Evaluation with Three-Dimensional Computed Tomography after Anterior Skull Base Reconstruction Using Two Musculopericranial Flaps and a Grafted Bone

Kiyokawa, Kensuke; Tai, Yoshiaki; Yanaga, Hiroko; Inoue, Yoshio; Hayakawa, Koji; Hirano, Minoru; Shigemori, Minoru

doi:10.1055/s-2008-1058150

Cited by 1 publication

(2 citation statements)

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“…107 To avoid this complication, various combinations of flaps have been proposed for reconstruction including galeal-pericranial, galeal-pericranial-frontalis with or without a temporal myofascial flap, and the occigaleopericranial flap. 5,19,105,106,[108][109][110][111][112][113][114][115][116][117][118][119][120] Despite the improvements and advantages offered by the EEA for resection of ASB lesions, adequate reconstruction of the resulting skull base defect after tumor removal has remained one of the significant complications. In a recent, large, single-center review of 800 patients, Kassam and colleagues 63 demonstrated that CSF leak was the most common complication following endoscopic endonasal cranial base resections, occurring in nearly 16% of their patient population.…”

Section: Advances In Reconstructive Techniquementioning

confidence: 99%

“…One of the major complications of the pericranial flap was radiation necrosis and subsequent devitalization following postoperative radiation therapy 107. To avoid this complication, various combinations of flaps have been proposed for reconstruction including galeal‐pericranial, galeal‐pericranial‐frontalis with or without a temporal myofascial flap, and the occipital galeopericranial flap 5, 19, 105, 106, 108–120…”

Section: Advances In Reconstructive Techniquementioning

confidence: 99%

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Celebrating the golden anniversary of anterior skull base surgery: Reflections on the Past 50 Years and Its Historical Evolution

Husain¹,

Patel

Soni³

et al. 2012

The Laryngoscope

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With its inception nearly half a century ago through the pioneering work of Dandy, McLean, and Smith, anterior skull base (ASB) surgery is a relatively young discipline. It became a distinct entity in 1963 when Ketcham popularized the combined transcranial transfacial approach for en bloc resection of tumors of the paranasal sinuses extending into the anterior cranial fossa. However, because these procedures resulted in major morbidities and mortalities, alternative modes of treatment were sought. Since the 1970s, the introduction and promotion of the surgical endoscope by Messerklinger, Stammberger, and Kennedy, commenced the era of endoscopic sinus surgery. Thaler and colleagues described the utility of the endoscope for ASB surgery at the turn of the century. This allowed direct visualization and safer, more accurate removal of tumors. In 2001, Casiano reported the first purely endoscopic endonasal ASB resection, a novel technique that has been adopted by major skull base centers. The success of ASB surgery can be attributed to both the development of the skull base team as well as improvements in surgical techniques, instrumentation, and visualization technology. In this article, we review the historical evolution of ASB surgery as we approach the 50th anniversary since its recognition as a distinct entity.

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