Use of Porcine Small Intestinal Submucosal Grafts in Skull Base Reconstruction after Resection of Cerebellopontine Angle Tumors

2019 ◽  
Author(s):  
Douglas Totten ◽  
Robert Yawn ◽  
Nauman Manzoor ◽  
Matthew Dedmon ◽  
Reid Thompson ◽  
...  
Keyword(s):  
Skull Base ◽  
Cerebellopontine Angle ◽  
Skull Base Reconstruction ◽  
Cerebellopontine Angle Tumors ◽  
Small Intestinal

scholarly journals Rekonstruktivna hirurgija povreda facijalisa

2003 ◽  
Vol 50 (1) ◽  
pp. 63-67
Author(s):  
Vladimir Bascarevic ◽  
Miroslav Samardzic ◽  
Lukas Rasulic ◽  
Vesna Simic
Keyword(s):  
Facial Nerve ◽  
Skull Base ◽  
Surgical Procedures ◽  
Functional Recovery ◽  
Cerebellopontine Angle ◽  
Motor Nerve ◽  
Nerve Grafting ◽  
Cerebellopontine Angle Tumors ◽  
The Face ◽  
Nerve Anastomosis

The facial nerve is main motor nerve of the face and its injury leads to total ipsilateral paralysis. There are several surgical procedures in reconstruction of the facial nerve, and the most frequent one is hypoglosso-facial anastomosis. In this study were analysed a series of 69 patients operated on Institute of neurosurgery from 1981 to 2000 year. The most frequent cause of injury was the operation of cerebellopontine angle tumors, as well as the skull base fractures. Hypoglosso-facial anastomosis was done in 57 patients, in 5 cases we performed nerve grafting in the cerebellopontine angle, and in 7 patients the facial nerve was operated peripherally. Results were analyzed in 27 of 57 patients with hipoglosso-facial nerve anastomosis. Functional recovery was achived in 22 (81,4%) patients.

Comparison of Small Intestinal Submucosal Graft and Autologous Tissue in Prevention of CSF leak after Posterior Fossa Craniotomy

2021 ◽  
Author(s):  
Douglas J. Totten ◽  
Nauman F. Manzoor ◽  
Kristen L. Yancey ◽  
Robert J. Yawn ◽  
David S. Haynes ◽  
...  
Keyword(s):  
Skull Base ◽  
Tumor Resection ◽  
Retrospective Chart Review ◽  
Csf Leak ◽  
Skull Base Reconstruction ◽  
Institutional Review ◽  
Lateral Skull Base ◽  
Cranial Fossa ◽  
Small Intestinal ◽  
Skull Base Defects

Abstract Objective To compare the use of porcine small intestinal submucosal grafts (SISG) and standard autologous material (fascia) in prevention of cerebrospinal fluid (CSF) leak and pseudomeningocele formation after translabyrinthine resection. Setting Set at the tertiary skull base center. Methods This is a retrospective chart review. After Institutional Review Board approval, we performed a retrospective cohort study evaluating CSF leak in patients who underwent resection of lateral skull base defects with multilayered reconstruction using either fascia autograft or porcine SISGs. Demographics were summarized with descriptive statistics. Logistic regression was used to compare autograft and xenograft cohorts in terms of CSF complications. Results Seventy-seven patients underwent lateral skull base resection, followed by reconstruction of the posterior cranial fossa. Of these patients, 21 (27.3%) underwent multilayer repair using SISG xenograft. There were no significant differences in leak-associated complications between autograft and xenograft cohorts. Ventriculoperitoneal shunt was necessary in one (1.8%) autograft and one (4.8) xenograft cases (p = 0.49). Operative repair to revise surgical defect was necessary in three (5.4%) autograft cases and none in xenograft cases. Conclusion The use of SISG as a component of complex skull base reconstruction after translabyrinthine tumor resection may help reduce CSF leak rates and need for further intervention.

Beyond the Nasoseptal Flap: Outcomes and Pearls with Secondary Vascular Flaps in Skull Base Reconstruction

2013 ◽  
Vol 74 (S 01) ◽  
Author(s):  
Mihir Patel ◽  
Robert Taylor ◽  
Trevor Hackman ◽  
Deanna Sasaki-Adams ◽  
Matthew Ewend ◽  
...  
Keyword(s):  
Skull Base ◽  
Nasoseptal Flap ◽  
Skull Base Reconstruction

Endoscopic Skull Base Reconstruction with the Use of the Nasoseptal Flap: The TASMC Experience

2016 ◽  
Vol 77 (S 02) ◽  
Author(s):  
Anat Wengier ◽  
Dan Fliss ◽  
Zvi Ram ◽  
Nevo Margalit ◽  
Avraham Abergel
Keyword(s):  
Skull Base ◽  
Nasoseptal Flap ◽  
Skull Base Reconstruction
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