Successful Treatment of Pneumocephalus Using a Free-Style Chimeric Free Flap From a Scarred Thigh

Giuseppe Visconti, Domenico Pagliara, Alessandro Bianchi, Giuseppe La Rocca, Alessandro Olivi, Marzia Salgarello

Research output: Contribution to journalArticle

Abstract

Pneumocephalus is an air collection in cranial cavity caused by accidental exposition of intracranial compartment after trauma or surgery. Skull base reconstruction with free flap is a useful surgical tool to avoid cerebral herniation or intracranial infection. The authors describe a patient of pneumocephalus following anterior skull base meningioma resection, unsuccessfully treated with 2 attempts of fascia lata grafts harvested from both thighs. A free-style chimeric anterolateral thigh free flap was performed using middle third of rectus femoris muscle to fill the planum spheno-ethmoidalis defect and adipocutaneous paddle for postoperative monitoring and for favoring a tension free skin closure. Free-style dissection with limited undermining in the previously scarred thigh was performed to avoid donor-site complication. Postoperative course was uneventful with complete resolution of the pneumocephalus.

Original languageEnglish
Pages (from-to)e658-e660
JournalThe Journal of craniofacial surgery
Volume29
Issue number7
DOIs
Publication statusPublished - Oct 1 2018

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Pneumocephalus
Free Tissue Flaps
Thigh
Skull Base
Fascia Lata
Temazepam
Quadriceps Muscle
Meningioma
Dissection
Therapeutics
Air
Tissue Donors
Transplants
Muscles
Skin
Wounds and Injuries
Infection

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology

Cite this

Successful Treatment of Pneumocephalus Using a Free-Style Chimeric Free Flap From a Scarred Thigh. / Visconti, Giuseppe; Pagliara, Domenico; Bianchi, Alessandro; La Rocca, Giuseppe; Olivi, Alessandro; Salgarello, Marzia.

In: The Journal of craniofacial surgery, Vol. 29, No. 7, 01.10.2018, p. e658-e660.

Research output: Contribution to journalArticle

Visconti, Giuseppe ; Pagliara, Domenico ; Bianchi, Alessandro ; La Rocca, Giuseppe ; Olivi, Alessandro ; Salgarello, Marzia. / Successful Treatment of Pneumocephalus Using a Free-Style Chimeric Free Flap From a Scarred Thigh. In: The Journal of craniofacial surgery. 2018 ; Vol. 29, No. 7. pp. e658-e660.
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