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Summary
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.
References
- The surgical management of traumatic cranionasal fistulas.Surg Clin North Am. 1953; 1: 115-125
- Cerebrospinal fluid rhinorrhea in closed head injuries.Br J Surg. 1954; 42: 1-18
- Traumatic cerebrospinal fluid rhinorrhea and otorrhea, pneumocephalus and meningitis.Surg Gynecol Obstet. 1957; 104: 88-98
- Combined craniofacial fractures.J Maxillofac Surg. 1980; 8: 52-58
- Concomitant dislocation of the face and skull.J Maxillofac Surg. 1978; 6: 2-8
- Traumatic pneumocephalus.Laryngoscope. 1980; 90: 515-520
- Experiences with orbito-ethmoidal osteomata having intracranial complications.Surg Gynecol Obstet. 1927; 44: 721-742
- Rhinorrhea and hydrocephalus, observations on spontaneous cerebrospinal fluid fistula in patients with increased intracranial pressure.Acta Radiology. 1969; 9: 101-116
- Occult spontaneous cerebrospinal fluid rhinorrhea diagnosed by isotope cisternography.Neuroradiology. 1971; 2: 167-169
- Cerebrospinal rhinorrhea pathological findings.Laryngoscope. 1940; 50: 1167-1177
- Cerebrospinal fluid rhinorrhea, meningitis and pneumo cephalus due to non-missile injuries.Aust NZ J Surg. 1970; 39: 328-334
- Post traumatic cerebrospinal fluid fistula of the frontal fossa.J Trauma. 1966; 6: 618-622
- Post traumatic bacterial meningitis.Ann Intern Med. 1970; 72: 869-874
- Traumatic intracranial hematomas, role of CSF leakage.JAMA. 1974; 227: 1152-1154
- Post traumatic cerebrospinal fluid leaks.Arch Surg. 1967; 95: 648-651
- Spontaneous cerebrospinal rhinorrhea.BMJ. 1938; 1: 1208-1209
- Structural pillars of the facial skeleton.Plast Reconstr Surg. 1980; 66: 54-60
- Late complications vs. method of treatment in a large series of midfacial fractures.Plast Reconstr Surg. 1978; 62: 871-878
- Pneumocephalus (intracranial pneumatocele or aerocele).Arch Surg. 1926; 12: 949-982
- Traumatic cerebrospinal rhinorrhea repair of the fistula by a transfrontal intradural operation.Br J Surg. 1942; 29: 299-303
- Post-traumatic cerebrospinal rhinorrhea with case report.Br J Surg. 1940; 27: 717-722
- A case of cerebrospinal rhinorrhea following on a multiple fracture of the skull which involved the left frontal sinus and left orbit.Transactions Ophthalmologic Society U.K. 1934; 54: 307-315
- Cerebrospinal rhinorrhea.J Laryngol Otol. 1937; 52: 344-347
- Cerebrospinal rhinorrhea. Surgical repair.J Neurosurg. 1944; 1: 60-66
- Combined report of problems and complications in 793 craniofacial operation.Plast Reconstr Surg. 1979; 64: 198-204
- The Craniosynostoses: Causes, Natural History and Management.Springer-Verlag, Berlin1982
- Infection following fronte-supraorbital advancement.Perspectives in Plastic Surgery. 1987; 1: 93-98
- Use of the galeal frontalis myofascial flap in craniofacial surgery.Plast Reconstr Surg. 1986; 77: 905-910
Article info
Publication history
Accepted:
May 7,
1993
Received:
December 8,
1992
Identification
Copyright
© 1993 The British Association of Plastic Surgeons. Published by Elsevier Inc.