Service de neurochirurgie, CHU Maison Blanche, 45, rue Cognacq-Jay, 51100 Reims, France.
Service de neurochirurgie, CHU Maison Blanche, 45, rue Cognacq-Jay, 51100 Reims, France.
Eur Ann Otorhinolaryngol Head Neck Dis. 2019 Jun;136(3):223-226. doi: 10.1016/j.anorl.2019.02.016. Epub 2019 Mar 21.
The authors describe their experience of surgical closure of the anterior skull base after tumour resection, using the posterior wall of the frontal sinus.
The authors describe their anterior skull base closure technique performed in three patients after tumour resection. Tumour resection via a transglabellar approach resulted in an anterior skull base defect. Reconstruction consisted of direct implantation of the posterior wall of the frontal sinus without using a bone substitute (except when nasofrontal duct obstruction is required).
Three patients were operated by this surgical procedure with complete tumour resection in every case and no infectious complications. This technique was easy to perform, despite one case of persistent CSF leak. Follow-up imaging showed no displacement of the onlay bone graft.
Anterior skull base reconstruction after tumour resection using autologous frontal sinus bone graft is easy to perform with a low complication rate.
作者描述了他们使用额窦后壁对肿瘤切除后的前颅底进行手术修复的经验。
作者描述了他们在三例肿瘤切除后采用的前颅底修复技术。经额窦入路的肿瘤切除导致前颅底缺损。重建包括直接植入额窦后壁，不使用骨替代物（除非需要重建鼻额管）。
三名患者均采用该手术方法进行治疗，在每种情况下均完全切除肿瘤，且无感染性并发症。尽管有一例患者存在持续的脑脊液漏，但该技术易于实施。随访影像学检查未见骨移植片移位。
使用自体额窦骨移植物进行肿瘤切除后的前颅底重建操作简单，并发症发生率低。
