<scp>T</scp>he maxillary artery as a recipient vessel option for complex midface and anterior skull base microsurgical repair: A cadaveric study

Assam, Jed H.; Quinn, Thomas H.; Militsakh, Oleg

doi:10.1002/micr.30095

Cited by 6 publications

(3 citation statements)

References 27 publications

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“…Based on a recent retrospective cohort study of 31 patients, Hanick et al [66] reported the use of the angular vessels as a viable option for microvascular anastomosis in head and neck reconstruction. Despite smallercaliber vessels, the angular artery and vein can be advantageous for ASB defects due to their proximity to the sinonasal cavity and shorter pedicle requirements.…”

Section: Recipient Vesselsmentioning

confidence: 99%

“…Despite smallercaliber vessels, the angular artery and vein can be advantageous for ASB defects due to their proximity to the sinonasal cavity and shorter pedicle requirements. This vascular supply can also be beneficial in the setting of previously failed reconstructions or irradiation to the neck [66] . Other potential recipient vessels that have been described based on cadaveric studies include the superior trochlear system [23] .…”

Section: Recipient Vesselsmentioning

confidence: 99%

See 1 more Smart Citation

Anterior skull base reconstruction: a contemporary review

Naik¹,

Lancione²,

Parikh³

et al. 2021

PAR

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Anterior skull base (ASB) defects present a significant challenge in head and neck reconstructive surgery. The main goal of skull base reconstruction is to create a watertight separation between the intracranial cavity and aerodigestive tract. Successful reconstruction aims to prevent cerebrospinal fluid (CSF) leak, pneumocephalus, and a range of infectious manifestations. Functional outcomes and cosmesis are also critical considerations when developing a reconstructive plan. Advancements with endoscopic endonasal approaches have revolutionized skull base surgery but also have created new reconstructive challenges due to the narrow operative corridor, especially for extensive defects or salvage cases where microvascular free tissue transfer is required. Though a variety of techniques including local, regional, and free flaps have been described, ASB reconstruction remains a difficult undertaking due to the complex anatomy and high risk for post-operative complications. This review provides a comprehensive discussion of available reconstructive techniques that can be used after both open and endoscopic ASB resections to help determine the optimal reconstruction for a variety of defects.

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Section: Recipient Vesselsmentioning

confidence: 99%

Section: Recipient Vesselsmentioning

confidence: 99%

Anterior skull base reconstruction: a contemporary review

Naik¹,

Lancione²,

Parikh³

et al. 2021

PAR

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“…8,10 In a cadaver study with 17 specimens, Assam et al described the use of the third segment of the maxillary artery as a potential recipient vessel for free flap reconstruction of the midface or skull base. 12 In another cadaver study, Reyes et al described the use of a fascia lata free flap anastomosed to the superior trochlear system for reconstruction of the skull base. 13 The recipient vessels were identified via a Lynch incision, and the fascia lata free flap was introduced through the nose.…”

Section: Vessel Options For Microvascular Anastomosismentioning

confidence: 99%

Pedicle Corridors and Vessel Options for Free Flap Reconstruction following Endoscopic Endonasal Skull Base Surgery: A Systematic Review

Dang

Roland

Sharon

et al. 2019

J Neurol Surg B Skull Base

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Introduction Microvascular free flaps offer an alternative to local and regional flaps for coverage of complex or large skull base defects. Routes and approaches to these reconstructive options are complicated and require an understanding of complex head and neck anatomy. Methods A systematic review of the literature was performed using a set of search terms with the help of a qualified librarian. Articles were reviewed and selected for inclusion based on relevance. We were interested in reporting possible routes for free flap accessibility to the skull base as well as microvascular vessel options, as this choice may affect the geometry and accessibility to the defect. Results A total of 1,917 articles were obtained from a comprehensive search and 11 articles were ultimately found to be relevant to this review. Published options for vessel anastomosis and corridors to the skull base following endoscopic endonasal surgery are reviewed, including Caldwell-Luc/transbuccal space, prevertebral space, transpterygoid/parapharyngeal, and transmaxillary approaches. Conclusion The field of endoscopic surgery has continued to advance and provide options for tumors of the skull base. This has led to a need for creative routes to the skull base for free flap reconstruction.

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Angio-anatomical study of the pterygovaginal artery based on cone-beam computed tomography

et al. 2021

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The maxillary artery as a recipient vessel option for complex midface and anterior skull base microsurgical repair: A cadaveric study

Abstract: In situations where primary recipient vessel sites are unavailable, the maxillary artery represents an innovative option to be considered with suitable recipient artery characteristics.

Cited by 6 publications

References 27 publications

Anterior skull base reconstruction: a contemporary review

Anterior skull base reconstruction: a contemporary review

Pedicle Corridors and Vessel Options for Free Flap Reconstruction following Endoscopic Endonasal Skull Base Surgery: A Systematic Review

Angio-anatomical study of the pterygovaginal artery based on cone-beam computed tomography

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