Abstract

SANTAMARIA, Eric et al. Free fibula flap for cervical spine and posterior pharyngeal wall reconstruction after chordoma resection. Cir. plást. iberolatinoam. [online]. 2019, vol.45, n.2, pp.169-173.  Epub Oct 14, 2019. ISSN 1989-2055.  https://dx.doi.org/10.4321/s0376-789220190002000009.

Chordoma neoplasms are malignant tumors with a generally slow growth. They are usually located in the clivus.

The most common presentation is in young women (third and fourth decades of life). Surgical resection is the main line of treatment, occasionally radiotherapy may be needed. As for small chordomas, transnasal endoscopical resection can be performed, however, for larger tumors a maxillo-mandibular surgical approach may be needed.

For reconstruction purposes, the main advantages of using vascularized tissues are: rapid consoloditation, higher infection resistance and a hypertrophic reaction secondary to the mechanical stress.

We present the case of a 24 years old female patient with a C2-C3 chordom; corpectomy and marginal resection of the tumor were performed, as well as reconstruction with a free fibula flap.

Keywords : Free fibula flap; Microsurgery; Chordoma.

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