Abstract
Total resection of lesions involving the anterior cranial base results in defect of variable size, leaving a communication between the nasal cavity and extracranial space. Potential complications of this include meningitis and CSF leaks. Repair by an inferiorly based pericranial flap was performed in 10 patients in each of whom the defect exceeded 1.5 cms in width. In 4 of them the repair was supplemented by a temporalis fascia graft for achieving a dural seal. In 8 other patients no repair was considered necessary. Use of this flap did not result in any complication.
Similar content being viewed by others
References
Bridger GP (1980): Radical surgery for ethmoid cancer.Archives of Otolaryngology. 106 : 630–634.
Johns ME, Winn HR, McLean WC, Cantrell RW (1981): Pericranial flap for closure of defects of craniofacial resections.Laryngoscope 91 : 952–958.
Ketcham AS, Van Buren JM (1985): Tumours of the paranasal sinuses : A therapeutic challenge.American Journal of Surgery,150 : 406–413.
Schuller DE, Goodman JH, Miller CA (1984): Reconstruction of the skull base.Laryngoscope 94 : 1359–1364.
Shah JP, Sunderesan N, Galicich J, Strong EW (1987): Craniofacial resections for tumours involving the base of the skull. American Journal of Surgery,154 : 352–358.
Sisson GA, Bytell DE, Becker SP (1976): Carcinoma of the paranasal sinuses and craniofacial resection.Journal of Laryngology and Otology,73 : 59–68.
Smith RR, Klopp CT, Williams JM (1954): Surgical treatment of cancer of the frontal sinus and adjacent areas.Cancer. 7 : 991–994.
Smith RA (1980) The free fascial scalp flap.Plastic and Reconstructive Surgery. 66: 204–209.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Tandon, D.A. Use of pericranial flap for reconstruction after craniofacial surgery. Indian J Otolaryngol Head Neck Surg 46, 35–37 (1994). https://doi.org/10.1007/BF03050078
Issue Date:
DOI: https://doi.org/10.1007/BF03050078