Parhiscar A, Har-El G
Department of Otolaryngology, SUNY-Brooklyn, NY, USA.
Otolaryngol Head Neck Surg. 2001 Mar;124(3):304-7. doi: 10.1067/mhn.2001.113662.
Frontal sinus obliteration is often accomplished by autologous grafts such as fat, muscle, or bone. These avascular grafts carry an increased risk of resorption and infection as well as donor site morbidity. Vascular regional flaps may be used to obliterate small sinuses with less morbidity.
To review our experience with the use of the pericranial flap for obliteration of the frontal sinus.
The records of 10 patients who underwent obliteration of the frontal sinus with the pericranial flap were reviewed. Demographics, indications for frontal sinus obliteration, immediate and late complications, and long-term outcome were recorded. These results were compared with those in the current literature.
Ten sinuses were obliterated with the pericranial flap. Indications included frontal sinus mucocele, mucopyocele, frontal sinus osteomyelitis, and frontal sinus fracture. The median follow-up was 3 years. There was 1 short-term complication of persistent headache for 1 month, and there was asymptomatic recurrence of a neofrontal sinus in 1 case.
The pericranial flap is a vascularized local flap that is easily harvested. The use of the pericranial flap avoids donor site morbidity associated with free fat or cancellous bone grafts. The pericranial flap arms the head and neck surgeon with an effective alternative to other methods of frontal sinus obliteration.
额窦闭塞术通常采用自体移植物，如脂肪、肌肉或骨。这些无血管移植物存在吸收、感染风险增加以及供区并发症的问题。带血管蒂的局部皮瓣可用于闭塞较小的鼻窦，并发症较少。
回顾我们使用颅骨膜瓣闭塞额窦的经验。
回顾10例行颅骨膜瓣额窦闭塞术患者的病历。记录人口统计学资料、额窦闭塞的指征、近期和远期并发症以及长期预后。将这些结果与当前文献中的结果进行比较。
10个鼻窦用颅骨膜瓣闭塞。指征包括额窦黏液囊肿、黏液脓性囊肿、额窦骨髓炎和额窦骨折。中位随访时间为3年。有1例短期并发症，持续头痛1个月，1例新额窦无症状复发。
颅骨膜瓣是一种易于获取的带血管蒂局部皮瓣。使用颅骨膜瓣可避免与游离脂肪或松质骨移植相关的供区并发症。颅骨膜瓣为头颈外科医生提供了一种有效的替代其他额窦闭塞方法的选择。
