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Related Concept Videos

Cranial Bones: Superior and Posterior View01:14

Cranial Bones: Superior and Posterior View

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The superior view of the cranium shows the frontal and paired parietal bones.
The frontal bone is the single bone that forms the forehead. At its anterior midline, between the eyebrows, there is a slight depression called the glabella. The frontal bone also forms the supraorbital margin of the orbit. Near the middle of this margin is the supraorbital foramen, the opening that provides passage for a sensory nerve to the forehead. The frontal bone is thickened just above each supraorbital margin,...
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Sutures of the Skull01:22

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The human skull is composed of several bones that come together to protect the brain and support the structures of the face. The junctions where these bones meet are called sutures.
Sutures are immobile joints between adjacent bones of the skull. The narrow gap between the bones is filled with dense, fibrous connective tissue that unites the bones. The long sutures located between the skull bones are not straight but instead follow irregular, tightly twisting paths. These twisting lines tightly...
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Cranial Bones: Lateral View01:27

Cranial Bones: Lateral View

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The lateral view of the cranium is dominated by temporal, sphenoid, and ethmoid bones.
The temporal bone forms the lower lateral side of the skull. The temporal bone is subdivided into several regions. The flattened upper portion is the squamous portion of the temporal bone. Below this area and projecting anteriorly is the zygomatic process of the temporal bone, which forms the posterior portion of the zygomatic arch. Posteriorly is the mastoid portion of the temporal bone. Projecting...
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Overview of the Skull01:08

Overview of the Skull

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The cranium (skull) is the skeletal structure of the head that supports the face and protects the brain. It is subdivided into the facial bones and the brain case, or cranial vault. The facial bones underlie the facial structures, form the nasal cavity, enclose the eyeballs, and support the teeth of the upper and lower jaws.
The cranial vault surrounds and protects the brain and houses the middle and inner ear structures. This cavity is bounded superiorly by the rounded top of the skull, which...
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Related Experiment Video

Updated: Aug 2, 2025

Laminectomy for the Removal of Thoracic Ossification of the Ligamentum Flavum TOLF Using Ultrasonic and Conventional Osteotomes
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Fascia Lata: Another Workhorse for Complex Skull Base Reconstruction.

Neal R Godse1, Satyan B Sreenath2, Firas Sbeih1

  • 1Section of Rhinology and Skull Base Surgery, Head and Neck Institute, Cleveland Clinic, Cleveland, OH, USA.

American Journal of Rhinology & Allergy
|April 21, 2023
PubMed
Summary
This summary is machine-generated.

Fascia lata (FL) is a versatile option for inner layer skull base reconstruction after expanded endonasal approaches. This method shows high success rates (92%) with minimal complications, making it a reliable choice for complex defects.

Keywords:
CSF leakendoscopic skull base surgeryfascia lataskull base reconstruction

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Role of Diffusion MRI Tractography in Endoscopic Endonasal Skull Base Surgery
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Role of Diffusion MRI Tractography in Endoscopic Endonasal Skull Base Surgery
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Role of Diffusion MRI Tractography in Endoscopic Endonasal Skull Base Surgery

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Area of Science:

  • Neurosurgery
  • Otolaryngology
  • Skull Base Surgery

Background:

  • Expanded endonasal approaches create skull base defects requiring reconstruction.
  • The nasoseptal flap (NSF) is standard for mucosal reconstruction.
  • Fascia lata (FL) is an option for the inner layer of multilayer reconstruction.

Purpose of the Study:

  • To evaluate the outcomes of using fascia lata (FL) for complex skull base defect reconstruction.
  • To present the versatility and efficacy of FL in various reconstructive techniques.

Main Methods:

  • Retrospective review of 50 consecutive patients undergoing endoscopic skull base reconstruction with FL.
  • Data collected from May 2017 to February 2022.

Main Results:

  • Fascia lata (FL) was used in 50 patients for primary (37) and revision (13) surgeries.
  • Common pathologies included meningioma and craniopharyngioma.
  • FL was utilized as a button graft (68%), free graft (26%), or combined (6%).
  • Successful reconstruction was achieved in 92% of cases (46/50), with only 8% requiring revision for CSF leak.
  • Donor-site complications were minimal (2%).

Conclusions:

  • Fascia lata (FL), often with NSF, is a versatile and effective option for complex skull base reconstruction.
  • FL demonstrates excellent outcomes with low morbidity, establishing it as a key component for inner layer repair.