Snyderman C H, Janecka I P, Sekhar L N, Sen C N, Eibling D E
Department of Otolaryngology, University of Pittsburgh School of Medicine, Penn.
Laryngoscope. 1990 Jun;100(6):607-14. doi: 10.1288/00005537-199006000-00011.
Reconstruction of surgical defects in 30 patients undergoing surgery of the anterior cranial base was performed using pericranial, galeopericranial, and galeal scalp flaps. Twenty-seven patients had resection of neoplasms, the majority of which were malignant. Fifty-seven percent of patients received prior therapy consisting of surgery and/or radiotherapy. Adequate healing of the cranial base was noted in all cases without persistent cerebrospinal fluid leaks, meningitis, or brain herniation. Mucosalization of the intranasal surface was noted. No skin grafts were used. At a median follow-up of 13 months, 67% of patients were alive with no evidence of disease. The pericranial, galeopericranial, and galeal flaps are highly reliable, versatile, and well suited for reconstruction of the anterior cranial base.
对30例接受前颅底手术的患者，使用颅骨膜瓣、帽状腱膜-颅骨膜瓣和帽状腱膜头皮瓣进行手术缺损重建。27例患者进行了肿瘤切除术，其中大多数为恶性肿瘤。57%的患者接受过包括手术和/或放疗在内的前期治疗。所有病例均观察到颅底充分愈合，无持续性脑脊液漏、脑膜炎或脑疝。观察到鼻内表面黏膜化。未使用皮肤移植。中位随访13个月时，67%的患者存活且无疾病证据。颅骨膜瓣、帽状腱膜-颅骨膜瓣和帽状腱膜瓣高度可靠、用途广泛，非常适合前颅底重建。
