Interdisciplinary management of skull base surgery
Skull base surgery remains one of the challenging areas in the field of cranio-maxillofacial surgery, otolaryngology and neurosurgery. Subsequent reconstruction of bone and soft tissue are an essential component to restore function and appearance after ablative surgery.Establishment of interdiscipli...
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| Format: | Article |
| Language: | English |
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Elsevier
2021-10-01
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| Series: | Journal of Oral Biology and Craniofacial Research |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212426821000907 |
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| author | R. Rothweiler M.C. Metzger P.J. Voss J. Beck R. Schmelzeisen |
| author_facet | R. Rothweiler M.C. Metzger P.J. Voss J. Beck R. Schmelzeisen |
| author_sort | R. Rothweiler |
| collection | DOAJ |
| description | Skull base surgery remains one of the challenging areas in the field of cranio-maxillofacial surgery, otolaryngology and neurosurgery. Subsequent reconstruction of bone and soft tissue are an essential component to restore function and appearance after ablative surgery.Establishment of interdisciplinary tumor boards with presentation of the individual patient cases have become standard. Multiplanar reconstruction using MRI or CT imaging techniques combined with virtual 3D planning allow precise planning of the procedures. Intraoperative navigation helps for complete resection of malignant findings with safety margins; surgical approaches provide a good overview of the surgical site. Reconstruction using local flaps have a low complication rate with equally reliable results in reconstruction of small tissue defects. Free flap surgery makes reconstruction of large tissue defects possible. Alloplastic materials are alternatively used for reconstruction of bone defects.Based on selected patients, treatment algorithms and standard surgical procedures in extracerebral skull base surgery will be illustrated. Current techniques and new approaches will be discussed with emphasize on hard and soft tissue reconstruction. |
| format | Article |
| id | doaj-art-baf1a94103d44d6f94ef8304d236ca01 |
| institution | Kabale University |
| issn | 2212-4268 |
| language | English |
| publishDate | 2021-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Oral Biology and Craniofacial Research |
| spelling | doaj-art-baf1a94103d44d6f94ef8304d236ca012024-11-23T06:28:54ZengElsevierJournal of Oral Biology and Craniofacial Research2212-42682021-10-01114601607Interdisciplinary management of skull base surgeryR. Rothweiler0M.C. Metzger1P.J. Voss2J. Beck3R. Schmelzeisen4Department of Oral and Maxillofacial Surgery, Faculty of Medicine, University of Freiburg, Freiburg, Germany; Corresponding author.Department of Oral and Maxillofacial Surgery, Faculty of Medicine, University of Freiburg, Freiburg, GermanyDepartment of Oral and Maxillofacial Surgery, Faculty of Medicine, University of Freiburg, Freiburg, GermanyDepartment of Neurosurgery, Faculty of Medicine, University of Freiburg, Freiburg, 79106 GermanyDepartment of Oral and Maxillofacial Surgery, Faculty of Medicine, University of Freiburg, Freiburg, GermanySkull base surgery remains one of the challenging areas in the field of cranio-maxillofacial surgery, otolaryngology and neurosurgery. Subsequent reconstruction of bone and soft tissue are an essential component to restore function and appearance after ablative surgery.Establishment of interdisciplinary tumor boards with presentation of the individual patient cases have become standard. Multiplanar reconstruction using MRI or CT imaging techniques combined with virtual 3D planning allow precise planning of the procedures. Intraoperative navigation helps for complete resection of malignant findings with safety margins; surgical approaches provide a good overview of the surgical site. Reconstruction using local flaps have a low complication rate with equally reliable results in reconstruction of small tissue defects. Free flap surgery makes reconstruction of large tissue defects possible. Alloplastic materials are alternatively used for reconstruction of bone defects.Based on selected patients, treatment algorithms and standard surgical procedures in extracerebral skull base surgery will be illustrated. Current techniques and new approaches will be discussed with emphasize on hard and soft tissue reconstruction.http://www.sciencedirect.com/science/article/pii/S2212426821000907Skull base surgeryInterdisciplinary tumor boardsImagingPlanningSurgical approachesReconstruction |
| spellingShingle | R. Rothweiler M.C. Metzger P.J. Voss J. Beck R. Schmelzeisen Interdisciplinary management of skull base surgery Journal of Oral Biology and Craniofacial Research Skull base surgery Interdisciplinary tumor boards Imaging Planning Surgical approaches Reconstruction |
| title | Interdisciplinary management of skull base surgery |
| title_full | Interdisciplinary management of skull base surgery |
| title_fullStr | Interdisciplinary management of skull base surgery |
| title_full_unstemmed | Interdisciplinary management of skull base surgery |
| title_short | Interdisciplinary management of skull base surgery |
| title_sort | interdisciplinary management of skull base surgery |
| topic | Skull base surgery Interdisciplinary tumor boards Imaging Planning Surgical approaches Reconstruction |
| url | http://www.sciencedirect.com/science/article/pii/S2212426821000907 |
| work_keys_str_mv | AT rrothweiler interdisciplinarymanagementofskullbasesurgery AT mcmetzger interdisciplinarymanagementofskullbasesurgery AT pjvoss interdisciplinarymanagementofskullbasesurgery AT jbeck interdisciplinarymanagementofskullbasesurgery AT rschmelzeisen interdisciplinarymanagementofskullbasesurgery |