Reconstruction of Clival Defects using Vascularized Free and Pedicled Flaps: Systematic Review and Proposed Algorithms
Satisfactory reconstructive outcomes are reported using pedicled and free flaps. The flap of choice is determined by the previous surgical history, radiotherapy, wound vascularity, defect size, overall health of the surrounding nasal mucosa, simultaneous clival surgery, and the preferred pedicle transposition route (free flaps).
Authors
- Devyani Lal (ORCID: https://orcid.org/0000-0002-7593-2385)
- Amar Miglani (ORCID: https://orcid.org/0000-0002-0708-4345)
- Pedro Lança Gomes (ORCID: https://orcid.org/0000-0002-6422-5271)
- Lisa Marks (ORCID: https://orcid.org/0000-0002-4445-6996)
- Brent A. Chang (ORCID: https://orcid.org/0000-0001-5821-4640)
- Michael J. Marino (ORCID: https://orcid.org/0000-0002-8672-0310)
- Nitish Kumar (ORCID: https://orcid.org/0000-0001-9923-9254)
Institutions
- WinnMed (US)
- Mayo Clinic in Florida (US)
Publication Details
- Journal
- Journal of Neurological Surgery Part B Skull Base
- Published
- 2025-04-24
- DOI
- https://doi.org/10.1055/a-2576-7289
- Primary Topic
- Reconstructive Surgery and Microvascular Techniques
- Type
- article
- Field-Weighted Citation Impact
- 0.00