title: Surgical Correction of an Extensive Skull Base Defect as a Result of Pneumocele.
abstract: Pneumocele is a condition involving the pathologic expansion of paranasal sinuses with corresponding bony erosion of the skull base. Extensive pneumocele can lead to pneumocephalus, especially in patients with long-term cerebrospinal fluid shunts. Here, the authors present a case of pneumocele in an adult with a history of congenital hydrocephalus managed with a ventriculoperitoneal shunt. The patient underwent reconstruction of a posterior table defect with a pericranial flap followed by frontal sinus obliteration with abdominal fat.
authors.affiliation: Department of Surgery, Division of Otolaryngology-Head and Neck Surgery, Duke University School of Medicine, Durham, NC.
authors.forename: Vaibhav H
authors.initials: VH
authors.lastname: Ramprasad
authors.forename: Charles R
authors.initials: CR
authors.lastname: Woodard
authors.forename: David W
authors.initials: DW
authors.lastname: Jang
mesh_terms: D005500:Follow-Up Studies; D005626:Frontal Sinus / Q000601:surgery*; D006801:Humans; D006849:Hydrocephalus / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010254:Paranasal Sinus Diseases / Q000601:surgery*; D011007:Pneumocephalus / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D019291:Skull Base / Q000601:surgery*; D013524:Surgical Flaps / Q000601:surgery; D013595:Syringomyelia / Q000601:surgery; D017287:Ventriculoperitoneal Shunt