Advertisement

Acta Neurochirurgica

, Volume 128, Issue 1–4, pp 166–168 | Cite as

Vascularized bone flap for anterior skull base reconstruction

Technical Notes

Summary

A case is reported where a vascularized outer-table of the frontal bone was successfully used to reconstruct a large defect in the anterior skull base following excision of a massive olfactory groove meningioma extending into the ethmoid sinuses. The flap provided a firm barrier between the cranial cavity and paranasal air sinuses, as the dural and bony integrity of the base was compromised after the radical resection of the tumour. It appears that such a flap can be effectively used for skull base reconstruction.

Keywords

Skull base reconstruction bone graft pericranium 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Bite U, Jackson IT, Wahner HW, Marsh RW (1987) Vascularized skull bone grafts in craniofacial surgery. Ann Plast Surg 19: 3–15PubMedGoogle Scholar
  2. 2.
    Casanova R, Cavalcante D, Grotting JC, Vasconez LO, Psillakis JM (1986) Anatomic basis for vascularized outer table calvarial bone flaps. Plast Reconstr Surg 78: 300–308PubMedGoogle Scholar
  3. 3.
    Choung PH, Nam IW, Kim KS (1991) Vascularized cranial bone grafts for mandibular and maxillary reconstruction. The parietal osteofacial flap. J Cranimaxillofac Surg 19: 235–242Google Scholar
  4. 4.
    Cutting CB, McCarthy JG, Bernestien A (1984) Blood supply of the upper craniofacial skeleton: the search for composite calvarial bone flaps. Plast Reconstr Surg 74: 603–610PubMedGoogle Scholar
  5. 5.
    Jackson IT, Adam MN, Marsh WR (1986) Use of the galeal frontalis myofascial flap in craniofacial surgery. Plast Reconstr Surg 77: 905–910PubMedGoogle Scholar
  6. 6.
    Johns ME, Winn HR, McLean WC, Cantrell RW (1981) Pericranial flap for closure of defects of craniofacial resection. Laryngoscope 91: 952–959PubMedGoogle Scholar
  7. 7.
    Kumar P, Bhatnagar SK, Husain M (1987) Mandibular reconstruction by myo-osseous (temporalis/outer table of skull) flap. Br J Oral Maxillofac Surg 25: 9–14PubMedGoogle Scholar
  8. 8.
    Price JC, Loury M, Carson, Johns ME (1988) The pericranial flap for reconstruction of anterior skull base defects. Laryngoscope 98: 1159–1164PubMedGoogle Scholar
  9. 9.
    Puckett CL, Hurvitz JS, Metzler MH, Silver D (1979) Bone formation by revascularized periosteal and bone grafts, compared with traditional bone grafts. Plast Reconstr Surg 64: 361PubMedGoogle Scholar
  10. 10.
    Snyderman CH, Janecka IP, Sekhar LN, Sen CN, Eibling DE (1990) Anterior cranial base reconstruction: role of galeal and pericranial flaps. Laryngoscope 100: 607–614PubMedGoogle Scholar
  11. 11.
    Watson Jones R (1933) The repair of the skull defects by a new pedicle bone-graft operation. BMJ 1: 780Google Scholar

Copyright information

© Springer-Verlag 1994

Authors and Affiliations

  • A. Goel
    • 1
  1. 1.Department of NeurosurgeryK.E.M. HospitalBombayIndia

Personalised recommendations