Taha Mahmoud, Carroll Thomas, McMahon Jeremy
Sheffield Skull Base Group, Department of Neurosurgery, Sheffield University Hospitals, Sheffield, United Kingdom.
J Neurosurg. 2009 Aug;111(2):393-5. doi: 10.3171/2008.9.17662.
The temporoparietal fascial flap (TPFF) is a vascularized pedicle flap commonly used in head and neck reconstructions. The authors describe the use of a TPFF in repairing a large traumatic middle cranial fossa CSF fistula via a middle cranial fossa approach. During the 18-month follow-up, the patient had no further CSF leakage or meningitis. The use of a TPFF for the repair of a traumatic CSF fistula has not been described in the literature. The authors recommend the use of a TPFF in treating recurrent or large middle cranial fossa CSF fistulas. The flap provides a well-vascularized thin layer that can be ideal in middle cranial fossa repair, and its proximity to the operation site is perfect as well.
颞顶筋膜瓣（TPFF）是一种带血管蒂的皮瓣，常用于头颈部重建。作者描述了通过中颅窝入路使用TPFF修复大型创伤性中颅窝脑脊液漏的情况。在18个月的随访期间，患者未再出现脑脊液漏或脑膜炎。文献中尚未描述使用TPFF修复创伤性脑脊液漏。作者建议使用TPFF治疗复发性或大型中颅窝脑脊液漏。该皮瓣提供了一个血供良好的薄层，非常适合中颅窝修复，而且它与手术部位的距离也非常合适。
