Costa H, Cerejo A, Baptista A, Vaz R, Gonçalves M, Guimarães A, Amarante J, Cruz C, Guimarães F
Plastic Surgery Department, Hospital S. João, Medical School, Oporto, Portugal.
Br J Plast Surg. 1993 Sep;46(6):503-7. doi: 10.1016/0007-1226(93)90225-z.
We report the clinical use of galea frontalis myofascial flaps in the treatment of anterior fossa cerebrospinal fluid leaks after trauma. This flap provides an adequately sized and vascularised barrier between the cranial and nasal cavities through which the cells of the inflammatory response reach the target area. This technique was used in 9 cases with complete success; in 5 out of 9 patients, repair of an anterior cranial base bone defect was also performed with split calvarial bone grafts, harvested from the frontal craniotomy bone. In all patients, neither recurrence of the CSF leakage nor postoperative meningitis or its recurrence were observed.
我们报告了额肌帽状腱膜瓣在治疗创伤后前颅窝脑脊液漏中的临床应用。该瓣在颅腔和鼻腔之间提供了一个大小合适且有血供的屏障，炎症反应细胞可通过该屏障到达目标区域。该技术应用于9例患者，全部成功；9例患者中有5例还采用取自额部开颅术骨的颅骨劈开移植片修复了前颅底骨缺损。所有患者均未观察到脑脊液漏复发、术后脑膜炎或其复发情况。
