Introduction: Tumors of the head and neck area are complex and pose a significant challenge for radical resection and subsequent reconstruction especially when the skull base is affected. With evolution in surgical reconstructive techniques, better reconstruction of these complex post-ablative defects is now possible and facilitates more aggressive surgical management. The aim of this study was to investigate the course of reconstructive treatment and outcomes with use of free microvascular latissimus dorsi flaps after tumor ablation of skull base penetrating malignancies.
Material and methods: All extensive skull base tumor resections with latissimus dorsi free flap reconstruction made in the General University hospital Gregorio Marañón, between January 2010 and December 2012 were reviewed.
Results: Three different types of free latissimus dorsi flaps were used being the grafted muscle flap the most common one. Complications occurred in 44.4 % of patients but no flaps were lost. Two latissimus dorsi donor site seromas were observed (22.2%).
Conclusion: For the reconstruction aim of extensive skull base defects, the latissimus dorsi free flap seems to be a reliable option.
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