[Modified transcranial approach to resect tumor around the anterior skull base and double tissue flap to reconstruct the anterior skull base].
OBJECTIVE
To explore better approach of resecting tumor around the anterior skull base and reconstructing the anterior skull base.


METHODS
In November 2004, a 49-years-old male patient with intracranial recrudescent adenoid cystic carcinoma in the anterior cranial fossa was treated using modified transcranial approach. Neurosurgeon and rhinolaryngologist cooperated to excise the tumour completely, and to reconstruct anterior skull base using the pedicle periosteum temporal musculofascial flap (15 cm x 10 cm) and the pedicle flap of aponeurosis of occipitofron tails muscle and muscular fasciae (10 cm x 6 cm).


RESULTS
After operation, the wound healed by first intention. Complication, such as infection and cerebrospinal rhinorrhea, did not occur. The patient was discharged 10 days after operation, and was followed up for 8 months, no local recurrence were investigated and no scar formed over the face.


CONCLUSIONS
The modified transcranial approach is a relatively novel exposure that enables the skilled cranial base surgeon to safely resect many malignant lesions previously and to reconstruct the defect of anterior skull base together.
Li
Zhengyong
Z
Department of Plastic Surgery and Burn, West China Hospital, Sichuan University, Chengdu Sichuan, PR China.
Cen
Ying
Y
Yang
Kaiyong
K
D003399:Craniotomy / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures; D019291:Skull Base / Q000601:surgery*; D019292:Skull Base Neoplasms / Q000601:surgery*; D013524:Surgical Flaps; D016378:Tissue Transplantation