Tumours invading the skull often present after previous surgery with recurrence and also radiotherapy. Mr Potter in particular has undertaken many of such cases as a team with ENT and Neurosurgeons. The cranium involved with the tumour we excise and reconstruct either with a custom made cranium implant or titanium.
A skin defect is reconstructed with local tissue or if large with a tissue transplant of a muscle from elsewhere within the body which is grafted with skin at the time of the procedure. As such the impact of removing this muscle has been shown to not impair the function of the body in patients who undertake normal day to day activities.
By using a muscle covered with a skin graft, this skin marries with the surrounding skin. In conclusion, this is to give an aesthetic as shown in the example cases.
Number of skull/bases cases undertaken
144
Return to theatre rate for lateral skull base cases
3%
Average number of days in hospital
10 days
Of those with reanimation procedures to the face the average time for facial nerve function to return
14 weeks
Percentage return of facial movement at three months following facial reanimation
66%
Percentage number of patients with return of facial movement at 6 months
100%
Percentage loss of flaps for skull base reconstruction 1/144 = 0.7 %
total flap loss = 0% partial loss = 0.7%
Percentage loss of free flaps used for skull base reconstruction
0%
Return to theatre rate for lateral skull base reconstruction
1%
30 day post operative mortality rate for skull base cases
0%
3 month post operative mortality for skull base cases
0%
Average age of patient
68
Patient age range
27- 89 years