scholarly journals Treatment of a Large Traumatic Encephalocele with Titanium Mesh

2017 ◽  
Vol 10 (2) ◽  
pp. 145-150
Author(s):  
Alan Motta do Canto ◽  
Manuela Monteiro Pinotti ◽  
Fernando Alves Maciel ◽  
Alexandre Bossi Todeschini ◽  
Guilherme Brasileiro Aguiar ◽  
...  
Keyword(s):  
Skull Base ◽  
Bone Defect ◽  
Endoscopic Treatment ◽  
Rare Case ◽  
Anterior Skull Base ◽  
Titanium Mesh ◽  
Fat Grafts ◽  
Reduced Dimensions ◽  
Extensive Defect

Encephalocele is defined as protrusion of cranial contents beyond the normal confines of the skull. Although most encephalocele cases have a congenital etiology, fractures of the skull base can cause traumatic encephalocele. In most encephalocele cases, the bone defect presents reduced dimensions and the endoscopic treatment is generally performed to reconstruct the area using mucosal and/or fat grafts. This article sought to report on a rare case of traumatic encephalocele associated with an extensive defect of the anterior skull base. This case was treated via transcranial access, and reconstruction was performed using titanium mesh in conjunction with a pericranium flap.

Primary plasmacytoma of the anterior skull base: A rare case

2014 ◽  
Vol 62 (5) ◽  
pp. 545 ◽  
Author(s):  
RameshGanesan Vengalathur ◽  
KarthikeyanVeerasamy Kavindapadi ◽  
Balasubramanian Chandramouli
Keyword(s):  
Skull Base ◽  
Rare Case ◽  
Anterior Skull Base

Radial Forearm Free Flap With Titanium Mesh Sandwich Reconstruction in Complex Anterior Skull Base Defects

2012 ◽  
Vol 23 (6) ◽  
pp. 1763-1765 ◽  
Author(s):  
Vincent L. Biron ◽  
Menachem Gross ◽  
Robert Broad ◽  
Hadi Seikaly ◽  
Erin D. Wright
Keyword(s):  
Skull Base ◽  
Free Flap ◽  
Anterior Skull Base ◽  
Radial Forearm Free Flap ◽  
Titanium Mesh ◽  
Radial Forearm ◽  
Skull Base Defects

scholarly journals Burkitt's Lymphoma of Anterior Skull Base associated with Acute Loss of Vision: A Rare Case Report

2014 ◽  
Vol 7 (1) ◽  
pp. 28-30
Author(s):  
Varsha Varshney ◽  
Gaurav Gupta ◽  
Mohnish Grover ◽  
Vikas Devra
Keyword(s):  
Case Report ◽  
Skull Base ◽  
Rare Case ◽  
Malignant Neoplasm ◽  
Complete Recovery ◽  
Burkitt’S Lymphoma ◽  
Anterior Skull Base ◽  
Burkitt's Lymphoma ◽  
Loss Of Vision ◽  
Rare Case Report

ABSTRACT Burkitt's lymphoma is a malignant neoplasm rarely found in paranasal sinuses and skull base. We report a rare case of Burkitt's lymphoma of anterior skull base associated with acute loss of vision. A 10 years old boy presented with history of headache, diminution of vision in right eye since 15 days. Biopsy showed diffuse NHL of Burkitt's type. After treatment with chemotherapy there was complete recovery in vision. How to cite this article Gupta G, Devra V, Grover M, Varshney V. Burkitt's Lymphoma of Anterior Skull Base associated with Acute Loss of Vision: A Rare Case Report. Clin Rhinol An Int J 2014;7(1):28-30.

