Transcranial frontotemporal orbitozygomatic approach for resection of adult craniopharyngiomas

Closure

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This video segment descibes the closure technique.

Keywords

  • Dural suture
  • bone flap fixation
  • temporalis muscle suture

About this video

Author(s)
Victoria Dembour
Giulia Cossu
Lorenzo Giammattei
Roy Thomas Daniel
Mahmoud Messerer
First online
10 November 2022
DOI
https://doi.org/10.1007/978-3-031-21023-5_10
Online ISBN
978-3-031-21023-5
Publisher
Springer, Cham
Copyright information
© The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2022

Video Transcript

This image shows the closure of the dura mater with continuous suture and an additional collagen membrane. Here, we proceed to the repositioning of the bone flap and its two parts, which are fixed with plate and screw system. The aesthetic and cosmetic aspects is well respected regarding the shape of the forehead and the cheek.

Next step is the repositioning of the temporal muscle and suture of the temporal fascia. And lastly, after repositioning of the skin flap, we proceeded to the closure of subcutaneous tissues and skin.