Fascia lata sheaths harvest revisited

Amir, Aharon; Gur, Eyal; Gatot, Albert; Zucker, Gideon; Cohen, Jacob T.; Fliss, Dan M.

doi:10.1053/otot.2000.20980

Cited by 5 publications

(6 citation statements)

References 13 publications

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“…A vacuum drain is left in place for 24 to 48 hours or until fewer than 25 to 30 mL/24 h of fluid is drained. 8,9 Defect Reconstruction Primary closure of the dura is performed whenever possible. A temporalis fascia graft is used if the defect is small.…”

Section: Fascia Lata Harvestingmentioning

confidence: 99%

“…[1][2][3][4][5][6][7] This is due to its many advantages as a durable autologous tissue, especially when ample tissue is needed. 8,9 Tumors involving the anterior skull base area pose a special challenge for reconstruction. Reconstruction of that area with local and regional vascularized flaps is often not an option due to tissue insult of neoadjuvant radiotherapy or to tumor involvement.…”

Section: Introductionmentioning

confidence: 99%

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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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Section: Fascia Lata Harvestingmentioning

confidence: 99%

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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“…Its structure of densely packed and oriented fibers gives rise to a distinctive sturdy layer, but one that is sufficiently pliable to span irregularly shaped defects while providing excellent support that is maintained even when the graft is in the form of a narrow strip. 11 Large dural defects will require the harvesting of large sheaths of fascia lata as does a multilayer defect reconstruction at the anterior cranial fossa, such as the one required when the surgeon uses the extended anterior subcranial approach to the skull base after tumor ablation or trauma. The commonly used donor site area for obtaining fascia lata sheaths is the anterolateral aspect of the thigh just proximal to the knee joint.…”

Section: Discussionmentioning

confidence: 99%

Massive Craniocerebral Wound Reconstruction Using Fascia Lata Graft: A Case Report and Technical Note

Champeaux Depond,

Bernat,

Metellus

2024

Indian Journal of Neurotrauma

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Penetrating head injury is rare and, their management is nonstandard with persistent cerebrospinal fluid (CSF) leakage being possibly challenging to treat. A 34-year-old man with no past medical history was referred in emergency room for an impressive accidental penetrating craniocerebral wound through which the brain was extruding due to the raised intracranial pressure. Computed tomography scan showed a comminuted frontal fracture extended to the anterior skull base and a severe bifrontal lobe concussion with a diffuse intracranial hemorrhage. A debridement and washout of the craniocerebral wound were achieved with careful hemostasis followed by a decompressive craniectomy. Fortunately, the patient survived but, the CSF continued to leak through the anterior skull base fracture with no endoscopic treatment possibility. Fifteen days after the initial trauma, a surgical sealing was decided using a large fascia lata sheath harvested on the right thigh by a “S”-shaped incision. A significant piece of fascia lata was cut off and meticulously sutured to the remaining dura mater rims in double-layered watertight fashion. Both cranial and right thigh wounds healed uneventfully and the CSF leak never reoccurred. Twenty-two weeks after the initial trauma, a custom-made titanium cranioplasty was inserted without any dissection difficulty. In case of persistent CSF leakage not amenable to endonasal endoscopic treatment, the use of a large piece of facia lata harvested on the thigh using an “S”-shaped incision is a simple, reliable way to efficiently repair a large dura mater defect. It requires neither special skills nor sophisticated instruments.

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“…The harvest site is kept 10-cm superior to the femoral condyle and 4-cm anterior to the lateral intermuscular septum. 4 Incisions are made, and dissection is carried through subcutaneous tissue. Blunt dissection allows for identification of the fascia lata and releasing its superficial surface.…”

Section: Techniques For Perioral Restoration In the Flaccid Face Mult...mentioning

confidence: 99%

Functionally Addressing Perioral Impairments of the Paralyzed Face

Flynn

Kaufman-Goldberg

2022

Facial Plast Surg

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Management of facial palsy is targeted toward correction of individual patient concerns. Both esthetic perioral changes to the face and functional perioral deficits are commonly concerning to patients with facial paly. Herein, we review perioral impairments resulting from both flaccid and postparalytic facial palsy. Additionally, we discuss targeted therapy and a multitude of technical interventions aimed at restoring perioral functionality to optimize oral competence, speech articulation, and quality of life for facial palsy patients.

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Fascia lata sheaths harvest revisited

Cited by 5 publications

References 13 publications

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

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

Massive Craniocerebral Wound Reconstruction Using Fascia Lata Graft: A Case Report and Technical Note

Functionally Addressing Perioral Impairments of the Paralyzed Face

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