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It is important for the plastic surgeon to have a familiarity reconstruction. Int J Oral Maxillofac Surg 2013;42:453-7.
with anterior skull base defects and the reconstructive 7. Scher RL, Cantrell RW. Anterior skull base reconstruction with the pericranial
possibilities. Fortunately, this defect is not seen everyday, flap after craniofacial resection. Ear Nose Throat J 1992;71:210-2, 215-7.
but this means further case series will need to be conducted 8. Costa H, Cerejo A, Baptista A, Vaz R, Gonçalves M, Guimarães A, Amarante J,
in order to amass statistically significant data for radial Cruz C, Guimarães F. The galea frontalis myofascial flap in anterior fossa CSF
forearm free tissue transfer to anterior skull base defects. leaks. Br J Plast Surg 1993;46:503-7.
9. Neligan PC, Mulholland S, Irish J, Gullane PJ, Boyd JB, Gentili F, Brown D,
Freeman J. Flap selection in cranial base reconstruction. Plast Reconstr Surg
In conclusion, patients with skull base defects are inherently 1996;98:1159-66; discussion 1167-8.
at risk for post-surgical complications. The RFFF is a reliable 10. Hadad G, Bassagasteguy L, Carrau RL, Mataza JC, Kassam A, Snyderman
reconstructive option with the aim of reducing repeat CH, Mintz A. A novel reconstructive technique after endoscopic expanded
neurosurgical operations and extended hospitalizations. Due endonasal approaches: vascular pedicle nasoseptal flap. Laryngoscope
to the authors’ success with the use of the RFFF, we suggest 2006;116:1882-6.
considering this flap as an early option for reconstruction of 11. Weber SM, Kim JH, Wax MK. Role of free tissue transfer in skull base
anterior skull base defects in those complex patients that reconstruction. Otolaryngol Head Neck Surg 2007;136:914-9.
have received prior radiation or failed other interventions 12. Largo RD, Schaefer DJ, Krueger J, Harschnitz O, Zimmerer S, Jaquiéry C,
for soft tissue coverage. Haug MD, Mariani L, Kunz C. Intracranial application of free fasciocutaneous
flaps in a novel sandwich technique for skull base reconstruction. Int J Oral
Financial support and sponsorship Maxillofac Surg 2011;40:931-7.
Nil. 13. Biron VL, Gross M, Broad R, Seikaly H, Wright ED. Radial forearm free flap
with titanium mesh sandwich reconstruction in complex anterior skull base
defects. J Craniofac Surg 2012;23:1763-5.
Conflicts of interest 14. Valentini V, Fabiani F, Nicolai G, Torroni A, Gennaro P, Marianetti TM, Iannetti
There are no conflicts of interest. G. Use of microvascular free flaps in the reconstruction of the anterior and
middle skull base. J Craniofac Surg 2006;17:790-6.
REFERENCES 15. Chepeha DB, Wang SJ, Marentette LJ, Thompson BG, Prince ME, Teknos TN.
Radial forearm free tissue transfer reduces complications in salvage skull
1. Teknos TN, Smith JC, Day TA, Netterville JL, Burkey BB. Microvascular base surgery. Otolaryngol Head Neck Surg 2004;131:958-63.
free tissue transfer in reconstructing skull base defects: lessons learned. 16. Burkey BB, Gerek M, Day T. Repair of the persistent cerebrospinal fluid leak
Laryngoscope 2002;112:1871-6. with the radial forearm free fascial flap. Laryngoscope 1999;109:1003-6.
2. Califano J, Coraeiro PG, Disa JJ, Hidalgo DA, DuMornay W, Bilsky MH, Gutin 17. Ganly I, Patel SG, Singh B, Kraus DH, Bridger PG, Cantu G, Cheesman
PH, Shah JP, Kraus DH. Anterior cranial base reconstruction using free tissue A, De Sa G, Donald P, Fliss D, Gullane P, Janecka I, Kamata SE, Kowalski LP,
transfer: changing trends. Head Neck 2003;25:89-96.
3. Ganly I, Patel SG, Singh B, Kraus DH, Cantu G, Fliss DM, Kowalski LP, Levine P, Medina LR, Pradhan S, Schramm V, Snyderman C, Wei WI, Shah JP.
Snyderman C, Shah JP. Craniofacial resection for malignant tumors Complications of craniofacial resection for malignant tumors of the skull base:
involving the skull base in the elderly: an international collaborative study. report of an International Collaborative Study. Head Neck 2005;27:445-51.
Cancer 2011;117:563-71. 18. Jackson IT, Marsh WR, Hide TA. Treatment of tumors involving the anterior
4. Bentz BG, Bilsky MH, Shah JP, Kraus D. Anterior skull base surgery for cranial fossa. Head Neck Surg 1984;6:901-13.
malignant tumors: a multivariate analysis of 27 years of experience. Head 19. Dos Santos LR, Cernea CR, Brandao LG, Siqueira MG, Vellutini EA, Velazco
Neck 2003;25:515-20. OP, Cruz OL, Morais-Besteiro J, Freitas CA. Results and prognostic factors
5. Ketcham AS, Hoye RC, Van Buren JM, Johnson RH, Smith RR. Complications
of intracranial facial resection for tumors of the paranasal sinuses. Am J Surg in skull base surgery. Am J Surg 1994;168:481-4.
1966;112:591-6. 20. Chang DW, Langstein HN, Gupta A, De Monte F, Do KA, Wang X, Robb G.
6. Kadlub N, Shin JH, Ross DA, Della Torre T, Ansari E, Persing JA, Ariyan S. Use Reconstructive management of cranial base defects after tumor ablation.
of the external pectoralis myocutaneous major flap in anterior base skull Plast Reconstr Surg 2001;107:1346-55; discussion 1356-7.

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