Reconstruction of Anterior Table Frontal Sinus Defects with Pericranial Flap and Titanium Mesh

Abstract

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Frontal Sinus Fractures: A Review on Etiology and Management Emphasizing Minimally Invasive and Endoscopic Techniques

“…Lastly, titanium mesh can also be used to fix the outer wall and then a pericranial flap can be used to prevent forehead depression while maintaining the internal sterility of the intercranial space. 41…”

“…28 Obliteration can also be achieved via removal of the mucosal lining and packing of the sinus with an inert material, such as hydroxyapatite and autographs from the pericranium. 41…”

“…Cranialization may also be a viable option if CSF leak is observed and the posterior wall is not intact. Lastly, titanium mesh can also be used to fix the outer wall and then a pericranial flap can be used to prevent forehead depression while maintaining the internal sterility of the intercranial space 41 …”

Microvascular Reconstruction of the Anterior Skull Base

“…The workhorse solution for frontal sinus and anterior skull bases defects is locoregional flap reconstruction. The robust yet simple pericranial flap provides vascularized, pliable soft tissue for deep-space obliteration 3. However, for more complex defects, advanced reconstruction techniques involving free vascularized tissue and/or alloplastic materials are necessary.…”

“…The robust yet simple pericranial flap provides vascularized, pliable soft tissue for deep-space obliteration. 3 However, for more complex defects, advanced reconstruction techniques involving free vascularized tissue and/or alloplastic materials are necessary. While outcomes have continued to improve, there is risk of significant complications and morbidity, such as mucocele, pneumocephalus, and osteomyelitis.…”