Frontal Sinus Repair Using Polymethyl Methacrylate After Bifrontal Craniotomy

Matsuura, Jin; Otsuka, Tadahiro; Nakagawa, Takashi; Kai, Koichi

doi:10.1016/j.wneu.2018.12.083

Cited by 4 publications

(18 citation statements)

References 14 publications

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“…15 Multiple publications in human medicine support the use of different methods for prevention of these complications. [1][2][3][4][5] These methods usually are focussed on several goals: (1) completely blocking the connection between the frontal sinus and the intracranial space, (2) filling the dead space, 1,2,9 (3) performing an airtight suturing of the dura mater 1,5 and (4) restoring facial contour. 5 However, specific guidelines in veterinary medicine have not been reported.…”

Section: Discussionmentioning

confidence: 99%

“…Regarding the obliteration technique, different materials (and their combinations) have been broadly used in human medicine. 1,4,5,9 Soft materials mixture such as surgical glue with haemostatic sponges, bone dust or abdominal fat may form an effective barrier. 4,9 However, the glue material may deteriorate overtime, making the seal construct unstable.…”

Section: Discussionmentioning

confidence: 99%

“…4,9 However, the glue material may deteriorate overtime, making the seal construct unstable. 1 Moreover, sneezing can lead to disruption of the surgical seal, increasing the risk for postoperative complications. 1 A case report in a dog describes the failed attempts of sealing the cranial cavity with a fat graft and fascial graft from the temporal muscle.…”

Section: Discussionmentioning

confidence: 99%

“…1 Moreover, sneezing can lead to disruption of the surgical seal, increasing the risk for postoperative complications. 1 A case report in a dog describes the failed attempts of sealing the cranial cavity with a fat graft and fascial graft from the temporal muscle. The dog underwent a second surgery to place a bone graft from the wing of the ilium over the cribriform plate defect; however, subsequently rotation of the bone graft was diagnosed by CT which caused neurological deterioration of the patient.…”

Section: Discussionmentioning

confidence: 99%

“…Postoperative complications secondary to the frontal sinus (FS) approach are not uncommon in humans, with a complication rate of 1.8-17%. 1 The most common complications are intracranial infections, cerebrospinal fluid leakage and mucosal cyst formation. [1][2][3][4][5] Postoperative complications after transfrontal craniotomies in dogs and cats have also been reported, such as tension pneumoencephalus 6,7 and meningoencephalocele.…”

Section: Introductionmentioning

confidence: 99%

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Frontal sinus repair using polymethyl methacrylate after craniectomy for a resection of a fronto‐parietal osteoma in a dog

Chitty

Miro

Kaczmarska

et al. 2021

Vet Record Case Reports

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A 3‐year‐old spayed female German Shepherd dog was presented for investigation and treatment of a firm slow growing mass over the right surface of the skull. Computed tomography (CT) of the head revealed a proliferative, rounded and well‐defined compact bone mass expanding extracranially. A right rostrotentorial craniectomy was performed with ‘en bloc’ mass resection. To achieve clear margins, the excision of the outer table of the frontal bone, with subsequent opening of the right frontal sinus, was necessary. To provide an appropriate sealing between the cranial cavity and the nasal cavity, thereby preventing future complications, a cemented partial obliteration and reconstruction of the right frontal sinus was performed. The dog recovered uneventfully. Histopathological analysis confirmed complete resection with clear margins and the final diagnosis of an osteoma. The dog was progressing with no clinical signs 8 months after the surgery.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Frontal sinus repair using polymethyl methacrylate after craniectomy for a resection of a fronto‐parietal osteoma in a dog

Chitty

Miro

Kaczmarska

et al. 2021

Vet Record Case Reports

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Anatomy of the Frontal Sinus Drainage Pathway Evaluated in 247 Cadavers to Prevent Cerebrospinal Fluid Leakage After Frontobasal Craniotomy

Kodera,

Isozaki,

Akazawa

et al. 2023

Operative Neurosurgery

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BACKGROUND AND OBJECTIVES: The frontal sinus (FS) drainage pathway (FSDP) may be a conduit for cerebrospinal fluid leakage after frontobasal craniotomy. In this cadaveric study, we aimed to evaluate the anatomy of the FSDP. METHODS: The FSs and FSDPs of 247 cadavers were investigated. We counted the number of FSs and FSDPs in each half-head, verified the presence of a narrowing section in each FSDP, and evaluated the depth, shape, and size of each narrowing FSDP section. RESULTS: We investigated 494 sides and 472 FSDPs of 247 cadavers. FSs were unilaterally undeveloped in 13 of 247 cadavers (5.3%) and bilaterally in 8 (3.2%). FSs were unilaterally duplicated in 7 of 247 cadavers (2.8%), and no FSs were bilaterally duplicated or triplicated. No FSs had 2 or more FSDPs, and all 472 investigated FSDPs were invariably narrowed at various depths. The narrowing FSDP sections were elliptical (78.6%), circular (18.1%), triangular (1.8%), or crescent-shaped (1.4%) and of varying thickness and orientation. Although FSDPs were asymmetric in 92.2% of cadavers and narrowing FSDP sections were located deep (8.9 ± 4.4 mm from the anterior skull base), the narrowing FSDP sections were typically small (area: 5.9 ± 3.3 mm2) or thin (short diameter: 2.1 ± 0.7 mm). CONCLUSION: Each FS had only one FSDP, all FSDPs were invariably narrowed at various depths, and the narrowing FSDP sections were sufficiently small or thin to allow local closure, facilitating prevention of cerebrospinal fluid leakage after frontobasal craniotomy.

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The Usefulness of Surgical Titanium Microclips for Mucosal Repair in the Frontal Sinus Using ORBEYE: A Technical Note

TAKAHARA,

MURAKAMI,

TOYOTA

et al. 2024

Neurol. Med. Chir.(Tokyo)

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Bifrontal craniotomy frequently involves opening the frontal sinus and mucosal injury. We report a new technique for mucosal repair in the frontal sinus using surgical titanium microclips. Six consecutive patients who underwent bifrontal craniotomy with frontal sinus exposure and mucosal injury underwent mucosal repair using surgical titanium microclips between April 2019 and August 2022. In all cases, the frontal sinus mucosa was peeled from the inner walls of the frontal sinus to ensure sufficient mucosal margin for clipping using ORBEYE. The repair was accomplished with the microclips in all cases. We also sealed the mucosal wound using fibrin glue and sufficiently filled the frontal sinus with bone debris, resulting in zero incidence of postoperative liquorrhea in all cases. Repairing the mucosa using surgical titanium microclips using ORBEYE may be a simple and quick technique when the frontal sinus mucosa is injured during craniotomy.

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Frontal Sinus Repair Using Polymethyl Methacrylate After Bifrontal Craniotomy

Cited by 4 publications

References 14 publications

Frontal sinus repair using polymethyl methacrylate after craniectomy for a resection of a fronto‐parietal osteoma in a dog

Frontal sinus repair using polymethyl methacrylate after craniectomy for a resection of a fronto‐parietal osteoma in a dog

Anatomy of the Frontal Sinus Drainage Pathway Evaluated in 247 Cadavers to Prevent Cerebrospinal Fluid Leakage After Frontobasal Craniotomy

The Usefulness of Surgical Titanium Microclips for Mucosal Repair in the Frontal Sinus Using ORBEYE: A Technical Note

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