Multilayer reconstruction of the anterior cranial fossa floor.
A case is described where a reconstruction of a complex defect in the floor of anterior cranial fossa was successfully carried out using multiple layers of vascularised pedicle flaps. The 42-year-old male patient had previously undergone multiple surgical procedures for persistent cerebrospinal fluid (CSF) rhinorrhoea following a vehicular accident 16 years previously. The extensive vascular supply to the layers of the scalp, pericranium, temporalis muscle and its fascial coverings was exploited in fashioning the flaps.
Goel
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Department of Neurosurgery, King Edward Memorial Hospital, Parel, Bombay, India.
D000328:Adult; D002559:Cerebrospinal Fluid Rhinorrhea / Q000175:diagnosis / Q000601:surgery*; D003399:Craniotomy / Q000379:methods*; D005004:Ethmoid Bone / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery; D006801:Humans; D007091:Image Processing, Computer-Assisted; D008279:Magnetic Resonance Imaging; D008297:Male; D011183:Postoperative Complications / Q000175:diagnosis / Q000601:surgery*; D012008:Recurrence; D012086:Reoperation; D019291:Skull Base / Q000473:pathology / Q000601:surgery*; D013101:Sphenoid Sinus / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery; D013524:Surgical Flaps; D014057:Tomography, X-Ray Computed