title: The osteo-mucoperiosteal flap in repair of cerebrospinal fluid rhinorrhea.
abstract: Repair of fistulas producing cerebrospinal fluid rhinorrhea, as with any reconstructive operations, should take into account the basic principles of reconstructive surgery for best results: 1. tissue needing replacement should be replaced by like tissue; and 2. a flap is always superior to a graft. In the case of this disease, the tissue sealing the fistula should be a flap containing not only mucosa or mucoperiosteum, but also pedicled bone. Two kinds of regional flaps are described which successfully closed the fistula in each of three patients. Follow-up is long term.
mesh_terms: D000328:Adult; D002559:Cerebrospinal Fluid Rhinorrhea / Q000601:surgery*; D005004:Ethmoid Bone / Q000601:surgery / Q000637:transplantation*; D005005:Ethmoid Sinus / Q000601:surgery; D005260:Female; D005402:Fistula / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008585:Meningitis, Meningococcal / Q000150:complications; D008875:Middle Aged; D009298:Nasal Polyps / Q000150:complications; D010521:Periosteum / Q000637:transplantation*; D011183:Postoperative Complications / Q000601:surgery; D012887:Skull Fractures / Q000150:complications; D013701:Temporal Bone / Q000293:injuries; D014182:Transplantation, Autologous