Direct fascia lata reconstruction to reduce donor site morbidity in endoscopic endonasal extended surgery: a pilot study

Vitali, Matteo; Canevari, Frank Rikki; Cattalani, Andrea; Grasso, Vincenzo; Somma, Teresa; Barbanera, Andrea

doi:10.1016/j.clineuro.2016.03.003

Cited by 11 publications

(20 citation statements)

References 17 publications

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“…17 Recently, a preliminary experience with an allograft used to close the fascial defect with the aim to avoid muscle adherence and prolapse, has been published. 18 Based on our series, the reconstruction of the fascial defect is not necessary and muscle prolapse is effectively counterpoised by a tighter subcutaneous suture. Even if this issue is not directly addressed in our analysis, the excellent cosmetic outcomes demonstrate the effectiveness of our technique.…”

Section: Discussionmentioning

confidence: 81%

“…Comparison of our data with the literature is difficult because of the paucity of reports and the variability of techniques adopted. Moreover, the few reports published focused mostly on short‐term outcomes . Nevertheless, some speculations can be made to explain our favorable outcomes.…”

Section: Discussionmentioning

confidence: 93%

“…Moreover, the few reports published focused mostly on short-term outcomes. [15][16][17][18] Nevertheless, some speculations can be made to explain our favorable outcomes. First, the ITT is harvested in the middle third of the thigh.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Complications and donor site morbidity of 3‐layer reconstruction with iliotibial tract of the anterior skull base: Retrospective analysis of 186 patients

et al. 2017

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Section: Discussionmentioning

confidence: 81%

Section: Discussionmentioning

confidence: 93%

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Complications and donor site morbidity of 3‐layer reconstruction with iliotibial tract of the anterior skull base: Retrospective analysis of 186 patients

et al. 2017

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“…Of note, the incidence of complications in the few other published reports with smaller cohorts is similar to our rate. 23,26 Earlier studies on fascia lata complications for ptosis surgery, which is obviously achieved with smaller graft size, found lower satisfaction in the first week, which improved with time. 21,22 In our cohort of patients, 21.8% (n ¼ 26) had early, and 12.6% (n ¼ 15) had late CNS complications, and these rates are also similar to large published studies.…”

Section: Discussionmentioning

confidence: 99%

“…5,[18][19][20] Publications describing donor site morbidity are scarce, and those that are available were conducted on small samples. 5,[21][22][23] This report contributes data on a large number of open skull base surgeries that were performed over a period of 17 years. We believe that the identification and description of the donor site and central nervous system (CNS) complications associated with these rare surgeries will enhance the understanding of the sequelae associated with fascia lata free grafting and assist in the treatment of individual patients.…”

Section: Introductionmentioning

confidence: 99%

Skull Base Reconstruction with Multilayered Fascia Lata: A Single-Center 17 Years Experience

Ringel

Abergel

Horowitz

et al. 2020

J Neurol Surg B Skull Base

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Objectives Reconstruction after open surgery of anterior skull base lesions is challenging. The fascia lata graft is our workhorse for achieving dural sealing and preventing cerebrospinal fluid leak and meningitis. This study seeks to analyze the donor and recipient site complication rates after fascia lata reconstruction. Methods This is a retrospective review of all open anterior skull base operations in which a double-layer fascia lata graft was used for the reconstruction of the defect from 2000 to 2016 at the Tel-Aviv Sourasky Medical Center, a tertiary referral center in Israel. Results Of the 369 patients operated for skull base lesions, 119 underwent open anterior skull base surgery and were reconstructed with a fascia lata graft. The patients' mean age was 47.1 years, and 68 (57.1%) were males. The overall postoperative early and late donor site complication rates were 6.7% (n = 8) and 5.9% (n = 7), respectively. Multivariate analysis found minor comorbidities and persistent/recurrent disease as being predictors for early-term complications. The overall postoperative early central nervous system (CNS) complication rate was 21.8% (n = 26), while 12.6% (n = 15) of the patients had late postoperative CNS complications. Conclusion Reconstruction of open anterior skull base lesions with fascia lata grafting is a safe procedure with acceptable complication and donor site morbidity rates.

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Free temporalis muscle fascia graft in dural reconstruction following surgical resection of intermediate and malignant skull base tumors: A 10‐year experience from a single center

Jurlina,

Mamic,

Pupic‐Bakrac

et al. 2024

Head & Neck

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BackgroundData from patients with post‐ablative dural defects reconstructed using a free temporalis muscle fascia graft (FTFG) after resection of anterior or central skull base tumors were retrospectively analyzed.MethodsThe primary predictor and outcome variables were the reconstructive methods for dural repair and postoperative cerebrospinal fluid (CSF) leakage rate, respectively.ResultsEighty patients were included, and 94 postoperative dural reconstructions were performed using FTFG. The postoperative CSF leakage rate was 3.19%. The postoperative CSF leakage rates did not significantly differ between open and endonasal endoscopic surgeries (1.92% vs. 4.88%; p > 0.05). In cases completed using the endonasal endoscopic approach, the postoperative CSF leakage rate was significantly associated with the intraoperative CSF leak flow (p < 0.05).ConclusionsPost‐ablative dural defect reconstruction using FTFG resulted in low postoperative CSF leakage and complication rates comparable to those of free fascia lata graft from available literature.

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Direct fascia lata reconstruction to reduce donor site morbidity in endoscopic endonasal extended surgery: a pilot study

Cited by 11 publications

References 17 publications

Complications and donor site morbidity of 3‐layer reconstruction with iliotibial tract of the anterior skull base: Retrospective analysis of 186 patients

Complications and donor site morbidity of 3‐layer reconstruction with iliotibial tract of the anterior skull base: Retrospective analysis of 186 patients

Skull Base Reconstruction with Multilayered Fascia Lata: A Single-Center 17 Years Experience

Free temporalis muscle fascia graft in dural reconstruction following surgical resection of intermediate and malignant skull base tumors: A 10‐year experience from a single center

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