Background: Frontal sinus exposure is a common consequence of frontal craniotomy. Cerebrospinal fluid leakage and infection are the major postoperative complications that may occur as a result of the open frontal sinus. The successful filling of the open frontal sinus provides an approach to prevent significant complications caused by frontal sinus exposure. Objective: This article describes a new technique to reconstruct the exposed frontal sinus cavity with the combined application of gelatin sponge and a vascularized pericranial flap. Methods: A total of 140 patients underwent frontal sinus reconstruction using gelfoam and vascularized pericranial flaps from 2016 to 2021. Gelatin sponge was used to fill the frontal sinus, and a vascularized pericranial flap was used to cover the frontal sinus when the bone flap was retracted. Results: Postoperative cerebrospinal fluid leakage and infection did not occur in any patient. Conclusion: Our results validated the effectiveness of our technique in the prevention of exposed frontal sinus-related postoperative complications.
CITATION STYLE
Guo, Y., Fu, X., Yin, W., Jiang, Z., Kuang, Y., Wu, Z., … Jiang, X. J. (2022). A practical and economical method for frontal sinus reconstruction after frontal craniotomy: A single-center experience with 140 patients. Frontiers in Surgery, 9. https://doi.org/10.3389/fsurg.2022.919276
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