Skull Base Reconstruction

Garni Barkhoudarian; Michael B. Avery; Daniel F. Kelly

doi:10.1007/978-3-030-99321-4_10

Skull Base Reconstruction

Garni Barkhoudarian, Michael B. Avery, Daniel F. Kelly

Research output: Chapter in Book/Report/Conference proceeding › Chapter › peer-review

Abstract

Skull base reconstruction requires a comprehensive approach to achieve adequate closure and prevent CSF leakage. Nearly always, a multilayered approach utilizing a combination of autograft and allograft is implemented. There may be multiple skull base approaches for a given pathology, and the reconstruction options are a major factor in this selection. Function preservation must be considered, avoiding destructive techniques when possible. Although reconstruction options vary based on surgical approach, common concepts include collagen inlay, fat graft placement, rigid (permanent or removable) buttress, and early mobilization. Implementation of ERAS principles is helpful to maximize chances of positive outcomes.

Original language	English
Title of host publication	Contemporary Skull Base Surgery
Subtitle of host publication	A Comprehensive Guide to Functional Preservation
Publisher	Springer International Publishing
Pages	131-146
Number of pages	16
ISBN (Electronic)	9783030993214
ISBN (Print)	9783030993207
DOIs	https://doi.org/10.1007/978-3-030-99321-4_10
State	Published - Jan 1 2022
Externally published	Yes

Keywords

Cerebrospinal fluid leakage
Endonasal
Fascia lata
Fat graft
Nasoseptal flap
Pericranium
Reconstruction
Skull base
Vascularized

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10.1007/978-3-030-99321-4_10

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Skull Base Reconstruction

Abstract

Keywords

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