Extended pericranial flap and bone graft reconstruction in anterior skull base surgery

Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
Michael RodriguesRafael Tamargo

Abstract

The objectives of this study was to establish a rationale for repairing large anterior skull base defects with an extended pericranial flap and split calvarial bone graft; to define large anterior skull base defects as those spanning the anterior cranial measuring at least 3.0 x 4.0 cm; and to describe the surgical technique and compare it with alternative strategies. Study design Thirty-four patients underwent anterior craniofacial resection of anterior skull-based tumors of varying histology with reconstruction using an extended pericranial flap and split calvarial bone graft. The survival of the pericranial flap and bone graft was maintained in 33 of 34 patients. There was 1 episode of postoperative cerebrospinal fluid leak, 1 episode of osteomyelitis of the bone graft and an epidural abscess, and 1 episode of asymptomatic pneumocephalus. Split calvarial bone graft with an extended pericranial flap is an effective technique for reconstructing large anterior skull base defects.

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Citations

Jun 2, 2011·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Matti J PeltolaKalle M J Aitasalo
Oct 3, 2006·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Ritvik P MehtaGady Har-El
Nov 27, 2007·Nature Clinical Practice. Oncology·Pankaj ChaturvediAnil K D'cruz
Jun 15, 2010·Current Opinion in Otolaryngology & Head and Neck Surgery·Cecelia E SchmalbachErik K Weitzel
Jun 1, 2007·The Journal of Craniofacial Surgery·Enrico Nastro SiniscalchiFrancesco Tomasello
Jan 15, 2010·The Journal of Craniofacial Surgery·Fatma OzlenGalip Zihni Sanus
May 12, 2011·The Journal of Craniofacial Surgery·Filippo GagliardiPietro Mortini
Jul 18, 2006·Journal of the American Veterinary Medical Association·Daniel J FletcherCharles H Vite
Aug 11, 2012·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Thomas K HoffmannI Erol Sandalcioglu
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Methods Mentioned

BETA
dissection
xenograft

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