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Anterior cranial base reconstruction: Role of galeal and pericranial flaps
Author(s) -
Snyderman Carl H.,
Janecka Ivo P.,
Sekhar Laligam N.,
Sen Chandra N.,
Eibling David E.
Publication year - 1990
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1288/00005537-199006000-00011
Subject(s) - base (topology) , computer science , medicine , mathematics , mathematical analysis
Reconstruction of surgical defects in 30 patients undergoing surgery of the anterior cranial base was performed using pericranial, galeopericranial, and galeal scalp flaps. Twenty‐seven patients had resection of neoplasms, the majority of which were malignant. Fifty‐seven percent of patients received prior therapy consisting of surgery and/or radiotherapy. Adequate healing of the cranial base was noted in all cases without persistent cerebrospinal fluid leaks, meningitis, or brain herniation. Mucosalization of the intranasal surface was noted. No skin grafts were used. At a median follow‐up of 13 months, 67% of patients were alive with no evidence of disease. The pericranial, galeopericranial, and galeal flaps are highly reliable, versatile, and well suited for reconstruction of the anterior cranial base.