European Journal of Plastic Surgery

, Volume 20, Issue 2, pp 89–91 | Cite as

Surgical removal of a skin cancer involving the superior sagittal sinus: gradual obstruction of the sinus using miniature tissue expanders

  • C. Lauritzen
  • R. Olsson
  • C. von Essen
Case Reports


An extensive basal cell carcinoma of the mid-parietal scalp penetrating the skull and invading the posterior third of the superior sagittal sinus was successfully treated in a 60-year-old man. This was accomplished by gradually obstructing the sinus over a period of five weeks unit it was possible to resect the tumor along with 15 cm of the sagittal sinus. Total obstruction of the sinus was achieved using two miniature tissue expanders surgically placed and affixed to the vessel. By gradual filling of the expanders, it was possible, after five weeks, to demonstrate angiographically that the sagittal sinus between the two tissue expanders was obliterated. The one piece resection included a wide margin of skin, bone, dura mater and sagittal sinus. The extensive defect of the dura mater was covered by a free fascia lata graft and the scalp defect by a visor bipedicled forehead flap. The forehead donor area was skin grafted. There were no complications during surgery and the patient recovered uneventfully. There has been no recurrence after one year.

Key words

Scalp cancer Sagittal sinus Tissue expander Obstruction 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Tools JF, Burrows DD (1990) Pathophysiology and clinical evaluation of ischemic vascular disease. In: Youman's neurological surgery. Saunders, Philadelphia, pp 1463–1515Google Scholar
  2. 2.
    Ojgmann RC, Ogiluy CG (1993) Convexity, parasagittal and parafalcine meningiomas. In: Brain surgery: complication avoidance and management, Churchill Livingstone, London, pp 187–203Google Scholar
  3. 3.
    George GO, Rusnyiak WG (1993) Sagittal sinus repair. In: Brain surgery: complication avoidance and management. Churchill Livingstone, London, pp 1341–1343Google Scholar
  4. 4.
    Kosnik EJ, Hunt WE, Miller CA (1974) Dural AVMs. J Neurosurg 40:322PubMedGoogle Scholar
  5. 5.
    Bederson JB, Eisenberg MB (1995) Resection and replacement of the superior sagittal sinus for treatment of a parasagittal meningioma: technical case report. Neurosurgery 37:5Google Scholar
  6. 6.
    Mindtkoglu AN, Güsel MZ, Senyuvad C, Banbaz C, Aydya N (1995) Surgical treatment of an extensive basal cell carcinoma of the scalp infiltrating the superior sagittal sinus. Eur J Plast Surg 18:50–52Google Scholar

Copyright information

© Springer-Verlag 1997

Authors and Affiliations

  • C. Lauritzen
    • 1
  • R. Olsson
    • 1
  • C. von Essen
    • 1
  1. 1.Department of Plastic Surgery and Department of Neurosurgery, Sahlgrenska HospitalUniversity of GöteborgSweden

Personalised recommendations