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. 1993 Oct;3(4):223–229. doi: 10.1055/s-2008-1060587

Role of Bone Graft in Reconstruction of Skull Base Defect

Is a Bone Graft Necessary

Yuhei Yamamoto, Hidehiko Minakawa, Tetsunori Yoshida, Hiroharu Igawa, Tsuneki Sugihara, Takehiko Ohura, Kunihiko Nohira
PMCID: PMC1656450  PMID: 17170915

Abstract

Ten patients underwent reconstruction of skull base defects between 1989 and 1992. In this series, the maximum size of the skull base defect was 6 × 5 cm. Three patients underwent bone grafts to reinforce the skull base. The postoperative course of seven patients without bone grafts was uneventful. There was no cerebrospinal fluid leakage, meningitis, extradural abscess, on brain herniation. On the other hand, two of the three patients with bone grafts developed extradural abseesses requiring the bone grafts to be removed. Although the number of patients in this series is not large, this study demonstrates that the use of bone grafts in reconstruction of skull base detects could be one of the factors in increasing the chances of infectious complications. We think that a bone graft is not necessary to reconstruct moderate-sized skull base defects.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Arden R. L., Mathog R. H., Thomas L. M. Temporalis muscle-galea flap in craniofacial reconstruction. Laryngoscope. 1987 Nov;97(11):1336–1342. doi: 10.1288/00005537-198711000-00017. [DOI] [PubMed] [Google Scholar]
  2. Har-Shai Y., Fukuta K., Collares M. V., Stefanovic P. D., Filipovic B. R., Herschman B. R., Jackson I. T. The vascular anatomy of the galeal flap in the interparietal and midline regions. Plast Reconstr Surg. 1992 Jan;89(1):64–69. [PubMed] [Google Scholar]
  3. Jackson I. T., Adham M. N., Marsh W. R. Use of the galeal frontalis myofascial flap in craniofacial surgery. Plast Reconstr Surg. 1986 Jun;77(6):905–910. doi: 10.1097/00006534-198606000-00005. [DOI] [PubMed] [Google Scholar]
  4. Johns M. E., Winn H. R., McLean W. C., Cantrell R. W. Pericranial flap for the closure of defects of craniofacial resection. Laryngoscope. 1981 Jun;91(6):952–959. doi: 10.1288/00005537-198106000-00013. [DOI] [PubMed] [Google Scholar]
  5. Jones N. F., Schramm V. L., Sekhar L. N. Reconstruction of the cranial base following tumour resection. Br J Plast Surg. 1987 Mar;40(2):155–162. doi: 10.1016/0007-1226(87)90188-3. [DOI] [PubMed] [Google Scholar]
  6. McCarthy J. G., Zide B. M. The spectrum of calvarial bone grafting: introduction of the vascularized calvarial bone flap. Plast Reconstr Surg. 1984 Jul;74(1):10–18. doi: 10.1097/00006534-198407000-00002. [DOI] [PubMed] [Google Scholar]
  7. Nakajima S., Watanabe M., Imai H., Taguchi H., Kitano T., Ohsuki M., Horiguchi Y., Yamauchi M., Nakano H., Ito M. [Serum elastase I and amylase concentrations in non-insulin-dependent diabetes mellitus]. Rinsho Byori. 1986 Oct;34(10):1198–1202. [PubMed] [Google Scholar]
  8. Rosen H. M., Simeone F. A., Bruce D. A. Single stage composite resection and reconstruction of malignant anterior skull base tumors. Neurosurgery. 1986 Jan;18(1):7–11. doi: 10.1227/00006123-198601000-00002. [DOI] [PubMed] [Google Scholar]
  9. Sasaki C. T., Ariyan S., Spencer D., Buckwalter J. Pectoralis major myocutaneous reconstruction of the anterior skull base. Laryngoscope. 1985 Feb;95(2):162–166. doi: 10.1288/00005537-198502000-00007. [DOI] [PubMed] [Google Scholar]
  10. Schaefer S. D., Close L. G., Mickey B. E. Axial subcutaneous scalp flaps in the reconstruction of the anterior cranial fossa. Arch Otolaryngol Head Neck Surg. 1986 Jul;112(7):745–749. doi: 10.1001/archotol.1986.03780070057012. [DOI] [PubMed] [Google Scholar]
  11. Schramm V. L., Jr, Myers E. N., Maroon J. C. Anterior skull base surgery for benign and malignant disease. Laryngoscope. 1979 Jul;89(7 Pt 1):1077–1091. [PubMed] [Google Scholar]
  12. Snyderman C. H., Janecka I. P., Sekhar L. N., Sen C. N., Eibling D. E. Anterior cranial base reconstruction: role of galeal and pericranial flaps. Laryngoscope. 1990 Jun;100(6):607–614. doi: 10.1288/00005537-199006000-00011. [DOI] [PubMed] [Google Scholar]
  13. Yamada A., Harii K., Ueda K., Asato H. Free rectus abdominis muscle reconstruction of the anterior skull base. Br J Plast Surg. 1992 May-Jun;45(4):302–306. doi: 10.1016/0007-1226(92)90057-5. [DOI] [PubMed] [Google Scholar]
  14. Yaremchuk M. J., Brumback R. J., Manson P. N., Burgess A. R., Poka A., Weiland A. J. Acute and definitive management of traumatic osteocutaneous defects of the lower extremity. Plast Reconstr Surg. 1987 Jul;80(1):1–14. doi: 10.1097/00006534-198707000-00001. [DOI] [PubMed] [Google Scholar]

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