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 Multiple osteomas of the falx cerebri and anterior skull base: case report

2016 ◽  
Vol 124 (5) ◽  
pp. 1339-1342 ◽  
Author(s):  
Khaled M. Krisht ◽  
Cheryl A. Palmer ◽  
William T. Couldwell
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Skull Base ◽  
Rare Case ◽  
Anterior Skull Base ◽  
Base Case ◽  
Falx Cerebri

The authors describe a rare case of intracranial extraaxial parafalcine and anterior skull base osteomas in a 22-year-old woman presenting with bifrontal headaches. This case highlights the possible occurrence of such lesions along the anterior skull base and parafalcine region that, as such, should be considered as part of the differential diagnosis for extraaxial calcific lesions involving the anterior skull base. To the authors’ knowledge, this is the first reported case of a patient who underwent complete successful resection of multiple extraaxial osteomas of the anterior skull base and parafalcine region.

Endonasal micro-endoscopic treatment of malignant tumors of the paranasal sinuses and anterior skull base

2006 ◽  
Vol 17 (3) ◽  
pp. 152-167 ◽  
Author(s):  
Paolo Castelnuovo ◽  
Paolo Battaglia ◽  
Davide Locatelli ◽  
Giovanni Delù ◽  
Federica Sberze ◽  
...  
Keyword(s):  
Skull Base ◽  
Paranasal Sinuses ◽  
Endoscopic Treatment ◽  
Malignant Tumors ◽  
Anterior Skull Base

A Rare Case of Temporal Bone Pneumocephalus Tracking through the Internal Auditory Canal

ORL ◽  
2020 ◽  
pp. 1-4
Author(s):  
WayAnne Watson ◽  
Erin Mulry ◽  
Adam Kaufman ◽  
Steven J. Eliades
Keyword(s):  
Skull Base ◽  
Temporal Bone ◽  
Rare Case ◽  
Internal Auditory Canal ◽  
Anterior Skull Base ◽  
Shunt Revision ◽  
Middle Fossa ◽  
Chronic Hydrocephalus ◽  
Skull Base Reconstruction ◽  
The Right

A 39-year-old male with chronic hydrocephalus requiring biventricular shunts presented with progressive pneumocephalus over several years. He showed no improvement following ventriculoperitoneal (VP) shunt revision and anterior skull base repair for a sphenoid dehiscence. Imaging continued to show worsening pneumocephalus with air tracking along the right facial nerve from the geniculate ganglion to the internal auditory canal (IAC). The patient then underwent tympanomastoidectomy and skull base reconstruction. Based on a search of published literature, this appears to be the first reported case of temporal bone pneumocephalus coursing through the IAC, unlike most cases associated with tegmen defects and middle fossa pneumocephalus.

Use of titanium mesh for reconstruction of large anterior cranial base defects

2000 ◽  
Vol 93 (4) ◽  
pp. 711-714 ◽  
Author(s):  
Behnam Badie ◽  
J. Keith Preston ◽  
Gregory K. Hartig
Keyword(s):  
Skull Base ◽  
Anterior Skull Base ◽  
Fistula Formation ◽  
Reconstruction Technique ◽  
Titanium Mesh ◽  
Csf Rhinorrhea ◽  
Content Type ◽  
Dural Defects ◽  
Skull Base Defects ◽  
Fine Print

✓ The authors evaluated the role of titanium mesh used in combination with vascularized pericranium to provide rigid support during reconstruction of anterior skull base defects.Thirteen patients with large anterior skull base defects caused by tumor invasion or traumatic injury involving the cribriform plate, orbital roof, and planum sphenoidale were included in the study. The reconstruction technique involved placement of titanium mesh between two layers of continuous vascularized pericranium. Surgical glue and routine lumbar cerebrospinal fluid (CSF) drainage were not used in any patient.At a mean postoperative follow-up time of 22 months (range 8–39 months), none of the patients had developed infection or meningocele. Postoperative CSF rhinorrhea occurred in two patients with extensive dural defects, which resolved with temporary lumbar drainage.Use of titanium mesh and a two-layer vascularized pericranial graft is a safe, reproducible, and feasible method for reconstructing the anterior skull base. Patients with large dural defects may need temporary CSF diversion to avoid postoperative fistula formation.

Sign in / Sign up

Export Citation Format

Share Document