Bilateral Temporal Myofascial Flap for the Reconstruction of Frontal Sinus Defects

F Gagliardi, Michele Bailo, A Spina, N Boari, CA Donofrio, M Piloni, C Gragnaniello, AJ Caputy, P Mortini

Research output: Contribution to journalArticle

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Abstract

Background A frontal sinus infection, following a transsinus skull base procedure, portends potentially life-threatening complications, making surgical revision mandatory in refractory infections. The authors describe the application of the bilateral temporal myofascial flap (BTMF) as a valuable option for frontal sinus reconstruction, when pericranial or galeal-frontalis myofascial flap (GFMF) is no longer available. Methods A microanatomic laboratory cadaver investigation was conducted to obtain anthropometric measurements. Surgical technique is described, and intraoperative images are provided. Results The surgical steps of this technique and the related intraoperative images are reported. One case illustration regarding frontal sinus reconstruction following a postoperative infection, as a complication after a transsinus procedure, is reported. Conclusion The BTMF should be considered as a valuable option for frontal sinus reconstruction after transsinus skull base procedures when GFMF is not available. © 2017 Elsevier Inc.
Original languageEnglish
Pages (from-to)477-481
Number of pages5
JournalWorld Neurosurgery
Volume107
Issue number9
DOIs
Publication statusPublished - 2017

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Frontal Sinus
Skull Base
Infection
Reoperation
Cadaver

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Bilateral Temporal Myofascial Flap for the Reconstruction of Frontal Sinus Defects. / Gagliardi, F; Bailo, Michele; Spina, A; Boari, N; Donofrio, CA; Piloni, M; Gragnaniello, C; Caputy, AJ; Mortini, P.

In: World Neurosurgery, Vol. 107, No. 9, 2017, p. 477-481.

Research output: Contribution to journalArticle

Gagliardi, F, Bailo, M, Spina, A, Boari, N, Donofrio, CA, Piloni, M, Gragnaniello, C, Caputy, AJ & Mortini, P 2017, 'Bilateral Temporal Myofascial Flap for the Reconstruction of Frontal Sinus Defects', World Neurosurgery, vol. 107, no. 9, pp. 477-481. https://doi.org/10.1016/j.wneu.2017.08.022
Gagliardi, F ; Bailo, Michele ; Spina, A ; Boari, N ; Donofrio, CA ; Piloni, M ; Gragnaniello, C ; Caputy, AJ ; Mortini, P. / Bilateral Temporal Myofascial Flap for the Reconstruction of Frontal Sinus Defects. In: World Neurosurgery. 2017 ; Vol. 107, No. 9. pp. 477-481.
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AU - Gagliardi, F

AU - Bailo, Michele

AU - Spina, A

AU - Boari, N

AU - Donofrio, CA

AU - Piloni, M

AU - Gragnaniello, C

AU - Caputy, AJ

AU - Mortini, P

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N2 - Background A frontal sinus infection, following a transsinus skull base procedure, portends potentially life-threatening complications, making surgical revision mandatory in refractory infections. The authors describe the application of the bilateral temporal myofascial flap (BTMF) as a valuable option for frontal sinus reconstruction, when pericranial or galeal-frontalis myofascial flap (GFMF) is no longer available. Methods A microanatomic laboratory cadaver investigation was conducted to obtain anthropometric measurements. Surgical technique is described, and intraoperative images are provided. Results The surgical steps of this technique and the related intraoperative images are reported. One case illustration regarding frontal sinus reconstruction following a postoperative infection, as a complication after a transsinus procedure, is reported. Conclusion The BTMF should be considered as a valuable option for frontal sinus reconstruction after transsinus skull base procedures when GFMF is not available. © 2017 Elsevier Inc.

AB - Background A frontal sinus infection, following a transsinus skull base procedure, portends potentially life-threatening complications, making surgical revision mandatory in refractory infections. The authors describe the application of the bilateral temporal myofascial flap (BTMF) as a valuable option for frontal sinus reconstruction, when pericranial or galeal-frontalis myofascial flap (GFMF) is no longer available. Methods A microanatomic laboratory cadaver investigation was conducted to obtain anthropometric measurements. Surgical technique is described, and intraoperative images are provided. Results The surgical steps of this technique and the related intraoperative images are reported. One case illustration regarding frontal sinus reconstruction following a postoperative infection, as a complication after a transsinus procedure, is reported. Conclusion The BTMF should be considered as a valuable option for frontal sinus reconstruction after transsinus skull base procedures when GFMF is not available. © 2017 Elsevier Inc.

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