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- Title
Free temporalis muscle fascia graft in dural reconstruction following surgical resection of intermediate and malignant skull base tumors: A 10‐year experience from a single center.
- Authors
Jurlina, Martin; Mamic, Matija; Pupic‐Bakrac, Jure; Matoc, Lovro; Jednacak, Hrvoje; Luksic, Ivica; Zizic, Marica
- Abstract
Background: Data from patients with post‐ablative dural defects reconstructed using a free temporalis muscle fascia graft (FTFG) after resection of anterior or central skull base tumors were retrospectively analyzed. Methods: The primary predictor and outcome variables were the reconstructive methods for dural repair and postoperative cerebrospinal fluid (CSF) leakage rate, respectively. Results: Eighty patients were included, and 94 postoperative dural reconstructions were performed using FTFG. The postoperative CSF leakage rate was 3.19%. The postoperative CSF leakage rates did not significantly differ between open and endonasal endoscopic surgeries (1.92% vs. 4.88%; p > 0.05). In cases completed using the endonasal endoscopic approach, the postoperative CSF leakage rate was significantly associated with the intraoperative CSF leak flow (p < 0.05). Conclusions: Post‐ablative dural defect reconstruction using FTFG resulted in low postoperative CSF leakage and complication rates comparable to those of free fascia lata graft from available literature.
- Subjects
TEMPORALIS muscle; SKULL base; SKULL tumors; PLASTIC surgery; SURGICAL excision; GINGIVAL grafts; DACRYOCYSTORHINOSTOMY
- Publication
Head & Neck, 2024, Vol 46, Issue 6, p1380
- ISSN
1043-3074
- Publication type
Article
- DOI
10.1002/hed.27768