Scholarlink

Background <p>Traumatic anterior cranial fossa fractures complicated by cerebrospinal fluid (CSF) fistulas carry the risk of ascending meningitis.</p> Method <p>We describe our standardised technique for anterior cranial fossa repair via a bifrontal craniotomy, including preparation of a pericranial flap, closure of the frontal sinus, bilateral olfactory nerve dissection, and intradural pericranial reconstruction.</p> Conclusion <p>A systematic, anatomically informed approach enables durable watertight repair with acceptable morbidity. If surgery is properly timed after cerebral swelling has resolved, and CSF is drained, retractorless surgery prevents injury to the inferior face of the frontal lobes.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

How I do it – exoscopic retractorless anterior skull base reconstruction using a pedicled pericranial flap for post-traumatic CSF leak

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年6月17日

查看全文
  • Michael Veldeman,
  • Mark Johannes Marinus Houmes,
  • Hans Clusmann,
  • Hussam Hamou

摘要

Background

Traumatic anterior cranial fossa fractures complicated by cerebrospinal fluid (CSF) fistulas carry the risk of ascending meningitis.

Method

We describe our standardised technique for anterior cranial fossa repair via a bifrontal craniotomy, including preparation of a pericranial flap, closure of the frontal sinus, bilateral olfactory nerve dissection, and intradural pericranial reconstruction.

Conclusion

A systematic, anatomically informed approach enables durable watertight repair with acceptable morbidity. If surgery is properly timed after cerebral swelling has resolved, and CSF is drained, retractorless surgery prevents injury to the inferior face of the frontal lobes.