Dural reconstruction with fascia, titanium mesh, and bone screws: technical note
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Published on: May 26, 2026
L N Sekhar1, S Sarma, A Morita
1Mid-Atlantic Brain and Spine Institutes, Annandale, Virginia 22003, USA. lsekhar@aol.com
Objective:
After the resection of cranial base tumors, there may not be enough free dural margin left for reconstruction after involved bone and dura have been removed. In such a situation, dural reconstruction becomes a problem. We propose a new technique of dural closure in such cases.
Methods:
A fascial graft is prepared from either fascia lata, abdominal fascia, pericranium, or temporal fascia and is trimmed to a size slightly larger than that of the dural defect. The fascial graft is placed over the dural defect and affixed to the underlying bone with a piece of titanium mesh, titanium screws, or both. The graft is then reinforced with fibrin glue.
Results:
This method of dural reconstruction has been used in five patients with basal meningiomas. Three were in the petromastoid area, and two were in the planum-ethmoid area. None of these patients experienced postoperative cerebrospinal fluid leak, and none experienced any complications related to the reconstruction.
Conclusion:
This technique of dural reconstruction can be used in selected cases of basal tumors without enough free dural margin to sew into a fascial graft.