Chapter 29

Skull base reconstruction

Ross D. Farhadieh

Ross D. Farhadieh

Panthea Plastic Surgery Clinics, Sydney, & Canberra, Australia

Australian National University, Canberra, Australia

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Wayne A.J. Morrison

Wayne A.J. Morrison

O'Brien Institute and Department of Surgery, University of Melbourne, Melbourne, Australia

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First published: 27 March 2015

Summary

Skull base malignancies remain a diagnostic and management challenge. The anatomical site of these lesions in proximity to important neurovascular structures makes access, ablation and reconstruction not merely nuanced but a difficult mission. The skull base is divided into anatomical and pathologic zones that assist in the management approach. The advent of microsurgery has aided in their management and outcome measures, allowing better ablative and more robust reconstructions. In this chapter we discuss the general background, surgical principles of reconstruction and possible complications of these lesions and subsequent surgical defects.

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