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[Using of titanium mesh for the reconstruction of skull base defect]. | LitMetric

[Using of titanium mesh for the reconstruction of skull base defect].

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi

Department of Otorhinolaryngology Head and Neck Surgery, Xuanwu Hospital, Capital University of Medical Science, Beijing 100053, China.

Published: May 2006

Objective: The purpose of this study is to evaluate the possibility and surgical principle of titanium mesh used for the reconstruction of skull base bone defect.

Methods: The clinical data of 11 patients with defect of skull base bone repaired with titanium mesh were retrospectively analysed.

Results: Among 11 patients, there were 6 patients with skull base tumor, 3 patients with fibrosis hyperplasia, 2 patients with encephalomeningocele. The surgical approach included craniofacial approach in 7 patients, transfrontal and extended transfrontal approach in 3 patients, trans-midface approach in 1 patient. The anterior and lateral skull base was repaired in 2 patients, anterior and middle skull base and sellar repaired in 6 patients, anterior skull base and orbital floor repaired in 3 patients. In early postoperative period, there were 3 patients with intracranial pneumatosis, but without symptom, and 1 patient with transient cerebrospinal leakage. Following-up for average 14.4 months, there was no titanium mesh displacement and intracranial infection in all patients.

Conclusions: The titanium mesh used for the repair of skull base bone defect was both possible and safe.

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