Vascularized temporoparietal fascial flap for the treatment of a traumatic cerebrospinal fluid fistula in the middle cranial fossa. Technical note.
The temporoparietal fascial flap (TPFF) is a vascularized pedicle flap commonly used in head and neck reconstructions. The authors describe the use of a TPFF in repairing a large traumatic middle cranial fossa CSF fistula via a middle cranial fossa approach. During the 18-month follow-up, the patient had no further CSF leakage or meningitis. The use of a TPFF for the repair of a traumatic CSF fistula has not been described in the literature. The authors recommend the use of a TPFF in treating recurrent or large middle cranial fossa CSF fistulas. The flap provides a well-vascularized thin layer that can be ideal in middle cranial fossa repair, and its proximity to the operation site is perfect as well.
Taha
Mahmoud
M
Sheffield Skull Base Group, Department of Neurosurgery, Sheffield University Hospitals, Sheffield, United Kingdom. mtaha66@hotmail.com
Carroll
Thomas
T
McMahon
Jeremy
J
D000328:Adult; D002559:Cerebrospinal Fluid Rhinorrhea / Q000601:surgery*; D035301:Cranial Fossa, Middle / Q000601:surgery*; D005205:Fascia; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D019291:Skull Base / Q000293:injuries; D012887:Skull Fractures / Q000150:complications*; D013524:Surgical Flaps