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Complications of craniofacial resection for tumors involving the anterior skull base

✍ Scribed by Dr. Dennis H. Kraus; Dr. Jatin P. Shah; Dr. Ehud Arbit; Dr. Joseph H. Galicich; Dr. Elliot W. Strong

Publisher
John Wiley and Sons
Year
1994
Tongue
English
Weight
547 KB
Volume
16
Category
Article
ISSN
1043-3074

No coin nor oath required. For personal study only.

✦ Synopsis

Background. A consecutive series of 85 patients undergoing craniofacial resection for malignant tumors involving the anterior cranial base between 1974 and 1992 was reviewed.

Results. There were two (2%) postoperative deaths. Postoperative complications occurred in 33 (39%) patients. Local major complications occurred in 26 (31%) patients, local minor in 7 (8%), and systemic in 5 (6Yo). More than one complication occurred in a number of patients. Bacterial contamination led to a significant proportion of local, septic complications. Repair of the skull base defect with a pedicled pericranial flap was unsatisfactory and was associated with an increased incidence of local major complications. A local major complication was associated with a dramatic lengthening of hospitalization.

Conclusion. Future endeavors for prevention of complications should focus on antibiotic prophylaxis and reconstruction of the cranial base defect with better vascularized flaps.

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