1981
DOI: 10.1288/00005537-198106000-00013
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Pericranial flap for the closure of defects of craniofacial resections.

Abstract: Malignant neoplasms involving the ethmoid sinuses mandate en bloc resection via the craniofacial approach. This technique leaves a direct communication between the nasal chamber and the extradural space to be closed. The elevation of dura from the nasal chamber and the extradural space to be closed. The elevation of dura from the anterior chamber and the extradural space to be closed. The elevation of dura from the anterior cranial fossa and cribriform area may result in small dural tears, CSF leak and/or CNS … Show more

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Cited by 135 publications
(65 citation statements)
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“…14,18,20 Classic repair of the anterior skull base uses an anteriorly based pericranial flap as the primary means to repair anterior cranial floor defects due to multiple etiologies. 3,21,23,33,35 Its popularity can be attributed to various factors. It is an easy flap to harvest, and it does not often require additional incisions.…”
Section: Discussion Pericranial Flap Designmentioning
confidence: 99%
See 1 more Smart Citation
“…14,18,20 Classic repair of the anterior skull base uses an anteriorly based pericranial flap as the primary means to repair anterior cranial floor defects due to multiple etiologies. 3,21,23,33,35 Its popularity can be attributed to various factors. It is an easy flap to harvest, and it does not often require additional incisions.…”
Section: Discussion Pericranial Flap Designmentioning
confidence: 99%
“…For this reason, pedicled flaps, such as the anteriorly based pericranial, temporoparietal fascial, temporalis muscle, and galeopericranial flaps, are frequently used to reconstruct the cranial base. 6,7,9,[15][16][17]19,23,24,26,31,32,37 More recently, endoscopic endonasal approaches have been popularized and a vascular pedicled flap of the nasal septum based on the nasoseptal artery (Hadad-Bassagasteguy flap or nasoseptal flap [NSF]) has also been introduced for skull base repair and is used extensively. 17,24 The aim of this report is to detail the surgical and anatomical properties of these versatile pedicled tissue flaps and to establish the technical nuances for multilayered skull base repair in clinical cases where these flaps may be used in combination.…”
mentioning
confidence: 99%
“…The "pericranium" consists of the scalp periosteum and the subgaleal areolar tissue. 9 The galea aponeurotica is a layer of dense fibrous tissue that fuses with the frontalis muscle anteriorly, the occipitalis muscle posteriorly and is contiguous with the temporoparietal fascia at its superior aspect. 16 …”
Section: Anatomymentioning
confidence: 99%
“…10 In several series describing the flap for skull base defect closure and ophthalmologic procedures, none have reported flap failure. 1,[8][9][10][11][12][13]15,16 The flap has a rich, redundant vascular supply and a thin, pliable nature. This provides the surgeon with an abundance of applications ranging from nasal reconstruction to repairing oral and oropharyngeal defects.…”
Section: Introductionmentioning
confidence: 99%
“…Whether created by trauma, tumor resection, or the surgical approach itself, such defects may be repaired, at least in part, using living, vascularized pericranial flaps based on the supraorbital or superficial temporal vessels. [1][2][3][4][5] Such flaps have the advantages of being locally available at the time of craniotomy, well vascularized, and adaptable to the shape of the anatomic defect.…”
mentioning
confidence: 99%