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

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.

	PDF (Reconstruction of Lateral Skull Base Defects With The Trapezius Myocutaneous Flap: A Description of Two Cases ) - Published Version Restricted to Repository staff only Download (329kB) | Request a copy
	PDF (Program book cover) - Presentation Restricted to Repository staff only Download (249kB) | Request a copy
	PDF (Poster) - Presentation Restricted to Repository staff only Download (20MB) | Request a copy

Abstract

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.

Item Type:	Conference or Workshop Item (Poster)
Additional Information:	3641/16995
Uncontrolled Keywords:	lateral skull base reconstruction, trapezius myocutaneous flap
Subjects:	R Medicine > RF Otorhinolaryngology
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine > Department of Otolaryngology - Head and Neck Surgery
Depositing User:	Dr Raja Ahmad Al'Konee Raja Lope Ahmad
Date Deposited:	04 Apr 2012 10:21
Last Modified:	23 May 2012 09:46
URI:	http://irep.iium.edu.my/id/eprint/16995

Actions (login required)

View Item