[Study on one stage reconstruction of cranial base defects with ADM]
Weiwei Wang1, Weihua Lou, Liang Wang
1Department of Otolaryngology Head and Neck Surgery, the First Affiliated Hospital of Zheng-zhou University, Zhengzhou, 450052, China.
Objective:
The purpose of this study is to explore the effect of reconstruction for the nose cranial base defects after removal of tumor with ADM.
Method:
Thirteen patients with the nose skull base defects after tumors resection underwent cranial base reconstruction with ADM at the same time. Postoperatively, routine endoscopic and CT scan were performed on all patients at regular intervals.
Result:
The successful cranial base reconstruction was achieved in 13 patients with ADM. Intracranial infection occurred in 3 patients and recovered after two weeks postoperatively, given combination of antibiotics, dexamethasone anti-inflammatory, mannitol, reduce intracranial pressure with diuretics and cooling, sedation processing. All patients developed no delayed complications.
Conclusion:
Our experience has demonstrated that the cranial base reconstruction with the ADM "I" shaped sandwich has harvest the satisfactory effect.
