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Skull Base 2005; 15(3): 171
DOI: 10.1055/s-2005-871665
ORIGINAL ARTICLE

Copyright © 2005 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001 USA.

Commentary

Laligam N. Sekhar1
  • 1Northshore Hospital System, Great Neck, New York
Further Information

Publication History

Publication Date:
08 July 2005 (online)

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I have been reading about transcranial approach for a variety of anterior skull base tumors since 1993. It can be supplemented by endoscopic inspection and resection through the resection cavity. Extensive invasion of the maxillary sinus, however, will necessitate a transfacial or degloving approach. If the patient has previously undergone irradiation or surgery, a radial forearm free flap, rather than just a pericranial flap, should be considered for reconstruction. This strategy may obviate the occurrence of postoperative infections.

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