Various tissues and materials have been used in augmentation rhinoplasty. This paper presents a retrospective analysis of 14 patients, 8 female and 6 male, in whom free pericranium grafts were used in order to restore postsurgery or posttraumatic nasal defects. There were no complications from either the donor or the recipient site. The early and medium term results were satisfactory. It is concluded that free pericranium, compared with other autografts, is a good alternative due to its several advantages and hardly any disadvantages. In selected cases it can even be the material of choice.
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http://dx.doi.org/10.1016/s1010-5182(05)80456-1 | DOI Listing |
J Neurosurg Case Lessons
February 2024
1Department of Neurological Surgery, University of California San Francisco, San Francisco, California.
Background: Frontal craniotomies for a medial subfrontal approach necessitate crossing the frontal sinus. Large superior extensions of the frontal sinus into frontal bone can result in mucosal retention in a free craniotomy bone flap, leading to a delayed mucocele with significant associated morbidity. The authors describe an "open-window" craniectomy technique that permits mucosal removal under direct vision and maintains the inner table on the bone flap's inferior side, helping to seal off the sinus opening with a pericranial flap.
View Article and Find Full Text PDFWorld Neurosurg
June 2024
Department of Neurosurgery, Tangdu Hospital, Air Force Medical University, Xi'an, Shannxi, China. Electronic address:
Background: Watertight duraplasty is essential for surgical management of traumatic anterior skull base (ASB) dural defect but challenging in the deep and narrow operative corridor. Here, the authors report a trans-defect underlay watertight duraplasty (TDUWD) technique for traumatic ASB dural defect.
Methods: TDUWD was performed by inserting a free pericranium graft under the dural defect.
J Clin Med
December 2023
Cellular Signalling Laboratory, Anatomy Centre, Department of Biomedical and Neuromotor Sciences (DIBINEM), University of Bologna, 40126 Bologna, Italy.
Oral cavity defects occur after resection of lesions limited to the mucosa, alveolar gum, or minimally affecting the bone. Aiming at esthetical and functional improvements of intraoral reconstruction, the possibility of harvesting a new galeo-pericranial free flap was explored. The objective of this study was to assess the technical feasibility of flap harvesting through anatomical dissections and surgical procedure simulations.
View Article and Find Full Text PDFJ Hist Neurosci
November 2023
Department of Neurosurgery, Haukeland University Hospital, Bergen, Norway.
In contemporary neurosurgery little attention is currently paid to the pericranium. The purpose of this article is to present how past surgeons have viewed this membrane and how they have reacted to its appearances. In ancient times, the pericranium was considered formed by the dura through the sutures and it retained a relationship with the dura via vessels in the sutures.
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