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Anterior cranial base reconstruction

Anterior cranial base reconstruction is occasionally necessary following severe trauma. Several methods for reconstruction have been described and some authors have described their experiences regarding the use of a pericranial flap for anterior skull base reconstruction after trauma. A 26-year-old woman was admitted to our department with multiple facial bone fractures identified using facial bone computed tomography. Plastic surgeons performed surgery under general anesthesia for the patient's nasal bone fractures. On the seventh day after admission, the patient's brain computed tomography showed an abscess in the frontal lobe. Antibiotic treatment was started, but the lesion deteriorated. Anterior skull base reconstruction was then performed using a pericranial flap with gelfoam compression. No complications, including leakage of cerebrospinal fluid, cerebral hemorrhage, necrosis of the pericranial flap, or frontal lobe herniation, were observed 1 year following surgery. In our case, the authors performed a simple and effective treatment with reconstruction using pericranial flap and gelfoam compression without complications. This technique is useful for reconstructing defects in the base of the frontal bone resulting from various causes, as well as for fracture of the anterior skull base following trauma 1).

Unclassified articles

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69: Nix P, Tyagi A, Phillips N. Retrospective analysis of anterior skull base CSF leaks and endoscopic repairs at Leeds. Br J Neurosurg. 2016 Aug;30(4):422-6. doi: 10.3109/02688697.2016.1161176. Epub 2016 Mar 23. PubMed PMID: 27008345.

70: Wei G, Wang Z, Ai F, Yin Q, Wu Z, Ma XY, Xu J, Shi C, Xia H. Treatment of Basilar Invagination With Klippel-Feil Syndrome: Atlantoaxial Joint Distraction and Fixation With Transoral Atlantoaxial Reduction Plate. Neurosurgery. 2016 Apr;78(4):492-8. doi: 10.1227/NEU.0000000000001094. PubMed PMID: 26990409.

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Song TW, Lee SK, Kim TS, Joo SP. Pericranial Flap Anterior Skull Base Reconstruction With Gelfoam Intradural Compression. J Craniofac Surg. 2019 Mar 9. doi: 10.1097/SCS.0000000000005364. [Epub ahead of print] PubMed PMID: 30921076.
anterior_cranial_base_reconstruction.txt · Last modified: 2019/03/29 19:20 by administrador