Cherekaev V A, Gol'bin D A, Belov A I, Borodin V V
Zh Vopr Neirokhir Im N N Burdenko. 2010 Oct-Dec(4):3-9; discussion 9-10.
The problem of closure of skull base defects after resection of craniofacial tumors remains one of the most challenging in neurosurgery. Local pedicled grafts are preferred material for plasty. In this study authors present original technique of using a pedicled buccal fat pad (BFP) graft. Anatomy and functions of BFP are discussed in details.
Since 2004 till 2009 159 patients with anterior skull base mass lesions were operated in Moscow Burdenko Neurosurgical Institute using the discussed technique (male:female = 53:106, mean age was 47 years (10-72)).
In 93% of cases pedicle BFP flap was applied, in 7%--free. Follow-up period ranged between 1 and 6 years. No postoperative CSF leak or other severe complication was observed in the series.
BFP is characterized by absolute advantages--proximity of donor site and defect, simplicity of surgical technique, minimal postoperative discomfort and very low risk of benign complications. This paper is the first description of the suggested technique.
