Osteomyocutaneous peroneal artery perforator flap for reconstruction of the skull base.

m i t s (Fig. 1). Two segments of vascularised bone were used to reconstruct the horizontal frontal buttress, and an intermediate segment of bone was used to reconstruct the nasal defect. raniofacial resection for the treatment of malignant disease ay result in complex 3-dimensional defects of the skull base. icrovascular free flaps are a good way to isolate the central ervous system from the upper aerodigestive tract, and restore he normal appearances and contours of the bony and soft issues.1 Although the rectus abdominis myocutaneous flap as been the workhorse for microvascular reconstructions of he skull base to date, some surgeons now use anterolateral ree flaps.2 Fibular free flaps have been described for the restoration f the frontal skeletal buttress,3 and the osteomyocutaneous