Abstract:
OBJECTIVE:After the resection of cranial base tumors, there may not be enough free dural margin left for reconstruction after involved bone and dura have been removed. In such a situation, dural reconstruction becomes a problem. We propose a new technique of dural closure in such cases. METHODS:A fascial graft is prepared from either fascia lata, abdominal fascia, pericranium, or temporal fascia and is trimmed to a size slightly larger than that of the dural defect. The fascial graft is placed over the dural defect and affixed to the underlying bone with a piece of titanium mesh, titanium screws, or both. The graft is then reinforced with fibrin glue. RESULTS:This method of dural reconstruction has been used in five patients with basal meningiomas. Three were in the petromastoid area, and two were in the planum-ethmoid area. None of these patients experienced postoperative cerebrospinal fluid leak, and none experienced any complications related to the reconstruction. CONCLUSION:This technique of dural reconstruction can be used in selected cases of basal tumors without enough free dural margin to sew into a fascial graft.
journal_name
Neurosurgeryjournal_title
Neurosurgeryauthors
Sekhar LN,Sarma S,Morita Adoi
10.1097/00006123-200109000-00043keywords:
subject
Has Abstractpub_date
2001-09-01 00:00:00pages
749-51; discussion 751-2issue
3eissn
0148-396Xissn
1524-4040journal_volume
49pub_type
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