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 language | English |
|---|---|
| Pages (from-to) | e658-e660 |
| Journal | The Journal of craniofacial surgery |
| Volume | 29 |
| Issue number | 7 |
| DOIs | |
| Publication status | Published - Oct 1 2018 |
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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 journal › Article
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TY - JOUR
T1 - Successful Treatment of Pneumocephalus Using a Free-Style Chimeric Free Flap From a Scarred Thigh
AU - Visconti, Giuseppe
AU - Pagliara, Domenico
AU - Bianchi, Alessandro
AU - La Rocca, Giuseppe
AU - Olivi, Alessandro
AU - Salgarello, Marzia
PY - 2018/10/1
Y1 - 2018/10/1
N2 - 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.
AB - 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.
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UR - http://www.scopus.com/inward/citedby.url?scp=85054467485&partnerID=8YFLogxK
U2 - 10.1097/SCS.0000000000004715
DO - 10.1097/SCS.0000000000004715
M3 - Article
C2 - 29944558
AN - SCOPUS:85054467485
VL - 29
SP - e658-e660
JO - Journal of Craniofacial Surgery
JF - Journal of Craniofacial Surgery
SN - 1049-2275
IS - 7
ER -