Gagliardi Filippo, Bailo Michele, Spina Alfio, Boari Nicola, Donofrio Carmine A, Piloni Martina, Gragnaniello Cristian, Caputy Anthony J, Mortini Pietro
Department of Neurosurgery and Gamma Knife Radiosurgery, San Raffaele Scientific Institute, Vita-Salute University, Milan, Italy.
Department of Neurosurgery and Gamma Knife Radiosurgery, San Raffaele Scientific Institute, Vita-Salute University, Milan, Italy.
World Neurosurg. 2017 Nov;107:477-481. doi: 10.1016/j.wneu.2017.08.022. Epub 2017 Aug 12.
A frontal sinus infection, following a transsinus skull base procedure, portends potentially life-threatening complications, making surgical revision mandatory in refractory infections. The authors describe the application of the bilateral temporal myofascial flap (BTMF) as a valuable option for frontal sinus reconstruction, when pericranial or galeal-frontalis myofascial flap (GFMF) is no longer available.
A microanatomic laboratory cadaver investigation was conducted to obtain anthropometric measurements. Surgical technique is described, and intraoperative images are provided.
The surgical steps of this technique and the related intraoperative images are reported. One case illustration regarding frontal sinus reconstruction following a postoperative infection, as a complication after a transsinus procedure, is reported.
The BTMF should be considered as a valuable option for frontal sinus reconstruction after transsinus skull base procedures when GFMF is not available.
经鼻窦颅底手术后发生额窦感染，可能预示着危及生命的并发症，因此对于难治性感染必须进行手术翻修。作者描述了在无法使用颅骨膜瓣或帽状腱膜-额肌筋膜瓣（GFMF）时，双侧颞肌筋膜瓣（BTMF）作为额窦重建的一种有价值选择的应用。
进行了一项微观解剖实验室尸体研究以获取人体测量数据。描述了手术技术并提供了术中图像。
报告了该技术的手术步骤及相关术中图像。报告了1例经鼻窦手术后作为并发症的术后感染后额窦重建的病例说明。
当无法使用GFMF时，BTMF应被视为经鼻窦颅底手术后额窦重建的一种有价值选择。
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