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Published on: August 4, 2020
[Using of titanium mesh for the reconstruction of skull base defect]
Zhi-li Ni1, Hai-sheng Liu, Qiu-yi Qu
1Department of Otorhinolaryngology Head and Neck Surgery, Xuanwu Hospital, Capital University of Medical Science, Beijing 100053, China. nzl55@sina.com
Objective:
The purpose of this study is to evaluate the possibility and surgical principle of titanium mesh used for the reconstruction of skull base bone defect.
Methods:
The clinical data of 11 patients with defect of skull base bone repaired with titanium mesh were retrospectively analysed.
Results:
Among 11 patients, there were 6 patients with skull base tumor, 3 patients with fibrosis hyperplasia, 2 patients with encephalomeningocele. The surgical approach included craniofacial approach in 7 patients, transfrontal and extended transfrontal approach in 3 patients, trans-midface approach in 1 patient. The anterior and lateral skull base was repaired in 2 patients, anterior and middle skull base and sellar repaired in 6 patients, anterior skull base and orbital floor repaired in 3 patients. In early postoperative period, there were 3 patients with intracranial pneumatosis, but without symptom, and 1 patient with transient cerebrospinal leakage. Following-up for average 14.4 months, there was no titanium mesh displacement and intracranial infection in all patients.
Conclusions:
The titanium mesh used for the repair of skull base bone defect was both possible and safe.
