This material has never been published and is not currently under evaluation in any other peer-reviewed publication.
Version of Record online: 25 APR 2011
Copyright © 2011 The American Laryngological, Rhinological, and Otological Society, Inc.
Volume 121, Issue 5, pages 914–922, May 2011
How to Cite
Rivera-Serrano, C. M., Snyderman, C. H., Carrau, R. L., Durmaz, A. and Gardner, P. A. (2011), Transparapharyngeal and transpterygoid transposition of a pedicled occipital galeopericranial flap: A new flap for skull base reconstruction. The Laryngoscope, 121: 914–922. doi: 10.1002/lary.21376
This material was presented at the 2010 Triological Society Combined Sections Meeting, February 4–7, 2010, Orlando, Florida, and at the 4th World Congress for Endoscopic Surgery of the Brain, Skull Base, and Spine, Pittsburgh, PA, April 28–30th, 2010.
No funding support was required for the completion of this manuscript.
None of the authors have financial interests in companies or other entities that have an interest in the information in the contribution.
The authors have no conflicts of interest to discloure.
- Issue online: 25 APR 2011
- Version of Record online: 25 APR 2011
- Manuscript Accepted: 14 SEP 2010
- Manuscript Received: 6 AUG 2010
- Cranial base;
- facial plastics/reconstructive surgery;
- head and neck;
- Level of evidence: 4.
We present the anatomic and cadaveric foundations for novel modifications of the occipital galeopericranial flap for reconstruction of ventral skull base defects.
Using cadaveric dissections and measurements, we investigated the feasibility of transposing pedicled occipital galeopericranial flaps into the nasal cavity and skull base. Two fresh and five preserved human specimens were dissected.
Pedicled occipital flaps were transposed into the nasal cavity via a transparapharyngeal–transpterygoid corridor into the nasopharynx. It was demonstrated that the pedicled occipital galeopericranial flap reaches the anterior skull base.
Pedicled occipital flaps transposed into the nasal cavity can reach the anterior skull base and provide another option for vascularized reconstruction in selected patients.