flap survived the adjuvant radiotherapy. The functional recoveries in both cases after surgery were excellent. Conclusions: Lateral skull base cancer is a rare clinical entity that creates challenge in head and neck surgery not only in cancer extirpation but also the reconstruction of the surgical defects. The trapezius myocutaneous flap that requires less skill to harvest can offers a reliable reconstructive option for the lateral skull base defects.
format	Conference or Workshop Item
author	Raja Lope Ahmad, Raja Ahmad Al'konee Wan Leman, Wan Ishlah Kamarudin, Norie Azilah
author_facet	Raja Lope Ahmad, Raja Ahmad Al'konee Wan Leman, Wan Ishlah Kamarudin, Norie Azilah
author_sort	Raja Lope Ahmad, Raja Ahmad Al'konee
title	Reconstruction of lateral skull base defects with the trapezius myocutaneous flap: a description of two cases
title_short	Reconstruction of lateral skull base defects with the trapezius myocutaneous flap: a description of two cases
title_full	Reconstruction of lateral skull base defects with the trapezius myocutaneous flap: a description of two cases
title_fullStr	Reconstruction of lateral skull base defects with the trapezius myocutaneous flap: a description of two cases
title_full_unstemmed	Reconstruction of lateral skull base defects with the trapezius myocutaneous flap: a description of two cases
title_sort	reconstruction of lateral skull base defects with the trapezius myocutaneous flap: a description of two cases
publishDate	2006
url	http://irep.iium.edu.my/16995/ http://irep.iium.edu.my/16995/1/Dr_Raja4.IFNOS.Prague.pdf http://irep.iium.edu.my/16995/4/a_foniatrie.pdf http://irep.iium.edu.my/16995/5/Lateral_Skull_Recons.IFHNOS.2006.pdf
first_indexed	2023-09-18T20:25:47Z
last_indexed	2023-09-18T20:25:47Z
_version_	1777408407316201472

Reconstruction of lateral skull base defects with the trapezius myocutaneous flap: a description of two cases

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