Seminars in Plastic Surgery 2017; 31(04): 197-202
DOI: 10.1055/s-0037-1606556
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Locoregional and Microvascular Free Tissue Reconstruction of the Lateral Skull Base

Demetri Arnaoutakis1, Sameep Kadakia1, Manoj Abraham2, Thomas Lee3, Yadranko Ducic1
  • 1Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas
  • 2Department of Otolaryngology-Head and Neck Surgery, New York Medical College, Valhalla, New York
  • 3Department of Otolaryngology-Head and Neck Surgery, Virginia Commonwealth University, Richmond, Virginia
Further Information

Publication History

Publication Date:
25 October 2017 (online)


The goals of reconstruction following any oncologic extirpation are preservation of function, restoration of cosmesis, and avoidance of morbidity. Anatomically, the lateral skull base is complex and conceptually intricate due to its three-dimensional morphology. The temporal bone articulates with five other cranial bones and forms many sutures and foramina through which pass critical neural and vascular structures. Remnant defects following resection of lateral skull base tumors are often not amenable to primary closure. As such, numerous techniques have been described for reconstruction including local rotational muscle flaps, pedicled flaps with skin paddle, or free tissue transfer. In this review, the advantages and disadvantages of each reconstructive method will be discussed as well as their potential complications.