Skull Base Reconstruction after Far Lateral Transcondylar Approaches Using Autologous Fat Graft-Assisted Medpor Titan Cranioplasty: Surgical Technique and Nuances

2014 ◽  
Vol 75 (S 01) ◽  
Author(s):  
Rohit Reddy ◽  
Phoebe Ling ◽  
Zachary Mendelson ◽  
James Liu
Keyword(s):  
Surgical Technique ◽  
Skull Base ◽  
Fat Graft ◽  
Skull Base Reconstruction ◽  
Autologous Fat ◽  
Autologous Fat Graft ◽  
Far Lateral

Use of Autologous Fat Grafts for the Endoscopic Reconstruction of Skull Base Defects: Indications, Outcomes, and Complications

2018 ◽  
Vol 32 (4) ◽  
pp. 310-317 ◽  
Author(s):  
Kent Lam ◽  
Amber U. Luong ◽  
William C. Yao ◽  
Martin J. Citardi
Keyword(s):  
Skull Base ◽  
Tertiary Care ◽  
Anterior Skull Base ◽  
Fat Graft ◽  
Skull Base Reconstruction ◽  
Autologous Fat ◽  
Fat Grafts ◽  
Autologous Fat Graft ◽  
Skull Base Defects ◽  
Csf Leaks

Background The use of abdominal free fat is a traditional surgical method for the repair and reconstruction of the anterior skull base. Our objective is to assess the outcomes associated with the autologous fat graft to endoscopically repair anterior skull base defects at a single tertiary care center. Methods All patients, who underwent endoscopic skull base repair utilizing abdominal free fat from September 2009 to June 2016, were included for retrospective chart review. Evaluated outcome measurements included (1) the successful closure of preoperative and intraoperative cerebrospinal fluid (CSF) leaks and (2) complications at both donor and recipient graft sites during the postoperative periods. Four representative clinical cases have additionally been selected to highlight the common indications for which the fat graft may be effective in skull base reconstruction. Results Of the 27 patients who were identified for inclusion in this review, 25 (92.6%) demonstrated successful repair of preoperative or intraoperative CSF leaks following primary skull base repair. Two patients developed recurrent CSF leaks occurring about 1 week after their primary closures, and a secondary closure rate of 96.3% was achieved with use of fat grafts. Other complications included seroma and hematoma formation at the abdominal donor sites, each occurring in 1 patient. Conclusions The use of autologous fat remains a viable option for grafting material during endoscopic skull base reconstruction. Despite the wide variety of closure techniques in skull base surgery, autologous fat provides safe and easily accessible material to repair CSF leaks.

scholarly journals The fate of autologous fat graft in skull base reconstruction after extended endoscopic endonasal approaches

2021 ◽  
Vol 1 ◽  
pp. 100596
Author(s):  
E. D'avella ◽  
D. Solari ◽  
F. Esposito ◽  
A. De Rosa ◽  
A. Elefante ◽  
...  
Keyword(s):  
Skull Base ◽  
Fat Graft ◽  
Endoscopic Endonasal ◽  
Skull Base Reconstruction ◽  
Autologous Fat ◽  
Autologous Fat Graft

scholarly journals Treatment of Chronic Posttraumatic Leg Injury Using Autologous Fat Graft

2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Fabio Caviggioli ◽  
Francesco Maria Klinger ◽  
Valeriano Vinci ◽  
Guido Cornegliani ◽  
Marco Klinger
Keyword(s):  
Patient Satisfaction ◽  
Surgical Technique ◽  
Wound Closure ◽  
Scar Tissue ◽  
Fat Graft ◽  
Caucasian Woman ◽  
Autologous Fat ◽  
Regenerative Effect ◽  
Autologous Fat Graft

We present the results obtained in a case of a 20-year-old Caucasian woman with a posttraumatic injury “hard-to-heal” of the left leg treated using autologous fat graft. Considering our experience in treatment of chronic posttraumatic ulcers by autologous fat graft, we decided to use this surgical technique to induce a regenerative effect in this young patient. We have had complete wound closure with only a single surgical procedure after 1 month; after the second intervention of autologous fat graft we observed an improvement in the quality of the scar tissue. The patient satisfaction was excellent. The results were long lasting and remained virtually unchanged after 1 year.

Sequelae of Autologous Fat Graft Used for Reconstruction in Skull Base Surgery

2011 ◽  
Vol 75 (5-6) ◽  
pp. 692-695 ◽  
Author(s):  
Ahmed Nageeb M. Taha ◽  
Rami Almefty ◽  
Svetlana Pravdenkova ◽  
Ossama Al-Mefty
Keyword(s):  
Skull Base ◽  
Skull Base Surgery ◽  
Fat Graft ◽  
Autologous Fat ◽  
Autologous Fat Graft

scholarly journals Anterior Skull Base Reconstruction: Does Fat Preparation Matter?

2018 ◽  
Vol 79 (02) ◽  
pp. e31-e35 ◽  
Author(s):  
Joshua Wood ◽  
Jaron Densky ◽  
John Boughter ◽  
Merry Sebelik ◽  
Courtney Shires
Keyword(s):  
Skull Base ◽  
Anterior Skull Base ◽  
Fat Graft ◽  
Csf Leak ◽  
Surgical Time ◽  
Skull Base Reconstruction ◽  
Csf Rhinorrhea ◽  
Autologous Fat ◽  
Significant Difference ◽  
Skull Base Defect

Objectives This article aims (1) to determine whether there is any difference in cerebrospinal fluid (CSF) leak rate after anterior skull base autologous fat reconstruction based on how the fat is prepared, and (2) to measure impact on surgical times by reconstruction type. Design Translational animal model surgical technique 3-arm trial, comparing two different methods of autologous fat skull base reconstruction versus a nonreconstructed control group. Setting Animal study. Subjects Adult Sprague-Dawley rats. Main Outcome Measures Resolution of CSF rhinorrhea after repair of a surgically created anterior skull base defect. Results Both wet (uncompressed) and dry (compressed) fat reconstruction of an anterior skull base defect demonstrated lower CSF leak rates than nonreconstructed defects. Dry fat reconstruction achieved significance in superiority of controlling CSF leak over no reconstruction (64% success vs. 31%); while wet fat reconstruction trended toward significance (50% vs. 31%). Reconstruction procedure time was longer than nonreconstructed controls, but there was no significant difference between type of fat preparation in surgical time. Conclusions This study demonstrates that drying and compressing the fat graft improves autologous fat reconstruction success for anterior skull base defects, and does not add significantly to surgical time over nonprepared fat.

Autologous fat graft as treatment of post short stature surgical correction scars

Injury ◽  
2014 ◽  
Vol 45 ◽  
pp. S126-S132 ◽  
Author(s):  
Luca Maione ◽  
Antonio Memeo ◽  
Leopoldo Pedretti ◽  
Fabio Verdoni ◽  
Andrea Lisa ◽  
...  
Keyword(s):  
Short Stature ◽  
Surgical Correction ◽  
Fat Graft ◽  
Autologous Fat ◽  
Autologous Fat Graft

scholarly journals The Impact of N-Acetylcysteine on Autologous Fat Graft: First-in-Human Pilot Study

2020 ◽  
Author(s):  
Piotr Pietruski ◽  
Wiktor Paskal ◽  
Łukasz Paluch ◽  
Adriana M. Paskal ◽  
Żaneta Nitek ◽  
...  
Keyword(s):  
Pilot Study ◽  
Fat Graft ◽  
Autologous Fat ◽  
Autologous Fat Graft ◽  
The Impact
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