Acta Neurochirurgica

, Volume 135, Issue 3–4, pp 203–205 | Cite as

Extended subgaleal fascia — Pericranial temporalis flap for skull base reconstruction

  • A. Goel
  • D. Gahankari
Technical Notes


An extended subgaleal fascia pericranial flap based on the temporalis muscle is described. The flap receives its vascular nourishment from the arteries supplying the temporalis muscle and from the superficial temporal artery. The long length of the flap and the ease of its rotation was used effectively to close anterior skull basel defects.


Galea pericranium cranial base reconstruction 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Abul-Hassan HS, von Drasek Ascher G, Acland RD (1988) Surgical anatomy and blood supply of the fascial layers of the temporal regions. Plast Reconstr Surg 77: 17–28Google Scholar
  2. 2.
    Argenta LC, Friedman RJ, Dingman RO, Duus EC (1985) The versatility of pericranial flaps. Plast Reconstr Surg 76: 692–702Google Scholar
  3. 3.
    Casanova R, Cavalcante D, Grotting JC, Vasconez LO, Psillakis JM (1986) Anatomic basis for vascularized outer table cal-varial bone flaps. Plast Reconstr Surg 78: 300–308PubMedGoogle Scholar
  4. 4.
    Chazen D, Nathan H (1974) Anatomical observations on the subgaleotic fascia of the scalp. Acta Anat 87: 427–431PubMedGoogle Scholar
  5. 5.
    Gillespie RP, Shagets FW, de-Los-Reyes RA (1986) Temporalis myofascial repair of traumatic defects of the anterior fossa. Technical note. J Neurosurg 64: 977–978PubMedGoogle Scholar
  6. 6.
    Horowitz JH, Persing JA, Nichter LS, Morgan RF, Edgerton MT (1984) Galeal pericranial flaps in head and neck reconstruction: anatomy and applications. Am J Surg 148: 489–493PubMedGoogle Scholar
  7. 7.
    Marty F, Montandon D, Guniener R, Zbrodowski A (1986) Subcutaneous tissue in the scalp: anatomical, physiological and clinical study. Ann Plast Surg 16: 368–376PubMedGoogle Scholar
  8. 8.
    Price JC, Loury M, Carson B, Johns ME (1988) The pericranial flap for reconstruction of anterior skull base defects. Laryngoscope 98: 1159–1164PubMedGoogle Scholar
  9. 9.
    Ross DA (1992) Use of modified pericranial flaps in anterior skull base reconstructions: technical note. Skull Base Surg 2: 83–86Google Scholar
  10. 10.
    Snyderman CH, Janecka IP, Sekhar LN, Sen CN, Eibling DE (1990) Anterior skull base reconstruction. Role of galeal and pericranial flaps. Laryngoscope 100: 607–614PubMedGoogle Scholar
  11. 11.
    Tolhurst DE, Carstens MH, Greco RJ, Hurwitz DJ (1991) The surgical anatomy of the scalp 87: 603–612Google Scholar
  12. 12.
    Tremolada C, Candiani P, Signorini M, Vigan M, Donati L (1994) The surgical anatomy of the subcutaneous fascial system of the scalp. Ann Plast Surg 32: 8–14PubMedGoogle Scholar

Copyright information

© Springer-Verlag 1995

Authors and Affiliations

  • A. Goel
    • 1
  • D. Gahankari
    • 2
  1. 1.Department of NeurosurgeryK.E.M. HospitalParel, BombayIndia
  2. 2.Department of Plastic SurgeryK.E.M. HospitalParel, BombayIndia

Personalised recommendations