open access

Vol 48, No 1 (2014)
Original research articles
Submitted: 2012-09-28
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Three-layered osteodural plasty for severe anterior skull base and facial injuries. Report of eleven cases

Hubert Wanyura, Artur Kamiński, Zygmunt Stopa
DOI: 10.1016/j.pjnns.2013.03.003
·
Neurol Neurochir Pol 2014;48(1):8-14.

open access

Vol 48, No 1 (2014)
Original research articles
Submitted: 2012-09-28

Abstract

Background and purpose

The upper cranial trauma of high force and wide area of application leads to fractures of calvaria, the skull base, and the viscerocranium. The aim of the study was to present eleven patients treated for severe anterior skull base and facial defects by means of three-layered osteodural plasty.

Materials and methods

The operative tactics consisted of bicoronal incision, bifrontal craniotomy, closure of the dura mater damage with a pericranium, reconstruction of bone defects with autologous bone grafts and plasty with anteriorly pedicled pericranial flap on the supratrochlear and supraorbital vessels.

Results

During follow-up, which lasted 2–7 years, none of the patients developed any early or late postoperative complications.

Conclusions

The three-layer osteodural plasty of severe anterior skull base injuries with the use of autologous bone grafts for the reconstruction of craniofacial skeleton resulted in a good final functional, morphological and aesthetic outcome in all patients.

Abstract

Background and purpose

The upper cranial trauma of high force and wide area of application leads to fractures of calvaria, the skull base, and the viscerocranium. The aim of the study was to present eleven patients treated for severe anterior skull base and facial defects by means of three-layered osteodural plasty.

Materials and methods

The operative tactics consisted of bicoronal incision, bifrontal craniotomy, closure of the dura mater damage with a pericranium, reconstruction of bone defects with autologous bone grafts and plasty with anteriorly pedicled pericranial flap on the supratrochlear and supraorbital vessels.

Results

During follow-up, which lasted 2–7 years, none of the patients developed any early or late postoperative complications.

Conclusions

The three-layer osteodural plasty of severe anterior skull base injuries with the use of autologous bone grafts for the reconstruction of craniofacial skeleton resulted in a good final functional, morphological and aesthetic outcome in all patients.

Get Citation

Keywords

Skull base fracture, Osteo-dural plasty, Cranioplasty, Autogenic bone graft, Anteriorly pedicled pericranial flap

About this article
Title

Three-layered osteodural plasty for severe anterior skull base and facial injuries. Report of eleven cases

Journal

Neurologia i Neurochirurgia Polska

Issue

Vol 48, No 1 (2014)

Pages

8-14

DOI

10.1016/j.pjnns.2013.03.003

Bibliographic record

Neurol Neurochir Pol 2014;48(1):8-14.

Keywords

Skull base fracture
Osteo-dural plasty
Cranioplasty
Autogenic bone graft
Anteriorly pedicled pericranial flap

Authors

Hubert Wanyura
Artur Kamiński
Zygmunt Stopa

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