2003
DOI: 10.1177/194589240301700308
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Cranial Bone Grafts in Cerebrospinal Fluid Leak and Encephalocele Repair: A Preliminary Report

Abstract: Our experience indicates that cranial bone graft is an excellent material for endoscopic reconstruction of skull base defects. It confers special advantages in large defects, in defects with complex three-dimensional characteristics, and in patients with cerebrospinal fluid leaks associated with an elevated intracranial pressure.

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Cited by 24 publications
(27 citation statements)
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“…Potential morbidity of cranial donor sites include scalp hematoma, intracranial hemorrhage and brain injury, while for rib donor sites complications may include pneumothorax and persistent chest wall pain. 8,9 Potential complications associated with intraoral donor sites include pain, bleeding, infection, and temporary or permanent paresthesia or dysesthesia of the teeth, gingiva, lip, and chin. 4,10 Distraction osteogenesis also is not without its drawbacks.…”
Section: Discussionmentioning
confidence: 99%
“…Potential morbidity of cranial donor sites include scalp hematoma, intracranial hemorrhage and brain injury, while for rib donor sites complications may include pneumothorax and persistent chest wall pain. 8,9 Potential complications associated with intraoral donor sites include pain, bleeding, infection, and temporary or permanent paresthesia or dysesthesia of the teeth, gingiva, lip, and chin. 4,10 Distraction osteogenesis also is not without its drawbacks.…”
Section: Discussionmentioning
confidence: 99%
“…A variety of graft materials and methods of application have been described for endoscopic CSF leak repair. These include the use of local flaps, of which the middle turbinate osteomucoperiosteal flap 2,3 or the septal mucoperichondrial flap 4,5 are the most notable and practiced examples, or free grafts, that may be harvested from local nasal sites, including turbinate mucosa or septal cartilage, or from distant areas such as temporalis fascia, fat, or calvarial bone 6 . The use of alloplastic material, in the form of hydroxyapatite cement (HAC), has also been documented 7 .…”
Section: Discussionmentioning
confidence: 99%
“…Their rate of recurrence was much higher than that in children with other types of CSFR. Of them, 2 were with meningoencephalocele which indicated that it was easy for a graft to displace when it had been used to close a big defect, and eventually, it was difficult for the defect to successfully close [25]. The authors treated CSF leaks in the aforesaid 2 cases via the combined intracranial and endoscopic approach with autogenous grafts.…”
Section: [ ( ) T D $ F I G ]mentioning
confidence: 94%