Microsurgical reconstruction of the skull base and midface after orbitomaxillary resections for malignant tumors
Background. Orbitomaxillary resection includes exenteration of the orbital contents with resection of the inferior orbital and medial walls. The main goals are: reconstruction of soft tissue and bone structure defects, tamponade of the orbital cavity and/or its preparation for further ocular prosthe...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | Russian |
| Published: |
Russian Academy of Sciences, Tomsk National Research Medical Center
2022-01-01
|
| Series: | Сибирский онкологический журнал |
| Subjects: | |
| Online Access: | https://www.siboncoj.ru/jour/article/view/1990 |
| _version_ | 1797875731377684480 |
|---|---|
| author | M. V. Bolotin A. M. Mudunov V. A. Sobolevsky I. M. Gelfand I. V. Orlova A. A. Akhundov |
| author_facet | M. V. Bolotin A. M. Mudunov V. A. Sobolevsky I. M. Gelfand I. V. Orlova A. A. Akhundov |
| author_sort | M. V. Bolotin |
| collection | DOAJ |
| description | Background. Orbitomaxillary resection includes exenteration of the orbital contents with resection of the inferior orbital and medial walls. The main goals are: reconstruction of soft tissue and bone structure defects, tamponade of the orbital cavity and/or its preparation for further ocular prosthetics, and reconstruction of the skull base defect. The purpose of the study to present the immediate results of orbitomaxillary resections in patients with malignant neoplasms of the skull base and midface. Material and methods. Between 2014 and 2020, 6 patients who previously underwent surgery for primary cancer (n=3) and recurrent cancer (n=3) were treated at the Head and Neck cancer department of N.N. Blokhin National medical Research center of oncology. To reconstruct defects after resection of bone structures (maxilla, frontal and nasal bones) and skin, a musculocutaneous alt-flap was used in 3 (50 %) cases and a fascial skin radial flap in 3 (50 %) cases. Results. The aesthetic result was assessed in 6 patients. In all cases, a satisfactory result was obtained. None of the patients who underwent resection of the dura mater followed by reconstruction had no symptoms of liquorrhea in the postoperative period. Conclusion. Flap selection depends on the defect size. In cases with a small defect size (up to 70 cm3), reconstruction with the radial fascial skin flap can be performed. If the defect size is more than 71 cm3, reconstruction with musculocutaneous alt flap can be the method of choice. |
| first_indexed | 2024-04-10T01:52:18Z |
| format | Article |
| id | doaj.art-7b9a0257e0204c8eb304e0a902a3619e |
| institution | Directory Open Access Journal |
| issn | 1814-4861 2312-3168 |
| language | Russian |
| last_indexed | 2024-04-10T01:52:18Z |
| publishDate | 2022-01-01 |
| publisher | Russian Academy of Sciences, Tomsk National Research Medical Center |
| record_format | Article |
| series | Сибирский онкологический журнал |
| spelling | doaj.art-7b9a0257e0204c8eb304e0a902a3619e2023-03-13T09:05:55ZrusRussian Academy of Sciences, Tomsk National Research Medical CenterСибирский онкологический журнал1814-48612312-31682022-01-01206889510.21294/1814-4861-2021-20-6-88-95927Microsurgical reconstruction of the skull base and midface after orbitomaxillary resections for malignant tumorsM. V. Bolotin0A. M. Mudunov1V. A. Sobolevsky2I. M. Gelfand3I. V. Orlova4A. A. Akhundov5ФГБУ «Национальный медицинский исследовательский центр онкологии им. Н.Н. Блохина» Минздрава РоссииКлинический госпиталь «Лапино»ФГБУ «Национальный медицинский исследовательский центр онкологии им. Н.Н. Блохина» Минздрава РоссииФГБУ «Национальный медицинский исследовательский центр онкологии им. Н.Н. Блохина» Минздрава РоссииФГБУ «Национальный медицинский исследовательский центр онкологии им. Н.Н. Блохина» Минздрава РоссииФГБУ «Национальный медицинский исследовательский центр онкологии им. Н.Н. Блохина» Минздрава РоссииBackground. Orbitomaxillary resection includes exenteration of the orbital contents with resection of the inferior orbital and medial walls. The main goals are: reconstruction of soft tissue and bone structure defects, tamponade of the orbital cavity and/or its preparation for further ocular prosthetics, and reconstruction of the skull base defect. The purpose of the study to present the immediate results of orbitomaxillary resections in patients with malignant neoplasms of the skull base and midface. Material and methods. Between 2014 and 2020, 6 patients who previously underwent surgery for primary cancer (n=3) and recurrent cancer (n=3) were treated at the Head and Neck cancer department of N.N. Blokhin National medical Research center of oncology. To reconstruct defects after resection of bone structures (maxilla, frontal and nasal bones) and skin, a musculocutaneous alt-flap was used in 3 (50 %) cases and a fascial skin radial flap in 3 (50 %) cases. Results. The aesthetic result was assessed in 6 patients. In all cases, a satisfactory result was obtained. None of the patients who underwent resection of the dura mater followed by reconstruction had no symptoms of liquorrhea in the postoperative period. Conclusion. Flap selection depends on the defect size. In cases with a small defect size (up to 70 cm3), reconstruction with the radial fascial skin flap can be performed. If the defect size is more than 71 cm3, reconstruction with musculocutaneous alt flap can be the method of choice.https://www.siboncoj.ru/jour/article/view/1990злокачественные новообразования средней зоны лица и основания черепаорбито-максиллярные резекциимикрохирургическая реконструкция |
| spellingShingle | M. V. Bolotin A. M. Mudunov V. A. Sobolevsky I. M. Gelfand I. V. Orlova A. A. Akhundov Microsurgical reconstruction of the skull base and midface after orbitomaxillary resections for malignant tumors Сибирский онкологический журнал злокачественные новообразования средней зоны лица и основания черепа орбито-максиллярные резекции микрохирургическая реконструкция |
| title | Microsurgical reconstruction of the skull base and midface after orbitomaxillary resections for malignant tumors |
| title_full | Microsurgical reconstruction of the skull base and midface after orbitomaxillary resections for malignant tumors |
| title_fullStr | Microsurgical reconstruction of the skull base and midface after orbitomaxillary resections for malignant tumors |
| title_full_unstemmed | Microsurgical reconstruction of the skull base and midface after orbitomaxillary resections for malignant tumors |
| title_short | Microsurgical reconstruction of the skull base and midface after orbitomaxillary resections for malignant tumors |
| title_sort | microsurgical reconstruction of the skull base and midface after orbitomaxillary resections for malignant tumors |
| topic | злокачественные новообразования средней зоны лица и основания черепа орбито-максиллярные резекции микрохирургическая реконструкция |
| url | https://www.siboncoj.ru/jour/article/view/1990 |
| work_keys_str_mv | AT mvbolotin microsurgicalreconstructionoftheskullbaseandmidfaceafterorbitomaxillaryresectionsformalignanttumors AT ammudunov microsurgicalreconstructionoftheskullbaseandmidfaceafterorbitomaxillaryresectionsformalignanttumors AT vasobolevsky microsurgicalreconstructionoftheskullbaseandmidfaceafterorbitomaxillaryresectionsformalignanttumors AT imgelfand microsurgicalreconstructionoftheskullbaseandmidfaceafterorbitomaxillaryresectionsformalignanttumors AT ivorlova microsurgicalreconstructionoftheskullbaseandmidfaceafterorbitomaxillaryresectionsformalignanttumors AT aaakhundov microsurgicalreconstructionoftheskullbaseandmidfaceafterorbitomaxillaryresectionsformalignanttumors |