Bilateral Temporal Myofascial Flap For The Reconstruction of Frontal Sinus Defects.

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Bilateral Temporal Myofascial Flap For The Reconstruction of Frontal Sinus Defects.

World Neurosurg. 2017 Aug 11;:

Authors: Gagliardi F, Bailo M, Spina A, Boari N, Donofrio CA, Piloni M, Gragnaniello C, Caputy AJ, Mortini P

Abstract
BACKGROUND: A frontal sinus infection, following a trans-sinus skull base procedure, portends potentially life-threatening complications, making surgical revision mandatory in refractory infections. The authors describe the application of the bilateral temporal myofascial flap (BTMF) as a valuable option for frontal sinus reconstruction, when pericranial or galeal-frontalis myofascial flap (GFMF) is no longer available.
METHODS: A microanatomical laboratory investigation on cadaver was conducted to obtain anthropometric measurements. Surgical technique is stepwise described and intraoperative pictures are provided.
RESULTS: The surgical steps of this technique and the related intraoperative images are reported. One case illustration regarding frontal sinus reconstruction following a post-operative infection, as complication after a trans-sinusal procedure, is reported.
CONCLUSIONS: The BTMF should be considered as a valuable option for frontal sinus reconstruction after trans-sinusal skull base procedures, when GFMF is not available.

PMID: 28807777 [PubMed - as supplied by publisher]

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