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A practical and economical method for frontal sinus reconstruction after frontal craniotomy: A single-center experience with 140 patients
BACKGROUND: Frontal sinus exposure is a common consequence of frontal craniotomy. Cerebrospinal fluid leakage and infection are the major postoperative complications that may occur as a result of the open frontal sinus. The successful filling of the open frontal sinus provides an approach to prevent...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9346075/ https://www.ncbi.nlm.nih.gov/pubmed/35937594 http://dx.doi.org/10.3389/fsurg.2022.919276 |
Sumario: | BACKGROUND: Frontal sinus exposure is a common consequence of frontal craniotomy. Cerebrospinal fluid leakage and infection are the major postoperative complications that may occur as a result of the open frontal sinus. The successful filling of the open frontal sinus provides an approach to prevent significant complications caused by frontal sinus exposure. OBJECTIVE: This article describes a new technique to reconstruct the exposed frontal sinus cavity with the combined application of gelatin sponge and a vascularized pericranial flap. METHODS: A total of 140 patients underwent frontal sinus reconstruction using gelfoam and vascularized pericranial flaps from 2016 to 2021. Gelatin sponge was used to fill the frontal sinus, and a vascularized pericranial flap was used to cover the frontal sinus when the bone flap was retracted. RESULTS: Postoperative cerebrospinal fluid leakage and infection did not occur in any patient. CONCLUSION: Our results validated the effectiveness of our technique in the prevention of exposed frontal sinus-related postoperative complications. |
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