Abstract：
BACKGROUND:Infection and skin fistula are well-known complications after cranioplasty leading to reconstruction exposure and usually requiring new surgical procedure with poor condition for cutaneous closure. We describe 2 cases using muscle forehead flap (MFF) to treat skin fistula and cranioplasty exposure. CASE DESCRIPTION:The first case was a 43-year-old man who underwent a calvarial bone graft of the frontal sinus anterior wall after craniofacial trauma. Three months postoperatively, osteitis of the bone reconstruction and a skin fistula occurred in the median frontal region. The second case was a 37-year-old woman treated for a cingular glioblastoma by 3 surgeries, concomitant chemoradiation therapy, and frontal reconstruction using a titanium plate. She presented a plate exposure associated with cerebrospinal fluid leak and meningitis. Both patients were successfully treated by surgical removal of the frontal cranioplasty and skin closure using MFF. We observed a satisfying cosmetic result with no recurrence of infection or fistula at 12 and 4 months, respectively. CONCLUSIONS:MFF is a surgical option to treat complex cases of cutaneous fistula secondary to cranioplasty exposure of the anterior cranial fossa.
journal_name
World Neurosurgjournal_title
World neurosurgeryauthors
Reiss S,Zemmoura I,Joly A,Kün-Darbois JD,Laure B,Paré Adoi
10.1016/j.wneu.2018.10.184subject
Has Abstractpub_date
2019-02-01 00:00:00pages
210-214eissn
1878-8750issn
1878-8769pii
S1878-8750(18)32491-4journal_volume
122pub_type
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