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《Journal of Clinical Otorhinolaryngology Head and Neck Surgery》 2011-07
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Modified pedicled cranial periostium compound flap to reconstruct the defect of anterior cranial fossa complicated with cerebrospinal fluid leakage

LI Wen1 ZHAO Ying2 LEI Xiaoxu2 CHEN Zhe2 WANG Jianxiang3(1Department of Otolaryngology Head and Neck Surgery,West China Hospital,Chengdu,610041,China;2State Key Laboratory of Oral Diseases,College of Stomatology,Sichuan University;3Department of Otolaryngology,Panzhihua 19th Metallury Hospital)  
Objective: To explore the effect of modified pedicled cranial periostium compound flap in reconstructing the defect of anterior cranial fossa complicated with cerebrospinal fluid leakage.Method:Seven nasal and sinus tumor cases with defects and CSF were undertaken reconstructing surgery with the flap,of which 1 was benign and the others were malignancies.The transferred flap pedicled with the frontal branch of the superficial temporal artery and complemented with ipsilateral supraorbital and/or supratracholear artery.Result:All cases healed without failure,one case with adjuvant radiotherapy experienced partial free frontal bone necrosis and healed by ways of drainage through temporal incision.The inner surface of the flap in the nasal cavity was smooth.Conclusion:Frontal cranial periostium compound flap have some advantages,such as adequate quantity,good blood supply and easily making,so it can be chosed as an important method to reconstruct the defects of anterior cranial fossa and CSF leakage.
【CateGory Index】: R739.62
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