Use of anteriorly based pericranial flap in frontal sinus obliteration

Moshaver, Ali; Harris, Jeffrey R.; Seikaly, Hadi

doi:10.1016/j.otohns.2006.03.041

Cited by 14 publications

(11 citation statements)

References 13 publications

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“…Cancellous autograft has the disadvantage of poor structural support. The potential disadvantages of pericranial flap frontal sinus obliteration are the devascularization of the anterior table and the flap vascular compromise (14). In our expirience autogenous cancellous bone graft is considered to be the best grafting material.…”

Section: Disscussion and Conclusionmentioning

confidence: 99%

Managment of Frontal Sinus Fracture: Obliteration Sinus with Cancellous Bone graft

Muminagić

Masic²,

Babajic³

et al. 2011

Med Arh

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Cantonal hospital Travnik, Bosnia and Herzegovina 3 F rontal sinus fractures make up about 2-15% of all facial fractures.This is relatively low frequency of occurrence, but it has a large potential of complication and may involve not only the frontal sinuse but more importantly the brain and the eyes. The management depends of the complexity. If anterior wall is fractured with grossly involved nasofrontal duct (NFD) in the injury it is paramount to occlude NFD. Very often, sinus obliteration is done at the same time. In our expirience autogenous cancellous bone graft is considered to be the best grafting material. It has the less short-or long-term complications and the donor site morbidity is insignificant.

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Section: Disscussion and Conclusionmentioning

confidence: 99%

Managment of Frontal Sinus Fracture: Obliteration Sinus with Cancellous Bone graft

Muminagić

Masic²,

Babajic³

et al. 2011

Med Arh

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“…Moshaver et al . showed that an anteriorly based pericranial flap is a good option for frontal sinus obliteration 37 . None of their patients experienced recurrence.…”

Section: Discussionmentioning

confidence: 94%

First results of frontal sinus obliteration with a synthetic, resorbable and osteoconductive bone graft of ß-tricalcium phosphate

Andratschke

Hagedorn

2017

J. Laryngol. Otol.

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“…8 Autografts, particularly the vascularized flaps have been reported to be superior in preventing CSF leak and infection. [10][11][12][13] The reconstruction in several layers is preferable in the presence of a large defect. 16,17 The first layer must be placed as an intradural underlay of fat, muscle, fascia or dural substitute.…”

Section: Discussionmentioning

confidence: 99%

Single Layer and Double Layer Duraplasty for the Management of Persistent Cerebrospinal Fluid Rhinorrhea Following Frontal Sinus Trauma: A Retrospective Study

Sahoo¹,

Thakral

Carvalho³

et al. 2021

Journal of Craniofacial Surgery

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Persistent cerebrospinal fluid (CSF) rhinorrhea is an infrequent complication of frontal sinus trauma. It often require craniotomy for dural repair and obliteration of sinus with well vascularized pericranial flap. The multilayer vascularized techniques have gained popularity over the years owing to low rate of postoperative CSF leaks. The study retrospectively analyzed 25 frontal sinus trauma patients (20 males, 5 females) of mean age 32 AE 10.23 years with persistent CSF rhinorrhea from January 2011 to December 2018. All patients underwent frontal craniotomy and duraplasty was done with pericranial flap alone in 14 patients (Group I) and in combination with fascia lata graft in 11 patients (Group II). The clinical outcomes of single and double layer dural reconstruction techniques in management of CSF leak were analyzed. The size of defects ranged between 3 to 28 mm. Significant association was present between defect size and reconstruction technique with large defects underwent double layer repair. Two patients developed CSF leak following repair with pericranial flap alone. The rate of successful closure of CSF fistula was 100% with double layer reconstruction technique. However, statistically no significant association was noted between postoperative CSF leak and reconstruction technique. There was no evidence of meningitis, subdural hematoma, intracranial abscess, and mucocele formation in all patients during follow-up of 50.7 AE 23.6 months. To conclude, pericranial flap is a reliable reconstruction material for management of post traumatic frontal sinus CSF leaks. Dual flap technique that combine the use of fascia lata provides comprehensive solution of CSF fistula repair.

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Use of anteriorly based pericranial flap in frontal sinus obliteration

Abstract: C-4.

Cited by 14 publications

References 13 publications

Managment of Frontal Sinus Fracture: Obliteration Sinus with Cancellous Bone graft

Managment of Frontal Sinus Fracture: Obliteration Sinus with Cancellous Bone graft

First results of frontal sinus obliteration with a synthetic, resorbable and osteoconductive bone graft of ß-tricalcium phosphate

Single Layer and Double Layer Duraplasty for the Management of Persistent Cerebrospinal Fluid Rhinorrhea Following Frontal Sinus Trauma: A Retrospective Study

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