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World Neurosurg. 2017 Nov;107:477-481. doi: 10.1016/j.wneu.2017.08.022. Epub 2017 Aug 12.

Bilateral Temporal Myofascial Flap for the Reconstruction of Frontal Sinus Defects.

Author information

1
Department of Neurosurgery and Gamma Knife Radiosurgery, San Raffaele Scientific Institute, Vita-Salute University, Milan, Italy. Electronic address: gagliardi.filippo@hsr.it.
2
Department of Neurosurgery and Gamma Knife Radiosurgery, San Raffaele Scientific Institute, Vita-Salute University, Milan, Italy.
3
Department of Neurosurgery, George Washington University, Washington, DC, USA.
4
Department of Neurosurgery and Gamma Knife Radiosurgery, San Raffaele Scientific Institute, Vita-Salute University, Milan, Italy; Department of Neurosurgery, George Washington University, Washington, DC, USA.

Abstract

BACKGROUND:

A frontal sinus infection, following a transsinus skull base procedure, portends potentially life-threatening complications, making surgical revision mandatory in refractory infections. The authors describe the application of the bilateral temporal myofascial flap (BTMF) as a valuable option for frontal sinus reconstruction, when pericranial or galeal-frontalis myofascial flap (GFMF) is no longer available.

METHODS:

A microanatomic laboratory cadaver investigation was conducted to obtain anthropometric measurements. Surgical technique is described, and intraoperative images are provided.

RESULTS:

The surgical steps of this technique and the related intraoperative images are reported. One case illustration regarding frontal sinus reconstruction following a postoperative infection, as a complication after a transsinus procedure, is reported.

CONCLUSION:

The BTMF should be considered as a valuable option for frontal sinus reconstruction after transsinus skull base procedures when GFMF is not available.

KEYWORDS:

Frontal sinus defects; Galeal-frontalis flap; Skull base reconstruction; Temporal muscle flap; Transfrontal sinus approach

PMID:
28807777
DOI:
10.1016/j.wneu.2017.08.022
[Indexed for MEDLINE]

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