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A surgical method for treating anterior skull base injuries
K Kiyokawa1, Y Tai, H Y Tanabe
1Department of Plastic and Reconstructive Surgery, Kurume University School of Medicine, Japan.
Summary
This study on anterior skull base reconstruction shows that using bilateral temporal musculo-pericranial flaps is highly effective. The technique led to excellent patient recovery and aesthetic outcomes in most cases.
Area of Science:
- Neurosurgery
- Plastic Surgery
- Otolaryngology
Background:
- Anterior skull base injuries pose significant challenges in surgical repair.
- Reconstruction of dural and bony defects is critical for patient recovery and preventing complications.
Observation:
- A surgical technique involving coronal incision, frontal craniotomy, debridement, ethmoidectomy for drainage, and reconstruction with bilateral temporal musculo-pericranial flaps and bone grafts was used.
- The study included 18 patients with anterior skull base injuries, some presenting with pre-operative epidural abscesses.
Findings:
- 17 out of 18 patients recovered without complications, including meningitis or cerebral herniation.
- Excellent aesthetic results were achieved in 16 patients; two experienced minor deformities related to infection or flap choice.
- Post-operative epidural abscess occurred in only one patient, indicating a low complication rate.
Implications:
- Bilateral temporal musculo-pericranial flaps are a reliable method for anterior skull base reconstruction.
- This technique offers a favorable balance between functional recovery and aesthetic results.
- The findings support the use of this reconstructive approach for anterior skull base defects.