Skull base reconstruction after anterior craniofacial resection

G. Cantu, C. L. Solero, N. Pizzi, L. Nardo, F. Mattavelli

Research output: Contribution to journalArticle

Abstract

Anterior craniofacial resection has become a popular operation for nasoethmoid tumours involving the skull base. Many papers have been published since the first by Ketcham et al. in 1963. However, there is still controversy about the method for reconstruction of an anterior skull base defect after resection. The simple reconstruction of Ketcham has been followed by more sophisticated procedures using galeal-pericranial flaps, free flaps with microvascular anastomosis and bony or alloplastic augmentation. The main purposes of the reconstructions are to prevent brain herniation, to avoid intracranial infections, to diminish the risk of CSF leakage and to avoid pneumocephalus. From the relevant literature and our own experience of 168 anterior craniofacial resections, we conclude that a pedicled pericranial flap is the best choice for closing a cranial base defect.

Original languageEnglish
Pages (from-to)228-234
Number of pages7
JournalJournal of Cranio-Maxillofacial Surgery
Volume27
Issue number4
Publication statusPublished - 1999

ASJC Scopus subject areas

  • Dentistry(all)
  • Otorhinolaryngology
  • Surgery

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  • Cite this

    Cantu, G., Solero, C. L., Pizzi, N., Nardo, L., & Mattavelli, F. (1999). Skull base reconstruction after anterior craniofacial resection. Journal of Cranio-Maxillofacial Surgery, 27(4), 228-234.